Vim li cas platelets tsawg thiab yuav ua li cas

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Qhov no tuaj yeem ua rau muaj kev phom sij, yog li nws yog qhov zoo tshaj plaws mus ntsib kws kho mob.

Yog vim li cas ib tug tsawg platelet suav yog txaus ntshai

Platelets yog cov qe ntshav uas tuaj yeem ua rau txhaws, lossis ntshav txhaws. Qhov no yog li cas lawv tsis txhob los ntshav los ntawm kev txiav thiab lwm yam kev raug mob. Yog tias tsis muaj cov platelets txaus, lub cev tsis kam tiv nrog "kho" kev puas tsuaj. Cov kws kho mob hu tus mob no thrombocytopenia.

Nws raug kuaj pom yog tias tus lej ntawm cov platelets hauv cov ntshav ua qis dua li qub, uas yog, tsawg dua 150 txhiab daim ib microliter nrog qhov ntsuas kev noj qab haus huv ntawm 150-400 txhiab.

Kev suav cov platelet tsawg tuaj yeem ua rau muaj kev phom sij vim los ntshav ua rau nyuaj. Tshwj xeeb tshaj yog tshwm sim los ntawm hemorrhages nyob rau hauv lub digestive ib ntsuj av los yog lub hlwb: lawv tuaj yeem ua rau muaj kev tsis taus thiab txawm tuag.

Txawm li cas los xij, ntau nyob ntawm cov tsos mob thiab seb cov platelets tau qis npaum li cas.

Vim li cas platelets tuaj yeem qis

Qee zaum thrombocytopenia tau txais los ntawm niam txiv mus rau tus menyuam. Qhov no tsis yog kab mob, tab sis yog ib qho ntawm lub cev.

Tab sis feem ntau cov platelet suav txo qis rau ib qho ntawm peb qhov laj thawj.

Lub cev khaws cov platelets hauv tus po

Qhov no tshwm sim nyob rau hauv cov neeg uas muaj tus po loj. Feem ntau, nws lim cov khoom tsis xav tau los ntawm cov ntshav. Tab sis thaum nws ua tsis tiav, nws tuaj yeem khaws cov platelets hauv nws tus kheej.

Lub cev tsim cov platelets tsawg dua li nws xav tau

Platelets, zoo li lwm cov qe ntshav, yog tsim nyob rau hauv cov pob txha pob txha. Nws txoj haujlwm thiab kev noj qab haus huv tuaj yeem cuam tshuam los ntawm:

• leukemia thiab lwm yam mob qog noj ntshav;
• qee hom mob ntshav qab zib;
• cov kab mob tsis tu ncua xws li kab mob siab C lossis HIV;
• hluav taws xob thiab chemotherapy. Cov txheej txheem no feem ntau tau sau tseg hauv kev kho mob qog noj ntshav;
• haus cawv ntau dhau.

Lub cev siv lossis zom cov platelets sai dua li qub

Nws tshwm sim:

• Thaum cev xeeb tub, thiab kwv yees li 5% ntawm cov niam uas cia siab tias yuav mob me me thrombocytopenia txoj cai nyob rau hmo ua ntej yug menyuam vim tsis paub txog;
• nrog cov kab mob loj heev;
• nrog cov kab mob autoimmune, piv txwv li, nrog cov kab mob lupus erythematosus lossis mob caj dab rheumatoid;
• nrog thrombotic thrombocytopenic purpura, thaum bruises dheev tshwm sim thoob plaws lub cev, uas kos tawm ntau cov platelets;
• nrog hemolytic-uremic syndrome, vim qhov tsis tshua muaj kab mob no, cov platelets txo qis, erythrocytes raug rhuav tshem thiab lub raum ua haujlwm tsis zoo;
• Qee cov tshuaj, suav nrog sulfa tshuaj tua kab mob, tshuaj tiv thaiv kab mob, thiab cov ntshav thinners (anticoagulants).

Yuav ua li cas kom paub qhov tsawg platelet suav

Qee lub sij hawm nws raug pom los ntawm kev sib tsoo, piv txwv li, thaum kuaj ntshav dav dav, uas tus kws kho mob xa tus neeg mob ua ib feem ntawm kev kuaj mob niaj hnub.

Qhov no tshwm sim pom thrombocytopenia yuav tsis muaj tsos mob. Tab sis ntau zaus qhov tsis muaj platelets ua rau nws tus kheej hnov los ntawm cov cim qhia.

Piv txwv li, thawj cov tsos mob feem ntau yog los ntshav los ntawm kev txiav uas tsis tuaj yeem nres. Lwm cov cim qhia ntawm tus lej platelet tsawg suav nrog:

• cov pos hniav los ntshav;
• cov ntshav hauv cov quav (qhov no, nws zoo li dub, tarry), tso zis, ntuav;
• ntev thiab hnyav hnyav rau poj niam;
• petechiae, me me los ntshav uas feem ntau tshwm ntawm ob txhais ceg thiab zoo li cov pob liab liab lossis ntshav liab;
• ntshav, crimson (ntsuab) bruises uas tshwm sim yooj yim thiab zoo li yog los ntawm lawv tus kheej;
• qhov quav los ntshav.

Yuav ua li cas yog tias platelets tsawg

Mus ntsib kws kho mob. Kev noj tshuaj rau tus kheej hauv qhov no tsis tsim nyog thiab tuaj yeem ua rau tuag taus.

Hu rau lub tsheb thauj neeg mob sai li sai tau yog tias cov ntshav tsis tuaj yeem nres siv txoj kev pab thawj zaug, xws li daim ntaub qhwv.

Yog tias koj pom tias platelets tsawg, nrog rau tus kws kho mob uas tau muab kev xa mus rau koj kom suav tag nrho cov ntshav. Tus kws kho mob yuav tshuaj xyuas thiab tshuaj xyuas cov tsos mob hem. Hauv cov mob me me ntawm thrombocytopenia, tsis tas yuav kho.

Tab sis yog tias muaj cov tsos mob lossis tus kws kho mob xav tias muaj kev pheej hmoo ntawm cov ntshav los ntawm sab hauv, nws yuav tsim nyog los tsim kom muaj qhov ua rau pathology. Tus kws kho mob yuav kawm txog keeb kwm kev kho mob, nug txog kev ua neej nyob thiab cov tshuaj noj, thiab xa mus rau cov kev tshawb fawb ntxiv, piv txwv li, ultrasound scan. Thiab tom qab ntawd, tau txiav txim siab txog qhov laj thawj, nws yuav muab cov lus pom zoo lossis sau ntawv kho mob. Qhov twg yog nyob ntawm qhov kev kuaj mob.

Piv txwv li, yog tias koj noj cov tshuaj tiv thaiv coagulants lossis anticonvulsants, tus kws kho mob yuav xaiv cov tshuaj hloov pauv yam tsis muaj kev phiv. Yog tias muaj ntshav liab, kab mob siab C, mob rheumatoid, lossis lwm yam mob, koj yuav tau txais kev kho mob tsim nyog. Yog tias tus po loj yog qhov ua rau txo qis platelet suav, koj tus kws kho mob yuav pom zoo kom phais kom tshem nws.

Nyob rau hauv cov ntaub ntawv ntawm thrombocytopenia heev, thaum cov platelets tsawg dua 10 txhiab ib microliter, yuav tsum tau muab cov ntshav los yog purification (plasmapheresis) yuav tsum tau. Cov txheej txheem no yuav tsum tau ua sai sai, vim tias tus mob no tuag taus.