Bw’ofuna akasala akatono, omusaayi gumala kukoma oluvannyuma lw’akaseera, nedda? Oba wali okirabye nti oluusi ofuna ebiwundu ebya bbululu oba ebya kakobe ku mubiri nga tokubye kintu kyonna? Ensonga enkulu eri emabega w’ebintu bino bwe butoffaali obutono obuyitibwa ‘ platelets ’ mu musaayi gwaffe. Naye kiki ekibaawo ng’abayambi bano bakendedde mu muwendo? Ekyo kye tuyita Thrombocytopenia mu busawo. Tofaayo, ka twogere ku nsonga eno mu ngeri ennyangu.
Mu ngeri ennyangu, Thrombocytopenia kye ki?
Thrombocytopenia mbeera ng’omuwendo gwa platelets mu musaayi gwo guli wansi okusinga ogwa bulijjo. Platelets butoffaali butono , obulinga disiki mu musaayi gwaffe. Omulimu gwabwe omukulu kwe kukola ekizimba mu kifo ekiwundu we kiri okukomya okuvaamu omusaayi. Kiba ng’okukuba ekituli mu bbugwe.
Wali weebuuzizzaako ekigambo kino kye kitegeeza? “Thrombocytes” lye linnya eddala eriyitibwa platelets. “Penia” kitegeeza obutaba na kintu kimala, ebbula. Kale bino ebibiri bwe bikwatagana, “Thrombocytopenia” etondebwawo.
Mu budde obwabulijjo, omuntu omulamu obulungi alina okuba n’obutoffaali obuyitibwa platelets wakati wa 150,000 ne 450,000 buli microliter y’omusaayi (ettondo ly’omusaayi lirimu microliters nga 35). Singa omuwendo guno guba wansi wa 150,000 mu lipoota yo ey’omusaayi, kitwalibwa ng’embeera eyitibwa thrombocytopenia.
Olina obubonero nga buno?
Ebiseera ebisinga, okukendeera okutono mu platelets tekireeta bubonero bwonna. Kyokka singa omuwendo gw’obutoffaali obukola omusaayi (platelet) gukendeera nnyo, oyinza okufuna obubonero buno:
| Obubonero | Kiki ekibaawo mu ekyo? |
|---|---|
| Okuvaamu omusaayi | Omusaayi guyinza okuva mu nnyindo oba ennyindo naddala ng’osenya amannyo. Abakyala bayinza okubeera mu nsonga ezizitowa oba okumala ebbanga eddene. Oluusi, omusaayi guyinza n’okubeera mu musulo oba mu musulo. |
| Ebiwundu n’amabala | Ebiwundu ebya bbululu/ebya kakobe (nga bwe bikubiddwa) birabika ku mubiri awatali nsonga. Zino ziyitibwa Purpura mu ngeri y’obusawo. Bino biba bivaamu omusaayi wansi w’olususu. |
| Obutundutundu obutono obumyufu ku lususu | Obutoffaali obutono obumyufu (amabala) nga bunene ng’ensonga y’ekkalaamu busobola okulabibwa ku lususu naddala ku magulu. Bino nabyo bisobola okujja mu bibinja. Abasawo bino babiyita Petechiae . |
| Obukoowu | Omuwendo gwa platelet omutono gwokka teguleeta bukoowu. Naye embeera y’obujjanjabi esirikidde (e.g. anemia) ereeta omuwendo gw’obutoffaali obutono (platelets count) eyinza okukuleetera okuwulira ng’okooye era ng’okooye. |
| Okugaziwa kw’ennywanto | Ensigo kitundu ekisangibwa ku ludda olwa waggulu olwa kkono olw’olubuto lwaffe. Oluusi, platelets zisobola okusibira ne zisaanawo munda mu yo, ekiyinza okuvaako platelets okukendeera. Olwo ennywanto n’ezimba. |
Lwaki platelets zikendeera bwe ziti? Biki ebivaako?
Wayinza okubaawo ensonga nnyingi lwaki oyinza okuba n’obutoffaali obutono obuyitibwa platelets. Si bulijjo nnyo, kiyinza okuba eky’obuzaale. Naye ebiseera ebisinga, kiva ku mbeera endala ey’obujjanjabi oba eddagala ly’omira. Mu ngeri ennyangu, waliwo ebika bisatu ebikulu eby’ebivaako.
