Immune thrombocytopenic purpura (ITP)

Immune thrombocytopenic purpura (ITP) chirwere chekubuda ropa umo immune system inoparadza maplatelet, ayo anodikanwa mukugwamba kweropa zvakajairika. Vanhu vane chirwere vane maplatelet mashoma muropa.

ITP inoitika kana mamwe masero ezvirwere zvemuviri achiburitsa masoja anorwisa maplatelet. Maplatelet anobatsira ropa rako kugwamba nekuumbanira pamwechete kuvhara maburi madiki mumidziyo yeropa yakanganisika.

Masoja ekudzivirira chirwere anonamira pamaplatelet. Muviri unoparadza maplatelet anotakura masoja ekudzivirira chirwere.

Muvana, chirwere ichi dzimwe nguva chinotevera hutachiona hutachiona. Muvanhu vakuru, inowanzo kuve chirwere chenguva refu (chisingaperi) uye chinogona kuitika mushure mehutachiona hwehutachiona, nekushandisa kwemamwe madhiragi, panguva yekuzvitakura, kana sechikamu chehutachiona hwemuviri.

ITP inobata vakadzi kazhinji kupfuura varume. Izvo zvakajairika muvana kupfuura vanhu vakuru. Muvana, chirwere ichi chinobata vakomana nevasikana zvakaenzana.

Zviratidzo zveITP zvinogona kusanganisira chero chinotevera:

• Nguva dzakaremara zvisingaite muvakadzi
• Kubuda ropa mukati meganda, kazhinji kutenderedza shins, zvichikonzera kuputika kweganda kunoratidzika kunge kunongedzera mavara matsvuku (petechial rash)
• Kupwanya kuri nyore
• Mhino kana kubuda ropa mumuromo

Kuongororwa kweropa kuchaitwa kuti uone maplatelet count yako.

Bhonzo remongo wemapfupa kana biopsy inogona zvakare kuitwa.

Muvana, chirwere ichi chinowanzoenda pasina kurapwa. Vamwe vana vangangoda kurapwa.

Vakuru vanowanzo tangwa pamushonga we steroid unonzi prednisone kana dexamethasone. Mune zvimwe zviitiko, kuvhiya kubvisa iyo spleen (splenectomy) inokurudzirwa. Izvi zvinowedzera huwandu hweplatelet mune ingangoita hafu yevanhu. Zvisinei, kumwe kurapa kwezvinodhaka kunowanzo kurudzirwa pachinzvimbo.

Kana chirwere ichi chisingaiti nani ne prednisone, mamwe marapirwo anogona kusanganisira:

• Kukanganiswa kweiyo yakakwira-dose gamma globulin (immune immune factor)
• Mishonga inodzvinyirira immune system
• Anti-RhD kurapa kwevanhu vane mamwe marudzi eropa
• Mishonga inokurudzira mapfupa kuita mamwe maplatelet

Vanhu vane ITP havafanirwe kutora asipurini, ibuprofen, kana warfarin, nekuti izvi zvinodhaka zvinokanganisa kushanda kweplatelet kana kuvhara ropa, uye kubuda ropa kunogona kuitika.

Rumwe ruzivo uye rutsigiro rwevanhu vane ITP nemhuri dzavo zvinogona kuwanikwa pa:

• pdsa.org/patients-caregivers/support-resource.html

Nokurapwa, mukana wekuregererwa (nguva isina chiratidzo) yakanaka. Muzviitiko zvisingawanzoitika, ITP inogona kuve yakareba-mamiriro kune vanhu vakuru uye inozoonekazve, kunyangwe mushure mekanguva isina chiratidzo.

Kamwe kamwe uye kwakakomba kurasikirwa kweropa kubva munzira yekugaya kunogona kuitika. Kubuda ropa muuropi kunogona zvakare kuitika.

Enda kuimba yekukurumidzira kana kufonera 911 kana nhamba yemuno yekukurumidzira kana kubuda ropa kwakanyanya kuchiitika, kana zvimwe zviratidzo zvitsva zvikatanga.

ITP; Immune thrombocytopenia; Bleeding disorder - idiopathic thrombocytopenic purpura; Kubuda ropa kusagadzikana - ITP; Autoimmune - ITP; Yakaderera platelet kuverenga - ITP

• Masero eropa

Abrams CS. Thrombocytopenia. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 163.

Arnold DM, MP Zeller, Smith JW, Nazy I.Zvirwere zveplatelet nhamba: Immune thrombocytopenia, neonatal alloimmune thrombocytopenia, uye posttransfusion purpura. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 131.