Zolemba

Zamkati

• Zithunzi za purpura
• Nchiyani chimayambitsa purpura?
• Kodi purpura imapezeka bwanji?
• Kodi purpura imathandizidwa bwanji?
• Corticosteroids
• Kutsegula m'mimba immunoglobulin
• Njira zina zochiritsira mankhwala
• Splenectomy
• Kodi malingaliro a purpura ndi otani?
• Kukhala ndi purpura
• Funso:
• Yankho:

Kodi purpura ndi chiyani?

Purpura, yomwe imadziwikanso kuti mawanga amwazi kapena magazi akhungu, amatanthauza mabala ofiira omwe amadziwika pakhungu. Mawanga amathanso kuwonekera pamagulu kapena mamina, kuphatikizapo nembanemba mkamwa.

Purpura imachitika pamene mitsempha yaying'ono yamagazi imaphulika, ndikupangitsa magazi kulowa pansi pakhungu. Izi zimatha kupanga mawanga ofiira pakhungu lomwe limakhala kukula kuchokera kumadontho ang'onoang'ono mpaka zigamba zazikulu. Mawanga a Purpura nthawi zambiri amakhala owopsa, koma amatha kuwonetsa matenda akulu kwambiri, monga matenda osokoneza magazi.

Nthawi zina, kuchepa kwa ma platelet kungayambitse kuvulaza kwambiri ndi magazi. Ma Platelet ndi maselo omwe amathandizira magazi kuundana. Magawo ochepa am'magazi angalandire cholowa kapena majini, koma atha kukhala okhudzana ndi zaposachedwa:

• Kufalikira kwa mafupa
• khansa
• chemotherapy
• zimasintha maselo
• Matenda a HIV
• m'malo mwa mahomoni
• mankhwala a estrogen
• kugwiritsa ntchito mankhwala ena

Muyenera kulumikizana ndi adokotala nthawi zonse mukawona zophuka zilizonse kapena zosintha pakhungu lanu.

Zithunzi za purpura

Nchiyani chimayambitsa purpura?

Pali mitundu iwiri ya purpura: nonthrombocytopenic ndi thrombocytopenic. Nonthrombocytopenic imatanthauza kuti mumakhala ndi magazi m'magazi mwanu. Thrombocytopenic zikutanthauza kuti mumakhala ndi zocheperako kuposa kuchuluka kwamaplatelet.

Zotsatirazi zingayambitse nonthrombocytopenic purpura:

• zovuta zomwe zimakhudza magazi kuundana
• Matenda ena obadwa nawo, omwe amapezeka kapena asanabadwe, monga telangiectasia (khungu losalimba ndi minofu yolumikizana) kapena matenda a Ehlers-Danlos
• mankhwala ena, kuphatikiza ma steroids ndi omwe amakhudza kugwira ntchito kwa ma platelet
• Mitsempha yamagazi yofooka
• kutupa m'mitsempha yamagazi
• scurvy, kapena kuchepa kwambiri kwa vitamini C

Zotsatirazi zingayambitse thrombocytopenic purpura:

• mankhwala omwe amaletsa kupangitsa kuti maselo othandiza magazi kuundana apangike kapena kusokoneza kuundana
• mankhwala omwe amachititsa kuti thupi liziyambitsa chitetezo cha mthupi motsutsana ndi ma platelet
• kuthiridwa magazi kwaposachedwa
• matenda amthupi monga idiopathic thrombocytopenic purpura
• matenda m'magazi
• matenda opatsirana ndi HIV kapena Hepatitis C, kapena matenda ena a ma virus (Epstein-Barr, rubella, cytomegalovirus)
• Malungo a Rocky Mountain (kuyambira kuluma kwa nkhupakupa)
• zokhudza zonse lupus erythematous

Kodi purpura imapezeka bwanji?

Dokotala wanu amayesa khungu lanu kuti mupeze purpura. Amatha kufunsa za banja lanu komanso mbiri yazaumoyo wanu, monga nthawi yomwe mawanga adayamba kuwonekera. Dokotala wanu amathanso kupanga chikopa cha khungu kuphatikiza pakuyesa magazi ndi ma platelet.

