Ingabe uphenduka ube luhlaza okwesibhakabhaka ngisho noma unenxeba elincane? Ingabe uvame ukuphuma igazi ekhaleni? Noma ingabe unesifo sezinsini? Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi unesifo esibizwa ngokuthi i-ITP. Lesi yisimo lapho inani lama-platelet emzimbeni wethu elisiza ukujiya kwegazi lincishiswa khona. Ngakho-ke ukwelashwa okukhethekile kwalokhu kubizwa ngokuthi i-Nplate. Namuhla, sizokhuluma ngalokhu, ngalomuthi, kalula, ngendlela ongayiqonda.
Kuyini i-ITP (Immune Thrombocytopenia )?
Kalula nje, i-ITP yisimo lapho uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela komzimba , luhlasela ngephutha futhi lubhubhise ama-platelet ethu egazi, lucabanga ukuthi ayisitha. Lokhu yilokho esikubiza ngokuthi isimo sokuzivikela komzimba .
Cabanga ngale ndlela: ama-platelet ayizakhiwo ezincane ezifana namasosha ezenziwe emnkantsheni wethu wamathambo . Uma kukhona inxeba endaweni ethile futhi ukuphuma kwegazi kuqala, la ma-platelet ayashesha aye endaweni, avale inxeba, futhi amise ukuphuma kwegazi. Abantu abane-ITP banamazinga aphansi ala ma-platelet, okwandisa ingozi yokopha.
Ziyini izimpawu ze-ITP?
Izimpawu ze-ITP zingahluka kumuntu nomuntu. Abanye abantu bangase bangabi nazo nhlobo izimpawu. Kodwa-ke, kunezimpawu ezimbalwa ezivamile. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo elula |
|---|---|
| I-Petechiae | Ukuvela kwamachashazi amancane abomvu esikhumbeni, njengokungathi adwetshwe ngesihloko esincane sepeni. |
| Ophuzi | Amabala ansomi esikhumbeni (amakhulu kune-petechiae). |
| Ukuphuka okulula (i-Ecchymosis) | Ngisho nokulimala okuncane, ikakhulukazi ezandleni nasezinyaweni, kungaba luhlaza okwesibhakabhaka. |
| Ukopha igazi njalo | Ukopha kwamakhala okuvamile noma okweqile. |
| Ukopha kakhulu kokuya esikhathini (i-Menorrhagia) | Ukopha ngokweqile ngesikhathi sokuya esikhathini kwabesifazane. |
| Izinsini eziphuma igazi | Izinsini eziphuma igazi uma uxubha amazinyo noma ngokuxubha amazinyo akho nje. |
| Igazi emchameni (i-Hematuria) | Igazi emchameni. |
Isebenza kanjani i-Nplate yesidakamizwa?
I-Nplate "iyi-platelet booster." Okusho ukuthi, umuthi osiza ukwandisa inani lama-platelet egazini.
Okubalulekile, i-Nplate akuyona imithi yokuqala enikezwa i-ITP. Udokotela wakho ngokuvamile uzoqala azame ezinye izindlela zokwelapha, njenge-corticosteroids kanye ne-immunoglobulins. Ngezinye izikhathi, kungase kucatshangelwe ukuhlinzwa kwe-spleenectomy . Umuthi ofana ne-Nplate usetshenziswa kuphela uma lezi zindlela zokwelapha zinganikezi ukulawula okwanele.
Kukhona iphrotheni ekhethekile emzimbeni wethu ebizwa ngokuthi i-thrombopoietin (TPO) 'eqondisa' umongo wamathambo ukuthi wenze ama-platelet egazi. Abantu abane-ITP bangase babe namazinga aphansi ale TPO. Umuthi i-Nplate usebenza kahle njengale TPO, uthumela umlayezo emmongo wamathambo ukuthi "wenze ama-platelet egazi engeziwe."
Umgomo oyinhloko walo muthi awukona ukubuyisela inani lama-platelet esimweni esijwayelekile (150,000-450,000). Umgomo uwukugcina inani lama-platelet lingaphezu kuka-50,000, okudingekayo ukunciphisa ingozi yokopha.
I-Nplate inikezwa kanjani?
