Purpura: chii zvazviri, mhando, zviratidzo uye kurapwa

Zvemukati

• Mhando dzepepuru
• 1. Henöch-Schönlein wepepuru
• 2. Idiopathic thrombocytopenic purpura
• 3. Thrombotic thrombocytopenic purpura
• 4. Kuzadza ruvara rwepepuru
• 5. Senile pepuru
• Kurapwa kunoitwa sei
• Zviratidzo zvikuru

Purpura idambudziko risinganzwisisike rinoonekwa nekuonekwa kwemavara matsvuku paganda uye asingatsakatike paanotsimbirirwa, zvichikonzerwa nekuungana kweropa pasi peganda nekuda kwekuzvimba kwemitsipa yeropa. Pepuru yakajairika muvana, asi inogona kuoneka chero pazera.

Kuonekwa kwepurura kunogona kunge kuri nekuda kwemamiriro akati wandei uye, zvichienderana nechakakonzera, kurapwa kunogona kana kusakosha. Kazhinji, muvana, shava inonyangarika pasina kurapa chaiko, nepo kuvanhu vakuru inogona kuve dambudziko risingaperi, uye inogona kuoneka kana kunyangarika munguva.

Izvo zvakakosha kuti ubvunze dermatologist kana general generalist apo zviratidzo zvepepuru zvinotanga kuoneka, kuitira kuti zvikwanisike kuziva chikonzero uye kutanga kurapwa, kana zvichidikanwa.

Mhando dzepepuru

1. Henöch-Schönlein wepepuru

Henöch-Schönlein purpura, inozivikanwawo sePHS, ndiyo mhando yakajairika yepurura muvana vari pasi pemakore gumi uye inoratidzirwa nekuputika kwemidziyo midiki, inotungamira pakuonekwa kwemavara matsvuku, kunyanya pamakumbo nemagaro, uye inogona kutungamira mukurwadziwa mumajoini kana mudumbu. Dzidza nezve zvimwe zviratidzo zveHenöch-Schönlein purpura.

Kurapa sei: Kazhinji PHS haidi kurapwa kwakasarudzika, zvinongokosha kuti munhu azorore uye achiperekedzwa nachiremba kuti aongorore kufambira mberi kwezviratidzo. Nekudaro, kana paine kurwadziwa kwakawanda, chiremba anogona kuraira kushandiswa kwemaanti-inflammatories kana analgesics, senge Ibuprofen neParacetamol, kubvisa marwadzo.

2. Idiopathic thrombocytopenic purpura

Idiopathic thrombocytopenic purpura kana ITP chirwere che autoimmune chinozivikanwa nekuderera kwenhamba yemaplatelet, ichikanganisa kugadzikana uye inotungamira mukuumbwa kwenzvimbo diki dzvuku paganda uye kubuda ropa kubva mumhino. Kuongororwa kunoitwa kunyanya kuburikidza nekuongororwa kwezviratidzo uye kuongororwa kweropa, uko mune izvi zviitiko kunoratidza pasi pezviuru gumi zvemaplatelet / mm³ eropa.

Kurapa sei: Mushonga weITP unoitwa zvinoenderana nekuomarara kwezviratidzo, uye kushandiswa kwemishonga inoderedza mashandiro ezvirwere zvemuviri kunogona kukurudzirwa, kudzivirira kupokana nemuviri pachawo, jekiseni remaunoglobulins kana zvinodhaka zvinokurudzira kugadzirwa kwemaplatelet kuburikidza nepfupa remapfupa, senge Romiplostim, semuenzaniso. Tsvaga zvimwe nezve izvo ITP uye kuti kurapwa kunoitwa sei.

