So worepira bere nyinaa? So mogya retu wo? Eyi betumi ayɛ ITP (Immune Thrombocytopenia) .

So woahu akuru biako anaa abien mpofirim wɔ wo nipadua so pɛn na wususuwii sɛ, "Wow, ɛhe na eyi bɔɔ?" Ɛyɛ ade a ɛfata sɛ ɛtɔ mmere bi a wubenya akuru nketenkete a ɛte saa. Nanso sɛ worenya akuru wɔ wo nipadua nyinaa so a ntease biara nnim, sɛ mogya tu wo sẽ bere a worehohoro wo sẽ no, anaasɛ sɛ wo hwene ketewaa bi mpo nnyae mogya a ɛretu a, ɛyɛ biribi a ɛsɛ sɛ wohaw wo ho. Ɛnnɛ yɛreka tebea bi a ɛde sɛnkyerɛnne a ɛte saa ara ba ho asɛm, nanso nnipa pii nnim ho hwee. Ɛno ne ITP.

Sɛ yɛbɛka no tiawa a, dɛn ne ITP?

Yare no din nyinaa a wɔatwa no tiaa sɛ ITP ne Immune Thrombocytopenia. Eyi yɛ tebea a ɛntaa nsi koraa a ɛfa mogya ho.

Susuw ho hwɛ, nkwammoaa afã nketenkete paa a wɔfrɛ no ``Platelets`` wɔ yɛn mogya mu. Wɔte sɛ asraafo nkumaa wɔ yɛn nipadua mu. Sɛ wɔatwitwa anaa wapira wɔ baabi a, mogya nkwammoaa yi adwuma titiriw ne sɛ wɔde ahopere bɛkɔ hɔ, abata ho, na wɔagyae mogya a ɛretu no.

Afei, nea ɛto obi a ɔwɔ ITP ni. Nkwammoaa a ɛko tia nyarewa a ɛbɔ yɛn nipadua ho ban fi nyarewa ho no yɛ basaa mpofirim. Esiane saa basabasayɛ no nti, nipadua no mu tumi a ɛko tia nyarewa no di mfomso hu yɛn ankasa ‘asraafo’ pa, mogya nkwammoaa a ɛma mogya tu no sɛ ɔtamfo a ofi abɔnten. Afei, esiane saa atoro sɛnkyerɛnne no nti, nipadua no mu tumi a ɛko tia nyarewa no fi ase sɛe mogya nkwammoaa yi.

Sɛ mogya mu nkwammoaa a ɛma mogya tu no so tew a, tumi a ɛma mogya tu no nso so tew. Ɛno nti na wufi ase twitwiw na mogya tu a ɛho nhia no.

Dɛn ne ITP ahorow atitiriw?

Wɔakyekyɛ ITP mu ayɛ no ahorow abiɛsa titiriw, a egyina bere tenten a ɛkyɛ so. Ɛho hia paa sɛ wubehu eyi.

Dɛn ne ITP ho sɛnkyerɛnne ahorow?

Bere a mogya nkwammoaa dodow sua koraa nkutoo na sɛnkyerɛnne ahorow no da adi. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara mfiase no.

• Akuru a ɛba mpofirim: Akuru a ɛyɛ bruu-akuturuku pue mpofirim wɔ nipadua no so a enni ahodwiriw biara.
• Nsonsonoe kɔkɔɔ wɔ honam ani: Nsonsonoe kɔkɔɔ-kɔla (`petechiae`) a ɛte sɛ pinpricks nketenkete, titiriw wɔ nan ase. Eyinom yɛ mogya a ɛretu afi mogya ntini nketenkete a ɛwɔ honam ani no ase ankasa.
• Nsonsonoe akɛse: Ɛtɔ da bi a nsensanee akɛse kɔkɔɔ, kɔkɔɔ, anaa bruu (`Purpura`) pue.
• Mogya a ɛretu wo sẽ: Wo sẽ betumi atu mogya, bere a worehohoro wo sẽ ne bere a wugyina hɔ ara kwa no.
• Hwene mu mogya: Sɛ hwene mu mogya fi ase pɛ a, ebetumi ayɛ den sɛ obegyae.
• Mogya a ɛwɔ nsu anaa nsu mu: Eyi yɛ sɛnkyerɛnne a emu yɛ den kakra.
• Mogya a ɛtɔ kɛse wɔ mmea mu: Brayɛ a ɛtra hɔ boro nnafua 7 na mogya tu kɛse.
• Ɔbrɛ a ɛyɛ soronko: Ɔbrɛ ne ɔbrɛ a ɛboro so a wɔte nka a ntease biara nnim.

Dɛn ne nneɛma a ɛde ITP ba?

Sɛnea yɛadi kan aka ho asɛm no, nea ɛde ITP ba titiriw ne ɔhaw a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no mu. Nanso, wobetumi akyekyɛ ITP mu abien a egyina nea enti a ɔhaw yi ba so.

