Yintoni i-idiopathic thrombocytopenic purpura kunye nendlela yokuyinyanga

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangelwa sesi sifo
• Unyango lwenziwa njani

Idiopathic thrombocytopenic purpura sisifo esizimela komzimba apho ii-antibodies zomzimba zitshabalalisa iiplatelets zegazi, zikhokelela ekunciphiseni okuphawulekayo kolu hlobo lweseli. Xa oku kusenzeka, umzimba uba nexesha elinzima lokuyeka ukopha, ngakumbi kwimeko yamanxeba kunye nokubethwa.

Ngenxa yokungabikho kweeplatelets, kuqhelekile ukuba enye yeempawu zokuqala ze-thrombocytopenic purpura kukuvela rhoqo kwamabala amfusa eluswini kwiindawo ezahlukeneyo zomzimba.

Kuxhomekeke kwinani lilonke leeplatelets kunye neempawu ezibonisiweyo, ugqirha unokucebisa kuphela ngononophelo olukhulu ukunqanda ukopha okanye, ke, qala unyango lwesi sifo, esihlala sibandakanya ukusetyenziswa kwamachiza ukunciphisa amajoni omzimba okanye ukwandisa inani iiseli ezisegazini.

Iimpawu eziphambili

Ezona mpawu ziqhelekileyo kwimeko ye-idiopathic thrombocytopenic purpura ibandakanya:

• Ukunyanzelwa kokufumana amabala amfusa emzimbeni;
• Amabala amancinci abomvu kulusu akhangeleka ngathi opha ngaphantsi kolusu;
• Ukulula kokopha kwiintsini okanye empumlweni;
• Ukudumba kwemilenze;
• Ubukho begazi kumchamo okanye ilindle;
• Ukwanda kokuhamba sexesheni.

Nangona kunjalo, zininzi iimeko apho i-purpura ingabangeli naluphi na uhlobo lweempawu, kwaye umntu ufunyaniswa enesi sifo kuphela kuba ineeplatelets / mm³ ezingaphantsi kwe-10,000 egazini.

Indlela yokuqinisekisa ukuxilongwa

Amaxesha amaninzi ukuxilongwa kwenziwa ngokujonga iimpawu kunye novavanyo lwegazi, kwaye ugqirha uzama ukuphelisa ezinye izifo ezinokubangela iimpawu ezifanayo. Ukongeza, kubaluleke kakhulu ukuvavanya ukuba ngaba nawaphi na amayeza, anje ngeasprini, anokubangela ezi ntlobo zeziphumo zisetyenziswe.

Izizathu ezinokubangelwa sesi sifo

Idiopathic thrombocytopenic purpura yenzeka xa amajoni omzimba eqala, ngendlela engeyiyo, ukuhlasela iiplatelets zegazi ngokwazo, kubangele ukwehla okuphawulekayo kwezi seli. Esona sizathu sokuba kwenzeke oku asikaziwa kwaye, ke, esi sifo kuthiwa yi-idiopathic.

Nangona kunjalo, kukho izinto ezithile ezibonakala ngathi zonyusa umngcipheko wokukhula kwesi sifo, njenge:

• Yiba ngumfazi;
• Ukuba nosulelo lwentsholongwane lwamva nje, olufana noqwilikana okanye imasisi.

Nangona ibonakala ixhaphaka ebantwaneni, idiopathic thrombocytopenic purpura inokwenzeka nangaliphi na ixesha, nokuba azikho ezinye iimeko kusapho.

Unyango lwenziwa njani

Kwiimeko apho idiopathic thrombocytopenic purpura ingabangeli naziphi na iimpawu kwaye inani leeplatelets aliphantsi kakhulu, ugqirha unokucebisa kuphela ukuba alumkele ukuthintela amaqhuma kunye namanxeba, kunye nokwenza uvavanyo lwegazi rhoqo ukuvavanya inani leeplatelets .

Nangona kunjalo, ukuba kukho iimpawu okanye ukuba inani leeplatelets liphantsi kakhulu, unyango ngamayeza lunokucetyiswa:

• Unyango olwehlisa amajoni omzimba, ngesiqhelo ii-corticosteroids ezinje nge-prednisone: ziyanciphisa ukusebenza kwamajoni omzimba, oko ke kunciphisa ukonakaliswa kweeplatelets emzimbeni;
• Inaliti ye-Immunoglobulin: kukhokelela kukonyuka okukhawulezileyo kweeplatelets egazini kwaye umphumo uhlala uhlala kwiiveki ezi-2;
• Amayeza anyusa ukuveliswa kweplatelet, ezinje ngeRomiplostim okanye i-Eltrombopag: yenza ukuba umongo wethambo uvelise iiplatelets ezininzi.

Ukongeza, abantu abanolu hlobo lwesifo kufuneka bakuphephe ukusebenzisa iziyobisi ezichaphazela ukusebenza kweeplatelets ezifana ne-Aspirin okanye i-Ibuprofen, ubuncinci ngaphandle kolawulo lukagqirha.

Kwiimeko ezinzima kakhulu, xa esi sifo singaphucuki ngamayeza aboniswe ngugqirha, kunganyanzeleka ukuba kwenziwe utyando ukuze kususwe udakada, nelinye lamalungu avelisa izilwa-buhlungu ezingaphezulu ezinako ukutshabalalisa iiplatelets.