Purpura: ndi chiyani, mitundu, zizindikiro ndi chithandizo

Zamkati

• Mitundu yofiirira
• 1. Henöch-Schönlein wofiirira
• 2. Idiopathic thrombocytopenic purpura
• 3. Thrombotic thrombocytopenic purpura
• 4. Kupukutira utoto
• 5. Senile wofiirira
• Momwe mankhwalawa amachitikira
• Zizindikiro zazikulu

Purpura ndimavuto osowa kwambiri omwe amadziwika ndi mawonekedwe a mawanga ofiira pakhungu ndipo samatha akapanikizidwa, chifukwa chodzaza magazi pansi pakhungu chifukwa chotupa mitsempha. Nsalu zofiirira zimakhala zofala kwambiri kwa ana, koma zimatha kuwoneka msinkhu uliwonse.

Maonekedwe a purpura amatha kukhala chifukwa cha zochitika zingapo ndipo, kutengera chifukwa chake, chithandizo chitha kukhala chofunikira kapena chosafunikira. Nthawi zambiri, mwa ana, zofiirira zimasowa popanda chithandizo chilichonse, pomwe mwa akulu zimatha kukhala vuto lalikulu, ndipo zimatha kuwoneka kapena kutha msanga.

Ndikofunika kukaonana ndi dermatologist kapena dokotala wamkulu pomwe zizindikilo zofiirira zimayamba kuonekera, kuti athe kuzindikira chomwe chikuyambitsa ndikuyamba chithandizo, ngati kuli kofunikira.

Mitundu yofiirira

1. Henöch-Schönlein wofiirira

Henöch-Schönlein purpura, yemwenso amadziwika kuti PHS, ndiye mtundu wofala kwambiri wa purpura mwa ana ochepera zaka 10 ndipo amadziwika ndi kutupa kwa zotengera zing'onozing'ono, zomwe zimapangitsa mawanga ofiira, makamaka pamiyendo ndi matako, ndipo mwina kuyambitsa kupweteka kwa malo olumikizirana kapena m'mimba. Phunzirani za zizindikilo zina za Henöch-Schönlein purpura.

Kodi kuchitira: Nthawi zambiri PHS samafuna chithandizo chapadera, ndikofunikira kuti munthuyo apumule ndipo amatsagana ndi dokotala kuti awone kukula kwa zizindikilo. Komabe, pakakhala zowawa zambiri, adokotala amatha kupereka mankhwala othandizira anti-inflammatories kapena analgesics, monga Ibuprofen ndi Paracetamol, kuti athetse ululu.

2. Idiopathic thrombocytopenic purpura

Idiopathic thrombocytopenic purpura kapena ITP ndi matenda omwe amadzimadzimadzimadzimodzi omwe amadziwika ndi kuchepa kwa ma platelet, kusokoneza kutsekemera ndikupangitsa kuti pakhale mabala ofiira pang'ono pakhungu ndikutuluka m'mphuno. Matendawa amapangidwa makamaka pofufuza zizindikiro ndi kuyezetsa magazi, zomwe zikusonyeza kuti magazi ndi osachepera 10,000 maplatelet / mm³.

Kodi kuchitira: Chithandizo cha ITP chimapangidwa molingana ndi kuuma kwa zizindikilozo, ndipo kugwiritsa ntchito mankhwala omwe amachepetsa mphamvu ya chitetezo cha mthupi angalimbikitsidwe, kupewa kuyankha motsutsana ndi thupi lokha, jakisoni wa ma immunoglobulins kapena mankhwala omwe amalimbikitsa kupangidwa kwa ma platelet kudzera m'mafupa, monga Romiplostim, mwachitsanzo. Dziwani zambiri za ITP ndi momwe mankhwalawa amachitikira.

