Autoimmune thrombocytopenia: Amachititsa, Matendawa, Chithandizo

Mwa matenda a chikhalidwe autoimmune, tiyenera wapadera tcheru thrombocytopenia. Pakuti anati matenda khalidwe mbali ndi kuchepetsa chiwerengero cha othandiza magazi kuundana - mfundo zofunika za coagulation magazi. Popanda kudziwa icho chiri - ndi thrombocytopenia autoimmune, odwala ambiri amanyalanyaza zizindikiro woyamba wa matenda, ndi kangati zikuoneka pachabe. Mu masiteji patsogolo pali chiopsezo cha matenda oyamba chifukwa kungachititse kuti imfa ndi mwayi apeze zonse - ndi kochepa.

Kodi thrombocytopenia: kufotokoza mwachidule

Matendawa ali ndi makhalidwe kulephera kwa chitetezo cha m'thupi kuzindikira othandiza magazi kuundana yake, imbaenda kupatulana awo. Zotsatira za ndondomeko pathological ndi kupanga mankhwala akupha mu ndulu, amene amathandiza pa mofulumira inapita kuthetsa "akunja" thupi. Nthawi zambiri, matenda kumaonekera chisanu ndi masika. Pa mlingo wochepa wa othandiza magazi kuundana m'magazi nthawi zina akulankhula za mtundu sanali chitetezo cha matenda. Pankhaniyi, thrombocytopenia, limapezeka mu nkhani ya zotsatira thupi maselo othandiza magazi kuundana ndi.

Amatanthauza gulu la matenda a m'thupi, kuchepa magazi zimagawidwa m'njira zosiyanasiyana. Nthawi zambiri matenda lagawidwa ndi kutalika kwa otaya mu mitundu iwiri - pachimake ndi aakulu. The owopsa kwa anthu ndi mtundu lachiwiri la matenda, monga kubwezeretsa yachibadwa kupatsidwa zinthu za m'mwazi achiyesa zingatenge miyezi ingapo, ndipo nthawizina zaka. Palinso gulu lina la thrombocytopenia, wochokera matenda yachiwiri kapena chachikulu - matenda ndi anatha kuonetsa zawo kapena zimachitika ndi maziko a kuvutika ena mu thupi.

Propensity kwa magulu matenda chiopsezo

Kuchuluka kwa thrombocytopenia chiopsezo n'zovuta amanena gulu osiyana odwala. Koma kusintha nthawi zonse mlingo wa maselo ofiira mu thupi akazi imatipatsa kuyitana kugonana fairer kuti atengeke matenda. Chifukwa cha ichi mukhoza kukhala zosiyanasiyana zinthu, mwachindunji kapena ayi, kuika sitampu wanga pa ntchito ya hematopoietic (kusamba, wobereka, mavuto pambuyo pobereka, kusiya kusamba, ndi zina zotero. D.). Ana, matenda ali osowa.

akapsa Kodi matenda?

Motsimikizira kotheratu kunena chifukwa matenda zimenezi n'zosatheka. Koma, ngakhale, akatswiri timakonda kugwirizana za autoimmune thrombocytopenia purpura - mbali yaikulu kuchititsa matenda chimagwira majini. Pakuti chimene zifukwa, autoimmune thrombocytopenia monga:

• matupi awo sagwirizana zimene thupi (makamaka sedative, antibacterial ndi mankhwala alkaloid kungachititse mawonekedwe pachimake cha matenda);
• m'thupi akusowa, chitetezo chokwanira ofooka;
• magazi, magazi m'pangono pomwe;
• pachimake aimpso kulephera;
• aakulu chiwindi mtundu;
• matendawa;
• lupus;
• leukemias;
• uchidakwa.

More angayambe matenda anthu anabadwa ndi HIV. Chifukwa chiwonetsero cha matenda akhoza zimachitika metastasis mu thupi mu kukhalapo kwa chotupa chija. The kuchepa maselo magazi amatsogolera pakumwa folic acid akusowa, vitamini B12, kapena overabundance cheza padzuwa, kuwala.

Zizindikiro zazikulu za mitundu matenda autoimmune

Symptomatology khalidwe kwa thrombocytopenia autoimmune, wodwala aliyense ali ndi njira zosiyana. Zochita za matenda atsimikiziridwa, poyamba pa zonse, zimene zimayambitsa matenda, chikhalidwe cha matenda. Ndipo komabe, kuti asonyeze mbali yaikulu, maonekedwe amene ayenera posachedwapa kupita kwa madokotala, ndi losavuta:

• Nthawi wa khungu kufinya, magazi. Mosiyana ndi mikwingwirima wamba wofiirira mawanga odwala zindikirani zambiri mu nthambi m'munsi, torso ndi nkhope ndi milomo.
• Yaitali magazi matenda chifukwa kukhulupirika minofu (pambuyo kuchotsedwa mano, chilonda chabe, kudula).
• Kuwonjezeka khomo lachiberekero lymph mfundo limodzi ndi kulimbikira malungo otsika kalasi.
• Palpable malaise, kufooka mu miyendo, chizungulire.

