Yini i-idiopathic thrombocytopenic purpura nokuthi ungayiphatha kanjani

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingaba khona zalesi sifo
• Yelashwa kanjani

I-Idiopathic thrombocytopenic purpura yisifo esizimele lapho amasosha omzimba uqobo ecekela phansi amaplatelet egazi, okuholela ekwehlisweni okuphawulekayo kwalolu hlobo lweseli. Uma lokhu kwenzeka, umzimba uba nesikhathi esinzima sokumisa ukopha, ikakhulukazi esimweni samanxeba nokushaywa.

Ngenxa yokushoda kwama-platelet, futhi kuvame kakhulu ukuthi enye yezimpawu zokuqala ze-thrombocytopenic purpura ukubonakala kaningi kwamabala ansomi esikhumbeni ezingxenyeni ezahlukahlukene zomzimba.

Ngokuya ngenani eliphelele lama-platelet kanye nezimpawu eziveziwe, udokotela angaluleka ukwelashwa okuthe xaxa ukuvimbela ukuphuma kwegazi noma, bese-ke, aqale ukwelashwa kwalesi sifo, okuvame ukufaka ukusetshenziswa kwezidakamizwa ukwehlisa amasosha omzimba noma ukwandisa inani amaseli egazini.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu uma kwenzeka i-idiopathic thrombocytopenic purpura ifaka:

• Ubulula bokuthola amabala ansomi emzimbeni;
• Amabala amancane abomvu esikhunjeni abukeka njengopha ngaphansi kwesikhumba;
• Ukwenza kube lula ukopha ezinsinini noma ekhaleni;
• Ukuvuvukala kwemilenze;
• Ubukhona begazi emchameni noma endleni;
• Ukwanda kokugeleza kokuya esikhathini.

Kodwa-ke, kunamacala amaningi lapho i-purpura ingabangeli noma yiluphi uhlobo lwezimpawu, futhi umuntu utholakala ukuthi unalesi sifo kuphela ngoba unama-platelets / mm³ angaphansi kuka-10 000 egazini.

Ungakuqinisekisa kanjani ukuxilongwa

Isikhathi esiningi ukuxilongwa kwenziwa ngokubheka izimpawu nokuhlolwa kwegazi, futhi udokotela uzama ukuqeda ezinye izifo ezingaba khona ezidala izimpawu ezifanayo. Ngaphezu kwalokho, kubaluleke kakhulu futhi ukuhlola ukuthi ngabe kukhona yini umuthi, onjenge-aspirin, ongahle ubangele lezi zinhlobo zemiphumela ukuthi uyasetshenziswa.

Izimbangela ezingaba khona zalesi sifo

Idiopathic thrombocytopenic purpura yenzeka lapho amasosha omzimba eqala, ngendlela engafanele, ukuhlasela ama-platelet egazi ngokwawo, kudale ukwehla okuphawulekayo kulawa maseli. Isizathu esiqondile sokuthi kungani lokhu kwenzeka asikaziwa futhi, ngakho-ke, lesi sifo sibizwa nge-idiopathic.

Kodwa-ke, kunezici ezithile ezibonakala zandisa ubungozi bokuthuthukisa lesi sifo, njenge:

• Yiba ngowesifazane;
• Njengoba sengithole ukutheleleka ngegciwane muva nje, okufana nezimungumungwane noma isimungumungwane.

Yize ivela kaningi ezinganeni, idiopathic thrombocytopenic purpura ingenzeka nganoma yisiphi isikhathi, noma ngabe awekho amanye amacala emndenini.

Yelashwa kanjani

Ezimweni lapho i-idiopathic thrombocytopenic purpura ingabangeli zimpawu futhi nenani lama-platelet aliphansi kakhulu, udokotela angaluleka ukuthi aqaphele kuphela ukugwema amaqhubu namanxeba, kanye nokwenza ukuhlolwa kwegazi kaningi ukuhlola inani lama-platelet .

Kodwa-ke, uma kunezimpawu noma uma inani lama-platelet liphansi kakhulu, ukwelashwa ngemithi kungalulekwa:

• Amakhambi anciphisa amasosha omzimba, imvamisa ama-corticosteroids anjenge-prednisone: anciphisa ukusebenza kwamasosha omzimba, ngaleyo ndlela anciphise ukonakala kwamaplatelet emzimbeni;
• Imijovo ye-Immunoglobulin: kuholele ekwandeni okusheshayo kwama-platelet egazini futhi umphumela uvame ukuhlala amasonto ama-2;
• Imithi ekhulisa ukukhiqizwa kweplatelet, njengeRomiplostim noma i-Eltrombopag: yenza ukuthi umnkantsha wethambo ukhiqize amaplatelet amaningi.

Ngaphezu kwalokho, abantu abanalolu hlobo lwesifo kufanele futhi bagweme ukusebenzisa izidakamizwa ezithinta ukusebenza kwama-platelet afana ne-Aspirin noma i-Ibuprofen, okungenani ngaphandle kokuqondisa kukadokotela.

Ezimweni ezinzima kakhulu, lapho lesi sifo singathuthuki ngemithi ekhonjiswe ngudokotela, kungadingeka ukuthi kuhlinzwe kukhishwe ubende, okungesinye sezitho ezikhiqiza amasosha omzimba amaningi akwazi ukubhubhisa ama-platelet.