Ese ufite ibibazo byo kugabanya amaraso mu maraso yawe? Reka twige ku ndwara zo kugabanya amaraso mu buryo bworoshye!

Ese hari igihe uhura n'ibisebe ku mubiri wawe? Cyangwa bifata igihe kirekire kugira ngo kuva amaraso kuhagarare nyuma yo gukomereka gato? Wenda ishinya ryawe rihora riva amaraso? Ibi rimwe na rimwe bishobora kuba ikimenyetso cy'ikibazo cya platelets, ubwoko bw'uturemangingo duto mu maraso yacu. Uyu munsi, turaganira ku ndwara za platelets.

Izi ndwara zo mu miyoboro y'amaraso (platelets) ni izihe?

Mu magambo make, indwara za platelet ni indwara zigira ingaruka ku mubare wa platelet mu maraso yawe cyangwa uburyo zikora. Noneho, ushobora kuba wibaza uti "Izi platelet ni iki?" Reka tubisobanure.

Plateleti ni iki?

Tekereza ufite igisebe gito. Kuva amaraso birahagarara nyuma y'igihe runaka, sibyo? Utu duce twa platelets turafasha muri ibyo. Platelets ni uduce duto cyane tw'uturemangingo (nk'uduce tw'uturemangingo) mu maraso yacu. Tuba mu musokoro w'amagufwa yacu. Iyo habayeho imvune, utwo duce twa platelets turaterana, tugafunga igisebe kandi tugahagarika kuva amaraso. Ni nk'igishishwa karemano mu mubiri wacu! Bifatana bigakora ikibyimba cy'amaraso. Iyi ni yo nzira nyamukuru ihagarika kuva amaraso.

None se indwara zo mu miyoboro y'amaraso (platelets) ni iki?

Rero, ikibazo cy’imitsi itera amaraso ni ikibazo kuri izi platelets. Ibyo bivuze ko umubare wa platelets zawe ushobora kuba uri hasi, cyangwa uri hejuru, cyangwa se niba ufite ingano ikwiye ya platelets, zishobora kudakora neza. Uko byagenda kose, bishobora gutera ibibazo byo kuva amaraso.

Ni ubuhe bwoko bw'ingenzi bw'indwara zo mu maraso ziterwa n'imitsi?

Hari ubwoko butatu bw'ingenzi bw'indwara zo mu maraso:

1. Thrombocytosis: Ibi bivuze ko umubare wa platelets mu maraso yawe uri hejuru cyane ugereranije n'ibisanzwe .

2. Thrombocytopenia: Iki ni igihe umubare wa platelets mu maraso yawe uba uri hasi cyane ugereranije n'ibisanzwe .

3. Kudakora neza kw'imitsi yo mu maraso: Nubwo umubare w'imitsi yo mu maraso ari usanzwe, ntabwo ukora neza. Ni nk'aho ufite amapine ane ku modoka, ariko rimwe muri yo rirapfutse.

Akenshi, ibimenyetso by'izi ndwara za platelet ntibiba bikomeye. Hari abantu bashobora no kutagaragaza ibimenyetso. Ariko, rimwe na rimwe, cyane cyane iyo platelet ziri hasi cyangwa zidakora neza, hashobora kubaho ibyago byinshi byo kuva amaraso. Nanone, niba platelet ari nyinshi cyane, hashobora kubaho ibyago byinshi byo kurema ibice by'amaraso (amaraso afite akaga gakomeye) .

Muganga wawe ashobora gusobanura izi ngaruka no gutanga inama ku buryo bwo kuvura bukenewe bitewe n'uko umeze.

Ibi bimenyetso ni ibihe?

