Petechiae - Cov tsos mob, ua rau, kho thiab tiv thaiv

Txheej txheem cej luam

Petechiae yog ib qho mob uas cov pob liab liab ntawm 1-2 hli tshwm ntawm txhua qhov ntawm lub cev. Nws tshwm sim vim intradermal (nruab nrab ntawm epidermis thiab hypodermis) capillary los ntshav. Cov pob no tsis yog blanching vim lawv tsis ploj ntawm kev siv lub siab. Ob qho tib si petechiae thiab purpura yog qhov tsis yog-blanching. Purpura loj dua petechiae thiab tsim vim los ntshav hauv daim tawv nqaij, thiab nws qhov loj yog ntau tshaj 2 hli. 

Petechiae yog dab tsi?

cov ntshav txhaws yog cov xwm txheej tswj hwm uas yuav tsum muaj cov txheej txheem endothelium (tshwj xeeb), cov ntaub so ntswg, collagen, platelets, platelets activating yam (PAF), prothrombin, fibrinogen, von Willebrand yam (vWF), thiab lwm yam cofactors ua haujlwm. Platelets zoo sib xws nrog kev tswj hwm cov tshuaj tiv thaiv angiogenic, xws li vascular endothelial kev loj hlob zoo (VEGF), angiopoietin 1, thiab lwm yam. Petechiae, hemorrhagic lesion uas cuam tshuam los ntshav ntau dhau, yog ib qho tshwm sim tshwm sim nrog. thrombocytopenia. Ib qho kev txo qis hauv platelet suav (10,000-20,000 / cubic millimeter) tshwm sim thaum lub sijhawm thrombocytopenia. Nws cuam tshuam tag nrho cov kev sib dhos, cov kab mob endothelial ua rau xau, thiab erythrocytes (cov ntshav) nkag mus rau cov ntaub so ntswg. Qhov kev tshwm sim no thiab kev cuam tshuam ntawm ob peb lwm yam kev mob tshwm sim tshwm sim rau hauv petechiae (qhov txhab tawv nqaij) thiab purpura (qhov txhab tob). 

Puas yog Petechiae Rash?

Cov tsos ntawm petechiae yuav zoo li pob liab liab, tab sis nws tsis yog ib qho. Lawv yog cov pinpoint liab dots ntawm daim tawv nqaij tsim vim cov hlab ntsha tawg nyob rau hauv daim tawv nqaij. Petechiae tsis khaus lossis mob. Thaum koj nias rau ntawm petechiae, nws tseem muaj xim liab, liab, lossis xim av, thaum cov pob liab liab tig daj los yog sib dua thaum thov siab. 

Petechiae zoo li cas?

Raws li tau hais los saum toj no, petechiae tshwm li tiaj tus, pinpoint-loj liab, xim av, lossis ntshav dots. Ob peb petechiae nyob rau hauv ib qho chaw yuav zoo li pob liab liab. Txawm li cas los xij, thaum siv cov pob khaus, lawv tig daj ntseg, tab sis cov xim ntawm petechiae tseem zoo ib yam. Yog tias koj pom qhov loj, liab, lossis liab doog, nws yog ib yam ntawm cov teeb meem los ntshav hu ua purpura.

Koj tuaj yeem tsim petechiae nyob qhov twg hauv lub cev, qee zaum pom hauv lub qhov ncauj lossis daim tawv muag.

Dab tsi ua rau Petechiae? 

Thaum cov hlab ntsha tawg qhib, cov ntshav nkag mus rau hauv daim tawv nqaij, tsim petechiae. Ob qho laj thawj feem ntau yog kis kab mob thiab tshuaj tiv thaiv rau cov tshuaj. Lwm qhov laj thawj muaj xws li cov hauv qab no:

Petechiae Los ntawm Kev Mob tshwm sim ntawm qee yam tshuaj

Muaj cov tshuaj tshwj xeeb uas ua rau muaj kev phiv los ntawm petechiae. Cov hauv qab no yog cov tshuaj thiab lawv cov kev mob tshwm sim:

Thaum twg mus ntsib kws kho mob?

 Yog tias koj lossis koj tus menyuam muaj mob petechia, nrhiav kev kho mob tam sim ntawd. Nws tuaj yeem txhais tau tias muaj mob hauv qab uas tuaj yeem mob hnyav lossis mob me. Qhov hnyav ntawm tus mob tuaj yeem paub tsuas yog tom qab kuaj mob. Koj yuav tsum mus ntsib kws kho mob tam sim yog tias koj ntsib cov tsos mob hauv qab no: 

• Ua npaws kub siab
• Teeb meem ua pa
• Tsis meej pem
• Hloov hauv kev nco qab

Yuav ua li cas tiv thaiv qhov hnyav ntawm Petechiae?

Nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thaum koj pib soj ntsuam thawj cov tsos mob thiab cov tsos mob ntawm petechiae. Qhov no yuav tiv thaiv koj cov khoom tseem ceeb, xws li lub plawv, lub hlwb, lub raum, thiab plab, thiab lwm yam, los ntawm kev cuam tshuam.

