Kudya kwakaipa, hupenyu huri mumamiriro ekumanikidzwa, kuora kwemamiriro okunze - izvi zvose zvinokanganisa hutano hwomunhu kwete huri nani. Somugumisiro, chirwere chinokonzerwa nokukundikana kwedzimwe chimiro mumuviri chakave chichiwedzera. Izvi zvinosanganisira autoimmune (idiopathic) thrombocytopenia kana chirwere cheVerlhof.
Mhando uye zvikonzero zve autoimmune thrombocytopenia
Ichi chirwere cheropa, umo nhamba yemaplatelet yakaderedzwa nekuda kwekuti chitachiona chinotanga kubudisa zvirwere zvinopesana neboka iri remasero. Autoimmune thrombocytopenia inoitika:
- chikuru, kureva, kubuda kunze kwayo;
- yechipiri, yakaratidzwa sechikonzero chekukundwa kwemasikirwo emusikirwo semagumisiro ezvirwere zvakadai sekenza yemakirinikodhi, HIV, rubella, autoimmune hepatitis, etc ;;
- chirwere, icho chinoitika mushure mekutora mishonga kana zvinodhaka zvinodhaka.
Zviratidzo zvekuzvidzivirira kwepasi
Chiratidzo chechimiro chekuvandudzwa kwechirwere ichi ndechekuonekwa kwezvizhinji zvekushaya ropa mune zviduku zvishoma. Kazhinji kazhinji inowanikwa pane ganda redu uye marefu. Uyewo kuputika kwemhepo kunogona kutanga. Mukuwedzera, kune kubuda ropa kwemucosa mumuromo uye mumasango.
Sezvo maplatelet ane basa rekuvhara ropa, zvinoreva kuti nekuongorora kwakadai, kana ganda raparara, kubuda ropa hakugoni kumira kwenguva refu. Izvi zvinokanganisawo kuti nguva yekuenda kumwedzi inowedzera, uye mumasese kune ropa.
Kana pasina matambudziko asingakanganisiki akacherechedza (somuenzaniso, kuora kwekushaya ropa), kufungidzira kwevarwere vane autoimmune thrombocytopenia kune tariro. Chirwere chacho chichapfuura pachako, kana kupora kuchauya semubairo wekurapa.
Kuchengetedzwa kwemotokari yemahara
Mushonga mukuru we autoimmune thrombocytopenia inotarisirwa kubvisa kushandiswa kwemarantiantibodies anoparadza maplatelet, asi pakutanga anofanira kuongororwa. Nokuda kweizvi, mimwe miedzo inofanira kuiswa:
- kuongorora kukuru kweropa ;
- general analysis of urine;
- kuedza maererano nenzira yaSteffen (kusarudza kwehuwandu hweintiglobulins);
- Dickson test (antibody counting).
Nekwenyoro ye autoimmune thrombocytopenia, madhimoni emishonga kubva muboka re glucocorticosteroids (kazhinji kacho prednisolone pamwero we 1 mg nekg yehutatu hwehuviri) inorayirwa. Tora iyo inoda kuzorora zvakakwana, uye zvishoma nezvishoma kuderedza chirwere. Kana kurapwa kwakadaro kusingabatsiri, vanachiremba vanoita chirwere kuti vabvise spleen.