Bimwe mu bimenyetso bishobora kugaragara mu ndwara zo mu miyoboro y'amaraso ni ibi bikurikira:

• Ibimenyetso byo kuva amaraso munsi y'uruhu:
• Ibikomere bigaragara gusa ahantu ku mubiri. Ibi rimwe na rimwe byitwa purpura.
• Uduheri duto dutukura, tumeze nk'udupira (petechiae) tugaragara ku ruhu. Ubusanzwe utu duheri tudashya kandi tudahinduka umweru ubwatwo.
• Abagore bagira amaraso menshi mu gihe cy'imihango (igihe kirekire kuruta uko bisanzwe, bava amaraso menshi).
• Kuva amaraso mu mazuru kenshi.
• Kuva amaraso mu ishinya mugihe woza amenyo.
• Amaraso mu mwanda wawe (ashobora guhinduka umukara) cyangwa amaraso mu nkari zawe (ashobora guhinduka umutuku/umutuku).
• Kumva ufite intege nke, uzungera, cyangwa unaniwe (cyane cyane iyo amaraso abuze).
• Hari igihe amaraso ashobora kugabanuka mu buryo budasanzwe (cyane cyane iyo hari umubare munini w’udupira tw’amaraso).

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza gushaka inama kwa muganga.

Kuki ibi bibaho? Impamvu ni izihe?

Indwara zo mu miyoboro y'amaraso zishobora guterwa n'impamvu zitandukanye. Hari igihe zishobora guterwa n'indi ndwara ufite cyangwa imiti ufata. Hari n'igihe zishobora guterwa n'indwara y'uturemangingo uvukana n'ababyeyi bawe.

Impamvu zitera platelets nyinshi

Hari impamvu ebyiri z'ingenzi zituma platelets ziyongera:

• Indwara yo kugabanya amaraso mu maraso: Iyi ni indwara idasanzwe aho umwotsi w’amagufwa yawe ukora platelets nyinshi kurusha uko bikwiye bitewe n’impinduka mu miterere y’uturemangingo.
• Indwara ya thrombocytosis iterwa n'imikorere y'umubiri: Iyi ni yo ndwara ikunze kugaragara cyane. Ibaho iyo umubiri ukora platelets nyinshi cyane bitewe n'indi ndwara. Urugero:
• Kubura amaraso mu mubiri bitewe no kubura icyuma.
• Indwara zo kubyimba mu mubiri (urugero: kanseri, indwara zandurira mu mubiri).
• Ibikomere.
• Imiti imwe n'imwe.

Impamvu zitera platelets nke

Hari impamvu nyinshi zishobora gutuma umubare wa platelet mu maraso yawe uba muto:

• Umubiri ntukora platelets zihagije: Ibi bishobora guterwa n'ikibazo cy'umusemburo w'amagufwa.
• Kwangirika kwa plaquettes bitewe n'indwara: Urugero, muri `(indwara ziterwa na autoimmune)` (indwara ziterwa na ubudahangarwa bw'umubiri), ubudahangarwa bw'umubiri bwite bwangiza plaquettes zabwo. `(Immune thrombocytopenia - ITP)` ni indwara nk'iyo.
• Udusimba twinshi twitwa platelets: Ubusanzwe, utwo dusimba twitwa platelets twitwa platelets. Ariko, mu ndwara zimwe na zimwe, iyi ngano iriyongera.
• Izindi mpamvu:
• Kanseri y'amaraso (iterwa n'uko umwotsi w'amagufwa wuzuyemo uturemangingo twa kanseri).
• Indwara zimwe na zimwe z'amaraso, urugero `(Thrombotic thrombocytopenic purpura - TPP)` na `(Disseminated intravascular coagulation - DIC)`.
• Ubwandu bukomeye.
• Imiti imwe n'imwe n'uburyo bwo kuvura kanseri (Chimiotherapie, Radiation therapy).

