I taksaah random bruise i nei em? Hei hi ITP (Idiopathic Thrombocytopenic Purpura - ITP) vang pawh a ni thei.

I fate hian an taksaah, a bik takin an keah blue-purple bruise a neih lai hmuh i hlau tawh em? A nih loh leh, puitling i nih tawh angin i vunah hmun sen te te i hmu a, i ha i silfai laiin i hmuiah thisen a chhuak tih i hmu em? Hetiang thil i hmuh hian hlauhna i neih hi thil pangngai a ni. Mahse a tam zawkah chuan a chhan chu ITP an tih condition a ni. Chuvangin vawiin hian ITP chu eng nge a nih, engvangin nge a lo awm, a hlauhawm em, eng nge tih tur tih te, awlsam takin, i thianpa nen in inbia ang maiin i sawi dawn nia.

ITP chu eng nge ni mai?

He hming hi sei deuhin lang mah se, a awmzia chu a awlsam hle. I tichhia ang u.

• Idiopathic : Hei hi a awmzia awlsam ber chu "a chhan hriat loh" tih hi a ni.
• Thrombocytopenic: Hei hian kan thisenah ‘thrombocytes’ an tih cell a tlahniam tihna a ni. Heng thrombocytes te hi ‘platelets’ kan ti tlangpui thin.
• Purpura: Hei hian vun hnuaia thisen chhuak avanga purple bruise awm tihna a ni.

A awlsam zawngin sawi ila, ITP hi kan taksa ngeiin kan taksa hriselna a tihchhiat a, thisen zamna atana pawimawh platelet a tihchhiat a, platelet a tihtlem phah a ni.

Hetiang hian han ngaihtuah teh: kan taksa khawi emaw laiah hliam emaw, hliam emaw kan neih hian heng hnathawk te tak te platelet tia koh te hian thisen chhuah tihtawp tumin an tlan nghal a, a hmunah chuan ‘plaster’ ang maiin an thun a, chu chu a khur kha khar a ni. ITP-ah hian thil thleng chu keimahni defence force (immune system) te hian heng hnathawk te tak te (platelet) te hi kan hmelmaah an ngai a, an bei a, an tichhia a ni. Tichuan thisena platelet awm zat chu a tlahniam ta a ni. Chuvang chuan hliam te tak te pawhin thisen a chhuah a titawp lo va, hliam a lo awm thin.

ITP hi chi hnih a awm - naupang leh puitlingah a lan dan a inang lo!

ITP than dan hi naupang leh puitlingah a inang lo hle. He inthlauhna hi hriatthiam a pawimawh.

He natna lan chhuah dan berte chu engte nge ni?

Platelet count hniam hian thisen chhuah theihna a tipung a, chuvangin symptoms i hmu thei ang:

• Hliam awlsam (Purpura): Hliam tenau nei pawhin a chang chuan taksaah hian purple emaw blue emaw a lo lang thin.
• Petechiae: Vun hnuaia thisen kalna kawng te tak te avanga lo awm, a sen emaw, a sen emaw te chu pinpoint rawh. Hengte hi keah hmuh tur a tam ber.
• Hnar thisen chhuak.
• Ha sil laiin gums thisen chhuak.
• Hmeichhiaah period rit tak tak.
• A tlem berah chuan thisen hi ek emaw, zun emaw hmangin a kal chhuak thin.
• Thil awm lo tak mahse hlauhawm ber: Thluak chhunga thisen chhuak (Intracranial Hemorrhage). Hei hi a tlem hle. Mahse, lu na nasa tak, luak chhuak, leh buaina ang chi symptoms i neih chuan damdawi in Emergency Department (ETU)-ah i kal nghal tur a ni.

Hei hi dinhmun hlauhawm tak a ni em? Kan hlauh tur a ni tak tak em?

He zawhna hi direct-a chhan tur chuan ITP hi mi tam zawk, a bik takin naupang tan chuan natna hlauhawm tak a ni lo.

Mahse, puitlingah chuan chronic ITP hi a danglam deuh. Hun rei tak a daih avangin nunphung (quality of life) a nghawng thei a ni. Mahse, tûn laiah hian he natna hi hlawhtling taka thunun thei damdawi a awm bawk.

Hetah hian risk awmchhun leh lian ber chu thisen chhuah hi a ni. Platelet count chu a hniam hle (e.g., 10,000 aia tlem) a nih chuan thisen chhuahna nasa tak a awm theihna a sang hle. Hei hi kum 60 chunglam leh a hmaa thisen chhuak tawhte tan chuan a dik hle. Chuvang chuan symptoms i hriat veleh doctor pan vat a pawimawh.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms nei doctor i hmuh hian a tih hmasak ber tur chu nang leh i fate nen tun hnaia natna i neih emaw, damdawi i ei lai emaw a zawt hmasa phawt ang. Tichuan, i taksa chu an enfiah ang a, i hliam emaw, a sen emaw an zawng ang.

Test pawimawh ber dang chu thisen chhiar kimchang (FBC) a ni.

• He report-ah hian platelet count hian value a hniam hle tih a tarlang .
• Amaherawhchu, thisen sen leh thisen var awm zat hi a pangngai a ni.

ITP hi ‘diagnosis of exclusion’ a ni. Hei hian ITP hi platelet tlahniam chhan dang (e.g. dengue, leukemia, autoimmune natna dang, damdawi thenkhat) tih loh a nih hnuah chauh hmuhchhuah a ni tihna a ni. Damlo kum upa lam thenkhat tan chuan ruhro atanga platelet a siam tling em tih enfiah nan bone marrow test neih theih a ni.