Ese umwana wawe yakomereka byoroshye? Bishobora kuba ari indwara ya thrombocytopenia (ITP)!

Birateye ubwoba kubona ibisebe n'utudomo duto dutukura ku mubiri w'umwana wawe, si byo se? Hari igihe ushobora kubona ibintu nk'ibi nubwo hari ibicurane bike bishize. Uyu munsi rero tugiye kuvuga ku ndwara yitwa Immune Thrombocytopenia (ITP), ishobora gutera ibimenyetso nk'ibi, ariko nta mpungenge ugomba kugira niba ubyiyumvisha neza. Reka turebe icyo ari cyo, impamvu bibaho, uko wabimenya, n'ikindi cyakorwa.

Ubudahangarwa bw'umubiri butera indwara ya Thrombocytopenia (ITP) ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Mu magambo make, indwara zo mu mutwe ziterwa n’amaraso (ITP) ni igihe ubudahangarwa bw’umubiri wacu (uburyo buturinda indwara ) bugenda bwibasira ubwoko bw’uturemangingo mu mubiri wacu twitwa platelets . Noneho ushobora kwibaza uti platelets ni izihe. Ni uturemangingo duto dufasha guhagarika kuva amaraso iyo tugize igikomere ahantu runaka mu mubiri wacu. Kimwe n’abafasha bafasha umusirikare wakomeretse mu ntambara. Utwo dutereko dukorana kugira ngo tugire amaraso afunganye kandi tuhagarike kuva amaraso.

Rero, ikiba ku mwana ufite ITP ni uko ubudahangarwa bw'umubiri bushobora kwangiza izi platelets nziza. Hanyuma se bigenda bite? Umubare wa platelets mu mubiri uragabanuka. Iyo bibaye, biragoye guhagarika kuva amaraso ndetse no mu gikomere gito, kandi rimwe na rimwe bishobora no gutera kuva amaraso.

Ariko hari inkuru nziza! Akenshi, iyo abana bato bakuze indwara ya ITP, irushaho kuba nziza ubwayo mu mezi agera kuri 6. Ariko rimwe na rimwe ishobora gufata igihe kirekire, cyangwa ikarushaho kuba nziza hanyuma ikagaruka. Niyo mpamvu ari ngombwa kubimenya.

Ni ibihe bimenyetso umwana urwaye ITP ashobora kugira?

Noneho reka turebe ibimenyetso umwana urwaye indwara ya ITP ashobora kugaragaza. Ntugatinye ubibonye, ​​ariko ni ngombwa cyane gushaka inama kwa muganga.

• Kuva amaraso byoroshye:
• Kuva amaraso mu mazuru gusa.
• Kuva amaraso mu ishinya mugihe woza amenyo.
• Hari igihe amaraso make asohoka mu mwanda cyangwa inkari . (Ibi biteye ubwoba gato, ariko ugomba kubimenyesha muganga).
• Ku mukobwa ugeze mu gihe cy'ubugimbi, kuva amaraso mu gihe cy'imihango ye y'ukwezi birakomeye kandi bikamara iminsi myinshi.
• Ibimenyetso biterwa no kuva amaraso munsi y'uruhu:
• Kubabara byoroshye . Ndetse n'agahu gato gashobora gutuma uruhu ruhinduka ubururu/umuhengeri.
• Kugaragara kw'utudomo duto dutukura n'umuhengeri ku ruhu. Mu buvuzi tubyita (Petechiae) . Utu ni utudomo duto dusa n'aho twashushanyijwe n'ikaramu.
• Uduheri tw'umuhengeri, tunini gato, tumeze nk'udukomere ku ruhu. Ibi byitwa (Purpura) . Ibi ni binini kurusha (Petechiae).

Tekereza, umwana wawe aramutse aguye akina agakomereka cyane kurusha uko bisanzwe, cyangwa ubonye ibintu nk'utudomo dutukura wavuze, wagombye kugira impungenge kuri byo.