Impamvu zitera imikorere mibi y’udupira tw’amaraso mu mubiri (platelets)

Hari igihe, nubwo umubare wa platelet waba usanzwe, hashobora kubaho ikibazo mu mikorere yazo. Hari n'impamvu zibitera:

• Indwara zo mu maraso zivukana (genetic): Izi ni gake cyane. Ingero: `(Bernard Soulier syndrome)`, `(Glanzman thrombasthenia)`, `(Von Willebrand disease)` (igira ingaruka ku mikorere ya platelet ndetse n'izindi mpamvu zigira uruhare mu gutuma amaraso agwa), `(Wiskott-Aldrich syndrome)`.
• Indwara zabonetse: Indwara nko kunanirwa kw'impyiko, indwara y'umwijima, na lupus zishobora kugira ingaruka ku buryo platelets zikora.
• Imiti: Imiti imwe n'imwe, cyane cyane imiti igabanya ubukana bwa SSRI na NSAID, ishobora kwangiza imikorere ya platelet. Mu by'ukuri, imikorere mibi ya platelet iterwa n'imiti ni yo ikunze kugaragara.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Hari ibintu byinshi byongera ibyago byo kurwara indwara yo kugabanya imitsi mu maraso:

• Imyaka: Hari indwara zimwe na zimwe zishobora kugaragara cyane mu matsinda y'imyaka runaka.
• Igitsina: Nubwo umuntu uwo ari we wese ashobora kubyibasira, abagore bakunze kugira ibimenyetso mu gihe cyo kuva amaraso, nko mu mihango no kubyara.
• Amateka y'umuryango: Hari indwara zimwe na zimwe ziterwa n'uturemangingo tw'amaraso zishobora guhererekanywa kuva ku gisekuru kugeza ku kindi.
• Izindi ndwara: Indwara nyinshi, nk'indwara ziterwa n'ubwiyongere bw'umubiri, indwara zandura, indwara z'impyiko n'umwijima, na kanseri, zishobora gutera ibibazo byo mu miyoboro y'amaraso.
• Uburyo bwo kuvura kanseri: Ubuvuzi bushingiye ku mikorere ya chimiotherapie n'imirasire y'izuba bishobora kugabanya umubare w'udukoko twa platelet mu maraso.
• Imiti: Imiti igabanya ubukana bw'indwara z'igicuri n'imiti imwe n'imwe ishobora kugira ingaruka ku miyoboro y'amaraso ikoreshwa mu gupima plaquettes.
• Ubuzima: Kunywa inzoga nyinshi no kunywa itabi bishobora kugira ingaruka ku ikorwa ry’udukoko twa platelet.

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Iyo indwara zo mu miyoboro y'amaraso idakemuwe neza, hari ingorane zimwe na zimwe zishobora kubaho:

• Kuva amaraso: Ndetse n'igikomere gito gishobora gutera kuva amaraso menshi.
• Kuva amaraso menshi mu gihe cy'imihango ku bagore (Menorrhagia).
• Kuva amaraso mu gifu.
• Mu bihe nka ``essential thrombocytosis``, indwara zikomeye nko kubumba amaraso mu mitsi y'amaguru (deep vein thrombosis) cyangwa kubumba amaraso mu bihaha (pulmonary embolism) .
• Ingaruka zo kurwara indwara y'umutima cyangwa indwara yo gucika kw'imitsi (cyane cyane iyo amaraso yacitse ku buryo bworoshye).

Ariko ibuka,Kubikorana na muganga no gukurikiza gahunda ikwiye yo kuvura, byinshi muri ibyo bibazo bishobora kwirindwa.

Ubibona ute? (Isuzuma)

Niba ufite ibimenyetso by'indwara ya platelet, muganga azabanza agupime. Azakubaza ibimenyetso byawe, imiti ufata, ndetse niba hari uwo mu muryango wawe wigeze kugira ibibazo nk'ibyo. Azanagufata amateka y'ubuzima bwawe. Hanyuma, azagupimisha amaraso kugira ngo arebe platelet zawe.

Ibipimo by'ingenzi by'amaraso ni ibi bikurikira:

• Umubare wuzuye w'amaraso (CBC): Ibi bipima umubare w'uturemangingo dutukura tw'amaraso, uturemangingo twera tw'amaraso, na plaquettes mu maraso yawe.
• Gupima amaraso mu maraso (PBS): Muri iki kizamini, igitonyanga cy'amaraso yawe gifatwa kigasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba platelets zisa neza kandi niba hari impinduka mu miterere cyangwa ingano yazo.
• Ibizamini by'imikorere ya platelet: Ibi bizamini bigenzura uburyo platelet zawe zigira ibice by'amaraso kandi niba bikora neza.

