Petechiae (petechial rash) tuaj yeem tshwm sim ntawm daim tawv nqaij ntawm txhua tus neeg. Txij li cov me me liab dots tsis ua mob lossis ua rau mob, lawv tuaj yeem pom los ntawm tib neeg tsis yog qhov tshwm sim txaus ntshai. Feem ntau, qhov no yog qhov tseeb, vim hais tias petechiae tuaj yeem ploj mus dhau lub sijhawm yam tsis tau tso ib txoj lw. Txawm li cas los xij, cov pob khaus tshwj xeeb no tuaj yeem yog qhov laj thawj uas xav tau kev kuaj mob, thiab qee zaum txawm tias lub tsheb thauj neeg mob. Nws yog ib qho tsim nyog yuav tsum paub tias thaum hemorrhage hauv qab ntawm daim tawv nqaij yog qhov tshwm sim me me ntawm lub cev, thiab qhov twg hematoma yog ib qho kev mob hnyav.
Petechiae - me me hemorrhages hauv qab daim tawv nqaij
Petechial pob yog ib hom hemorrhage uas tshwm sim vim kev puas tsuaj rau capillaries, cov hlab ntsha me tshaj plaws. Cov ntshav nyob rau hauv ib qho me me kis mus rau hauv daim tawv nqaij, uas ua rau lub speck ntawm ib puag ncig zoo li, tsis loj dua 2 millimeters. Tus neeg mob tsis thab los ntawm cov pob khaus zoo li no. Ntxiv mus, qee zaum petechiae tshwm sim tsis muaj laj thawj thiab me me, yog li tus neeg yuav tsis pom lawv muaj nyob ntawm daim tawv nqaij.
Qhov txawv txav
Ib yam ntxwv ntawm cov hemorrhages yog tias lawv tsis ploj thaum nias. Thaum twg, thaum koj nias lub pob, cov ntshav rushing pib txav mus los ntawm lub nkoj, qhov no txhais tau hais tias qhov liab liab yog tshwm sim los ntawm cov txheej txheem inflammatory, thiab tsis yog los ntawm ib qho kev cuam tshuam ntawm capillary rupture. Yog hais tias nws yog petechial pob, nws yuav tsis hloov, yuav tsis tig daj ntseg, tab sis yuav nyob rau hauv daim tawv nqaij.
Cov hematomas tsis ua mob thiab tsis ua rau mob, cov kev sib haum xeeb no tuaj yeem nyob hauv lub cev tau ntev, txawm tias qhov tshwm sim uas ua rau lawv raug tshem tawm ntev. Lawv tuaj yeem hloov xim thaum lub sijhawm los ntawm scarlet mus rau liab, thiab tom qab ntawd mus rau xim av, tab sis lawv tsis hloov cov duab thiab loj. Tab sis qhov tseeb hais tias qhov kev loj hlob ntawm cov txheej txheem pathological tshwm sim yog qhia los ntawm cov tsos ntawm bruises loj los yog cov liab dots tshiab. Lawv tshwm sim ntawm lub cev nyob rau hauv qhov chaw ntawm lub siab, kev cuam tshuam, thiab yog hais tias muaj zog nro, ces nyob rau ntawm lub ntsej muag.
Qab neeg ntawm cov neeg ua rau subcutaneous hemorrhages
Rupture ntawm capillaries tshwm sim feem ntau nyob rau hauv cov neeg laus, txij li thaum muaj hnub nyoog cov phab ntsa ntawm cov hlab ntsha poob lawv elasticity, yog li cov tsos ntawm daim tawv nqaij hemorrhages nyob rau hauv ib tug me me npaum li cas yog ib tug natural physiological txheej txheem. Tawm tsam keeb kwm ntawm kev kho tshuaj, kev puas tsuaj rau cov phab ntsa ntawm cov hlab ntsha tuaj yeem tshwm sim. Petechiae qee zaum pom hauv cov neeg uas noj cov tshuaj hauv qab no:
- tshuaj tua kab mob penicillin;
- "Heparin";
- "Warfarin";
- tsis yog-steroidal tshuaj tiv thaiv kab mob;
- "Atropine";
- "Indomethacin".
Chemo- thiab kev kho hluav taws xob kuj tuaj yeem dhau los ua qhov ua rau ntawm qhov chaw subcutaneous hemorrhages ntawm lub cev. Feem ntau pom muaj petechiae tuaj yeem pom hauv cov neeg mob quav yeeb tshuaj.
Txhob Cia Siab
Ua rau hauv zos subcutaneous hemorrhage ntawm caj npab, ceg thiab lwm qhov ntawm lub cev tuaj yeem yog:
- cov nqaij mos raug mob vim kev cuam tshuam;
- rubbing;
- Cov menyuam yaus tuaj yeem ua pob khaus;
- hauv cov neeg laus - los ntawm khau tsis xis nyob lossis khaub ncaws nruj;
- squeezing ntawm daim tawv nqaij, piv txwv li, yog hais tias ib tug tourniquet los yog ntaub qhwv nruj.
