So wo ba kumaa no bɛpirapira ntɛmntɛm? Ebetumi ayɛ Immune Thrombocytopenia (ITP)!

Ɛyɛ hu sɛ wubehu akuru ne nsensanee kɔkɔɔ nketenkete wɔ wo ba nipadua so, ɛnte saa? Ɛtɔ da bi a, wutumi hu nneɛma a ɛte sɛɛ bere a atiridii ketewaa bi atwam mpo. Enti ɛnnɛ yɛbɛka tebea bi a wɔfrɛ no Immune Thrombocytopenia (ITP) ho asɛm, a ebetumi de sɛnkyerɛnne te sɛ eyinom aba, nanso sɛ wote ase yiye a, ɛnyɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho. Ma yɛnhwɛ nea ɛyɛ, nea enti a ɛba, sɛnea yebehu, ne nea wobetumi ayɛ bio .

Dɛn ne Immune Thrombocytopenia (ITP) a ɛwɔ nipadua no mu? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, Immune Thrombocytopenia (ITP) yɛ bere a yɛn nipadua mu tumi a ɛko tia nyarewa (nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho ) kɔ sare na ɛtow hyɛ nkwammoaa bi a ɛwɔ yɛn ankasa nipadua mu a wɔfrɛ no mogya nkwammoaa so . Seesei ebia woresusuw nea mogya mu nkwammoaa kɔkɔɔ yɛ ho. Wɔyɛ nkwammoaa nketenkete a ɛboa ma mogya tu bere a yɛanya kuru wɔ yɛn nipadua mu baabi no. Te sɛ aboafo a wɔboa ɔsraani a wapira wɔ ɔko mu no. Saa mogya nkwammoaa yi bom yɛ adwuma ma mogya tu na ɛma mogya no gyae.

Enti, nea ɛkɔ so wɔ abofra a ɔwɔ ITP mu ne sɛ nipadua no mu tumi a ɛko tia nyarewa no di mfomso sɛe mogya nkwammoaa pa yi. Dɛn na ɛba saa bere no? Ntini mu nkwammoaa a ɛwɔ nipadua no mu no dodow so tew. Sɛ ɛba saa a, ɛbɛyɛ den sɛ wobegyae mogya a efi kuru ketewaa bi mpo mu, na ɛtɔ mmere bi mpo a ebetumi ama mogya atu.

Nanso asɛmpa bi wɔ hɔ! Mpɛn pii no, sɛ mmofra nkumaa nya ITP a, ɛno ankasa yɛ yiye wɔ bɛyɛ asram 6 ntam . Nanso ɛtɔ mmere bi a, ebetumi agye bere tenten, anaasɛ ebetumi ayɛ yiye na afei asan aba. Ɛno nti na ɛho hia sɛ wohu eyi no.

Nsɛnkyerɛnne bɛn na ebia abofra a ɔwɔ ITP benya?

Afei ma yɛnhwɛ sɛnkyerɛnne ahorow a abofra a ɔwɔ ITP betumi ada no adi. Sɛ wuhu eyinom a, mma wo ho nnpopo, nanso ɛho hia yiye sɛ wohwehwɛ aduruyɛ mu afotu.

• Mogya a ɛnyɛ den sɛ ɛbɛtɔ:
• Mogya a ɛba hwene mu ara kwa .
• Mogya a ɛtɔ gu wo sẽ mu bere a worehohoro wo sẽ no.
• Ɛtɔ mmere bi a mogya kakra fi nsu mu anaa nsu no mu ba . (Eyi yɛ hu kakra, nanso ɛsɛ sɛ woka kyerɛ oduruyɛfo).
• Wɔ abeawa a wadu ne mpanyin afe so fam no, mogya a ɛtɔ wɔ ne bosome biara mu no mu yɛ duru na ɛtra hɔ nna pii.
• Nsɛnkyerɛnne a mogya a ɛtɔ wɔ honam ani no de ba:
• Akuru a ɛyɛ mmerɛw . Sɛ wobɔ akuturuku ketewaa bi mpo a, ebetumi ama honam ani ayɛ bruu/akuturuku.
• Nsõ nketenkete kɔkɔɔ-akuturuku a ɛda adi wɔ honam ani. Yɛfrɛ eyi wɔ aduruyɛ mu (Petechiae) . Eyinom yɛ nsensanee nketenkete a ɛte sɛ nea wɔde kyerɛwdua ano na ɛtwee.
• Nsonsonoe a ɛyɛ kɔkɔɔ, ɛsõ kakra, a ɛte sɛ akuru wɔ honam ani. Wɔfrɛ eyi (Purpura) . Eyinom sõ sen (Petechiae).

Fa no sɛ, sɛ wo ba hwe ase bere a ɔredi agoru na ne kuru kɛse sen sɛnea ɔtaa yɛ no, anaasɛ wuhu nneɛma te sɛ nsensanee kɔkɔɔ a wokae no a, ɛsɛ sɛ wodwen ho.

