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.
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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. |
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Check Availability →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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