Emva kovavanyo lwe-ITP: Luluphi utshintsho ekufuneka ulwenzile?

Umxholo

• Qwalasela kwakhona imisebenzi yakho
• Coca ikhabhathi yakho yamayeza
• Yeka ukusela utywala
• Ukuqwalaselwa kwezidlo
• Olunye utshintsho kwindlela yokuphila

I-immune thrombocytopenia (i-ITP) inokuzisa ixesha elifutshane kunye nexesha elide kwimpilo yakho. Ubungqongqo be-ITP buyahluka, ngenxa yoko kusenokungafuneki ukuba wenze utshintsho olukhulu kwindlela ophila ngayo. Ukuba i-ITP yakho inzima kwaye inani leplatelet liphantsi kakhulu, ugqirha wakho unokucebisa ukuba wenze utshintsho oluthile. Unokufumana olo tshintsho luluncedo kulawulo lweempawu.

Funda ukuze ufunde ngakumbi malunga notshintsho kwindlela yokuphila onokufuna ukuyenza emva kokuchongwa kwe-ITP. Qiniseka ukuba uthetha nogqirha wakho malunga naluphi na utshintsho kwindlela ocinga ngayo.

Qwalasela kwakhona imisebenzi yakho

Ukuxilongwa kwe-ITP akuthethi ukuba awukwazi ukusebenzisa okanye ukuhlala usebenza. Ukuzilolonga rhoqo kuluncedo kwimpilo yexesha elide kuye wonke umntu. Nangona kunjalo, kuya kufuneka uhlengahlengise iindidi zemisebenzi othathe inxaxheba kuyo.

Imidlalo yokunxibelelana ayithathwa njengekhuselekileyo ngenxa yomngcipheko wokulimala okunokubangela ukopha. Eminye yale misebenzi ibandakanya:

• Ukuwisa ibhola
• ibhola ekhatywayo
• ibhola yomnyazi
• ukuskiya okanye ukushibilika kwikhephu

Unokwazi ukuthatha inxaxheba ngokukhuselekileyo kwezinye imidlalo, ezinje:

• intenetya
• ukuqubha
• umkhondo
• iping Pong

Kwakhona, ukuba ukhwela ibhayisekile, isigcina-ntloko siyimfuneko xa une-ITP.

I-ITP inokubangela ukuba imivumbo (i-purpura) kunye nencinci, isasazeke njengokugruzuka (petechiae) ukubonakala ngokukhawuleza kulusu lwakho. Ungazibona ezi mpawu nokuba awuthathi nxaxheba kwezemidlalo. Nangona kunjalo, ukuthatha amanyathelo okhuseleko xa uthatha inxaxheba kwimisebenzi kunokuthintela ukopha kakhulu kumanxeba angaphakathi nangaphandle ukuba wenzakele.

Ukuba wonzakele, ukungabikho kweeplatelet kunokwenza kube nzima ukuyeka ukopha. Wena nogqirha wakho ninokuthetha ngokuba yeyiphi na imisebenzi eninokuthatha inxaxheba kuyo ngokukhuselekileyo ngokuxhomekeke kubalo lweplatelet yakho. Inqanaba eliqhelekileyo liwela phakathi kwe-140,000 kunye ne-450,000 yeeplatelets nge-microliter yegazi, ngokwe.

Coca ikhabhathi yakho yamayeza

Amayeza athile kunye nezongezo zinokunyusa umngcipheko wokopha. Ukuthatha amayeza anjalo kunokuphinda kabini umngcipheko ukuba unexabiso eliphantsi leplatelet.

Kuya kufuneka uphephe ukuthatha amayeza eentlungu, njenge-ibuprofen (Advil, Motrin IB) kunye neasprini. Ugqirha wakho unokucebisa i-acetaminophen yeentlungu ngamanye amaxesha.

Ugqirha wakho uya kuphinda alinganise izibonelelo xa kuthelekiswa nemingcipheko yamayeza athile amiselweyo anokubangela ukopha, njengearhente zokucoca igazi njenge-warfarin. Kuya kufuneka uphephe ukubhalwa kwamandla ka-ibuprofen kunye nezinye iintlobo ze-NSAID ngenxa yomngcipheko wesisu okanye ukopha emathunjini. I-serotonin reuptake inhibitors ekhethiweyo (i-SSRIs) inokunyusa umngcipheko wokopha ngaphakathi. Xa ii-SSRI zidityaniswa nee-NSAID, umngcipheko wokopha uphakama kakhulu.

