Ingaba umntwana wakho uneentlungu ezilula? Isenokuba yi-Immune Thrombocytopenia (ITP)!

Kuyoyikisa ukubona imivumbo kunye namabala amancinci abomvu emzimbeni womntwana wakho, akunjalo? Ngamanye amaxesha unokubona izinto ezinje nasemva kokuba umkhuhlane omncinci udlulile. Ngoko ke namhlanje siza kuthetha ngemeko ebizwa ngokuba yi -Immune Thrombocytopenia (ITP), enokubangela iimpawu ezinje, kodwa akukho nto ibalulekileyo ukuba uyayiqonda kakuhle. Masibone ukuba yintoni, kutheni isenzeka, indlela yokuyiqonda, kunye nokunye okunokwenziwa.

Yintoni i-Immune Thrombocytopenia (ITP)? Masiyiqonde ngokulula!

Ngamafutshane, i-Immune Thrombocytopenia (ITP) kuxa inkqubo yethu yomzimba yokuzikhusela (inkqubo esikhusela kwizifo ) ingena nzulu ize ihlasele uhlobo lweseli emzimbeni wethu olubizwa ngokuba ziiplatelets . Ngoku usenokuba uzibuza ukuba zeziphi iiplatelets. Ziiseli ezincinci ezinceda ekumiseni ukopha xa sifumana inxeba kwindawo ethile emzimbeni wethu. Njengabancedisi abanceda isosha elonzakeleyo emfazweni. Ezi platelets zisebenza kunye ukwenza amahlwili egazi kwaye ziyeke ukopha .

Ngoko ke, okwenzekayo kumntwana one-ITP kukuba inkqubo yomzimba yokuzikhusela itshabalalisa ngempazamo ezi platelets zilungileyo. Kwenzeka ntoni ke ngoko? Inani leeplatelets emzimbeni liyancipha. Xa oko kusenzeka, kuba nzima ukuyeka ukopha nokuba kuphuma kwinxeba elincinci, kwaye ngamanye amaxesha kunokubangela ukopha.

Kodwa kukho iindaba ezimnandi! Uninzi lwexesha, xa abantwana abancinci befumana i-ITP, iba ngcono ngokwayo kwiinyanga ezi-6 . Kodwa ngamanye amaxesha ingathatha ixesha elide, okanye inokuba ngcono ize ibuye. Yiyo loo nto kubalulekile ukuqaphela oku.

Ziziphi iimpawu umntwana one-ITP anazo?

Ngoku makhe sijonge ukuba zeziphi iimpawu umntwana one-ITP anokubonisa zona. Musa ukoyika ukuba uzibona ezi, kodwa kubaluleke kakhulu ukufuna ingcebiso kagqirha.

• Ukopha ngokulula:
• Ukuphuma nje kwegazi .
• Ukopha kweentsini xa uhlamba amazinyo.
• Ngamanye amaxesha igazi elincinci liphuma kunye nendle okanye umchamo . (Oku kuyoyikisa kancinci, kodwa kufuneka uxelele ugqirha).
• Kwimeko yentombazana efikelele kwiminyaka yokufikisa, ukopha ngexesha lokuya exesheni kuba nzima kwaye kuhlala iintsuku ezininzi.
• Iimpawu ezibangelwa kukopha phantsi kolusu:
• Ukugruzuka lula . Nokuba iqhuma elincinci linokubangela ukuba ulusu lube luhlaza okwesibhakabhaka/mfusa.
• Ukuvela kwamabala amancinci abomvu-mfusa eluswini. Ngokwezonyango sibiza oku ngokuthi (iPetechiae) . La ngamabala amancinci abonakala ngathi adwetshwe ngencam yepeni.
• Amabala amfusa, amakhulu kancinci, afana namabala akrwelekileyo eluswini. Oku kubizwa ngokuba yi (Purpura) . La makhulu kune (Petechiae).

Khawucinge nje, ukuba umntwana wakho uyawa ngelixa edlala aze abe nemivumbo emikhulu kunesiqhelo, okanye ukuba ubona izinto ezifana namachaphaza abomvu owakhankanyileyo, kufuneka ukhathazeke ngaloo nto.

