Zolemba

Purpura ndi mawanga ofiira ofiira ndi zigamba zomwe zimapezeka pakhungu, komanso m'matumbo, kuphatikizira pakamwa.

Purpura imachitika pamene mitsempha yaying'ono yamagazi imatulutsa magazi pansi pa khungu.

Muyeso wa Purpura pakati pa 4 ndi 10 mm (millimeters) m'mimba mwake. Mawanga a purpura amakhala osachepera 4 mm m'mimba mwake, amatchedwa petechiae. Mawanga a Purpura opitilira 1 cm (sentimita) amatchedwa ecchymoses.

Mapaleti amathandiza magazi kuundana. Munthu yemwe ali ndi purpura amatha kukhala ndi ziwerengero zamagulu (non-thrombocytopenic purpuras) kapena kuchuluka kwama platelet (thrombocytopenic purpuras).

Ma non-thrombocytopenic purpuras atha kukhala chifukwa cha:

• Amyloidosis (vuto lomwe mapuloteni abodza amakhala m'matumba ndi ziwalo)
• Matenda osokoneza magazi
• Congenital cytomegalovirus (momwe mwana wakhanda amatengera kachilombo kotchedwa cytomegalovirus asanabadwe)
• Matenda obadwa nawo a rubella
• Mankhwala omwe amakhudza kugwira ntchito kwa ma platelet kapena zinthu zotseka
• Mitsempha yamagazi yosalimba yomwe imawoneka mwa anthu okalamba (senile purpura)
• Hemangioma (mitsempha yambirimbiri pakhungu kapena ziwalo zamkati)
• Kutupa kwa mitsempha yamagazi (vasculitis), monga Henoch-Schönlein purpura, yomwe imayambitsa mtundu wa purpura
• Kusintha kwapanikizika komwe kumachitika panthawi yobereka
• Scurvy (kuchepa kwa vitamini C)
• Kugwiritsa ntchito steroid
• Matenda ena
• Kuvulala

Thrombocytopenic purpura itha kukhala chifukwa cha:

• Mankhwala omwe amachepetsa kuchuluka kwa maselo
• Idiopathic thrombocytopenic purpura (ITP) - matenda otuluka magazi
• Immune neonatal thrombocytopenia (imatha kuchitika mwa makanda omwe amayi awo ali ndi ITP)
• Meningococcemia (matenda am'magazi)

Itanani foni yanu kuti mudzakumane nanu ngati muli ndi zizindikiro za purpura.

Wothandizirayo awunika khungu lanu ndikufunsani za mbiri yanu yazachipatala ndi zomwe ali nazo, kuphatikiza:

• Kodi iyi ndi nthawi yoyamba kukhala ndi mawanga otere?
• Zidayamba liti?
• Ndi mtundu wanji?
• Kodi amawoneka ngati mikwingwirima?
• Mumamwa mankhwala ati?
• Ndi mavuto ena ati azachipatala omwe mwakhala nawo?
• Kodi pali aliyense m'banja mwanu amene ali ndi mawanga ofanana?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Kujambula khungu kumatha kuchitika. Mayeso amwazi ndi mkodzo atha kulamulidwa kuti adziwe chomwe chimayambitsa purpura.

Mawanga amwazi; Kutaya magazi pakhungu

• Henoch-Schonlein purpura pamiyendo yakumunsi
• Henoch-Schonlein purpura pamapazi a khanda
• Henoch-Schonlein purpura pamiyendo ya khanda
• Henoch-Schonlein purpura pamiyendo ya khanda
• Henoch-Schonlein purpura pamiyendo
• Meningococcemia pa ana a ng'ombe
• Meningococcemia pa mwendo
• Phiri lamiyala lidawona malungo kumapazi
• Meningococcemia yokhudzana ndi purpura

Khalani TP. Mfundo zodziwitsa matenda ndi anatomy. Mu: Habif TP, mkonzi. Clinical Dermatology: Buku Lopangira Kuzindikira ndi Chithandizo. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 1.

Makhitchini CS. Purpura ndi matenda ena am'magazi. Mu: Makitchini CS, Kessler CM, Konkle BA, Streiff MB, Garcia DA, eds. Kufunsana kwa hemostasis ndi Thrombosis. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 10.