Ɛntaa mma koraa, titiriw sɛ ti apira kɛse a , ITP nso betumi ama mogya atɔ amemene no mu (a ɛte sɛ ɔyare a ɛma obi hwe ase). Eyi ntaa nsi koraa, nanso sɛ wo ti apira a, kae sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn nti na ITP nya nkɔso? Dɛn na ɛde ba?

Nea enti titiriw a ɛde ITP ba ne sɛ, sɛnea yɛadi kan aka no, yɛn nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ mogya nkwammoaa mu , te sɛ nea yɛn ankasa asraafo reto ahyɛ yɛn ankasa nkurɔfo so.

Ade titiriw nti a mmofra nipadua no tumi a ɛko tia nyarewa no yɛ basaa wɔ saa kwan yi so ne ɔyare mmoawa . Sɛ nhwɛso no, mmofra binom betumi anya ITP bere a wɔn ho atɔ wɔn wɔ atiridii anaa atiridiinini mu akyi. Sɛ mmoawa no hyɛn nipadua no mu a, nipadua no mu tumi a ɛko tia nyarewa no, bere a ɛreko atia no, ɛtɔ mmere bi a "ɛyɛ ade boro so" na efi ase tow hyɛ mogya nkwammoaa so.

Afei nso, ɛntaa nsi koraa sɛ aduruyɛ mu tebea foforo , yare a nipadua no tumi ko tia nyarewa (yare a nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa nipadua no afã horow a ɛwɔ apɔwmuden so), anaa nnuru bi mu na ɛde ITP aba . Nanso mpɛn pii no, ɛyɛ den sɛ yebehu biribi pɔtee a enti nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ mogya nkwammoaa so.

Hena na ɛda adi kɛse sɛ obenya ITP?

ITP a wɔtaa hu wɔ mmofraase no taa ba mmofra a wɔadi fi mfe 1 kosi 7. Nanso, ebetumi aba mmofra a wɔanyinyin ne nkumaa nso mu.

Nea ɛho hia ne sɛ abofra a ɔwɔ ITP taa da adi sɛ anka ɔwɔ apɔwmuden na ne ho ye . Ɛne sɛ, sɛ mogya a ɛretu ne akuru no da nkyɛn a, ebia na abofra no redi agoru, ɔredidi, ɔrenom nsa, na ɔreyɛ wɔn da biara da dwumadi ahorow sɛnea ɛsɛ.

Ɔkwan bɛn so na nnuruyɛfo hu ITP?

Sɛ wode wo ba kɔ oduruyɛfo nkyɛn a, wɔbɛyɛ nea edidi so yi de ahu sɛ ɔwɔ ITP anaa:

1. Nsɛm a wubebisa:Wobebisa wo nsɛm pii afa wo ba no yare no ho sɛnkyerɛnne, sɛnea efii ase, ne sɛ ebia wanya nyarewa bi nnansa yi no ho.

2. Nipadua mu nhwehwɛmu: Oduruyɛfo no bɛhwɛ abofra no mu yiye. Wɔbɛhwɛ sɛ akuru, (Petechiae), (Purpura), ne nneɛma foforo biara a ɛnteɛ anaa.

3. Mogya mu Nhwehwɛmu: Eyi ne ade a ɛho hia sen biara. Wɔfa mogya na wɔyɛ nhwehwɛmu a edidi so yi:

• Wɔhwɛ mogya nkwammoaa dodow a ɛwɔ mogya mu no mu. Wɔ ITP mu no, ɛsɛ sɛ eyi yɛ nea ɛba fam.
• Wɔhwɛ mogya mu nkwammoaa afoforo (Red Blood Cells, White Blood Cells) mu hwɛ sɛ ɛyɛ nea ɛfata anaa . Mpɛn pii no, wɔnsakra eyinom wɔ ITP mu.
• Hwɛ sɛ ebia ɔyare mmoawa bi ho sɛnkyerɛnne bi wɔ hɔ anaa (sɛ nhwɛso no, ɔyare mmoawa bi).
• Yɛreyɛ nhwehwɛmu sɛ ebia nneɛma afoforo bi wɔ hɔ a ebetumi ama mogya nkwammoaa a ɛba fam aba anaa.

Saa nhwehwɛmu ahorow yi nkutoo ne ɔkwan a wobɛfa so ahu sɛ wowɔ ITP anaasɛ biribi foforo bi wɔ hɔ a ɛde saa sɛnkyerɛnne ahorow yi ba.

Dɛn ne ayaresa ahorow a wɔde sa ITP?

Ɛsono sɛnea wɔsa ITP a egyina sɛnea sɛnkyerɛnne ahorow no mu yɛ den so . Ebia mmofra binom renhia ayaresa biara sɛ wɔwɔ akuru ne nsensanee kɔkɔɔ nketenkete (petechiae) nkutoo a. Nnuruyɛfo bɛhwɛ abofra no so.

Nanso, sɛ ɛho hia sɛ wosa yare a, nneɛma bi a wubetumi ayɛ ni:

• Nnuru a ɛma nipadua no mu tumi a ɛko tia nyarewa no ntumi ntow hyɛ mogya nkwammoaa so:
• Steroids: Wobetumi de eyinom ama sɛ nnuru anaasɛ wɔde ahyɛ ntini bi mu. Eyinom boa ma mogya nkwammoaa dodow kɔ soro ntɛmntɛm.
• IV (a wɔde fa ntini mu) antibody injections: Wɔsan frɛ eyinom immunoglobulins anaa rituximab . Eyinom yɛ adwuma denam nipadua no mu tumi a ɛko tia nyarewa no a wosiw ano kakra no so.
• Nnuru a ɛboa nipadua no ma ɛyɛ mogya nkwammoaa pii: Ɛtɔ mmere bi a, wobetumi de saa nnuru yi nso ama.
• Oprehyɛn a wɔde yi akyi berɛmo: Akisikuru yɛ akwaa bi a ɛwɔ yɛn nipadua mu. Ntini mu nkwammoaa a ɛma mogya tu no sɛe titiriw wɔ saa ahurututu yi mu. Enti, wɔyɛ oprehyɛn yi sɛ ɔkwan a etwa to nkutoo ma mmofra a wɔwɔ yare no ho sɛnkyerɛnne a emu yɛ den yiye a wɔanyɛ ayaresa afoforo ho hwee. Wɔtaa susuw eyi ho ma mmofra a wɔanyinyin anaa mpanyimfo nkumaa.

Nea ɛho hia: Oduruyɛfo nkutoo na obetumi asi ayaresa a ɛfata ma wo ba no ho gyinae. Enti, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi.

Mobɛyɛ dɛn atumi aboa sɛ awofo?

Nneɛma pii wɔ hɔ a wubetumi ayɛ sɛ ɔwofo bere a worehwɛ wo ba wɔ ITP bere mu no.

• Ma wo ba no ntwe ne ho mfi agumadi ne dwumadi ahorow a ebetumi ama wapira anaa mogya atu no ho kakra. Sɛ nhwɛso no, ebia ebehia sɛ wugyae sakre soka na wo ne agumadi di nkitaho.
• Mfa aduru biara a ibuprofen (e.g., Motrin, Advil ) anaa aspirin wom mma wo ba a wo duruyɛfo no mpene so. Saa nnuru yi betumi ama mogya a ɛbɛtɔ obi no ayɛ kɛse. Paracetamol a wɔde ma atiridii ne ɛyaw a ɛtaa ba no taa yɛ nea asiane biara nni ho, nanso kɔ wo duruyɛfo nkyɛn ansa na wode ama wo ba.

Mmofra dodow no ara a wɔwɔ ITP no ho tɔ wɔn koraa wɔ asram kakraa bi mu. Nneɛma bi a wubetumi ayɛ de aboa wo ba ni:

• Hwɛ hu sɛ wode wo ba bɛkɔ oduruyɛfo nkyɛn nyinaa.
• Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Hwɛ dwumadi ahorow a ɛfata ne nea ɛnsɛ sɛ woyɛ no yiye.
• Sɛ wo ba bɔ ne ti wɔ baabiara anaasɛ wapira kɛse a, kɔ oduruyɛfo nkyɛn anaa kɔ ayaresabea ntɛm ara. Eyi ho hia paa.
• Hwɛ yiye na woamma wo ba no nnuru biara a oduruyɛfo no ka sɛ ɛmfata.
• Sɛ wo ba no da sɛnkyerɛnne ahorow adi sɛ mogya retu foforo, akuru, anaasɛ nsensanee kɔkɔɔ/akuturuku wɔ ne honam ani a, frɛ wo duruyɛfo ntɛm ara.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

ITP ho asɛm a wobɛte no betumi ayɛ hu kakra. Nanso kae sɛ mpɛn pii no, sɛ ɛba mmofra so a, ɛno ankasa kɔ . Nea ɛho hia sen biara ne sɛ ɛnyɛ sɛ wobɛbɔ hu, na mmom wobɛhwehwɛ aduruyɛ mu afotu a ɛfata na woayɛ w’ade sɛnea ɛfata .

Sɛ wo ba wɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ kɔ mmofra oduruyɛfo anaa mogya ho oduruyɛfo nkyɛn. Wɔbɛma wo afotu a wuhia nyinaa . Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Immune Thrombocytopenia, ITP, mogya nkwammoaa, mogya a ɛtɔ, mmofra nyarewa, nipadua mu ahoɔden a ɛko tia nyarewa, akuru