Dab tsi yog Kev Kho Mob Muaj rau Petechiae?

Tsis muaj kev kho tshwj xeeb lossis kev kho mob rau petechiae. Petechiae tshwm sim vim muaj kab mob. Yog li, nyob ntawm qhov chaw kho mob tshwj xeeb, cov tshuaj yuav raug muab los ntawm kws kho mob. 

Qee cov kev kho mob lossis kev kho mob rau cov mob yog:

Dab tsi yog qhov teeb meem ntawm Petechiae?

Petechia tsis ua rau muaj teeb meem. Txawm li cas los xij, nws tuaj yeem yog cov tsos mob ntawm cov mob hauv qab uas yuav ua rau muaj teeb meem, xws li 

• Ntau lub cev puas tsuaj, nrog rau lub raum, siab, tus po, lub plawv, lub ntsws, thiab lwm yam kabmob
• Teeb meem plawv
• Kab mob hauv lwm qhov hauv lub cev

Yuav kuaj Petechiae li cas?

Yog tias koj tus menyuam ua npaws nrog petechiae, nws tuaj yeem ua rau muaj kev kis mob hnyav xws li kab mob meningococcal. Nrhiav kev kho mob tam sim ntawd.

Tus kws kho mob yuav tshuaj xyuas tus me nyuam rau pob khaus thiab sib tham txog lawv cov tsos mob thiab tsis ntev los no tus mob zoo. Kev kuaj ntshav thiab zis tuaj yeem ua rau txiav txim siab petechiae qhov ua rau. Lwm yam kab mob kuj yuav ua rau tus mob no. Ua tib zoo saib rau cov tsos mob hauv qab no:

• Teeb meem hauv kev ua pa: Yog tias koj tus menyuam muaj teeb meem ua pa thiab ua tsis taus pa nrog petechiae, nws tuaj yeem qhia tias mob plawv hu ua kab mob endocarditis. Nws yog ib qho mob uas lub hauv ob sab hauv ntawm lub plawv thiab cov li qub tau kis. 
• Tsis meej pem: Thaum koj tus menyuam tsis meej pem thiab muaj petechiae, nws tuaj yeem yog ib qho cim ntawm Rocky Mountain Fever Syndrome - uas yog tshwm sim vim yog zuam tom.
• Sudden hloov hauv kev nco qab: kab mob xws li Dengue, yellow fever, lassa, Marburg, thiab ebola yog hu ua viral hemorrhagic fevers. Ib qho ntawm cov tsos mob ntawm qhov kub taub hau yog kev hloov hauv kev nco qab nrog petechiae. Cov kab mob npaws no feem ntau pom muaj nyob rau hauv cov teb chaws sov, thiab cov kws kho mob tau pom cov xwm txheej zoo ib yam hauv Teb Chaws Asmeskas los ntawm cov neeg uas tau mus rau cov teb chaws no. 

Hu rau koj tus kws kho mob tam sim ntawd rau lwm yam kev txhawj xeeb thiab lus nug.

Petechiae kav ntev npaum li cas?

Yog tias koj raug kev txom nyem los ntawm kev mob hauv qab nrog petechiae, petechiae tuaj yeem mob thiab kis mus rau lwm qhov ntawm lub cev kom txog thaum kho tsis tau kho. Nws kuj nyob ntawm qhov hnyav ntawm tus mob. Tab sis yog tias petechiae loj hlob yam tsis muaj kev kho mob, nws daws nws tus kheej hauv ob peb hnub. 

Cov kev kho mob twg muaj rau Petechiae?

Thaum cov kab mob los yog kab mob ua rau petechiae, cov tawv nqaij yuav tsum ploj sai li sai tau thaum kho tus kab mob. Yog tias nws yog cov kev mob tshwm sim ntawm cov tshuaj, cov tsos mob yuav tsum nres thaum tsis siv tshuaj. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas qhov chaw hloov mus tas li los yog cov pob qij txha nce ntxiv, uas tuaj yeem qhia tau tias muaj ntshav tsis txaus.

Cov kws kho mob pom zoo rau txoj kev kho mob tom qab kuaj xyuas qhov ua rau thiab lwm yam tsos mob. Tus kws kho mob yuav sau cov tshuaj hauv qab no:

• Cov tshuaj tua kab mob uas kho cov kab mob
• Corticosteroids los txo qhov mob
• Immunosuppressants los tiv thaiv lub cev tiv thaiv kab mob, xws li azathioprine, methotrexate, thiab cyclophosphamide
•  Kws khomob, kev kho mob lom, thiab hluav taws xob rau mob qog noj ntshav

Koj tseem tuaj yeem ua tiav cov hauv qab no hauv tsev:

• so
• Noj cov tshuaj tom khw muag khoom kom txo qhov mob
• Haus dej kom ntau kom tsis txhob muaj lub cev qhuav dej

Yuav ua li cas kho petechiae hauv tsev?

