Purpura: nws yog dab tsi, hom, cov tsos mob thiab kev kho mob

Zoo Siab

• Hom ntshav
• 1. Henöch-Schönlein xim paj yeeb
• 2. Idiopathic thrombocytopenic purpura
• 3. Cov tshuaj pleev xim kabmob thrombocytopenic purpura
• 4. Kev ua tiav cov ntshav
• 5. Senile ntshav
• Yuav kho tus mob li cas
• Cov tsos mob tseem ceeb

Purpura yog qhov teeb meem tsis tshua pom tshwm los ntawm qhov pom ntawm cov pob liab liab ntawm daim tawv nqaij thiab tias tsis ploj thaum nias, ua rau los ntawm kev txuam nrog cov ntshav hauv qab daim tawv nqaij vim qhov mob ntawm cov hlab ntsha. Ntshav yog tshwm sim ntau dua hauv cov menyuam yaus, tab sis nws tuaj yeem tshwm sim thaum muaj hnub nyoog.

Cov tsos ntawm purpura tuaj yeem yog vim muaj ntau yam xwm txheej thiab, nyob ntawm nws qhov ua rau, kev kho yuav tuaj yeem lossis tsis tsim nyog. Feem ntau, hauv cov menyuam yaus, ntshav ploj zoo yam tsis muaj kev kho mob tshwj xeeb, thaum nyob rau hauv cov neeg laus nws tuaj yeem dhau los ua cov mob ntev, thiab nws tuaj yeem tshwm los yog ploj hauv lub sijhawm.

Nws yog ib qho tseem ceeb kom sab laj nrog kws kho mob lossis kws kho mob thaum cov tsos mob ntawm cov ntshav pib tshwm, yog li nws muaj peev xwm txheeb xyuas qhov ua rau thiab pib kho, yog tias tsim nyog.

Hom ntshav

1. Henöch-Schönlein xim paj yeeb

Henöch-Schönlein purpura, tseem hu ua PHS, yog hom purpura feem ntau rau cov menyuam yaus hnub nyoog qis dua 10 xyoo thiab yog tus cwj pwm los ntawm cov hlab ntsha me me, uas ua rau pom qhov liab liab, feem ntau yog ntawm txhais ceg thiab pob tw, thiab yuav ua rau muaj mob rau cov pob qij txha los yog mob plab. Kawm txog lwm yam tsos mob ntawm Henöch-Schönlein purpura.

Yuav kho li cas: Feem ntau PHS tsis xav tau kev kho mob tshwj xeeb, nws tsuas yog ib qho tseem ceeb uas tus neeg ntawd tau so thiab nrog tus kws kho mob los txhawm rau txhawm rau ntsuas kev nce qib ntawm cov tsos mob. Txawm li cas los xij, thaum muaj mob ntau, tus kws kho mob tuaj yeem sau ntawv siv cov tshuaj tiv thaiv kev tiv thaiv lossis kev ua kom loog, xws li Ibuprofen thiab Paracetamol, kom kho qhov mob.

2. Idiopathic thrombocytopenic purpura

Idiopathic thrombocytopenic purpura lossis ITP yog ib tus kabmob autoimmune uas muaj cov ntshav platelets tsawg zuj zus, cuam tshuam rau cov ntshav txhaws thiab ua rau muaj cov pob liab liab me rau ntawm daim tawv nqaij thiab los ntshav los ntawm lub qhov ntswg. Kev kuaj mob yog tsim feem ntau los ntawm kev ntsuam xyuas ntawm cov tsos mob thiab kuaj ntshav, uas nyob rau hauv cov xwm txheej no qhia tsawg dua 10,000 platelets / mm³ ntawm cov ntshav.

Yuav kho li cas: Txoj kev kho rau ITP yog ua raws li kev mob hnyav ntawm cov tsos mob, thiab kev siv cov tshuaj uas ua rau txo lub cev tsis ua haujlwm ntawm lub cev yuav raug pom zoo, zam kev tawm tsam los ntawm lub cev nws tus kheej, kev txhaj tshuaj tiv thaiv immunoglobulins lossis tshuaj uas txhawb kev tsim cov ntshav . dhau los ntawm cov pob txha pob txha, xws li Romiplostim, piv txwv. Tshawb nrhiav kom paub ntxiv txog seb ITP yog dab tsi thiab yuav kho li cas.

