Kodi mwana wanu amavulala mosavuta? Zingakhale matenda a Immune Thrombocytopenia (ITP)!

N'zoopsa kuona mabala ndi madontho ang'onoang'ono ofiira pathupi la mwana wanu, sichoncho? Nthawi zina mumatha kuona zinthu ngati izi ngakhale chimfine chaching'ono chitapita. Lero tikambirana za matenda otchedwa Immune Thrombocytopenia (ITP), omwe angayambitse zizindikiro ngati izi, koma palibe chodetsa nkhawa ngati mumvetsetsa bwino. Tiyeni tiwone chomwe chili, chifukwa chake chimachitika, momwe mungachizindikire, ndi zina zomwe zingachitike.

Kodi Immune Thrombocytopenia (ITP) ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, chitetezo chamthupi choteteza ku matenda (ITP) ndi pamene chitetezo chathu chamthupi (dongosolo lomwe limatiteteza ku matenda ) chimapita kutali ndi kuukira mtundu wa selo m'thupi lathu lotchedwa ma platelets . Tsopano mwina mukudabwa kuti ma platelets ndi chiyani. Ndi maselo ang'onoang'ono omwe amathandiza kuletsa kutuluka magazi tikapeza bala kwinakwake m'thupi mwathu. Monga othandizira omwe amathandiza msilikali wovulala pankhondo. Ma platelets awa amagwira ntchito limodzi kupanga magazi kuundana ndikuletsa kutuluka magazi.

Choncho, chomwe chimachitika mwa mwana yemwe ali ndi ITP ndichakuti chitetezo cha mthupi chimawononga molakwika ma platelet abwinowa. Ndiye chimachitika ndi chiyani? Chiwerengero cha ma platelet m'thupi chimachepa. Zimenezi zikachitika, zimakhala zovuta kuletsa kutuluka magazi ngakhale kuchokera pachilonda chaching'ono, ndipo nthawi zina zimatha kuyambitsa kutuluka magazi.

Koma pali nkhani yabwino! Nthawi zambiri, ana aang'ono akayamba kukhala ndi ITP, imachira yokha mkati mwa miyezi 6. Koma nthawi zina imatenga nthawi yayitali, kapena imatha kuchira kenako n’kubwereranso. Ndicho chifukwa chake ndikofunikira kudziwa izi.

Kodi mwana amene ali ndi ITP angakhale ndi zizindikiro zotani?

Tsopano tiyeni tiwone zizindikiro zomwe mwana yemwe ali ndi ITP angasonyeze. Musachite mantha ngati muwona izi, koma ndikofunikira kwambiri kufunafuna upangiri wa dokotala.

• Kutuluka magazi mosavuta:
• Kungotuluka magazi m'mphuno .
• Kutuluka magazi m'kamwa mukamatsuka mano.
• Nthawi zina magazi pang'ono amatuluka ndi ndowe kapena mkodzo . (Izi ndizowopsa pang'ono, koma muyenera kuuza dokotala).
• Pankhani ya mtsikana amene wafika msinkhu wotha msinkhu, kutuluka magazi ambiri pa nthawi ya kusamba kwake kumakhala koopsa ndipo kumatenga masiku ambiri.
• Zizindikiro zomwe zimachitika chifukwa cha kutuluka magazi pansi pa khungu:
• Kutupa mosavuta . Ngakhale kachiphuphu kakang'ono kangapangitse khungu kukhala labuluu/lofiirira.
• Kuoneka kwa madontho ang'onoang'ono ofiira-ofiirira pakhungu. Malinga ndi madokotala timatcha izi (Petechiae) . Awa ndi madontho ang'onoang'ono omwe amawoneka ngati adajambulidwa ndi nsonga ya cholembera.
• Madontho ofiirira, okulirapo pang'ono, ofanana ndi mabala pakhungu. Izi zimatchedwa (Purpura) . Izi ndi zazikulu kuposa (Petechiae).

Tangoganizirani, ngati mwana wanu wagwa akusewera ndipo wavulala kwambiri kuposa masiku onse, kapena ngati muwona zinthu monga madontho ofiira omwe mwatchula, muyenera kuda nkhawa nazo.

