Immune Thrombocytopenia (ITP): Advances in Treatment in 2020
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- čas přidán 9. 07. 2024
- Advent of emerging new therapies changes the way we treat ITP.
Although glucocorticoids are still important as an initial therapy, splenectomy is not as commonly performed not only because of its risk of complications associated surgery but also because of the available new effective therapy. Recently developed effective therapies are discussed in addition to the traditional therapies.
I was diagnosed with ITP in April 2021 (it is now June 2023). In January 2021 I was pregnant for the first time and I lost my baby after 10 weeks. Three months later I caught a cold and could not get better, then started getting bruising all over and my doctor checked my platelets. They were at 3k. I got treat with IVIG, it worked, and I was sent home with 75mg of prednisone to take daily. It drove me insane. I couldn’t sleep, I had lots of pressure in my head, I was moody and depressed. I had mental psychosis on prednisone. My platelets got better and I would get off the steroids, but then would drop as soon as I would get sick with allergies, cold, flu or anything and would have to start again with the steroids. It was awful. My specialist to this day states she didn’t advise me it was okay to get pregnant again but she did tell me it would just mean more monitoring and that it would be fine. It was not fine. She didn’t tell me that I could pass on the platelet killing cells to my baby. I got pregnant in 2022 , I was doing okay until 37 weeks, and I had to get a C-section. My baby’s platelets kept dropping for days until it got to 17k and then they gave her IVIG therapy too. She is now a year old and she is doing well. So far so good. As for myself, 6 months after postpartum my specialists finally put me on promacta 50 mg and it worked! I have gone down to 25mg now and I’ve gotten sick with a cold 4 times now without any bruising or bleeding. I am doing amazing. I pray to God that I won’t need medication at all one day but I am also so grateful that something worked for me. Sending much hope to anyone that is dealing with ITP today.
AOA. Hakeem sb. My baby boy suffering from low platelet issue since 22-03-2023 when so many red spots and purple spots were observed over his different body parts. We immediately consulted CMH Lahore doctor n he said it's ITP. Immune thrombocytopenia purpura. He immediately suggested urgent CBC where his platelets were found 7000-8000 with low neutraphil high lymphocytes and low Hb at 8.4. doctor then recommended steron syrup twice a day along with ulsanic syrup. After 2 weeks usage he changed the medicine from syrup to prednisolone tablets with dosage 2 + 2 till 9th may of may. CBC test was carried out regularly. Report of 24th may showed platelets 66000. Doctor and we all were satisfied. Now after gap of one month, red spots started again and conducted CBC again where platelets were 25000 with Hb 9 neutraphills and lymphocytes are quite ok. We will go CMH tomorrow again for check up. Your kind recommendations.
Regards
Muhammad Faisal Rafique from Lahore. Baby age 18 months he.
🙏🙌
We found out my daughter had ITP in 2012 after years of heavy menstrual cycles in middle school. She received a blood transfusion and then started Prednisone over the years. It works for a while, then platelets drop. Now she started Promecta yesterday. We are hoping this is a solution
Excellent, very comprehensive summary of all treatment modalities available to manage ITP.
Need to study this and this video really breaks down Tx and Dx. Thank you doc!
very precise and informative.
Thank You
Brahmi Chyawanprash for planet ayurveda It supports almost all systems of the body. It is a purely natural product and does not contain binders, preservatives, additives, yeast, and fillers in it.
Not one word about our diet and the food we eat which is the most important way to avoid illness.
All these medications and operations are making doctors very wealthy.
Agreed! I've recently been dx with this condition. I already have NO trust in medical/pharma after the BS of the last 3 years. The options given to me included all of the above. I dutifully wrote them all down as he was explaining each to me. I already knew I wasn't going for it. Went home and researched further. Next week when I got my blood test back he called again. Asked him if he's lost his mind. I'll go ahead and let my body and immune system do its job. None of this is an option.
Thank you very much for your video.
I have been reading about CPLE (Carica Papaya Leaf extracts) usage to increase platelets count in alternative medicine.
Is there any scientific evidence for the effectiveness of Carica Papaya Leaf extracts in ITP?
Is there any ongoing research regarding this topic?
Thank you
And originally I am from Nepal and live in Canada itp medication r so expensive r u able to take medicine from back home?any food any drinks like alcohol any restrictions sir?
My spleen is perfect and I’m on NPlate.. But my platelets keep dropping
Hello dr
Could you suggest medications?
I’ve had this for years now , am 63 male , platelets around 50 thousand up and down , it seems to be getting more prevalent as more and more are getting it,, I take nothing for it , yet , have changed diet though, I recon it’s Caused either from the environment or the food we eat additives to the food for the environment and the food it seems to be getting more and more prevalent more people I know are getting it ,, in their old age something funny about it ,,,just can’t put my finger on it ,,but some vitamins and minerals to work with me for awhile ,, see what the future says,,
Planet Ayurveda has the best ITP treatment. My platelet count has improved, and I feel great.
my daughter has itp, the doctor inject her proivig. will this medicine help my child?
