Kua mataku koe i te kitenga i tāu tamaiti e pāngia ana e ngā maru kikorangi-papura i tōna tinana, inā koa ōna waewae? Kua kite rānei koe, i a koe e pakeke ana, i ngā ira whero iti i tō kiri, ā, kua kite koe i ō kapia e toto ana i te wā e parai ana koe i ō niho? He mea noa te mataku ina kite koe i ngā mea pēnei. Engari i te nuinga o te wā, ko te take he mate e kiia nei ko te ITP. Nō reira, i tēnei rā, me kōrero tātou mō te ITP, he aha i puta ai, he mea morearea, me te aha te mahi mōna, he tino māmā noa iho, me te mea kei te kōrero koe ki tētahi hoa.
He aha noa iho te ITP?
Ahakoa te ahua roa o tēnei ingoa, he tino māmā noa iho tōna tikanga. Me wehewehe tātou.
- Idiopathic : Ko te tikanga māmā rawa o tēnei ko "kāore e mōhiotia te take".
- Thrombocytopenic: Ko te tikanga tēnei he hekenga te maha o ngā pūtau i roto i ō tātou toto e kiia nei ko ngā 'thrombocytes'. E kiia ana ēnei thrombocytes he 'platelets' .
- Purpura: E pā ana tēnei ki ngā marō papura i puta mai i te toto i raro i te kiri.
He whakarāpopototanga noa iho, ko te ITP he mate e puta ana ina kore e mahi tika te pūnaha ārai mate o tō tātou tinana, ka whakangaro i ngā pereti toto, he mea nui mō te toto totoka, ā, ka heke te maha o ngā pereti toto.
Whakaarohia pēnei: ina pāngia tātou e te motu, e te whara rānei i tētahi wāhi o tō tātou tinana, ka tere te whakamutu o ēnei kaimahi iti e kiia nei ko ngā pereti toto ki te toto, ka whakapiri atu ki te wāhi pērā i te 'pāreti' hei kati i te kōhao. I roto i te ITP, ko te mea ka tupu ko te whakaaro o tō tātou ake kaha tiaki (pūnaha ārai mate) ko ēnei kaimahi iti (ngā pereti toto) he hoariri ō tātou, ā, ka whakaekea, ka whakangaromia rātou. Kātahi ka heke te maha o ngā pereti toto i roto i te toto. Koia te take ahakoa he patunga iti, kāore e mutu te toto, ā, ka puta ngā marō.
E rua ngā momo ITP - he rerekē te āhua o tōna putanga mai i roto i ngā tamariki me ngā pakeke!
He tino rerekē te whanaketanga o te ITP i waenga i ngā tamariki me ngā pakeke. He mea nui kia mārama ki tēnei rerekētanga.
| Āhuatanga | ITP Whakamataku i roto i ngā Tamariki | ITP Mau tonu i roto i ngā Pakeke |
|---|---|---|
| Te pakeke tino noa | He mea noa tēnei i roto i ngā tamariki nohinohi i waenga i te 2-6 tau te pakeke. | I te nuinga o te wā ka pāngia te hunga rangatahi me te hunga waenga-pakeke (20-50 tau te pakeke). He nui ake te kitea i roto i ngā wāhine. |
| Take | Ka puta pea i te nuinga o te wā i roto i te 1-4 wiki i muri i te mate huaketo , pērā i te makariri, i te rewharewha rānei. | He maha ngā wā kāore e kitea he tino take (idiopathic). Tērā pea he hononga ki ētahi atu mate (hei tauira, te lupus). |
| Te roa o te mate | He rangitahi tēnei (he āhua koi) ā, ka memeha haere i roto i ngā marama e ono. | He mate mau tonu tēnei. Neke atu i te ono marama te roa, i ētahi wā mō te roanga o te oranga. |
| Te āhua o te whakaora | Neke atu i te 80% o ngā tamariki ka ora ake i a rātou anō, kāore he maimoatanga. | He onge te whakaoranga ohorere, ā, he maha ngā wā e hiahiatia ana he maimoatanga hei whakahaere i ngā tohu. |
He aha ngā tohu matua o tēnei mate?
