So mogya nso tu wo pii fi kuru ketewaa bi mpo mu? Momma yɛnhwɛ ITP (Immune Thrombocytopenia) no!

So ɛtɔ mmere bi a wususuw nea enti a akuru ketewaa bi mpo dan akuru kɛse, anaasɛ nea enti a wotwitwa ketewaa bi rennyae mogya? Anaasɛ wunya nneɛma te sɛ hwene mu mogya a ɛtɔ a ntease biara nnim, anaasɛ mogya a ɛba wo hwene mu bere a worehohoro wo sẽ no? Sɛ saa nneɛma yi taa to wo a, ebia ɛho hia paa sɛ wuhu tebea a yɛreka ho asɛm nnɛ a wɔfrɛ no ITP (Immune Thrombocytopenia) no. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm tiawa.

Dɛn ne ITP (Immune Thrombocytopenia)?

Sɛ yɛbɛka no tiawa a, ITP (Immune Thrombocytopenia) yɛ tebea a ɛma wo mogya mu nkwammoaa nketenkete a wɔfrɛ no mogya nkwammoaa kakraa bi . Saa mogya nkwammoaa yi ne nea ɛboa ma mogya tu bere a yɛapira wɔ yɛn nipadua mu baabi no. Wɔyɛ mogya a ɛtɔ na ɛma mogya no gyae . Enti, sɛ mogya nkwammoaa yi dodow so tew a, wo mogya ntumi nkɔ ntɛmntɛm saa. Ɛno nti na opira ketewaa bi mpo betumi ama mogya atɔ wo dodo, anaasɛ wubetumi apirapira wo nipadua kɛkɛ no.

Wɔfrɛ eyi ITP, na asɛmfua `Immune` kyerɛ biribi a ɛfa nipadua no mu tumi a ɛko tia nyarewa ho. `Thrombocytopenia` kyerɛ sɛ mogya nkwammoaa a ɛba fam. Enti, nea ɛkɔ so wɔ eyi mu ne sɛ w’ankasa nipadua mu tumi a ɛko tia nyarewa , asraafo a wɔbɔ yɛn ho ban fi nyarewa ho no di mfomso susuw sɛ w’ankasa mogya mu nkwammoaa a ɛwɔ mogya mu no yɛ ɔtamfo a ofi abɔnten na ɛtow hyɛ wɔn so na wɔsɛe wɔn. Ɛte sɛ nea woretow ahyɛ obi so wɔ w’ankasa wo fie, a wususuw sɛ ɔyɛ owifo.

Ɛtɔ da bi a, wobetumi de nnuru asa ITP yare anaasɛ wɔmfa nni dwuma na bere kɔ so no, ɛyɛ yiye. Nanso nnipa binom fam no, ebetumi ayɛ tebea a enni sabea . Eyi kyerɛ sɛ bere a wobetumi adi sɛnkyerɛnne ahorow no so de, nanso ɛyɛ den sɛ wɔbɛsa no koraa. Wɔ nnipa a wɔte saa mu no, ebia ɛho behia sɛ wɔsa wɔn yare wɔn nkwa nna nyinaa.

Edin afoforo bɛn na wɔde frɛ ITP?

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia wɔde din afoforo bedi dwuma a ɛnyɛ ITP. Enti ɛyɛ papa sɛ wobɛkae saa din ahorow yi nso:

• ``Autoimmune Thrombocytopenic Purpura a ɛma nipadua no tumi ko tia nyarewa''.
• ``Nkwammoaa a ɛko tia nyarewa Thrombocytopenic Purpura''.
• `Idiopathic Thrombocytopenic Purpura` (Wɔde saa din yi di dwuma pii bere bi a atwam, `Idiopathic` kyerɛ sɛ wonnim nea ɛde ba ankasa)
• `Werlhof yareɛ`
• `Autoimmune Thrombocytopenia a ɛma nipadua no tumi ko tia nyarewa`

Ɛmfa ho din a wode bɛto no, ɛtaa kyerɛ aduruyɛ tebea koro no ara.

ITP abu so dɛn?

