Ngaba wakha woyika ukubona umntwana wakho efumana imivumbo eluhlaza okwesibhakabhaka emzimbeni wakhe, ingakumbi emilenzeni yakhe? Okanye ngaba wena, njengomntu omdala, uqaphele amabala amancinci abomvu eluswini lwakho waza waphawula ukuba iintsini zakho ziphuma igazi xa uhlamba amazinyo akho? Kuqhelekile ukuba uzive usoyika xa ubona izinto ezinje. Kodwa uninzi lwexesha, unobangela yimeko ebizwa ngokuba yi-ITP. Ngoko ke namhlanje, masithethe ngokuba yintoni i-ITP, kutheni isenzeka, ingaba iyingozi, kwaye yintoni omawuyenze ngayo, ngokulula nje, ngokungathi uthetha nomhlobo.
Yintoni i-ITP ngokulula?
Nangona eli gama lisenokubonakala lide kancinci, intsingiselo yalo ilula kakhulu. Masilihlalutye.
- Idiopathic : Eyona ntsingiselo ilula yale nto kukuba "akukho sizathu saziwayo."
- I-Thrombocytopenic: Oku kuthetha ukuba kukho ukwehla kwenani leeseli egazini lethu ezibizwa ngokuba yi-'thrombocytes'. Sidla ngokubiza ezi thrombocytes ngokuthi 'iiplatelets' .
- I-Purpura: Oku kubhekisa kwimivumbo emfusa ebangelwa kukopha phantsi kolusu.
Ngamafutshane, i-ITP yimeko eyenzeka xa inkqubo yomzimba wethu yokuzikhusela ingasebenzi kakuhle, itshabalalisa iiplatelets, ezibalulekileyo ekuqiniseni igazi, kwaye ibangela ukwehla kwenani leeplatelets.
Cinga ngale ndlela: xa sifumana isilonda okanye ukwenzakala kwindawo ethile emzimbeni wethu, la basebenzi bancinci ababizwa ngokuba zii-platelets bayakhawuleza ukunqanda ukopha baze bakuncamathisele apho njenge-'plaster' ukuvala umngxuma. Kwi-ITP, okwenzekayo kukuba amandla ethu okuzikhusela (inkqubo yomzimba yokuzikhusela) acinga ukuba la basebenzi bancinci (ii-platelets) ziintshaba zethu aze abahlasele aze abatshabalalise. Emva koko inani lee-platelets egazini liyehla. Yiyo loo nto nenxeba elincinci lingayeki ukopha, kwaye kuvela imivumbo.
Kukho iintlobo ezimbini ze-ITP - indlela eziveza ngayo ebantwaneni nakubantu abadala yahlukile!
Indlela i-ITP ekhula ngayo yahlukile kakhulu kubantwana nakubantu abadala. Kubaluleke kakhulu ukuqonda lo mahluko.
| Uphawu | I-ITP ebukhali ebantwaneni | I-ITP engapheliyo kubantu abadala |
|---|---|---|
| Ubudala obuqhelekileyo | Ixhaphakile kubantwana abancinci abaphakathi kweminyaka emi-2 ukuya kwemi-6 ubudala. | Idla ngokuchaphazela abantu abancinci nabakwiminyaka ephakathi (abaneminyaka engama-20-50 ubudala). Ixhaphake kakhulu kwabasetyhini. |
| Isizathu | Inokwenzeka rhoqo emva kweveki e-1-4 emva kosulelo lwentsholongwane , njengomkhuhlane okanye i-chickenpox. | Amaxesha amaninzi akukho sizathu sithile sifumanekayo (idiopathic). Sisenokunxulunyaniswa nezinye izifo (umz. i-lupus). |
| Ubude bexesha lesifo | Oku kwenzeka okwexeshana (okukhawulezileyo) kwaye kudla ngokuphela kwisithuba esingaphantsi kweenyanga ezi-6. | Oku kuhlala ixesha elide . Kuhlala ixesha elingaphezu kweenyanga ezi-6, ngamanye amaxesha ubomi bonke. |
| Uhlobo lokuphiliswa | Ngaphezulu kwe-80% yabantwana bayachacha ngokuzenzekelayo ngaphandle konyango. | Ukuchacha ngokukhawuleza akuqhelekanga, kwaye unyango ludla ngokufuneka ukulawula iimpawu. |
Ziziphi iimpawu eziphambili zesi sifo?