Ni gake cyane, cyane cyane iyo hari igikomere gikomeye ku mutwe , ITP ishobora no gutera kuva amaraso mu bwonko (nk'uko umuntu yakomeretse mu bwonko). Ibi ni gake cyane, ariko wibuke kujya kwa muganga ako kanya niba ufite igikomere ku mutwe.

Kuki indwara ya ITP itera imbere? Ni izihe mpamvu?

Impamvu nyamukuru ya ITP, nk'uko byavuzwe mbere, ni uko ubudahangarwa bwacu bw'umubiri bwibasira uduce duto tw'amaraso (platelets) , nk'aho ingabo zacu zirimo zitera abaturage bacu.

Impamvu nyamukuru ituma ubudahangarwa bw'umubiri bw'abana bugabanuka muri ubu buryo ni ubwandu bwa virusi . Urugero, bamwe mu bana bashobora kugira ITP nyuma yo gukira ibicurane cyangwa grippe. Iyo virusi yinjiye mu mubiri, ubudahangarwa bw'umubiri, iyo buyirwanya, rimwe na rimwe "burakora cyane" maze bugatangira kwibasira platelets.

Byongeye kandi, ni gake cyane, ITP ishobora guterwa n'indi ndwara , indwara yo kwirema umubiri (indwara aho ubudahangarwa bw'umubiri bwibasira ibice by'umubiri wacu), cyangwa imiti imwe n'imwe. Ariko akenshi, biragoye kubona impamvu yihariye ituma ubudahangarwa bw'umubiri bwibasira uduce duto tw'amaraso.

Ni nde ushobora guteza imbere ITP cyane?

ITP, ikunze kugaragara mu bwana, ikunze kugaragara mu bana bari hagati y'imyaka 1 na 7. Ariko, ishobora no kugaragara ku bana bakuru n'abato.

Igikuru ni uko umwana urwaye indwara ya ITP asanzwe asa n'ufite ubuzima bwiza kandi ameze neza . Uretse kuva amaraso no gukomereka, umwana ashobora kuba akina, arya, anywa, ndetse agakora imirimo ye ya buri munsi nk'uko bisanzwe.

Ni gute abaganga basuzuma indwara ya ITP?

Iyo ujyanye umwana wawe kwa muganga, azakora ibi bikurikira kugira ngo amenye niba afite ITP:

1. Kubaza ibibazo:Uzabazwa ibibazo byinshi ku bimenyetso by'umwana wawe, uko byatangiye, ndetse niba hari indwara aherutse kugira.

2. Gusuzuma umubiri: Muganga azasuzuma umwana neza. Azasuzuma niba hari ibikomere, (Petechiae), (Purpura), n'ibindi byose bidasanzwe.

3. Gupima amaraso: Iyi ni intambwe y'ingenzi cyane. Hafatwa ikizamini cy'amaraso hanyuma hagakorwa ibizamini bikurikira:

• Umubare wa platelets uragenzurwa. Muri ITP, ibi bigomba kuba bike.
• Izindi selile z'amaraso (uturemangingo dutukura, uturemangingo tw'amaraso twera) zirasuzumwa kugira ngo barebe niba ari ibisanzwe . Izi selile akenshi ntizihinduka muri ITP.
• Reba ibimenyetso by'ubwandu (urugero, ubwandu bwa virusi).
• Turimo gukora iperereza niba hari izindi mpamvu zishobora gutera plaquettes nke.

Ibi bizamini ni bwo buryo bwonyine bwo kumenya niba ufite ITP cyangwa niba hari indi mpamvu itera ibi bimenyetso.

Ni ubuhe buryo bwo kuvura indwara ya ITP?

Uburyo bwo kuvura indwara ya ITP buratandukanye bitewe n'uburemere bw'ibimenyetso . Hari abana bashobora kudakenera kuvurwa iyo bafite ibisebe n'utudomo duto dutukura (petechiae). Abaganga bazakurikirana umwana.

