Imibuzo eyi-10 Yokubuza Udokotela Wakho Nge-ITP

-Delile

• 1. Yini ebangele isimo sami?
• 2. Isho ukuthini imiphumela yami yeplatelet?
• 3. Iyini ingozi yami yokopha ngaphakathi?
• 4. Yini engingayenza ukuvimbela ukopha nokulimala?
• 5. Ngabe kukhona engingakugwema nge-ITP?
• 6. Kuthiwani uma ukwelashwa kwami ​​kungasebenzi?
• 7. Ngabe ngizodinga ukuthi ubende lwami lususwe?
• 8. Ngabe i-ITP yami ibucayi noma ayipheli?
• 9. Ingabe zikhona izimpawu ezibucayi engidinga ukuzibheka?
• 10. Uyini umbono wesimo sami?

Ukuxilongwa kwe-immune thrombocytopenia (ITP), phambilini ebibizwa nge-idiopathic thrombocytopenia, kungaletha imibuzo eminingi. Qiniseka ukuthi uzilungiselele ekuqokweni kukadokotela wakho olandelayo ngokuba nale mibuzo esandleni.

1. Yini ebangele isimo sami?

I-ITP ibhekwa njengokuziphendulela okuzenzakalelayo lapho umzimba wakho uhlasela amaseli ayo. Ku-ITP, umzimba wakho uhlasela amaplatelet, ehlisa ukubala kwakho kwalolu hlobo lwengqamuzana legazi. Njengezinye izifo ezizimele, imbangela eyinhloko yalokhu kuhlaselwa kweplatelet ayaziwa.

Ezinye izimo ze-ITP zixhunywe ekuphenduleni okuzenzakalelayo kokutheleleka kwamagciwane noma kwamagciwane akamuva. Ama-virus wesikhathi eside, njenge-HIV kanye ne-hepatitis C, nawo angaholela ku-ITP.

Uma uqonda imbangela engaba nomthelela esimweni sakho, kuzokusiza wena nodokotela wakho ukwakha uhlelo lokwelashwa kwe-ITP. Ungadinga futhi ukwelapha noma yikuphi ukutheleleka ngegciwane okubangela inani eliphansi leplatelet.

2. Isho ukuthini imiphumela yami yeplatelet?

I-ITP idalwa ukubalwa kweplatelet okuphansi. Ama-platelets yizinhlobo zamaseli egazi asiza igazi lakho ukuba lihlule ukuze ungophi ngokweqile. Uma ungenawo amaplatelet anele, usengozini yokulimala okuzenzekelayo nokopha.

Ukufundwa kweplatelet okujwayelekile kuphakathi kwama-platelet aphakathi kuka-150,000 no-450,000 nge-microliter (mcL) yegazi ngalinye. Abantu abane-ITP banokufundwa nge-mcL ngayinye. Ukufundwa kwamaplatelet angaphansi kuka-20 000 nge-mcL kungasho ukuthi usengozini enkulu yokopha ngaphakathi.

3. Iyini ingozi yami yokopha ngaphakathi?

Kokubili ukopha kwangaphakathi nangaphandle kuhlotshaniswa ne-ITP. Ukopha kwangaphakathi kungabeka ubungozi obukhulu bezinkinga ngoba kawazi njalo ukuthi kuyenzeka. Njengomthetho wesithupha, ukwehla kwesibalo seplatelet yakho, kukhuphula ubungozi bokuphuma ngaphakathi, ngokusho kweMayo Clinic.

Ezimweni ezinzima, i-ITP ingadala ukopha ebuchosheni. Kodwa-ke, ngokusho kuka, lokhu kuyinto engavamile.

4. Yini engingayenza ukuvimbela ukopha nokulimala?

Uma une-ITP, ukopha nokulimala kwangaphakathi nangaphandle kungenzeka noma ngabe awulimalanga. Kodwa-ke, ukulimala kukubeka engcupheni yokopha kakhulu. Kubalulekile ukuzivikela ekulimaleni lapho kungenzeka. Lokhu kungabandakanya ukugqoka izinto zokuzivikela, njengesigqoko sokuzivikela lapho ugibela ibhayisikili. Kubalulekile futhi ukuthi uqaphele lapho uhamba ezindaweni ezingalingani noma ezishelelayo ukuvimbela ukuwa.

5. Ngabe kukhona engingakugwema nge-ITP?

Udokotela wakho angakutusa ukuthi uvikele izindawo ezithile nemisebenzi ethile ukuze uzivikele ekuthelelekeni nasekulimaleni. Lokhu kuncike ebukhulwini besimo sakho. Njengomthetho wesithupha, ungadinga ukugwema ezemidlalo zokuxhumana, njengebhola, ibhola lezinyawo kanye ne-basketball.

Kodwa-ke, akudingeki ukuthi ugweme yonke imisebenzi - empeleni, ukuzivocavoca umzimba njalo kubalulekile ekugcineni uhlelo lwakho lwe-cardiovascular lunempilo.

