Ðe ʋu le dodom le ŋuwò hã le abi sue aɖe gɔ̃ hã mea? Mina míalé ŋku ɖe ITP (Dɔlélenutsiŋutete ƒe Ʋumenugbagbeviɣidɔ) ŋu!

Ðe nèbiaa ɖokuiwò ɣeaɖewoɣi be nukatae abi sue aɖe gɔ̃ hã trɔna zua abi gã, alo nukatae lã sue aɖe madzudzɔ ʋudodo oa? Alo ɖe nèkpɔa nuwo abe ŋɔti me ʋu le dodom le susu aɖeke manɔmee, alo ʋu si dona le aɖuwo me ne èle wò aɖuwo klɔm enea? Ne nusiawo dzɔna ɖe dziwò zi geɖe la, ɖewohĩ ele vevie ŋutɔ be nànya nɔnɔme si ŋu míele nu ƒom tsoe egbea si woyɔna be ITP (Immune Thrombocytopenia). Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.

Nukae nye ITP (Dɔlélenutsiŋutete ƒe Ʋumenugbagbeviɣidɔ)?

Kpuie ko la, ITP (Immune Thrombocytopenia) nye nɔnɔme si me lãmenugbagbevi sue siwo woyɔna be ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖe wò ʋu me o . Ʋumenugbagbevi dzĩ siawoe kpena ɖe mía ŋu míedzudzɔa ʋu ne míexɔ abi le míaƒe ŋutilã ƒe teƒe aɖe. Wowɔa ʋuka si me ʋu sina tona eye wodzudzɔa ʋu si dona le ame ŋu . Eyata ne ʋumenugbagbevi dzĩ siawo ƒe xexlẽme dzi ɖe kpɔtɔ la, wò ʋu metsina bɔbɔe nenema o. Esia tae abi sue aɖe gɔ̃ hã ate ŋu ana ʋu nado fũu akpa, alo àte ŋu agbã wò ŋutilã ko.

Woyɔa esia be ITP, eye nya `Dɔlélenutsiŋutete` gɔmee nye nane si do ƒome kple dɔlélenutsiŋutete. `Thrombocytopenia` gɔmee nye ʋumenugbagbeviɣidɔ si mebɔ o. Eyata, nusi dzɔna le esia me enye be wò ŋutɔ wò dɔlélenutsiŋutete , asrafo siwo kpɔa mía ta tso dɔléle me, susuna vodadatɔe be wò ŋutɔ wò ʋumenugbagbevi dzĩwo nye futɔ si le egodo eye wòdzea wo dzi hetsrɔ̃a wo. Ðeko wòle abe ɖe nèdze ame aɖe dzi le wò ŋutɔ wò aƒe me, eye nèsusu be fiafitɔe wònye ene.

Ɣeaɖewoɣi la, woate ŋu ada ITP kple atike alo womazãe o eye ne ɣeyiɣiawo va le yiyim la, ehayana. Gake le ame aɖewo gome la, ate ŋu anye dɔléle si nɔa anyi didi . Esia fia be togbɔ be woate ŋu aɖu dzesiawo dzi hã la, esesẽna be woada wo keŋkeŋ. Le ame mawo gome la, ate ŋu ahiã be woawɔ atike na wo le woƒe agbemeŋkekewo katã me.

Ŋkɔ bubu kawoe nye ITP?

Ne èyi ɖɔkta gbɔ la, woate ŋu azã ŋkɔ bubuwo tsɔ kpe ɖe ITP ŋu. Eyata anyo be nàɖo ŋku ŋkɔ siawo hã dzi:

• ``Dɔlélenutsiŋutete ƒe Ʋumenugbagbeviɣidɔ ƒe Purpura''.
• ``Dɔlélenutsiŋutete ƒe Thrombocytopenic Purpura''.
• `Idiopathic Thrombocytopenic Purpura` (Wozã ŋkɔ sia geɖe va yi, `Idiopathic` fia be womenya nusi tututu gbɔ wòtso o)
• `Werlhof dɔléle`
• `Dɔlélenutsiŋutete ƒe Ʋumenugbagbeviɣidɔ`

Ŋkɔ ka kee nèɖatsɔ nɛ o, zi geɖe la, efia atikewɔwɔ ƒe nɔnɔme ɖeka ma ke.

