Nā lāʻau lapaʻau no ka purpura

Nā lāʻau lapaʻau no ka purpura

no ka mea, o kapurpura fulminans, 'ōlelo mākou no ka unsururura o ke koʻikoʻi loa, me 20 a 25% o ka make me, ma waena o nā mea i pakele, 5 a 20% o nā pilikia koʻikoʻi. Pili pinepine ʻia kēia purpura i ka meningococcus, akā i nā mea maʻi ʻē aʻe (chickenpox, streptococcus, staphylococcus, etc.). Pono e hana wikiwiki i ka hoʻokele a pono ka haukapila pono. Mai antibiotics e hāʻawi koke ʻia, i ka hōʻea ʻana o ka SAMU a i ʻole ke kauka hele, ʻoiai ma mua o ke kali ʻana i nā hopena. ʻO nā poʻe i makaʻu nui i nā keiki ma lalo o 4 a me ka poʻe ʻōpio ma waena o 15 a 24 mau makahiki.

I ka hihia o ka immunological thrombositopenic purpura (ITP), ʻo ka pahuhopu mua o ka mālama ʻana e hoʻāla i ka helu platelet inā aia ma lalo o 30 / mm3. (ka helu maʻamau ma waena o 150 a me 000 / mm3). Inā ma 30 / mm3 a ʻoi aku paha, inā he haʻahaʻa haʻahaʻa ka pālaha, ʻaʻole ia he kumu e kahe ai ke kahe. I kekahi ʻaoʻao, inā ʻoi aku ka helu o ka platelet ma mua o 30 / mm3, he pilikia kēia mai ka makaʻu ʻana o ke kahe i ke kanaka. Hoʻomaʻo me corticosteroids (i loaʻa mai Cortisone)kuhikuhi ʻia paha akā pōkole kēia lāʻau no ka mea he hopena koʻikoʻi kona. Hiki ke hoʻohana ʻia nā mālama ʻē aʻe e like me ka immunoglobulin injection.

I ka immunologic thrombositopenic purpura, ʻo ka hana kūpono loa ka wehe ʻana i ka maʻi maha. ʻOiaʻiʻo, hana kēia ʻōnaehana i nā mea ʻino e luku ana i nā platelet a loaʻa pū kekahi nā keʻokeʻo koko keʻokeʻo, nā macrophages e luku nei i nā pā. A laila, ka hoʻopau ʻana o ka spleen (splenectomy), ʻae e hoʻōla i 70% o ka purpura thrombositopenic purpura maʻi. Hiki iā ʻoe ke noho me ka ʻāpala, ʻoiai inā e hoʻokau iā ʻoe i kahi kiʻekiʻe o ka maʻi.

Inā lawa ʻole ka wehe ʻana o ka spleen a lawa ʻole paha, loaʻa nā lāʻau ʻē aʻe, e like me nā lāʻau e hōʻemi i ka pane pale ʻana, nā mea ʻāpala mai nā biotherapies a i ʻole nā ​​lāʻau e like me Danazol a i ʻole Dapsone.

I ke kumu o ka rheumatoid purpura, hiki nō ia, ke hāʻawi hou ʻole ʻia kahi lāʻau, e nalo ana ka purpura me ka hala ʻole o ka manawa. No hoʻomaha paipai ʻia, i kekahi manawa me nā antispasmodics e kaua aku i ka ʻeha o ka ʻōpū.

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