Mafunso 10 oti mufunse dokotala wanu za ITP

Zamkati

• 1. Nchiyani chinayambitsa matenda anga?
• 2. Kodi zotsatira zamapulateleti anga zikutanthauza chiyani?
• 3. Kodi chiopsezo changa chotuluka magazi mkati mwanga ndi chotani?
• 4. Ndingatani kuti ndipewe kutuluka magazi ndi mabala?
• 5. Kodi pali chilichonse chomwe ndiyenera kupewa ndi ITP?
• 6. Bwanji ngati mankhwala anga sakugwira ntchito?
• 7. Kodi ndiyenera kuchotsa ndulu yanga?
• 8. Kodi ITP yanga ndi yovuta kapena yovuta?
• 9. Kodi pali zizindikiro zina zowopsa zomwe ndiyenera kuyang'anira?
• 10. Kodi malingaliro anga ndi otani?

Kuzindikira kwa immune thrombocytopenia (ITP), komwe kumadziwika kuti idiopathic thrombocytopenia, kumatha kubweretsa mafunso ambiri. Onetsetsani kuti mwakonzekera kusankhidwa kwa dokotala wanu potsatira mafunso awa.

1. Nchiyani chinayambitsa matenda anga?

ITP imawerengedwa kuti imadzichitira yokha momwe thupi lanu limagwirira maselo ake. Mu ITP, thupi lanu limagunda ma platelet, omwe amachepetsa kuwerengera kwanu kwa mtundu wamagazi. Monga matenda ena amadzimadzi okhaokha, chomwe chimayambitsa kuphulika kwamapulatifomu sikudziwika.

Milandu ina ya ITP imalumikizidwa ndi mayendedwe amthupi mwadzidzidzi kuchokera kubakiteriya kapena ma virus aposachedwa. Mavairasi anthawi yayitali, monga HIV ndi hepatitis C, amathanso kuyambitsa ITP.

Mukamvetsetsa chomwe chikuyambitsa matenda anu, zingakuthandizeni inu ndi dokotala wanu kupanga dongosolo la chithandizo cha ITP. Mwinanso mungafunike kuchiza matenda aliwonse omwe amayambitsa kuchuluka kwamagulu ochepa.

2. Kodi zotsatira zamapulateleti anga zikutanthauza chiyani?

ITP imayambitsidwa ndi kuchuluka kwamagazi. Ma Platelet ndi mitundu yama cell amwazi omwe amathandizira magazi kuundana kuti musamatuluke magazi mopitirira muyeso. Mukakhala kuti mulibe mapulateleti okwanira, mumakhala otengeka kwambiri ndi mabala am'mimba komanso magazi.

Kuwerengera kwamaplatelet wamba kumakhala pakati pa mapiritsi 150,000 ndi 450,000 pa microliter (mcL) yamagazi. Anthu omwe ali ndi ITP amawerengedwa pa mcL. Kuwerengetsa magazi osachepera 20 000 othandiza magazi kuundana pa mcL kungatanthauze kuti muli pachiwopsezo chachikulu chotuluka magazi mkati.

3. Kodi chiopsezo changa chotuluka magazi mkati mwanga ndi chotani?

Kutuluka magazi kwamkati ndi kunja kumalumikizidwa ndi ITP. Kutuluka magazi mkati kumatha kukhala pachiwopsezo chachikulu cha zovuta chifukwa simudziwa nthawi zonse kuti zikuchitika. Monga lamulo la chala chachikulu, kutsitsa kuchuluka kwa mapulatifomu anu, kumawonjezera chiopsezo chotaya magazi mkati, malinga ndi Mayo Clinic.

Pazovuta kwambiri, ITP imatha kuyambitsa magazi muubongo. Komabe, malinga ndi, izi sizichitika kawirikawiri.

4. Ndingatani kuti ndipewe kutuluka magazi ndi mabala?

Mukakhala ndi ITP, kutuluka magazi mkati ndi kunja ndi mabala kumatha kuchitika ngakhale simunavulazidwe. Komabe, kuvulala kumayika pachiwopsezo chotaya magazi ambiri. Ndikofunika kuti mudziteteze ku mavuto ngati zingatheke. Izi zingaphatikizepo kuvala zida zoteteza, monga chisoti mukakwera njinga. Ndikofunikanso kusamala mukamayenda pamalo osagwirizana kapena poterera kuti muthe kugwa.

5. Kodi pali chilichonse chomwe ndiyenera kupewa ndi ITP?

Dokotala wanu angakulimbikitseni kuti mupewe malo ndi zochitika zina kuti mudziteteze ku matenda kapena kuvulala. Izi zimadalira kuopsa kwa matenda anu. Monga lamulo, muyenera kupewa masewera olumikizana nawo, monga mpira, mpira wamiyendo, ndi basketball.

Komabe, simuyenera kupewa zochitika zonse - makamaka, kuchita masewera olimbitsa thupi nthawi zonse ndikofunikira kuti dongosolo lanu lamtima ligwire bwino.

