Kev txhaj tshuaj tiv thaiv kabmob thrombocytopenic purpura (ITP)

Kev txhaj tshuaj tiv thaiv kabmob thrombocytopenic purpura (ITP) yog ib qho kev los ntshav uas cov kabmob tiv thaiv kab mob ua rau cov ntshav plasmaets, uas tsim nyog rau cov ntshav txhaws khov kho. Cov neeg muaj tus kab mob no muaj platelets tsawg nyob rau hauv cov ntshav.

ITP tshwm sim thaum qee cov qe ntshav tiv thaiv kab mob ua rau cov tshuaj tiv thaiv cov qe ntshav. Platelets pab koj cov ntshav txhaws los ntawm kev sib koom ua ke los ntsaws cov qhov me me ntawm cov hlab ntshav puas.

Cov tshuaj tua tau txuas rau platelets. Lub cev rhuav tshem cov platelets uas nqa cov tshuaj tiv thaiv.

Hauv cov menyuam yaus, tus kabmob qee zaum yuav kis tus kab mob. Rau cov neeg laus, nws yog ntau tus kab mob ntev (mob ntev) thiab tuaj yeem tshwm sim tom qab kis kab mob, nrog rau siv qee yam tshuaj, thaum cev xeeb tub, lossis ib feem ntawm kev tiv thaiv kab mob.

ITP cuam tshuam rau poj niam ntau dua li tus txiv neej. Feem ntau ntawm cov menyuam yaus dua li cov laus. Hauv cov menyuam yaus, tus kabmob cuam tshuam rau cov tub thiab ntxhais hluas sib npaug.

Cov tsos mob ntawm ITP tuaj yeem suav nrog ib qho hauv qab no:

• Kev tsis ncaj nyob hauv cov poj niam hnyav
• Los ntshav rau ntawm daim tawv nqaij, feem ntau nyob ib ncig ntawm daim tawv muag, ua rau tawv nqaij ua pob liab liab uas zoo li pom cov pob liab liab (mob pob khaus liab)
• Kev yooj yim doog ntshav
• Ntswg qhov ntswg los ntshav hauv lub qhov ncauj

Kev kuaj ntshav yuav ua tiav los kuaj koj cov platelet suav.

Ua kom tiav txoj kev xav ua pob txha los yog nqus ib qho nqaij ntawm lub cev.

Hauv cov menyuam yaus, tus kabmob feem ntau ploj mus yam tsis tau kho. Qee tus menyuam yaus yuav xav tau kev kho mob.

Cov neeg laus feem ntau pib siv tshuaj steroid hu ua prednisone lossis dexamethasone. Muaj qee kis, kev phais mob txhawm rau tshem tawm qhov hnoos qeev (splenectomy). Qhov no nce cov ntshav txhaws hauv ib nrab ntawm tib neeg. Txawm li cas los xij, lwm cov tshuaj kho yog feem ntau pom zoo kom siv.

Yog hais tias tus kab mob tsis zoo nrog prednisone, lwm yam kev kho mob tuaj yeem suav nrog:

• Txoj kev mob hnoos ntshav ntawm high-koob gamma globulin (ib qho muaj zog tiv thaiv kab mob)
• Cov tshuaj noj uas tiv thaiv kev tiv thaiv ntawm lub cev
• Anti-RhD txoj kev kho rau cov neeg uas muaj qee hom ntshav
• Cov tshuaj uas txhawb cov pob txha pob txha los ua ntau cov qe ntshav

Cov neeg mob ITP yuav tsum tsis txhob noj cov tshuaj aspirin, ibuprofen, lossis warfarin, vim tias cov tshuaj no cuam tshuam nrog cov ntshav ua haujlwm lossis ntshav txhaws, thiab ntshav los kuj tshwm sim.

Xav paub ntau ntxiv thiab txhawb nqa rau cov neeg uas muaj ITP thiab lawv tsev neeg tuaj yeem nrhiav tau ntawm:

• pdsa.org/patients-caregivers/Support-resources.html

Nrog rau kev kho mob, kev muaj txoj hauv kev zam txim (lub sijhawm tsis muaj tsos mob) yog qhov zoo. Tsawg tsawg zaus, ITP yuav dhau los ua tus mob ntev rau cov neeg laus thiab rov tshwm sim dua, txawm tias tom qab lub sijhawm tsis muaj tsos mob.

Sudden thiab loj heev los ntshav los ntawm cov hnyuv kuj yuav tshwm sim. Los ntshav rau hauv lub hlwb kuj tseem tshwm sim.

Mus rau chav kho mob ceev lossis hu 911 lossis tus npawb xov tooj xwm ceev hauv ib cheeb tsam yog tias ntshav los ntshav ntau, lossis yog muaj lwm cov tsos mob tshiab tshwm sim.

ITP; Tshuaj tiv thaiv thrombocytopenia; Qhov teeb meem ua kom ntshav - idiopathic thrombocytopenic purpura; Los ntshav kev tsis zoo - ITP; Autoimmune - ITP; Tsawg platelet suav - ITP

• Cov qe ntshav

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

Arnold DM, Zeller MP, Smith JW, Nazy Kuv.Cov kab mob ntawm cov ntshav platelet: Kev tiv thaiv kabmob thrombocytopenia, mob neonatal alloimmune thrombocytopenia, thiab posttransfusion purpura. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj UaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 131.