Kodi idiopathic thrombocytopenic purpura ndi momwe amachiritsira
Zamkati
- Zizindikiro zazikulu
- Momwe mungatsimikizire matendawa
- Zomwe zingayambitse matendawa
- Momwe mankhwalawa amachitikira
Idiopathic thrombocytopenic purpura ndi matenda omwe amangodziyimira pawokha momwe ma antibodies amthupi amawononga magazi am'magazi, zomwe zimapangitsa kuchepa kwamtunduwu. Izi zikachitika, thupi limakhala ndi nthawi yovuta kuti magazi asiye kutuluka, makamaka pakakhala mabala ndi zikwapu.
Chifukwa chakusowa kwa ma platelet, ndizofala kwambiri kuti chimodzi mwazizindikiro zoyambirira za thrombocytopenic purpura ndikuwonekera kwamatenda ofiira pakhungu m'malo osiyanasiyana amthupi.
Kutengera kuchuluka kwa ma platelet ndi zizindikilo zomwe zawonetsedwa, adotolo angakulangizeni chisamaliro chachikulu kuti muchepetse magazi kapena, kenako, yambani kulandira chithandizo cha matendawa, omwe nthawi zambiri amaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo kuti achepetse chitetezo chamthupi kapena kuwonjezera kuchuluka kwa maselo m'magazi.
Zizindikiro zazikulu
Zizindikiro zofala kwambiri za idiopathic thrombocytopenic purpura ndi monga:
- Kusavuta kupeza mabala ofiira mthupi;
- Mawanga ofiira ang'ono pakhungu omwe amawoneka ngati akutuluka magazi pansi pa khungu;
- Kuchepetsa kutuluka magazi kuchokera m'kamwa kapena m'mphuno;
- Kutupa kwa miyendo;
- Pamaso pa magazi mu mkodzo kapena ndowe;
- Kuchuluka kwa msambo.
Komabe, palinso milandu yambiri yomwe purpura siyimayambitsa mtundu uliwonse wa zizindikilo, ndipo munthuyo amapezeka kuti ali ndi matendawa chifukwa ali ndi ma platelet / mm³ ochepera 10,000 m'magazi.
Momwe mungatsimikizire matendawa
Nthawi zambiri matendawa amapangidwa poyang'ana zizindikiro ndi kuyezetsa magazi, ndipo adokotala amayesetsa kuthetsa matenda ena omwe angayambitse zofananira. Kuphatikiza apo, ndikofunikanso kuwunika ngati pali mankhwala aliwonse, monga aspirin, omwe atha kubweretsa zotsatirazi.
Zomwe zingayambitse matendawa
Idiopathic thrombocytopenic purpura imachitika pamene chitetezo chamthupi chimayamba, molakwika, kuti chiwononge magazi am'magazi okha, ndikupangitsa kuchepa kwamaselowa. Chomwe chimapangitsa izi kuchitika sichikudziwika, chifukwa chake, matendawa amatchedwa idiopathic.
Komabe, pali zinthu zina zomwe zikuwoneka kuti zikuwonjezera chiopsezo chokhala ndi matendawa, monga:
- Khalani mkazi;
- Kukhala ndi kachilombo koyambitsa matendawa, monga ntchofu kapena chikuku.
Ngakhale imawonekera kawirikawiri mwa ana, idiopathic thrombocytopenic purpura imatha kuchitika msinkhu uliwonse, ngakhale palibe zochitika zina m'banjamo.
Momwe mankhwalawa amachitikira
Nthawi yomwe idiopathic thrombocytopenic purpura siyimayambitsa zizindikiro zilizonse ndipo kuchuluka kwa ma platelet sikotsika kwenikweni, adotolo angakulangizeni kuti azisamala kuti apewe mabampu ndi zilonda, komanso kuyesa magazi pafupipafupi kuti awone kuchuluka kwa ma platelet .
Komabe, ngati pali zizindikilo kapena kuchuluka kwa ma platelet ndikotsika kwambiri, chithandizo ndi mankhwala chingakulangizeni:
- Zithandizo zomwe zimachepetsa chitetezo chamthupi, nthawi zambiri ma corticosteroids monga prednisone: amachepetsa kugwira ntchito kwa chitetezo chamthupi, motero amachepetsa kuwonongeka kwa ma platelet mthupi;
- Majakisoni a Immunoglobulin: kutsogolera kuwonjezeka mofulumira kwa othandiza magazi kuundana m'magazi ndipo zotsatira zake zimakhala kwa milungu iwiri;
- Mankhwala omwe amachulukitsa kupanga zinthu, monga Romiplostim kapena Eltrombopag: zimapangitsa kuti mafupa apange mafinya ambiri.
Kuphatikiza apo, anthu omwe ali ndi matenda amtunduwu ayenera kupewa kugwiritsa ntchito mankhwala omwe amakhudza magwiridwe antchito am'magazi monga Aspirin kapena Ibuprofen, osayang'aniridwa ndi dokotala.
Milandu yovuta kwambiri, matendawa akakhala kuti sakupita patsogolo ndi mankhwala omwe dokotala wanena, pangafunike kuchitidwa opaleshoni kuti achotse ndulu, yomwe ndi imodzi mwa ziwalo zomwe zimapanga ma antibodies ambiri omwe amatha kuwononga ma platelet.