Ngemuva kokuxilongwa kwe-ITP: Yiziphi Izinguquko Okudingeka Uzenze Ngempela?

-Delile

• Cabanga kabusha ngemisebenzi yakho
• Hlanza ikhabethe lakho lemithi
• Yeka ukuphuza utshwala
• Ukucatshangelwa kokudla
• Ezinye izinguquko zendlela yokuphila

I-immune thrombocytopenia (i-ITP) ingaletha ukucatshangelwa kwesikhashana nesikhathi eside sempilo yakho. Ubukhulu be-ITP buyahlukahluka, ngakho-ke kungenzeka ungadingi ukwenza ushintsho olukhulu lwendlela yokuphila. Uma i-ITP yakho inzima futhi inani lakho leplatelet liphansi kakhulu, udokotela wakho angancoma ukuthi wenze izinguquko ezithile. Ungathola ngisho nezinguquko zisiza ekuphatheni izimpawu.

Funda ukuze ufunde kabanzi mayelana nolunye ushintsho lwendlela yokuphila ongadinga ukuyenza ngokulandela ukuxilongwa kwe-ITP. Qiniseka ukuthi ukhuluma nodokotela wakho nganoma yiziphi izinguquko zendlela yokuphila oyicabangayo.

Cabanga kabusha ngemisebenzi yakho

Ukuxilongwa kwe-ITP akusho ukuthi awukwazi ukuzivocavoca noma uhlale usebenza. Ukuvivinya umzimba njalo kuyazuzisa empilweni yesikhathi eside yawo wonke umuntu. Kodwa-ke, ungahle udinge ukulungisa izinhlobo zezinto obamba iqhaza kuzo.

Imidlalo yokuxhumana ayithathwa njengephephile ngenxa yengozi yokulimala okunomthelela omkhulu okungaholela ekopheni. Eminye yale misebenzi ifaka phakathi:

• bhekana nebhola
• ibhola likanobhutshuzwayo
• i-basketball
• ukushibilika eqhweni noma ukushibilika eqhweni

Ungakwazi ukubamba iqhaza ngokuphephile kweminye imidlalo, njenge:

• ithenisi
• ukubhukuda
• ithrekhi
• ping pong

Futhi, uma ugibela ibhayisikili, isigqoko sokuzivikela siyisidingo lapho une-ITP.

I-ITP ingadala ukuthi imihuzuko (i-purpura) kanye nokulimala okuncane okufana nokuqubuka (petechiae) kuvele ngokuzenzekelayo esikhunjeni sakho. Ungazibona lezi zimpawu noma ngabe ungabambi iqhaza kwezemidlalo yokuxhumana. Kodwa-ke, ukuthatha izinyathelo ezengeziwe zokuqapha lapho ubamba iqhaza emisebenzini kungavimbela ukopha ngokweqile kusuka kumanxeba angaphakathi nangaphandle uma ulimele.

Uma ulimele, ukungabikho kwama-platelet kungenza kube nzima ukuyeka ukuphuma kwegazi. Wena nodokotela wakho ningaxoxa ngokuthi yimiphi imisebenzi eningabamba iqhaza kuyo ngokuphepha ngokuya ngenani lenu leplatelet. Izinga elijwayelekile liwela endaweni ethile phakathi kwama-platelet aphakathi kuka-140,000 no-450,000 nge-microliter ngayinye yegazi, ngokusho kwe.

Hlanza ikhabethe lakho lemithi

Imithi ethile kanye nezithasiselo kungakhuphula ingozi yokuphuma kwegazi. Ukuthatha le mithi kungaphindaphinda ingozi yakho uma unenani eliphansi leplatelet.

Kufanele ugweme ukuthatha imishanguzo yokuthenga izinhlungu, njenge-ibuprofen (Advil, Motrin IB) ne-aspirin. Udokotela wakho angancoma i-acetaminophen yezinhlungu ngezikhathi ezithile.

Udokotela wakho uzobuye alinganise izinzuzo ngokuhambisana nezingozi zemithi ethile kadokotela engadala ukopha, njengama-thinning agents afana ne-warfarin. Kufanele ugweme amandla kadokotela-ibuprofen nezinye izinhlobo zama-NSAID ngenxa yengozi yokuphuma kwesisu noma kwamathumbu. I-serotonin reuptake inhibitors ekhethiwe (i-SSRIs) ingakhuphula nengozi yokopha kwangaphakathi. Lapho ama-SSRI ehlanganiswa nama-NSAID, ingozi yokopha iba phezulu kakhulu.

