Kubuda ropa mukati meganda

Kubuda ropa mukati meganda kunogona kuitika kubva mukutyora mitsipa yeropa iyo inoumba madiki madiki matsvuku (anonzi petechiae). Ropa zvakare rinogona kuunganidza pasi pechinyama munzvimbo hombe dzakapetana (dzinonzi purpura), kana munzvimbo yakakura kwazvo yakakuvara (inonzi ecchymosis).

Kunze kwekukuvadzwa kunowanzoitika, kubuda ropa muganda kana mucous membranes chiratidzo chakakosha uye chinofanira kugara chichiongororwa nemupi wezvehutano.

Kutsvuka kweganda (erythema) hakufanirwe kukanganiswa nekubuda ropa. Nzvimbo dzekubuda ropa pasi peganda hadzirere kuomarara (blanch) kana iwe uchimanikidza panzvimbo, sekutsvuka kunoita erythema.

Zvinhu zvakawanda zvinogona kukonzera kubuda ropa pasi peganda. Mamwe acho ndeaya:

• Kukuvadza kana kushungurudzika
• Allergic reaction
• Autoimmune kusagadzikana
• Utachiona hwehutachiona kana chirwere chinokanganisa kugwamba kweropa (coagulation)
• Thrombocytopenia
• Kurapwa, kusanganisira radiation uye chemotherapy
• Antiplatelet mishonga yakadai seclopidogrel (Plavix)
• Bruise (ecchymosis)
• Kuzvarwa (petechiae mumucheche)
• Kuchembera ganda (ecchymosis)
• Idiopathic thrombocytopenic purpura (petechiae uye purpura)
• Henoch-Schonlein purpura (purpura)
• Leukemia (purpura uye ecchymosis)
• Mishonga - Anticoagulants senge warfarin kana heparin (ecchymosis), aspirin (ecchymosis), steroids (ecchymosis)
• Septicemia (petechiae, purpura, ecchymosis)

Dzivirira kuchembera ganda. Dzivisa kushungurudzika senge kubhomba kana kudhonza pane nzvimbo dzeganda. Pakucheka kana kutsvaira, shandisa kumanikidza kumisa kubuda kweropa.

Kana iwe uine zvinodhaka, bvunza mupiki wako nezve kumisa mushonga. Zvikasadaro, tevera yako yakatemwa kurapwa kurapa iyo yakakonzera chinetso chechinetso.

Bata mupi wako kana:

• Iwe unongoerekana wabuda ropa mukati meganda pasina chikonzero chiri pachena
• Iwe unoona kusanzwisisika kupwanya kusingaendi

Mupi wako anokuongorora uye obvunza mibvunzo nezvekubuda ropa, senge:

• Wakambove nekukuvara kana tsaona here?
• Wakamborwara munguva pfupi yapfuura here?
• Wakave uine radiation radiation kana chemotherapy?
• Ndeapi mamwe marapirwo awakambove nawo?
• Iwe unotora aspirin kanopfuura kamwe chete pasvondo?
• Iwe unotora Coumadin, heparin, kana mamwe "madete eropa" (anticoagulants)?
• Kubuda ropa kwakaitika kakawanda here?
• Wakagara uine tsika yekudeura ropa mukati meganda here?
• Ko kubuda ropa kwakatanga paucheche (semuenzaniso, nekudzingiswa)?
• Zvakatanga nekuvhiyiwa here kana kuti pawakabviswa zino?

Iyi inotevera miedzo yekuongorora inogona kuitwa:

• Coagulation bvunzo inosanganisira INR uye prothrombin nguva
• Yakazara kuverenga kweropa (CBC) ine platelet kuverenga uye neropa kusiyanisa
• Bone marora bhiopsy

Ecchymoses; Makanda eganda - tsvuku; Nongedza zvitsvuku paganda; Petechiae; Purpura

• Ziso dema

Hayward CPM. Clinical nzira kumurwere nekubuda ropa kana kupwanya. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsuwa 128.

Juliano JJ, Cohen MS, Weber DJ. Anorwara anorwara nefivha uye mapundu. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 57.

Schafer AI. Kusvika kune murwere nekubuda ropa uye thrombosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 162.