Koj puas tau pom ib lossis ob qho kev raug mob ntawm koj lub cev tam sim ntawd thiab xav tias, "Auj, qhov no raug qhov twg?" Nws yog ib txwm muaj kev raug mob me me li ntawd qee zaum. Tab sis yog tias koj raug mob thoob plaws koj lub cev yam tsis muaj laj thawj, yog tias koj cov pos hniav los ntshav thaum koj txhuam koj cov hniav, lossis yog tias txawm tias qhov khawb me me tsis tso tseg los ntshav, nws yog ib yam dab tsi uas yuav tsum txhawj xeeb txog. Hnub no peb tab tom tham txog ib qho mob uas ua rau muaj cov tsos mob zoo sib xws, tab sis ntau tus neeg tsis paub txog nws. Ntawd yog ITP.
Hauv lwm lo lus, ITP yog dab tsi?
Lub npe tag nrho ntawm tus kab mob, hu ua ITP, yog Immune Thrombocytopenia. Qhov no yog ib qho mob uas tsis tshua muaj neeg mob txog ntshav.
Xav txog nws, muaj cov qe ntshav me me hu ua "Platelets" hauv peb cov ntshav. Lawv zoo li cov tub rog me me hauv peb lub cev. Yog tias muaj qhov txiav lossis raug mob qhov twg, txoj haujlwm tseem ceeb ntawm cov platelets no yog maj mam mus rau ntawd, lo ua ke, thiab nres qhov ntshav.
Tam sim no, ntawm no yog qhov tshwm sim rau ib tus neeg uas muaj ITP. Lub cev tiv thaiv kab mob, uas tiv thaiv peb lub cev ntawm kab mob, cia li ploj mus. Vim yog qhov teeb meem ntawd, lub cev tiv thaiv kab mob yuam kev txheeb xyuas peb cov 'tub rog' zoo, cov platelets, ua tus yeeb ncuab los ntawm sab nraud. Tom qab ntawd, vim yog qhov teeb meem cuav ntawd, lub cev tiv thaiv kab mob pib rhuav tshem cov platelets no.
Hais yooj yim xwb, ITP yog thaum peb lub cev tiv thaiv kab mob rhuav tshem peb cov ntshav platelets uas ua rau cov ntshav txhaws. Qhov no ua rau cov ntshav platelets hauv cov ntshav poob qis dua li qub .
Thaum cov ntshav platelets txo qis, lawv lub peev xwm los tiv thaiv kev los ntshav kuj txo qis. Yog vim li ntawd koj thiaj pib mob thiab los ntshav yam tsis tsim nyog.
Cov hom mob ITP tseem ceeb yog dab tsi?
ITP muaj peb hom loj, nyob ntawm seb nws kav ntev npaum li cas. Nws yog ib qho tseem ceeb heev rau koj kom paub qhov no.
| Hom ITP | Kev piav qhia |
|---|---|
| Mob ITP Sai (ITP luv luv) | Qhov no kav tsawg dua 3 lub hlis. Feem ntau nws tshwm sim rau cov menyuam yaus (tshwj xeeb tshaj yog cov hnub nyoog ntawm 2-5) tom qab lawv tau zoo los ntawm kev kis tus kab mob viral, xws li mob khaub thuas lossis mob ntsws. Zoo hmoo, nws feem ntau ploj mus yam tsis tas kho. |
| ITP tas mus li | Hom no kav ntev li ntawm 3 thiab 12 lub hlis. |
| ITP ntev | Qhov no kav ntev tshaj ib xyoos. Hom kab mob no feem ntau tshwm sim rau cov neeg laus. Qee zaum nws kuj tuaj yeem tshwm sim rau cov menyuam yaus. Nws yuav xav tau kev kho mob ntev. |
Cov tsos mob ntawm ITP yog dab tsi?
Cov tsos mob tsuas yog pom tseeb thaum cov ntshav platelet tsawg heev. Tej zaum ib txhia neeg yuav tsis muaj tsos mob thaum xub thawj.