1. ITP titiriw: Wɔ ITP a ɛte sɛɛ mu no, abɔnten so ade biara nni hɔ a ɛda adi pefee. Nkwammoaa a ɛko tia nyarewa no ntumi nyɛ adwuma yiye ara kwa.

2. ITP a ɛto so abien: Wɔ eyi mu no, ITP ba esiane aduruyɛ tebea foforo anaa ɔyare mmoawa nti. Nhwɛsoɔ:

• Nyarewa a efi mmoawa mu te sɛ `HIV` anaa `Hepatitis C`.
• Mmoawa a wɔde nyarewa ba te sɛ `H. pylori`.
• Nyarewa afoforo a nipadua no tumi ko tia nyarewa te sɛ lupus.
• Saa tebea yi nso betumi afi nnuru bi mu aba.

Nhwehwɛmu ne ayaresa

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, .Akyinnye biara nni ho sɛ ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu. Nsuro. Oduruyɛfo no bebisa wo w’ayaresa ho abakɔsɛm na wahwɛ wo nipadua mu.

Afei, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu bi de hwɛ sɛ ebia nneɛma afoforo bi wɔ hɔ a ɛde saa sɛnkyerɛnne ahorow yi ba anaa.

• Mogya Dodow a Edi Mu (FBC/CBC): Eyi ne nea ɛkyerɛ wo sɛnea wo mogya mu nkwammoaa a ɛma mogya tu no sua koraa.
• Peripheral Blood Smear: Wɔ eyi mu no, wɔfa mogya a ɛtɔ gu fam na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛnea mogya nkwammoaa no te.
• Nhwehwɛmu afoforo: Wobetumi nso asɔ wo ahwɛ sɛ wowɔ nyarewa te sɛ HIV ne Hepatitis C.

Ɔkwan bɛn so na wɔsa?

Ɛnyɛ obiara a ɔwɔ ITP na obefi ase ayɛ ayaresa ntɛm ara. Wo duruyɛfo begyina wo mogya nkwammoaa dodow, sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den, ne asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no so besi gyinae sɛ wobefi ase sa yare anaasɛ ɔrenyɛ saa.

Sɛ ɛho hia sɛ wɔde sa yare a, ayaresa atitiriw pii wɔ hɔ a wɔde ma:

• Corticosteroids: Eyinom ne nnuru a edi kan a wɔde ma. Saa nnuru yi yɛ adwuma denam nipadua no mu tumi a ɛko tia nyarewa no dwumadi a ɛhwɛ so na ɛma mogya nkwammoaa a wɔsɛe no no gyae no so.
• Intravenous Immunoglobulin (IVIG): Eyi yɛ ayaresa a wɔde fa ntini bi mu (te sɛ nkyene aduru). Sɛ mogya tu kɛse a, ebetumi aboa ma wo mogya nkwammoaa dodow akɔ soro ntɛmntɛm.
• Nkwammoaa a Wɔde Ma: Sɛ mogya tu a emu yɛ den a ɛde ne nkwa to asiane mu (sɛ nhwɛso no, mogya a ɛtɔ amemene mu) a, wɔde mogya nkwammoaa a efi obi a ɔwɔ apɔwmuden mu ma sɛ nea egye ntɛmpɛ.
• Nnuru afoforo: Sɛ ayaresa a edi kan no ntumi nsiw yare no ano a, wɔde nnuru a ɛma mogya nkwammoaa a ɛma mogya mu nkwammoaa a ɛma mogya tu no yɛ kɛse (te sɛ `Eltrombopag`, `Romiplostim`) anaasɛ ɛhwɛ nipadua no mu tumi a ɛko tia nyarewa so wɔ akwan foforo so (te sɛ `Rituximab`) ma.
• Splenectomy: Akisikuru yɛ beae titiriw a mogya nkwammoaa a ɛwɔ yɛn nipadua mu no sɛe. Sɛ wɔantumi mfa nnuru nni yare no ano a, nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ oprehyɛn nyi akyi berɛmo no mma nnipa binom.

Nneɛma a ɛsɛ sɛ wususuw ho bere a wo ne ITP te no

ITP a enni sabea yɛ tebea a ebetumi aka wo ho akyɛ. Enti, ɛsɛ sɛ wohwɛ nneɛma nketenkete no so de bɔ wo ho ban fi akwanhyia ne mogya a ɛbɛtɔ wo ho bere a worebɔ bra a ɛfata no.

• Nya ahobammɔ: Kwati agumadi a wɔde di nkitaho te sɛ rugby ne bɔɔlbɔ. Sɛ wote sakre so a, hwɛ hu sɛ wobɛhyɛ dade kyɛw.
• Fa brɔs a ɛyɛ mmerɛw di dwuma: Eyi boa ma woanpira wo sẽ.
• Hwɛ yiye bere a wode nneɛma a ano yɛ nnam redi dwuma no: Susuw ho mprenu bere a wode nneɛma te sɛ nnade ne nnadewa twitwa redi dwuma no.
• Tew adwennwen so: Ɛho hia yiye sɛ wobɛma w’adwene adwo denam nneɛma te sɛ yoga ne nsusuwii so.