Tawm tsam keeb kwm yav dhau los ntawm kev nruj nruj, cov ntshav siab nce, cov phab ntsa capillary yuav tsis tiv taus qhov no. Piv txwv li, nrog hnoos, qw lossis quaj. Nrog rau cov ntshav siab, kev ntxhov siab hnyav lossis kev tawm dag zog hnyav kuj tuaj yeem ua rau pob khaus petechial.
Kab mob ua rau
Thaum muaj tus kab mob hnyav, cov phab ntsa ntawm cov hlab ntsha tsis muaj zog, lawv feem ntau puas lawm, thiab qhov tseem ceeb tshaj, qhov nqaij tawv ntawm ntau qhov ntau thiab tsawg tshwm sim. Feem ntau qhov no yog hais txog cov kab mob uas cuam tshuam nrog kev hloov pauv hauv cov ntshav, xws li leukemia, aplastic anemia.
Thrombocytopenia yog ib yam kab mob cuam tshuam nrog kev txo qis hauv platelets, uas yog lub luag haujlwm rau cov ntshav txhaws. Nrog lawv qhov tsis muaj peev xwm, txhua qhov txhab yuav kho tau ntev dua, thiab qhov phem tshaj plaws,cov ntshav yog feem ntau unstoppable. Yog li ntawd, ib qho ntawm thawj cov tsos mob ntawm tus kab mob no yog cov tsos mob ntawm subcutaneous hemorrhage.
Kab mob ua rau cov ntshav txhaws tsis zoo tuaj yeem ua rau petechiae. Nyob rau hauv cov kab mob autoimmune, vascular system kuj raug kev txom nyem, raws li kev ua hauj lwm ntawm lub cev tiv thaiv kab mob cuam tshuam, nyob rau hauv uas nws perceives lub hlwb ntawm lub cev raws li txawv teb chaws thiab pib mus tua lawv. Tawm tsam keeb kwm ntawm xws li pathology, o tshwm sim, uas rhuav tshem cov phab ntsa ntawm cov hlab ntsha.
Lwm cov kab mob uas ua rau hemorrhages:
- Ysystemic lupus erythematosus;
- spondyloarthritis;
- scleroderma;
- hemorrhagic vasculitis.
Tsis tas li, cov hlab ntsha tuaj yeem cuam tshuam los ntawm cov kab mob sib kis uas ua rau cov hlab ntsha tawg. Petechiae feem ntau pom tawm tsam keeb kwm ntawm cov kab mob xws li:
- scarlet fever;
- endocarditis;
- tus kab mob nkag mus;
- angina;
- mononucleosis.
Kev tsis txaus ntawm cov vitamins K thiab ascorbic acid tuaj yeem ua rau subcutaneous bruising.
Diagnosis
Tus kws kho mob tuaj yeem kuaj pom ua ntej raws li cov ntaub ntawv nws tau txais thaum tham nrog tus neeg mob thiab kuaj xyuas dav dav. Txhawm rau kom paub meej tias tus kab mob raug liam, nws tau sau cov ntawv xeem thiab siv cov txheej txheem ntsuas. Tsuas yog tom qab kuaj pom, tus kws kho mob yuav qhia koj yuav ua li cas kho subcutaneous hemorrhage.
Cov kev ntsuas ntsuas suav nrog - sau zisthiab ntshav. Instrumental diagnostics yog tsom rau kev txheeb xyuas qhov pib pathology. Tus neeg mob xa mus rau:
- ultrasound;
- electrocardiography;
- CT;
- MRI;
- X-ray.
Nws kuj yuav tsum tau mus ntsib kws kho mob dermatovenere.
ntsuas ntsuas
Kev kho mob ntawm subcutaneous hemorrhage ntawm caj npab, txhais ceg thiab lwm qhov hauv lub cev yog txhawm rau txo cov ntshav, nres tag nrho cov kab mob, txhawm rau tshem tawm cov teeb meem etiological thiab txo cov tsos mob.
Yog tias muaj kev cuam tshuam, koj yuav tsum siv lub tshuab txias txias, nws yuav tshem tawm qhov mob thiab txo cov ntshav, qhov no yog vim vasospasm, uas tiv thaiv kev loj hlob ntawm cov pob liab liab.
Yog tias muaj kab mob tshwm sim, nws yuav tsum tau kho nrog tshuaj tua kab mob dav dav. Hauv txhua kis, cov tshuaj raug xaiv ib tus zuj zus.
Cov tshuaj steroid thiab hom tsis-steroidal yog siv los txo qhov mob.
txhawm rau txhim kho thiab ua kom lub cev tsis muaj zog, cov tshuaj lom neeg lom neeg tau muab tshuaj, uas suav nrog nicotinic acid, tocopherol, retinol thiab vitamin C.
Nrog kev kuaj mob kom raug thiab kho raws sijhawm, qhov kev cia siab yuav zoo. Cov teeb meem yuav nyob ntawm qhov hnyav ntawm cov kab mob thiab hom kab mob, vim tias qhov tshwm sim tuaj yeem sib txawv los ntawm kev poob ntshav loj heev rau kev tuag.