- Kev mob nqaij tam sim ntawd: Cov mob nqaij tam sim ntawd, xiav-ntshav tshwm sim rau ntawm lub cev yam tsis muaj kev raug mob.
- Cov pob liab ntawm daim tawv nqaij: Cov pob liab-ntshav ('petechiae') uas zoo li cov qhov me me, tshwj xeeb tshaj yog rau ntawm ob txhais ceg qis. Cov no yog cov ntshav ntws los ntawm cov hlab ntsha me me hauv qab daim tawv nqaij.
- Cov pob loj: Qee zaum cov pob loj liab, ntshav, lossis xim av ('Purpura') tshwm sim.
- Cov pos hniav los ntshav: Koj cov pos hniav tuaj yeem los ntshav, thaum txhuam koj cov hniav thiab thaum koj sawv ntawd xwb.
- Ntshav qhov ntswg: Thaum ntshav qhov ntswg pib los, nws yuav nyuaj rau nres.
- Ntshav hauv cov zis lossis quav: Qhov no yog ib qho tsos mob hnyav dua me ntsis.
- Cov poj niam uas muaj ntshav ntau thaum cev xeeb tub: Cov ntshav uas cev xeeb tub ntev tshaj 7 hnub thiab ntshav ntau thaum cev xeeb tub.
- Qaug zog txawv txawv: Qaug zog thiab qaug zog ntau dhau yam tsis muaj laj thawj.
Dab tsi yog cov ua rau muaj ITP?
Raws li peb tau tham ua ntej lawm, qhov ua rau muaj ITP yog teeb meem nrog lub cev tiv thaiv kab mob. Txawm li cas los xij, ITP muaj ob hom nyob ntawm seb vim li cas qhov teeb meem no tshwm sim.
1. ITP Thawj Zaug: Hauv hom ITP no, tsis muaj qhov ua rau pom tseeb sab nraud. Lub cev tiv thaiv kab mob tsuas yog ua haujlwm tsis zoo xwb.
2. ITP theem ob: Hauv qhov no, ITP tshwm sim vim yog lwm yam mob lossis kev kis kab mob. Piv txwv li:
- Cov kab mob sib kis xws li 'HIV' lossis 'Hepatitis C'.
- Cov kab mob bacterial xws li 'H. pylori'.
- Lwm yam kab mob autoimmune xws li lupus.
- Tus mob no kuj tuaj yeem tshwm sim los ntawm qee cov tshuaj.
Kev kuaj mob thiab kev kho mob
Yog koj muaj cov tsos mob zoo li no,Thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob thiab tau txais kev qhia. Tsis txhob ntshai. Kws kho mob yuav nug koj txog koj keeb kwm kev mob nkeeg thiab kuaj koj lub cev.
Tom qab ntawd, lawv yuav xaj qee qhov kev kuaj mob kom pom tias puas muaj lwm yam ua rau cov tsos mob no.
- Kev suav tag nrho cov ntshav (FBC/CBC): Qhov no yog qhov qhia koj tias koj cov ntshav platelet qis npaum li cas.
- Kev Ntsuas Ntshav Ntawm Sab Nraud: Hauv qhov no, ib tee ntshav raug coj mus thiab kuaj xyuas hauv qab lub tshuab microscope kom paub meej tias cov platelets zoo li cas.
- Lwm yam kev kuaj mob: Koj kuj tseem yuav raug kuaj mob rau cov kab mob xws li HIV thiab Hepatitis C.
Yuav kho li cas?
Tsis yog txhua tus neeg uas muaj ITP yuav pib kho tam sim ntawd. Koj tus kws kho mob yuav txiav txim siab seb puas yuav pib kho lossis tsis yog raws li koj cov ntshav platelet, qhov hnyav ntawm koj cov tsos mob, thiab koj qhov kev pheej hmoo ntawm kev los ntshav.
