Purpura yog txheej txheem ntawm staining tus neeg mob daim tawv nqaij los yog mucous nto vim tso cov qe ntshav liab los ntawm cov hlab ntsha los yog capillaries. Tus kab mob no muaj ntau hom. Nws tshwm sim los ntawm ntau yam provoking yam, nrog rau cov tsos mob, uas yuav nyob ntawm seb hom pathology. Kev kuaj mob hauv cov menyuam yaus thiab cov neeg laus. Tom qab kuaj xyuas kom meej, kev kho mob tau sau tseg, thiab cov tshuaj pej xeem tuaj yeem siv tau.
Kev tshwm sim
Purpura tshwm sim los ntawm ntau yam ua rau muaj kev cuam tshuam. Txhawm rau txhim kho qhov ua rau ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas kom meej. Lub ntsiab provocateurs ntawm daim tawv nqaij pathology suav nrog cov hauv qab no:
- Txoj kev nyiam ntawm tus neeg mob los ntshav, uas cuam tshuam nrog kev los ntshav.
- Kab mob sib kis, suav nrog kab mob HIV.
- Kev noj qee cov tshuaj.
- Qhov tshwm sim ntawm kev tsis haum ntawm lub cev.
- Kev ua txhaum ntawm cov txheej txheem coagulationcov ntshav uas tau provoked los ntawm raug rau tej yam tshuaj lom.
- Kab mob thiab kab mob ntawm cov hlab ntsha uas inflammatory.
- Congestive processes in blood.
- Hypercooling lossis overheating.
- Kev cuam tshuam kev phais.
- Nyob.
Purpura yog ib yam kab mob uas tuaj yeem tshwm sim los ntawm cov ntshav txhaws hauv cov leeg, nqa hnyav, hnoos hnyav, thaum yug menyuam thiab rau lwm yam.
Kev faib tawm
Hauv cov tshuaj niaj hnub no, muaj ntau hom purpura. Qhov no pathology tuaj yeem yog ob qho tib si hauv keeb kwm thiab tau txais, uas yog, nws tshwm sim los ntawm kev kis kab mob lossis kab mob yav dhau los. Feem ntau hom purpura yog thrombocytopenic, rheumatoid, tshuaj lom, hemorrhagic, tiv thaiv kab mob, thiab complex.
Tus kab mob no tau kuaj pom thawj zaug thaum menyuam yaus. Hauv cov hnub nyoog laus, purpura tau pom nyob rau hauv feem ntau ntawm cov poj niam ib nrab ntawm cov pejxeem.
Thrombocytopenic purpura yog ib hom kab mob uas tuaj yeem ua tau ntau yam nyob ntawm chav kawm thiab lub sijhawm. Nws tuaj yeem raug cais raws li mob, mob ntev thiab rov tshwm sim. Raws li kev soj ntsuam cov tsos mob, qhov teeb meem no qhuav thiab ntub. Hauv qhov no, tus neeg mob yuav muaj cov tsos mob hnyav. Hom thrombocytopenic ntawm tus kab mob kuj muaj xws li subspecies xws li thrombotic, vascular thiabidiopathic purpura.
Thrombocytopenic purpura hauv menyuam yaus
Hom kab mob no yog thawj zaug ntawm cov kab mob hemorrhagic. Feem ntau kuaj pom hauv cov menyuam ntxhais hnub nyoog qis dua 13 xyoos. Yog tias purpura ntawm hom no tshwm sim hauv tus menyuam hnub nyoog qis dua ob xyoos, tom qab ntawd nws muaj kev kawm hnyav, pib mob hnyav thiab tsis nrog tus kabmob kis. Kev txhaj tshuaj, tshwj xeeb tshaj yog BCG, tuaj yeem ua rau muaj thrombocytopenic purpura hauv menyuam yaus.
Idiopathic hom purpura hauv cov menyuam yaus nrog cov tsos mob tshwm sim, muaj hemorrhage thiab los ntshav, uas yog nyob rau hauv thaj tsam ntawm cov mucous nto ntawm lub qhov ntswg thiab cov pos hniav. Cov menyuam ntxhais tuaj yeem muaj qhov los ntshav ntau thaum lub sijhawm puberty.