Im 47, and was diagnosed with ITP since I was 3. . I noticed that purpura appears, headache, painful joints and feels nauseous whenever I take Vitamins and some nutritious foods. I'm worried that I can't get enough nutrients to keep me well. Lab results showed that vitamins lower my pt ct. What should I do?
Hey do you tried the tavalisse and if yes it works? I have the same condition :(
Have you tried papaya leaf extract supplement? I was skeptical at first but,got amazing results from 30,000 to 80,000 in one month so far!
I wonder what the latest treatment is. This was 2 years ago
I don’t believe there has been significant progress in ITP treatment since my lecture.
If your ITP didn’t respond to treatments above, you may need to reconsider the diagnosis of ITP. Occasionally patients with MDS present clinical symptoms and sign of ITP,
Hi Dr.
Do you happen to have more recent data on denovo ITP ...Vaccine Induced. Thanku
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VERY USEFUL VIDEO SIR.. I AM SUFFERING FROM SAME BUT NOW FEELING QUITE WELL AFTER HAVING PALNET AYURVEDA MEDICATIONS.
Hi, can I talk to you? I am also suffering from itp. Please give me your information.
Hi Vinay can I get your number please.I am also having ITP problem
Contact planet ayurveda in india
Hey Sir how you treat your problem? I have the same disease
@@jpgrossen Hello we have 500 years back ancient medicine it will cure you in 15 days only 100 percentage guarantee please ping me i will help you
Cai i ask??? if Papaya leaves juice is ok to use to help pletlets count up??? Thank you for your answer...
Vitamin C in papaya may help ITP. But drinking too much papaya juice may cause vitamin A intoxication
Thank you for a very informative explanation. My question is: Does extensive Chemo Therapy cause this condition.
You’re welcome!
High dose chemotherapy doesn’t cause ITP. As the name indicates, it is due to immune destruction of platelets not due to bone marrow suppression and decreased platelets production caused by chemotherapy.
@@stanleykim1924 Thank you for responding. I bleed easily and have purple blotches on my legs and arms. I have stopped using an NSAID for pain....I now use Acetaminophen only. I hope that will help.
My mom is on the iv she’s been on it for 5 days now she was feeling good until they started her on that ivig when they first gave it to her she had very bad shakes couldn’t even talk her levels have not went up they actually dropped They are down to 19 now The doctors continue to give her that IV and I really think it’s doing more harm than good she went to the hospital because she was throwing up blood and it was in her stool she had multiple transfusions her platelet count just isn’t going up they don’t want to give her the steroids because they don’t want to cause bleeding but in this case what else can we do. Please help
Hi madam how she's now I hope she feels better now
Hello we have 500 years back ancient medicine it will cure you in 15 days only 100 percentage guarantee please ping me i will help you
If a patient has a splenule can that cause a reoccurrence of ITP? Splenectomy and then 12 years later itp is back
Yes, it is possible. However, before removing he splenule, please consider trying other non-surgical treatments first.
Thank you, I’m glad I asked because I thought removing the splenule would be better than taking medications with many side effects
My spleen is perfectly healthy and I’ve been on Nplate for 5 months. I’m going to stop treatment and have faith that God will heal me..or I spontaneously bleed to death. Since there is no cure for ITP I will die eventually from it anyway.
In the Ayurvedic system of medicine, the natural treatment of ITP is possible without causing any side effects. Planet Ayurveda from India offers an ITP Care pack for both adults and children which is very effective and treats the condition of ITP naturally without causing any side effects.
Hai Davidson shall I get your no plz
My sister is also affected...we worried so much
@@ramarsakthi5139 Hello we have 500 years back ancient medicine it will cure you in 15 days only 100 percentage guarantee please ping me i will help you
한국 의사분이시네요. 절실한 마음으로 올립니다. 저희 남편이 현재 ITP 진단을 받고 처음 병원을 갔을때 혈소판 수치가 4만 정도였는데 콜레스테롤 증상이 있어 약을 먹기 시작한지 일주일 후에 다시 검사했더니 혈소판 수치가 1만5천까지 떨어져서 스테로이드 고용량 4일치 먹고 10만까지 올라갔다 일주일후에 다시 6천으로 떨어져 리툭시맙치료를 받았습니다. 1주,2주차에 계속 6천대 유지하다가 치료 3주차에 1만오천이고 마지막 4주차 치료 때 3만4천 나왔고 일주일 후 3만1천으로 떨어졌어요. 효과가 없어서 어떻게 해야하는지, 또 현재 치료가 잘 되고 있는건지, 등등 알고싶습니다.
그리고 유산균과 비타민 C가 혈소판 증가에 도움이 된다는 이야기를 들었는데 지금 저희 남편의 경우에 먹어도 되는지 궁금합니다. 현재 병원에서는 무조건 다 괜찮다고 하는데 다른 병원에서는 먹지말라고 해서 여뚸봐요. 꼭 부탁 드립니다
3만 이상이면 일반적으로 괜찮습니다.