3. Thrombotic thrombocytopenic purpura

Thrombotic thrombocytopenic purpura kapena PTT ndi mtundu wosowa wa purpura womwe umapezeka pafupipafupi pakati pa zaka 20 ndi 40. Mtundu wa purpura umadziwika ndi kuchuluka kwa kuphatikizika kwa ma platelet, zomwe zimapangitsa kuti mapangidwe a thrombi ndikupangitsa kuti ma erythrocyte aphulike. Chifukwa chake, ndikofunikira kuti PTT izindikiridwe mwachangu ndikuchiritsidwa mwachangu momwe mungapewere kuchepa kwa magazi, kutayika kwa ma platelet ndi kusintha kwamitsempha.

Kodi kuchitira: Chithandizo cha PTT chiyenera kuyambika mwachangu, ndipo plasmapheresis imalimbikitsidwa, yomwe imafanana ndi njira yosefera magazi momwe ma antibodies owonjezera omwe angawononge kugwira ntchito kwa thupi ndi magazi amayenda.

4. Kupukutira utoto

Kuchulukitsa kwa purpura kumawonekera makamaka mwa mwana wakhanda chifukwa chakusowa kwa mapuloteni okhudzana ndi kuundana, komwe kumabweretsa mapangidwe am'magazi omwe angalepheretse kuyenderera kwa magazi ndikuwatsogolera kuwonekera kwa mawanga ofiira pakhungu lomwe limatha kukhala lakuda chifukwa chakufa kwa maselo m'malo amenewo.

Kuphatikiza apo, purpura yamtunduwu imatha kuyambitsa matenda a bakiteriya, ma virus kapena parasitic, mwachitsanzo.

Kodi kuchitira: Chithandizo cha fuluminant purpura chitha kuchitidwa ndikuwongolera mapuloteni omwe akusowa m'magazi malinga ndi malangizo a dokotala.

5. Senile wofiirira

Mtundu wa purpura umadziwika ndi mawonekedwe a mawanga ofiira kumbuyo, manja, manja ndi mikono chifukwa chakukalamba kwa khungu, chifukwa chake, chofala kwambiri kwa anthu azaka zopitilira 65.

Kodi kuchitira: Senile purpura safunika kuthandizidwa, chifukwa siyiyimira chiopsezo chathanzi ndipo sichisonyeza kuti akutuluka magazi. Komabe, ngati munthuyo akumva kukhala wovuta, atha kugwiritsa ntchito mitundu ina ya mafuta kapena mafuta okhala ndi vitamini K omwe amathandiza kuchepetsa zolakwika, ndipo akuyenera kuwonetsedwa ndi dermatologist.

Onani momwe mungachotsere mitundu 8 yodziwika bwino ya ziphuphu pakhungu.

Momwe mankhwalawa amachitikira

Chithandizo cha purpura chimadalira chifukwa chake, koma nthawi zambiri chimachitidwa ndi mafuta okhala ndi vitamini K wambiri, monga Thrombocid, yemwe ayenera kufalikira pakhungu mpaka mawanga atha.

Milandu yovuta kwambiri, kuyamwa kwa mankhwala a corticosteroid, monga Hydrocortisone kapena Prednisone, kapena opaleshoni yochotsa ndulu, ngati thrombocytopenic purpura, itha kuwonetsedwa, popeza mthupi ili momwe ma antibodies amatha kuwononga othandiza magazi kuundana, kuchititsa kuti magazi azikundana pakhungu. Kwa ana, makanda kapena akhanda zofiirira zitha kutha popanda chithandizo, koma kwa akulu, chithandizo nthawi zonse chimafunika.

Zizindikiro zazikulu

Zizindikiro zofala kwambiri za purpura ndi izi:

• Mawanga ofiira pakhungu - dziwani zina zomwe zimayambitsa mawanga ofiira pakhungu;
• Mawanga ofiira obalalika thupi lonse;
• Kutuluka magazi kuchokera m'mphuno, matumbo, chingamu kapena kwamikodzo;
• Ululu pamalo pomwe mawanga;
• Malungo.

Nthawi zambiri, ndimadontho ochepa okha omwe amapezeka pakhungu ndipo nthawi zambiri safuna chithandizo.