Ingabe ingane yakho iyaphuka kalula? Kungaba yi-Immune Thrombocytopenia (ITP)!

Kuyesabeka ukubona imivimbo namabala amancane abomvu emzimbeni wengane yakho, akunjalo? Ngezinye izikhathi ungabona izinto ezinjengalezi ngisho nangemva kokuba umkhuhlane omncane usudlulile. Ngakho-ke namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Immune Thrombocytopenia (ITP), esingadala izimpawu ezinjengalezi, kodwa akumelwe sikhathazeke ngaso uma usiqonda kahle. Ake sibone ukuthi siyini, kungani senzeka, ukuthi singasibona kanjani, nokuthi yini enye engenziwa.

Kuyini i-Immune Thrombocytopenia (ITP)? Masiyiqonde kalula!

Kalula nje, i-Immune Thrombocytopenia (ITP) yilapho isimiso sethu somzimba sokuzivikela (uhlelo olusivikela ezifweni ) siqala ukushaqeka futhi sihlasele uhlobo lweseli emzimbeni wethu olubizwa ngokuthi ama-platelet . Manje ungase uzibuze ukuthi ayini ama-platelet. Angamaseli amancane asiza ekumiseni ukopha lapho sithola inxeba endaweni ethile emzimbeni wethu. Njengabasizi abasiza isosha elilimele empini. Lawa ma-platelet asebenza ndawonye ukwakha amahlule egazi futhi amise ukopha .

Ngakho-ke, okwenzeka enganeni ene-ITP ukuthi amasosha omzimba abhubhisa ngephutha lawa ma-platelet amahle. Kwenzekani-ke? Inani lama-platelet emzimbeni liyancipha. Uma lokho kwenzeka, kuba nzima ukuyeka ukopha ngisho nasenxebeni elincane, futhi ngezinye izikhathi kungabangela nokopha.

Kodwa kunezindaba ezinhle! Esikhathini esiningi, lapho izingane ezincane zithola i-ITP, iba ngcono ngokwayo zingakapheli izinyanga eziyisithupha . Kodwa ngezinye izikhathi kungathatha isikhathi eside, noma kungaba ngcono bese kubuya. Yingakho kubalulekile ukuqaphela lokhu.

Yiziphi izimpawu ingane ene-ITP engaba nazo?

Manje ake sibheke ukuthi yiziphi izimpawu ingane ene-ITP engase izibonise. Ungesabi uma uzibona lezi, kodwa kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

• Ukopha kalula:
• Ukuphuma kwegazi nje.
• Izinsini eziphuma igazi uma uxubha amazinyo.
• Ngezinye izikhathi igazi elincane liphuma ngendle noma ngomchamo . (Lokhu kuyesabeka kancane, kodwa kufanele utshele udokotela).
• Uma kwenzeka intombazane isifinyelele ebusheni, ukopha kwegazi ngesikhathi sokuya esikhathini kwayo kuba kukhulu futhi kuhlala izinsuku eziningi.
• Izimpawu ezibangelwa ukopha ngaphansi kwesikhumba:
• Ukuphuka kalula . Ngisho neqhubu elincane lingabangela isikhumba ukuba sibe luhlaza okwesibhakabhaka/okwesibhakabhaka.
• Ukuvela kwamabala amancane abomvu-onsomi esikhumbeni. Ngokwezokwelapha lokhu sikubiza ngokuthi (iPetechiae) . Lawa amabala amancane abukeka sengathi adwetshwe ngesihloko sepeni.
• Amabala ansomi, amakhulu kancane, afana namabala abuhlungu esikhumbeni. Lokhu kubizwa ngokuthi (i-Purpura) . Lawa makhulu kune-(i-Petechiae).

Cabanga nje, uma ingane yakho iwa ngenkathi idlala futhi ithola ukulimala okukhulu kunokuvamile, noma uma ubona izinto ezifana namachashazi abomvu owashilo, kufanele ukhathazeke ngakho.