Amaxesha amaninzi, ingakumbi ukuba kukho ukwenzakala okukhulu entloko , i-ITP inokubangela ukopha ngaphakathi kwengqondo (ngokufana nestroke). Oku kunqabile kakhulu, kodwa khumbula ukubona ugqirha ngoko nangoko ukuba wenzakele entloko.

Kutheni i-ITP ikhula? Zithini izizathu?

Eyona sizathu siphambili se-ITP kukuba, njengoko bekutshiwo ngaphambili, amajoni ethu omzimba ahlasela ngempazamo iiplatelets , ngokungathi umkhosi wethu uhlasela abantu bethu.

Eyona nto ibangela ukuba amajoni omzimba abantwana abe sengozini ngolu hlobo kusulelo lwentsholongwane . Umzekelo, abanye abantwana banokuba ne-ITP emva kokuphola kumkhuhlane okanye umkhuhlane. Xa intsholongwane ingena emzimbeni, amajoni omzimba, xa elwa nayo, ngamanye amaxesha "ayasabela ngokugqithisileyo" aze aqale ukuhlasela iiplatelets.

Ukongeza, kunqabile kakhulu, i-ITP inokubangelwa yenye imeko yezonyango , isifo sokuzikhusela komzimba (isifo apho inkqubo yokuzikhusela yomzimba ihlasela amalungu asempilweni omzimba wethu), okanye amayeza athile. Kodwa uninzi lwexesha, kunzima ukufumana isizathu esithile sokuba inkqubo yokuzikhusela yomzimba ihlasele iiplatelets.

Ngubani onokuthi abe ne-ITP?

I-ITP, edla ngokubonakala ebuntwaneni, idla ngokubonakala kubantwana abaphakathi kweminyaka eli-1 neli-7 ubudala. Nangona kunjalo, inokwenzeka nakubantu abadala nabancinci.

Into ebalulekileyo kukuba umntwana one-ITP udla ngokubonakala esempilweni kwaye ephilile . Oko kukuthi, ngaphandle kokopha nokukrweleka, umntwana usenokuba udlala, utya, usela, kwaye esenza imisebenzi yakhe yemihla ngemihla ngokuqhelekileyo.

Oogqirha bayixilonga njani i-ITP?

Xa usisa umntwana wakho kugqirha, baya kwenza oku kulandelayo ukuze bafumane ukuba unayo na i-ITP:

1. Ukubuza imibuzo:Uza kubuzwa imibuzo emininzi malunga neempawu zomntwana wakho, indlela eziqale ngayo, kunye nokuba ngaba ukhe waba nazo naziphi na izifo kutshanje.

2. Uvavanyo lomzimba: Ugqirha uza kumjonga umntwana ngononophelo. Baza kujonga ukuba akanazo na izivubeko, (iPetechiae), (iPurpura), kunye nezinye izinto ezingaqhelekanga.

3. Uvavanyo lweGazi: Eli lelona nyathelo libalulekileyo. Kuthathwa isampuli yegazi kwaye kwenziwa olu vavanyo lulandelayo:

• Inani leeplatelet liyajongwa. Kwi-ITP, oku kufanele kube phantsi.
• Ezinye iintlobo zeeseli zegazi (iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi) ziyahlolwa ukuze kubonwe ukuba ziqhelekile na . Ezi azitshintshi kwi-ITP.
• Jonga iimpawu zosulelo (umzekelo, usulelo lwentsholongwane).
• Siphanda ukuba kukho ezinye izizathu ezinokubangela ukuba iiplatelets zibe phantsi.

Olu vavanyo lolona hlobo lokufumanisa ukuba unayo na i-ITP okanye kukho esinye isizathu sezi mpawu.

Ziziphi iindlela zonyango ze-ITP?

Unyango lwe-ITP luyahluka ngokuxhomekeke kubukhali beempawu . Abanye abantwana basenokungadingi naluphi na unyango ukuba banemivumbo kunye namachaphaza amancinci abomvu (petechiae). Oogqirha baya kumjonga umntwana.

