Ke polū nei ʻoe me kahi palapū liʻiliʻi? Ke kahe pinepine nei kou ihu? A i ʻole ke kahe nei kou ʻāʻī? Ua haʻi aku paha kāu kauka iā ʻoe he maʻi kou i kapa ʻia ʻo ITP. He maʻi kēia kahi e hoʻemi ʻia ai ka helu o nā platelets i loko o ko mākou kino e kōkua ana i ke kāpili ʻana o ke koko . No laila, ua kapa ʻia kahi lāʻau lapaʻau kūikawā no kēia ʻo Nplate. I kēia lā, e kamaʻilio mākou e pili ana i kēia, e pili ana i kēia lāʻau lapaʻau, ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka ITP (Immune Thrombocytopenia )?
I ka ʻōlelo maʻalahi, ʻo ITP kahi kūlana kahi e hoʻouka hewa ai ka ʻōnaehana pale ponoʻī o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale , a luku i kā mākou mau platelets koko ponoʻī, me ka manaʻo he ʻenemi lākou. ʻO kēia ka mea a mākou e kapa nei he kūlana autoimmune .
E noʻonoʻo i kēia ʻano: he mau ʻano liʻiliʻi like me nā koa nā platelets i hana ʻia i loko o ko kākou iwi iwi . Ke loaʻa kahi ʻeha ma kekahi wahi a hoʻomaka ke kahe ʻana o ke koko, holo wikiwiki kēia mau platelets i kahi, pani i ka ʻeha, a hoʻōki i ke kahe ʻana o ke koko. He haʻahaʻa nā pae o kēia mau platelets i ka poʻe me ITP, kahi e hoʻonui ai i ka pilikia o ke kahe ʻana o ke koko.
He aha nā hōʻailona o ka ITP?
Hiki ke ʻokoʻa nā hōʻailona o ka ITP mai kēlā kanaka a kēia kanaka. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Petekiae | ʻO ke ʻano o nā kiko ʻulaʻula liʻiliʻi ma ka ʻili, me he mea lā ua kaha ʻia me ka wēlau peni liʻiliʻi. |
| Poni | Nā kiko poni ma ka ʻili (ʻoi aku ka nui ma mua o ka petechiae). |
| ʻEha maʻalahi (Ecchymosis) | ʻOiai kahi palapū liʻiliʻi, ʻoi aku hoʻi ma nā lima a me nā wāwae, hiki ke lilo i polū. |
| Ka kahe pinepine ʻana o ka ihu | Ke kahe pinepine ʻana o ka ihu a nui paha. |
| Ka kahe koko nui o ka menstrual (Menorrhagia) | Ka nui o ke kahe koko i ka wā o ka menstruation i nā wahine. |
| Nā ʻāʻī koko | Ke kahe ʻana o ke koko o nā ʻāʻī i ka wā e palaki ai i kou mau niho a i ʻole ma ka palaki wale ʻana i kou mau niho. |
| Ke koko i loko o ka mimi (Hematuria) | Koko i loko o ka mimi. |
Pehea e hana ai ka lāʻau lapaʻau ʻo Nplate?
He "mea hoʻonui platelet" ʻo Nplate. ʻO ia hoʻi, he lāʻau lapaʻau ia e kōkua ai i ka hoʻonui ʻana i ka helu o nā platelets i loko o ke koko.
ʻO ka mea nui, ʻaʻole ʻo Nplate ka lāʻau lapaʻau mua i hāʻawi ʻia no ITP. ʻO ka maʻamau, e hoʻāʻo mua kāu kauka i nā lāʻau lapaʻau ʻē aʻe, e like me nā corticosteroids a me nā immunoglobulins. I kekahi manawa, hiki ke noʻonoʻo ʻia kahi splenectomy . Hoʻohana wale ʻia kahi lāʻau lapaʻau e like me Nplate inā ʻaʻole hāʻawi kēia mau lāʻau i ka kaohi kūpono.
Aia kekahi protein kūikawā i loko o ko kākou kino i kapa ʻia ʻo thrombopoietin (TPO) e 'hōʻailona' ana i ka iwi iwi e hana i nā platelets koko. Hiki i ka poʻe me ITP ke loaʻa nā pae haʻahaʻa o kēia TPO. Hana like ka lāʻau lapaʻau Nplate me kēia TPO, e hoʻouna ana i kahi leka i ka iwi iwi e "hana i nā platelets koko hou aku."
ʻO ka pahuhopu nui o kēia lāʻau lapaʻau, ʻaʻole ia e hoʻihoʻi i ka helu platelet i ka maʻamau (150,000-450,000). ʻO ka pahuhopu ka mālama ʻana i ka helu platelet ma luna o 50,000, he mea pono ia e hōʻemi i ka pilikia o ke kahe ʻana o ke koko.