Kuyesaku kukuthandizani kudziwa ngati purpura yanu ikuchitika chifukwa cha vuto lalikulu, monga kupatsidwa zinthu za m'mwazi kapena matenda a magazi. Magawo am'magazi angakuthandizeni kudziwa chifukwa cha purpura ndipo zingathandize dokotala kudziwa njira yabwino yothandizira.

Purpura imatha kukhudza ana ndi akulu omwe. Ana amatha kudwala matendawa atatha kutenga kachilombo ndipo nthawi zambiri amatha kuchira popanda kuchitapo kanthu. Ana ambiri omwe ali ndi thrombocytopenic purpura amachira kwathunthu mkati mwa miyezi ingapo matendawa atayamba. Komabe, mwa akulu, zomwe zimayambitsa purpura nthawi zambiri zimakhala zosatha ndipo zimafuna chithandizo chothandizira kuthana ndi zizindikilo ndikusunga kuchuluka kwa ma platelet m'malo abwino.

Kodi purpura imathandizidwa bwanji?

Mtundu wa chithandizo chomwe dokotala angakupatseni chimadalira chifukwa cha purpura yanu. Akuluakulu omwe amapezeka kuti ali ndi thrombocytopenic purpura yochepa amatha kuchira popanda kuchitapo kanthu.

Mufunika chithandizo ngati vuto lomwe limayambitsa purpura silitha lokha. Mankhwalawa amaphatikizapo mankhwala ndipo nthawi zina splenectomy, kapena opareshoni yochotsa ndulu. Muthanso kufunsidwa kuti musiye kumwa mankhwala omwe amalepheretsa kugwira ntchito kwa ma platelet, monga aspirin, opopera magazi, ndi ibuprofen.

Corticosteroids

Dokotala wanu akhoza kukuyambitsani mankhwala a corticosteroid, omwe angakuthandizeni kuwonjezera kuchuluka kwamagulu anu pochepetsa kuchepa kwa chitetezo chanu cha mthupi. Zimatengera pafupifupi milungu iwiri kapena isanu ndi umodzi kuti ziwerengero zanu zamaplatelet zibwerere kumtunda. Ikatero, dokotala wanu atha kusiya kumwa mankhwalawo.

Ndikofunika kuti mulankhule ndi dokotala wanu za kuopsa kotenga corticosteroids kwa nthawi yayitali. Kuchita izi kumatha kuyambitsa zovuta zina, monga kunenepa, khungu, ndi mafupa.

Kutsegula m'mimba immunoglobulin

Ngati mtundu wanu wa purpura ukupangitsa magazi kutuluka kwambiri, adokotala angakupatseni mankhwala amitsempha otchedwa intravenous immunoglobulin (IVIG). Akhozanso kukupatsirani IVIG ngati mukufuna kuwonjezera kuchuluka kwamagulu anu asanachite opaleshoni. Mankhwalawa nthawi zambiri amakhala othandiza pakuwonjezera kuchuluka kwamagulu anu, koma zotsatira zake zimangokhala munthawi yochepa. Zitha kuyambitsa zovuta monga kupweteka mutu, nseru, ndi malungo.

Njira zina zochiritsira mankhwala

Mankhwala aposachedwa kwambiri omwe amagwiritsidwa ntchito pochiza kuchuluka kwa ma platelet mwa anthu omwe ali ndi immune immune (idiopathic) thrombocytopenic purpura (ITP) ndi romiplostim (Nplate) ndi eltrombopag (Promacta). Mankhwalawa amachititsa kuti mafupa apange mafupa ambiri, omwe amachepetsa chiopsezo chovulala ndi magazi. Zotsatira zoyipa ndizo:

• kupweteka mutu
• chizungulire
• nseru
• kulumikizana kapena kupweteka kwa minofu
• kusanza
• chiopsezo chowonjezeka chamagazi
• ntenda yopuma movutikira
• mimba

Thandizo la biologic, monga mankhwala rituximad (Rituxan), lingathandize kuchepetsa chitetezo cha mthupi. Amagwiritsidwa ntchito kwambiri pochiza odwala omwe ali ndi thrombocytopenic purpura yoopsa komanso odwala omwe chithandizo cha corticosteroid sichothandiza. Zotsatira zoyipa zingaphatikizepo:

• kuthamanga kwa magazi
• chikhure
• zidzolo
• malungo

Splenectomy

Ngati mankhwala sagwira ntchito pochiza thrombocytopenic purpura, dokotala wanu. Kuchotsa ndulu ndi njira yachangu yowonjezera kuchuluka kwamagulu anu. Izi ndichifukwa choti nthenda ndiyo gawo lalikulu mthupi lomwe limathandizira kuchotsa ma platelet.

