Wali otidde okulaba ng’omwana wo omuto afuna ebiwundu ebya bbululu-kakobe ku mubiri naddala ku magulu ge? Oba ggwe ng’omuntu omukulu, olabye obutundutundu obutono obumyufu ku lususu lwo n’olaba ng’ennyindo zo zivaamu omusaayi ng’osenya amannyo? Kya bulijjo okuwulira ng’otya ng’olaba ebintu nga bino. Naye ebiseera ebisinga, ekivaako mbeera eyitibwa ITP. Kale leero, ka twogere ku ITP kyeri, lwaki ebaawo, ya bulabe, era kiki ky’olina okugikola, mu ngeri ennyangu ennyo, ng’olinga ayogera ne mukwano gwo.
ITP kye ki mu ngeri ennyangu?
Wadde ng’erinnya lino liyinza okulabika ng’ery’ewala katono, amakulu gaayo gangu nnyo. Katukimenye.
- Idiopathic : Amakulu amangu aga kino ge "tewali kivaako kimanyiddwa."
- Thrombocytopenic: Kino kitegeeza nti waliwo okukendeera kw’obutoffaali mu musaayi gwaffe obuyitibwa ‘thrombocytes’. Tutera okuyita obutoffaali buno obuyitibwa thrombocytes ‘platelets’ .
- Purpura: Kino kitegeeza ebiwundu ebya kakobe ebiva ku kuvaamu omusaayi wansi w’olususu.
Mu ngeri ennyangu, ITP mbeera ebaawo ng’abaserikale b’omubiri gwaffe bennyini tebakola bubi, ne basaanyaawo obutoffaali obuyitibwa platelets, obwetaagisa ennyo mu kuzimba omusaayi, era ne kireetera omuwendo gw’obutoffaali obukola omusaayi okukendeera.
Lowooza ku kino: bwe tufuna ekisala oba obuvune awalala ku mubiri gwaffe, abakozi bano abatono abayitibwa platelets bafubutuka okukomya omusaayi ne bagusibira mu kifo nga ‘pulasita’ okuziba ekituli. Mu ITP, ekibaawo kwe kuba nti eggye lyaffe erya defense force (immune system) lilowooza nti abakozi bano abatono (platelets) balabe baffe ne babalumba ne babasaanyaawo. Olwo omuwendo gwa platelets mu musaayi gukendeera. Eno y’ensonga lwaki n’ekiwundu ekitono tekikomya kuvaamu musaayi, n’ebiwundu bibaawo.
ITP erina ebika bibiri - engeri gye yeeyanjula mu baana n'abantu abakulu ya njawulo!
Engeri ITP gy’ekulaakulana ya njawulo nnyo mu baana n’abantu abakulu. Kikulu nnyo okutegeera enjawulo eno.
| Engeri | Acute ITP mu Baana | ITP etawona mu bantu abakulu |
|---|---|---|
| Emyaka egisinga okumanyibwa | Butera okubeera mu baana abato abali wakati w’emyaka 2-6. | Butera okukwata abato n’abantu ab’emyaka egy’omu makkati (emyaka 20-50). Businga kubeera mu bakyala. |
| Ensonga | Kitera okubaawo nga wayise wiiki 1-4 oluvannyuma lw’okukwatibwa akawuka , gamba ng’omusujja oba ekifuba. | Ebiseera ebisinga tewali nsonga ntongole esobola kusangibwa (idiopathic). Kiyinza okuba nga kikwatagana n’endwadde endala (e.g. lupus). |
| Ebbanga obulwadde buno bwe limala | Kino kya kaseera buseera (acute) era kitera okuggwaawo mu myezi egitawera 6. | Kino kibeera kya lubeerera . Bumala emyezi egisukka mu 6, oluusi mu bulamu bwonna. |
| Obutonde bw’okuwona | Abaana abasoba mu 80% bawona mu ngeri eyeetongodde nga tebalina bujjanjabi bwonna. | Okuwona mu ngeri eyeetongodde tekitera kubaawo, era emirundi mingi kyetaagisa obujjanjabi okusobola okufuga obubonero. |
Bubonero ki obukulu obulaga obulwadde buno?
Omuwendo gw’obutoffaali obutono (platelets) gwongera obulabe bw’okuvaamu omusaayi, n’olwekyo oyinza okulaba obubonero nga:
- Okunyiga okwangu (Purpura): Ne bw’oba n’obuvune obutono, oluusi ebiwundu ebya kakobe oba bbululu birabika ku mubiri.
