Ngaba wakha waphawula ibala elimfusa okanye iqela lamabala amancinci avela ngequbuliso eluswini lwakho, ingakumbi ezingalweni okanye emilenzeni yakho, ngaphandle kokuba ulichukumise? Ngamanye amaxesha la mabala abonakala ngathi yimivumbo, kodwa eneneni anokuba yinto eyahlukileyo. Kwizonyango, le meko siyibiza ngokuba yi-purpura. Ungakhathazeki, esi asisosifo, kodwa sinokuba luphawu lwenye imeko engaphantsi. Ngoko ke namhlanje, masithethe ngayo yonke into ngokulula.
Yintoni kanye kanye iPurpura?
Ngamafutshane, i-purpura yimeko apho imithambo yegazi emincinci phantsi kolusu lwethu ivuza igazi, nto leyo ebangela amabala kumphezulu wolusu. Oku kunokwenzeka eluswini lwakho okanye kwiinwebu ezinje ngomlomo nasemqaleni.
Inkangeleko yala mabala iyahluka ngokuxhomekeke kwibala lolusu lwakho.
- Kumntu onolusu olukhanyayo: Ezi zibonakala zinombala obomvu-omfusa.
- Kumntu onolusu olukhanyayo: Ezi zinokuba mdaka okanye zimnyama ngombala.
Into ebalulekileyo kukuba i-purpura ayisosifo, kodwa luphawu lwenye imeko. Le meko inokubangelwa ngamayeza athile, ukungabikho kweevithamini, okanye ezinye iimeko zokuzalwa. Ke ngoko, ukuba loo mabala abonakala ngaphandle kwesizathu esicacileyo, kungcono ukwazisa ugqirha ngayo.
Ngaba kukho umahluko phakathi kwezi ntlobo zamabala?
Ewe, la mabala abangelwa kukopha phantsi kolusu abizwa ngamagama amathathu kuxhomekeke kubukhulu bawo. Kubaluleke kakhulu ukuba ukwazi oku.
| Igama lendawo | Ubungakanani | Inkcazo elula |
|---|---|---|
| IPetechiae | Ngaphantsi kwe-4 mm | Ezi, ukuba zichanekile, ngamachaphaza amancinci kakhulu, njengechaphaza elenziwe ngencam yepeni. Zihlala zihlanganiswa, ngoko abanye abantu bazijonga njengerhashalala. |
| I-Purpura | Phakathi kweemilimitha ezi-4 ukuya kwezili-10 (ngaphantsi kwesentimitha e-1) | Olu lolona hlobo luphambili lwe-mole esithetha ngalo. Ezi zinkulu kancinci kune-petechiae. |
| Ii-Ecchymoses | Ngaphezulu kwesentimitha enye | Ezi zezona zindlela sizibiza ngokuba "ziindlela zeThale ." Ezi zikhulu ngobukhulu. |
Okukhethekileyo ngala mabala kukuba ukuba uwacinezela ngomnwe wakho, awatshintshi umbala (awabi mhlophe). Irhashalala eqhelekileyo iyajika ibe mdaka xa icinezelwe ize ijike ibe bomvu kwakhona xa ichukunyiswa.
Ziziphi izizathu eziphambili ze-purpura?
Imbangela ye-purpura ixhomekeke kuhlobo lwayo. Yahlulwe kakhulu yaba ziintlobo ezimbini. Enye isekelwe kwinani lee -platelet egazini lethu. Ii-platelet ziiseli ezincinci ezinceda ekumiseni ukopha kwaye zenze amahlwili egazi xa sisopha.
1. I-Thrombocytopenic Purpura: Kulapho inani leeplatelets egazini lincipha khona.
2. I-Non-thrombocytopenic Purpura: Apha, nangona inani leeplatelet liqhelekile, igazi liyavuza kwimithambo yegazi ngenxa yesinye isizathu.
Masibone ngokucacileyo ukuba zeziphi ezi zizathu kwitheyibhile engezantsi.
| Izizathu zePurpura | |
|---|---|
| 1. Ngenxa yamanqanaba aphantsi eeplatelet (Thrombocytopenic Purpura) | |
| |
| 2. Izizathu zamanqanaba aqhelekileyo eeplatelet (i-Non-thrombocytopenic Purpura) | |
|
Kubalulekile: I-Purpura inokwenzeka njengempendulo eqatha kumayeza okunciphisa igazi afana ne-heparin kunye ne-warfarin, okanye kwiimeko ezinzima kakhulu, kodwa ezingaqhelekanga, ezifana ne-DIC (Disseminated Intravascular Coagulation). Ezi ziimeko ezifuna unyango olungxamisekileyo.