Ukubala iiplatelet ezisezantsi kwandisa umngcipheko wokopha, ngoko ke unokubona iimpawu ezifana nezi:
- Ukudumba okulula (iPurpura): Nokuba kukho ukwenzakala okuncinci, ngamanye amaxesha kuvela imivumbo emfusa okanye eluhlaza okwesibhakabhaka emzimbeni.
- I-Petechiae: Amabala abomvu okanye amfusa abangelwa yimithambo yegazi emincinci phantsi kolusu. La mabala abonakala kakhulu emilenzeni.
- Ukopha empumlweni.
- Ukopha kweentsini xa uhlamba amazinyo.
- Ukuya esikhathini okunzima kwabasetyhini.
- Amaxesha amaninzi, igazi liphuma kunye nendle okanye umchamo.
- Imeko engaqhelekanga kakhulu kodwa eyingozi kakhulu: Ukopha igazi engqondweni (Intracranial Hemorrhage). Oku kunqabile kakhulu. Nangona kunjalo, ukuba uneempawu ezifana nentloko ebuhlungu kakhulu, ukuhlanza, kunye nokudideka , kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
Ingaba le yimeko eyingozi? Ngaba simele soyike ngokwenene?
Ukuphendula lo mbuzo ngokuthe ngqo, i-ITP ayisosifo esiyingozi kubantu abaninzi, ingakumbi abantwana.
Ngaphezulu kwama-80% abantwana bayachacha ngokupheleleyo kule meko kwiinyanga ezimbalwa ngaphandle konyango. Kubantwana abane-ITP, oogqirha badla ngokujonga imeko kuphela.
Nangona kunjalo, i-ITP engapheliyo kubantu abadala yahlukile kancinci. Ngenxa yokuba ihlala ixesha elide, inokuchaphazela umgangatho wobomi. Nangona kunjalo, kukho unyango namhlanje olunokulawula ngempumelelo le meko.
Umngcipheko oyintloko apha kukopha. Ukuba inani leeplatelet liyehla liye kwinqanaba eliphantsi kakhulu (umz., ngaphantsi kwe-10,000), umngcipheko wokopha kakhulu uyanda. Oku kuyinyani ngakumbi kubantu abangaphezu kweminyaka engama-60 ubudala kunye nabo bakhe bakopha ngaphambili. Yiyo loo nto kubalulekile ukubona ugqirha wakho kwangoko xa ubona iimpawu.
Uyifumana njani le nto, Gqirha?
Xa ubona ugqirha onezi mpawu, into yokuqala aza kuyenza kukubuza wena nomntwana wakho ngazo naziphi na izifo okanye amayeza eniwasebenzisayo kutshanje. Emva koko, baza kuhlola umzimba wakho baze bajonge naziphi na izikrweqe okanye amabala abomvu.
Uvavanyo olulandelayo olubalulekileyo kukubalwa kwegazi okupheleleyo (FBC) .
- Kule ngxelo, inani leeplatelet libonisa ixabiso eliphantsi kakhulu .
- Nangona kunjalo, inani leeseli ezibomvu zegazi kunye neeseli ezimhlophe zegazi liqhelekile.
I-ITP 'luxilongo lokungabandakanywa'. Oku kuthetha ukuba i-ITP ifunyaniswa kuphela emva kokuba ezinye izizathu ze-platelet ezisezantsi (umz. i-dengue, i-leukemia, ezinye izifo zokuzikhusela komzimba, amayeza athile) zisusiwe. Kwabanye abaguli abadala, uvavanyo lomongo wethambo lunokwenziwa ukujonga ukuba umongo wethambo uvelisa iiplatelet ezaneleyo na.
Umyalezo Wokuya Ekhaya
- I-ITP yimeko apho amajoni ethu omzimba etshabalalisa iiplatelets egazini.
- Iimpawu eziphambili kukudumba ngequbuliso, amabala abomvu eluswini, kunye nokopha okuvela kwiindawo ezahlukeneyo.
- I-ITP ebantwaneni idla ngokuba yeyokwexeshana, inokwenzeka emva komkhuhlane wentsholongwane, kwaye iphela yodwa ngaphandle konyango.
- I-ITP kubantu abadala inokuba yinto engapheliyo, kodwa inokulawulwa.
- Nangona ingozi enkulu yesi sifo kukopha, iingxaki ezinkulu ezifana nokopha engqondweni azixhaphakanga.
- Ukuba wena okanye umntwana wakho unezi mpawu, kubaluleke kakhulu ukuba ungoyiki uze ubone ugqirha wakho ngoko nangoko ukuze ufumane ukuxilongwa ngokufanelekileyo kunye neengcebiso.
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