Kev kho mob rau purpura

Kev kho mob rau purpura

rau covntshav cov fulminans, peb hais txog kev tsis paub txog qhov mob hnyav, nrog 20 txog 25% ntawm kev tuag nrog, ntawm cov neeg muaj txoj sia nyob, 5 txog 20% ​​ntawm cov teeb meem loj. Qhov purpura no feem ntau txuas nrog tus mob meningococcus, tab sis kuj tseem mus rau lwm yam kab mob sib kis (tus mob qhua pias, streptococcus, staphylococcus, thiab lwm yam). Kev tswj hwm yuav tsum tau ua sai thiab tsev kho mob tsim nyog. Los ntawm tshuaj tua kab mob yuav muab tam sim ntawd, thaum tuaj txog ntawm SAMU lossis tus kws kho mob tuaj koom, txawm tias ua ntej tseem tos cov txiaj ntsig. Cov neeg muaj kev pheej hmoo tshaj yog menyuam yaus hnub nyoog qis dua 4 xyoos thiab cov tub ntxhais hluas hnub nyoog 15 txog 24 xyoos.

Yog tias muaj kev tiv thaiv kab mob thrombocytopenic purpura (ITP), thawj lub hom phiaj ntawm kev kho yog kom nce cov ntshav platelet yog tias nws qis dua 30 / hli3. (tus nqi ib txwm ntawm 150 thiab 000 / mm3). Yog tias nws yog 30 / mm3 lossis ntau dua, txawm tias cov ntshav platelet qis qis, feem ntau nws tsis ua rau los ntshav. Ntawm qhov tod tes, yog tias cov ntshav platelet tsawg dua 30 / mm3, qhov no yog xwm txheej ceev vim tias tus neeg muaj kev pheej hmoo los ntshav. Kev kho mob nrog corticosteroids (muab los ntawm cortisone)tej zaum yuav tau sau ntawv tab sis kev kho mob no yuav tsum luv vim tias nws muaj cov kev mob tshwm sim tseem ceeb. Lwm yam kev kho mob xws li txhaj tshuaj immunoglobulin kuj tseem siv tau.

Hauv kev tiv thaiv kab mob thrombocytopenic purpura ntev, qhov kev kho mob zoo tshaj plaws yog tshem tawm tus po. Qhov tseeb, lub cev no tsim cov tshuaj tiv thaiv kab mob rhuav tshem cov platelets thiab nws tseem muaj cov qe ntshav dawb, macrophages rhuav tshem cov platelets. Tom qab ntawd, kev tshem tawm ntawm tus po (splenectomy), tso cai kho 70% ntawm kev tiv thaiv kab mob mus ntev thrombocytopenic purpura. Koj tuaj yeem nyob tsis muaj tus po, txawm tias nws ua rau koj muaj kev pheej hmoo kis mob ntau dua.

Yog tias tshem tus po tsis txaus lossis tsis muaj txiaj ntsig zoo, muaj lwm yam kev kho mob, xws li cov tshuaj uas txo qis kev tiv thaiv kab mob, tshuaj tiv thaiv kab mob los ntawm kev kho mob los yog tshuaj xws li Danazol lossis Dapsone.

Nyob rau hauv rooj plaub ntawm rheumatoid purpura, nws muaj peev xwm, dua, tias tsis muaj kev kho mob, purpura ploj mus yam tsis muaj kev cuam tshuam nrog lub sijhawm. Ntawm so tau pom zoo, qee zaum nrog antispasmodics los tawm tsam mob plab.

Sau ntawv cia Ncua