Ese platelets zawe mu maraso ziragabanuka? Reka twige ku bijyanye na thrombocytopenia mu magambo make!

Ese bifata igihe kirekire kugira ngo amaraso ahagarike iyo ukomeretse gato? Cyangwa uhinduka ubururu ugakomereka nta kintu na kimwe kigukubise ku mubiri? Niba ibi byarakubayeho, bishobora kuba biterwa n'uko ufite umubare muto w'udukoko two mu maraso . Mu buvuzi, iyi ndwara tuyita Thrombocytopenia (izwi nka "thrombo-cyto-penia"). Ntugahangayike, tuzakoroshya ibintu byose.

Mu magambo make, Thrombocytopenia ni iki?

Uretse uturemangingo dutukura n'uturemangingo tw'amaraso twera , amaraso yacu arimo ubundi bwoko bw'uturemangingo twihariye, twitwa platelets . Akazi kayo k'ingenzi ni ugufasha guhagarika kuva amaraso iyo twakomeretse. Mu by'ukuri, birema amaraso agafungana kandi bigahagarika kuva amaraso.

Ubu, Thrombocytopenia ni igihe umubare wa platelets mu maraso yacu uba uri hasi ugereranije n'ingano ikenewe. Izi zikorwa n'umusemburo w'amagufwa yacu. Rero, niba umusemburo w'amagufwa udakora platelets zihagije, cyangwa niba platelets zikorwa zangiritse vuba cyane, iyi ndwara ishobora kubaho. Ibi bishobora no guterwa n'ibintu nk'indwara zimwe na zimwe n'imiti.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, abantu benshi bafite iyi ndwara ku rugero rworoshye cyane. Bashobora no kutamenya ko bayirwaye kuko nta bimenyetso bikomeye bafite. Rero biragoye kumenya neza uburyo ikunze kugaragara.

Ariko, indi ndwara ifitanye isano nayo, Ubudahangarwa bw'umubiri bwo mu nda , yagaragaye ko yibasira abana n'abantu bakuru bagera kuri 3-4 mu 100.000. Nanone, abagore batwite bagera kuri 5% bashobora kugira ikibazo cyo kubura amaraso mbere gato yo kubyara.

Ni izihe ngorane zishobora guterwa na thrombocytopenia?

Umubare muto cyane wa platelets ushobora gutera indwara zikomeye.

• Kuva amaraso menshi mu mubiri: Kuva amaraso bishobora guterwa n'ahantu nko mu gifu no mu mara. Akaga gakomeye kurushaho ni ukuva amaraso mu bwonko. Iyi ishobora kuba indwara ishobora gushyira ubuzima mu kaga.
• Indwara y'umutima: Kugabanuka kwa plaquettes z'amaraso bishobora kugabanya ingano y'amaraso atembera mu mutima, bikongera ibyago byo kurwara indwara y'umutima.

Ni iki gipimo gisanzwe n'ikikiri hasi cy'ibinure by'amaraso?

Iyo urebye raporo y'amaraso yawe, uzabona ko igaragaza umubare w'amaraso yawe akoreshwa mu gupima plaquettes. Reka turebe urugero rusanzwe n'urugero ruri hasi.

Ese nawe ufite ibi bimenyetso? Ibimenyetso bya Thrombocytopenia

Abantu bafite ikibazo cyo kubura platelet nke bashobora kutagira ibimenyetso. Ariko, iyo ibimenyetso bigaragaye, kimwe mu bintu bya mbere ubona ni ukugorwa no guhagarika kuva amaraso bitewe n'agasebe gato cyangwa kuva amaraso mu mazuru. Dore ibindi bimenyetso.

• Ishinya riva amaraso: Ushobora kubona amaraso ku buroso bw'amenyo yawe igihe woza amenyo. Ishinya ryawe rishobora no kugaragara nk'iribyimbye.
• Amaraso mu muyoboro: Umuyoboro ushobora guhinduka umukara wijimye cyane.
• Amaraso mu nkari: Niba amazi yo mu musarani asa n'umutuku woroshye nyuma yo kunyara, bishobora kuba biterwa nuko hari amaraso mu nkari.
• Amaraso yo kuruka: Ibi bivuze ko hari amaraso mu gice cyo hejuru cy'inda yawe.
• Kuva amaraso menshi mu gihe cy'imihango: Niba imihango yawe ya buri kwezi imara iminsi irenga 7, cyangwa niba uva amaraso menshi cyane kurusha uko bisanzwe, bishobora kuba ikimenyetso.
• Petechiae:Bisa n'uduheri duto tw'umutuku/umuhengeri ku maguru, cyane cyane mu gice cy'imbere.
• Purpura: Uduheri tw'umutuku, umuhengeri, cyangwa umukara ku ruhu. Ibi biterwa n'amaraso ava mu mitsi mito iri munsi y'uruhu.
• Ibisebe: Ibisebe bibaho iyo amaraso yikusanyije munsi y'uruhu. Ushobora kubona ko ukomereka byoroshye kurusha uko bisanzwe.
• Kuva amaraso mu mikaya: Ushobora kubona amaraso mu musarani cyangwa mu gihe ukora isuku.

Kuki plaquettes z'amaraso zigabanuka gutya? Ni izihe mpamvu?

Impamvu zitera platelets nke mu maraso zishobora kugabanywamo ibice bitatu by'ingenzi.

1. Umwongo wawe ntukora platelets zihagije: Ibi bishobora kubaho mu ndwara za kanseri y'amaraso nka leukemia cyangwa lymphoma.

2. Nubwo platelets zihagije zakorwa n'umusemburo w'amagufwa, zirangirika vuba cyangwa zigashira: Bitewe n'indwara zimwe na zimwe, ingano ya platelets zikorwa irashira vuba.

