Kodi mumakhala abuluu ngakhale mutavulala pang'ono? Kodi mumatuluka magazi m'mphuno pafupipafupi? Kapena muli ndi m'kamwa motuluka magazi? Dokotala wanu mwina anakuuzani kuti muli ndi vuto lotchedwa ITP. Uwu ndi mkhalidwe womwe kuchuluka kwa ma platelet m'thupi lathu, omwe amathandiza magazi kuundana, kumachepa. Chifukwa chake chithandizo chapadera cha izi chimatchedwa Nplate. Lero, tikambirana za izi, za mankhwalawa, mwachidule, m'njira yomwe mungamvetse.
Kodi Immune Thrombocytopenia (ITP) ndi chiyani?
Mwachidule, ITP ndi vuto lomwe chitetezo cha mthupi lathu, chitetezo cha mthupi , chimaukira ndikuwononga ma platelet athu m'magazi molakwika, poganiza kuti ndi mdani. Ichi ndi chomwe timachitcha vuto la autoimmune .
Taganizirani izi motere: ma platelet ndi zinthu zazing'ono ngati asilikali zomwe zimapangidwa m'mafupa athu. Pakakhala bala kwinakwake ndipo kutuluka magazi kumayamba, ma platelet amenewa amathamangira pamalopo, amatseka bala, ndikuletsa kutuluka magazi. Anthu omwe ali ndi ITP ali ndi ma platelet ochepa, zomwe zimawonjezera chiopsezo cha kutuluka magazi.
Kodi zizindikiro za ITP ndi ziti?
Zizindikiro za ITP zimatha kusiyana malinga ndi munthu. Anthu ena sangakhale ndi zizindikiro zilizonse. Komabe, pali zizindikiro zingapo zodziwika bwino. Tiyeni tiwone zomwe zili.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Petechiae | Kuoneka kwa madontho ang'onoang'ono ofiira pakhungu, ngati kuti ajambulidwa ndi nsonga yaing'ono ya cholembera. |
| Pepo | Madontho ofiirira pakhungu (okulirapo kuposa petechiae). |
| Kutupa kosavuta (Ecchymosis) | Ngakhale kachilonda kakang'ono, makamaka m'manja ndi m'mapazi, kangasinthe kukhala buluu. |
| Kutuluka magazi m'mphuno pafupipafupi | Kutuluka magazi m'mphuno pafupipafupi kapena mopitirira muyeso. |
| Kutuluka magazi ambiri m'mimba (Menorrhagia) | Kutuluka magazi ambiri panthawi ya msambo mwa akazi. |
| Mkamwa wotuluka magazi | Kutuluka magazi m'kamwa mukamatsuka mano anu kapena kungotsuka mano anu. |
| Magazi mu mkodzo (Hematuria) | Magazi mu mkodzo. |
Kodi mankhwala a Nplate amagwira ntchito bwanji?
Nplate ndi "chilimbikitso cha ma platelet." Ndiko kuti, ndi mankhwala omwe amathandiza kuwonjezera kuchuluka kwa ma platelet m'magazi.
Chofunika kwambiri, Nplate si mankhwala oyamba operekedwa a ITP. Dokotala wanu nthawi zambiri amayesa kaye mankhwala ena, monga corticosteroids ndi immunoglobulins. Nthawi zina, splenectomy ingaganizidwe. Mankhwala ngati Nplate amagwiritsidwa ntchito pokhapokha ngati mankhwalawa sapereka ulamuliro wokwanira.
Mu thupi lathu muli puloteni yapadera yotchedwa thrombopoietin (TPO) yomwe 'imadziwitsa' kuti mafupa amapanga ma platelet a m'magazi. Anthu omwe ali ndi ITP akhoza kukhala ndi TPO yochepa. Mankhwala a Nplate amagwira ntchito mofanana ndi TPO iyi, kutumiza uthenga ku mafupa kuti "apange ma platelet ambiri a m'magazi."
Cholinga chachikulu cha mankhwalawa si kubwezeretsa chiwerengero cha ma platelet m'magazi (150,000-450,000). Cholinga chake ndi kusunga chiwerengero cha ma platelet m'magazi choposa 50,000, zomwe ndizofunikira kuti muchepetse chiopsezo cha kutuluka magazi.
Kodi Nplate imaperekedwa bwanji?
