Chakudya choipa, moyo wokhala ndi nkhawa, kuwonongeka kwa chilengedwe - zonsezi zimakhudza thanzi la munthu osati bwino. Chotsatira chake, matendawa amayamba chifukwa cha kulephera kwa dongosolo linalake mthupi mwambiri. Izi zikuphatikizapo autoimmune (idiopathic) thrombocytopenia kapena matenda a Verlhof.
Mitundu ndi zifukwa zomwe zimayambitsa matendawa
Awa ndiwo matenda a magazi, omwe chiwerengero cha mapaleti amachepetsedwa chifukwa chakuti chitetezo chimayamba kutulutsa antibodies motsutsana ndi gulu lino la maselo. Kuzimitsa thrombocytopenia kumachitika:
- choyambirira, ndiko kuti, kutuluka kuchokera tokha;
- Zachiwiri, zikuwonetsedwa ngati zotsatira za kugonjetsedwa kwa chitetezo cha mthupi chifukwa cha matenda monga khansara ya zamaliseche, HIV, rubella, matenda a chiwindi, etc;
- mankhwala, omwe amapezeka atalandira mankhwala kapena mankhwala osokoneza bongo.
Zizindikiro za autoimmune thrombocytopenia
Chizindikiro chodziwika bwino cha kukula kwa matendawa ndi maonekedwe a maola ambiri mwa mawonekedwe ang'onoang'ono. Nthawi zambiri amakhala pa khungu la thunthu ndi mapeto. Kuphulika kwa magazi kumayambira. Kuwonjezera apo, pali magazi ochokera mu mucosa mumlomo ndi pamphuno.
Popeza kuti mapuloletti amachititsa kuti magazi asamawonongeke, amatanthauza kuti ngati matendawa atayika, ngati khungu likuwonongeka, magazi sangathe kuimitsidwa nthawi yayitali. Izi zimakhudzanso mfundo yakuti nthawi ya kusamba imakhala yochulukirapo, ndipo m'zimbudzi zimakhala ndi magazi.
Ngati palibe zovuta zosayembekezereka zinawonetsedwa (mwachitsanzo, kupuma kwa ubongo), kufotokoza kwa odwala omwe ali ndi autoimmune thrombocytopenia ndi chiyembekezo. Matendawa amatha kudutsa okha, kapena kuchira kumabwera chifukwa cha chithandizo.
Chithandizo cha autoimmune thrombocytopenia
Chithandizo chachikulu cha autoimmune thrombocytopenia ndi cholinga choletsa kukonza ma autoantibodies omwe amawononga mapulateletti, koma poyamba ayenera kupezeka. Kwa ichi, mayeso angapo ayenera kuperekedwa:
- kuyesa magazi ambiri ;
- kukonzanso kwa mkodzo;
- kuyesa molingana ndi njira ya Steffen (kutsimikizira kuchuluka kwa antiglobulins);
- Dickson test (antibody counting).
Ndi mankhwala ochepa a autoimmune thrombocytopenia, mankhwala osokoneza bongo kuchokera ku gulu la glucocorticosteroids (nthawi zambiri prednisolone pa mlingo wa 1 mg pa kilogalamu ya kulemera kwa thupi) amalembedwa. Kutenga kumafuna kuchira, ndipo pang'onopang'ono kuchepetsa mlingo. Ngati mankhwala oterewa sathandiza, madokotala amachita opaleshoni kuti achotse nthata.