So wodan bruu bere a woabɔ akuru ketewaa bi mpo? So mogya taa tu wo hwene mu? Anaasɛ wowɔ anom a mogya retu wo? Ebia wo duruyɛfo aka akyerɛ wo sɛ wowɔ tebea bi a wɔfrɛ no ITP. Eyi yɛ tebea a ɛma mogya nkwammoaa dodow a ɛwɔ yɛn nipadua mu a ɛboa ma mogya tu no so tew. Enti aduru titiriw bi a wɔde sa eyi yɛ nea wɔfrɛ no Nplate. Ɛnnɛ, yɛbɛka yei ho asɛm, saa aduru yi ho asɛm, tiawa koraa, wɔ ɔkwan a wobɛtumi ate aseɛ so.
Dɛn ne ITP (Immune Thrombocytopenia )?
Sɛ yɛbɛka no tiawa a, ITP yɛ tebea a yɛn nipadua no ankasa ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa , di mfomso tow hyɛ yɛn ankasa mogya mu nkwammoaa mu na ɛsɛe, na wosusuw sɛ ɛno ne ɔtamfo. Eyi ne nea yɛfrɛ no autoimmune tebea .
Susuw ho saa kwan yi so: mogya nkwammoaa yɛ nneɛma nketenkete a ɛte sɛ asraafo a wɔayɛ wɔ yɛn nnompe mu ntini mu . Sɛ kuru bi wɔ baabi na mogya fi ase retu a, mogya nkwammoaa yi de ahopere kɔ baabi a ɛwɔ no, siw kuru no mu, na ɛma mogya no gyae. Nnipa a wɔwɔ ITP no mu mogya nkwammoaa yi sua, na ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtu no yɛ kɛse.
Dɛn ne ITP ho sɛnkyerɛnne ahorow?
ITP ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa. Nanso, sɛnkyerɛnne kakraa bi wɔ hɔ a ɛtaa ba. Momma yɛnhwɛ nea wɔyɛ.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Petechiae na ɔkyerɛwee | Nsonsonoe kɔkɔɔ nketenkete a ɛda adi wɔ honam ani, te sɛ nea wɔde kyerɛwdua ano ketewaa bi atwe. |
| Purple | Nsonsonoe a ɛyɛ kɔkɔɔ wɔ honam ani (ɛsõ sen petechiae). |
| Ɛnyɛ den sɛ ɛbɛbɔ (Ecchymosis) . | Akuru ketewaa bi mpo, titiriw wɔ nsa ne anan so, betumi adan bruu. |
| Mogya a ɛtaa tu fi hwene mu | Mogya a ɛtaa tu wɔ hwene mu anaasɛ ɛboro so. |
| Mogya a ɛtɔ kɛse wɔ brayɛ mu (Menorrhagia) . | Mogya a ɛtɔ dodo bere a mmea rekɔ brayɛ mu. |
| Mogya a ɛretu wɔ anom | Mogya a ɛtɔ gu wo sẽ mu bere a worehohoro wo sẽ anaasɛ worebɔ wo sẽ kɛkɛ. |
| Mogya a ɛwɔ nsu mu (Hematuria) . | Mogya a ɛwɔ nsu mu. |
Ɔkwan bɛn so na aduru Nplate yɛ adwuma?
Nplate yɛ "platelet booster." Ɛne sɛ, ɛyɛ aduru a ɛboa ma mogya mu nkwammoaa a ɛwɔ mogya mu no dɔɔso.
Nea ɛho hia no, ɛnyɛ Nplate ne aduru a edi kan a wɔde ma ITP. Mpɛn pii no, wo duruyɛfo bedi kan asɔ ayaresa afoforo te sɛ corticosteroids ne immunoglobulins ahwɛ. Ɛtɔ mmere bi a, wobetumi asusuw ho sɛ wobetwa splenectomy . Sɛ saa ayaresa ahorow yi mma wontumi nni so yiye nkutoo a, na wɔde aduru te sɛ Nplate di dwuma.
Protein titiriw bi wɔ yɛn nipadua mu a wɔfrɛ no thrombopoietin (TPO) a ‘ɛkyerɛ’ nnompe mu ntini no ma ɛyɛ mogya mu nkwammoaa nketenkete. Ebia nnipa a wɔwɔ ITP no benya saa TPO yi a ɛba fam. Aduru Nplate yɛ adwuma te sɛ TPO yi pɛpɛɛpɛ, na ɛde nkrasɛm kɔ nnompe mu ntini no mu sɛ "wɔnyɛ mogya mu mogya mu nkwammoaa kɔkɔɔ pii."
Ɛnyɛ aduru yi botae titiriw ne sɛ ɛbɛma mogya nkwammoaa dodow asan aba sɛnea na ɛte kan (150,000-450,000). Botae no ne sɛ wɔbɛma mogya nkwammoaa dodow akɔ so aboro 50,000, na ɛno na ɛho hia na ama asiane a ɛwɔ hɔ sɛ mogya bɛtu no so atew.
Ɔkwan bɛn so na wɔde Nplate ma?
