Okwensomi fulminans, sikhuluma nge-unpurpura yokuqina okwedlulele, nge-20 kuya ku-25% yokufa, phakathi kwabasindile, i-5 kuya ku-20% yezinkinga ezinkulu. Le purpura ivame ukuxhunyaniswa ne-meningococcus, kodwa futhi nezinye izakhi ezithathelwanayo (inkukhu, i-streptococcus, i-staphylococcus, njll.). Ukuphatha kufanele kwenziwe ngokushesha futhi ukulaliswa esibhedlela kuyadingeka. Kusuka kwemithi elwa namagciwane izonikezwa ngokushesha, lapho ifika i-SAMU noma udokotela okhona, ngisho nangaphambi kokulinda imiphumela. Abantu abasengozini enkulu yizingane ezineminyaka engaphansi kwe-4 kanye nentsha ephakathi kweminyaka engu-15 no-24 ubudala.

Endabeni ye-immunological thrombocytopenic purpura (ITP), inhloso yokuqala yokwelashwa ukukhulisa inani leplatelet uma lingaphansi kwama-30 / mm.³. (isilinganiso esivamile phakathi kuka-150 no-000 / mm³). Uma ku-30 ​​/ mm³ noma ngaphezulu, ngisho noma inani leplatelet liphansi ngokungavamile, ngokuvamile alikubangeli ukopha. Ngakolunye uhlangothi, uma inani leplatelet lingaphansi kwama-30 / mm³, lokhu kuyisimo esiphuthumayo ngoba umuntu usengozini yokopha. Ukwelashwa nge-corticosteroids (etholakala ku- i-cortisone)ingase inqunywe kodwa lokhu kwelashwa kufanele kube kufushane ngoba kunemiphumela emibi ebalulekile. Ezinye izindlela zokwelapha ezinjengomjovo we-immunoglobulin nazo zingasetshenziswa.

Ku-chronic immunologic thrombocytopenic purpura, ukwelashwa okuphumelelayo kakhulu ukususa udaka. Ngempela, lesi sitho sikhiqiza amasosha omzimba abhubhisa ama-platelet futhi siqukethe namangqamuzana amhlophe egazi, ama-macrophage abhubhisa ama-platelet. Khona-ke, ukukhishwa kwe-spleen (splenectomy), kuvumela ukwelapha i-70% ye-chronic immunological thrombocytopenic purpura. Ungaphila ngaphandle kobende, ngisho noma lokho kukubeka engcupheni enkulu yokutheleleka.

Uma ukukhipha ubende kunganele noma kungasebenzi kahle, ezinye izindlela zokwelapha zikhona, njengezidakamizwa ezehlisa ukusabela komzimba, amasosha omzimba avela kuma-biotherapies noma izidakamizwa ezifana ne-Danazol noma i-Dapsone.

Endabeni ye-rheumatoid purpura, kungenzeka, futhi, ukuthi akukho ukwelashwa okunikezwayo, i-purpura iyanyamalala ngaphandle kokulandelana kwesikhathi. Kwe ukuphumula Kunconywa, ngezinye izikhathi kuhambisane nama-antispasmodics ukulwa nobuhlungu besisu.