Ukungondleki okubi, ubomi kwiimeko zokuxinezeleka, ukungonakaliswa kwemvelo-konke oku kuchaphazela impilo yomntu ongeyonto engcono. Ngenxa yoko, isifo esibangelwa ukungaphumeleli kwenkqubo ethile emzimbeni saba rhoqo. Ezi ziquka i-autoimmune (idiopathic) thrombocytopenia okanye isifo sikaVerlhof.
Iintlobo kunye nezimbangela ze-thrombocytopenia
Esi sifo segazi, apho inani leeplatelet liyancitshiswa ngenxa yokuba ukukhuselwa kukuqala ukuvelisa izixhobo zokulwa neli qela leeseli. I-autoimmune thrombocytopenia iyenzeka:
- eziphambili, oko kukuthi, ezivela ngokwazo;
- okwesibini, kubonakaliswe ngenxa yokutshatyalaliswa kwesistim somzimba ngenxa yezifo ezifana nomhlaza we-lymph nodes, i-HIV, i-rubella, i-autoimmune hepatitis, njl.;
- iziyobisi, ezenzeka emva kokuthatha amayeza okanye iziyobisi.
Iimpawu ze-thrombocytopenia
Uphawu oluphawulekayo lokuphuhliswa kwesi sifo lubonakala ngathi iimbumba ezininzi ngeendlela ezincinci. Ngokuqhelekileyo zifumaneka kwesikhumba se-trunk kunye nemida. Kwakhona ukuqhuma okukhulu kunokuqala. Ukongezelela, kukho ukuphuma kwe-mucosa kwimimango yomlomo neyomlomo.
Ekubeni iiplatelet zinoxanduva lokucima igazi, oko kuthetha ukuba ngokuxilongwa okunjalo, ukuba ulusu lonakaliswe, ukuphuma kwamanzi akunakuvalwa ixesha elide. Oku kuyachaphazela nokuba amaxesha omama wesifazane aninzi, kwaye emanzini aphuma igazi.
Ukuba akukho zixinzelelo ezingenakulinganiswa eziye zabonwa (umzekelo, i-cerebral hemorrhage), ukugxekwa kwezigulane nge-auto-tummone thrombocytopenia kunethemba. Esi sifo siya kudlula ngokwawo, okanye ukubuyisela kuya kuza ngenxa yonyango.
Unyango lwe-thrombocytopenia
Uphuhliso oluphambili lwe-thrombocytopenia lujoliswe ekunciphiseni ukuveliswa kwezinto eziza kutshabalalisa iiplatelet, kodwa kwindawo yokuqala kufuneka zifumaneke. Kule nto, iimvavanyo kufuneka zithunyelwe:
- vavanyo lwegazi jikelele ;
- Uhlalutyo jikelele lomchamo;
- vavanyo ngokwendlela kaSteffen (ukuchithwa kwemali ye-antiglobulins);
- Uvavanyo lukaDickson (ukubala kwamanqangi).
Ngomlinganiselo omncinci we-thrombocytopenia, iziyobisi ze-hormonal ezivela kwiqela le-glucocorticosteroids (ininzi i- prednisolone kwisantya se-1 mg nganye ngekg ye-body weight) imiselwe. Thatha ifuna ukubuyiswa ngokupheleleyo, kwaye ngokunciphisa kancane umthamo. Ukuba unyango olunjalo aluncedi, oogqirha benza umsebenzi ukuze basuse ipeni.