Ho tsoa mali ka sekhahla

Ho tsoa mali hampe ke libaka tse nyane tsa ho tsoa mali (hemorrhage) tlasa manala kapa menoana ea menoana.

Ho tsoa mali hanyane ka hanyane ho shebahala joalo ka mela e tšesaane, e khubelu ho isa ho 'mala o mofubelu oa mali ka tlas'a lipekere. Li matha ka nqa ea kholo ea manala.

Li rehiloe likhahla tsa mali hobane li shebahala joalo ka sekhahla se ka tlasa lenala. Ho tsoa mali ho ka bakoa ke maqeba a manyenyane a senyang li-capillaries tse nyane tlasa lipekere.

Ho tsoa mali ho ka hlaha ka tšoaetso ea li-valve tsa pelo (endocarditis). Li ka bakoa ke tšenyo ea sejana ka lebaka la ho ruruha ha methapo ea mali (vasculitis) kapa maqeba a manyane a senyang li-capillaries tse nyane (microemboli).

Lisosa li ka kenyelletsa:

• Baktheria endocarditis
• Ho lematsa sepekere

Ha ho na tlhokomelo e khethehileng bakeng sa ho tsoa mali hanyane ka hanyane. Latela litaelo tsa mofani oa tlhokomelo ea bophelo bakeng sa kalafo ea endocarditis.

Ikopanye le mofani oa hau haeba u hlokomela tšollo ea mali 'me ha u e-so be le kotsi ea morao tjena lenaneng.

Ho tsoa mali hangata ho hlaha qetellong ea endocarditis. Maemong a mangata, matšoao a mang a tla etsa hore u etele mofani oa hau pele ho tsoa mali a marang-rang.

Mofani oa hau o tla u hlahloba ho sheba sesosa sa ho tsoa mali hanyane ka hanyane. U ka botsoa lipotso tse kang:

• U hlokometse see neng ka lekhetlo la pele?
• Na u kile ua lemala lipekere haufinyane?
• O na le endocarditis, kapa mofani oa hau o belaela hore o na le endocarditis?
• Ke matšoao afe a mang ao u nang le 'ona, a kang ho hema hanyane, feberu, ho kula ka kakaretso, kapa ho opeloa ke mesifa?

Tlhahlobo ea 'mele e ka kenyelletsa tlhokomelo e khethehileng ho sistimi ea pelo le mali.

Lithuto tsa laboratori li ka kenyelletsa:

• Litso tsa mali
• Palo e felletseng ea mali (CBC)
• Sekhahla sa sedimentation sa Erythrocyte (ESR)

Ntle le moo, mofani oa hau a ka odara:

• X-ray sefubeng
• ECG
• Echocardiogram

Kamora ho bona mofani oa hau, o kanna oa batla ho eketsa tlhahlobo ea phallo ea mali a likotoana tlalehong ea hau ea bongaka.

Ho tsoa maliana ka monoana

Lipner SR, Scher RK. Lipekere tsa lipekere tsa lefu la systemic. Ka: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, eds. Matšoao a Dermatological a Mafu a Sisteme. La 5th. Philadelphia, PA: Elsevier; 2017: khaolo ea 44.

Tosti A. Mafu a moriri le manala. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 413.

Wright WF. Feberu e sa tsejoeng. 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 56.