Tsis tas li ntawd, cov kab mob idiopathic hauv cov menyuam yaus thiab cov tub ntxhais hluas tuaj yeem ua rau muaj mob hemorrhagic, uas yog qhov txaus ntshai heev los ntshav hauv qhov ntswg mucosa, hemorrhages hauv thaj tsam ntawm cov ntaub so ntswg thiab daim tawv nqaij, nrog rau txoj hnyuv. los ntshav.
Symptomatics hauv thrombocytopenic daim ntawv
Txhua hom kab mob muaj nrog qee yam cim qhia uas pab kuaj mob. Qhov no pathology feem ntau cuam tshuam rau cov ceg qis, thaum xub thawj cov xim ntawm liab doog yog liab, burgundy, ces nws ua ntau pronounced. Tom qab 7-10 hnub, cov chaw cuam tshuam tau txais cov xim ci nrog cov xim daj.
Nyob rau hauv cov ntaub ntawv ntawm thrombotic thrombocytopenic daim ntawv nyob rau hauv tus neeg mob thaum xub thawjtheem, platelet microthrombi tshwm sim, uas kis thoob plaws lub cev los ntawm cov hlab ntsha me. Nyob rau tib lub sijhawm, kev puas tsuaj rau lub hlwb, ob lub raum, daim siab tuaj yeem pom, cov ntshav ntws tawm, cov hlwb thiab cov ntaub so ntswg raug kev txom nyem. Daim ntawv no muaj qhov pib mob hnyav thiab nce nrawm. Kev kuaj mob hauv cov neeg mob hluas.
Thrombocytopenic purpura yog nrog los ntawm cov tsos mob xws li:
- ntshav platelets qis.
- Hemolytic anemia.
- Neurological hloov pauv.
- Impaired raum ua haujlwm.
- Fever.
Thaum thawj cov tsos mob tshwm sim, koj yuav tsum nrhiav kev pab tam sim.
Symptomatics nyob rau hauv lwm hom kab mob
Allergic purpura yog ib yam kab mob uas cuam tshuam rau cov hlab ntshav hauv cov neeg mob hluas. Cov kws kho mob tshwj xeeb tsis tau txheeb xyuas cov tsos mob tshwj xeeb ntawm hom kab mob no, tab sis nws tsim nyog sau cia tias tus menyuam yuav muaj kev hloov pauv hauv ESR, uas ua rau vasculitis.
Pigmented chronic purpura muaj cov tsos mob zoo li no rau nws:
- Erythema.
- Pigmentation thoob plaws hauv lub cev thiab hemorrhages ntawm qhov sib txawv, nyob ntawm theem ntawm kev puas tsuaj rau phab ntsa ntawm cov hlab ntsha.
- Ib yam.
daim ntawv no muaj tus cwj pwm rov tshwm sim thiab txhua zaus nws siv qhov chaw ntau dua, thiab cov pob liab liab yuav ci dua.
Hemorrhagic purpura yog tus cwj pwm los ntawm cov pob liab uas tuaj yeem tsis meej pem nrog diathesis pob, tab sis txawv ntawm qhov chawmaj mam sib koom ua ke rau hauv loj formations. Tsaus liab doog tuaj yeem pom ntawm cov ceg qis, qee zaum ntawm lub cev. Nrog rau hom kab mob no, tsuas yog pob liab liab xwb suav tias yog ib qho cim xwb.
Diagnosis
Yog tus neeg mob tsis muaj cov cim tseem ceeb ntawm tus kab mob, xws li los ntshav thiab ntshav, ces tus kws kho mob pom nws nyuaj rau kev kuaj mob. Hauv qhov xwm txheej zoo li no, pathology tuaj yeem tsis meej pem nrog vascular anomalies ntawm daim tawv nqaij.
