Uravuga ko ufite platelets nkeya? (Trombocytopenia) Reka turebe neza icyo ari cyo.

Ushobora kuba warumvise muganga areba raporo y'isuzuma ry'amaraso akavuga ati: " Platforme zawe ziri hasi gato." Cyangwa ushobora kuba warumvise ufite ubwoba ubwo wananirwaga guhagarika kuva amaraso ndetse no mu gihe cy'agasebe gato. Uku kugabanuka k'umubare wa platforme mu maraso ni cyo twita Thrombocytopenia mu buvuzi. Ntutinye. Reka tubiganireho mu buryo bworoshye kandi busobanutse.

Kuki plaquettes z'amaraso zigabanuka gutya?

Mu magambo make, platelets ni ubwoko bw'uturemangingo duto dufasha amaraso yacu kubumba . Bikorerwa mu musokoro w'amagufwa mu magufwa yacu. Tekereza ko mu musokoro w'amagufwa yacu ari uruganda rukora platelets. Hari impamvu ebyiri z'ingenzi zishobora gutuma iki kibazo kibaho. Haba umusaruro w'uru ruganda ugabanuka. Cyangwa, platelets zikorwa zihita zipfa mu mubiri.

Noneho reka turebe impamvu zibitera. Reka turebe iyi mbonerahamwe kugira ngo tubisobanukirwe neza.

Uretse izi mpamvu, hari igihe izi platelets zishobora kwivanga no kwirundanya mu gasabo k'inyuma , urugingo ruri mu mubiri wacu. Nanone, mu gihe cyo gutwita, iyi ndwara ishobora kubaho by'agateganyo kuko platelets z'abagore bamwe na bamwe zikurwa mu mibiri yabo vuba kurusha uko bisanzwe.

Ni ibihe bimenyetso by'iyi ndwara?

Akenshi, umubare muto w’udukoko two mu maraso ntabwo ugaragaza ibimenyetso. Ariko iyo ibimenyetso bigaragaye, ibikuru ni ukuva amaraso no gukomereka. Ushobora kandi kubona utudomo duto, dutukura cyangwa tw’umuhengeri ku ruhu rwawe. Ibi byitwa petechiae .

Ibi ni ukuva amaraso bishobora kubaho imbere cyangwa hanze y'umubiri. Hari igihe uku kuva amaraso bishobora kuba biremereye kandi bikagorana kubihagarika.

Byongeye kandi, ibi bintu bishobora kugaragara:

• Kuva amaraso mu ishinya cyangwa mu mazuru.
• Amaraso mu nkari cyangwa mu mwanda.
• Kuva amaraso menshi mu gihe cy'imihango ku bagore.
• Umutwe .
• Kunanirwa kenshi no kunanirwa .
• Ibara ry'umuhondo ku ruhu no ku maso (jaundice).
• Kubyimba imikaya.

Ubibona ute, Muganga?

Iyo ugiye kwa muganga wawe, azakubaza amateka y'ubuzima bwawe n'ibimenyetso by'ubuzima bwawe. Hanyuma azasuzuma umubiri wawe kandi arebe ko nta bikomere, petechiae, n'ibimenyetso by'ubwandu, nk'umuriro n'ibisebe ku ruhu.

Hanyuma, uzasabwa gukora isuzuma ry'amaraso, ni ukuvuga umubare wuzuye w'amaraso. Ubusanzwe, umuntu muzima aba afite hagati ya plaquettes 150.000 na 450.000 kuri mikorolitero imwe y'amaraso. Iyo uyu mubare ugabanutse ukagera munsi ya 50.000, ibyago byo kuva amaraso biriyongera.

Kenshi na kenshi, muganga wawe ashobora kukwohereza kwa muganga w’amaraso (hematologist). Byongeye kandi, ushobora gusabwa gukora ibindi bipimo.