3. Thrombotic thrombocytopenic purpura

Thrombotic thrombocytopenic purpura kana PTT mhando isingawanzo ye purpura iyo inowanzoitika pakati pemakore makumi maviri nemakumi mana. Rudzi urwu rwepurura runoratidzwa nekuwedzera kweplatelet kuwanda, zvichitungamira mukuumbwa kwetrombi uye kukonzeresa kuti erythrocyte iputsike. Nekudaro, zvakakosha kuti PTT ikurumidze kuzivikanwa uye kurapwa nekukurumidza sezvinobvira kudzivirira kupererwa neropa, kurasikirwa kwemaplatelet uye shanduko yetsinga.

Kurapa sei: Kurapa kwe PTT kunofanirwa kutanga nekukurumidza sezvazvinogona, uye plasmapheresis inowanzo kurudzirwa, inoenderana neiyo nzira yekutsvaira ropa umo maantibhakitiriya akawandisa angave ari kukanganisa kushanda kwemuviri uye kufamba kweropa zvinobviswa.

4. Kuzadza ruvara rwepepuru

Kufuridzira purura inoonekwa kunyanya mumwana achangozvarwa nekuda kwekushayikwa kwemapuroteni anoenderana nekugwamba, izvo zvinotungamira mukuumbwa kwemapundu anogona kutenderera kutenderera kweropa uye zvinotungamira pakuonekwa kwemavara matsvuku paganda anogona kuve mutema nekuda kwekufa kwemasero. munzvimbo idzodzo.

Uye zvakare, iyi mhando yepurura inogona kukonzerwa nehutachiona, hutachiona kana hutachiona hwehutachiona, semuenzaniso.

Kurapa sei: Kurapa kwefulminant purpura kunogona kuitwa pamwe nekutungamirwa kweprotini inovhara irimo muropa zvinoenderana nekutungamira kwachiremba.

5. Senile pepuru

Rudzi urwu rwepurura runoratidzwa nekuonekwa kwemavara epepuru kumusana, mawoko, maoko uye maoko epamberi nekuda kwekukwegura kweganda, kuva, nekudaro, kwakajairika muvanhu vanopfuura makore makumi matanhatu nemashanu ekuberekwa.

Kurapa sei: Senile purpura haidi kurapwa, sezvo isingamiriri njodzi yehutano uye haisi kuratidza kubuda ropa. Nekudaro, kana munhu wacho achinzwa kusagadzikana, vanogona kushandisa mamwe marudzi emakemikari kana mafuta ekuzora ane vhitamini K ayo anobatsira kudzikamisa zvipuka, uye anofanirwa kuratidzwa nachiremba.

Ona mabviro aungaita 8 akajairika mhando dzeganda makwapa

Kurapwa kunoitwa sei

Kurapa kwepurura kunoenderana nechakakonzera, asi kazhinji kunoitwa nemakirimu ane vhitamini K yakawanda, senge Thrombocid, iyo inofanirwa kupararira pamusoro peganda kusvikira nzvimbo dzanyangarika.

Muzviitiko zvakakomba kwazvo, kumedzwa kwemishonga yecorticosteroid, yakadai seHydrocortisone kana Prednisone, kana kuvhiyiwa kubvisa tsinga, kana iri thrombocytopenic purpura, inogona kuratidzwa, sezvo iri munhengo iyi ma antibodies anogadzirwa anogona kuparadza maplatelet, zvichikonzera kuunganidzwa kwemaplatelet.ropa paganda. Muvana, vacheche kana vacheche vachangoberekwa zveruvara rwepepuru zvinogona kunyangarika pasina kurapwa, asi kune vanhu vakuru, kurapwa kunogara kuchidikanwa.

Zviratidzo zvikuru

Zviratidzo zvakajairika zvepurura zvinosanganisira:

• Mavara matsvuku paganda - ziva zvimwe zvikonzero zvemavara matsvuku paganda;
• Mavara matsvuku akapararira mumuviri wese;
• Kubuda ropa mumhino, ura, matadza kana weti;
• Kurwadziwa panzvimbo yemavara;
• Kupindwa nechando.

Muzviitiko zvakawanda, mavara madiki chete anoonekwa paganda uye kazhinji haadi kurapwa.