Pehea e hāʻawi ʻia ai ʻo Nplate?
He inikini hoʻokahi manawa i ka pule ʻo Nplate i hāʻawi ʻia ma lalo o ka ʻili. Nou a no kāu keiki paha kēia.Hāʻawi ʻia e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia. Hoʻoholo pinepine ʻia ka nui e ke kaumaha o kou kino. Hiki i kāu kauka ke hoʻoponopono i ka nui e like me ka mea e pono ai ma muli o kāu mau hopena hoʻāʻo koko (helu platelet). No laila, he mea nui loa e hele i ke kauka pololei i nā lā a me nā manawa i kuhikuhi ʻia e kāu kauka. Inā ʻoe e poina i kahi nui, e kāhea koke i kāu kauka e hoʻonohonoho i kāu nui aʻe.
He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki iā Nplate ke hana i nā hopena ʻaoʻao. He ʻokoʻa iki paha kēia no nā pākeke a me nā keiki.
| Nā hopena ʻaoʻao maʻamau o Nplate | |
|---|---|
| Nā mea e hiki ke hana i nā mākua | |
| ʻEha poʻo | ʻEha hui a me nā ʻiʻo |
| Pōʻino | ʻAʻole hiki ke hiamoe |
| ʻEha lima, wāwae, a me ka poʻohiwi | ʻEha ʻōpū, nausea, luaʻi, palahēhē |
| Ka mae ʻana o nā lālā | Kuke, ʻeha puʻu, anu |
| Nā mea hiki ke hana i nā keiki | |
| ʻEha | Nā maʻi ʻāʻī a me ka ihu, e like me ke anu |
| ʻEha waha a me ka ʻāʻī | |
Pehea e mālama ai i kēia mau hopena ʻaoʻao?
- Ka luaʻi/ka luaʻi: Inā loaʻa iā ʻoe ka luaʻi, e inu i ka wai he nui e pale aku ai i ka maloʻo ʻana o ka wai. E pale i nā meaʻai momona a me nā mea ʻala a ʻai i nā meaʻai māmā e like me ka berena a me nā kuki. Inā hoʻomau kēia mau hōʻailona , e haʻi pono i kāu kauka .
- ʻEha poʻo a me ka ʻeha: Hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha no nā mea e like me ke poʻo poʻo a me ka ʻeha ma kou mau lālā. Eia naʻe, mai lawe i kekahi lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka .
- Dizziness: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka dizziness, no laila e pale i ka hoʻokele a i ʻole ka hana ʻana i nā mīkini kaumaha a hiki i kou ʻike ʻana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe.
- ʻAʻole hiamoe: ʻO ka hele ʻana e hiamoe i ka manawa like, ka hoʻēmi ʻana i kāu manawa kelepona a me ka TV ma mua o ka hiamoe ʻana, a me ka noʻonoʻo ʻana e hiki ke kōkua i ka hōʻemi ʻana i nā pilikia hiamoe.
ʻO ka mea nui loa, ʻo ia ke hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi mau hopena ʻaoʻao, ʻoiai inā manaʻo ʻoe he mea liʻiliʻi ia.
Aia kekahi mau pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana like ʻana me nā lāʻau lapaʻau)
ʻAʻohe hōʻike o nā pilikia koʻikoʻi me nā lāʻau lapaʻau ʻē aʻe e launa pū me Nplate. Eia nō naʻe, ʻo ka mea nui e hoʻomanaʻo ai, inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe e hoʻonui ai i kou pilikia o ke kahe ʻana o ke koko (e laʻa, aspirin, warfarin, a i ʻole nā mea hoʻokahe koko e like me clopidogrel), he mea nui e haʻi aku i kāu kauka. Eia kekahi, e hōʻoia e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā huaora āu e lawe nei.
Leka Lawe-Home
- ʻO ka ITP kahi kūlana kahi e hoʻopau ai ko mākou ʻōnaehana ponoʻī i nā platelets koko.
- ʻO Nplate kahi inikini i hoʻokahi manawa i ka pule e hoʻoulu ai i ka iwi iwi e hoʻonui i ka hana ʻana o nā platelet koko.
- ʻAʻole kēia he lāʻau lapaʻau no ITP. ʻO kāna kumu ka hōʻemi ʻana i ka pilikia o ke kahe ʻana o ke koko.
- Hoʻoholo ʻia ka nui o ka lāʻau lapaʻau ma muli o kou kaumaha a me nā hopena o nā hoʻāʻo koko. No laila, he mea nui loa e hahai i nā ʻōlelo a kāu kauka.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ke poʻo ʻeha, ka ʻeha hui, a me ka luaʻi, a e hoʻomaopopo koke i kāu kauka e pili ana i kekahi mau kūlana ʻē.
- He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau hoʻokahe koko.
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