Niba ibi bizamini byemeza ko ufite indwara yo kugabanya imitsi mu maraso, ushobora gukenera gukora ibindi bizamini kugira ngo umenye ikibitera. Urugero:

• Isuzuma ry'umusemburo w'amagufwa: Muri ibi, hafatwa urugero ruto rw'umusemburo w'amagufwa hanyuma hagasuzumwa uturemangingo tudasanzwe (ibimenyetso by'indwara y'amaraso cyangwa kanseri).
• Ikizamini cya Genetic: Kubera ko indwara zimwe na zimwe za platelet ziterwa n'ibintu bigize genetic, iki kizamini gishakisha impinduka mu genetic zifitanye isano nabyo.

Ni ubuhe buryo bwo kuvura?

Uburyo bwo kuvura indwara za platelet biterwa n'impamvu. Hari indwara zimwe na zimwe ziba iz'igihe gito kandi zirakemuka iyo impamvu imaze gucika. Ariko, niba ufite indwara idakira (igihe kirekire) ya platelet, uzakenera kubonana n'inzobere mu by'amaraso no guhabwa ubuvuzi kugira ngo urugero rwa platelet yawe rukomeze kuba rwiza.

Ibi bikurikira bishobora gukorwa nk'ubuvuzi:

• Gutegereza witonze: Niba ibimenyetso byawe bidakomeye, ushobora kudakenera kuvurwa vuba. Ahubwo, muganga wawe azakurikirana urugero rw'amaraso yawe akoresheje uburyo bwo gupima platelet buri gihe.
• Imiti: Niba umubare wa platelet yawe uri hejuru cyane, byaba bitewe n'indwara nka ``essential thrombocytosis`` cyangwa indi kanseri y'amaraso (nk'`(indwara ya myeloproliferative)``), ushobora guhabwa imiti yo kuyigabanya. Mu buryo nk'ubwo, niba umubare wa platelet yawe uri hasi, ushobora guhabwa imiti yo kongera umusaruro wazo cyangwa kugabanya kwangirika kwazo.
• Kugabanuka kw'imitsi yo mu maraso: Ibi bikorwa gake cyane. Uburyo bwitwa apheresis bukuraho imitsi yo mu maraso irenze urugero.
• Gutera plaquettes:Niba umubare wa platelet yawe uri hasi cyane (cyane cyane niba urimo kuva amaraso), ushobora guhabwa platelet hanze.
• Uburyo bwo kuvura mu maraso / Guhinduranya plasma: Ubu buryo bwo kuvura bushobora kuba ngombwa mu gihe cy'indwara nka TPP. Ibi bikubiyemo gusimbuza igice cy'amaraso cyabuze cyitwa (ADAMTS13).

Ubaho ute n'iki kibazo? Wiyitaho ute?

Ubunararibonye bwawe buzaterwa n'ubwoko bw'indwara ya platelet ufite n'icyayiteye. Kenshi na kenshi, umubare wa platelet yawe uzasubira ku murongo nyuma yo kuvurwa. Cyangwa se, indwara yawe ishobora kuba idafite ubuzima kugeza igihe ugize imvune. Muri icyo gihe, uzakenera gufata ingamba zo kugabanya ibyago byo gukomereka. Niba ugiye kubagwa, itsinda ry'abaganga rizakenera kwitonda cyane kugira ngo wirinde kuva amaraso.

Mu bihe bikomeye kurushaho, ushobora gukenera gukomeza gufata imiti, kuvurwa buri gihe, no gupimwa kugira ngo umenye neza ko ufite platelets zihagije mu mubiri wawe.

