Koj puas tau ntshai pom koj tus me nyuam muaj cov qhov mob xiav-ntshav ntawm lawv lub cev, tshwj xeeb tshaj yog lawv ob txhais ceg? Los yog koj, ua ib tug neeg laus, puas tau pom cov pob liab me me ntawm koj daim tawv nqaij thiab pom koj cov pos hniav los ntshav thaum koj txhuam koj cov hniav? Nws yog ib qho ib txwm muaj uas yuav ntshai thaum koj pom tej yam zoo li no. Tab sis feem ntau, qhov ua rau yog ib qho mob hu ua ITP. Yog li hnub no, cia peb tham txog ITP yog dab tsi, vim li cas nws tshwm sim, nws puas txaus ntshai, thiab yuav ua li cas txog nws, yooj yim heev, zoo li koj tab tom tham nrog ib tug phooj ywg.
ITP yog dab tsi yooj yim?
Txawm hais tias lub npe no yuav zoo li ntev me ntsis los nws lub ntsiab lus yooj yim heev. Cia peb piav qhia ua ntu zus.
- Idiopathic : Lub ntsiab lus yooj yim tshaj plaws ntawm qhov no yog "tsis paub ua rau."
- Thrombocytopenic: Qhov no txhais tau tias muaj kev txo qis ntawm cov cell hauv peb cov ntshav hu ua 'thrombocytes'. Feem ntau peb hu cov thrombocytes no ua 'platelets' .
- Purpura: Qhov no yog hais txog cov kab mob ntshav uas tshwm sim los ntawm kev los ntshav hauv qab daim tawv nqaij.
Hais yooj yim xwb, ITP yog ib qho mob uas tshwm sim thaum peb lub cev tiv thaiv kab mob tsis ua haujlwm zoo, rhuav tshem cov platelets, uas yog qhov tseem ceeb rau kev txhaws ntshav, thiab ua rau cov platelets tsawg zuj zus.
Xav txog nws li no: thaum peb raug mob lossis raug mob qhov twg ntawm peb lub cev, cov neeg ua haujlwm me me no hu ua platelets maj nrawm los nres qhov ntshav thiab lo rau ntawm qhov chaw zoo li 'plaster' los kaw qhov. Hauv ITP, qhov tshwm sim yog tias peb lub zog tiv thaiv kab mob (lub cev tiv thaiv kab mob) xav tias cov neeg ua haujlwm me me no (platelets) yog peb cov yeeb ncuab thiab tawm tsam thiab rhuav tshem lawv. Tom qab ntawd tus lej ntawm platelets hauv cov ntshav txo qis. Yog vim li cas txawm tias qhov txhab me me tsis nres qhov ntshav, thiab cov qhov txhab tsim.
Muaj ob hom ITP - txoj kev uas nws tshwm sim rau cov menyuam yaus thiab cov neeg laus txawv!
Txoj kev uas ITP loj hlob tuaj txawv ntawm cov menyuam yaus thiab cov neeg laus. Nws yog ib qho tseem ceeb uas yuav tsum nkag siab txog qhov txawv no.
| Yam ntxwv | ITP Mob Hnyav rau Cov Menyuam | Mob ITP Ntev rau Cov Neeg Laus |
|---|---|---|
| Lub hnub nyoog feem ntau | Nws yog ib qho uas pom ntau rau cov menyuam yaus hnub nyoog ntawm 2-6 xyoo. | Feem ntau nws cuam tshuam rau cov tub ntxhais hluas thiab cov neeg hnub nyoog nruab nrab (20-50 xyoo). Nws feem ntau tshwm sim rau cov poj niam. |
| Vim li cas | Feem ntau nws tuaj yeem tshwm sim 1-4 lub lis piam tom qab muaj kev kis kab mob viral , xws li mob khaub thuas lossis mob qaib ntxhw. | Feem ntau tsis muaj qhov ua rau mob no (idiopathic). Tej zaum nws yuav muaj feem cuam tshuam nrog lwm yam kab mob (piv txwv li lupus). |
| Lub sijhawm ntawm tus kab mob | Qhov no yog ib ntus xwb (mob hnyav) thiab feem ntau yuav kho tau hauv tsawg dua 6 lub hlis. | Qhov no yog mob ntev . Nws kav ntev tshaj 6 lub hlis, qee zaum thoob plaws lub neej. |
| Qhov xwm txheej ntawm kev kho mob | Ntau tshaj 80% ntawm cov menyuam yaus rov zoo yam tsis tas yuav kho dab tsi li. | Kev kho mob sai sai tsis tshua muaj, thiab feem ntau yuav tsum tau kev kho mob kom tswj tau cov tsos mob. |
Cov tsos mob tseem ceeb ntawm tus kab mob no yog dab tsi?