Yog tias xav tau kev kho mob, muaj ntau txoj kev kho mob tseem ceeb uas yuav muab rau:
- Cov tshuaj Corticosteroids: Cov no yog thawj hom tshuaj uas tau muab. Cov tshuaj no ua haujlwm los ntawm kev tswj cov haujlwm ntawm lub cev tiv thaiv kab mob thiab tiv thaiv kev puas tsuaj ntawm cov ntshav platelets.
- Immunoglobulin txhaj rau hauv cov hlab ntsha (IVIG): Qhov no yog kev kho mob uas muab los ntawm cov hlab ntsha (zoo li cov kua ntsev). Yog tias muaj kev los ntshav ntau, nws tuaj yeem pab kom koj cov ntshav platelet ntau ntxiv sai sai.
- Kev Hloov Platelet: Yog tias muaj kev los ntshav loj heev, uas ua rau tuag taus (piv txwv li, los ntshav hauv lub hlwb), kev hloov platelets los ntawm ib tus neeg noj qab haus huv raug muab ua qhov xwm txheej ceev.
- Lwm cov tshuaj: Yog tias kev kho mob thawj zaug tsis tswj tau tus kab mob, cov tshuaj uas ua rau cov ntshav platelet ntau ntxiv (xws li 'Eltrombopag', 'Romiplostim') lossis cov tshuaj uas tswj lub cev tiv thaiv kab mob hauv lwm txoj kev (xws li 'Rituximab').
- Kev rho tawm cov noob qes: Lub noob qes yog qhov chaw tseem ceeb uas ua rau cov ntshav hauv peb lub cev puas tsuaj. Yog tias cov tshuaj tsis tuaj yeem tswj tau tus kab mob, cov kws kho mob pom zoo kom phais tshem tawm cov noob qes rau qee tus neeg.
Tej yam yuav tsum xav txog thaum nyob nrog ITP
Mob ITP ntev yog ib yam mob uas yuav nrog koj mus ntev heev. Yog li ntawd, koj yuav tsum tau saib xyuas tej yam me me kom tiv thaiv koj tus kheej ntawm kev raug mob thiab kev los ntshav thaum koj ua neej nyob li qub.
Qhov tseem ceeb tshaj plaws yog, tsis txhob noj tshuaj tua kab mob lossis lwm yam tshuaj yam tsis tau nrog koj tus kws kho mob tham. Tshwj xeeb tshaj yog cov tshuaj xws li 'Aspirin' thiab 'Ibuprofen' ua rau muaj kev pheej hmoo ntawm kev los ntshav.
- Ua kom muaj kev nyab xeeb: Tsis txhob ua si nawv uas sib chwv xws li rugby thiab football. Yog tias koj caij tsheb kauj vab, nco ntsoov hnav lub kaus mom hlau.
- Siv txhuam hniav mos mos: Qhov no pab tiv thaiv kev raug mob ntawm cov pos hniav.
- Ceev faj thaum siv cov khoom ntse: Xav ob zaug thaum siv cov khoom xws li riam thiab txiab rau tes.
- Txo kev ntxhov siab: Nws yog ib qho tseem ceeb heev uas yuav tsum so koj lub siab los ntawm tej yam xws li yoga thiab kev xav.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ITP yog ib qho mob uas koj lub cev tiv thaiv kab mob rhuav tshem cov platelets, uas pab cov ntshav txhaws.
- Yog koj mob qhov muag tsis muaj laj thawj los yog los ntshav ntau zaus, tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob tam sim ntawd.
- ITP tsis yog mob qog noj ntshav, thiab nws tsis kis tau.
- Feem ntau cov neeg tuaj yeem tswj tau qhov mob no zoo nrog kev siv tshuaj thiab ua neej nyob li qub. Rau qee tus, tshwj xeeb tshaj yog cov menyuam yaus, nws yuav ploj mus ntawm nws tus kheej.
- Yog koj muaj ITP, tsis txhob noj tshuaj (tshwj xeeb yog tshuaj tua kab mob) yam tsis tau koj tus kws kho mob qhia.











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