Aleke gbegbee ITP bɔe?

Le nyateƒe me la, ITP nye nɔnɔme si mebɔ kura o . Menye dɔléle si dzea amesiame dzi o. Le akɔntabubu nu la, le dukɔ abe Amerika ene me la, wokpɔa dɔléle sia le ɖevi siwo ade ene le akpe alafa ɖesiaɖe me (4/100,000) kple ame tsitsi etɔ̃ le akpe alafa ɖesiaɖe me (3/100,000) yeyee ƒe sia ƒe. Wokpɔa nɔnɔme sia le Sri Lanka hã, gake esesẽ vie be woakpɔ akɔntabubu siwo sɔ pɛpɛpɛ tso eŋu. Gake eyata, ne nɔnɔme sia le ame aɖe ŋu la, ate ŋu anye kuxi gã aɖe nɛ, alo?

Ðe ITP ƒomevi aɖewo lia?

Ẽ, woate ŋu ama ITP ɖe hatsotso vevi eve me:

1. ITP Gbãtɔ:Esiae nye esime wò ŋutɔ wò dɔlélenutsiŋutete dze wò ʋumenugbagbevi dzĩwo dzi le susu aɖeke manɔmee. ITP dɔnɔ siwo ade 80 le alafa me (80%) ŋue dɔléle sia ƒomevi le. Enye ``autoimmune disorder'', si fia be dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie gbɔe wòtso.

2. ITP evelia: Esia dzɔna ne ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ abe atikewɔwɔ ƒe nɔnɔme bubu, dɔlékui, alo atike si le ete ƒe nugbegblẽ le ame ŋu ene. Le kpɔɖeŋu me:

• Dɔlékui aɖewo siwo nɔa anyi didi, abe HIV, Aklãdɔléle C, alo H. pylori (dɔlékui aɖe si nana dɔgbo ƒe abi) .
• Ʋu me dɔdzẽwo
• Bubuwo `(ame ŋutɔ ƒe dɔlélenutsiŋutete ƒe dɔlélewo)` (e.g. lupus - SLE) .
• Ate ŋu atso atike aɖewo hã gbɔ.

Ðɔktawo hã daa ITP ɖe hatsotsowo me le ɣeyiɣi didi si wòxɔ nu:

• Acute ITP: Zi geɖe la, esia nyona ɖe edzi le ɣleti etɔ̃ me. Ðeviwo mee wòbɔ ɖo wu.
• ITP si nɔa anyi ɖaa: Esia ate ŋu axɔ tso ɣleti etɔ̃ va ɖo ɣleti wuieve (ƒe ɖeka).
• ITP si nɔa anyi didi: Esia nɔa anyi wu ƒe ɖeka. Ame tsitsiwo mee wòbɔ ɖo wu.

Nukae nye ITP ƒe dzesiwo?

Ame aɖewo ate ŋu axɔ ITP evɔ dzesi aɖeke manɔ wo ŋu o. Gake ne dzesiawo do mo ɖa la, ate ŋu ava vivivi alo kasia. Dzesi vevitɔwoe nye:

• Petechiae: Esia nye ne èkpɔ teƒe suesuesue siwo le dzo dam alo aŋutiɖiɖi le wò ŋutigbalẽ ŋu, vevietɔ le afɔ siwo le ete. Wodzena abe ʋuʋudedi ene. Amesiawo medzona le wo ɖokui si o.
• Purpura: Petechiae siwo ŋu míeƒo nu tsoe va yi la ƒoa ƒu zua teƒe siwo lolo wu siwo ƒe amadede nye dzĩ, aŋutiɖiɖi, alo aŋutiɖiɖi. Esiawo le sue wu abi, gake wololo wu teƒe mawo. Ʋu sue aɖe si le dodom tso ʋuka sue siwo le ŋutigbalẽa te me gbɔe esia tsona.
• Abi bɔbɔe: Ne èƒoe vie le afi sia afi gɔ̃ hã la, ate ŋu ana abi alo abi gã aɖe nadze ame dzi. Ɣeaɖewoɣi la, abi ate ŋu adze le susu aɖeke manɔmee.
• Ʋu si le dodom le aɖuwo me: Ʋu ate ŋu ado le wò aɖuwo me ne èle aɖuwo tutum alo ne ètsi anyi ko. Wò aɖuwo hã ate ŋu adze abe ɖe wovuvu ene.
• Ʋu le aɖuɖɔ me: Ne wò aɖuɖɔ do viviti ŋutɔ, abe aŋɔ ene la, ate ŋu anye ʋu si le dodom le ememe.
• Ʋu le aɖuɖɔ me: Ne tsi si le nugododeƒea dzena pink alo dzĩ ne èle aɖuɖɔ tom la, ate ŋu anye esi ʋu le aɖuɖɔ me tae.
• Dzinukpɔkpɔ sesẽ le nyɔnuwo me: Ne wò ɣleti sia ɣleti xɔ wu ŋkeke adre, alo ne ʋu le dodom le ŋuwò wu alesi wòle dzɔdzɔmee (`Menorrhagia`), ema hã ateŋu anye ITP ƒe dzesi.
• Ʋu si dona le ŋɔti me enuenu.
• Abi gã (Hematoma): Ɣeaɖewoɣi la, abi gã si vuvu (`Hematoma`) ate ŋu adzɔ ne ʋu gbogbo aɖe ƒo ƒu ɖe teƒe ɖeka.
• Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ (Ðeɖiteameŋu).

Vevietɔ: Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ enumake aɖaɖo aɖaŋu na wò.

Nukawoe hea ITP vɛ?

Abe alesi míedzro eme va yi ene la, ITP dzɔna ne wò dɔlélenutsiŋutete wɔ dɔlékuiwutikewo vodadatɔe ɖe wò ŋutɔ wò ʋumenugbagbevi dzĩwo ŋu, eye emegbe wogblɔna na dɔlélenutsiŋutete ƒe lãmenugbagbevi bubuwo be woatsrɔ̃ wo. Ne ʋuka aɖe si le wò ŋutilã me gblẽ la, ʋumenugbagbevi dzĩwoe va ɖoa teƒea, léna ɖe wo nɔewo ŋu, wɔa ʋuka, eye wodzudzɔa ʋu si le dodom. Woyɔa esia be ``ʋumenugbagbeviɣidɔ gbãtɔ''.

Gake eŋutinunyalawo gɔ̃ hã menya nu si tututu tae dɔlélenutsiŋutete sia dzea eya ŋutɔ ƒe ʋumenugbagbevi dzĩwo dzi dzedze gɔme haɖe o.

Gake numekuku aɖewo ɖee fia be:

• Le amesiwo ŋu `(HIV)` (Amegbetɔ ƒe Dɔlélenutsiŋutete ƒe Dɔlékui) le gome la .
• Le amesiwo ŋu dɔlékui ƒe dɔléle si woyɔna be `(H. pylori)` (Helicobacter pylori) le gome (zi geɖe la, esia do ƒome kple dɔgbo ƒe abi kple dɔgbo ƒe dɔléle) .
• Le amesiwo ŋu aklãdɔ si woyɔna be `(Hepatitis C)` le gome

Afɔku si le ITP xɔxɔ me dzi ɖe edzi. Esiawo ate ŋu ahe ITP evelia vɛ.

Aleke wowɔa dea dzesi ITP?

Hafi ɖɔkta nate ŋu anya ne ITP le ŋuwò la, woawɔ ŋutilãmedɔ nyuie gbã atsɔ akpɔe ɖa be ʋu le dodom, abi, kple teƒe siwo le abe petechiae kple purpura ene ƒe dzesiwo le ŋuwò hã. Emegbe woabia wò atikewɔwɔ ŋutinya si nèzã va yi, atike siwo zãm nèle, kple nenye be ʋudodo ƒe kuxiwo nɔ wò ƒomea me dometɔ aɖe ŋu.

