Idiopathic Thrombocytopenic Purpura, A Simple Guide to The Condition, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
ITP is low platelets due to autoimmune reaction
The platelets remain low because of the fast removal action
Low platelets can lead to purpura or bleeding
Any loss of blood will affect the process of healing
ITP is diagnosed by a blood test called a full blood count.
This test shows that there are fewer platelets than normal amount
Platelets are made in the bone marrow along with other blood cells.
They stick together to seal small cuts on blood vessel walls like gels
In most cases this will stop the bleeding.
Most children will not need treatment except in severe bruising
The aim of treatment is to increase the number of platelets.
Corticosteroids such as prednisone are the favorites
Other medicines include rituximab and anti-Rh (D) immunoglobulin.
Other treatment is to suppress the immune system such as cyclosporine
If needed, doctors can surgically remove the spleen.
This will result in longer-lasting number of platelets seen
-An original poem by Kenneth Kee
Interesting Tips about the ITP
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Most adults with ITP do not require active treatment, unless they have significant symptoms or need to undergo surgery for any reason, including dental work.
It is important to have adequate platelet levels before surgery in order to minimize the risk of severe bleeding during the operation.
If treatment is needed, then the first treatments that tend to be used in an adult with ITP are usually steroids or IVIg.
Both of these treatments increase the platelet count in about 2 or 3 people in 4.
Usually though, this improvement is only temporary and the platelet numbers return to a low level after a few weeks.
Surgery to remove the spleen (splenectomy) is used more often in adults than in children.
It is more likely to result in a longer-lasting normal number of platelets.
About 2 in 3 people with ITP who have a splenectomy will have a normal long-lasting number of platelets.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Chapter 1
Idiopathic thrombocytopenic purpura (ITP)
What is Idiopathic Thrombocytopenia Purpura?
Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease involving platelets.
In autoimmune disorders the body makes an antibody that damages another part of the body.
In ITP the antibodies are made against platelets.
Once the antibodies have attached to platelets, the platelets do not work so well.
They are also removed more quickly by the spleen because they are abnormal.
Idiopathic means that there is no known underlying cause found.
Thrombocytopenic means not enough platelets.
Purpura is a purple-red rash.
Although the cause of ITP is not clear, it is known to be something to do with the immune system.
Therefore the disease is i
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Idiopathic Thrombocytopenic Purpura, A Simple Guide to The Condition, Treatment And Related Conditions - Kenneth Kee
Idiopathic Thrombocytopenic
Purpura,
A
Simple
Guide
to
The Condition,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Idiopathic Thrombocytopenic Purpura, Treatment and Related Diseases such as Purpura, Petechiae, Henoch Schonlein Prupura which are seen in some of my patients in my Family Clinic.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode to Idiopathic thrombocytopenic purpura
ITP is low platelets due to autoimmune reaction
The platelets remain low because of the fast removal action
Low platelets can lead to purpura or bleeding
Any loss of blood will affect the process of healing
ITP is diagnosed by a blood test called a full blood count.
This test shows that there are fewer platelets than normal amount
Platelets are made in the bone marrow along with other blood cells.
They stick together to seal small cuts on blood vessel walls like gels
In most cases this will stop the bleeding.
Most children will not need treatment except in severe bruising
The aim of treatment is to increase the number of platelets.
Corticosteroids such as prednisone are the favorites
Other medicines include rituximab and anti-Rh (D) immunoglobulin.
Other treatment is to suppress the immune system such as cyclosporine
If needed, doctors can surgically remove the spleen.
This will result in longer-lasting number of platelets seen
-An original poem by Kenneth Kee
Interesting Tips about the ITP
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Most adults with ITP do not require active treatment, unless they have significant symptoms or need to undergo surgery for any reason, including dental work.
It is important to have adequate platelet levels before surgery in order to minimize the risk of severe bleeding during the operation.
If treatment is needed, then the first treatments that tend to be used in an adult with ITP are usually steroids or IVIg.
Both of these treatments increase the platelet count in about 2 or 3 people in 4.
Usually though, this improvement is only temporary and the platelet numbers return to a low level after a few weeks.
Surgery to remove the spleen (splenectomy) is used more often in adults than in children.
It is more likely to