Era ovaamu omusaayi mungi ne bwe guva ku kiwundu ekitono? Ka tulabe ku ITP (Immune Thrombocytopenia)!

Oluusi weebuuza lwaki n’ekiwundu ekitono kifuuka ekiwundu ekinene, oba lwaki akasala akatono tekajja kulekera awo kuvaamu musaayi? Oba ofuna ebintu ng’okuvaamu omusaayi mu nnyindo awatali nsonga, oba okuvaamu omusaayi mu nnyindo ng’osenya amannyo? Ebintu bino bwe bitera okukutuukako, mpozzi kikulu nnyo gy’oli okumanya embeera gye twogerako leero eyitibwa ITP (Immune Thrombocytopenia). Tofaayo, ka twogere ku nsonga eno mu ngeri ennyangu.

ITP (Immune Thrombocytopenia) kye ki?

Mu ngeri ennyangu, ITP (Immune Thrombocytopenia) mbeera omusaayi gwo mwe gulina obutoffaali obutono obuyitibwa platelets . Platelets zino ze ziyamba okukomya okuvaamu omusaayi nga tufunye obuvune awalala mu mubiri gwaffe. Zikola ekizimba ne ziyimiriza okuvaamu omusaayi . N’olwekyo, omuwendo gw’obutoffaali buno bwe gukendeera, omusaayi gwo teguzimba mangu nga bwe guli. Eno y’ensonga lwaki n’obuvune obutono busobola okuvaamu omusaayi omungi, oba oyinza okumala okunyiga omubiri gwo.

Kino kiyitibwa ITP, era ekigambo `Immune` kitegeeza ekintu ekikwatagana n'abaserikale b'omubiri. `Thrombocytopenia` kitegeeza obutoffaali obutono obuyitibwa platelets. Kale, ekibaawo mu kino kwe kuba nti abaserikale bwo bennyini , abaserikale abatukuuma endwadde, mu bukyamu balowooza nti obutoffaali bwo obw’omusaayi (platelet cells) mulabe wa bweru ne bubulumba ne bubusaanyaawo. Kiba ng’okulumba omuntu mu nnyumba yo, ng’olowooza nti mubbi.

Oluusi ITP esobola okujjanjabibwa n’eddagala oba nga tewali ddagala era ng’obudde bugenda butereera. Naye eri abantu abamu, kiyinza okuba embeera etawona . Kino kitegeeza nti wadde obubonero busobola okufugibwa, kizibu okuwona ddala. Mu bantu ng’abo, kiyinza okwetaagisa obujjanjabi obulamu bwabwe bwonna.

Amannya ki amalala agayitibwa ITP?

Bw’ogenda ew’omusawo, bayinza okukozesa amannya amalala ng’oggyeeko ITP. Kale kirungi n’okujjukira amannya gano:

• ``Obusimu obuziyiza endwadde obuyitibwa Thrombocytopenic Purpura''.
• ``Ekibumba ky'abaserikale b'omubiri ekiyitibwa Thrombocytopenic Purpura''.
• `Idiopathic Thrombocytopenic Purpura` (Erinnya lino lyakozesebwanga nnyo emabega, `Idiopathic` kitegeeza nti ekivaako ekituufu tekimanyiddwa)
• `Obulwadde bwa Werlhof`
• `Okukendeera kw'obutoffaali obuziyiza endwadde`

Ne bw’ogituuma erinnya ki, litera okutegeeza embeera y’emu ey’obujjanjabi.

ITP ya bulijjo etya?

Mu butuufu, ITP mbeera etatera kubaawo . Si bulwadde obukwata buli muntu. Mu bibalo, mu nsi nga Amerika, abaana nga bana ku buli mitwalo kikumi (4/100,000) n’abantu abakulu basatu ku buli lukumi (3/100,000) baakazuulibwa n’embeera eno. Embeera eno era elabibwa mu Sri Lanka, naye kizibu katono okufuna ebibalo ebituufu ebigikwatako. Naye kale, singa omuntu aba n’embeera eno, kiyinza okuba ekizibu ekinene gy’ali, nedda?

