Purpura

Purpura yog xim daj thiab xim pob thiab ua rau thaj chaw uas tshwm sim rau ntawm daim tawv nqaij, thiab hauv cov hnoos qeev, nrog rau sab hauv ntawm lub qhov ncauj.

Purpura tshwm sim thaum cov hlab ntsha me tuaj ntshav hauv qab daim tawv.

Purpura ntsuas ntawm 4 thiab 10 hli (millimeters) nyob rau hauv lub taub. Thaum purpura pob yog tsawg dua 4 hli hauv lub taub, lawv tau hu ua petechiae. Purpura pob me dua 1 cm (centimeter) hu ua ecchymoses.

Platelets pab cov ntshav txhaws. Tus neeg mob purpura tuaj yeem muaj cov ntshav platelet zoo li qub (tsis muaj thrombocytopenic purpuras) lossis platelet tsawg tsawg (thrombocytopenic purpuras).

Tsis-thrombocytopenic purpuras tej zaum yuav yog vim:

• Amyloidosis (kev tsis sib haum xeeb hauv cov protein tsis xwm yeem hauv cov nqaij thiab cov plab hnyuv siab raum)
• Cov ntshav txhaws txhaws
• Congenital cytomegalovirus (mob thaum menyuam mos liab kis tau tus kabmob hu ua cytomegalovirus ua ntej yug)
• Congenital rubella mob
• Cov tshuaj uas cuam tshuam rau platelet ua haujlwm lossis ntshav khov yam
• Cov hlab ntsha tawg tau pom hauv cov neeg laus (senile purpura)
• Hemangioma (mob txhim kho cov hlab ntshav hauv cov tawv nqaij lossis hauv nruab nrog cev)
• Kev mob ntawm cov hlab ntshav (vasculitis), xws li Henoch-Schönlein purpura, uas ua rau muaj kev cuam tshuam ntawm hom purpura
• Siab hloov uas tshwm sim thaum yug menyuam
• Scurvy (vitamin C tsis txaus)
• Kev siv steroid
• Qee yam kabmob
• Raug Mob

Thrombocytopenic purpura tej zaum vim yog:

• Cov tshuaj uas txo cov ntshav txhaws noj
• Idiopathic thrombocytopenic purpura (ITP) - kev tsis los ntshav
• Kev tiv thaiv mob hlwb neonatal thrombocytopenia (tuaj yeem tshwm rau cov menyuam yaus uas nws niam muaj ITP)
• Meningococcemia (mob hlab ntshav)

Hu koj tus kws kho mob kom teem sijhawm yog tias koj muaj cov cim qhia tias purpura.

Tus kws khomob yuav tshuaj xyuas koj daim tawv thiab nug txog koj li keeb kwm kev khomob thiab cov tsos mob, suav nrog:

• Puas yog thawj zaug uas koj tau muaj qhov zoo li no?
• Lawv tsim thaum twg?
• Lawv muaj xim dabtsi?
• Lawv puas zoo li bruises?
• Koj noj tshuaj dab tsi?
• Lwm yam teeb meem kev mob dab tsi uas koj muaj?
• Puas muaj leej twg hauv koj tsev neeg muaj tej yam zoo sib xws?
• Koj muaj lwm cov tsos mob zoo li cas?

Ua li daim tawv nqaij txiav. Kev kuaj ntshav thiab cov zis tuaj yeem txiav txim siab txog qhov ua rau ntawm purpura.

Ntshav pob; Daim tawv nqaij tawv nqaij

• Henoch-Schonlein purpura ntawm sab ceg qis
• Henoch-Schonlein purpura ntawm tus menyuam mos liab ko taw
• Henoch-Schonlein purpura ntawm tus menyuam mos ob txhais ceg
• Henoch-Schonlein purpura ntawm tus menyuam mos ob txhais ceg
• Henoch-Schonlein purpura ntawm ob txhais ceg
• Meningococcemia ntawm lub plab hlaub
• Meningococcemia ntawm txhais ceg
• Pob zeb roob pom ua npaws ntawm taw
• Meningococcemia txuam purpura

Habif TP. Cov hauv paus ntsiab lus ntawm kev kuaj mob thiab qhov quav. Hauv: Habif TP, ed. Clinical Dermatology: Ib Daim Ntawv Qhia Xim Xim kom paub thiab Kev Kho MobCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 1.

Chav Ua Noj CS. Purpura thiab lwm yam kev mob hematovascular. Hauv: Chav ua noj CS, Kessler CM, Konkle BA, Txoj Kev MB, Garcia DA, eds. Kws Kho Mob Hemostasis thiab ThrombosisCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 10.