Ka piki ake te mōrearea o te toto i te iti o te tatau pereti toto, nō reira ka kitea pea e koe ngā tohu penei:
- Marumaru ngāwari (Purpura): Ahakoa he whara iti noa iho, i ētahi wā ka puta he marū papura, kikorangi rānei ki te tinana.
- Petechiae: Tohua ngā ira whero, papura rānei i puta mai i ngā uaua toto iti i raro i te kiri. Ka kitea nuitia ēnei i ngā waewae.
- Toto ihu.
- Te toto o ngā kapia i te wā e parai ana i ō niho.
- Ngā paheketanga taumaha i roto i ngā wāhine.
- He onge noa iho te putanga mai o te toto mā te tūtae, te mimi rānei.
- He āhuatanga tino onge engari he tino morearea: Te toto ki roto i te roro (Te toto i roto i te angaanga). He tino onge tēnei. Heoi, ki te pā mai ngā tohu pēnei i te mamae nui o te upoko, te ruaki, me te pōhēhē , me haere tonu koe ki te Tari Ohotata o te hōhipera (ETU).
He āhuatanga morearea tēnei? Me wehi rānei tātou?
Hei whakautu tika i tēnei pātai, ehara te ITP i te mate kino mō te nuinga o te tangata, inā koa ngā tamariki.
Neke atu i te 80% o ngā tamariki ka ora katoa i te mate i roto i ētahi marama, kāore he maimoatanga. Mō ngā tamariki whai ITP, he maha ngā wā ka aroturukihia noa te mate e ngā tākuta.
Heoi, he rerekē te ITP mau tonu i roto i ngā pakeke. Nā te mea he roa te wā, ka pā ki te kounga o te oranga. Heoi, kei reira ngā maimoatanga o ēnei rā ka taea te whakahaere angitu i tēnei mate.
Ko te mōrearea anake, ko te mōrearea matua i konei, ko te toto. Mēnā ka heke te maha o ngā pereti toto ki te taumata tino iti (hei tauira, iti iho i te 10,000), ka piki ake te mōrearea o te toto nui. He pono rawa tēnei mō te hunga neke atu i te 60 tau te pakeke me te hunga kua toto kē. Koia te mea nui kia toro atu koe ki tō tākuta ina kite koe i ngā tohu.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina kite koe i tētahi tākuta me ēnei tohu, ko te mea tuatahi ka mahia e ia ko te pātai atu ki a kōrua ko tāu tamaiti mō ngā mate tata nei, ngā rongoā rānei e tangohia ana e kōrua. Kātahi ka tirotirohia tō tinana, ka rapua hoki mēnā he marō, he whero rānei.
Ko te whakamātautau nui e whai ake nei ko te tatau toto katoa (FBC) .
- I roto i tēnei pūrongo, he tino iti te uara o te tatau pereti toto .
- Heoi, he mea noa te maha o ngā toto toto whero me ngā toto toto mā.
Ko te ITP he 'tātaritanga o te aukati'. Ko te tikanga o tēnei ka tātaritatia te ITP i muri i te whakakorenga o ētahi atu take o te iti o ngā pereti toto (hei tauira, te dengue, te leukemia, ētahi atu mate pūnaha ārai mate, ētahi rongoā). Mō ētahi tūroro pakeke ake, ka taea te whakamātautau i te hinu wheua hei tirotiro mēnā kei te nui ngā pereti toto e hangaia ana e te hinu wheua.
Karere Tangohia ki te Kāinga
- Ko te ITP he āhuatanga e whakangaromia ai e tō tātou ake pūnaha ārai mate ngā pereti toto.
- Ko ngā tohu matua ko te marō ohorere, ngā ira whero i te kiri, me te toto mai i ngā wāhi rerekē.
- He wā poto noa te ITP i roto i ngā tamariki, ka puta pea i muri i te kirika huaketo, ā, ka memeha haere me te kore he maimoatanga.
- Ka roa pea te ITP i roto i ngā pakeke, engari ka taea te whakahaere.
- Ahakoa ko te toto te mōrearea matua o tēnei mate, he tino onge ngā raruraru nui pēnei i te toto ki roto i te roro.
- Mena kei a koe, kei tāu tamaiti rānei ēnei tohu, he mea nui kia kaua e mataku , kia toro atu hoki ki tō tākuta tonu mō te tātaritanga tika me te tohutohu.
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