3. Cov tshuaj pleev xim kabmob thrombocytopenic purpura

Thrombotic thrombocytopenic purpura lossis PTT yog qhov tsis tshua muaj hom purpura uas ntau zaus muaj hnub nyoog 20 thiab 40 xyoo. Hom purpura no yog tus cwj pwm los ntawm kev nce hauv platelet sib sau ua ke, ua rau qhov tsim ntawm thrombi thiab ua rau lub erythrocytes raug mob. Yog li, nws yog ib qho tseem ceeb uas PTT tau txheeb xyuas sai thiab kho sai li sai tau kom tsis txhob muaj kab mob ntshav, platelets thiab ntshav tsis pauv hloov.

Yuav kho li cas: Txoj kev kho rau PTT yuav tsum tau pib sai li sai tau, thiab plasmapheresis ib txwm pom zoo, uas sib raug rau cov txheej txheem ntawm cov ntshav uas cov tshuaj tiv thaiv ntau dhau uas yuav cuam tshuam rau kev ua haujlwm ntawm lub cev thiab ntshav ntshav tau muab tshem tawm.

4. Kev ua tiav cov ntshav

Fulminating purpura tshwm sim feem ntau hauv cov menyuam yug vim tias tsis muaj cov protein ua cuam tshuam txog ntshav txhaws, uas ua rau cov ntshav txhaws tuaj yeem cuam tshuam cov ntshav ncig thiab ua rau muaj qhov liab liab ntawm daim tawv nqaij tuaj yeem ua dub vim cov cell tuag. hauv cov chaw ntawd.

Ntxiv rau, hom purpura no tuaj yeem yog tsim los ntawm cov kab mob, kab mob lossis kab mob kis.

Yuav kho li cas: Kev kho kab mob ntshav qab zib purpura tuaj yeem ua tiav nrog kev tswj hwm ntawm cov plua plav uas ploj lawm hauv cov ntshav raws li kws kho mob cov lus qhia.

5. Senile ntshav

Hom purpura no yog pom los ntawm cov tsos ntawm cov tawv nqaij liab doog ntawm sab nraub qaum, lub dab teg, tes thiab caj npab vim yog cov tawv nqaij laus, ua rau, yog li ntawd, cov neeg muaj hnub nyoog ntau dua 65 xyoos.

Yuav kho li cas: Senile purpura tsis tas yuav kho, vim nws tsis sawv cev rau kev noj qab haus huv thiab tsis yog los ntshav. Txawm li cas los xij, yog tias tus neeg xav tias tsis xis nyob, lawv tuaj yeem siv qee yam pleev los yog tshuaj pleev nrog cov vitamin K uas pab txo kev ua paug, thiab yuav tsum tau qhia los ntawm kws kho dermatologist.

Saib yuav ua li cas thiaj tshem tawm 8 lub hom tsiaj ua nqaij.

Yuav kho tus mob li cas

Kev kho rau purpura nyob ntawm nws cov laj thawj, tab sis feem ntau nws tau ua nrog cov tshuaj pleev nplua nuj nyob hauv cov vitamin K, xws li Thrombocid, uas yuav tsum tau kis mus rau ntawm daim tawv nqaij kom txog thaum cov pob tsuas ploj.

Feem ntau muaj teeb meem loj, kev noj cov tshuaj corticosteroid, xws li Hydrocortisone lossis Prednisone, lossis phais mob kom tshem tau tus po, nyob rau hauv qhov muaj mob thrombocytopenic purpura, tuaj yeem hais qhia, vim nws nyob hauv kab mob no cov tshuaj tiv thaiv uas tsim tawm uas tuaj yeem rhuav tshem platelets, ua rau kev tsub zuj zuj ntawm cov ntshav plasmaets. Cov ntshav tawm ntawm daim tawv nqaij. Hauv cov menyuam yaus, menyuam mos lossis menyuam mos liab lub paj yeeb yuav ploj mus yam tsis muaj kev kho, tabsis qee tus neeg laus, kev kho yog ib txwm tsim nyog.

Cov tsos mob tseem ceeb

Feem ntau cov tsos mob ntawm purpura muaj xws li:

• Cov pob liab liab ntawm daim tawv nqaij - paub lwm yam ua rau pob liab liab ntawm daim tawv nqaij;
• Cov pob liab liab tawg thoob plaws lub cev;
• Los ntshav los ntawm lub qhov ntswg, txoj hnyuv, cov pos hniav lossis mob txeeb zig;
• Mob ntawm qhov chaw me ntsis;
• Ua npaws.

Feem ntau, tsuas yog me me tshwm rau ntawm daim tawv nqaij thiab feem ntau tsis xav tau kev kho mob.