Kev kuaj mob ntawm purpura yog raws li kev soj ntsuam thiab kev tshawb pom hematological. Ua ntej tshaj plaws, tus neeg mob yuav tsum tau ua tib zoo tshuaj xyuas, thiab kev saib xyuas kuj tau them nyiaj rau cov khoom siv kho mob thiab kev kuaj mob.
Nws raug nquahu kom xeem xws li:
- kuaj ntshav thiab kuaj ntshav biochemical.
- Urea kawm.
- Kev urinalysis.
txhawm rau kuaj xyuas kom raug, tus kws tshaj lij kuj ua qhov kev kuaj mob sib txawv. Sib piv tus neeg mob cov tsos mob nrog cov tsos mob ntawm pathologies xws li hemolytic-uremic syndrome, hemolytic purpura, microangiopathic thiab hepatorenal syndrome. Raws li cov ntaub ntawv tau txais los ntawm txoj kev tshawb no, tus neeg mob tau txais kev kho mob, uas feem ntau muaj txiaj ntsig zoo. Kom paub meej tias ntshav zoo li cas, cov duab tuaj yeem pom ntawm cov chaw kho mob tshwj xeeb thiab hauv peb tsab xov xwm.
Kev kho mob
Kev kho mob tsuas yog muab los ntawm tus kws kho mob tshwj xeeb tom qab kuaj xyuas kom meej. Tsis txhob koom nrog kev kho tus kheej, vim qhov no tuaj yeem ua raumus rau qhov tsis zoo thiab deterioration ntawm tus mob. Kev kho mob tuaj yeem kho mob, yog tias tsim nyog, kev phais mob yog ua, lwm cov zaub mov txawv tuaj yeem siv los ua kev pab.
Cov tshuaj hauv qab no tau muab rau tus neeg mob:
- YGlucocorticosteroids.
- Immunoglobuins.
- Interferon alpha.
- Pink periwinkle alkaloids.
Qhov ntau npaum li cas thiab lub sijhawm ntawm cov tshuaj yuav nyob ntawm qhov tsis saib xyuas qhov xwm txheej.
Yog tias tus neeg mob los ntshav, nws raug nquahu kom siv cov tshuaj hemostatic, nrog rau aminocaproic acid. Kev cuam tshuam ntawm kev phais yog ua raws li kev tshem tawm ntawm tus po thiab tsuas yog raug kho yog tias kev kho mob tsis tau muab qhov txiaj ntsig zoo. Yog tias vascular purpura tau kuaj pom, ces tus neeg mob yuav tsum ua raws li kev noj zaub mov hypoallergenic.
ntsuas kev tiv thaiv
Kom tsis txhob muaj teeb meem thaum yau thiab hluas, nws raug nquahu kom ua tib zoo saib xyuas kev noj qab haus huv, tshwj xeeb tshaj yog thaum muaj kab mob loj heev. Nyob rau hauv cov xwm txheej zoo li no, koj yuav tsum tau nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij, tshwj xeeb tshaj yog thawj ob peb xyoos, thiab ua cov kev ntsuam xyuas tiv thaiv.
Txhawm rau kom tsis txhob rov tshwm sim ntawm purpura, qhov tseem ceeb yuav tsum zam kom tsis txhob kis tus kab mob thiab tiv thaiv kab mob. Nws tseem yog ib qho tsim nyog yuav tsum tau tsawg li tsawg tau nyob rau hauv kev cuam tshuam ntawm lub hnub ncaj qha, tab sis nws yog qhov zoo dua kom tshem tawm tag nrho lawv. Tsis tsim nyog nws feem ntaukhov dhau.
Tsis tas li ntawd, kev tiv thaiv ntawm purpura yog kev tshem tawm raws sijhawm ntawm foci ntawm tus kab mob, xws li caries, tonsillitis thiab lwm yam. Yog tias tus neeg mob muaj kev pheej hmoo ntawm kev tsim tus kab mob, nws raug nquahu kom kuaj xyuas tsis tu ncua, ua txhua yam kev sim thiab, thaum thawj qhov tshwm sim ntawm tus kab mob, nrhiav kev pab tsim nyog tam sim, tsis txhob koom nrog kev kho tus kheej.
