Txawm tias koj muaj qhov mob me me los koj puas hloov xiav? Koj puas muaj ntshav ntswg ntau zaus? Los yog koj puas muaj cov pos hniav los ntshav? Tej zaum koj tus kws kho mob yuav qhia rau koj tias koj muaj ib yam mob hu ua ITP. Qhov no yog ib yam mob uas cov ntshav platelets hauv peb lub cev uas pab kom cov ntshav khov tsawg dua. Yog li ntawd, kev kho mob tshwj xeeb rau qhov no hu ua Nplate. Hnub no, peb yuav tham txog qhov no, txog cov tshuaj no, yooj yim heev, hauv txoj kev uas koj nkag siab tau.
ITP (Kev tiv thaiv kab mob ntshav qis ) yog dab tsi?
Hais yooj yim xwb, ITP yog ib yam mob uas peb lub cev tiv thaiv kab mob, lub cev tiv thaiv kab mob , ua yuam kev tawm tsam thiab rhuav tshem peb cov ntshav platelets, xav tias lawv yog tus yeeb ncuab. Qhov no yog yam peb hu ua tus mob autoimmune .
Xav txog nws li no: cov ntshav platelets yog cov qauv me me zoo li cov tub rog uas tsim nyob rau hauv peb cov pob txha . Thaum muaj qhov txhab qhov twg thiab pib los ntshav, cov ntshav platelets no maj mam mus rau qhov chaw, txhaws qhov txhab, thiab nres qhov ntshav. Cov neeg uas muaj ITP muaj cov ntshav platelets no qis, uas ua rau muaj kev pheej hmoo ntawm kev los ntshav.
Cov tsos mob ntawm ITP yog dab tsi?
Cov tsos mob ntawm ITP yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Tej zaum ib txhia neeg yuav tsis muaj tsos mob li. Txawm li cas los xij, muaj ob peb yam tsos mob uas pom ntau. Cia peb saib seb lawv yog dab tsi.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Petechiae | Cov tsos ntawm cov pob liab me me ntawm daim tawv nqaij, zoo li lawv tau kos nrog lub taub cwj mem me me. |
| Xim av | Cov pob liab liab ntawm daim tawv nqaij (loj dua li petechiae). |
| Mob qhov muag yooj yim (Ecchymosis) | Txawm tias yog qhov mob me me, tshwj xeeb tshaj yog ntawm tes thiab taw, tuaj yeem hloov xiav. |
| Ntsws ntshav ntau zaus | Los ntshav ntswg ntau zaus los yog ntau dhau. |
| Kev los ntshav ntau heev (Menorrhagia) | Kev los ntshav ntau dhau thaum lub sijhawm muaj hli rau cov poj niam. |
| Cov pos hniav los ntshav | Cov pos hniav los ntshav thaum txhuam koj cov hniav lossis tsuas yog txhuam koj cov hniav xwb. |
| Ntshav hauv cov zis (Hematuria) | Ntshav nyob rau hauv cov zis. |
Cov tshuaj Nplate ua haujlwm li cas?
Nplate yog ib qho "platelet booster." Uas yog, nws yog ib yam tshuaj uas pab ua kom cov platelets ntau ntxiv hauv cov ntshav.
Qhov tseem ceeb, Nplate tsis yog thawj cov tshuaj uas muab rau ITP. Koj tus kws kho mob feem ntau yuav sim lwm yam kev kho mob ua ntej, xws li corticosteroids thiab immunoglobulins. Qee zaum, yuav xav txog kev phais tshem lub qog . Cov tshuaj zoo li Nplate tsuas yog siv yog tias cov kev kho mob no tsis muab kev tswj hwm txaus.
Muaj ib qho protein tshwj xeeb hauv peb lub cev hu ua thrombopoietin (TPO) uas 'qhia' cov pob txha kom ua cov ntshav platelets. Cov neeg uas muaj ITP tej zaum yuav muaj cov TPO no tsawg. Cov tshuaj Nplate ua haujlwm zoo ib yam li TPO no, xa xov mus rau cov pob txha kom "ua cov ntshav platelets ntau dua."
Lub hom phiaj tseem ceeb ntawm cov tshuaj no tsis yog kom coj cov platelet rov qab mus rau qhov qub (150,000-450,000). Lub hom phiaj yog kom tswj tau cov platelet kom siab tshaj 50,000, uas yog qhov tsim nyog los txo qhov kev pheej hmoo ntawm kev los ntshav.
Yuav muab Nplate li cas?
