Ese uhinduka ubururu nubwo waba ufite agasebe gato? Ese ukunda kuva amaraso mu mazuru? Cyangwa ufite ishinya riva amaraso? Muganga wawe ashobora kuba yarakubwiye ko ufite indwara yitwa ITP. Iyi ni indwara aho umubare wa platelets mu mubiri wacu, zifasha kubumba amaraso, ugabanuka. Rero uburyo bwihariye bwo kuvura ibi bwitwa Nplate. Uyu munsi, tuzaganira kuri ibi, kuri uyu muti, mu buryo bworoshye, mu buryo ushobora gusobanukirwa.
ITP (Immune Thrombocytopenia ) ni iki?
Mu magambo make, ITP ni indwara aho ubwirinzi bw'umubiri wacu, ubudahangarwa bw'umubiri , bwibasira kandi bukangiza plaquettes zacu bwite, bibwira ko ari umwanzi. Ibi ni byo twita indwara y'ubwiyongere bw'umubiri .
Tekereza kuri ubu buryo: platelets ni utuntu duto tumeze nk'abasirikare twakozwe mu musokoro wacu. Iyo hari igikomere ahantu runaka maze kuva amaraso bigatangira, utwo duplatelets twihutira kugera aho cyabereye, tugafunga igikomere, maze tugahagarika kuva amaraso. Abantu bafite ITP bafite urugero ruto rw'utwo duplatelets, ibyo byongera ibyago byo kuva amaraso.
Ni ibihe bimenyetso bya ITP?
Ibimenyetso bya ITP bishobora gutandukana bitewe n'umuntu ku giti cye. Hari abantu bashobora kuba badafite ibimenyetso na gato. Ariko, hari ibimenyetso bike bisanzwe. Reka turebe ibyo ari byo.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Petechiae | Kugaragara kw'utudomo duto dutukura ku ruhu, nk'aho twashushanyijwe n'agasongero gato k'ikaramu. |
| Umuhengeri | Uduheri tw'umuhengeri ku ruhu (tunini kurusha petechiae). |
| Gukomereka byoroshye (Ecchymosis) | Ndetse n'agakomere gato, cyane cyane ku biganza no ku birenge, gashobora guhinduka ubururu. |
| Kuva amaraso mu mazuru kenshi | Kuva amaraso mu mazuru kenshi cyangwa menshi cyane. |
| Kuva amaraso menshi mu gihe cy'imihango (Menorrhagia) | Kuva amaraso menshi mu gihe cy'imihango ku bagore. |
| Ishinya riva amaraso | Kuva amaraso mu ishinya mugihe woza amenyo yawe cyangwa gusa ukoza amenyo yawe. |
| Amaraso mu nkari (Hematuria) | Amaraso mu nkari. |
Umuti wa Nplate ukora ute?
Nplate ni "umuti wongera platelet." Ni ukuvuga ko ari umuti ufasha kongera umubare wa platelet mu maraso.
Icy'ingenzi ni uko Nplate atari wo muti wa mbere utangwa kuri ITP. Muganga wawe ubusanzwe abanza kugerageza ubundi buryo bwo kuvura, nka corticosteroids na immunoglobulines. Hari igihe hashobora kwitabwaho kubaga splenectomy . Umuti nka Nplate ukoreshwa gusa iyo ubu buryo bwo kuvura budatanga ubuyobozi buhagije.
Hari poroteyine yihariye mu mubiri wacu yitwa thrombopoietin (TPO) 'itanga ikimenyetso' ku musokoro w'amagufwa kugira ngo hakorwe plaquettes z'amaraso. Abantu bafite ITP bashobora kuba bafite urugero ruto rw'iyi TPO. Umuti Nplate ukora neza neza nk'uyu TPO, wohereza ubutumwa ku musokoro w'amagufwa kugira ngo "hakorwe plaquettes nyinshi z'amaraso."
Intego nyamukuru y'uyu muti si ukugarura umubare wa platelet mu maraso ku rugero rusanzwe (150.000-450.000). Intego ni ugukomeza umubare wa platelet mu maraso uri hejuru ya 50.000, ibi bikaba ari ngombwa kugira ngo hagabanuke ibyago byo kuva amaraso.
Ni gute Nplate itangwa?
