Ho tsoa mali letlalong

Ho tsoa mali letlalong ho ka hlaha methapong ea mali e robehileng e etsang matheba a manyane a mafubelu (a bitsoang petechiae). Mali le ona a ka bokella tlasa lisele libakeng tse kholo tse bataletseng (tse bitsoang purpura), kapa sebakeng se seholo se nang le likotsi (se bitsoang ecchymosis).

Ntle le leqeba le tloaelehileng, ho tsoa mali letlalong kapa manonyeletso ke lets'oao la bohlokoa mme e lokela ho lula e hlahlojoa ke mofani oa tlhokomelo ea bophelo.

Bofubelu ba letlalo (erythema) ha boa lokela ho fosahala ka lebaka la ho tsoa mali. Libaka tsa ho tsoa mali ka tlasa letlalo ha li lule li le lerootho (blanch) ha u hatella sebakeng seo, joalo ka bofubelu ba erythema.

Lintho tse ngata li ka baka tšollo ea mali ka tlasa letlalo. Tse ling tsa tsona ke:

• Kotsi kapa tsietsi
• Allergic reaction
• Mathata a ho itšireletsa mafung
• Tšoaetso ea vaerase kapa bokuli bo amang ho hoama ha mali (coagulation)
• Thrombocytopenia
• Kalafo ea bongaka, ho kenyeletsoa radiation le chemotherapy
• Meriana ea antiplatelet e kang clopidogrel (Plavix)
• Ho senya (ecchymosis)
• Tsoalo (petechiae ho lesea le sa tsoa tsoaloa)
• Letlalo le tsofalang (ecchymosis)
• Idiopathic thrombocytopenic purpura (petechiae le purpura)
• Henoch-Schonlein purpura (purpura)
• Lefuemia (purpura le ecchymosis)
• Meriana - Li-anticoagulants tse kang warfarin kapa heparin (ecchymosis), aspirin (ecchymosis), steroids (ecchymosis)
• Septicemia (petechiae, purpura, ecchymosis)

Sireletsa letlalo le tsofetseng. Qoba ho sithabela maikutlo joalo ka ho thula kapa ho hula libaka tsa letlalo. Bakeng sa ho itšeha kapa ho senya, sebelisa khatello e tobileng ho emisa ho tsoa mali.

Haeba u e-na le karabelo ea lithethefatsi, botsa mofani oa hau mabapi le ho emisa sethethefatsi. Ho seng joalo, latela kalafo ea hau e laetsoeng ho sebetsana le sesosa sa bothata.

Ikopanye le mofani oa hau haeba:

• U tsoa mali ka tšohanyetso letlalong ntle le lebaka
• U hlokomela ho longoa ho sa hlaloseheng ho sa feleng

Mofani oa hau o tla u hlahloba mme a botse lipotso mabapi le ho tsoa mali, joalo ka:

• Na u sa tsoa ba le kotsi kapa kotsi?
• Na u kile ua kula morao tjee?
• Na u kile ua ba le kalafo ea radiation kapa chemotherapy?
• Ke mekhoa efe e meng ea kalafo eo u kileng oa ba le eona?
• Na u noa aspirin hangata hanngoe ka beke?
• Na u nka Coumadin, heparin, kapa "li-thinner tsa mali" (li-anticoagulants)?
• Na ho tsoa mali ho etsahetse khafetsa?
• Na esale o na le tloaelo ea ho tsoa mali letlalong?
• Na ho tsoa mali ho qalile e sa le lesea (mohlala, ka lebollo)?
• Na e qalile ka ho buuoa kapa ha u ntšitse leino?

Liteko tse latelang tsa tlhahlobo li ka etsoa:

• Liteko tsa Coagulation ho kenyeletsoa INR le prothrombin nako
• Palo e felletseng ea mali (CBC) e nang le palo ea liplatelete le phapang ea mali
• Tlhahiso ea moko oa masapo

Li-ecchymoses; Matheba a letlalo - khubelu; Tšoaea matheba a khubelu letlalong; Petechiae; Morero

• Leihlo le letšo

Bokamoso ba CPM. Ho atamela mokuli ka ho tsoa mali kapa ka ho longoa. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 128.

Juliano JJ, Cohen MS, DJ oa Weber. Mokuli ea kulang haholo ea nang le feberu le lekhopho. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 57.

AI Schafer. Atamela mokuli ka ho tsoa mali le thrombosis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 162.