Esi wònye be ITP ƒe dzesiwo ate ŋu asɔ kple ʋu ƒe sisi ƒe dɔléle bubuwo alo dɔléle siwo nu sẽ wu abe ʋumenugbagbeviɣidɔ ene gɔ̃ hã ta la, ɖɔktaa agbe nu bubu siwo katã gbɔ wòtso (si nye dɔléle si woɖe le eme ƒe dzesiwo) hafi anya ITP ƒe dzesiwo godoo.

Dodokpɔ kawoe wozãna tsɔ dea dzesi ITP?

Zi geɖe la, ɖɔktawo wɔa dodokpɔ siawo:

• Ʋu Xexlẽme Blibo (CBC): Esia léa ŋku ɖe lãmenugbagbevi vovovo siwo le wò ʋu me ƒe xexlẽme ŋu, siwo dometɔ aɖewoe nye ʋumenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, kple vevietɔ ʋumenugbagbevi dzĩwo . Le ITP me la, ʋumenugbagbevi dzĩ siawo ate ŋu anɔ ʋɛ ŋutɔ.
• Ʋu si le Gome: Le dodokpɔ sia me la, woɖea ʋu ɖeka, kakanɛ ɖe glass slide dzi, eye wotsɔa nusuekpɔmɔ̃ léa ŋku ɖe eŋu be ʋumenugbagbevi dzĩawo ƒe nɔnɔme kple lolome sɔ, alo nenye be nu bubu aɖewo siwo mesɔ o hã li.

Ne wò ɖɔkta susu be èle afɔku me be yeaxɔ HIV, Aklãdɔléle C, alo H. pylori la, woate ŋu ado dɔlékui mawo hã kpɔ. Ɣeaɖewoɣi la, woate ŋu awɔ ƒumeŋuɖui ŋuti numekuku, gake womewɔa esia na amesiame o.

Nukawoe nye atike siwo wozãna na ITP?

Zi geɖe la, .Ne ɖeviwo xɔ ITP la, ne dzesiawo mesẽ o la, woƒe lãme asẽ atike aɖeke mawɔmawɔe. Gake zi geɖe la, ame tsitsiwo hiãa atikewɔwɔ, vevietɔ ne woƒe ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue ŋutɔ alo ne ʋu ƒe dodo ƒe afɔku le eme.

Ne ehiã be woawɔ atike na wò la, wò ɖɔkta ate ŋu aŋlɔ atike siwo ana wò ʋumenugbagbevi dzĩwo nadzi ɖe edzi alo be wò dɔlélenutsiŋutete nagadze wò ʋumenugbagbevi dzĩwo dzi o. Atike ƒomevi vevi siwo wozãnae nye:

• Corticosteroids: (le kpɔɖeŋu me, Prednisolone). Esiawo wɔa dɔ to dɔlékuiwutike siwo gblẽa ʋumenugbagbevi dzĩwo ƒe wɔwɔ nu hena ɣeyiɣi aɖe. Esiawo nye atikewɔwɔ gbãtɔ.
• Immunoglobulin (IVIg): Esia nye atike si wodona ɖe ʋuka me. Etrɔa alesi dɔlélenutsiŋutete wɔa dɔe hã eye wòɖea ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ dzi kpɔtɔna.
• Thrombopoietin receptor agonists (TPO-RAs): Atike siawo kpena ɖe ŋutilãa ŋu wòwɔa ʋumenugbagbeviɣidɔ geɖe.
• Dɔlélenutsiŋutete ƒe atikewo: (e.g. Rituximab, Mycophenolate). Esiawo ɖea dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi kpɔtɔna eye wodzudzɔa ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃.