Nplate ni urushinge rutangwa rimwe mu cyumweru munsi y'uruhu. Uru ni urwawe cyangwa urw'umwana wawe.Itangwa na muganga cyangwa umuforomo wabyigiye. Igipimo gikunze kugenwa n'uburemere bw'umubiri wawe. Muganga wawe ashobora guhindura igipimo uko bikenewe hashingiwe ku bisubizo by'ibizamini by'amaraso yawe (umubare w'udupira tw'amaraso). Kubwibyo, ni ngombwa cyane kujya kwa muganga neza neza ku matariki n'amasaha byatanzwe na muganga wawe. Niba wabuze igipimo, hamagara muganga wawe vuba bishoboka kugira ngo utegure igipimo gikurikira.
Ingaruka mbi z'uyu muti ni izihe?
Kimwe n'indi miti yose, Nplate ishobora gutera ingaruka mbi. Izi zishobora kuba zitandukanye gato ku bantu bakuru n'abana.
| Ingaruka zikunze kugaragara za Nplate | |
|---|---|
| Ibintu bishobora kuba ku bantu bakuru | |
| Umutwe | Ububabare bw'ingingo n'imitsi |
| Kuzungera | Gusinzira nabi |
| Ububabare bw'ukuboko, ukuguru n'urutugu | Kubabara mu gifu, isesemi, kuruka, kubyimba mu nda |
| Gucika intege mu maguru | Inkorora, kubabara mu muhogo, ibicurane |
| Ibintu bishobora kuba ku bana | |
| Gukomereka | Indwara zo mu muhogo no mu mazuru, nk'ibicurane |
| Kubabara mu kanwa no mu muhogo | |
Ni gute wakwirinda izi ngaruka mbi?
- Isesemi/kuruka: Niba ugize isesemi, nywa amazi menshi kugira ngo wirinde umwuma. Irinde ibiryo birimo ibinure n'ibirungo kandi urye ibiryo byoroheje nk'umugati n'ibisuguti. Niba ibi bimenyetso bikomeje , menya neza ko wabibwiye muganga wawe .
- Kuribwa umutwe no kubabara: Muganga wawe ashobora kukwandikira imiti igabanya ububabare nko kuribwa umutwe no kubabara amaguru n'amaboko. Ariko, ntugafate imiti iyo ari yo yose utabanje kugisha inama muganga wawe .
- Kuzungera: Uyu muti ushobora gutera kuzerera, bityo irinde gutwara cyangwa gukoresha imashini ziremereye kugeza igihe umenye uko umuti ukugiraho ingaruka.
- Kudasinzira: Kujya kuryama icyarimwe, kugabanya igihe cyo kuri telefoni na televiziyo mbere yo kuryama, no gutekereza cyane bishobora kugabanya ibibazo byo gusinzira.
Igikuru ni ukumenyesha muganga wawe niba wowe cyangwa umwana wawe mugira ingaruka mbi, nubwo waba ubona ko ari nto.
Ese hari ibibazo biri mu yindi miti? (Imikoreshereze y'imiti)
Nta raporo zigaragaza ibibazo bikomeye byagaragaye ku yindi miti ifitanye isano na Nplate. Ariko, ikintu cy'ingenzi ugomba kwibuka ni uko niba ufata indi miti yongera ibyago byo kuva amaraso (urugero: aspirine, warfarin, cyangwa imiti igabanya amaraso nka clopidogrel), ni ngombwa kubimenyesha muganga wawe. Nanone, menya neza ko wabwiye muganga wawe imiti yose na vitamine ufata.
Ubutumwa bwo kujyana mu rugo
- ITP ni indwara aho ubudahangarwa bw'umubiri bwacu bwangiza uduce duto tw'amaraso.
- Nplate ni urushinge rutangwa rimwe mu cyumweru rutuma umwororo w'amagufwa wiyongera kugira ngo wongere plaquettes mu maraso.
- Uyu si umuti wa ITP. Intego yawo ni ukugabanya ibyago byo kuva amaraso.
- Igipimo cy'umuti kigenwa hashingiwe ku buremere bwawe n'ibisubizo by'amaraso. Kubwibyo, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe.
- Ingaruka mbi nko kubabara umutwe, kubabara ingingo, no kugira isesemi zishobora kubaho, kandi menyesha muganga wawe vuba ikibazo icyo ari cyo cyose kidasanzwe.
- Ni ngombwa kubwira muganga wawe indi miti yose ufata, cyane cyane imiti igabanya amaraso.
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