Tshela ugqirha wakho malunga naziphi na izongezo okanye imifuno oyithathayo. Ezinye izongezo ezinje ngeedosi eziphezulu ze-omega-3 fatty acids zinokuphazamisa ukujija kwegazi kunye nokusebenza komzimba. Kuya kufuneka uphephe ezi zinto.

Yeka ukusela utywala

Utywala bunokuba luncedo kwabanye abantu abadala. Iwayini elibomvu lingawunciphisa umngcipheko wesifo sentliziyo. Nangona kunjalo, abanye abaphandi bakholelwa ukuba oku kungenxa yezinto ezikwi wayini ezivela kwiidiliya, ezinjenge antioxidants kunye ne flavonoids, endaweni yewayini ebomvu uqobo. Isitshixo sempilo kukuba ukuba usela utywala, sela kuphela ngokuphakathi: Oku kuthetha ukuba akukho ngaphezulu kweglasi enye yeewayini ezintlanu kubafazi kunye neiglasi ezimbini ze-5-ounce zamadoda ngemini.

Utywala kunye ne-ITP ayisoloko ingumxube osempilweni. Eyona nkxalabo iphambili kukunciphisa amandla eplatelet. Ukusetyenziswa kotywala ixesha elide kunokonakalisa isibindi sakho kunye nomongo wethambo, ezibalulekileyo kwimveliso yeplatelet. Kananjalo utywala buyadandathekisa. Inokukwenza udinwe, kodwa ikugcine nasebusuku. Iziphumo ezinjalo azincedi ukuba ujongene nokugula okuqhubekayo.

Emva kokuxilongwa kwe-ITP, thetha nogqirha wakho ukuba usela utywala. Banokucebisa ukuba uyeke ukusela- ubuncinci de ukubala kweplatelet yakho kuqheleke.

Ukuqwalaselwa kwezidlo

Ukutya kwakho kunokudlala indima kwisicwangciso sonyango se-ITP. Ukutya okusempilweni, okunesondlo kubalulekile kubo bonke abantu abadala. Kodwa xa unayo i-ITP, ukutya ukutya okufanelekileyo kunokukunceda uzive ungcono kwaye unamandla.

Izakha mzimba ezithile, ezinjenge vithamin K kunye ne calcium, zinento zendalo ezibalulekileyo ekunqandeni igazi. Ungazifumana zombini kwimifuno emnyama enamagqabi anje ngesipinatshi kunye ne-kale. I-calcium ikwafumaneka ngokubanzi kwiimveliso zobisi. Iqela laseYurophu leGazi kunye nokuTshintshwa kweMarrow licebisa ukuba kungafuneka uphephe ukutya ubisi oluninzi kuba kunokonyusa iimpawu zezifo ezizimela njenge-ITP. Ukongezwa kweVitamin D kunokuba nenxaxheba ekwandiseni amajoni omzimba kwi-ITP, ngakumbi ukuba amanqanaba e-vitamin D aphantsi.

Unokujonga amanye amanyathelo okutya:

• Yitya ukutya okuphilayo xa kunokwenzeka.
• Ukutshintsha okunelisiweyo (isilwanyana) kunye namafutha (enziwe ngabantu) kwiinguqulelo ezisekwe kwizityalo, ezinjengeavokhado.
• Nciphisa inyama ebomvu.

Ziphephe iziqhamo ezinokuba ne-antiplatelet, ezinje ngamajikijolo, iitumato kunye neediliya.

Olunye utshintsho kwindlela yokuphila

Ukutshintsha umsebenzi wakho lolunye uqwalaselo ukuba ngaba luyafuneka ngokwasemzimbeni okanye lubeka emngciphekweni omkhulu wokonzakala. Unokucinga ngokuthetha nomqeshi wakho malunga neendlela onokuhlala ngazo emsebenzini ngelixa unciphisa umngcipheko wokhuseleko.

Unokuthatha la manyathelo alandelayo okuthintela umngcipheko wokulimala:

• Ngalo lonke ixesha nxiba ibhanti (nokuba awuqhubi).
• Khathalela xa ulungisa ukutya, ngakumbi xa usebenzisa iimela.
• Nxiba iiglavu zokuzikhusela xa usebenzisa izixhobo zamandla.
• Lumka kwizilwanyana zasekhaya. Ukuba unezinja okanye iikati, qiniseka ukuba iinzipho zazo azibukhali ukuze zingakukroli.
• Tshintshela i-razor yakho yesiko ngombane ukuthintela ukusikwa.
• Sebenzisa iibrashi zamazinyo ezithambileyo kuphela.