Ese platelets zawe mu maraso ziragabanuka? Reka twige neza ibijyanye na thrombocytopenia!

Uyu munsi tugiye kuvuga ku ndwara ijyana n'ijambo riteye ubwoba gato, ariko rishobora kwitabwaho neza niba ubimenye neza. Iyo ni Thrombocytopenia . Wenda nturigeze wumva iri zina mbere. Cyangwa wenda muganga yabikubwiye cyangwa undi muntu uzi. Iyi Thrombocytopenia yitwa idasanzwe ni iyihe? Kuki ibi bibaho? Ese ni akaga? Ibibazo byinshi nk'ibyo bigomba kuba biri mu mutwe wawe. Reka tubiganireho mu buryo bwumvikana kandi bworoshye, nko kuvugana n'inshuti.

Thrombocytopenia ni iki?

Mu magambo make, thrombocytopenia ni igihe ufite platelets nke mu maraso yawe kurusha uko bikwiye. Noneho ushobora kuba uri kwibaza uti "Izi platelets ni iki?" Ntugahangayike, tuzabivugaho nabyo.

Tekereza muri ubu buryo: umubiri wacu umeze nk'uruganda runini. Hari ubwoko butandukanye bw'abakozi muri uru ruganda bakora imirimo itandukanye. Mu buryo nk'ubwo, hari ubwoko butandukanye bw'uturemangingo mu maraso yacu, buri kimwe gifite akazi kacyo. Uturemangingo tw'amaraso ni rimwe mu matsinda y'abakozi bihariye.

Rero, iyo umubare w’imitsi igenda igabanuka munsi y’urugero rusabwa, tuyita Thrombocytopenia. Ni nk'aho abarinzi b'umutekano baba bake ku kazi, ibibazo bito bishobora kuba bikomeye.

Platelets ni iki? Zikora iki?

Platelets, cyangwa nk'uko tubyita , platelets, ni uturemangingo duto cyane, tutagira ibara mu maraso yacu. Tuba mu gice cyoroshye cy'amagufwa yacu cyitwa umwongo w'amagufwa . Tekereza umwongo w'amagufwa nk'uruganda rw'uturemangingo tw'amaraso. Niho uturemangingo dutukura tw'amaraso (uturemangingo duha amaraso ibara ritukura kandi dutwara ogisijeni), uturemangingo tw'umweru tw'amaraso (uturemangingo tuturinda indwara), na platelets.

Nubwo ari ntoya, platelets zigira akazi kanini cyane. Akazi kazo gakomeye ni uguhagarika kuva amaraso, ni ukuvuga kubumba amaraso. Iyo ukomeretse ahantu runaka, kuva amaraso kurahagarara nyuma y'igihe runaka, si byo se? Utu duplatelets tw'amaraso turabifasha. Tuza aho wakomeretse tugafatana, nk'umuyoboro w'amazi, kandi tubuza amaraso gusohoka.

Urabyumva, sibyo? Platelets ni igice cy'ingenzi cyane cy'umubiri wacu kigenzura kuva amaraso, kigakora nk' "plaster" nto.

Kuki Thrombocytopenia ibaho? Ni izihe mpamvu?

Noneho, ubu tuzi ko thrombocytopenia ari ukugabanuka kwa platelets. Ariko kuki bibaho gutya? Hari impamvu nyinshi zishobora kubitera. Reka tubicemo ibice bitatu by'ingenzi:

1. Kugabanuka k'umusaruro wa plaquettes uva mu musokoro w'amagufwa

Iyo uruganda rwacu rukora platelets, umwongo w'amagufwa, rudakora neza, umubare wa platelets zikorwa ushobora kugabanuka. Ibi bishobora guterwa na:

• Hari indwara zimwe na zimwe ziterwa na virusi (urugero, ushobora kuba warumvise ko plaquettes zigabanuka iyo urwaye indwara ya dengue).
• Imiti imwe n'imwe (cyane cyane imiti ivura kanseri).
• Kubura Vitamine B12 cyangwa aside folike.
• Indwara zifata umwongo w'amagufwa (urugero: Leukemia , Aplastic Anemia ).
• Kunywa inzoga nyinshi.

2. Kwangirika vuba kwa platelets (gucikagurika cyane)

Hari igihe, nubwo umusokoro w'igufwa ukora neza platelets, zihita zipfa mu mubiri. Kimwe n'uko ibintu bimwe na bimwe byakozwe neza bicika mu gihe cyo kubitwara. Impamvu ni izi:

• Indwara z'ubudahangarwa bw'umubiri: Hari igihe ubudahangarwa bw'umubiri wacu bwite (ubudahangarwa bw'umubiri) butangira kwibeshya kwangiza platelets zawo. Ibi byitwa `(Immune Thrombocytopenic Purpura - ITP)`. Ibi bishobora no kugaragara ku bana bato.
• Nk'ingaruka mbi z'imiti imwe n'imwe (urugero: heparin).
• Hari indwara zimwe na zimwe zandura.
• Hari abantu bashobora kugabanuka gato k'umubare wa platelet mu gihe batwite, ariko akenshi si indwara ikomeye.

