Ngaba ujika ube luhlaza okwesibhakabhaka nokuba unemivumbo emincinci? Ngaba uphuma igazi rhoqo empumlweni? Okanye uphuma igazi kwiintsini? Ugqirha wakho usenokuba ukuxelele ukuba unesifo esibizwa ngokuba yi-ITP. Esi sisifo apho inani leeplatelet emzimbeni wethu, ezinceda ukujiya kwegazi, lincipha. Ngoko ke unyango olukhethekileyo loku lubizwa ngokuba yi-Nplate. Namhlanje, siza kuthetha ngale nto, ngale mithi, ngokulula, ngendlela onokuyiqonda.
Yintoni i-ITP (Immune Thrombocytopenia )?
Ngamafutshane, i-ITP yimeko apho inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela , ihlasela ngempazamo kwaye itshabalalise iiplatelets zethu zegazi, icinga ukuba ziintshaba. Oku sikubiza ngokuba yimeko yokuzikhusela komzimba .
Cinga ngale ndlela: iiplatelets zizinto ezincinci ezifana namajoni ezenziwe kumongo wethu wethambo . Xa kukho inxeba kwenye indawo kwaye ukopha kuqala, ezi platelets ziyakhawuleza ziye kwindawo leyo, zivale inxeba, kwaye ziyeke ukopha. Abantu abane-ITP banamanqanaba aphantsi ezi platelets, nto leyo enyusa umngcipheko wokopha.
Zithini iimpawu ze-ITP?
Iimpawu ze-ITP zinokwahluka kumntu nomntu. Abanye abantu basenokungabi nazo kwaphela iimpawu. Nangona kunjalo, kukho iimpawu ezimbalwa eziqhelekileyo. Makhe sijonge ukuba ziyintoni na.
| Uphawu | Ingcaciso elula |
|---|---|
| IPetechiae | Ukubonakala kwamachaphaza amancinci abomvu eluswini, ngokungathi atsalwe ngencam encinci yepeni. |
| Mfusa | Amabala amfusa eluswini (amakhulu kune-petechiae). |
| Ukudumba okulula (i-Ecchymosis) | Nokuba kukho inxeba elincinci, ingakumbi ezandleni nasezinyaweni, linokuba luhlaza okwesibhakabhaka. |
| Ukopha rhoqo kwempumlo | Ukopha impumlo rhoqo okanye ngokugqithisileyo. |
| Ukopha kakhulu ukuya exesheni (iMenorrhagia) | Ukopha kakhulu ngexesha lokuya exesheni kwabasetyhini. |
| Iintsini ezophayo | Ukopha kweentsini xa uhlamba amazinyo okanye ngokuxubha amazinyo akho. |
| Igazi kumchamo (iHematuria) | Igazi kumchamo. |
Isebenza njani iyeza iNplate?
I-Nplate "sisincedisi seeplatelet." Oko kukuthi, liyeza elinceda ekwandiseni inani leeplatelet egazini.
Okubalulekileyo kukuba, i-Nplate ayiloyeza lokuqala elinikwa i-ITP. Ugqirha wakho uhlala eza kuqala ukuzama ezinye iindlela zonyango, ezifana ne-corticosteroids kunye ne-immunoglobulins. Ngamanye amaxesha, i- splenectomy ingaqwalaselwa. Iyeza elifana ne-Nplate lisetyenziswa kuphela ukuba olu nyango aluboneleli ngolawulo olufanelekileyo.
Kukho iproteni ekhethekileyo emzimbeni wethu ebizwa ngokuba yi-thrombopoietin (TPO) 'enika' umongo wethambo ukuba wenze iiplatelets zegazi. Abantu abane-ITP banokuba namanqanaba aphantsi ale TPO. I-Nplate yeziyobisi isebenza kanye njengale TPO, ithumela umyalezo kumongo wethambo ukuba "wenze iiplatelets zegazi ezingaphezulu."
Injongo ephambili yale mithi kukungabuyiseli inani leeplatelet kwisiqhelo (150,000-450,000). Injongo kukugcina inani leeplatelet lingaphezulu kwama-50,000, nto leyo efunekayo ukunciphisa umngcipheko wokopha.
Inikwa njani i-Nplate?