Niba ugomba kuba ubana n'indwara yo kugabanya amaraso mu mitsi, ikintu cyiza wakora ni ugusobanukirwa neza uburyo bwo kugabanya ibyago byo kuva amaraso cyangwa kugabanya amaraso mu buryo buteje akaga. Ni ngombwa kumenya ibi bintu:

• Ibikorwa byo kwirinda: Hari indwara zimwe na zimwe zo mu mitsi zishobora gutera kuva amaraso menshi mu gihe wakomeretse. Kubwibyo, ibikorwa bishobora gutera imvune nyinshi (urugero: siporo yo gukomeretsa) bigomba kwirindwa.
• Uko wakwita ku gikomere: Niba hari ibyago byo kuva amaraso, ni ngombwa kumenya uburyo bwo gushyira igitutu ku gikomere kugira ngo uhagarike kuva amaraso. Muganga wawe ashobora kukwigisha uko wabikora.
• Imiti ugomba gufata (n'iyo utagomba gufata): Ushobora gukenera gukomeza gufata imiti yo kuvura indwara ya platelet. Ushobora kandi kwirinda imiti imwe n'imwe (nk'imiti igabanya ubukana bwa NSAID nka aspirine) ibangamira imikorere ya platelet kandi ikongera ibyago byo kuva amaraso.
• Inyongeramusaruro ugomba kwirinda: Inyongeramusaruro zimwe na zimwe zishobora kongera ibyago byo kuva amaraso mu bantu bafite ibibazo byo mu mitsi. Baza muganga wawe ibyo ari byo.
• Uburyo bwo kuvugana n'abaganga bawe: Niba uteganya gukora ikintu gishobora gutera kuva amaraso, byaba ari igikorwa gito nko gukura iryinyo cyangwa kubagwa bikomeye, ugomba kubimenyesha abaganga bawe.

Shaka inama kuri ibi byose ku muganga wawe w’indwara z’amaraso cyangwa umuganga ukuvura indwara yawe.

Ni ryari ukwiye kujya kwa muganga?

Niba ubonye ibimenyetso by'indwara yo kuvura platelet, nko gukomereka bidashira nta mpamvu igaragara (cyane cyane ibikomere binini kurusha igiceri cya rupiye eshanu utibuka) , gana muganga.

Niba ufite ibimenyetso byo kuva amaraso menshi (urugero: kuva amaraso atazahagarara, kuzungera cyane, guta ubwenge) cyangwa ibimenyetso by'amaraso yacitse (urugero: kubabara mu gituza, guhumeka bigoranye, kunanirwa kuvuga, kugira ibinya mu kuboko cyangwa ku kuguru - ibi bishobora kuba ibimenyetso by' "indwara yo gucika kw'amaraso" cyangwa "indwara y'umutima"), jya mu cyumba cy'ubutabazi bwihuse.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ntugatinye kubaza ibibazo nk'ibi:

• Indwara yanjye ikomeye gute?
• Ese ibi bishobora gukira burundu?
• Ni ubuhe bwoko bw'ubuvuzi bwamfasha?
• Ni kangahe nkwiye gusuzuma urugero rw'imitsi yanjye ya platelet?
• Nakora iki kugira ngo ngire kuva amaraso cyangwa kubyimba kw'amaraso mu buryo buteje akaga?

Ubutumwa bwa nyuma bwo kujyana mu rugo

Hari ibintu byinshi bishobora kugira ingaruka ku miyoboro ya platelets, ndetse n'ubundi buryo bwo kuvura bushobora kubikora. Rero, ntugatekereze ko ikibi ari cyo iyo umenye ko umubare wa platelets zawe utari usanzwe. Ariko, ni ngombwa kumenya neza icyateye ikibazo. Icyo gihe ni bwo uzamenya neza icyo urimo guhangana nacyo.

Niba ubona ko ufite ibimenyetso by'indwara ya platelet, gana muganga. Ashobora kukugira inama yo kugufasha kugarura urugero rwa platelet mu maraso yawe cyangwa gucunga uburwayi bwawe. Uburyo bwiza bwo kugumana ubuzima bwiza ni ukuba wizeye, ukabaza ibibazo, kandi ugasobanukirwa neza uburwayi bwawe.

` indwara zo mu miyoboro y'amaraso, plaquettes, kuva amaraso, kuvura amaraso, thrombocytopenia, thrombocytosis, kudakora neza kwa plaquettes, Sinhala medical, indwara z'amaraso