Kurapa kwepurura

Kurapa kwepurura

nokutichinangwa fulminans, isu tinotaura nezve unpurpura yekunyanyisa kuomarara, iine 20 kusvika 25% yevakafa pamwe, pakati pevakapona, 5 kusvika 20% yezvinetso zvakakomba. Iyi purpura inowanzo kuve yakabatana ne meningococcus, asiwo kune zvimwe zvinhu zvinotapukira (huku, pox, streptococcus, staphylococcus, nezvimwewo). Iwo manejimendi anofanirwa kuitwa nekuchimbidza uye kuiswa muchipatara kunokosha. Kubva mishonga ichapihwa nekukasira, pakusvika kweSAMU kana chiremba aripo, kunyangwe usati wamirira mhedzisiro. Vanhu vari panjodzi huru vana vari pasi pemakore mana uye vechidiki vari pakati pemakore gumi nemashanu kusvika makumi maviri nemana ekuberekwa.

Mukana we immunological thrombocytopenic purpura (ITP), yekutanga chinangwa chekurapa kukwidza platelet kuverenga kana iri pazasi pe 30 / mm3. (yakajairwa chiyero pakati pe150 ne000 / mm3). Kana iri 30 / mm3 kana zvimwe, kunyangwe iyo platelet kuverenga yakawandisa zvisina kujairika, kazhinji haina kukonzera kubuda ropa. Kune rimwe divi, kana iyo platelet kuverenga iri pasi pe 30 / mm3, iyi ndiyo emergency nekuti munhu aripanjodzi yekubuda ropa. Kurapa necorticosteroids (yakatorwa kubva cortisone)inogona kupihwa asi kurapwa uku kunofanirwa kuve kupfupi nekuti kune kwakakosha mhedzisiro. Mimwe mishonga yakadai sejekiseni yeemunoglobulin inogona zvakare kushandiswa.

Mune chisingaperi immunologic thrombocytopenic purpura, iyo inonyanya kurapa kurapwa ndeye kubvisa iyo spleen. Chokwadi, nhengo iyi inogadzira masoja ekudzivirira anoparadza maplatelet uye zvakare ine masero eropa machena, macrophage anoparadza maplatelet. Zvino, kubviswa kwepleen (splenectomy), inobvumidza kurapa 70% yechirwere chisingaperi chemunitrogen thrombocytopenic purpura. Unogona kurarama usina rukuvhute, kunyangwe zvikakuisa padanho repamusoro rekutapukirwa.

Kana kubvisa tsinga kusakwana kana kusakwana zvakakwana, kumwe kurapa kuripo, senge mishonga inoderedza immune immune, antibodies kubva ku biotherapies kana zvinodhaka zvakaita seDanazol kana Dapsone.

Panyaya ye rheumatoid purpura, zvinogoneka, zvakare, kuti hapana kurapwa kunopihwa, iyo purpura inonyangarika pasina kuteedzana nenguva. Of zororo inokurudzirwa, dzimwe nguva inoperekedzwa neantispasmodics yekurwisa marwadzo emudumbu.

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