Nplate ndi jakisoni yomwe imaperekedwa kamodzi pa sabata pansi pa khungu. Iyi ndi ya inu kapena mwana wanu.Amaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino. Mlingo nthawi zambiri umatsimikiziridwa ndi kulemera kwa thupi lanu. Dokotala wanu angasinthe mlingo malinga ndi momwe mukufunira kutengera zotsatira za mayeso a magazi anu (kuchuluka kwa ma platelet). Chifukwa chake, ndikofunikira kwambiri kupita kwa dokotala pamasiku ndi nthawi zomwe dokotala wanu wakupatsani. Ngati mwaphonya mlingo, imbani dokotala wanu mwachangu momwe mungathere kuti mukonze mlingo wanu wotsatira.
Kodi zotsatirapo zake ndi ziti?
Monga mankhwala ena aliwonse, Nplate ingayambitse zotsatirapo zoyipa. Izi zitha kukhala zosiyana pang'ono kwa akuluakulu ndi ana.
| Zotsatira zoyipa za Nplate | |
|---|---|
| Zinthu zomwe zingachitikire akuluakulu | |
| Mutu | Kupweteka kwa mafupa ndi minofu |
| Chizungulire | Kusowa tulo |
| Kupweteka kwa mkono, mwendo, ndi phewa | Kupweteka m'mimba, nseru, kusanza, flatulence |
| Kusanza m'miyendo | Chifuwa, pakhosi, chimfine |
| Zinthu zomwe zingachitikire ana | |
| Kutupa | Matenda a pakhosi ndi m'mphuno, monga chimfine |
| Kupweteka pakamwa ndi pakhosi | |
Kodi mungatani kuti muthane ndi mavutowa?
- Kusanza/kusanza: Ngati mukumva nseru, imwani madzi ambiri kuti mupewe kutaya madzi m'thupi. Pewani zakudya zamafuta ndi zokometsera ndipo idyani zakudya zopepuka monga buledi ndi makeke. Ngati zizindikirozi zikupitirira , onetsetsani kuti mwadziwitsa dokotala wanu .
- Mutu ndi ululu: Dokotala wanu angakulembereni mankhwala ochepetsa ululu pa zinthu monga mutu ndi kupweteka kwa miyendo. Komabe, musamwe mankhwala aliwonse popanda kufunsa dokotala wanu .
- Chizungulire: Mankhwalawa angayambitse chizungulire, choncho pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina olemera mpaka mutadziwa momwe mankhwalawa akukukhudzirani.
- Kusagona: Kugona nthawi imodzi, kuchepetsa nthawi yogona pafoni ndi pa TV musanagone, komanso kusinkhasinkha kungathandize kuchepetsa mavuto ogona.
Chofunika kwambiri ndi kudziwitsa dokotala wanu ngati inu kapena mwana wanu mukukumana ndi zotsatirapo zilizonse, ngakhale mukuganiza kuti ndi zazing'ono.
Kodi pali mavuto aliwonse ndi mankhwala ena? (Kuyanjana kwa mankhwala)
Palibe malipoti okhudza mavuto aakulu omwe abwera chifukwa cha mankhwala ena omwe amagwirizana ndi Nplate. Komabe, chofunika kwambiri kukumbukira ndichakuti ngati mukumwa mankhwala ena omwe amawonjezera chiopsezo chanu chotaya magazi (monga aspirin, warfarin, kapena mankhwala ochepetsa magazi monga clopidogrel), ndikofunikira kuuza dokotala wanu. Komanso, onetsetsani kuti mwauza dokotala wanu za mankhwala ndi mavitamini onse omwe mukumwa.
Uthenga Wopita Nawo Kunyumba
- ITP ndi vuto lomwe chitetezo chathu cha mthupi chimawononga ma platelet a magazi.
- Nplate ndi jakisoni kamodzi pa sabata yomwe imalimbikitsa mafuta m'mafupa kuti awonjezere kupanga ma platelet m'magazi.
- Iyi si njira yothetsera ITP. Cholinga chake ndi kuchepetsa chiopsezo cha kutuluka magazi.
- Mlingo wa mankhwalawo umatsimikiziridwa kutengera kulemera kwanu ndi zotsatira za mayeso a magazi. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu.
- Zotsatirapo zina monga mutu, kupweteka kwa mafupa, ndi nseru zingachitike, ndipo uzani dokotala wanu nthawi yomweyo za matenda aliwonse osazolowereka.
- Ndikofunikira kuuza dokotala wanu za mankhwala ena onse omwe mukumwa, makamaka mankhwala ochepetsa magazi.
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