Ariko, niba ukeneye kuvurwa, dore bimwe mu bintu ushobora gukora:

• Imiti ibuza ubudahangarwa bw'umubiri kwibasira platelets:
• Steroids: Izi zishobora gutangwa nk'ibinini cyangwa nk'urushinge mu mitsi. Izi zifasha kongera vuba umubare wa platelets.
• Gutera antibody mu mitsi ya IV (iterwa mu mitsi): Izi nazo zitwa immunoglobulins cyangwa rituximab . Izi zikora mu kugabanya gato ubudahangarwa bw'umubiri.
• Imiti ifasha umubiri gukora platelets nyinshi: Hari igihe iyi miti ishobora no gutangwa.
• Kubaga gukuraho impatwe: Impatwe ni urugingo ruri mu mubiri wacu. Impatwe zica cyane cyane muri iyi mpatwe. Bityo, ubu buryo bwo kubaga bukorwa gusa nk'uburyo bwa nyuma ku bana bafite ibimenyetso bikomeye cyane batakiriye ubundi buryo bwo kuvura. Ibi bikunze kwitabwaho ku bana bakuze cyangwa abakiri bato.

Icy'ingenzi: Umuganga ni we wenyine ushobora guhitamo uburyo bwo kuvura bukwiriye umwana wawe. Kubwibyo, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe.

Ni gute mwafasha nk'ababyeyi?

Hari ibintu byinshi ushobora gukora nk'umubyeyi mu gihe wita ku mwana wawe mu gihe cy'ubuvuzi bw'abana.

• Kura umwana wawe kure y'imikino n'ibikorwa bishobora gutera imvune cyangwa kuva amaraso igihe gito. Urugero, ushobora gukenera guhagarika igare no gukora siporo.
• Ntugahe umwana wawe umuti urimo ibuprofen (urugero: Motrin, Advil ) cyangwa aspirine muganga wawe atabimwemereye. Iyi miti ishobora kongera ibyago byo kuva amaraso. Parasetamol, itangwa ku muriro n'ububabare busanzwe, ubusanzwe nta kibazo ifite, ariko banza ubaze muganga wawe mbere yo kuyimuha.

Abana benshi bafite indwara ya ITP bakira burundu mu mezi make. Dore bimwe mu bintu ushobora gukora kugira ngo ufashe umwana wawe:

• Menya neza ko ujyana umwana wawe ku bitaro byose bya muganga.
• Kurikiza amabwiriza ya muganga wawe neza. Witondere cyane ibikorwa bikwiye n'ibyo udakwiye gukora.
• Niba umwana wawe akubiswe umutwe ahantu hose cyangwa akomeretse bikomeye, jya kwa muganga cyangwa ujye kwa muganga vuba. Ibi ni ingenzi cyane.
• Witondere guha umwana wawe imiti muganga avuga ko idakwiye.
• Niba umwana wawe agaragaje ibimenyetso byo kuva amaraso mashya, gukomereka, cyangwa ibibara bitukura/umuhengeri ku ruhu, hamagara muganga wawe vuba.

Ibintu by'ingenzi ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Kumva ibya ITP bishobora gutera ubwoba. Ariko wibuke ko akenshi, ishira ubwayo iyo ibaye ku bana . Ikintu cy'ingenzi ni ukudatinya, ahubwo ni ugushaka inama z'abaganga zikwiye no gukora ibikwiye .

Niba umwana wawe afite ibi bimenyetso, jya kwa muganga w'abana cyangwa inzobere mu ndwara z'amaraso. Bazaguha inama zose ukeneye. Tukwifurije gukira vuba!

Thrombocytopenia y'ubudahangarwa bw'umubiri, ITP, platelets, kuva amaraso, indwara z'abana, ubudahangarwa bw'umubiri, gukomereka