1. Kubanga omubiri tegukola platelets zimala
Obusigo bwaffe obw’amagumba lye kkolero erikola obutoffaali buno obuyitibwa platelets. Singa okufulumya kw’ekkolero eryo kukosebwa, obutoffaali obuyitibwa platelets bujja kukendeera.
- Embeera za kookolo nga leukemia
- Ebika ebimu eby’okubulwa omusaayi
- Endwadde z’akawuka , okugeza dengue, hepatitis C , oba siriimu
- Chemotherapy oba radiation therapy ku kookolo
- Okunywa omwenge ekisusse
- Okumira ebintu eby’obutwa nga eddagala eritta ebiwuka ne arsenic
2. Kubanga platelets zisaanawo mangu okusinga bwe zikolebwa
Ekkolero ne bwe linaakola obulungi, singa omuliro gumenya mangu, wajja kubaawo ebbula ly’obutoffaali obuyitibwa platelets.
- Okufuna olubuto (eri abamu) .
- Endwadde z’abaserikale b’omubiri (autoimmune diseases). Kino kye kiseera abaserikale b’omubiri gwaffe bennyini bwe basaanyaawo obutoffaali bwagwo mu nsobi. Okugeza, obulwadde bwa lupus.
- Yinfekisoni ezimu eziva ku bakitiriya oba akawuka
- Eddagala erimu (e.g. Heparin) .
- Embeera ezitatera kulabika nga Thrombotic thrombocytopenic purpura (TTP) .
3. Kubanga platelets zisibira mu nnywanto
Mu budde obwabulijjo, nga kimu kya kusatu eky’obutoffaali bwaffe obuyitibwa platelets buterekebwa mu nnywanto. Wabula singa ennywanto egaziwa olw’obulwadde nga cirrhosis of the liver, obutoffaali bungi busibira munda mu kyo ekikendeeza ku muwendo gw’obutoffaali obutambula mu musaayi.
Waliwo n’ebika by’obulwadde bwa thrombocytopenia obw’enjawulo.
Thrombocytopenia esobola okwawulwamu ebika ebikulu ebiwerako okusinziira ku kivaako.
- Immune Thrombocytopenic Purpura (ITP): Kino kye kika ekisinga okubeerawo. Ekibaawo wano nti abaserikale baffe abaserikale basaanyawo platelets zaffe olw’ekizibu. Kino kiyinza okujja mu bika bibiri: acute ITP mu baana ne chronic ITP mu bantu abakulu.
- Thrombotic Thrombocytopenic Purpura (TTP): Embeera eno etatera kulabika naye nga ya bulabe. Obuzimba obutono obw’omusaayi butondebwa mu mubiri gwonna. Olw’okuba platelets nnyingi nnyo ze zikozesebwa okukola clots zino, omuwendo gwa platelets mu musaayi gukendeera.
- Drug-induced Thrombocytopenia (DIT): Embeera eno esobola okubaawo ng’ekizibu ekiva mu ddagala erimu. Ebiseera ebisinga bugenda ng’eddagala liyimiriziddwa.
- Gestational Thrombocytopenia: Embeera ebeerawo ng’oli lubuto, ebiseera ebisinga si ya maanyi. Ebiseera ebisinga kiwona oluvannyuma lw’okuzaala.
Kino okisanga otya Omusawo?
Kitera okuzuulibwa mu butanwa mu kukebera omusaayi okwa bulijjo (Full Blood Count – FBC) okukolebwa olw’ensonga endala. Omusawo bw’amala okukizuula nti olina obutoffaali obutono obuyitibwa platelets, ajja kulagira okukeberebwa okulala okutonotono okuzuula ekivaako.
Jjukira nti singa omusaayi gwo gulaga nti platelets ntono, ekisinga obukulu si kutya n’olaba omusawo akuwe amagezi.
| Ekigezo | Kiki ky’olaba mu ekyo? |
|---|---|
| Okubala omusaayi mu bujjuvu (CBC/FBC) . | Omuwendo gw’obutoffaali obumyufu, obutoffaali obweru, n’obutoffaali obuyitibwa platelets mu musaayi gupimibwa. |
| Okusiiga omusaayi (Okusiiga mu bitundu by’omubiri) . | Platelets zino zeekebejjebwa mu microscope okulaba oba zirina enkula n’endabika eya bulijjo. |
| Okukebera obusigo bw’amagumba | Singa ekivaako tekitegeerekeka bulungi, okukebera kuno kukolebwa okulaba oba ekkolero ly’obusigo bw’amagumba likola bulungi. |
Okugatta ku ekyo, omusawo ayinza okukebera omubiri gwo n’akola ‘ultrasound scan’ mu lubuto okukebera oba olina ekizibu ky’ennywanto oba ekibumba ekigazi.