Kawirikawiri, makamaka ngati pali kuvulala kwakukulu kwa mutu , ITP ingayambitsenso kutuluka magazi muubongo (monga sitiroko). Izi sizichitika kawirikawiri, koma kumbukirani kuonana ndi dokotala nthawi yomweyo ngati mwavulala mutu.

N’chifukwa chiyani ITP imayamba? Kodi zimayambitsa chiyani?

Chifukwa chachikulu cha ITP, monga tanenera kale, ndichakuti chitetezo chathu cha mthupi chimaukira molakwika ma platelet , ngati kuti gulu lathu lankhondo likuukira anthu athu.

Chifukwa chachikulu chomwe chitetezo cha mthupi cha ana chimasokonekera motere ndi matenda opatsirana ndi mavairasi . Mwachitsanzo, ana ena amatha kukhala ndi ITP atachira ku chimfine kapena fuluwenza. Kachiromboka kakalowa m'thupi, chitetezo cha mthupi, polimbana nacho, nthawi zina "chimachitapo kanthu mopitirira muyeso" ndikuyamba kuukira ma platelet.

Kuphatikiza apo, nthawi zambiri, ITP imatha kuyambitsidwa ndi matenda ena, matenda odziteteza ku matenda enaake (matenda omwe chitetezo chamthupi chimaukira ziwalo zathanzi za thupi lathu), kapena mankhwala ena. Koma nthawi zambiri, zimakhala zovuta kupeza chifukwa chenicheni chomwe chitetezo chamthupi chimaukira ma platelet.

Ndani amene ali ndi mwayi waukulu wopanga ITP?

ITP, yomwe imapezeka kwambiri ali ana, imapezeka kwambiri mwa ana azaka zapakati pa 1 ndi 7. Komabe, imathanso kuchitika kwa ana okulirapo ndi aang'ono.

Chofunika kwambiri ndichakuti mwana yemwe ali ndi ITP nthawi zambiri amawoneka wathanzi komanso wathanzi . Izi zikutanthauza kuti, kupatula kutuluka magazi ndi mabala, mwanayo akhoza kusewera, kudya, kumwa, ndikuchita ntchito zake za tsiku ndi tsiku mwachizolowezi.

Kodi madokotala amazindikira bwanji ITP?

Mukapita ndi mwana wanu kwa dokotala, adzachita izi kuti adziwe ngati ali ndi ITP:

1. Kufunsa mafunso:Mudzafunsidwa mafunso ambiri okhudza zizindikiro za mwana wanu, momwe zinayambira, komanso ngati adadwala matenda aliwonse posachedwapa.

2. Kuwunika thupi: Dokotala adzamuwunika mwanayo mosamala. Adzamuwunika ngati ali ndi mabala, (Petechiae), (Purpura), ndi zina zilizonse zolakwika.

3. Kuyezetsa Magazi: Iyi ndi sitepe yofunika kwambiri. Kuyezetsa magazi kumachitika ndipo mayeso otsatirawa amachitika:

• Chiwerengero cha ma platelet chimayesedwa. Mu ITP, izi ziyenera kukhala zochepa.
• Mitundu ina ya maselo a m'magazi (Maselo Ofiira a M'magazi, Maselo Oyera a M'magazi) imayesedwa kuti ione ngati ali bwino . Izi nthawi zambiri sizimasinthidwa mu ITP.
• Yang'anani zizindikiro za matenda (monga matenda a kachilombo).
• Tikufufuza ngati pali zifukwa zina zomwe zingayambitse kuchepa kwa ma platelet m'magazi.

Mayeso awa ndi njira yokhayo yodziwira ngati muli ndi ITP kapena ngati pali chifukwa china cha zizindikirozi.

Kodi mankhwala a ITP ndi otani?

Chithandizo cha ITP chimasiyana malinga ndi kuopsa kwa zizindikiro . Ana ena sangafunikire chithandizo chilichonse ngati ali ndi mabala ndi madontho ofiira ang'onoang'ono (petechiae). Madokotala adzayang'anira mwanayo.