Ugqirha uyixilonga njani le meko?
Xa usiya kugqirha one-mole efana nale, into yokuqala aza kuyenza kukuhlola ulusu lwakho ngononophelo. Emva koko, baza kukubuza ngembali yakho epheleleyo yezonyango kunye namayeza owasebenzisayo.
Ukuze ufumane unobangela ochanekileyo we-purpura, ugqirha wakho unokuyalela uvavanyo oluthile.
- Ubalo lweGazi olupheleleyo (CBC): Oku kujonga inani leeplatelet egazini lakho. Ukwazi ukuba iiplatelet zakho ziphantsi okanye aziphantsi kunokunceda ekufumaneni unobangela.
- I-Skin Biopsy: Ngamanye amaxesha, ukuba inani leeplatelet liqhelekile, iqhekeza elincinci kakhulu lesikhumba linokuthathwa livavanywe ukuze kubonwe ukuba kukho imeko ebizwa ngokuba yi-vasculitis.
Ezi mvavanyo zisetyenziselwa ukuchonga imeko engundoqo ebangela i-purpura.
Iphathwa njani?
Khumbula, unyango alukho ngenxa yamabala e-purpura, kodwa ngenxa yemeko ebangela ukuba abonakale. Ngamanye amaxesha, ingakumbi ebantwaneni, la mabala ayaphela ngaphandle konyango.
Nje ukuba unobangela uchongiwe, ugqirha angenza oku kulandelayo:
- Ukuba usela iyeza elibangela i-purpura, litshintshe okanye uliyeke.
- Unyango lwengxaki yempilo engabonakaliyo (umz., usulelo, isifo sokuzikhusela komzimba).
- Ukuba inani leeplatelet liphantsi kakhulu, nika unyango ukuze linyuke.
Ezinye iindlela zonyango ezisetyenziselwa ukwandisa inani leeplatelet zezi:
- IiCorticosteroids: Amayeza athintela ukutshatyalaliswa kweeplatelets.
- Unyango lwe-IVIG (Intravenous Immunoglobulin): Olu nyango, olunikezelwa ngemithambo yegazi, lunyusa ngokukhawuleza amanqanaba eeplatelet.
- Izinto ezithintela amasosha omzimba: Umzekelo, iziyobisi ezifana neRituximab.
- Utofelo-gazi: Ukunika umzimba iiplatelets zisuka ngaphandle, ukuba kuyimfuneko.
- I-Splenectomy: Kwezinye iimeko, i-spleen, eyona nto inegalelo elikhulu ekutshatyalalisweni kweeplatelet, isuswa ngotyando.
Ukuba ubona olu hlobo lwamabala, amabala, okanye imivumbo eluswini lwakho ngaphandle kwesizathu esicacileyo, musa ukuyityeshela. Ngokuqinisekileyo bonana nogqirha wakho. Kuba ngamanye amaxesha oku akuyonto imbi kangako, kodwa ngamanye amaxesha kunokuba luphawu lokuqala lwesifo esisongela ubomi. Ke ngoko, into elungileyo omawuyenze kukufuna ingcebiso kagqirha.
Umyalezo Wokuya Ekhaya
- I-Purpura libala elimfusa, elibomvu, okanye elimdaka elibangelwa kukuphuma kwegazi kwimithambo yegazi emincinci phantsi kolusu.
- Esi asisosifo, kodwa luphawu lwenye imeko efihlakeleyo.
- Ezi zihlulwe ngobukhulu njenge-petechiae (encinci), i-purpura (ephakathi), kunye ne-ecchymosis (imivumbo/enkulu).
- Izizathu ziquka ukubalwa kweeplatelet ezisezantsi, amayeza, usulelo, kunye nobuthathaka bemithambo yegazi.
- Ukuba ubona ezi ntlobo zamabala angenamikrwelo, musa ukuwatyeshela. Ngokuqinisekileyo funa ingcebiso kagqirha.
- Unyango alujongani namabala, kodwa lujongana nemeko ebangela ukuba abonakale.
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