3. Platelets zirundanya ahantu hamwe mu mubiri (cyane cyane mu gasabo)

Umubiri wacu ufite urugingo rwitwa urwagashya. Ruherereye ibumoso bw'inda. Imwe mu nshingano z'urwagashya ni ugukuraho uturemangingo tw'amaraso dushaje. Ariko, rimwe na rimwe iyo urwagashya rubaye rwinshi (urugero, mu ndwara nka cirrhose y'umwijima), rushobora kurundanya uturemangingo twinshi cyane, bishobora kugabanya umubare wa platelets mu maraso.

Wamenya ute ko ufite thrombocytopenia? Ni ibihe bimenyetso?

Iyo platelets ziri hasi, ubushobozi bwazo bwo guhagarika kuva amaraso buragabanuka, bityo ibimenyetso bitandukanye bishobora kugaragara. Ariko, ibi bimenyetso ntibigaragara kuri bose. Hari abantu bashobora kutagira ibimenyetso nubwo umubare wabo wa platelets waba uri hasi gato. Ariko, niba umubare wa platelets ugabanuka cyane, ushobora kubona ibintu nk'ibi:

• Gukomereka byoroshye: Ndetse n'igisebe gito gishobora gutera igisebe kinini cyijimye. Hari igihe hashobora kugaragara utudomo tw'ubururu ku mubiri.
• Utudomo duto dutukura/umuhengeri ku ruhu (petechiae): Utu ni utuntu duto tw'amaraso gisa n'aho twakubiswe n'agakoni gato kandi ntiduhinduka umweru iyo dukandagiwe. Akenshi tugaragara mbere ku maguru.
• Ishinya riva amaraso: Ishinya riva amaraso, haba mu gihe woza amenyo cyangwa igihe uhagaze.
• Kuva amaraso mu mazuru kenshi.
• Bifata igihe kirekire kugira ngo kuva amaraso kuhagarare nyuma yo gukomereka.
• Kuva amaraso menshi mu gihe cy'imihango ku bagore.
• Ni gake cyane, amaraso ashobora kuba mu nkari cyangwa mu mwanda.
• Mu bihe bikomeye cyane (bidakunze kubaho), indwara zishobora guterwa n’akaga nko kuva amaraso mu bwonko.

Icy'ingenzi: Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ntabwo bivuze ko ufite thrombocytopenia. Ariko, ni byiza kujya kwa muganga kugira ngo akugire inama.

Wamenya ute ko ufite thrombocytopenia? (Isuzuma)

Iyo ugiye kwa muganga, bazakubaza ibimenyetso byawe kandi bagusuzume (cyane cyane niba hari ibisebe cyangwa umutuku). Hanyuma bashobora gutumiza ibipimo nk'ibi kugira ngo bamenye niba ufite thrombocytopenia, niba ari yo, niba ari yo, icyabiteye:

• Umubare wuzuye w'amaraso (CBC): Iki ni cyo kizamini cy'ingenzi cyane. Gipima umubare w'uturemangingo dutukura, uturemangingo twera, kandi ikiruta byose, uduce duto tw'amaraso mu maraso yawe. Umubare usanzwe w'uduce duto tw'amaraso ku muntu muzima ni hagati ya 150.000 na 450.000 kuri mililitiro imwe y'amaraso. Thrombocytopenia ni igihe uyu mubare uri munsi ya 150.000.
• Gusiga amaraso mu gice cyo hanze: Muri ibi, hafatwa igitonyanga cy'amaraso kigasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe uko plaquettes zisa n'ingano yazo.
• Ibipimo by'inyongera: Iyo byemejwe ko thrombocytopenia yatewe n'indwara, muganga wawe ashobora gusaba ibindi bipimo kugira ngo amenye impamvu. Urugero:
• Ibizamini bya virusi.
• Ibizamini bifitanye isano n'ubudahangarwa bw'umubiri (kugira ngo harebwe indwara nka ITP).
• Iyo bibaye ngombwa, hashobora no gukorwa isuzuma ry’umusemburo w’amagufwa . Ibi bisaba gufata icyitegererezo cy’umusemburo w’amagufwa ukoresheje urushinge ruto hanyuma ukabisuzuma kugira ngo harebwe niba umusemburo w’amagufwa urimo gukora plaquettes neza. Ibi bikunze gukorwa mu bihe bigoye cyane.