Kodi zizindikiro ayenera kulabadira?

The kale anapezeka ndi thrombocytopenia, kosavuta ndi kuchiritsa izo. Mwachitsanzo, odwala kawirikawiri kulabadira zizindikiro monga magazi m'kamwa, totupa zazing'ono pa thupi. Nthawi kusonyeza ndi kupita kafukufukuyu kwathunthu sabweretsa chisoni ndi lalikulu hematoma kutupa zimakhala kuti zidzachitika pa kuvulala pang'ono, komanso kusankha ndowe ndi mkodzo ndi magazi kuundana. Ana akuvutika thrombocytopenia autoimmune, mawonetseredwe wamba angatchedwe magazi kuchokera mphuno, mwatsoka, si zocheza ndi makolo. Nthawi zambiri, mfundo imeneyi kumathandiza mtima yake ya chenicheni chimene chinayambitsa mawonetseredwe pathological.

akusowa kupatsidwa zinthu za m'mwazi pa mimba: zifukwa zikuluzikuluzo

Mimba ndi autoimmune thrombocytopenia madokotala tikambirane mawu otsutsana zachipatala. Akazi kuyembekezera kubwezeretsa, chiwerengero cha maselo magazi, ngakhale mu njira yachibadwa zimasiyanasiyana kusiyana lodziwika, kotero dokotala angatchedwe ntchito zambiri nthawi zonse kuwunika mmene magazi. Bwinobwino woyembekezera, chiwerengero cha othandiza magazi kuundana mu akazi yafupika yambitsa kufalitsa zotumphukira, koma kusintha zimenezi si kofunika kwambiri kupangitsa chisokonezo kwambiri ntchito yofunika thupi. Mwa njira, zimayambitsa matenda a amayi oyembekezera kawirikawiri:

• zosayenera zakudya ndi kusowa kwa zakudya;
• magazi imfa;
• chitsulo akusowa magazi m'thupi;
• ndi wofooka chitetezo.

Kodi kubereka mwana wathanzi ndi thrombocytopenia?

zinthu izi zonse zimalambira chitukuko cha otsika mafupa maselo ofiira. Komanso, ambiri a maselo othandiza magazi kuundana ndi kupangidwa kukhala ndi mawonekedwe osasamba. Kwa mimba, mwana wosabadwayo poyera kuti chiopsezo chachikulu amachititsa magazi mkati. Kodi pali umboni zikubweretsa mavuto ndiponso kuwonongeka kwa mayi ndi mwana, madokotala angasankhe kubadwa msanga. Autoimmune thrombocytopenia kuliganizira changu ku akatswiri pa lililonse siteji ya matenda. Ndi mankhwala yake ya matenda, amene amakonda kutaya magazi kwambiri pa yobereka, kuthekera kumene lachibadwa si lilibe.

Matendawa: kusiyanitsa matenda ena?

Musanayambe atsimikizire thrombocytopenia autoimmune mu malo oyamba m'pofunika kusiyanitsa pakati pa etiology woona wa akusowa kupatsidwa zinthu za m'mwazi, chifukwa ambiri a zizindikiro ndi kufanana ndi matenda ena aakulu thupi:

• magazi m'thupi;
• lotsatira hematological matenda;
• metastasis mu m'mafupa;
• splenomegaly mitundu - matenda a ndulu ya;
• matenda endocrine.

Nthawi zambiri matenda a thrombocytopenia autoimmune sayambitsa mavuto, monga kwa kudziwika matenda, njira zosiyanasiyana kafukufuku matenda ndi zasayansi. Nthawi zambiri, madokotala kutsimikizira matenda n'zotheka kudzera:

• matenda magazi kuwunika;
• amuzolengedwa magazi kuwunika;
• cytology;
• Mafupa histology.

Mmene angakhalire ndi akusowa wa othandiza magazi kuundana?