비타민 C 장기 복용 좋습니다. 유산군은 잘 모르겠네요. 위장의 헬코박터 세균이 있는가 알아보시고 있으면 치료하므로 혈소판이 좋아지는 경우가 제법 있습니다
@@stanleykim1924 헬리코박터균 검사했는데 없다고 나왔어요. 현재 romiplostim 치료중인데요. 매주 주사 맞는게 힘들어서 eltrombopag을 의사가 말하더라구요. 헌데 다른 의사분은 그약 복용시 간기능 저하등의 부작용이 있다고 합니다. 주사 맞으면 10만으로 올라갔다가 한주가 지나면 다시 1만으로 떨어지기를 반복하고 있어요. 이 경우 수술하는게 나은지, 매일 약 복용을 하는게 나은지 조언 부탁 드려요.
All the listed treatments have been done and failed
I'm so sorry. What a adorable baby. I have been living healty and my platlets have remained perfect, after the splenectomy. I had the splenectomy at 23 years old I'm 62 now. Don't lose faith.
Sir My wife Have ITP since August 2018 And she take Steroids for 14-15 month But Platelets Not increase more Than 50 thousand.
After that we carefully stop taking steroids through reducing dose of steroids.
4 months latter she got pregnant and Delivered a Baby girl 6 week ago (Delivery was normal)Both are in normal phase and no sign of worrying so far apart from her platelets count.
Currently Her platelets are 30K .
Plz Suggest us What should we do to Overcome ITP.
Go to planet auyrved
Hello we have 500 years back ancient medicine it will cure you in 15 days only 100 percentage guarantee please ping me i will help you
Hi did yoi find any solution
@@ambikavenkatasen1003 Now she is have 30-50 K platelets always.
Sir My son is chronic ITP jaset age 70
Sir my cousin age 28 ,she been diagnosed with ITP,now her pt count -2000,we tried platelet transfusion, immunoglobulin injection,steroids,now on thrombopoietin agoinsts ....yet not responsive .... could you plz give other treatment options
Hello we have 500 years back ancient medicine it will cure you in 15 days only 100 percentage guarantee please ping me i will help you
Thanks for making this informative video.
We have seen Dr. Vikram Chauhan from India is doing very good treatment of ITP with Ayurveda medicines. A lot of cured patient videos are there. Chronic ITP patients with very low platelets since many years and confirmed diagnosis of ITP and after bone marrow. Kindly ask your patients to follow Dr. Vikram Chauhan's diet plan for ITP. It works.
My cousin also suffered from this disease since last 2 years...I recommend him to use planet Ayurveda's ITP care pack...now he feels better...very good results of Planet Ayurveda medicines..
Sir do you have any experience of Dapsone in treating ITP?
DIgambar ..apko bhi ITP hai kya? apka number dijiye na plz
Dapsone is an antibiotics for treatment of leprosy. It causes hemolysis inducing erythrophagocytosis by RES in the spleen. The mechanism is similar to the anti-D globulin. It’s no highly effective. The effect doesn’t last long.
It can cause serious side effects with severe hemolysis when patients have G6PD deficiency.
Now it’s much less used for treatment of ITP.
HELP MY 2 YEAR OLD GRANDSON..HE HAS chronic ITP and doctors at Kapiolani Hospital are STUMPED. .NOTHING WORKS...HELP
I am sorry that I am not the pediatric hematologist. However most pediatric ITP responds to IV gamma globulin therapy.
We've a medicine for exact , Specifically for ITP..
hi can pm me details pls
Sir my wife suffering ITP from 2months now she is using thrombopag 50 mg and steroid 20mg daily after using thrombopag 50 mg for 2weeks she is suffering with full head ache ,but platlets reached to 481000,our doctor said to stop thrompag and steroid for one week..what to do with these side effects
Hello we have 500 years back ancient medicine it will cure you in 15 days only 100 percentage guarantee please ping me i will help you
You shared very good information. My Friend had suffered from this problem. He was totally upset during this. He went to many hospitals. But the result was not good. Then, Someone told him about planet Ayurveda. He went to Planet Ayurveda & got his treatment started. Now he is fine. If you have this type of problem or any other type of health problem. you should go to Planet Ayurveda.
nice commercial.
Sir My wife Have ITP since August 2018 And she take Steroids for 14-15 month But Platelets Not increase more Than 50 thousand.
After that we carefully stop taking steroids through reducing dose of steroids.
4 months latter she got pregnant and Delivered a Baby girl 6 week ago (Delivery was normal)Both are in normal phase and no sign of worrying so far apart from her platelets count.
Currently Her platelets are 30K .
Plz Suggest us What should we do to Overcome ITP.
now platelates?
@@Cowhelper21 Around 75 k But Stable
@@vaishanav1 which treatment you taken?
@@Cowhelper21 Homeopathic
@@vaishanav1 sir i have also platelates problem give your number pls