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Petechiae: wehewehe, hōʻailona a me nā hōʻailona
ʻO nā kiko ʻulaʻula liʻiliʻi ma ka ʻili, ʻo petechiae ka hōʻailona o kekahi mau pathology pono e hōʻike pono ʻia ka maʻi ma mua o kekahi lapaʻau. Loaʻa iā lākou ka kikoʻī o ka hōʻike ʻana i ke ʻano o nā kiko ʻulaʻula liʻiliʻi i hui pū ʻia i nā pā i pau ʻole me ka vitropression. Nā wehewehe.
He aha ka petechiae?
ʻO nā kiko ʻulaʻula ʻulaʻula a lahilahi hoʻi, i hōʻuluʻulu pinepine ʻia i nā plake, ʻokoʻa nā petechiae mai nā wahi liʻiliʻi ʻē aʻe i ka ʻili e ka mea ʻaʻole e nalo ke kaomi ʻia (vitropression, kaomi i kau ʻia i ka ʻili i ka hoʻohana ʻana i kahi slide aniani aniani).
ʻAʻoleʻoi aku ka nui o kā lākou anawaena i ka 2 mm a ʻo ka nui i kekahi manawa ma mua o nā wahi o ka ʻili.
- nā keiki bipi;
- lima;
- kino kino;
- helehelena;
- etc.
ʻO ka hoʻomaka koke ʻana ia o ka manawa, pili me nā ʻōuli ʻē aʻe (fever, tale, headache, a me nā mea ʻē aʻe) e alakaʻi i ke kuhi o ke kumu o ko lākou hanana. Hiki iā lākou ke noho ma nā membrane mucous e like me:
- ka waha;
- ʻōlelo;
- a i ʻole nā keʻokeʻo o nā maka (conjunctiva) kahi hōʻailona hopohopo e hōʻike paha i kahi maʻi koʻikoʻi o ke kōkō ʻana o ke kō.
Ke nui aʻe ke anawaena o kēia mau kiko, ʻōlelo mākou no ka purpura. Pili ʻo Petechiae a me purpura i ke alo ma lalo o ka ʻili o ka lepa hemorrhagic i ke ʻano o nā kiko liʻiliʻi a i ʻole nā pā nui, i hana ʻia e ka hele ʻana o nā hunaola ʻulaʻula ma o nā paia o nā capillaries (nā moku maikaʻi loa ma lalo o ka ʻili), e like me kahi liʻiliʻi hematoma.
He aha nā kumu o ka petechiae?
ʻO nā kumu i ke kumu o ka hanana o petechiae he mau, ʻike mākou ma laila:
- nā maʻi o ke koko a me nā aʻa koko keʻokeʻo e like me leukemia;
- lymphoma ʻo ia ka maʻi ʻaʻai o nā lymph node;
- kahi pilikia me nā platelet koko e pili ana i ka hoʻopili ʻana;
- vasculitis ka pehu o nā moku;
- thrombositopenic purpura ʻo ia kahi maʻi autoimmune e hoʻoulu ana i kahi hāʻule nui o ka pae o nā platelet i ke koko;
- kekahi mau maʻi viral e like me ka maʻi palū, ke kuni dengue, i kekahi manawa meningitis i nā keiki i hiki ke koʻikoʻi loa;
- ka Covid-19;
- nā hopena o ka chemotherapy;
- ka luaʻi ikaika i ka wā o gastroenteritis;
- kekahi mau lāʻau e like me ka aspirin;
- anti-coagulants, antidepressants, antibiotics, a pēlā aku.
- kekahi traumas ʻili liʻiliʻi (ma ka pae o ka ʻili) e like me nā ʻūlū a i ʻole ke komo ʻana o nā stockings compression.
Hōʻike ka hapa nui o petechiae i nā pathology maikaʻi a me nā manawa kuapapa. Kūleʻa wale lākou i kekahi mau lā, me ka ʻole o nā hopena, koe wale no nā kiko ʻeleʻele e pau ai ka manawa. Akā i nā hihia ʻē aʻe, hōʻike lākou i kahi pathology ʻoi loa e like me fulgurans pneumococcal meningitis i nā keiki, a laila lilo i pilikia nui.
Pehea e mālama ai i ke alo o petechiae ma ka ʻili?
ʻAʻole maʻi ʻo Petechiae akā he ʻōuli. ʻO kā lākou loaʻa i ka wā o ka hoʻokolohua hoʻokolohua pono e kuhikuhi i ka maʻi i nīnau ʻia e nā nīnau, nā ʻōuli ʻē aʻe i loaʻa (i loko o nā fiva), nā hopena o nā hoʻokolokolo hou ʻana, etc.
Kaukaʻi ʻia i ke kuhi ʻana i hana ʻia, ʻo ke kumu o ke kumu.
- hoʻopau i nā lāʻau i pili;
- hoʻōla corticosteroid no nā maʻi autoimmune;
- chemotherapy no nā maʻi 'aʻai o ke koko a me nā pūnana lymph;
- antibiotic therapy i ka hihia o ka maʻi;
- etc.
ʻO ka petechiae wale nō o ke kumu traumatic e mālama ʻia ma kahi wahi e ka hoʻopili ʻana i nā compresses anu a i ʻole kahi hamo e pili ana i ka arnica. Ma hope o ka hoʻowalewale ʻana, pono ia e disinfect i kahi kūloko a lū hoʻi me nā kaomi.
ʻO ka wānana pinepine o ka maʻi i nīnau ʻia koe wale no petechiae o ke kumu traumatic e nalowale koke.
he ma'i ka'u petechiae, hiki paha ke ola?