Kulamulira kuchuluka kwa matenda, mankhwalawa thrombocytopenia autoimmune ndi mahomoni. Pa mankhwala matenda wodwala Kwalamulidwa mankhwala gormonsoderzhaschie ambiri ndi "prednisolone" - ndi glucocorticosteroid, ndi wosaloleka ndi kusalankhula ntchito moyang'anana pakutchulidwa mavuto. Kukonzekera anapereka dokotala nawo, iye amafunanso mlingo: Wapakati "prednisolone" Tisonyezeni zochokera chiŵerengero cha 1 ml pa 1 makilogalamu thupi. Pamisinkhu zapamwamba za katswiri matenda angasankhe kuwonjezera mlingo osachepera kawiri.

Glucocorticoids kutsimikiziridwa okha polimbana thrombocytopenia autoimmune, koma nthawi zambiri mankhwala amapereka zotsatira symptomatic mu mawonekedwe a kudwala sekondale. Pankhaniyi, zambiri njira yokhayo vuto ndi opaleshoni. Kuchotsa ndulu mankhwala amatchedwa splenectomy. opaleshoni imagwiridwa laparoscopically. Pamaso wozengereza mwachindunji alowererepo mlingo wa mahomoni yokumba kuonjezera patatu mwa kuyambitsa mwachindunji mu mtsempha wa. Pambuyo kuchotsa ndulu mlingo "Prednisolone" sikuthetsa - mankhwala kutenga zaka ziwiri.

Features ya chithandizo cha thrombocytopenia

Pakakhala zovuta zina mu njira ya mankhwala opaleshoni ya thrombocytopenia autoimmune, wodwala kutumikiridwa ndi cytotoxic Morning immunosuppressive ntchito. Mankhwalawa mitundu choopsa cha matenda mulinso njira kubwezeretsa yachibadwa magazi buku mwa kuikidwa mwiniwake. Kupewa zisadzachitikenso ya matenda, mtima ndi kuvala nkhani povomereza nthawi kuti ndisanabadwe zolinga prophylactic.

Mu masiteji koyamba matenda amaliona mwamsanga ndi mogwira mtima, mpumulo zambiri zikadzatha ntchito mankhwala kwa masiku angapo. Komabe, chiyembekezo chakuti mankhwala ayenera mgwirizano ndi dokotala - mtima, monga ulamuliro, ndi kugwiritsa ntchito mankhwala mpaka mankhwala komaliza.

chithandizo anthu ndi zakudya

Kupirira autoimmune thrombocytopenia akhoza ndi wowerengeka azitsamba. Pamisinkhu zapamwamba za matenda Mwachangu awo ndi otsika, koma osakaniza ndi anatchulidwa mankhwala mankhwala njira zambiri akuwonetsa zotsatira zabwino. Kusintha boma magazi ndi kuthandiza kuonjezera kupatsidwa zinthu za m'mwazi chizengerezo;

• uchi;
• walnuts;
• rasipiberi;
• ndi kulowetsedwa a m'chiuno duwa;
• nettle msuzi;
• Beet ndi birch kuyamwa.

Pamene thrombocytopenia, wodwala ayenera kuwunikira ndi kadyedwe. Ngakhale kupanda malangizo omveka bwino zakudya, kupewa chitukuko cha ziwalo magazi n'kofunika kutafuna chakudya, osati kudya chakudya kotentha, kusiya mankhwala ndi mtima kwa nembanemba mucous pa mundawo m'mimba.

Kodi n'zotheka kuti achiritse kudwala: ndi Mapa apeze

Mapa autoimmune thrombocytopenia kwakukulukulu anatsimikiza mwa mawonekedwe a kudwala. Mwachitsanzo, matenda amene ali gawo pachimake, kuchitira sizivuta kuposa mtundu aakulu a matenda. Nthawi zina, kuchira amapezeka popanda kugwiritsa ntchito mankhwala. Mu thrombocytopenia aakulu kulosera ayambe komaliza ovuta kwambiri. Pa nthawi yomweyo poyerekezera ndi moyo wa wodwala ndi loopsa kwambiri adzauka ngati nthawi kufuna thandizo apadera ndi kuyamba chithandizo popanda zikubweretsa kukha magazi mkati.

Mwina kukonzanso kuchepetsa kupatsidwa zinthu za m'mwazi achiyesa odwala ndi autoimmune mawonekedwe aakulu mokwanira lalikulu, ngati kungakhale zinthu zosiyanasiyana - kuchokera nkhawa kusintha kwa nyengo kapena kulandira kukonzekera mankhwala. Musabise nthawi zambiri limodzi ndi woopsa, koma chifukwa odwala izi zimafunikira moyo wonse kuyang'aniridwa ndi akatswiri. Dziwani kuti zinthu zokayikitsa wolungama matenda ena okhudzidwa mu matenda a m'thupi. Mwachitsanzo, mwayi wodwala kuchira ku khansa kapena mafupa metastases kochepa.