I-Nplate yinaliti enikwa kanye ngeveki phantsi kolusu. Le yeyakho okanye yomntwana wakho.Inikwa ngugqirha okanye umongikazi oqeqeshiweyo. Umthamo udla ngokuxhomekeka kubunzima bomzimba wakho. Ugqirha wakho angawulungisa umthamo njengoko kufuneka ngokusekelwe kwiziphumo zovavanyo lwakho lwegazi (ubalo lweeplatelet). Ke ngoko, kubaluleke kakhulu ukuya kugqirha ngqo ngemihla namaxesha achazwe ngugqirha wakho. Ukuba uphoswe yidosi, fowunela ugqirha wakho ngokukhawuleza ukuze ucwangcise idosi yakho elandelayo.
Zithini iziphumo ebezingalindelekanga zale yeza?
Njengayo nayiphi na iyeza, i-Nplate inokubangela iziphumo ebezingalindelekanga. Ezi zinokwahluka kancinci kubantu abadala nakubantwana.
| Iziphumo eziqhelekileyo ze-Nplate | |
|---|---|
| Izinto ezinokwenzeka kubantu abadala | |
| Intloko ebuhlungu | Intlungu yamalungu kunye nemisipha |
| Isiyezi | Ukungalali |
| Intlungu yengalo, umlenze, kunye negxalaba | Intlungu yesisu, isicaphucaphu, ukuhlanza, ukurhawuzelela |
| Ukungabi nangqondo kwamalungu | Ukukhwehlela, umphimbo obuhlungu, umkhuhlane |
| Izinto ezinokwenzeka ebantwaneni | |
| Ukugruzuka | Usulelo lomphimbo nempumlo, olufana nomkhuhlane |
| Intlungu yomlomo nomqala | |
Ungazilawula njani ezi ziphumo ebezingalindelekanga?
- Isicaphucaphu/ukugabha: Ukuba unesicaphucaphu, sela amanzi amaninzi ukuthintela ukuphelelwa ngamanzi emzimbeni. Kuphephe ukutya okunamafutha nokuneziqholo kwaye utye ukutya okulula okufana nesonka kunye nee-crackers. Ukuba ezi mpawu ziyaqhubeka , qiniseka ukuba uxelele ugqirha wakho .
- Intloko ebuhlungu kunye nentlungu: Ugqirha wakho unokukunika amayeza okudambisa iintlungu kwizinto ezifana nentloko ebuhlungu kunye nentlungu yamalungu akho. Nangona kunjalo, musa ukuthatha naluphi na unyango ngaphandle kokubonisana nogqirha wakho .
- Ukudinwa: Eli yeza linokubangela isiyezi, ngoko ke kuphephe ukuqhuba okanye ukusebenzisa oomatshini abanzima ude wazi ukuba likuchaphazela njani iyeza.
- Ukungalali: Ukulala ngaxeshanye, ukunciphisa ixesha lakho lefowuni neleTV ngaphambi kokulala, kunye nokucamngca kunokunceda ekunciphiseni iingxaki zokulala.
Eyona nto ibalulekileyo kukwazisa ugqirha wakho ukuba wena okanye umntwana wakho nifumana naziphi na iziphumo ebezingalindelekanga, nokuba ucinga ukuba azincinci.
Ngaba kukho naziphi na iingxaki ngamanye amayeza? (Ukusebenzisana kwamayeza)
Akukho ngxelo zeengxaki ezinkulu ngamanye amayeza asebenzisana ne-Nplate. Nangona kunjalo, eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ukuba uthatha amanye amayeza andisa umngcipheko wakho wokopha (umz., i-aspirin, i-warfarin, okanye amayeza okunciphisa igazi afana ne-clopidogrel), kubalulekile ukuxelela ugqirha wakho. Kwakhona, qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza kunye neevithamini ozisebenzisayo.
Umyalezo Wokuya Ekhaya
- I-ITP yimeko apho amajoni ethu omzimba etshabalalisa iiplatelets zegazi.
- I-Nplate yinaliti efakwa kanye ngeveki evuselela umongo wethambo ukuze kwandiswe ukuveliswa kweeplatelet egazini.
- Olu asilonyango lwe-ITP. Injongo yalo kukunciphisa umngcipheko wokopha.
- Umlinganiselo weyeza umiselwa ngokusekelwe kubunzima bakho kunye neziphumo zovavanyo lwegazi. Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.
- Iziphumo ebezingalindelekanga ezifana nentloko ebuhlungu, iintlungu zamalungu, kunye nokucaphuka zinokwenzeka, kwaye yazisa ugqirha wakho ngoko nangoko ngazo naziphi na iimeko ezingaqhelekanga.
- Kubalulekile ukuxelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo, ingakumbi ezo zinciphisa igazi.
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