Izindawo ezincane ezibomvu esikhunjeni, i-petechiae iyisifo sezifo eziningana okumele ukuxilongwa kwazo kucaciswe ngaphambi kwanoma yikuphi ukwelashwa. Banokubaluleka kokuvela kwesimo samachashazi abomvu amancane aqoqwe ndawonye emathafeni anganyamalali nge-vitropression. Izincazelo.

Amachashazi amancane abomvu noma ansomi, avame ukuqoqwa emacwecweni, i-petechiae yehlukaniswa namanye amabala amancane esikhunjeni ngokuthi ayipheli lapho icindezelwa (i-vitropression, ingcindezi etholakala esikhumbeni ukusebenzisa ingilazi encane ebonakalayo). 

Ububanzi bawo abudluli ku-2 mm futhi ubukhulu bawo kwesinye isikhathi buyabazeka ngaphezu kwezifunda eziningana zesikhumba:

• amathole;
• ingalo;
• isidumbu;
• ubuso;
• njll

Zivame ukuqala ngokungazelelwe, zihlotshaniswa nezinye izimpawu (umkhuhlane, ukukhwehlela, ikhanda elibuhlungu, njll.) Okuzoqondisa ukuxilongwa kwesizathu sokwenzeka kwazo. Futhi zingaba khona kulwelwesi lwamafinyila njenge:

• umlomo;
• ulimi;
• noma abamhlophe bamehlo (i-conjunctiva) okuyisifo esikhathazayo esingakhombisa ukungahambi kahle kwegazi lokunqandeka kwegazi.

Lapho ububanzi balawa maphuzu bukhulu, sikhuluma nge-purpura. I-Petechiae ne-purpura zihambelana nokuba khona ngaphansi kwesikhumba sezilonda zokopha ngendlela yamachashazi amancane noma amapuleti amakhulu, akhiwa ngokudlula kwamangqamuzana abomvu egazi ngezindonga zama-capillaries (izitsha ezinhle kakhulu ezikhona ngaphansi kwesikhumba), njengezincane i-hematoma.

Izimbangela lapho kuvela khona i-petechiae ziningi, sithola lapho:

• izifo zegazi kanye namaseli amhlophe egazi njenge-leukemia;
• i-lymphoma okungumdlavuza wama-lymph node;
• inkinga ngama-platelet egazi abandakanyeka ekunqandeni;
• i-vasculitis okuwukuvuvukala kwemithambo;
• i-thrombocytopenic purpura okuyisifo esizimele esidala ukwehla okukhulu ezingeni lama-platelet egazini;
• izifo ezithile ezibangelwa amagciwane ezifana nomkhuhlane, udenga fever, kwesinye isikhathi i-meningitis ezinganeni ezingaba nzima kakhulu;
• iCovid-19;
• imiphumela emibi ye-chemotherapy;
• ukuhlanza okukhulu ngesikhathi se-gastroenteritis;
• imithi ethile efana ne-aspirin;
• ama-anti-coagulants, ama-anti-depressants, ama-antibiotics, njll.
• ukuhlukumezeka okuthile okuncane kwesikhumba (ezingeni lesikhumba) njengemihuzuko noma ukugqokwa kwamastokisi okucindezelwa.

Iningi le-petechiae lifakazela izifo ezimbi nezesikhashana. Zibuyela emuva ngokuzenzekelayo ezinsukwini ezimbalwa, ngaphandle kwemiphumela yangemuva, ngaphandle kwamabala ansundu agcina eshabalele ngokuhamba kwesikhathi. Kepha kwezinye izimo, bafakazela isifo esibi kakhulu njenge-fulgurans pneumococcal meningitis ezinganeni, okuyisimo esiphuthumayo esibalulekile.

I-Petechiae ayisona isifo kepha isibonakaliso. Ukutholakala kwabo ngesikhathi sokuhlolwa komtholampilo kudinga ukucaciswa kwalesi sifo okukhulunywa ngaso ngokubuza, ezinye izimpawu ezikhona (ikakhulukazi umkhuhlane), imiphumela yokuhlolwa okwengeziwe, njll.

Ngokuya ngokuxilongwa okwenziwe, ukwelashwa kuzoba okwimbangela:

• ukuyeka izidakamizwa ezithintekayo;
• ukwelashwa kwe-corticosteroid yezifo ezizimele;
• i-chemotherapy yomdlavuza wegazi kanye nama-lymph node;
• ukwelashwa kwama-antibiotic uma kwenzeka ukutheleleka;
• njll

Kuphela i-petechiae yemvelaphi ehlukumezayo ezophathwa endaweni yakho ngokusebenzisa ukucindezela okubandayo noma umuthi wokugcoba osuselwa ku-arnica. Ngemuva kokuklwebha, kubalulekile ukuthi ubulale amagciwane endaweni yangakini futhi udibanise nezingcindezi.

Isibikezelo sivame kakhulu ukuthi sesifo okukhulunywa ngaso ngaphandle kwe-petechiae yemvelaphi ehlasimulisayo ezonyamalala ngokushesha.