Yog tias koj tsim petechiae, nrhiav kev kho mob tam sim ntawd. Txawm li cas los xij, koj tuaj yeem sim cov tshuaj hauv tsev hauv qab no uas tuaj yeem pab tau:

• Txias compression
• Saib xyuas koj tus kheej kom hydrated
• Nonsteroidal anti-inflammatory tshuaj 
• so

Kev tiv thaiv ntawm petechiae yog dab tsi?

Tiv thaiv kev mob nkeeg yog ib txoj hauv kev kom tsis txhob petechiae. Txawm li cas los xij, tsis yog txhua yam kab mob kho mob tiv thaiv tau. Koj yuav tsum zam cov tshuaj uas ua rau muaj kev phiv thiab qhia rau koj tus kws kho mob paub txog nws. Lwm txoj hauv kev los tiv thaiv kab mob uas ua rau petechiae yog raws li hauv qab no:

• Tsis tu ncua ntxuav koj txhais tes nrog xab npum thiab dej los yog siv cov tshuaj ntxuav tes uas muaj cawv. 
• Zam cov neeg mob
• Tiv thaiv kom tsis txhob siv tsom iav, tais diav, thiab lwm yam khoom siv nrog lwm tus neeg
• Tsis tu ncua ntxuav countertops thiab tej qhov chaw
• Xyuas kom muaj kev nyab xeeb kev sib deev
• Ua ntej nkag mus rau thaj chaw muaj ntoo lossis nyom, siv tshuaj tua kab nrog DEET, hnav lub tsho ntev thiab ris, thiab ris tsho hauv koj lub thom khwm. Tsis tas li ntawd, xyuas cov zuam thaum koj rov qab los tsev.

xaus

Petechiae yog ib qho kev qhia (lossis tswb) rau thaum ntxov (feem ntau), nruab nrab, lossis theem lig (feem ntau) ntawm tus kab mob. Yog li ntawd, cov pob liab me me no yuav tsum tau ua tiag tiag, vim nws yog qhov pib ntawm qhov mob hnyav (yog tias koj tsis raug mob los ntawm cov kab mob ntev). Yog li, ib tug neeg yuav tsum txheeb xyuas petechiae los tiv thaiv kev mob hnyav.

Cov Lus Nquag Nug (FAQ)

1. Dab tsi yog qhov ua rau petechiae?

Petechia tuaj yeem tshwm sim los ntawm ntau yam kab mob thiab tsis kis kab mob. Nws tuaj yeem yog vim kab mob, fungal, lossis kab mob kis, suav nrog cov hauv qab no:

• Tus kab mob cytomegalovirus
• Endocarditis
• Meningococcemia
• Mononucleosis
• Rocky Mountain Spotted Fever
• Scarlet fever
• mob sepsis
• Strep caj pas
• Viral hemorrhagic fevers

Lwm yam tshuaj tsis kis kab mob xws li hauv qab no:

• vasculitis
• Thrombocytopenia
• Leukemia
• Scurvy
• Vitamin K tsis txaus

2. Cov kab mob dab tsi ua rau petechiae?

. Nws tuaj yeem yog vim kab mob, fungal, lossis kab mob kis, suav nrog cov hauv qab no:

• Tus kab mob cytomegalovirus
• Endocarditis
• Meningococcemia
• Mononucleosis
• Rocky Mountain Spotted Fever
• Scarlet fever
• mob sepsis
• Strep caj pas
• Viral hemorrhagic fevers

3. Cov tshuaj twg ua rau petechiae?

Cov tshuaj hauv qab no ua rau petechiae:

• Tshuaj tua kab mob
• antidepressants
• Cov tshuaj tiv thaiv
• Ntshav thinners
• Cov tshuaj kho mob plawv
• Cov tshuaj txo cov roj cholesterol
• Nonsteroidal anti-inflammatory tshuaj

4. Puas yog petechiae ua rau muaj kev phom sij?

Feem ntau, petechia yog cov tsos mob ntawm tus mob. Kev kho mob tej zaum yuav mob me me rau txoj sia.

5. Qhov txawv ntawm purpura thiab petechiae yog dab tsi?

Ob leeg yog tshwm sim los ntawm cov hlab ntsha tawg hauv qab ntawm daim tawv nqaij. Petechiae yog cov pob txha uas muaj xim liab, ntshav, lossis xim av, thaum purpura yog tsim nyob rau hauv cov cheeb tsam loj uas tuaj yeem ua ntshav.

6. Thaum twg koj yuav tsum txhawj xeeb txog petechiae?

Yog tias koj tus menyuam muaj petechiae, nws tuaj yeem qhia tau tias muaj mob hnyav lossis mob ceev. Nrhiav kev kho mob tam sim yog tias koj pom cov hauv qab no:

• Tsis meej pem, lightheadedness, los yog tsis nco qab
• npaws
• Petechiae uas kis tau sai
• Teeb meem hauv kev ua pa