Komabe, splenectomies sizothandiza kwa aliyense. Kuchita opaleshoniyi kumabweretsanso zoopsa, monga chiwopsezo chowonjezereka cha matenda. Pazidzidzidzi, pamene purpura imayambitsa magazi ochulukirapo, zipatala zimathirira magazi ma platelet concentrate, corticosteroids, ndi immunoglobulin.

Mukalandira chithandizo, dokotala wanu adzawunika kuchuluka kwamagulu anu kuti akuthandizeni kudziwa ngati ndi othandiza kapena ayi. Amatha kusintha mankhwalawa kutengera mphamvu yake.

Kodi malingaliro a purpura ndi otani?

Maganizo a purpura amatengera zomwe zimayambitsa. Dokotala wanu akatsimikizira kuti ali ndi vutoli, amakambirana njira zamankhwala komanso malingaliro azaumoyo wanu kwakanthawi.

Nthawi zambiri, thrombocytopenic purpura yomwe imasiyidwa osathandizidwa imatha kupangitsa kuti munthu atuluke magazi ochulukirapo m'thupi lake. Kutaya magazi kwambiri muubongo kumatha kudzetsa magazi owopsa muubongo.

Anthu omwe amayamba kulandira chithandizo nthawi yomweyo kapena odwala pang'ono samachira nthawi zonse. Komabe, purpura imatha kukhala yayikulu pamavuto akulu kapena mankhwala akachedwa. Muyenera kukaonana ndi dokotala posachedwa ngati mukuganiza kuti muli ndi purpura.

Kukhala ndi purpura

Nthawi zina mawanga ochokera ku purpura samachokeratu. Mankhwala ena ndi zochitika zina zitha kupangitsa kuti malowa awonjezeke. Kuti muchepetse chiopsezo chokhazikitsa malo atsopano kapena kuwonjezeranso mawanga, muyenera kupewa mankhwala omwe amachepetsa kuchuluka kwa ma platelet. Mankhwalawa amaphatikizapo aspirin ndi ibuprofen. Muyeneranso kusankha zochitika zosakhudzidwa pazomwe zimakhudza kwambiri. Zochita zazikulu zimatha kuwonjezera chiopsezo chanu chovulala, mikwingwirima, ndi magazi.

Kungakhale kovuta kuthana ndi matenda osachiritsika. Kufikira ndikulankhula ndi ena omwe ali ndi vutoli kungathandize. Fufuzani pa intaneti kuti mupeze magulu othandizira omwe angakulumikizeni ndi ena omwe ali ndi purpura.

Funso:

Kodi pali mankhwala achilengedwe kapena azitsamba omwe amagwiritsidwa ntchito ndi purpura?

Yankho:

Chifukwa purpura imachokera pazifukwa zosiyanasiyana, palibe mankhwala "ofanana kukula koyenera onse". Ndikofunika kupeza chifukwa chomwe chimayambitsa vutoli. Pakadali pano, palibe mankhwala achilengedwe kapena azitsamba omwe angadalire kuti athetse vutoli.

Ngati muli ndi chidwi chofufuza zachilengedwe kapena njira zina zochiritsira, nthawi zambiri zimakhala bwino kukaonana ndi dokotala. Awa ndi madokotala ophunzitsidwa mwapadera pamankhwala azikhalidwe komanso othandizira. Amayang'ana kwambiri pamalingaliro amthupi-lamachiritso. Mutha kupeza akatswiri azaumoyo ophatikizika pano: http://integrativemedicine.arizona.edu/alumni.html