I-Nplate iwumjovo onikezwa kanye ngesonto ngaphansi kwesikhumba. Lona owenzelwe wena noma ingane yakho.Inikezwa udokotela noma umhlengikazi oqeqeshiwe. Umthamo uvame ukunqunywa isisindo somzimba wakho. Udokotela wakho angase alungise umthamo njengoba kudingeka ngokusekelwe emiphumeleni yokuhlolwa kwegazi lakho (inani lama-platelet). Ngakho-ke, kubaluleke kakhulu ukuya kudokotela ngqo ngezinsuku nezikhathi ezinqunywe udokotela wakho. Uma uphuthelwa umthamo, shayela udokotela wakho ngokushesha okukhulu ukuze uhlele umthamo wakho olandelayo.
Iyini imiphumela emibi yalo muthi?
Njenganoma yimuphi umuthi, i-Nplate ingabangela imiphumela emibi. Lokhu kungase kuhluke kancane kubantu abadala nasezinganeni.
| Imiphumela emibi evamile ye-Nplate | |
|---|---|
| Izinto ezingenzeka kubantu abadala | |
| Ikhanda elibuhlungu | Ubuhlungu bamalunga nemisipha |
| Isiyezi | Ukungalali |
| Ubuhlungu bengalo, umlenze, kanye nehlombe | Ubuhlungu besisu, isicanucanu, ukuhlanza, ukuqunjelwa |
| Ukuba ndikindiki ezithweni zomzimba | Ukukhwehlela, umphimbo obuhlungu, umkhuhlane |
| Izinto ezingenzeka ezinganeni | |
| Ukuphuka | Ukutheleleka komphimbo kanye nekhala, njengomkhuhlane |
| Ubuhlungu bomlomo nomphimbo | |
Ungayiphatha kanjani le miphumela emibi?
- Isicanucanu/ukuhlanza: Uma uzwa isicanucanu, phuza amanzi amaningi ukuze uvimbele ukuphelelwa amanzi emzimbeni. Gwema ukudla okunamafutha nokunongiwe futhi udle ukudla okulula njengesinkwa nama-crackers. Uma lezi zimpawu ziqhubeka , qiniseka ukuthi utshela udokotela wakho .
- Ubuhlungu bekhanda nobuhlungu: Udokotela wakho angase akunike imithi yokunciphisa ubuhlungu bekhanda nezinto ezinjengobuhlungu bekhanda nobuhlungu ezithweni zakho. Kodwa-ke, ungathathi noma yimuphi umuthi ngaphandle kokubonisana nodokotela wakho .
- Isiyezi: Lo muthi ungabangela isiyezi, ngakho gwema ukushayela noma ukusebenzisa imishini esindayo uze wazi ukuthi umuthi uthinta kanjani wena.
- Ukungalali: Ukulala ngesikhathi esifanayo, ukunciphisa isikhathi sakho socingo kanye ne-TV ngaphambi kokulala, kanye nokuzindla kungasiza ekunciphiseni izinkinga zokulala.
Into ebaluleke kakhulu ukwazisa udokotela wakho uma wena noma ingane yakho nihlangabezana nanoma yimiphi imiphumela emibi, noma ngabe nicabanga ukuthi mincane.
Ingabe zikhona izinkinga ngeminye imithi? (Ukusebenzisana kwezidakamizwa)
Akukaze kube nemibiko yezinkinga ezinkulu ngeminye imithi esebenzisana ne-Nplate. Kodwa-ke, into ebaluleke kakhulu okufanele uyikhumbule ukuthi uma uthatha eminye imithi eyandisa ingozi yakho yokopha (isb., i-aspirin, i-warfarin, noma imithi yokunciphisa igazi efana ne-clopidogrel), kubalulekile ukutshela udokotela wakho. Futhi, qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi namavithamini owathathayo.
Umlayezo Wokuya Nawe Ekhaya
- I-ITP yisimo lapho amasosha omzimba ethu ebhubhisa khona ama-platelet egazi.
- I-Nplate iwumjovo okwenziwa kanye ngesonto ovuselela umongo wamathambo ukuze kwandiswe ukukhiqizwa kwama-platelet egazini.
- Lokhu akulona ikhambi le-ITP. Inhloso yalo ukunciphisa ingozi yokopha.
- Umthamo womuthi unqunywa ngokusekelwe esisindweni sakho kanye nemiphumela yokuhlolwa kwegazi. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
- Imiphumela emibi efana nekhanda elibuhlungu, ubuhlungu bamalunga, kanye nesicanucanu ingase ivele, futhi yazisa udokotela wakho ngokushesha nganoma yiziphi izimo ezingavamile.
- Kubalulekile ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ikakhulukazi imithi yokunciphisa igazi.
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