Nplate yog ib koob tshuaj txhaj rau hauv qab daim tawv nqaij ib zaug ib lub lim tiam. Qhov no yog rau koj lossis koj tus menyuam.Nws yog muab los ntawm tus kws kho mob lossis tus kws saib xyuas neeg mob uas tau kawm tiav. Feem ntau cov koob tshuaj yog txiav txim siab los ntawm koj qhov hnyav. Koj tus kws kho mob yuav hloov kho cov koob tshuaj raws li qhov xav tau raws li koj cov txiaj ntsig ntawm kev kuaj ntshav (platelet count). Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob raws sijhawm thiab hnub uas koj tus kws kho mob tau teev tseg. Yog tias koj tsis nco qab noj ib koob tshuaj, hu rau koj tus kws kho mob sai li sai tau kom teem sijhawm rau koj cov koob tshuaj tom ntej.
Cov tshuaj no muaj tej yam tshwm sim li cas?
Ib yam li lwm yam tshuaj, Nplate tuaj yeem ua rau muaj kev phiv. Cov no yuav txawv me ntsis rau cov neeg laus thiab cov menyuam yaus.
| Cov kev mob tshwm sim feem ntau ntawm Nplate | |
|---|---|
| Tej yam uas yuav tshwm sim rau cov neeg laus | |
| Mob taub hau | Mob pob qij txha thiab mob nqaij |
| kiv taub hau | Tsis tsaug zog |
| Mob caj npab, ceg, thiab xub pwg | Mob plab, xeev siab, ntuav, flatulence |
| Kev tsis muaj zog hauv cov ceg | Hnoos, mob caj pas, mob khaub thuas |
| Tej yam uas yuav tshwm sim rau cov menyuam yaus | |
| Kev raug mob | Kab mob caj pas thiab qhov ntswg, xws li mob khaub thuas |
| Mob qhov ncauj thiab caj pas | |
Yuav ua li cas thiaj tswj tau cov kev mob tshwm sim no?
- Xeev siab/ntuav: Yog tias koj xeev siab, haus dej ntau kom tiv thaiv kev qhuav dej. Tsis txhob noj cov khoom noj uas muaj roj thiab ntsim thiab noj cov khoom noj uas tsis muaj roj ntau xws li mov ci thiab ncuav qab zib. Yog tias cov tsos mob no tseem muaj , nco ntsoov qhia rau koj tus kws kho mob .
- Mob taub hau thiab mob: Koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj tua mob rau tej yam xws li mob taub hau thiab mob koj ob txhais ceg. Txawm li cas los xij, tsis txhob noj tshuaj yam tsis tau sab laj nrog koj tus kws kho mob .
- Kab mob kiv taub hau: Cov tshuaj no yuav ua rau kiv taub hau, yog li ntawd tsis txhob tsav tsheb lossis siv cov tshuab hnyav kom txog thaum koj paub tias cov tshuaj cuam tshuam li cas rau koj.
- Kev pw tsis tsaug zog: Mus pw tib lub sijhawm, txo koj lub xov tooj thiab TV lub sijhawm ua ntej pw, thiab kev xav tuaj yeem pab txo cov teeb meem pw tsaug zog.
Qhov tseem ceeb tshaj plaws yog qhia rau koj tus kws kho mob yog tias koj lossis koj tus menyuam muaj tej yam tshwm sim tsis zoo, txawm tias koj xav tias lawv tsis loj los xij.
Puas muaj teeb meem dab tsi nrog lwm cov tshuaj? (Kev Sib Cuam Tshuam ntawm Cov Tshuaj)
Tsis muaj lus ceeb toom txog teeb meem loj nrog lwm cov tshuaj uas cuam tshuam nrog Nplate. Txawm li cas los xij, qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias yog tias koj noj lwm yam tshuaj uas ua rau koj muaj feem yuav los ntshav (piv txwv li, aspirin, warfarin, lossis cov tshuaj ua kom ntshav nyias xws li clopidogrel), nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob. Tsis tas li ntawd, nco ntsoov qhia rau koj tus kws kho mob txog txhua yam tshuaj thiab cov vitamins uas koj noj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ITP yog ib qho mob uas peb lub cev tiv thaiv kab mob rhuav tshem cov ntshav platelets.
- Nplate yog ib qho kev txhaj tshuaj ib zaug ib lub lim tiam uas ua rau cov pob txha pob txha ua kom cov ntshav platelet ntau ntxiv.
- Qhov no tsis yog kev kho mob rau ITP. Nws lub hom phiaj yog kom txo qhov kev pheej hmoo ntawm kev los ntshav.
- Qhov ntau npaum li cas ntawm cov tshuaj yog txiav txim siab raws li koj qhov hnyav thiab cov txiaj ntsig ntawm kev kuaj ntshav. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia.
- Tej zaum yuav muaj tej yam tshwm sim tsis zoo xws li mob taub hau, mob pob qij txha, thiab xeev siab, thiab qhia rau koj tus kws kho mob tam sim ntawd txog tej yam mob txawv txawv.
- Nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, tshwj xeeb yog cov tshuaj uas ua rau cov ntshav nyias.
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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