Understand your concern.
ITP is a autoimmune disease
in which antibodies
produce against platele lead to its dysfunction and bleeding occur.
Treatment are below:
1. Aim of treatment is to increase platelet count
and to prevent relapse in future, because no cure for disease.
A. Drug therapy
1. First line drug: IV/Oral prednisolone: it facilitate homeostasis in blood vessels and reduce bleeding
2. Second choice: IV immunoglobin
3. Steroid sparing agent: Azathioprin
B. Platelet transfusion can be give if not good response against drug
Keep the platelet count > 50 X 10 3/ul
C. Surgery: last option
If after 6 months of drug therapy, if platelet count not increased 30000/ul
go for spleenectomy.
After surgery high chance of infection: so vaccine
against H.inflenza and streptococcus
bacteria should be given.
So please consult at good tertiary care like aiims and maulana azad medical college.
Hope this may help you.
All the best
Wish you good health.