So woreka sɛ mogya nkwammoaa a ɛwɔ wo mu no sua? (Thrombocytopenia) Momma yɛnhwehwɛ nea eyi yɛ ankasa.

Ebia woate sɛ oduruyɛfo no rehwɛ mogya mu nhwehwɛmu amanneɛbɔ bi na ɔka sɛ, "Wo mogya nkwammoaa a ɛwɔ mogya mu no so atew kakra." Anaasɛ ebia wotee ehu nka bere a wuntumi nnyae mogya a ɛretu esiane sɛ wutwaa ketewaa bi mpo nti no. Saa mogya mu nkwammoaa kɔkɔɔ dodow a ɛso tew yi ne nea yɛfrɛ no Thrombocytopenia wɔ nnuruyɛ mu. Nsuro. Momma yɛnka eyi ho asɛm tiawa na emu nna hɔ.

Dɛn nti na mogya mu nkwammoaa a ɛma mogya tu no so tew saa?

Sɛ yɛbɛka no tiawa a, mogya nkwammoaa yɛ nkwammoaa ketewaa bi a ɛboa ma yɛn mogya tu . Wɔyɛ wɔ nnompe mu ntini a ɛwɔ yɛn nnompe mu no mu. Susuw yɛn nnompe mu ntini ho sɛ adwumayɛbea a wɔyɛ mogya mu nkwammoaa a ɛma mogya tu. Nneɛma atitiriw abien nti na tebea yi betumi aba. Ebia nneɛma a wɔyɛ wɔ adwumayɛbea yi mu no so tew. Anaasɛ, mogya nkwammoaa a ɛba no sɛe ntɛmntɛm wɔ nipadua no mu.

Afei ma yɛnhwɛ nea enti a ɛte saa. Momma yɛnhwɛ saa pon yi na yɛnte eyi ase yiye.

Nea ɛka nneɛma yi akyi no, ɛtɔ mmere bi a mogya mu nkwammoaa a ɛma mogya tu yi tumi kyere na ɛboaboa ano wɔ akisikuru , akwaa bi a ɛwɔ yɛn nipadua mu no mu. Afei nso, wɔ nyinsɛn mu no, saa tebea yi betumi aba bere tiaa bi efisɛ woyi mmea binom mogya nkwammoaa fi wɔn nipadua mu ntɛmntɛm sen sɛnea ɛte daa.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Mpɛn pii no, mogya nkwammoaa a ɛba fam no mma obi nnya yare no ho sɛnkyerɛnne biara. Nanso sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, nea ɛho hia titiriw ne mogya a ɛretu ne akuru. Ebia wubehu nso sɛ nsensanee nketenkete, kɔkɔɔ anaa kɔkɔɔ wɔ wo honam ani. Wɔfrɛ eyinom petechiae .

Eyinom yɛ mogya a etumi tu wɔ nipadua no mu anaa akyi. Ɛtɔ da a, mogya a ɛretu yi betumi ayɛ duru na ɛyɛ den sɛ wobegyae.

Nea ɛka ho no, wobetumi ahu saa nneɛma yi nso:

• Mogya a ɛtɔ fi anom anaa hwene mu.
• Mogya a ɛwɔ nsu anaa nsu mu.
• Mogya a ɛtɔ dodo bere a mmea rekɔ nna mu.
• Tipaeɛ .
• Ɔbrɛ ne ɔbrɛ a wɔtaa yɛ .
• Wora ne aniwa a ɛyɛ kɔkɔɔ (jaundice).
• Akisikuru a ɛho ahonhon.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ wo duruyɛfo nkyɛn a, obebisa wo w’ayaresa ho abakɔsɛm ne mprempren sɛnkyerɛnne ahorow ho asɛm. Afei ɔbɛhwɛ wo nipadua mu na wahwɛ sɛ akuru, petechiae, ne ɔyare mmoawa ho sɛnkyerɛnne te sɛ atiridiinini ne honam ani akuru anaa.

Afei, akyinnye biara nni ho sɛ wɔbɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu, kyerɛ sɛ, mogya dodow a edi mũ. Mpɛn pii no, obi a ɔwɔ apɔwmuden wɔ mogya mu nkwammoaa a ɛma mogya tu 150,000 kosi 450,000 wɔ mogya microliter biara mu. Sɛ dodow yi so tew sen 50,000 a, asiane a ɛwɔ hɔ sɛ mogya bɛtu no kɔ soro.

Mpɛn pii no, ebia wo duruyɛfo de wo bɛkɔ mogya ho ɔbenfo (hematologist) nkyɛn. Nea ɛka ho no, ebia wɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ afoforo bi.

• Mogya mu nhwehwɛmu: Eyi ne baabi a wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ sɛnea wo mogya nkwammoaa no te ne sɛnea ɛte .
• Nnompe mu ntini mu nhwehwɛmu: Eyi ma wutumi hwehwɛ nkwammoaa ahorow a ɛwɔ nnompe mu ntini mu ne wɔn akwahosan mu kɔ akyiri.
• Mogya a ɛtwetwe mu nhwehwɛmu: Nhwehwɛmu titiriw a ɛkyerɛ sɛ mogya a ɛtwetwe no reyɛ adwuma yiye anaa.

Nsɛnnennen bɛn na eyi betumi de aba?

Eyi ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw.

• Sɛ wo mogya nkwammoaa dodow so tew sen 50,000 a, opira ketewaa bi mpo betumi ama mogya atɔ wo dodo.
• Sɛ dodow yi so tew sen 30,000 a, asɛm ketewaa bi a wɔnhwɛ kwan mpo betumi ama mogya atɔ kɛse.
• Sɛ wo mogya nkwammoaa dodow so tew sen 10,000 a, wubetumi afi ase atu mogya a ɛyɛ hu wɔ wo nipadua mu, a wunpira mpo. Ɛntaa mma koraa sɛ ebetumi de tebea horow a ɛde nkwa to asiane mu, te sɛ mogya a ɛbɛtɔ amemene no mu aba. Ɛno nti na ɛho hia sɛ wokɔ aduruyɛ mu wɔ saa tebea yi ho no.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa no gyina wo mogya nkwammoaa dodow ne tebea a ɛde bae a ɛde bae no so.

• Sɛ wo mogya mu nkwammoaa a ɛdɔɔso no sua dodo a, ebia worenhia ayaresa biara. Wo duruyɛfo no bɛhwɛ so.
• Ɛtɔ mmere bi a, mogya nkwammoaa dodow no san kɔ sɛnea na ɛte kan no bere a wɔagyae nea ɛde ba no. Sɛ nhwɛso no, sɛ wohu sɛ aduru bi na ɛde ɔhaw no reba a, wo duruyɛfo bɛka akyerɛ wo sɛ gyae saa aduru no nom.

Nanso, wɔ tebea horow a emu yɛ den (thrombocytopenia a emu yɛ den) mu no, oduruyɛfo no betumi akyerɛw ayaresa ahorow te sɛ:

• Steroid nnuru: Sɛ eyi fi ɔhaw bi a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no mu a, wɔde saa nnuru yi ma na ama nipadua no asiw n’ankasa mogya nkwammoaa a ɛnsɛe no ano.
• IVIG (Intravenous Immune Globulin): Sɛ wuntumi nnom steroid, anaasɛ ɛsɛ sɛ woma wo mogya nkwammoaa dodow kɔ soro ntɛmntɛm a, wɔde saa ayaresa yi ma.
• Mogya anaa mogya nkwammoaa a wɔde ma:Mogya anaa mogya nkwammoaa a efi obi a ɔwɔ apɔwmuden hɔ a wɔde bɛma nipadua no.
• Splenectomy: Sɛ ayaresa afoforo antumi anhyɛ tebea no so nkutoo a, na wɔyɛ oprehyɛn yi spleen a ɛsɛe mogya nkwammoaa no.
• Nnuru afoforo: Sɛ saa ayaresa ahorow yi ntumi nni tebea no so a, wo duruyɛfo betumi akyerɛw wo nnuru pɔtee afoforo te sɛ eltrombopag (Promacta, Revolade) anaa romiplostim (Nplate).

Dɛn na wobetumi ayɛ na amma mogya antu?

Sɛ mogya mu nkwammoaa a ɛwɔ wo mogya mu no sua a, hwɛ nneɛma yi yiye na amma mogya antu.

• Mfa nnuru a wɔde kum ɛyaw te sɛ aspirin ne ibuprofen a ɛka mogya a ɛtwetwe no, a wunnya wo duruyɛfo afotu.
• To nsa a wonom ano hye. Nsã betumi ama mogya a ɛtɔ no ayɛ kɛse.
• Twe wo ho fi agodie a wɔde di nkitaho a ebetumi ama obi apirapira te sɛ bɔɔlbɔ, akuturukubɔ, ne rugby ho kakra.
• Sɛ worehohoro wo sẽ a, fa brɔs a ɛyɛ mmerɛw di dwuma na amma woansɛe wo sẽ.
• Bere nyinaa hyɛ ahobammɔ bɛlt bere a wote kar mu no. Sɛ wode mfiri reyɛ adwuma a, hyɛ ahobammɔ nsateaa ne ahwehwɛ.