Nokwarem no, ITP yɛ tebea a ɛntaa nsi mmom. Ɛnyɛ yare a ɛka obiara. Akontaabu kyerɛ no, wɔ ɔman te sɛ Amerika mu no, mmofra mpem ɔha biara mu bɛyɛ baanan (4/100,000) ne mpanyimfo mpem ɔha biara mu baasa (3/100,000) na wohu saa tebea yi foforo afe biara. Wohu tebea yi wɔ Sri Lanka nso, nanso ɛyɛ den kakra sɛ wobenya akontaabu pɔtee a ɛfa ho. Nanso enti, sɛ obi wɔ saa tebea yi a, ebetumi ayɛ ɔhaw kɛse ama no, ɛnte saa?

So ITP ahorow bi wɔ hɔ?

Yiw, wobetumi akyekyɛ ITP mu ayɛ no ahorow atitiriw abien:

1. ITP titiriw: .Eyi ne bere a w’ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ wo mogya nkwammoaa so a ntease biara nnim. ITP ayarefo bɛyɛ ɔha biara mu 80 (80%) na wɔwɔ saa ɔkwan yi. Ɛyɛ ``autoimmune disorder'', a ɛkyerɛ sɛ ɛfiri nipadua no mu ahoɔden a ɛko tia nyarewa no a ɛnyɛ adwuma yie.

2. ITP a ɛto so abien: Eyi ba bere a mogya nkwammoaa dodow so tew sɛ aduruyɛ mu tebea foforo, ɔyare mmoawa, anaa nnuru foforo a ɛde ba no. Nhwɛsoɔ:

• Nyarewa bi a ɛtra hɔ kyɛ, te sɛ HIV, Hepatitis C, anaa H. pylori (ɔyare mmoawa a wɔde yafunu mu akuru) .
• Mogya mu kokoram
• Afoforo `(autoimmune yare)` (e.g. lupus - SLE) .
• Ebetumi afi nnuru bi nso.

Nnuruyɛfo nso gyina bere tenten a ɛwɔ hɔ so kyekyɛ ITP mu:

• Acute ITP: Eyi taa yɛ yiye wɔ asram abiɛsa ntam. Ɛtaa ba mmofra so kɛse.
• ITP a ɛkɔ so daa: Eyi tumi di asram abiɛsa kosi asram dumien (afe biako).
• ITP a enni sabea: Eyi di bɛboro afe biako. Ɛtaa ba mpanyimfo mu.

Dɛn ne ITP ho sɛnkyerɛnne ahorow?

Ebia nnipa binom benya ITP a wonni sɛnkyerɛnne biara. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba a, ebetumi aba nkakrankakra anaa mpofirim. Nsɛnkyerɛnne titiriw a ɛkyerɛ ne sɛ:

• Petechiae: Eyi ne bere a wuhu nsensanee nketenkete kɔkɔɔ anaa kɔkɔɔ wɔ wo honam ani, titiriw wɔ wo nan ase. Wɔte sɛ akisikuru. Eyinom nko ara nkɔ.
• Purpura: Petechiae a yɛadi kan aka ho asɛm no bom yɛ nsensanee akɛse kɔkɔɔ, kɔkɔɔ, anaa bruu. Eyinom sua sen akuru, nanso ɛsõ sen saa nsensanee no. Eyi fi mogya kakraa bi a efi mogya ntini nketenkete a ɛwɔ honam ani hwɛbea ase no mu.
• Akuru a ɛnyɛ den: Sɛ wobɔ kakra wɔ baabiara mpo a, ebetumi ama woabɔ akuru kɛse anaasɛ woabɔ akuru. Ɛtɔ mmere bi a, akuru betumi ada adi a ntease biara nnim.
• Mogya a ɛretu wo sẽ: Ebia mogya bɛtu wo sẽ bere a worehohoro wo sẽ anaa bere a woayɛ komm ara kwa. Ebia ɛbɛyɛ te sɛ nea wo sẽ nso ahonhon.
• Mogya a ɛwɔ nsu mu: Sɛ wo nsu mu yɛ tuntum paa, te sɛ tar a, ebetumi ayɛ mogya a ɛretu wo mu.
• Mogya a ɛwɔ nsu mu: Sɛ nsu a ɛwɔ tiafi mu no yɛ pink anaa kɔkɔɔ bere a woretow a, ebetumi aba sɛ mogya wɔ nsu mu nti.
• Brayɛ a emu yɛ duru wɔ mmea mu: Sɛ wo ɔsram biara bra boro nnanson, anaasɛ mogya tu wo pii sen sɛnea ɛte daa (`Menorrhagia`) a, ɛno nso betumi ayɛ ITP ho sɛnkyerɛnne.
• Mogya a ɛtaa tu fi hwene mu.
• Akuru kɛseɛ (Hematoma): Ɛtɔ da bi a, akuru kɛseɛ a ɛho ahonhon (`Hematoma`) tumi ba berɛ a mogya pii boaboa ano wɔ beaeɛ baako.
• Ɔbrɛ kɛse a wɔte nka (Ɔbrɛ).