Tsɔ kpe ɖe atike siawo ŋu la, ɖɔkta ate ŋu aɖo aɖaŋu bubuwo hã:

• Dɔlékui si gbɔ wòtso dada: Le ITP evelia gome la, ʋumenugbagbevi dzĩwo ƒe xexlẽme ate ŋu atrɔ ava nɔ abe alesi wòle ene ne wonya da dɔlékui si hee vɛ ko.
• Atike aɖewo dzudzɔ: Ne èle ʋukaɖitike aɖewo zãm, abe aspirin ene, si nana ʋudodo ƒe afɔkua dzina ɖe edzi la, wò ɖɔkta ate ŋu abia tso asiwò be nàdzudzɔ wo nono.
• Ʋumenugbagbeviɣidɔ: Ne ʋu si le dodom le ŋuwò nu sẽ ŋutɔ eye wò ʋumenugbagbeviɣiwo mesɔ gbɔ kura o la, woate ŋu ana ʋumenugbagbevi dzĩwo wò tso ame bubu ƒe nunana me. Ke hã, esia nye egbɔkpɔnu si anɔ anyi ɣeyiɣi kpui aɖe.
• Splenectomy: Aɖuɖɔtoe nye ŋutilã ƒe akpa aɖe si ɖea ʋumenugbagbevi xoxowo kple esiwo gblẽ, kpakple ʋumenugbagbevi dzĩ siwo wotsɔ dɔlékuiwutikewo de dzesii. Le ame aɖewo gome la, ne dɔdamɔnu bubuwo mete ŋu ɖu dɔlélea dzi o la, woɖea dɔgboa ɖa to amekoko me. Esia ate ŋu akpɔ ITP ƒe nɔnɔmea dzi le akpa gãtɔ me. Gake ne èɖe aɖuɖɔa ɖa la, ate ŋu ana dɔlékui aɖewo xɔxɔ ƒe afɔkua nadzi ɖe edzi.

Atikewɔwɔ ƒe nugbegblẽ le ame ŋu

Abe atike alo atike ɖesiaɖe ene la, ITP-dɔdamɔnu ate ŋu ahe nugbegblẽ aɖewo vɛ . Le kpɔɖeŋu me, corticosteroids ate ŋu ana ame nalolo, mo navuvu, alɔ̃madɔmadɔ, kple seselelãme natrɔ. Wò ɖɔkta aɖe nusiwo esiawo nye kple alesi wodze na wò la me na wò. To mɔ sia dzi la, àte ŋu anya wo do ŋgɔ eye nàƒo nu tso wo ŋu ne nya aɖe le fu ɖem na wò.

Nukae nye mɔkpɔkpɔ na ITP?

Nukpɔsusu/nyagblɔɖi toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, le ITP ƒe ƒomevi nu.

• Na ɖeviwoNe ITP si nu sẽ dze egɔme la, ame akpa gãtɔ ahaya keŋkeŋ atike aɖeke mawɔmawɔe le kwasiɖa alo ɣleti ʋɛ aɖewo megbe.
• Ne ITP si nɔa anyi didi le ame tsitsiwo ŋu la, ate ŋu anye dɔléle si anɔ anyi le woƒe agbemeŋkekewo katã me. Gake, mehiã be nàtsi dzi o. Ame akpa gãtɔ ate ŋu akpɔ woƒe dzesiwo gbɔ nyuie to atikewo kple atikewɔmɔnu bubuwo zazã me eye woanɔ agbe si sɔ. Togbɔ be ɖɔktawo mate ŋu ada ITP keŋkeŋ o hã la, ame geɖe siwo ŋu ITP si nɔa anyi didi le nɔa agbe nyuie kple dɔlélea ƒe bla nanewo.

Aleke malé be na ɖokuinye?