3. Kubika plaquettes mu maraso: Ubusanzwe, plaquettes zacu zibika hafi kimwe cya gatatu cya plaquettes z'amaraso. Ariko, rimwe na rimwe, zibika plaquettes nyinshi cyane.

Impamvu nke zihariye

• Indwara ziterwa n’ubwiyongere bw’umubiri: Mu ndwara nka Immune Thrombocytopenia (ITP) na Lupus, ubudahangarwa bwacu bw’umubiri bwibasira kandi bukangiza plaquettes z’amaraso.
• Kanseri z'amaraso: Indwara nka leukemia na lymphoma zishobora kwangiza umwongo w'amagufwa no kuwuhagarika gukora platelets z'amaraso.
• Uburyo bwo kuvura kanseri: Ubuvuzi bushingiye ku mirasire n'imirasire bushobora gusenya uturemangingo tw'umubiri twashoboraga guhinduka uduce duto tw'amaraso.
• Zimwe mu ndwara z'amaraso: Mu ndwara nka Thrombotic Thrombocytopenic Purpura (TPP), amaraso mato atera umubiri wose, bigatuma platelets zigabanuka vuba.
• Kwandura: Kwandura kwa bagiteri na virusi nabyo bishobora gutera umubare muto w'udukoko twa platelet.
• Kunywa inzoga nyinshi: Inzoga zigabanya umuvuduko w'ikorwa ry'uturemangingo tw'amaraso.
• Ibinyabutabire by’uburozi: Guhura n’ibintu nka arsenic, benzene, n’imiti yica udukoko nabyo bishobora kugira ingaruka.
• Imiti imwe n'imwe: Imiti igabanya ubukana bw'indwara z'umutima, imiti igabanya ubukana bw'indwara z'igicuri, imiti igabanya amaraso nka heparin na yo ishobora gutera ibi.

Ubibona ute, Muganga?

Iyo ugiye kwa muganga, abanza kugusuzuma. Azagusuzuma niba hari ibisebe, uduheri, nibindi. Azabaza kandi amateka y'ubuzima bwawe n'imiti ufata. Hanyuma ashobora kugusaba gukora ibizamini nk'ibi.

• Umubare wuzuye w'amaraso (CBC): Iki ni ikizamini cy'amaraso gisanzwe. Gisuzuma umubare w'uturemangingo tw'amaraso, uturemangingo dutukura, n'uturemangingo twera tw'amaraso mu maraso yawe.
• Gupima amaraso mu maraso: Ibi bikubiyemo gusuzuma plaquettes z'amaraso yawe ukoresheje mikorosikopi.
• Ibipimo byo kuvura amaraso: Ibi bipima igihe bifata kugira ngo amaraso yawe avunge (nk'ibipimo bya PTT na PT).
• Isuzuma ry’amagufwa: Niba ibizamini by’amaraso bigaragaza ko plaquettes zawe ziri hasi cyane kandi impamvu ikaba idasobanutse neza, muganga wawe ashobora gufata icyitegererezo gito cy’amagufwa yawe kugira ngo apimwe.

Ni ubuhe buryo bwo kuvura ibi?

Niba umubare muto w’imitsi itera amaraso mu mubiri udafite ibibazo bikomeye, ntabwo uzakenera kuvurwa. Akenshi, abaganga ni bo bavura impamvu nyamukuru y’iyi ndwara. Urugero, niba iterwa n’umuti ufata, bashobora guhindura uwo muti.

Ubundi buryo bwo kuvura ni:

• Steroids: Iyi miti ishobora kongera plaquettes mu maraso.
• Guterwa amaraso: Niba urugero rwa platelet yawe ruri hasi cyane, ushobora guhabwa amaraso (platelets) kugira ngo wongere by'agateganyo urugero rwa platelet yawe.
• Kubaga amenyo y’uruhago: Niba ibizamini byerekanye ko amenyo y’uruhago yawe afunga plaquettes nyinshi cyane, muganga wawe ashobora kukugira inama yo kubaga gukuramo amenyo y’uruhago rwawe. Ariko, kubera ko gukuramo amenyo byongera ibyago byo kwandura, uzakenera gukingirwa kugira ngo wirinde kwandura.

Ibintu ugomba kuzirikana mu gihe ubana n'iki kibazo

Niba ufite thrombocytopenia, ni ngombwa cyane guhindura gato ubuzima bwawe.

• Ubuzima bwiza: Niba unywa itabi, rekera aho. Niba unywa inzoga, gabanya. Komeza kugira ubuzima bwiza bw'amenyo, kuko bishobora gutera kuva amaraso mu menyo no mu ishinya.
• Ntugafate imiti utabanje kugisha inama muganga: Imiti imwe n'imwe igabanya ububabare (urugero: ibuprofen, aspirine) ifite ubushobozi bwo kugabanya amaraso. Ntugafate imiti iyo ari yo yose igabanya ububabare, inyunganiramirire, cyangwa ibyatsi utabanje kugisha inama muganga wawe.
• Irinde ibikorwa bishobora gutera gukomereka no kuva amaraso: Ni byiza kwirinda imikino yo gukubitanaho nka rugby na football. Baza muganga wawe imyitozo ngororamubiri itekanye ikubereye.
• Genda mu mutekano: Buri gihe wambare umukandara w'imodoka igihe uri mu modoka.
• Menyesha abaganga bawe: Niba ugiye kubagwa cyangwa gukurwa iryinyo, menyesha muganga mbere y'igihe ko ufite thrombocytopenia n'imiti ufata.

Thrombocytopenia, umubare wa platelets uri hasi, kuva amaraso, gukomereka, petechiae, purpura, ikizamini cya CBC sinhala, umwongo w'amagufwa, umwongo, kubagwa spleen, Sri Lanka