Ayurveda and Allopathic Therapeutic Strategies in Immune Thrombocytopenic Purpura: An Overview

IF 0.2 Q4 IMMUNOLOGY Turkish Journal of Immunology Pub Date : 2023-09-01 DOI:10.4274/tji.galenos.2023.81894
Sayali Rajendra Kale, Pallavi Patil
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Abstract

Idiopathic thrombocytopenic purpura (ITP) is characterized by immunologic destruction of platelets and normal/enlarged megakaryocytes in the bone marrow. ITP is broken down into acute and chronic variants. Acute forms cause significant bleeding, whereas chronic forms develop slowly and exhibit minimal to no symptoms. Body makes antibodies that are directed against its own platelets, which can lead to internal bleeding, thrombocytopenic purpura, and petechiae. Immunosuppressants, thrombopoietin receptor agonists, corticosteroids, intravenous immunoglobulins, anti-D immunoglobulin, rituximab, and splenectomy are among the treatments for chronic ITP. Around two thirds of patients benefit from existing treatments; however, some sufferers are resistant to them or do not respond to them over the long term. According to Ayurveda scriptures, ITP is related to Tiryaga Raktapitta because all of the Doshas are vitiated, flowing in the blood and manifesting subcutaneously.
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阿育吠陀和对抗疗法治疗免疫性血小板减少性紫癜的策略:综述
特发性血小板减少性紫癜(ITP)的特点是免疫破坏血小板和骨髓中正常/增大的巨核细胞。ITP可分为急性和慢性变异。急性型引起大量出血,而慢性型发展缓慢,表现出很少或没有症状。身体会产生针对自身血小板的抗体,这会导致内出血、血小板减少性紫癜和瘀点。慢性ITP的治疗方法包括免疫抑制剂、血小板生成素受体激动剂、皮质类固醇、静脉注射免疫球蛋白、抗d免疫球蛋白、利妥昔单抗和脾切除术。大约三分之二的患者受益于现有的治疗方法;然而,一些患者对它们有抗药性,或者长期对它们没有反应。根据阿育吠陀经典,ITP与Tiryaga Raktapitta有关,因为所有的dosha都被污染了,在血液中流动,并在皮下显现。
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