Ne ITP le ŋuwò la, ahiã be nàno atike le wò agbemeŋkekewo katã me be nàkpɔ egbɔ be wò ŋutilã wɔ ʋumenugbagbevi dzĩwo wòsɔ gbɔ. Ahiã hã be nàƒo asa na dɔwɔnawo kple numame siwo ana nàxɔ abi eye ʋu nado le ŋuwò. Bu eŋu kpɔ, anyidzedze sue aɖe gɔ̃ hã ate ŋu anye kuxi gã aɖe, alo? Eyata nya nu tso nusiawo ŋu:

• Te ɖa le kamedefefe siwo me wodoa ka kple ame le siwo me ameƒoƒo, anyidzedze, kple ŋutilã ƒe kadodo sesẽ , abe bɔlƒoƒo, rugby, kɔdada, karat, basketball, kple ice hockey ene ŋu alesi nàte ŋui.
• Ne ITP le viwòa ŋu la, kpɔ egbɔ be edo ametakpɔnu abe gakuku, klonu, kple abɔta ne ele nuwɔna ɖesiaɖe abe gasɔdodo, tsikpedzizɔzɔ, alo roller skating ene wɔm.
• Ne èle ʋu alo ʋu me zɔm la, do zikpuimeka ɣesiaɣi , eye mègaŋlɔ be be yeabla viwò ƒe zikpuimeka nyuie alo atsɔe ade ʋuzikpui dzi o.
• Ne èle atike alo gbetike siwo womeƒlena o zãm la, ƒo nu tso wo ŋu na wò ɖɔkta eye nàxɔ eƒe mɔɖeɖe . Vevesesenutsitike aɖewo, abe aspirin kple ibuprofen ene, kpakple gbetike aɖewo ate ŋu ana ʋudodo ƒe afɔkua nadzi ɖe edzi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne wokpɔe be ITP le ŋuwò eye nèle atike wɔm la, wò ɖɔkta alé ŋku ɖe ŋuwò edziedzi. Gake le ɣeyiɣi sia me la,:

• Ne èkpɔ abi yeyewo la , .
• Ne teƒe dzĩ suesuesuewo (`petechiae`) le wò ŋutigbalẽ ŋu la, .
• Ne èse le ɖokuiwò me be ʋu le dodom le ye ŋu bɔbɔe wu alesi wònɔna ɖaa la, .

Esia fia be wò nɔnɔmea ate ŋu anɔ sesẽm ɖe edzi, alo wò ʋumenugbagbevi dzĩwo ƒe xexlẽme ate ŋu anɔ ʋɛ. Ne edzɔ alea la, yi ɖɔkta gbɔ kaba ale si nàte ŋui. Ate ŋu agbugbɔ alé ŋku ɖe wò ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ ŋu eye wòatrɔ asi le wò atikewɔwɔ ŋu ne ehiã.

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Esia mebɔ kura o, gake ɣeaɖewoɣi la, ITP ate ŋu ana wò ʋumenugbagbevi dzĩwo ƒe xexlẽme naɖiɖi akpa eye nàdze ʋu dodo gɔme le mɔ si dzi màte ŋu aɖu o nu. Le kpɔɖeŋu me, ne ʋu le dodom le ŋɔti me si madzudzɔ o, ʋu le dodom le nu me, ʋu le dodom le dzinukpɔkpɔ me vevie, alo abi si medzudzɔ ʋu le dodom ne èmimie gɔ̃ hã o la, ke atikewɔwɔ kpatae.Ne edzɔ alea la, ele be nàyi kɔdzi si te ɖe ŋuwò ƒe xɔ si me wowɔa dɔ kpata le me enumake. Azɔ hã, ne èƒo ta, alo ne ʋu le dodom le ahɔhɔ̃a me ƒe dzesiwo, abe taɖuame sesẽ, ʋuʋudedi, alo nukpɔkpɔ ƒe tɔtrɔ ene la, yi kɔdzi enumake.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èva nya be ITP le ye ŋu la, biabia geɖe ate ŋu anɔ asiwò. Mègavɔ̃ alo akpe ŋu na wò be yeabia wò ɖɔkta tso wo katã ŋu o. Nyabiase aɖewo siwo nàte ŋu abiae nye esi:

• ITP ƒomevi ka ƒomevie le asinye? (Acute, chronic, gbãtɔ, evelia?)
• Atikewɔwɔ kae nàkafu nam? Nu ka ta?
• Ɣeyiɣi didi kae wòaxɔ hafi atikewɔwɔ mawo nate ŋu ada dɔ/emetsonu?
• Ðe wòahiã be mano atike sia gbesiagbea?
• Ne atikewɔwɔ gbãtɔa medze edzi o la, nukae kplɔe ɖo?
• Nukawoe nye atike siawo ƒe nugbegblẽ le ame ŋu? Nukae wòle be mawɔ ne wodzɔ?
• Tɔtrɔ kawoe wòle be mawɔ le nye nuɖuɖu kple agbenɔnɔ ŋu?
• Kamedede kawoe nyo nam be mawɔ? Kamedede kawoe menyo nam be mawɔ o?