Akuvamile kakhulu, ikakhulukazi uma kukhona ukulimala okukhulu ekhanda , i-ITP ingabangela ukuphuma kwegazi ngaphakathi kobuchopho (okufana nesifo sohlangothi). Lokhu akuvamile kakhulu, kodwa khumbula ukubona udokotela ngokushesha uma ulimale ekhanda.

Kungani i-ITP ikhula? Ziyini izimbangela?

Isizathu esiyinhloko se-ITP, njengoba kushiwo ngaphambili, ukuthi amasosha ethu omzimba ahlasela ama-platelet ngephutha , njengokungathi ibutho lethu lihlasela abantu bakithi.

Isizathu esiyinhloko esenza ukuthi amasosha omzimba ezingane abe sengozini ngale ndlela ukutheleleka ngamagciwane . Isibonelo, ezinye izingane zingase zibe ne-ITP ngemva kokululama emkhuhlaneni noma emkhuhlaneni. Lapho igciwane lingena emzimbeni, amasosha omzimba, lapho elwa nalo, ngezinye izikhathi "ayasabela ngokweqile" bese eqala ukuhlasela ama-platelet.

Ngaphezu kwalokho, akuvamile kakhulu, i-ITP ingabangelwa esinye isimo sezokwelapha , isifo sokuzivikela komzimba (isifo lapho amasosha omzimba ehlasela khona izingxenye zomzimba wethu ezinempilo), noma imithi ethile. Kodwa isikhathi esiningi, kunzima ukuthola isizathu esithile sokuthi kungani amasosha omzimba ehlasela ama-platelet.

Ubani okungenzeka kakhulu ukuthi athuthukise i-ITP?

I-ITP, evame ukubonakala ebuntwaneni, ivame ukwenzeka ezinganeni eziphakathi kweminyaka engu-1 no-7. Kodwa-ke, ingenzeka nasezinganeni ezindala nezincane.

Into ebalulekile ukuthi ingane ene-ITP ivame ukubonakala iphilile futhi iphilile . Okusho ukuthi, ngaphandle kokopha nokulunywa, ingane ingase idlale, idle, iphuze, futhi yenze imisebenzi yayo yansuku zonke ngendlela evamile.

Odokotela bayixilonga kanjani i-ITP?

Uma uyisa ingane yakho kudokotela, bazokwenza okulandelayo ukuthola ukuthi inesifo se-ITP:

1. Ukubuza imibuzo:Uzobuzwa imibuzo eminingi mayelana nezimpawu zengane yakho, ukuthi zaqala kanjani, nokuthi ngabe ike yaba nezifo muva nje.

2. Ukuhlolwa komzimba: Udokotela uzohlola ingane ngokucophelela. Uzohlola imivimbo, (i-Petechiae), (i-Purpura), nanoma yiziphi ezinye izinkinga.

3. Ukuhlolwa Kwegazi: Lesi yisinyathelo esibaluleke kakhulu. Kuthathwa isampula yegazi bese kwenziwa ukuhlolwa okulandelayo:

• Inani lama-platelet liyahlolwa. Ku-ITP, lokhu kufanele kube phansi.
• Ezinye izinhlobo zamaseli egazi (amaseli abomvu egazi, amaseli amhlophe egazi) ziyahlolwa ukuze kubonakale ukuthi zijwayelekile yini . Lezi ngokuvamile azishintshi ku-ITP.
• Hlola izimpawu zokutheleleka (isibonelo, ukutheleleka ngegciwane).
• Siphenya ukuthi zikhona yini ezinye izimbangela ezingaba khona zama-platelet aphansi.

Lezi zivivinyo ziyindlela kuphela yokunquma ukuthi une-ITP noma kukhona yini esinye isizathu salezi zimpawu.

Yiziphi izindlela zokwelapha i-ITP?

Ukwelashwa kwe-ITP kuyahlukahluka kuye ngokuthi izimpawu zibucayi kangakanani . Ezinye izingane zingase zingadingi ukwelashwa uma zinemivimbo namachashazi amancane abomvu (i-petechiae). Odokotela bazoqapha ingane.