Tshela udokotela wakho nganoma iziphi izengezo noma amakhambi owathathayo. Izithako ezithile ezinjengamanani aphezulu we-omega-3 fatty acids zingaphazamisa ukuvimba kwegazi futhi nokusebenza komzimba. Ungadinga ukukugwema lokhu.

Yeka ukuphuza utshwala

Utshwala bungaba usizo kwabanye abantu abadala. Iwayini elibomvu lingehlisa ubungozi besifo senhliziyo. Kodwa-ke, abanye abacwaningi bakholelwa ukuthi lokhu kungenxa yezinto ezikwiwayini ezivela kumagilebhisi, njengama-antioxidants nama-flavonoids, kunewayini elibomvu uqobo. Isihluthulelo sempilo ukuthi uma uphuza utshwala, phuza kuphela ngokulinganisela: Lokhu kusho ukuthi ingilazi yewayini engaphezulu kweyodwa engama-5 kwabesifazane nezingilazi ezimbili zama-ounce zamadoda ngosuku.

Utshwala ne-ITP akuhlali kuyinhlanganisela enempilo. Okukhathazeka kakhulu ngamakhono okwehlisa iplatelet yotshwala. Ukusetshenziswa kotshwala isikhathi eside kungalimaza nesibindi sakho nomnkantsha wethambo, okubalulekile ekukhiqizeni amaplatelet. Futhi, utshwala buyacindezela. Kungakwenza ukhathale, kepha futhi kukugcine ebusuku. Imiphumela enjalo ayisizi uma ubhekene nokugula okuqhubekayo.

Ngemuva kokuxilongwa kwe-ITP, khuluma nodokotela wakho uma uphuza utshwala. Bazokuncoma ukuthi uyeke ukuphuza - okungenani kuze kube yilapho iplatelet yakho ibalwa.

Ukucatshangelwa kokudla

Ukudla kwakho kungadlala indima kuhlelo lwakho lokwelashwa kwe-ITP. Ukudla okunempilo, nokulinganisela kubalulekile kubo bonke abantu abadala. Kepha uma une-ITP, ukudla ukudla okulungile kungakusiza uzizwe ungcono futhi unamandla.

Izakhi ezithile zomzimba, njengevithamini K ne-calcium, zinezinto zemvelo ezibalulekile ekunqandeni igazi. Ungakuthola kokubili kwimifino enamaqabunga amnyama njengesipinashi kanye ne-kale. I-calcium iyatholakala kabanzi emikhiqizweni yobisi. I-European Group for Blood and Marrow Transplantation incoma ukuthi ungadinga ukugwema ukudla ubisi oluningi ngoba kungazenza zibe zimbi izimpawu zezifo ezizimele njenge-ITP. Ukwengeza i-Vitamin D nakho kungabamba iqhaza ekukhuphuleni amasosha omzimba ku-ITP, ikakhulukazi uma amazinga kavithamini D ephansi.

Ungase futhi ubheke ezinye izindlela zokudla:

• Yidla ukudla okuphilayo uma kungenzeka.
• Shintsha amafutha agcwele (ezilwane) nama-trans (enziwe ngabantu) wezinguqulo ezitshalwe ezitshalweni, njengama-avokhado.
• Nciphisa inyama ebomvu.

Gwema izithelo ezingaba nama-antiplatelet, njengamajikijolo, utamatisi, namagilebhisi.

Ezinye izinguquko zendlela yokuphila

Ukushintsha umsebenzi wakho okunye ukucatshangelwa uma kufunwa ngokomzimba noma kukubeka engcupheni enkulu yokulimala. Ungacabanga ukukhuluma nomqashi wakho ngezindlela ongahlala ngazo emsebenzini ngenkathi unciphisa izingozi zokuphepha.

Ungase futhi uthathe ezinye zezinyathelo zokuphepha ezilandelayo ukuvimbela ubungozi bokulimala:

• Hlala njalo ubopha ibhande (noma ngabe awushayeli).
• Qaphela lapho ulungisa ukudla, ikakhulukazi uma usebenzisa imimese.
• Gqoka amagilavu ​​okuvikela uma usebenzisa amathuluzi kagesi.
• Qaphela eduze kwezilwane ezifuywayo. Uma unezinja noma amakati, qiniseka ukuthi izinzipho zazo azibukhali ukuze zingakuklwebheki.
• Shintsha insingo yakho yendabuko uyisebenzele kagesi ukuvimbela ukusikeka.
• Sebenzisa kuphela amabhulashi amazinyo athambile.