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Purpura ke mabala a pherese le mabala a hlahang letlalong, le liseleng tsa mameno, ho kenyeletsoa le lesela la molomo.

Purpura e etsahala ha methapo e menyenyane ea mali e lutla mali ka tlasa letlalo.

Purpura e bophara ba limilimithara tse 4 ho isa ho tse 10. Ha matheba a purpura a le ka tlase ho 4 mm ka bophara, a bitsoa petechiae. Mabala a Purpura a maholo ho feta 1 cm (centimeter) a bitsoa ecchymoses.

Liplatelete li thusa lesela la mali. Motho ea nang le purpura a ka ba le lipalo tse tloaelehileng tsa platelet (non-thrombocytopenic purpuras) kapa lipalo tse tlase tsa platelet (thrombocytopenic purpuras).

Li-purpuras tse se nang thrombocytopenic li ka bakoa ke:

• Amyloidosis (bothata boo liprotheine tse sa tloaelehang li hahang ka har'a lisele le litho)
• Mathata a ho koala mali
• Congenital cytomegalovirus (boemo boo lesea le tšoaelitsoeng ke vaerase e bitsoang cytomegalovirus pele e hlaha)
• Congenital rubella lefu
• Lithethefatsi tse amang tšebetso ea platelet kapa lintho tse hoamisang
• Methapo ea mali e senyehang e bonoang ho batho ba baholo (senile purpura)
• Hemangioma (methapo ea mali e sa tloaelehang letlalong kapa litho tsa ka hare)
• Ho ruruha ha methapo ea mali (vasculitis), joalo ka Henoch-Schönlein purpura, e bakang mofuta o phahameng oa purpura
• Likhatello tsa khatello tse etsahalang nakong ea pelehi ea basali
• Scurvy (khaello ea vithamine C)
• Tšebeliso ea li-steroid
• Maloetse a itseng
• Kotsi

Thrombocytopenic purpura e kanna ea ba ka lebaka la:

• Lithethefatsi tse fokotsang palo ea platelet
• Idiopathic thrombocytopenic purpura (ITP) - lefu la ho tsoa mali
• Immune neonatal thrombocytopenia (e ka hlaha ho masea ao bo-mme ba ona ba nang le ITP)
• Meningococcemia (tšoaetso ea mali)

Bitsa mofani oa tlhokomelo ea bophelo bakeng sa kopano haeba u na le matšoao a purpura.

Mofani o tla hlahloba letlalo la hau mme a botse nalane ea hau ea bongaka le matšoao a eona, ho kenyeletsoa:

• Na ke lekhetlo la pele u ba le libaka tse joalo?
• Li qalile neng?
• Li na le 'mala ofe?
• Na li shebahala joaloka maqeba?
• U noa meriana efe?
• U bile le mathata afe a mang a bongaka?
• Na ho na le motho lelapeng la hao ea nang le matheba a tšoanang?
• U na le matšoao afe a mang?

Ho ka etsoa biopsy ea letlalo. Liteko tsa mali le moroto li ka laeloa ho fumana sesosa sa purpura.

Matheba a mali; Ho tsoa mali letlalong

• Henoch-Schonlein purpura maotong a tlase
• Henoch-Schonlein purpura ka leoto la lesea
• Henoch-Schonlein purpura maotong a lesea
• Henoch-Schonlein purpura maotong a lesea
• Henoch-Schonlein purpura maotong
• Meningococcemia ka manamane
• Meningococcemia leotong
• Lefika le mafika le nang le mafika le maotong
• Meningococcemia e amanang le purpura

Habif TP. Melao-motheo ea tlhatlhobo le anatomy. Ka: Habif TP, e hlophisitsoeng. Clinical Dermatology: Tataiso ea Mmala ho Phumano le Phekolo. La 6th. Philadelphia, PA: Elsevier; 2016: khaolo ea 1.

Li kichine CS. Purpura le mathata a mang a hematovascular. Ka: Kitchens CS, Kessler CM, Konkle BA, Streiff MB, Garcia DA, bahlophisi. Hemostasis ea lipuisano le Thrombosis. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 10.