Waliwo ebika bya ITP?

Yee, ITP esobola okwawulwamu ebika bibiri ebikulu:

1. ITP enkulu:Kino kye kiseera abaserikale b’omubiri bo bennyini lwe balumba obutoffaali bwo obuyitibwa platelets awatali nsonga. Abalwadde ba ITP nga 80 ku buli 100 (80%) balina ekika kino. Buzibu bwa ``autoimmune disorder'', ekitegeeza nti buva ku buzibu bw'abaserikale b'omubiri.

2. Secondary ITP: Kino kibaawo ng’omuwendo gw’obutoffaali obukola omusaayi gukendedde ng’ekizibu ekiva mu mbeera endala ey’obujjanjabi, yinfekisoni oba eddagala. Okugeza nga:

• Yinfekisoni ezimu eziwangaala, gamba nga siriimu, Hepatitis C, oba H. pylori (obuwuka obuleeta amabwa mu lubuto) .
• Kookolo w’omusaayi
• Ebirala `(obuzibu bw'abaserikale b'omubiri)` (e.g. lupus - SLE)
• Era kiyinza okuba nga kiva ku ddagala erimu.

Abasawo era bagabanya ITP okusinziira ku bbanga ly’emaze ng’eriwo:

• Acute ITP: Kino kitera okutereera mu myezi esatu. Businga kubeera mu baana.
• ITP etaggwaawo: Kino kiyinza okumala okuva ku myezi esatu okutuuka ku myezi kkumi n’ebiri (omwaka gumu).
• Chronic ITP: Kino kimala omwaka ogusukka mu gumu. Businga kubeera mu bantu abakulu.

Bubonero ki obulaga ITP?

Abantu abamu bayinza okuba ne ITP nga tebalina bubonero bwonna. Kyokka singa obubonero bubaawo, buyinza okujja mpolampola oba mu bwangu. Obubonero obukulu bwe buno:

• Petechiae: Kino w’olaba obutundutundu obutono obumyufu oba obwa kakobe ku lususu naddala ku magulu aga wansi. Ziringa ekizimba. Bino tebigenda ku bwabyo.
• Purpura: Ebiwuka ebiyitibwa petechiae ebyogeddwako emabegako byegattira wamu ne bikola ebitundu ebinene ebimyufu, ebya kakobe oba ebya kitaka. Zino ntono okusinga ekiwundu, naye nga nnene okusinga ebifo ebyo. Kino kiva ku musaayi omutono ogukulukuta okuva mu misuwa emitono wansi w’olususu.
• Okunyiga mangu: Ne bwe wabaawo ekiwundu ekitono wonna kiyinza okuvaako ekiwundu ekinene oba ekiwundu. Oluusi, ebiwundu bisobola okulabika awatali nsonga.
• Okuvaamu omusaayi mu nnyindo: Ennyindo zo ziyinza okuvaamu omusaayi ng’osenya amannyo oba ng’osirise. Ennyindo zo nazo ziyinza okulabika ng’ezimbye.
• Omusaayi mu musulo: Singa omusulo gwo gulabika nga muddugavu nnyo, nga ttaala, kiyinza okuba nga kivaamu omusaayi munda.
• Omusaayi mu musulo: Singa amazzi agali mu bbakuli ya kaabuyonjo galabika nga ga pinki oba emmyuufu ng’ofulumya omusulo, kiyinza okuba nga kiva ku kuba nti mu musulo mulimu omusaayi.
• Okugenda mu nsonga enzito mu bakyala: Singa omwezi gwo gumala ennaku ezisukka mu musanvu, oba singa ovaamu omusaayi omungi okusinga ogwa bulijjo (`Menorrhagia`), ekyo nakyo kiyinza okuba akabonero ka ITP.
• Okuvaamu omusaayi mu nnyindo emirundi mingi.
• Ekiwundu ekinene (Hematoma): Oluusi ekiwundu ekinene ekizimba (`Hematoma`) kiyinza okutondebwawo ng’omusaayi mungi gukuŋŋaanyiziddwa mu kifo kimu.
• Okuwulira nga okooye nnyo (Obukoowu).

Ekikulu: Bw’oba ​​olina obubonero buno obumu oba obusingawo, kikulu nnyo okugenda ew’omusawo amangu ddala akuwe amagezi.

Biki ebivaako ITP?

Nga bwe twayogeddeko emabegako, ITP ebaawo ng’abaserikale b’omubiri bo mu nsobi bakoze obutoffaali obuziyiza obutoffaali bwo, oluvannyuma ne bugamba obutoffaali obulala obw’abaserikale okubusaanyawo. Omusuwa mu mubiri gwo bwe gwonoonese, platelets ze zijja mu kifo ekyo, ne zikwatagana, ne zikola ekisenge ky’omusaayi ne ziyimiriza okuvaamu omusaayi. Kino kiyitibwa ``okuziyiza omusaayi okusookerwako''.

Kyokka n’abakugu n’okutuusa kati tebannategeera bulungi lwaki abaserikale bano abaserikale batandika okulumba obutoffaali bwabwo.

Kyokka okunoonyereza okumu kuzudde nti:

• Ku abo abakwatibwa `(HIV)` (Human Immunodeficiency Virus) .
• Ku bantu abalina obulwadde bwa bakitiriya obuyitibwa `(H. pylori)` (Helicobacter pylori) (kino kitera okukwatagana n’amabwa mu lubuto n’obulwadde bw’olubuto)
• Ku bantu abalina obulwadde bw'ekibumba obuyitibwa `(Hepatitis C)`

Waliwo obulabe obweyongedde obw’okufuna ITP. Bino bisobola okuvaako ITP ey’okubiri.

ITP ezuulibwa etya?

Omusawo nga tannazuula oba olina ITP, ajja kusooka kwekebejja omubiri mu bujjuvu okukebera obubonero bw’okuvaamu omusaayi, okunyiga, n’amabala nga petechiae ne purpura. Olwo bajja kukubuuza ku byafaayo byo eby’obujjanjabi eby’emabega, eddagala ly’omira, n’okumanya oba waliwo omuntu yenna mu maka go abadde n’obuzibu bw’okuvaamu omusaayi.

Olw’okuba obubonero bwa ITP buyinza okufaananako n’obw’obuzibu obulala obw’okuzimba omusaayi oba n’endwadde ez’amaanyi ennyo nga kookolo w’omusaayi, omusawo ajja kugoba ebivaako ebirala byonna (okuzuula okuggyibwako) nga tannakola kuzuula kwa ITP okukakafu.

Bikebere ki ebikozesebwa okuzuula ITP?

Abasawo batera okukola ebigezo bino:

• Complete Blood Count (CBC): Kino kikebera omuwendo gw’obutoffaali obw’enjawulo mu musaayi gwo, omuli obutoffaali obumyufu, obutoffaali obweru, n’okusingira ddala obusimu obuyitibwa platelets . Mu ITP, platelets zino ziyinza okuba nga ntono nnyo.
• Peripheral Blood Smear: Mu kukebera kuno, baggyibwako ettondo ly’omusaayi, ne lisaasaanyizibwa ku slayidi y’endabirwamu, ne likeberebwa mu microscope okulaba oba enkula n’obunene bw’obutoffaali obukola omusaayi (platelets) bya bulijjo, oba nga waliwo ebintu ebirala ebitali bya bulijjo.

Singa omusawo alowooza nti oli mu bulabe bw’okukwatibwa akawuka ka siriimu, Hepatitis C, oba H. pylori, bayinza n’okukebera endwadde ezo. Oluusi okukebera obusigo bw’amagumba kuyinza okukolebwa, naye kino tekikolebwa ku buli muntu.

Bujjanjabi ki obuweebwa ITP?

Ebiseera ebisinga, .Abaana bwe bafuna ITP, singa obubonero tebuba bwa maanyi, bajja kutereera nga tebalina bujjanjabi bwonna. Kyokka abantu abakulu batera okwetaaga obujjanjabi naddala ng’omuwendo gw’obutoffaali obukola omusaayi mutono nnyo oba nga waliwo akabi ak’okuvaamu omusaayi.

Bw’oba ​​weetaaga obujjanjabi, omusawo ayinza okukuwa eddagala okwongera ku muwendo gw’obutoffaali obukola omusaayi oba okukomya abaserikale b’omubiri okulumba obutoffaali bwo. Ebika by’eddagala ebikulu ebikozesebwa bye bino:

• Eddagala eriyitibwa corticosteroids: (e.g. Prednisolone). Bino bikola nga biyimiriza okukola obutoffaali obuziyiza endwadde obusaanyaawo obutoffaali obuyitibwa platelets okumala akaseera. Zino bujjanjabi bwa layini esooka.
• Immunoglobulin (IVIg): Lino ddagala eriweebwa mu misuwa. Era kikyusa engeri abaserikale b’omubiri gye bakolamu n’okukendeeza ku kusaanyaawo obutoffaali obukola omusaayi.
• Thrombopoietin receptor agonists (TPO-RAs): Eddagala lino liyamba omubiri okukola platelets eziwera.
• Eddagala eriziyiza obusimu obuziyiza endwadde: (e.g. Rituximab, Mycophenolate). Bino bikendeeza ku mirimu gy’abaserikale b’omubiri ne bikomya okusaanyaawo obutoffaali obuyitibwa platelets.

Ng’oggyeeko eddagala lino, omusawo ayinza n’okumuwa amagezi ku ngeri endala:

• Okujjanjaba yinfekisoni enkulu: Mu mbeera za ITP ey’okubiri, omuwendo gw’obutoffaali obukola omusaayi guyinza okudda mu mbeera eya bulijjo ng’obulwadde obwagireeta bujjanjabiddwa.
• Okukomya eddagala erimu: Bw’oba ​​omira eddagala lyonna erikendeeza omusaayi, gamba nga aspirin, eryongera obulabe bw’okuvaamu omusaayi, omusawo ayinza okukusaba okulekera awo okulimira.
• Okuteekebwamu omusaayi: Singa omusaayi guba mungi nnyo ate nga n’omuwendo gw’obutoffaali obukola omusaayi mutono nnyo, oyinza okuweebwa obutoffaali obuva mu kuwaayo omuntu omulala. Kyokka kino kigonjoolwa kya kaseera buseera.
• Splenectomy: Ensigo kitundu kya mubiri ekiggyawo obutoffaali bw’omusaayi obukadde n’obwonoonebwa, wamu n’obutoffaali obuyitibwa platelets obubadde buwandiikiddwako obutoffaali obuziyiza endwadde. Mu bantu abamu, singa obujjanjabi obulala bulemererwa okufuga obulwadde buno, enseke ziggyibwamu nga balongoosebwa. Kino okusinga kisobola okufuga embeera ya ITP. Kyokka okuggyamu enseke kiyinza okwongera ku bulabe bw’okufuna yinfekisoni ezimu.

Ebizibu ebiva mu bujjanjabi

Okufaananako n’eddagala oba obujjanjabi bwonna, obujjanjabi bwa ITP busobola okuleeta ebizibu ebimu . Ng’ekyokulabirako, eddagala eriyitibwa corticosteroids liyinza okuvaako omugejjo, okuzimba mu maaso, obuteebaka, n’okukyukakyuka mu mbeera. Omusawo wo ajja kukunnyonnyola bino kye biruwa n’engeri gye bikufaanana. Mu ngeri eno, osobola okubamanya nga bukyali n’okubyogerako bw’oba ​​olina ekikweraliikiriza.

Endowooza ya ITP eri etya?

Endowooza/okuteebereza kwawukana okusinziira ku muntu, okusinziira ku kika kya ITP.

• Ku baanaSinga acute ITP efuna, abantu abasinga bajja kuwona ddala awatali bujjanjabi mu wiiki oba emyezi mitono.
• Singa abantu abakulu baba n’obulwadde bwa ITP obutawona, eyinza okuba embeera ey’obulamu bwabwe bwonna. Naye, tekyetaagisa kweraliikirira. Abantu abasinga basobola okuddukanya obulungi obubonero bwabwe nga bakozesa eddagala n’obujjanjabi obulala ne babeera n’obulamu obwa bulijjo. Wadde ng’abasawo tebasobola kuwonya ddala ITP, abantu bangi abalina ITP etali ya bulijjo bawangaala bulungi n’embeera eno okumala emyaka mingi.

Nze nneerabirira ntya?

Bw’oba ​​olina ITP, oyinza okwetaaga okumira eddagala obulamu bwo bwonna okukakasa nti omubiri gwo gukola obutoffaali obumala. Era ojja kwetaaga okwewala emirimu n’emize egikuteeka mu bulabe bw’okufuna obuvune n’okuvaamu omusaayi. Lowooza ku kino, ne bw’ogwa akatono kuyinza okuba ekizibu ekinene, nedda? Kale beera mwegendereza ebintu bino:

• Weewale emizannyo egy’okukwatagana egirimu okukuba, okugwa, n’okukwatagana n’omubiri ogw’amaanyi , gamba ng’omupiira, rugby, ebikonde, karate, basketball, ne ice hockey, nga bwe kisoboka.
• Omwana wo bw’aba alina ITP, kakasa nti ayambala eby’okwekuuma ng’enkoofiira, ebisiba ku maviivi, n’ebikoola ng’akola omulimu gwonna, gamba ng’okuvuga obugaali, okuvuga skateboard oba okuvuga roller skating.
• Bw’oba ​​otambulira mu mmotoka oba kabangali, bulijjo yambala omusipi , era tewerabira okusiba obulungi omusipi gw’omwana wo oba okumuteeka mu ntebe y’emmotoka.
• Bw’oba ​​omira eddagala lyonna eritali ku ddagala oba ery’omuddo, yogerako n’omusawo wo era ofune olukusa . Eddagala erimu eriweweeza ku bulumi, nga aspirin ne ibuprofen, wamu n’eddagala erimu ery’omuddo, liyinza okwongera ku bulabe bw’okuvaamu omusaayi.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​ozuuliddwa nti olina ITP era ng’ofuna obujjanjabi, omusawo ajja kukukebera buli kiseera. Kyokka mu kiseera kino:

• Bw'olaba ebiwundu ebipya , .
• Bw’oba ​​olina obutundutundu obutono obumyufu (`petechiae`) ku lususu lwo, .
• Bw’oba ​​owulira ng’ovaamu omusaayi mangu okusinga bulijjo, .

Kino kitegeeza nti embeera yo eyinza okuba nga yeeyongera okwonooneka, oba omuwendo gw’obutoffaali bw’omubiri gwo guyinza okuba omutono. Mu mbeera eyo, laba omusawo wo amangu ddala nga bwe kisoboka. Asobola okuddamu okukebera emiwendo gy’obutoffaali bw’omusaayi (platelets) n’okutereeza obujjanjabi bwo bwe kiba kyetaagisa.

Ddi lwe nnina okugenda mu kitongole ky’abalwadde ab’amangu (ETU) ?

Kino tekitera kubaawo nnyo, naye oluusi ITP esobola okuvaako omuwendo gwa platelet zo okukendeera ennyo n’otandika okuvaamu omusaayi nga tofugibwa. Okugeza bw’oba ​​n’omusaayi mu nnyindo ogutajja kukoma, ng’ovaamu omusaayi mu kamwa, ng’ovaamu omusaayi omungi ng’ogenda mu nsonga oba ekiwundu ekitajja kulekera awo kuvaamu musaayi ne bw’ogusika, kiba kya mangu mu by’obujjanjabi.Mu mbeera ng’eyo, olina okugenda mangu mu kisenge ky’abalwadde ab’amangu mu ddwaaliro erikuli okumpi. Ekirala, bw’okuba omutwe, oba bw’oba ​​olina obubonero obulaga nti omusaayi guvaamu munda mu bwongo, gamba ng’okulumwa ennyo omutwe, okusesema oba okukyuka mu kulaba, genda mu ddwaaliro mu bwangu.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’okizuula nti olina ITP, oyinza okuba n’ebibuuzo bingi. Totya oba okuswala okubuuza omusawo wo byonna. Bino bye bimu ku bibuuzo by’oyinza okubuuza:

• Nnina kika ki ekya ITP? (Acute, chronic, ekisookerwako, ekyokubiri?)
• Bujjanjabi ki bw’oyinza okumpa amagezi? Lwaaki?
• Kinatwala bbanga ki obujjanjabi obwo okuvaamu eddagala/ekivaamu?
• Nnaaba nnina okumira obujjanjabi buno buli lunaku?
• Singa obujjanjabi obusooka tebukola bulungi, kiki ekiddako?
• Biki ebiva mu bujjanjabi buno? Nkole ntya singa bibaawo?
• Nkyukakyuka ki ze nsaanidde okukola mu mmere yange ne mu bulamu bwange?
• Dduyiro ki ennungi gyendi okukola? Dduyiro ki ezitali nnungi gyendi okukola?

Kiki ekibaawo singa nfuna olubuto nga nnina ITP?

Bw’oba ​​oli lubuto oba ng’oteekateeka okufuna olubuto, okuyiga nti olina ITP kiyinza okukutiisa ennyo. Naye osobola okubudaabudibwa mu kumanya kino: ITP ebiseera ebisinga tekwata butereevu ku mwana wo ali mu lubuto.

Omuwendo gwa platelet z’omwana guyinza okuba omutono nga azaalibwa, naye kino kitera kuba kya kaseera buseera era kijja kweyongera mu nnaku ntono. Abasawo bagenda kukebera emiwendo gy’obutoffaali bw’omubiri (platelet) bw’omwana.

Bw’oba ​​olina ITP etali ya maanyi ng’oli lubuto, era ng’obubonero bwo tebuli bwa maanyi, oyinza obuteetaaga bujjanjabi bwonna. Wabula singa omuwendo gw’obutoffaali obukola omusaayi (platelets) guba mutono nnyo oba ng’oli mu bulabe bw’okuvaamu omusaayi, oyinza okwetaaga obujjanjabi. Mu mbeera ng’ezo, omusawo wo ow’okuzaala n’omusawo w’omusaayi bajja kukolera wamu okulonda obujjanjabi obusinga okuba obw’obukuumi eri ggwe n’omwana wo . Era bajja kufaayo mu ngeri ey’enjawulo nga bazaala.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Okay, kale kati olina okutegeera okulungi ku bye tubadde twogera, ITP (Immune Thrombocytopenia). Bino bye bimu ku bintu ebikulu by’olina okujjukira:

• ITP mbeera abaserikale b’omubiri bo mwe basaanyaawo obutoffaali bwo, ekivaako omusaayi okukendeera.
• Obubonero buyinza okuli okunyiga amangu, amabala amamyufu ku lususu, n’okuvaamu omusaayi enfunda eziwera.
• Kino bwe kituuka ku baana, kitera okutereera ng’obudde bugenda buyitawo. Abantu abakulu bayinza okwetaaga okujjanjabibwa okumala ebbanga eddene.
• Wadde nga ITP tesobola kuwona ddala, singa efuna obujjanjabi obulungi, obubonero busobola okufugibwa era n’omutindo gw’obulamu gusobola okutuukirizibwa.
• Bw’oba ​​olina obubonero buno, totya kulaba musawo. Ajja kukuwa amagezi n’obujjanjabi bwe weetaaga.
• Weekuume obutafuna buvune, goberera amagezi g’abasawo, era mira eddagala nga bwe likulagidde.

ITP eyinza okuba embeera etiisa naddala ng’omala okuvaamu omusaayi. Naye si ggwe wekka. Waliwo abasawo abasobola okukuyamba n’okukulabirira. N’olwekyo, yolekere embeera eno n’obuvumu. Bw’oba ​​olina ekikweraliikiriza, kakasa nti oyogera n’omusawo wo.

` ITP, Immune Thrombocytopenia, platelets, okuzimba omusaayi, okuvaamu omusaayi, abaserikale b’omubiri, okunyiga, petechiae, purpura