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara kɔhwehwɛ afotu.

Dɛn ne nneɛma a ɛde ITP ba?

Sɛnea yɛadi kan aka ho asɛm no, ITP ba bere a wo nipadua mu tumi a ɛko tia nyarewa no di mfomso yɛ nnuru a ɛko tia w’ankasa mogya nkwammoaa, na afei ɛka kyerɛ nkwammoaa afoforo a ɛko tia nyarewa sɛ wɔnsɛe no. Sɛ mogya ntini bi a ɛwɔ wo nipadua mu sɛe a, mogya mu nkwammoaa a ɛma mogya tu no na ɛba beae no, bata ho, ma mogya tu, na ɛma mogya no gyae. Wɔfrɛ eyi ``primary hemostasis''.

Nanso, abenfo mpo da so ara ntumi nhu nea enti ankasa a saa nipadua no mu tumi a ɛko tia nyarewa yi fi ase tow hyɛ n’ankasa mogya nkwammoaa so.

Nanso, nhwehwɛmu bi ada no adi sɛ:

• Wɔn a wɔanya `(HIV)` (Human Immunodeficiency Virus) no fam no.
• Wɔ nnipa a wɔwɔ ɔyare mmoawa a wɔfrɛ no `(H. pylori)` (Helicobacter pylori) fam (eyi taa ne yafunu mu akisikuru ne yafunu mu yare wɔ abusuabɔ) .
• Wɔ nnipa a wɔwɔ mmerɛbo mu yare a wɔfrɛ no `(Hepatitis C)` fam

Asiane a ɛkɔ soro sɛ obi benya ITP. Eyinom betumi ama wɔanya ITP a ɛto so abien.

Ɔkwan bɛn so na wohu ITP?

Ansa na oduruyɛfo betumi ahu sɛ wowɔ ITP anaa no, wobedi kan ayɛ nipadua mu nhwehwɛmu a edi mũ ahwɛ sɛ mogya retu, akuru, ne nsensanee te sɛ petechiae ne purpura ho sɛnkyerɛnne bi wɔ hɔ anaa. Afei wobebisa w’ayaresa ho abakɔsɛm a atwam, nnuru a wonom, ne sɛ ebia obi a ɔwɔ w’abusua mu anya mogyatɔw ho haw anaa.

Esiane sɛ ITP ho sɛnkyerɛnne betumi ayɛ te sɛ mogya a ɛtwetwe afoforo anaa nyarewa a emu yɛ den kɛse mpo te sɛ mogya mu kokoram nti, oduruyɛfo no bɛpow nneɛma afoforo a ɛde ba nyinaa (a wɔahu sɛ wɔayi afi mu) ansa na wahu ITP no yiye.

Nhwehwɛmu bɛn na wɔde hu ITP?

Nnuruyɛfo taa yɛ nhwehwɛmu ahorow yi:

• Mogya Dodow a Edi Mu (CBC): Eyi hwɛ nkwammoaa ahorow dodow a ɛwɔ wo mogya mu, a nkwammoaa kɔkɔɔ, nkwammoaa fitaa, ne titiriw no mogya nkwammoaa ka ho . Wɔ ITP mu no, ebia mogya nkwammoaa yi sua koraa.
• Peripheral Blood Smear: Wɔ sɔhwɛ yi mu no, wɔfa mogya a ɛtɔ gu fam, trɛw mu wɔ ahwehwɛ a wɔde twetwe nneɛma so, na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ mogya nkwammoaa no nsusuwii ne ne kɛse te sɛ nea ɛfata, anaasɛ sɛ ebia nneɛma foforo bi a ɛnteɛ wɔ hɔ anaa.

Sɛ wo duruyɛfoɔ susu sɛ wowɔ asiane mu sɛ wobɛnya HIV, Hepatitis C, anaa H. pylori a, wɔbɛtumi nso ayɛ nhwehwɛmu ahunu saa nyarewa no. Ɛtɔ mmere bi a, wobetumi ayɛ nnompe mu ntini mu nhwehwɛmu, nanso wɔnyɛ eyi mma obiara.