Nplate yɛ aduru a wɔde twitwiw nipadua no pɛnkoro dapɛn biara wɔ honam ani. Eyi yɛ ma wo anaa wo ba.Oduruyɛfo anaa ɔyarehwɛfo a wɔatete no na ɔde ma. Mpɛn pii no, wo nipadua mu duru na ɛkyerɛ dodow a wode bɛma. Wo duruyɛfo betumi agyina wo mogya mu nhwehwɛmu aba (platelet dodow) so ayɛ nsakrae wɔ dodow a wode ma no mu sɛnea ɛho hia. Enti, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn wɔ nna ne mmere a wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Sɛ wopa nnuru dodow bi a, frɛ wo duruyɛfo ntɛm ara na ɔnyɛ wo dodow a edi hɔ no ho nhyehyɛe.
Dɛn ne aduru yi mu nsunsuanso bɔne?
Te sɛ aduru biara no, Nplate betumi de ɔhaw ahorow aba. Ebia eyinom bɛyɛ soronko kakra wɔ mpanyimfo ne mmofra fam.
| Nplate ho nsunsuanso bɔne a ɛtaa ba | |
|---|---|
| Nneɛma a ebetumi ato mpanyimfo | |
| Tipaeɛ | Nkwaa ne ntini mu yaw |
| Adwene a ɛyɛ basaa | Asoroben |
| Abasa, nan, ne mmati mu yaw | Yafunu mu yaw, akisikuru, ɔfe, akisikuru |
| Nkwammoaa a ɛyɛ mmerɛw | Ɔfe, menewa mu yaw, atiridiinini |
| Nneɛma a ebetumi ato mmofra | |
| Akuru a ɛyɛ akuru | Menewa ne hwene mu yare te sɛ atiridiinini |
| Ano ne menewa mu yaw | |
Ɔkwan bɛn so na wobedi saa nsunsuanso bɔne yi ho dwuma?
- Akisikuru/akisikuru: Sɛ wote akisikuru a, nom nsu pii na amma wo nsuo atɔ wo mu. Kwati nnuan a srade ne nnuhwam wom na di nnuan a emu nyɛ duru te sɛ paanoo ne krak. Sɛ saa sɛnkyerɛnne ahorow yi kɔ so a , hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo .
- Tiyɛ ne ɛyaw: Ebia wo duruyɛfo bɛkyerɛw nnuru a wɔde kum ɛyaw ama nneɛma te sɛ tiyɛ ne ɛyaw a ɛba wo nsa ne wo nan mu. Nanso, nnom nnuru biara a wonkɔ wo duruyɛfo nkyɛn .
- Adwenemhaw: Saa aduru yi betumi ama obi adwenem ayɛ no yaw, enti kwati sɛ wobɛka kar anaa wode mfiri a emu yɛ duru bedi dwuma kosi sɛ wubehu sɛnea aduru no ka wo.
- Dae a wontumi nna: Sɛ woda bere koro mu, wo fon ne TV bere a wobɛtew ansa na woada, na woadwennwen nneɛma ho no betumi aboa ma nna ho haw so atew.
Ade a ɛho hia sen biara ne sɛ wobɛbɔ wo duruyɛfo amanneɛ sɛ wo anaa wo ba no nya ɔhaw bi, sɛ wususuw sɛ ɛyɛ nketenkete mpo a.
So ɔhaw bi wɔ nnuru afoforo ho? (Nnuru a Wɔde Di Dwuma) .
Wɔnnyaa amanneɛbɔ biara a ɛkyerɛ sɛ ɔhaw a emu yɛ den wɔ nnuru afoforo a ɛne Nplate di nkitaho no ho. Nanso, ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ, sɛ worenom nnuru afoforo a ɛma mogya tu no yɛ kɛse (sɛ nhwɛso no, aspirin, warfarin, anaa nnuru a ɛma mogya tu te sɛ clopidogrel) a, ɛho hia sɛ woka kyerɛ wo duruyɛfo. Afei nso, hwɛ hu sɛ wobɛka nnuru ne vitamin a worenom nyinaa akyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- ITP yɛ tebea a yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no sɛe mogya mu nkwammoaa a ɛma mogya tu no.
- Nplate yɛ aduru a wɔde twitwiw nnompe mu pɛnkoro dapɛn biara a ɛkanyan nnompe mu ntini no ma mogya nkwammoaa a ɛma mogya tu no yɛ kɛse.
- Eyi nyɛ aduru a wɔde sa ITP. N’atirimpɔw ne sɛ ɛbɛtew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so.
- Wogyina wo mu duru ne wo mogya mu nhwehwɛmu so na ɛkyerɛ aduru no dodow. Enti, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi.
- Nneɛma bɔne te sɛ tiyɛ, nkwaa mu yaw, ne akisikuru betumi aba, na ka tebea biara a ɛyɛ soronko ho asɛm kyerɛ wo duruyɛfo ntɛm ara.
- Ɛho hia sɛ woka nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, titiriw nnuru a ɛma mogya tu.
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