Los ntshav ua rau daim tawv nqaij

Los ntshav rau ntawm daim tawv nqaij tuaj yeem tshwm sim los ntawm cov hlab ntsha tawg uas ua rau cov pob liab liab me me (hu ua petechiae). Cov ntshav kuj tuaj yeem sau hauv qab daim ntaub hauv qhov chaw tiaj tiaj loj (hu ua purpura), lossis hauv thaj chaw uas muaj nqaij ntuag loj heev (hu ua ecchymosis).

Ib cag ntawm kev doog ntshav, los ntshav rau ntawm daim tawv lossis nqaij mos yog ib qho tseem ceeb heev thiab yuav tsum tau mus ntsib kws kho mob txhua hnub.

Liab ntawm daim tawv nqaij (erythema) yuav tsum tsis txhob yuam kev los ntshav. Thaj chaw uas los ntshav hauv qab daim tawv nqaij tsis ua pob ntseg qis (tawv) thaum koj nias thaj chaw, zoo li liab ntawm erythema ua.

Ntau yam tuaj yeem ua rau ntshav qis qis cov tawv nqaij. Ib txhia ntawm lawv yog:

• Raug mob los yog raug mob
• Kev fab tshuaj tiv thaiv
• Autoimmune ntshawv siab
• Tus mob viral los yog mob muaj cuam tshuam ntshav txhaws (coagulation)
• Thrombocytopenia
• Kho mob rau kev kho mob, suav nrog hluav taws xob thiab tshuaj kho mob
• Cov tshuaj tiv thaiv kab mob xws li clopidogrel (Plavix)
• Bruise (ecchymosis)
• Yug los (petechiae hauv tus menyuam mos)
• Daim tawv nqaij laus (ecchymosis)
• Idiopathic thrombocytopenic purpura (petechiae thiab purpura)
• Henoch-Schonlein purpura (purpura)
• Mob Leukemia (purpura thiab ecchymosis)
• Tshuaj - Cov tshuaj Anticoagulants xws li warfarin lossis heparin (ecchymosis), tshuaj aspirin (ecchymosis), tshuaj steroids (ecchymosis)
• Kev mob plab (petechiae, purpura, ecchymosis)

Tiv thaiv kev laus tawv nqaij. Zam kev ua kom raug mob xws li kev twv lossis rub rau ntawm thaj chaw tawv nqaij. Txog kev txiav lossis txhuam, siv siab nias kom tsis txhob los ntshav.

Yog tias koj muaj yeeb tshuaj, nug koj tus kws kho mob txog kev txiav tawm cov tshuaj. Txwv tsis pub, ua raws li koj cov kev kho mob kho los kho qhov pib qhov teeb meem.

Hu rau koj tus kws khomob yog:

• Koj muaj ntshav tawm sai rau hauv daim tawv nqaij yam tsis muaj laj thawj dab tsi
• Koj pom tias bruising piav qhia uas tsis ploj

Koj tus kws kho mob yuav tshuaj xyuas koj thiab nug txog qhov los ntshav, xws li:

• Koj nyuam qhuav tau raug mob lossis raug mob?
• Koj puas tau mob tsis txaus ntseeg?
• Koj puas tau xoo hluav taws xob los sis tshuaj kho mob?
• Lwm yam kev kho mob twg uas koj muaj?
• Koj puas noj tshuaj aspirin ntau tshaj ib zaug ib asthiv?
• Koj puas noj tshuaj Coumadin, heparin, lossis lwm yam "ua kom ntshav" (cov tshuaj tiv thaiv kabmob)?
• Puas tau los ntshav dua?
• Koj puas ib txwm nyiam tawm ntshav nrog daim tawv?
• Puas yog qhov pib los ntshav thaum me nyuam yaus (piv txwv, nrog rau kev txiav)?
• Puas yog nws pib nrog kev phais lossis thaum koj rub tus hniav?

Cov nram no kuaj mob tuaj yeem ua:

• Kev coagulation kev ntsuam xyuas suav nrog INR thiab lub sijhawm prothrombin
• Ua kom tiav cov ntshav suav (CBC) nrog platelet suav thiab ntshav ntshav txawv
• Nqaij pob txha caj dab

Ecchymoses; Daim tawv nqaij me ntsis - liab; Cim me ntsis rau cov tawv nqaij; Petechiae; Purpura

• Qhov muag dub

Hayward CPM. Clinical mus kom ze rau tus neeg mob ntshav nrog los ntshav. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj UaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 128.

Juliano JJ, Cohen MS, Weber DJ. Tus neeg mob hnyav tau mob nrog kub taub hau thiab tawm pob. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 57.

Schafer AI. Kev rau tus neeg mob nrog los ntshav thiab thrombosis. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 162.