Is thrombocytopenic purpura easy to treat?

Is thrombocytopenic purpura easy to treat?

Thrombocytopenic purpura is also called primary immune thrombocytopenic purpura. It is a hemorrhagic disease. Many people want to know whether thrombocytopenic purpura is easy to treat. Generally speaking, the problem of thrombocytopenic purpura can usually be treated through traditional Chinese medicine.

1. This disease is mainly treated by traditional Chinese medicine, which is fundamentally adjusted to achieve a cure, but each traditional Chinese medicine expert has a different treatment plan, and the treatment time, treatment effect, and prognosis are all different. It is very important to choose a traditional Chinese medicine treatment plan. Western medicine treatment plans: hormones, immunoglobulins, immunosuppressants, platelet component transfusions, and splenectomy can generally play a certain role in alleviating the condition. Long-term use of hormones and immunosuppressants has greater side effects on the body. With the reduction or discontinuation of the drug, platelets will recur; immunoglobulins can last for about one week to half a month, and the effective time for some patients is only a few days. When the drug is discontinued, the platelets of most patients will drop to the level before treatment; multiple infusions of platelet components will cause the platelets themselves to produce antibodies, thereby accelerating the destruction of platelets.

2. If it is idiopathic thrombocytopenic purpura, 30-40% of patients are insensitive to hormones and immunoglobulins, and have no effect after application. According to the number of platelets, you can use traditional Chinese medicine methods, such as Rehmannia hemostatic capsules and decoctions for cooling blood and detoxification, and there will be improvement.

3. Western medicine treatment

Get enough rest and avoid trauma.

①Corticosteroids are the drugs of choice. Prednisone, 1 mg/(kg?d), can reduce the risk of cerebral hemorrhage in the early and late stages of the disease, and the dosage can be gradually reduced after it becomes effective. For patients with severe conditions, methylprednisolone pulse therapy, 1g/d, can be used, and then switched to conventional therapy after 3 days.

② Immunosuppressants such as cyclophosphamide 100-200 mg/d and azathioprine 100-200 mg/d.

③ Human immunoglobulin G 0.4g/(kg?d), intravenous drip, for 5 consecutive days.

④Transfuse concentrated platelets and try plasma exchange.

⑤Splenectomy is suitable for patients with obvious spleen enlargement.

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