Embeera eno eyinza okuba ey’amaanyi?
Abantu abasinga obungi kino si kizibu kinene. Kyokka singa omuwendo gw’obutoffaali obukola omusaayi (platelets) gukendeera wansi w’emitwalo 20, kiyinza okuba eky’akabi. Kino kiri bwe kityo kubanga omusaayi guyinza okuva munda mu mubiri naddala mu bwongo ne bwe kiba nga tewali buvune bwonna. Kino kiyinza okutta obulamu.
N’olwekyo, bw’oba olina obulwadde bwa Thrombocytopenia, kikulu nnyo okugoberera ddala ebiragiro by’omusawo n’ogenda mu malwaliro mu budde. Bw’ofuna obubonero ng’okulumwa ennyo omutwe, enkyukakyuka mu kulaba oba okukaluubirirwa okwogera, olina okugenda mangu mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi kuba buno buyinza okuba obubonero bw’okuvaamu omusaayi ku bwongo.
Kijjanjabwa kitya?
Obujjanjabi businziira ku kivaako omuwendo gw’obutoffaali obutono (platelets) n’obungi bw’obutoffaali obutono bw’olina.
- Okujjanjaba ekivaako: Singa ekivaako omuwendo gw’obutoffaali obutono okubeera eddagala, omusawo ajja kuyimiriza eddagala eryo n’amuwa eddagala eddala. Bwe kiba yinfekisoni, bajja kukijjanjaba.
- Eddagala: Singa wabaawo ekizibu ky’abaserikale b’omubiri nga ITP, abaserikale b’omubiri bafugibwa nga bawa eddagala nga steroids.
- Okuteekebwamu omusaayi oba obutoffaali obukola omusaayi: Singa omuwendo gw’obutoffaali obukola omusaayi (platelets) guba mutono nnyo oba nga wabaawo omusaayi ogw’amaanyi, obutoffaali buweebwa ebweru (Platelet transfusion).
- Okulongoosa: Singa obujjanjabi obulala bulemererwa okufuga embeera eno, kiyinza okwetaagisa okuggyibwako enseke.
- Plasma Exchange: Enkola eno ey’obujjanjabi ekozesebwa mu mbeera nga TTP.
Oyinza otya okwerabirira?
Bw’oba obeera n’embeera eno, kikulu okukendeeza ku bulabe bw’okufuna obuvune.
- Weewale emirimu egy’akabi: Weewale emizannyo egy’okukwatagana ng’ebikonde, karate, ne rugby.
- Weegendereze ku ddagala: Bulijjo buuza omusawo nga tonnaba kukozesa ddagala eriweweeza ku bulumi lyongera obulabe bw’okuvaamu omusaayi, gamba nga aspirin ne ibuprofen.
- Komya omwenge: Omwenge gusobola okukendeeza ku busimu obuyitibwa platelets mu busimu bw’amagumba, n’olwekyo kirungi n’okendeeza ku kunywa omwenge.
Obubaka Obutwala Awaka
- Thrombocytopenia kwe kukendeera kw’omuwendo gw’obutoffaali obukola omusaayi mu musaayi. Kino kiyinza okwongera ku bulabe bw’okuvaamu omusaayi.
- Ebiseera ebisinga, tewabaawo bubonero bwonna. Wabula beera mwegendereza ebintu ng’okunyiga ebitategeerekese, okuvaamu omusaayi mu nnyindo/ennyindo, n’amabala amamyufu ku lususu.
- Ensonga nnyingi eziviirako embeera eno. Kale, tosattira ng’olaba obutoffaali obutono mu lipoota yo ey’omusaayi, wabula laba omusawo omanye ekivaako.
- Obujjanjabi businziira ku kivaako embeera n’obuzibu bw’embeera eno. Oluusi tekyetaagisa bujjanjabi.
- Goberera ddala ebiragiro by’omusawo wo. Bw’ofuna obubonero obulabula ng’okulumwa ennyo omutwe oba okukyuka mu kulaba, genda mu ddwaaliro mu bwangu.
Thrombocytopenia, Platelets, Omuwendo gw’obutoffaali obutono, Okuvaamu omusaayi, Okunyiga, Purpura, Petechiae
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