Cov ntshav platelet qis ua rau muaj kev pheej hmoo ntawm kev los ntshav, yog li koj yuav pom cov tsos mob zoo li:
- Qhov mob yooj yim (Purpura): Txawm tias raug mob me me los xij, qee zaum qhov mob ntshav lossis xiav tshwm sim rau ntawm lub cev.
- Petechiae: Qhia meej txog cov pob liab lossis xim av uas tshwm sim los ntawm cov hlab ntsha me me hauv qab daim tawv nqaij. Cov no feem ntau pom ntawm ob txhais ceg.
- Los ntshav ntswg.
- Cov pos hniav los ntshav thaum txhuam koj cov hniav.
- Cov poj niam muaj lub sijhawm hnyav.
- Tsis tshua muaj ntshav tawm nrog quav lossis zis.
- Mob tsis tshua muaj tab sis txaus ntshai tshaj plaws: Los ntshav rau hauv lub hlwb (Intracranial Hemorrhage). Qhov no tsis tshua muaj. Txawm li cas los xij, yog tias koj muaj cov tsos mob xws li mob taub hau hnyav, ntuav, thiab tsis meej pem , koj yuav tsum mus rau chav kho mob ceev (ETU) tam sim ntawd.
Qhov no puas yog ib qho xwm txheej txaus ntshai? Peb puas yuav tsum ntshai tiag?
Yuav teb cov lus nug no ncaj qha, ITP tsis yog ib yam kab mob txaus ntshai rau cov neeg feem coob, tshwj xeeb yog cov menyuam yaus.
Ntau tshaj 80% ntawm cov menyuam yaus rov zoo tag nrho los ntawm tus mob no hauv ob peb lub hlis yam tsis tas yuav kho dab tsi li. Rau cov menyuam yaus uas muaj ITP, cov kws kho mob feem ntau tsuas yog saib xyuas tus mob xwb.
Txawm li cas los xij, ITP mob ntev rau cov neeg laus txawv me ntsis. Vim tias nws kav ntev, nws tuaj yeem cuam tshuam rau lub neej zoo. Txawm li cas los xij, muaj kev kho mob niaj hnub no uas tuaj yeem tswj tau qhov mob no zoo.
Qhov kev pheej hmoo loj tshaj plaws ntawm no yog kev los ntshav. Yog tias cov ntshav platelet poob qis heev (piv txwv li, tsawg dua 10,000), qhov kev pheej hmoo ntawm kev los ntshav hnyav nce ntxiv. Qhov no yog qhov tseeb tshwj xeeb rau cov neeg hnub nyoog tshaj 60 xyoo thiab cov neeg uas tau los ntshav yav dhau los. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob sai li sai tau thaum koj pom cov tsos mob.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, thawj qhov uas nws yuav ua yog nug koj thiab koj tus menyuam txog tej yam mob lossis tshuaj uas koj tab tom noj. Tom qab ntawd, lawv yuav kuaj koj lub cev thiab nrhiav seb puas muaj qhov liab lossis qhov mob.
Qhov kev kuaj tseem ceeb tshaj plaws tom ntej yog kev suav ntshav tag nrho (FBC) .
- Hauv daim ntawv tshaj tawm no, cov platelet suav qhia tias muaj tus nqi qis heev .
- Txawm li cas los xij, tus naj npawb ntawm cov qe ntshav liab thiab cov qe ntshav dawb yog ib txwm muaj.
ITP yog 'kev kuaj mob ntawm kev tsis suav nrog'. Qhov no txhais tau tias ITP tsuas yog kuaj pom tom qab lwm yam ua rau cov ntshav qis (piv txwv li dengue, leukemia, lwm yam kab mob autoimmune, qee yam tshuaj) tau raug tshem tawm. Rau qee tus neeg mob laus, kev kuaj pob txha yuav raug ua los xyuas seb cov pob txha puas tsim cov ntshav txaus.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ITP yog ib qho mob uas peb lub cev tiv thaiv kab mob rhuav tshem cov platelets hauv cov ntshav.
- Cov tsos mob tseem ceeb yog mob nqaij tawv tsis paub meej, muaj cov pob liab ntawm daim tawv nqaij, thiab los ntshav ntawm ntau qhov chaw.
- ITP rau cov menyuam yaus feem ntau yog ib ntus xwb, tuaj yeem tshwm sim tom qab muaj tus kab mob ua npaws, thiab ploj mus nws tus kheej yam tsis tas kho.
- ITP rau cov neeg laus tuaj yeem mob ntev, tab sis nws tuaj yeem tswj tau.
- Txawm hais tias qhov kev pheej hmoo tseem ceeb ntawm tus kab mob no yog los ntshav, cov teeb meem loj xws li los ntshav rau hauv lub hlwb yog tsawg heev.
- Yog tias koj lossis koj tus menyuam muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob ntshai thiab mus ntsib koj tus kws kho mob tam sim ntawd kom kuaj mob thiab muab lus qhia kom raug.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus