pakutichinangwa fulminans, tikulankhula za kusadziwikiratu kwamphamvu kwambiri, ndi 20 mpaka 25% ya anthu akufa, pakati pa opulumuka, 5 mpaka 20% yazovuta zazikulu. Izi purpura nthawi zambiri zimalumikizidwa ndi meningococcus, komanso zinthu zina zopatsirana (nkhuku, streptococcus, staphylococcus, etc.). Otsogolera akuyenera kuchitidwa mwachangu komanso kuchipatala ndikofunikira. Kuchokera mankhwala adzapatsidwa nthawi yomweyo, pakubwera kwa SAMU kapena dokotala, ngakhale asanayembekezere zotsatira. Anthu omwe ali pachiwopsezo chachikulu ndi ana osakwana zaka 4 komanso achinyamata azaka zapakati pa 15 ndi 24.

Pankhani ya immunological thrombocytopenic purpura (ITP), cholinga choyamba chamankhwala ndikukulitsa kuchuluka kwa ma platelet ngati ali pansi pa 30 / mm³. (mulingo wabwinobwino pakati pa 150 ndi 000 / mm³). Ngati ili pa 30 / mm³ kapena kuposa, ngakhale kuchuluka kwa ma platelet kumakhala kotsika kwambiri, nthawi zambiri sikumayambitsa magazi. Kumbali ina, ngati kuchuluka kwa ma platelet kumakhala kochepera 30 / mm³, Izi ndizadzidzidzi popeza munthuyo ali pachiwopsezo chotaya magazi. Chithandizo cha corticosteroids (chochokera ku cortisone)atha kulembedwa koma mankhwalawa ayenera kukhala achidule chifukwa ali ndi zovuta zina. Mankhwala ena monga jakisoni wa immunoglobulin amathanso kugwiritsidwa ntchito.

Mu matenda a immunologic thrombocytopenic purpura, chithandizo chothandiza kwambiri ndikuchotsa ndulu. Zowonadi, chiwalo ichi chimapanga ma antibodies omwe amawononga ma platelet ndipo mulinso ma cell oyera a magazi, ma macrophages owononga ma platelets. Kenako, kuchotsedwa kwa ndulu (splenectomy), kumathandiza kuchiritsa 70% ya matenda a immunological thrombocytopenic purpura. Mutha kukhala opanda ndulu, ngakhale zitakuikani pachiwopsezo chachikulu chotenga matenda.

Ngati kuchotsa ndulu sikokwanira kapena sikokwanira, pali mankhwala ena, monga mankhwala omwe amachepetsa chitetezo chamthupi, ma antibodies ochokera ku biotherapies kapena mankhwala monga Danazol kapena Dapsone.

Pankhani ya nyamakazi, ndikothekanso, kuti palibe mankhwala omwe amaperekedwa, purpura imazimiririka popanda nthawi. Za zina tikulimbikitsidwa, nthawi zina kutsagana ndi antispasmodics polimbana ndi kupweteka m'mimba.