Nangona kunjalo, ukuba kufuneka unyango, nazi ezinye izinto onokuzenza:

• Amayeza athintela inkqubo yomzimba yokuzikhusela ekuhlaseleni iiplatelets:
• IiSteroids: Ezi zinokunikwa njengeepilisi okanye njengenaliti emthanjeni. Ezi zinceda ekwandiseni ngokukhawuleza inani leeplatelet.
• Iinaliti ze-antibody ze-IV (ezivalwe ngemithambo): Ezi zikwabizwa ngokuba yi-immunoglobulins okanye i-rituximab . Ezi zisebenza ngokunciphisa kancinci inkqubo yomzimba yokuzikhusela.
• Amayeza anceda umzimba ukuba wenze iiplatelets ezingaphezulu: Ngamanye amaxesha la mayeza anokunikwa.
• Utyando lokususa i-spleen: I-spleen sisitho esisemzimbeni wethu. Iiplatelets zitshatyalaliswa kakhulu kule spleen. Ngoko ke, olu tyando lwenziwa kuphela njengesisombululo sokugqibela kubantwana abaneempawu ezinzima kakhulu abangakhange baphendule kwezinye iindlela zonyango. Oku kudla ngokuqwalaselwa kubantwana abadala okanye abantu abadala abancinci.

Kubalulekile: Ngugqirha kuphela onokugqiba ukuba loluphi unyango olufanele umntwana wakho. Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.

Ninganceda njani njengabazali?

Zininzi izinto onokuzenza njengomzali xa unyamekela umntwana wakho ngexesha le-ITP.

• Gcina umntwana wakho kude nemidlalo kunye nemisebenzi enokubangela ukwenzakala okanye ukopha okwethutyana. Umzekelo, unokufuna ukuyeka ukukhwela ibhayisekile kwaye udlale imidlalo.
• Musa ukunika umntwana wakho amayeza ane- ibuprofen (umz., iMotrin, iAdvil ) okanye i-aspirin ngaphandle kwemvume kagqirha wakho. La mayeza anokunyusa umngcipheko wokopha. I-Paracetamol, enikwa umkhuhlane oqhelekileyo kunye neentlungu, idla ngokukhuselekile, kodwa jongana nogqirha wakho ngaphambi kokuba uyinike umntwana wakho.

Uninzi lwabantwana abane-ITP bayachacha ngokupheleleyo kwiinyanga ezimbalwa. Nazi ezinye zezinto onokuzenza ukunceda umntwana wakho:

• Qiniseka ukuba umthatha umntwana wakho aye kuzo zonke iintlanganiso zikagqirha.
• Landela imiyalelo kagqirha wakho ngokuchanekileyo. Nika ingqalelo engakumbi kwizinto ezifanelekileyo nezo ungafanele uzenze.
• Ukuba umntwana wakho ubetheka entloko naphi na okanye wenzakele kakhulu, bonana nogqirha okanye uye esibhedlele ngokukhawuleza. Oku kubaluleke kakhulu.
• Lumka unganiki umntwana wakho amayeza athi ugqirha akafanelekanga.
• Ukuba umntwana wakho ubonisa iimpawu zokopha okutsha, ukukrweleka, okanye amabala abomvu/amfusa eluswini, fowunela ugqirha wakho ngoko nangoko.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuva nge-ITP kunokuba yinto eyoyikisayo. Kodwa khumbula, uninzi lwexesha, iyaziphelela xa isenzeka ebantwaneni . Eyona nto ibalulekileyo kukungabi naxhala, kodwa kukufuna iingcebiso zonyango ezifanelekileyo nokwenza ngokufanelekileyo .

Ukuba umntwana wakho unezi mpawu, qiniseka ukuba ubonana nogqirha wabantwana okanye ingcali ye-hematologist. Baza kukunika lonke icebiso olifunayo. Sikunqwenelela ukuchacha ngokukhawuleza!

I- Immune Thrombocytopenia, i-ITP, iiplatelets, ukopha, izifo zabantwana, inkqubo yomzimba yokuzikhusela, ukudumba