6. Kuthiwani uma ukwelashwa kwami ​​kungasebenzi?

Izimpawu zokuqina ezifana nokulimala okubonakalayo noma ukuphuma kwegazi kungasho ukuthi ukwelashwa kwakho kwamanje akusebenzi. Ezinye izimpawu, njengegazi emchameni wakho noma esitokisini noma ezinkathini ezisinda kwabesifazane, zonke zingaba yizimpawu zokuthi ukwelashwa kwakho kwamanje kungenzeka kunganeli.

Udokotela wakho angancoma ukuyeka imishanguzo engandisa ukopha kwakho. Lokhu kungafaka izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-ibuprofen noma i-aspirin.

Uma imishanguzo yakho ingasebenzi, buza udokotela wakho ngezinye izindlela zokwelashwa ze-ITP. Bangancoma ukushintsha imishanguzo ye-ITP noma ukufaka ezinye izindlela zokwelapha ezifana ne-immunoglobulin infusions. Ngakho-ke khuluma nodokotela wakho. Kubalulekile ukufunda zonke izinketho zakho.

7. Ngabe ngizodinga ukuthi ubende lwami lususwe?

Abanye abantu abane-ITP bangagcina bedinga ukususwa kobende. Lokhu kuhlinzwa, okwaziwa nge-splenectomy, kwenziwa njengesinqumo sokugcina lapho imithi eminingi yehlulekile ukusiza.

Ubende, obusehlangothini olungaphezulu kwesobunxele esiswini sakho, lubhekele ukwenza amasosha omzimba alwa nokutheleleka. Futhi inesibopho sokususa amangqamuzana egazi namaplatelet alimele egazini. Ngezinye izikhathi i-ITP ingadala ngephutha ukuthi ubende lwakho luhlasele amaplatelet anempilo.

I-splenectomy ingamisa lokhu kuhlaselwa kuma-platelet akho futhi ithuthukise izimpawu zakho ze-ITP. Kodwa-ke, ngaphandle kobende, ungaba sengozini yokutheleleka okuningi. Ngalesi sizathu, i-splenectomy ayinconywa kuwo wonke umuntu one-ITP. Buza udokotela wakho ukuthi lokhu kungenzeka yini kuwe.

8. Ngabe i-ITP yami ibucayi noma ayipheli?

I-ITP ivame ukukhonjwa njenge-acute (isikhathi esifushane) noma engapheli (isikhathi eside). I-ITP enamandla ivame ukukhula kulandela ukutheleleka okunzima. Kuvame kakhulu ezinganeni, ngokusho kwe-. Amacala abucayi ngokuvamile ahlala ngaphansi kwezinyanga eziyisithupha ephethwe noma ngaphandle kokwelashwa, kuyilapho i-ITP engapheli ihlala isikhathi eside, imvamisa impilo yonke. Kodwa-ke, ngisho nezimo ezingamahlalakhona kungenzeka zingadingi ukwelashwa ngokuya ngobukhulu. Kubalulekile ukuthi ubuze udokotela wakho mayelana nalokhu kuhlukaniswa kokuxilongwa ukukusiza uthathe isinqumo sendlela yokwelashwa.

9. Ingabe zikhona izimpawu ezibucayi engidinga ukuzibheka?

Amabala abomvu noma ansomi esikhunjeni (petechiae), ukulimaza, nokukhathala yizimpawu ezivamile ze-ITP, kodwa lezi akuzona neze ezisongela impilo. Ungase ubuze udokotela wakho ukuthi ukuwohloka kwalezi zimpawu kungasho ukuthi udinga ukushintsha uhlelo lwakho lwezokwelapha noma uthole ukuhlolwa kokulandela.

Udokotela wakho futhi angakweluleka ngokuthi ubabize uma uhlangabezana nezimpawu zokutheleleka noma ukopha. Lokhu kungafaka:

• kunyakazisa amakhaza
• umkhuhlane omkhulu
• ukukhathala ngokweqile
• ikhanda
• ubuhlungu besifuba
• ukuphelelwa umoya

Uma uhlangabezana nokopha okungapheli, shayela ku-911 noma abezimo eziphuthumayo zasendaweni yakho. Ukopha okungalawuleki kubhekwa njengesimo esiphuthumayo sezokwelapha.

10. Uyini umbono wesimo sami?

Ngokusho kwabaningi, abantu abaningi abane-ITP engapheli bahlala amashumi eminyaka ngaphandle kwezinkinga ezinkulu. I-ITP ingaba yesikhashana, futhi ingaba mnene. Kungaba nzima futhi kudinga ukwelashwa okunolaka.

Udokotela wakho angakunika umbono ongcono wombono wakho ngokuya ngeminyaka yakho, impilo yonke, kanye nempendulo ekwelashweni. Yize lungekho ikhambi le-ITP, ukwelashwa okuvamile okuhlanganiswe nendlela yokuphila enempilo kungakusiza ukuphatha isimo sakho. Kubalulekile futhi ukuthi ulandele uhlelo lwakho lokwelashwa ukuze uqinisekise izinga lempilo elihamba phambili.