Komabe, ngati pakufunika chithandizo, nazi zina zomwe mungachite:

• Mankhwala omwe amaletsa chitetezo cha mthupi kuukira ma platelet:
• Ma Steroid: Izi zitha kuperekedwa ngati mapiritsi kapena jakisoni mumtsempha. Izi zimathandiza kuchulukitsa mwachangu kuchuluka kwa ma platelet.
• Jakisoni wa ma antibodies a IV (omwe amalowetsedwa m'mitsempha): Awa amatchedwanso ma immunoglobulins kapena rituximab . Izi zimagwira ntchito pochepetsa pang'ono chitetezo cha mthupi.
• Mankhwala omwe amathandiza thupi kupanga ma platelet ambiri: Nthawi zina mankhwala awa angaperekedwenso.
• Opaleshoni yochotsa ndulu: ndulu ndi chiwalo m'thupi lathu. Ma platelet amawonongeka kwambiri mu ndulu iyi. Chifukwa chake, opaleshoni iyi imachitika ngati njira yomaliza kwa ana omwe ali ndi zizindikiro zoopsa kwambiri omwe sanayankhe chithandizo china. Izi nthawi zambiri zimaganiziridwa kwa ana okalamba kapena achinyamata.

Chofunika: Dokotala yekha ndi amene angasankhe chithandizo choyenera mwana wanu. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu.

Kodi mungathandize bwanji makolo?

Pali zinthu zambiri zomwe mungachite ngati kholo posamalira mwana wanu panthawi ya ITP.

• Sungani mwana wanu kutali ndi masewera ndi zochitika zomwe zingayambitse kuvulala kapena kutuluka magazi kwa kanthawi. Mwachitsanzo, mungafunike kusiya kukwera njinga ndikuyamba masewera.
• Musapatse mwana wanu mankhwala aliwonse okhala ndi ibuprofen (monga Motrin, Advil ) kapena aspirin popanda chilolezo cha dokotala wanu. Mankhwalawa amatha kuwonjezera chiopsezo cha kutuluka magazi. Paracetamol, yomwe imaperekedwa chifukwa cha malungo ndi kupweteka kwa thupi, nthawi zambiri imakhala yotetezeka, koma funsani dokotala wanu musanamupatse mwana wanu.

Ana ambiri omwe ali ndi ITP amachira kwathunthu mkati mwa miyezi ingapo. Nazi zina zomwe mungachite kuti muthandize mwana wanu:

• Onetsetsani kuti mukupita ndi mwana wanu kukaonana ndi dokotala nthawi zonse.
• Tsatirani malangizo a dokotala wanu molondola. Samalani kwambiri zochita zoyenera ndi zomwe simuyenera kuchita.
• Ngati mwana wanu wagunda mutu kulikonse kapena wavulala kwambiri, pitani kwa dokotala kapena pitani kuchipatala nthawi yomweyo. Izi ndizofunikira kwambiri.
• Samalani kuti musapatse mwana wanu mankhwala aliwonse omwe dokotala wanena kuti si oyenera.
• Ngati mwana wanu akuwonetsa zizindikiro za kutuluka magazi atsopano, mabala, kapena mawanga ofiira/ofiirira pakhungu, imbani dokotala nthawi yomweyo.

Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kumva za ITP kungakhale koopsa pang'ono. Koma kumbukirani kuti nthawi zambiri, zimatha zokha zikachitika mwa ana . Chofunika kwambiri si kuchita mantha, koma kufunafuna upangiri woyenera wa dokotala ndikuchitapo kanthu moyenera .

Ngati mwana wanu ali ndi zizindikiro izi, pitani kwa dokotala wa ana kapena dokotala wa matenda a magazi. Adzakupatsani malangizo onse omwe mukufuna. Ndikukufunirani kuti muchire mwachangu!

Matenda a Thrombocytopenia, ITP, ma platelet, kutuluka magazi, matenda a ana, chitetezo chamthupi, kuvulala