Ni ubuhe buryo bwo kuvura thrombocytopenia?

Uburyo bwo kuvura thrombocytopenia buterwa n'impamvu y'umubare muto wa platelets, uburyo umubare muto wa platelets uhagaze, ndetse n'uburemere bw'ibimenyetso byawe.

• Kuvura Impamvu: Hari igihe iyo impamvu nyamukuru itera thrombocytopenia ivuwe, umubare wa platelets usubira ku buryo busanzwe. Urugero, niba umuti wateye umubare muto wa platelets, guhagarika umuti bishobora gufasha. Niba ari ikibazo cyo kubura vitamine, gufata ibinini bya vitamine bishobora gufasha.
• Thrombocytopenia yoroheje: Niba umubare wa platelet yawe utari hasi cyane, kandi nta bimenyetso bikomeye ufite, ushobora kudakenera ubuvuzi bwihariye. Muganga wawe azakubwira ko ugomba gupimwa amaraso buri gihe (gukurikiranwa).
• Uburyo bwo kuvura ITP (Immune Thrombocytopenic Purpura):
• Steroids: Izi zigabanya imikorere y'ubudahangarwa bw'umubiri busenya platelets.
• Immunoglobulin Intravenous Immunoglobulin (IVIG): Ibi bigira ingaruka no ku budahangarwa bw'umubiri kandi bigabanya kwangirika kwa platelets.
• Indi miti igabanya ubudahangarwa bw'umubiri.
• Mu bihe bimwe na bimwe bikomeye, hashobora gukorwa isuzuma rya splenectomy , kuko irya spleen ari ryo rikuru ryangiza platelets.
• Gutera platelet: Iyo umubare wa platelet uri hasi cyane kandi hakaba hari ibyago byo kuva amaraso, platelet zishobora gutangwa hanze. Ariko, iki ni igisubizo cy'agateganyo.

Icy'ingenzi: Muganga wawe ni we uzaguhitiramo uburyo bwo kuvura bukubereye, bityo rero ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe.

Ni iki umuntu urwaye thrombocytopenia agomba kumenya?

Niba ufite thrombocytopenia, ni byiza kwita kuri ibi bintu kugira ngo ugabanye ibyago byo kuva amaraso:

• Irinde siporo n'ibikorwa bishobora gutera imvune: Irinde siporo zirimo gukoranaho (urugero: rugby, boxe).
• Witondere cyane iyo ukoresha ibikoresho bityaye: Witondere cyane iyo ukoresha ibintu nk'imihoro n'amakasi.
• Koresha uburoso bworoshye bw'amenyo mugihe woza amenyo yawe. Irinde gukomeretsa ishinya.
• Ntugafate imiti imwe n'imwe utabanje kugisha inama muganga wawe: Ntugafate imiti igabanya amaraso, cyane cyane aspirine cyangwa ibuprofen, utabanje kubyemererwa na muganga. Iyi miti yongera ibyago byo kuva amaraso.
• Kugabanya cyangwa guhagarika burundu kunywa inzoga.
• Irinde impatwe: Rya ibiryo birimo fibre nyinshi (imboga, imbuto) kandi unywe amazi menshi, kuko impatwe ishobora gutera kuva amaraso iyo urimo kunaniza umubiri.
• Bibwire muganga wawe vuba niba ugize kuva amaraso ku buryo budasanzwe, kuribwa umutwe cyane, cyangwa ibindi bimenyetso bishya.

Amaherezo, ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Nubwo izina thrombocytopenia rishobora gutera ubwoba, ni indwara ishobora gukemurwa neza niba uyimenye, ukabonana na muganga ku gihe, kandi ugahabwa ubuvuzi bukwiye.

Wibuke:

* Thrombocytopenia ni ukugabanuka kw'ibinure mu maraso.

* Platelets ni uduce duto tw'uturemangingo dufasha guhagarika kuva amaraso.

* Hari impamvu nyinshi zishobora gutuma ibi bibaho.

* Niba ubonye ibimenyetso nko guhinduka ubururu byoroshye cyangwa kuva amaraso mu ishinya, gana muganga.

* Ibi bishobora kugaragara byoroshye hakoreshejwe ikizamini cy'amaraso cyitwa CBC.

* Ubuvuzi buterwa n'icyateye n'uburemere bw'indwara.

Niba wowe cyangwa undi muntu uzi afite ikibazo nk'iki, ntugatinye, ntugatinye, kandi shaka inama kwa muganga. Ubumenyi bukwiye ni bwo burinzi bwiza!

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