• Isuzuma ry'amaraso: Aha niho imiterere n'ubuzima bw'udukoko twa platelet bigenzurwa hakoreshejwe mikorosikopi.
• Isuzuma ry'umusemburo w'amagufwa: Ibi bigufasha gusuzuma byimbitse ubwoko bw'uturemangingo turi mu musemburo w'amagufwa n'ubuzima bwatwo.
• Ibizamini byo kuvura amaraso: Ibizamini byihariye bigenzura niba inzira yo kuvura amaraso ikora neza.

Ni izihe ngorane ibi bishobora gutera?

Ibi nibyo tugomba kwitondera cyane.

• Iyo umubare w'imitsi yawe ikoreshwa mu gutera amaraso ugabanutse ukagera munsi ya 50.000, ndetse n'igikomere gito gishobora gutera kuva amaraso menshi.
• Iyo uyu mubare ugabanutse ukagera munsi ya 30.000, ndetse n'ikintu gito kandi gitunguranye gishobora gutera kuva amaraso menshi.
• Iyo umubare w'imitsi ikoreshwa mu gupima amaraso (platelets) ugabanutse ukagera munsi ya 10.000, ushobora gutangira kuva amaraso mu mubiri wawe mu buryo buteye ubwoba, nubwo nta cyago cyaguteye. Ni gake cyane, bishobora gutera indwara zishobora gushyira ubuzima mu kaga, nko kuva amaraso mu bwonko. Niyo mpamvu ari ngombwa gushaka abaganga kuri iyi ndwara.

Ni ubuhe buryo bwo kuvura ibi?

Ubuvuzi buterwa n'umubare w'amaraso ya platelet yawe n'indwara y'ibanze yayateye.

• Niba umubare w'imitsi yawe ya platelet utari hasi cyane, ushobora kudakenera kuvurwa. Muganga wawe azabikurikirana.
• Hari igihe umubare w’udukoko two mu maraso usubira ku murongo iyo icyateye gihagaritswe. Urugero, iyo bigaragaye ko hari umuti utera ikibazo, muganga wawe azakubwira guhagarika gufata uwo muti.

Ariko, mu bihe bikomeye (thrombocytopenia ikomeye), muganga ashobora kuguha uburyo bwo kuvura nk'ubu:

• Imiti ya steroid: Iyo ibi biterwa n'ikibazo cy'ubudahangarwa bw'umubiri, iyi miti itangwa kugira ngo umubiri uhagarike kwangiza plaquettes zawo.
• IVIG (Intravenous Immune Globulin): Ubu buvuzi butangwa niba udashobora gufata steroid, cyangwa niba ukeneye kongera vuba umubare wa platelet yawe.
• Gutera amaraso cyangwa platelets:Guha umubiri amaraso cyangwa plaquettes zivuye ku muntu muzima.
• Kubaga amenyo: Iyo ubundi buryo bwo kuvura bunaniwe kugenzura iyo ndwara, amenyo, asanzwe yangiza plaquettes, akurwamo.
• Indi miti: Niba ubu buryo bwo kuvura budashoboye kugenzura iyo ndwara, muganga wawe ashobora kukwandikira indi miti yihariye, nka eltrombopag (Promacta, Revolade) cyangwa romiplostim (Nplate).

Ni iki cyakorwa kugira ngo hirindwe kuva amaraso?

Niba urugero rwa platelet yawe ruri hasi, fata ibi bintu kugira ngo wirinde kuva amaraso.

• Ntugafate imiti igabanya ububabare nka aspirine na ibuprofen, bigira ingaruka ku kubumba amaraso, utabanje kubibwirwa na muganga.
• Gabanya kunywa inzoga. Inzoga zishobora kongera amaraso.
• Irinde imikino ishobora gutera imvune, nko gukina umupira w'amaguru, guterana iteramakofe, na rugby, igihe gito.
• Mu gihe woza amenyo yawe, koresha uburoso bw'amenyo bworoshye kugira ngo wirinde kwangiza ishinya.
• Buri gihe wambara umukandara w'imodoka iyo uri mu modoka. Niba urimo gukorana n'imashini, ambara uturindantoki n'ibirahuri by'umutekano.