6. Bwanji ngati mankhwala anga sakugwira ntchito?

Zizindikiro zowonjezereka monga kuvulaza kooneka kapena kutuluka magazi kungatanthauze kuti chithandizo chanu chamakono sichikugwira ntchito. Zizindikiro zina, monga magazi mumkodzo wanu kapena chopondapo kapena nthawi zolemetsa mwa akazi, zonsezi zitha kukhala zizindikilo zakuti chithandizo chanu pakadali pano sichingakhale chokwanira.

Dokotala wanu angakulimbikitseni kusiya mankhwala omwe angapangitse magazi anu. Izi zitha kuphatikizira mankhwala osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen kapena aspirin.

Ngati mankhwala anu sakugwirabe ntchito, funsani dokotala wanu za njira zina zothandizira ITP. Angalimbikitse kuti musinthe mankhwala a ITP kapena mankhwala ena monga ma immunoglobulin infusions. Chifukwa chake lankhulani ndi dokotala wanu. Ndikofunika kuti muphunzire zosankha zanu zonse.

7. Kodi ndiyenera kuchotsa ndulu yanga?

Anthu ena omwe ali ndi ITP amatha kufunikira kuchotsedwa kwa ndulu. Kuchita opaleshoniyi, komwe kumadziwika kuti splenectomy, kumachitika ngati njira yomaliza pamene mankhwala angapo alephera kuthandiza.

Nkhumba, yomwe ili kumtunda chakumanzere kwa mimba yanu, imayambitsa kupanga ma antibodies olimbana ndi matenda. Imakhalanso ndi udindo wochotsa maselo am'magazi omwe anawonongeka m'magazi. Nthawi zina ITP imatha molakwika kupangitsa kuti nthenda yanu iwononge ma platelet athanzi.

Splenectomy ikhoza kuyimitsa ziwopsezozi m'matumba anu am'magazi ndikuwonjezera zizindikiro zanu za ITP. Komabe, popanda nthata, mutha kukhala pachiwopsezo cha matenda ena ambiri. Pachifukwa ichi, splenectomy siyikulimbikitsidwa kwa aliyense amene ali ndi ITP. Funsani dokotala ngati izi zingatheke kwa inu.

8. Kodi ITP yanga ndi yovuta kapena yovuta?

ITP nthawi zambiri imadziwika kuti ndi yovuta (yochepa) kapena yayitali (yayitali). Nthawi zambiri ITP imayamba chifukwa cha matenda akulu. Ndizofala kwambiri mwa ana, malinga ndi. Milandu yayikulu imakhala pansi pa miyezi isanu ndi umodzi popanda chithandizo, pomwe ITP imakhala nthawi yayitali, nthawi zambiri moyo wonse. Komabe, ngakhale matenda aakulu sangasowe chithandizo malinga ndi kuuma kwake. Ndikofunika kuti mufunse dokotala wanu za kusiyana kumeneku pakuwunika kuti akuthandizeni kusankha njira yothandizira.

9. Kodi pali zizindikiro zina zowopsa zomwe ndiyenera kuyang'anira?

Mawanga ofiira kapena ofiirira pakhungu (petechiae), mabala, ndi kutopa ndizizindikiro za ITP, koma izi sizowopseza moyo. Mutha kufunsa dokotala ngati kuwonjezeka kwa zizindikiritso izi kungatanthauze kuti muyenera kusintha mapulani anu kapena kupita kukayezetsa.

Dokotala wanu angakulimbikitseninso kuti muwaitane foni mukakhala ndi zodwala kapena magazi. Izi zingaphatikizepo:

• kugwedeza kuzizira
• malungo akulu
• kutopa kwambiri
• kupweteka mutu
• kupweteka pachifuwa
• kupuma movutikira

Ngati mukumva kutuluka magazi komwe sikumaima, itanani 911 kapena othandizira akwanuko. Kutaya magazi kosalamulirika kumawerengedwa kuti ndi vuto lachipatala.

10. Kodi malingaliro anga ndi otani?

Malinga ndi a, anthu ambiri omwe ali ndi ITP osatha amakhala zaka makumi ambiri popanda zovuta zina. ITP ikhoza kukhala yakanthawi, ndipo itha kukhala yofatsa. Zitha kukhala zowopsa ndipo zimafunikira chithandizo champhamvu kwambiri.

Dokotala wanu akhoza kukupatsani malingaliro abwinobwino amalingaliro anu kutengera msinkhu wanu, thanzi lanu lonse, komanso kuyankha kwanu kuchipatala. Ngakhale kulibe mankhwala a ITP, chithandizo chanthawi zonse kuphatikiza ndi moyo wathanzi chingakuthandizeni kuthana ndi vuto lanu. Ndikofunikanso kuti mutsatire dongosolo lanu la mankhwala kuti muwonetsetse kuti mukukhala ndi moyo wabwino.