Lulu toto

O le gasegase o le toto e faʻapipiʻi ile toto (hemorrhage) i lalo ole atigilima poʻo atigivae.

O le papala toto e pei o le manifinifi, mumu i mumu-enaena laina o le toto i lalo o fao. Latou taufetuli i le itu o le tuputupu ae fao.

Ua faʻaigoaina i latou o splinter hemorrhages aua e pei latou o se fasi i lalo o le atigilima. O le hemorrhages ono mafua mai i tamaʻi lapoʻa e faʻaleagaina le tamaʻi capillaries i lalo o fao.

E mafai ona tupu le gasegase ole toto ile faʻamaʻi ole alatoto (endocarditis). E ono mafua mai i le faʻaleagaina o vaʻa mai le fulafula o alatoto (vasculitis) poʻo tamaʻi totoga o loʻo faʻaleagaina ia tamaʻi capillaries (microemboli).

Mafuaʻaga ono aofia ai:

• Endocarditis siama
• Manua i fao

E leai se tausiga faʻapitoa mo le toto masaa. Mulimuli i faʻatonuga a lau tausi soifua maloloina mo le togafitia ole endocarditis.

Faʻafesoʻotaʻi lau tautua pe a fai e te maitauina le salalau o le paʻu toto ma e leʻi maua se manuʻa talu ai nei i le fao.

O le gasegase o le toto e masani ona aliali mai ua tuai ile endocarditis. I le tele o tulaga, o isi faʻailoga e mafua ai ona e asia lau tautua aʻo leʻi aliaʻe mai le maligi o le toto.

O le a suʻesuʻe oe e lau tautua e suʻe ai le mafuaʻaga o le paʻu toto. Atonu e fesiligia oe e pei o:

• O anafea na e matauina ai lenei mea?
• Na e maua se manua i fao talu ai nei?
• E i ai sau endocarditis, pe ua masalomia e lau tautua o loʻo maua oe ile endocarditis?
• O a isi faʻailoga o loʻo ia te oe, pei o le pupuu o le manava, fiva, lagona masani o maʻi, poʻo tiga o maso?

O le suʻega faʻaletino e ono aofia ai le uaʻi atu faʻapitoa i le fatu ma le faʻasologa o toto.

Suesuega ile fale suesue e ono aofia ai:

• Toto aganuu
• Faitau atoa le toto (CBC)
• Fua faatatau sedryation Erythrocyte (ESR)

I se faʻaopopoga, e ono okaina e lau tautua:

• Fatafata x-ray
• ECG
• Echocardiogram

A maeʻa ona e vaʻai i lau tautua, oe ono manaʻomia e faʻaopopo se faʻamaoniga o le toto masaʻa i lau oe lava faamaumauga faʻafomaʻi.

Fingernail hemorrhage

Lipner SR, Scher RK. Faʻailoga fao o faʻamaʻi sisitema. I: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, eds. Faailoga Dermatological o Faamaʻi Faʻamaʻi. 5th ed. Filatelefia, PA: Elsevier; 2017: mata 44.

Tosti A. Faʻamaʻi o laulu ma fao. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 413.

Wright WF. Fiva o le le mailoa amataga. I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi. 9th ed. Filatelefia, PA: Elsevier; 2020: chap 56.