- Petechiae: Laga ebifo ebimyufu oba ebya kakobe ebiva ku misuwa emitonotono wansi w’olususu. Bino bisinga kulabibwa ku magulu.
- Okuvaamu omusaayi mu nnyindo.
- Okuvaamu omusaayi mu nnyindo ng’osenya amannyo.
- Ensonga ezizitowa mu bakyala.
- Tekitera kubaawo, omusaayi guyisibwa n’omusulo oba omusulo.
- Embeera etali ya bulijjo nnyo naye nga ya bulabe: Okuvaamu omusaayi mu bwongo (Intracranial Hemorrhage). Kino tekitera kubaawo nnyo. Wabula bw’oba olina obubonero ng’okulumwa omutwe ennyo, okusiiyibwa, n’okutabulwa , olina okugenda amangu mu kitongole ky’eddwaaliro eky’amangu (ETU).
Embeera eno ya bulabe? Ddala tusaanidde okutya?
Okuddamu ekibuuzo kino butereevu, ITP si bulwadde bwa bulabe eri abantu abasinga naddala abaana.
Abaana abasoba mu 80% bawona ddala embeera eno mu myezi mitono nga tebalina bujjanjabi bwonna. Mu baana abalina ITP, abasawo batera okulondoola embeera eyo yokka.
Wabula ITP etawona mu bantu abakulu ya njawulo katono. Olw’okuba kiwangaala, kiyinza okukosa omutindo gw’obulamu. Kyokka, waliwo obujjanjabi leero obuyinza okufuga obulungi embeera eno nayo.
Obulabe bwokka era obukulu wano kwe kuvaamu omusaayi. Singa omuwendo gw’obutoffaali obukola omusaayi (platelets) gukka okutuuka ku ddaala erya wansi ennyo (e.g., wansi wa 10,000), akabi k’okuvaamu omusaayi ogw’amaanyi bweyongera. Kino kituufu naddala ku bantu abasukka mu myaka 60 n’abo ababadde bavaamu omusaayi emabegako. Eno y’ensonga lwaki kikulu okulaba omusawo amangu ddala ng’olaba obubonero.
Kino okisanga otya Omusawo?
Bw’olaba omusawo ng’alina obubonero buno, ky’agenda okusooka okukola kwe kubuuza ggwe n’omwana wo ku ndwadde yonna gye mufuna gye buvuddeko oba eddagala lye mumira. Olwo, bajja kwekebejja omubiri gwo era banoonye ebiwundu oba ebifo ebimyufu.
Okukebera okuddako okusinga obukulu kwe kubala omusaayi mu bujjuvu (FBC) .
- Mu lipoota eno, omuwendo gwa platelet gulaga omuwendo omutono ennyo .
- Kyokka omuwendo gw’obutoffaali obumyufu n’obutoffaali obweru gwa bulijjo.
ITP ‘kuzuula obulwadde bw’okuggyibwako’. Kino kitegeeza nti ITP ezuulibwa oluvannyuma lw’ebintu ebirala ebivaako obutoffaali obutono (e.g. dengue, leukemia, endwadde endala ez’abaserikale b’omubiri, eddagala erimu) okuggyibwawo. Ku balwadde abamu abakadde, bayinza okukeberebwa obusigo bw’amagumba okukebera oba obusigo bw’amagumba bukola obutoffaali obumala.
Obubaka Obutwala Awaka
- ITP mbeera abaserikale baffe bennyini mwe basaanyaawo obutoffaali obuyitibwa platelets mu musaayi.
- Obubonero obukulu kwe kunyiga amangu, amabala amamyufu ku lususu, n’okuvaamu omusaayi okuva mu bifo eby’enjawulo.
- ITP mu baana etera okuba ey’akaseera obuseera, esobola okubaawo oluvannyuma lw’omusujja gw’akawuka, era ewona ku bwayo awatali bujjanjabi.
- ITP mu bantu abakulu eyinza okuba ey’olubeerera, naye esobola okufugibwa.
- Wadde ng’akabi akasinga okuva mu bulwadde buno kwe kuvaamu omusaayi, ebizibu eby’amaanyi ng’okuvaamu omusaayi mu bwongo tebitera nnyo.
- Bw’oba ggwe oba omwana wo mulina obubonero buno, kikulu nnyo obutasattira n’olaba omusawo mu bwangu akuzuule bulungi n’okumuwa amagezi.
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