Nukae dzɔna ne mefɔ fu esime ITP le ŋunye?

Ne èfɔ fu alo nèle ɖoɖo wɔm be yeafɔ fu la, ne ènya be ITP le ye ŋu ate ŋu ado vɔvɔ̃ na wò ŋutɔ. Gake àte ŋu akpɔ akɔfafa le esia nyanya me: Zi geɖe la, ITP mekpɔa ŋusẽ ɖe viwò si le dɔ me dzi tẽ o.

Vidzĩa ƒe ʋumenugbagbeviɣidɔ ate ŋu aɖiɖi vie ne wodzii, gake zi geɖe la, esia nɔa anyi ɣeyiɣi kpui aɖe eye adzi ɖe edzi le ŋkeke ʋɛ aɖewo megbe. Ðɔktawo alé ŋku ɖe vidzĩa ƒe ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ ŋu.

Ne ITP si nu mesẽ o le ŋuwò le fufɔɣi, eye wò dzesiwo mesẽ o la, ɖewohĩ màhiã atike aɖeke o. Gake ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue ŋutɔ alo ʋu le dodom le ŋuwò la, ate ŋu ahiã be woawɔ atike na wò. Le nɔnɔme mawo me la, wò vidzidziŋutinunyala kple ʋumenugbagbeviɣidɔdala awɔ dɔ aduadu atia atike si le dedie wu na wò kple viwòa . Woalé be na wo etɔxɛe hã le vidzidziɣi.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata fifia èse nusi ŋu míeƒo nu tsoe, ITP (Immune Thrombocytopenia) gɔme nyuie. Nu vevi aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• ITP nye nɔnɔme si me wò dɔlélenutsiŋutete gblẽa wò ŋutɔ wò ʋumenugbagbevi dzĩwo, si wɔnɛ be ʋu ƒe sisi dzi ɖena kpɔtɔna.
• Dzesiawo ate ŋu anye abi ƒe ƒoƒo bɔbɔe, teƒe siwo biã le ŋutigbalẽa ŋu, kple ʋu si dona enuenu.
• Ne esia dzɔ ɖe ɖeviwo dzi la, zi geɖe la, enyona ɖe edzi ne ɣeyiɣiawo va le yiyim. Ðewohĩ ahiã be woawɔ atike na ame tsitsiwo ɣeyiɣi didi.
• Togbɔ be womate ŋu ada ITP keŋkeŋ o hã la, ne wodae nyuie la, woate ŋu aɖu dzesiawo dzi eye woate ŋu akpɔ agbenɔnɔ ƒe nyonyome.
• Ne dzesi siawo le ŋuwò la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi o. Aɖo aɖaŋu kple atikewɔwɔ si hiã la wò.
• Takpɔ ɖokuiwò ta tso abixɔxɔ me, wɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi, eye nàno wò atikewo abe alesi wogblɔe ene.

ITP ate ŋu anye nɔnɔme dziŋɔ aɖe, vevietɔ ne ʋu le dodom le ŋuwò ko. Gake menye wò ɖeka koe o. Ðɔkta aɖewo li siwo ate ŋu akpe ɖe ŋuwò ahalé be na wò. Eya ta, tsɔ dzideƒo dze ŋgɔ nɔnɔme sia. Ne nane si ŋu nètsi dzi ɖo la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta.

` ITP, Dɔlélenutsiŋutete ƒe Thrombocytopenia, ʋumenugbagbevi dzĩwo, ʋu ƒe sisi, ʋu ƒe dodo, dɔlélenutsiŋutete, abi, petechiae, purpura