Kodwa-ke, uma kudingeka ukwelashwa, nazi ezinye izinto ongayenza:

• Imithi evimba amasosha omzimba ekuhlaseleni ama-platelet:
• Ama-Steroids: Lawa anganikezwa njengamaphilisi noma njengomjovo emthanjeni. Lawa asiza ekwandiseni ngokushesha inani lama-platelet.
• Imijovo ye-antibody ye-IV (efakwa emthanjeni): Lokhu kubizwa nangokuthi ama-immunoglobulins noma i-rituximab . Lokhu kusebenza ngokucindezela kancane isimiso somzimba sokuzivikela.
• Imithi esiza umzimba ukuthi wakhe ama-platelet engeziwe: Ngezinye izikhathi le mithi inganikezwa.
• Ukuhlinzwa kokususwa kwe-spleen: I-spleen iyisitho emzimbeni wethu. Ama-platelet abhujiswa kakhulu kule-spleen. Ngakho-ke, lokhu kuhlinzwa kwenziwa kuphela njengesixazululo sokugcina sezingane ezinezimpawu ezinzima kakhulu ezingasabelanga kwezinye izindlela zokwelapha. Lokhu kuvame ukucatshangelwa ezinganeni ezindala noma abantu abadala abasebasha.

Okubalulekile: Udokotela kuphela onganquma ukuthi yikuphi ukwelashwa okufanele ingane yakho. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.

Ningasiza kanjani njengabazali?

Kunezinto eziningi ongazenza njengomzali lapho unakekela ingane yakho ngesikhathi se-ITP.

• Gcina ingane yakho kude nemidlalo nemisebenzi engabangela ukulimala noma ukopha isikhashana. Isibonelo, kungadingeka uyeke ukugibela ibhayisikili bese uthintana nemidlalo.
• Unganiki ingane yakho noma yimuphi umuthi oqukethe i-ibuprofen (isib., i-Motrin, i-Advil ) noma i-aspirin ngaphandle kwemvume kadokotela wakho. Le mithi ingandisa ingozi yokopha. I-Paracetamol, enikezwa umkhuhlane ovamile kanye nobuhlungu, ivame ukuphephile, kodwa hlola nodokotela wakho ngaphambi kokuyinika ingane yakho.

Iningi lezingane ezine-ITP liyalulama ngokuphelele zingakapheli izinyanga ezimbalwa. Nazi ezinye izinto ongazenza ukusiza ingane yakho:

• Qiniseka ukuthi uyayithatha ingane yakho uye nayo yonke imihlangano kadokotela.
• Landela imiyalelo kadokotela wakho kahle. Nakisisa ukuthi yimiphi imisebenzi efanele kanye nalokho okungafanele ukwenze.
• Uma ingane yakho ishaya ikhanda noma kuphi noma ilimele kabi, bona udokotela noma uye esibhedlela ngokushesha. Lokhu kubaluleke kakhulu.
• Qaphela ukuthi unganiki ingane yakho noma yimiphi imithi udokotela athi ayifanele.
• Uma ingane yakho ikhombisa izimpawu zokopha okusha, ukuklwebheka, noma amabala abomvu/onsomi esikhumbeni, shayela udokotela wakho ngokushesha.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuzwa nge-ITP kungaba yinto eyesabekayo. Kodwa khumbula, isikhathi esiningi, iyanyamalala yodwa uma kwenzeka ezinganeni . Into ebaluleke kakhulu ukungathuki, kodwa ukufuna iseluleko sezokwelapha esifanele bese wenza ngokufanele .

Uma ingane yakho inalezi zimpawu, qiniseka ukuthi ubona udokotela wezingane noma udokotela wezifo zegazi. Bazokunikeza zonke izeluleko ozidingayo. Sikufisela ukululama okusheshayo!

I- Thrombocytopenia Yomzimba, i-ITP, ama-platelet, ukopha, izifo zezingane, amasosha omzimba, ukuminyana