Dɛn ne ayaresa ahorow a wɔde sa ITP?

Mpɛn pii no, .Sɛ mmofra nya ITP a, sɛ yare no ho sɛnkyerɛnne no mu nyɛ den a, wɔn ho bɛtɔ wɔn a wɔansa wɔn yare biara. Nanso, mpɛn pii no, mpanyimfo hia ayaresa, titiriw sɛ mogya mu nkwammoaa a ɛwɔ wɔn mogya mu no sua koraa anaasɛ asiane wɔ hɔ sɛ mogya bɛtu a.

Sɛ wuhia ayaresa a, ebia wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma wo mogya mu nkwammoaa dodow akɔ soro anaasɛ ɛbɛma wo nipadua mu ahoɔden a ɛko tia nyarewa no ntumi ntow ahyɛ wo mogya mu nkwammoaa so. Nnuru ahorow atitiriw a wɔde di dwuma ne:

• Corticosteroids: (sɛ nhwɛso no, Prednisolone). Eyinom yɛ adwuma denam nnuru a ɛko tia nyarewa a ɛsɛe mogya nkwammoaa a ɛma mogya tu no a wogyae bere tiaa bi no so. Eyinom yɛ ayaresa a edi kan.
• Immunoglobulin (IVIg): Eyi yɛ aduru a wɔde fa ntini mu. Ɛsan nso sesa nipadua no mu tumi a ɛko tia nyarewa no dwumadi na ɛtew mogya nkwammoaa a ɛsɛe no so.
• Thrombopoietin receptor agonists (TPO-RAs): Nnuru yi boa nipadua no ma ɛyɛ mogya nkwammoaa pii.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa: (sɛ nhwɛso no, Rituximab, Mycophenolate). Eyinom brɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi ase na ɛma mogya nkwammoaa a wɔsɛe no no gyae.

Wɔ nnuru yi akyi no, oduruyɛfo no betumi akamfo akwan foforo nso akyerɛ:

• Ɔyare mmoawa a ɛda adi a wɔbɛsa: Wɔ ITP a ɛto so abien ho no, mogya nkwammoaa dodow no betumi asan ayɛ sɛnea na ɛte bere a wɔasa ɔyare mmoawa a ɛde bae no.
• Nnuru bi a wubegyae: Sɛ worenom nnuru biara a ɛma mogya tu te sɛ aspirin a ɛma mogya tu no yɛ kɛse a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nom.
• Nkwammoaa a wɔde ma: Sɛ mogya a ɛretu wo no mu yɛ den yiye na mogya mu nkwammoaa a ɛwɔ wo mogya mu no sua koraa a, ebia wɔbɛma wo mogya nkwammoaa a efi obi foforo ntoboa mu. Nanso, eyi yɛ bere tiaa mu ano aduru.
• Splenectomy: Akisikuru yɛ nipadua no fã bi a eyi mogya mu nkwammoaa dedaw ne nea asɛe, ne mogya nkwammoaa a wɔde nnuru a ekum ɔyare mmoawa ahyɛ no agyirae nso. Wɔ nnipa binom mu no, sɛ ayaresa afoforo antumi anhyɛ yare no so a, wɔyɛ oprehyɛn yi akyi berɛmo no. Eyi betumi adi ITP tebea no so kɛse. Nanso, sɛ wuyi akyi berɛmo no fi hɔ a, ebetumi ama asiane a ɛwɔ hɔ sɛ wubenya nyarewa bi no ayɛ kɛse.

Nsunsuanso bɔne a efi ayaresa mu ba

Te sɛ nnuru anaa ayaresa biara no, ITP ayaresa betumi de ɔhaw ahorow bi aba . Sɛ nhwɛso no, corticosteroids betumi ama obi mu duru ayɛ kɛse, n’anim ahohoro, nna a ontumi nna, na wayɛ basaa. Wo duruyɛfo bɛkyerɛkyerɛ nea eyinom yɛ ne sɛnea ɛte ma wo mu. Saa kwan yi so no, wubetumi adi kan ahu wɔn na sɛ wowɔ biribi a ɛhaw wo a, woaka wɔn ho asɛm.

Dɛn ne ITP ho anidaso?

Adwene/nkɔmhyɛ no gu ahorow wɔ onipa biara mu, a egyina ITP ko so.

• Wɔ mmofra famSɛ ITP a emu yɛ den ba a, nnipa dodow no ara ho bɛtɔ wɔn koraa a wɔrensa wɔn yare wɔ adapɛn anaa asram kakraa bi mu.
• Sɛ mpanyimfo wɔ ITP a enni sabea a, ebetumi ayɛ tebea a ɛba wɔn nkwa nna nyinaa mu. Nanso, ɛho nhia sɛ wohaw wo ho. Nnipa dodow no ara tumi de nnuru ne ayaresa afoforo di wɔn yare no ho sɛnkyerɛnne ahorow ho dwuma yiye na wɔtra ase sɛnea ɛsɛ. Ɛwom sɛ nnuruyɛfo ntumi nsa ITP koraa de, nanso nnipa pii a wɔwɔ ITP a enni sabea no tra ase yiye wɔ tebea no ho mfe du du pii.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ ITP a, ebia ebehia sɛ wonom nnuru wo nkwa nna nyinaa na ama woahwɛ ahu sɛ wo nipadua no yɛ mogya nkwammoaa a ɛdɔɔso. Ɛho behia nso sɛ wokwati dwumadi ne suban ahorow a ɛde wo to asiane mu sɛ wubepira na mogya atu wo. Susuw ho hwɛ, asehwe ketewaa bi mpo betumi ayɛ ɔhaw kɛse, ɛnte saa? Enti hwɛ nneɛma yi so yiye:

• Twe wo ho fi agumadi a wɔde di nkitaho a ɛfa obi a ɔbɔ, ɔhwe ase, ne nipadua a ɔde ne ho hyɛ mu denneennen , te sɛ bɔɔlbɔ, rugby, akuturukubɔ, karate, basketball, ne ice hockey ho, sɛnea wubetumi biara.
• Sɛ wo ba no wɔ ITP a, hwɛ hu sɛ ɔbɛhyɛ nneɛma a ɛbɔ ne ho ban te sɛ dade kyɛw, nkotodwe a wɔde kata ne nsateaa so bere a ɔde ne ho hyɛ dwumadi biara mu, te sɛ sakre so, skateboarding, anaa roller skating.
• Sɛ woretu kwan wɔ kar anaa kar mu a, hyɛ ahobammɔ bɛlt bere nyinaa , na mma wo werɛ mmfi sɛ wobɛkyekyere wo ba no ahobammɔ bɛlt yiye anaasɛ wode bɛto kar mu.
• Sɛ worenom nnuru anaa nhabannuru biara a wɔtɔn a wɔmfa nnuru nhyɛ mu a, wo ne wo duruyɛfo nka ho asɛm na nya ne pene . Nnuru bi a wɔde kum ɛyaw te sɛ aspirin ne ibuprofen, ne nhabannuru bi betumi ama mogya a ɛbɛtɔ obi no ayɛ kɛse.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wohu sɛ wowɔ ITP na worenya ayaresa a, wo duruyɛfo bɛhwɛ wo daa. Nanso, saa bere yi de:

• Sɛ wuhu akuru foforo a , .
• Sɛ wowɔ nsensanee kɔkɔɔ nketewa (`petechiae`) wɔ wo honam ani a, .
• Sɛ wote nka sɛ mogya retu wo ntɛmntɛm sen sɛnea wotaa tu a, .

Eyi kyerɛ sɛ ebia wo tebea no reyɛ kɛse, anaasɛ mogya nkwammoaa a ɛwɔ wo mogya mu no sua. Sɛ ɛba saa a, kɔ wo duruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Obetumi asan ahwɛ wo mogya nkwammoaa dodow na sɛ ɛho hia a, wayɛ nsakrae wɔ w’ayaresa no mu.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Eyi ntaa nsi koraa, nanso ɛtɔ mmere bi a ITP betumi ama wo mogya nkwammoaa dodow so atew dodo na woafi ase mogya a wuntumi nni so. Sɛ nhwɛso no, sɛ wo hwene mu mogya a ennyae, w’ano mogya retu, mogya a ɛretu wo kɛse wɔ brayɛ mu, anaa kuru bi a ɛrennyae mogya bere a woapiapia no mpo a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ.Sɛ ɛba saa a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara. Afei nso, sɛ wobɔ wo ti, anaasɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya retu wo amemene no mu, te sɛ tiyɛ a emu yɛ den, ɔfe, anaa nsakrae a ɛba w’ani so a, kɔ ayaresabea ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wuhu sɛ wowɔ ITP a, ebia wubenya nsɛmmisa pii. Mma nsuro anaa n’ani nnwu sɛ wubebisa wo duruyɛfo no ne nyinaa ho asɛm. Nsɛmmisa bi a wubetumi abisa ni:

• ITP bɛn na mewɔ? (Acute, chronic, mfitiase, nea ɛto so abien?)
• Ayaresa bɛn na wobɛkamfo akyerɛ me? Adɛn?
• Bere tenten ahe na ebegye ansa na saa ayaresa ahorow no anya ayaresa/nea efi mu ba?
• So ɛsɛ sɛ menom saa ayaresa yi da biara?
• Sɛ ayaresa a edi kan no antumi anyɛ yiye a, dɛn na edi hɔ?
• Dɛn ne ayaresa ahorow yi mu nsunsuanso bɔne? Sɛ ɛba a, dɛn na ɛsɛ sɛ meyɛ?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’aduan ne m’asetra kwan mu?
• Apɔw-mu-teɛteɛ bɛn na eye ma me sɛ mɛyɛ? Apɔw-mu-teɛteɛ bɛn na ɛnyɛ papa sɛ mɛyɛ?

Sɛ minyinsɛn bere a mewɔ ITP a, dɛn na ɛba?

Sɛ woanyinsɛn anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a, sɛ wubehu sɛ wowɔ ITP a, ebetumi ayɛ hu kɛse. Nanso wubetumi anya awerɛkyekye wɔ eyi a wubehu no mu: Mpɛn pii no, ITP nka wo ba a ɔhyɛ yafunu mu no tẽẽ.

Ebia akokoaa no mogya mu nkwammoaa dodow so tew kakra bere a wɔawo no no, nanso eyi taa yɛ bere tiaa mu de na ɛbɛkɔ soro wɔ nna kakraa bi mu. Nnuruyɛfo bɛhwɛ sɛnea akokoaa no mogya mu nkwammoaa a ɛwɔ mogya mu no te.

Sɛ wowɔ ITP a emu nyɛ den wɔ nyinsɛn mu, na wo sɛnkyerɛnne no mu nyɛ den a, ebia worenhia ayaresa biara. Nanso, sɛ mogya mu nkwammoaa a ɛwɔ wo mogya mu no sua koraa anaasɛ mogya bɛtɔ wo a, ebia wubehia ayaresa. Wɔ tebea horow a ɛtete saa mu no, wo awo ho oduruyɛfo ne mogya ho oduruyɛfo bɛbom apaw ayaresa a ahobammɔ wom sen biara ama wo ne wo ba no . Wɔbɛhwɛ yiye nso titiriw bere a wɔrewo no.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ nea yɛaka ho asɛm no ho, ITP (Immune Thrombocytopenia). Nneɛma a ɛho hia a ɛsɛ sɛ wokae ni:

• ITP yɛ tebea a wo nipadua mu tumi a ɛko tia nyarewa no sɛe w’ankasa mogya nkwammoaa a ɛma mogya tu no, na ɛma mogya a ɛtwetwe no so tew.
• Ebia sɛnkyerɛnne ahorow no bi ne akisikuru a ɛnyɛ den, honam ani nsensanee kɔkɔɔ, ne mogya a ɛtaa tu.
• Sɛ eyi to mmofra a, ɛtaa yɛ yiye bere a bere kɔ so no. Ebia mpanyimfo behia ayaresa bere tenten.
• Ɛwom sɛ wontumi nsa ITP koraa de, nanso sɛ wɔsa no yiye a, wobetumi adi sɛnkyerɛnne ahorow no so na wɔanya asetra pa.
• Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn. Ɔde afotu ne ayaresa a ɛho hia bɛma wo.
• Bɔ wo ho ban fi opira ho, di nnuruyɛfo afotu akyi, na fa wo nnuru sɛnea wɔakyerɛw ama wo no.

ITP betumi ayɛ tebea a ɛyɛ hu, titiriw bere a mogya retu wo ara kwa no. Nanso ɛnyɛ wo nkutoo na wowɔ. Nnuruyɛfo bi wɔ hɔ a wobetumi aboa wo na wɔahwɛ wo. Enti, fa akokoduru gyina tebea yi ano. Sɛ wowɔ biribi a ɛhaw wo a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.

` ITP, Immune Thrombocytopenia, mogya nkwammoaa, mogya a ɛtwetwe, mogya, nipadua mu ahoɔden a ɛko tia nyarewa, akuru, petechiae, purpura