Yakawana platelet basa kusakwana

Kuwana kweplatelet basa kukanganisika mamiriro anodzivirira kugwamba kwezvinhu muropa zvinonzi maplatelet kubva mukushanda sezvavanofanira. Izwi rinowanikwa rinoreva kuti aya mamiriro haana kuvepo pakuzvarwa.

Matambudziko eplatelet anogona kukanganisa huwandu hwemaplatelet, mashandiro ainoita, kana ese ari maviri. Dambudziko replatelet rinokanganisa kugwamba kweropa.

Kukanganisika kunogona kukonzera matambudziko muplatelet basa kunosanganisira:

• Idiopathic thrombocytopenic purpura (kubuda ropa kusagadzikana uko immune system inoparadza maplatelet)
• Chisingaperi myelogenous leukemia (kenza yeropa inotanga mukati mefupa)
• Multiple myeloma (kenza yeropa inotanga mumasero eplasma mumongo wemapfupa)
• Primary myelofibrosis (bone marrow kusagadzikana umo mongo unotsiviwa ne fibrous scar tishu)
• Polycythemia vera (bone marrow chirwere chinotungamira mukuwedzera kwakasarudzika kwenhamba yemasero eropa)
• Primary thrombocythemia (bone marrow kusagadzikana umo mongo unogadzira maplatelet akawandisa)
• Thrombotic thrombocytopenic purpura (kusagadzikana kweropa kunokonzeresa kuwumbana kweropa mumidziyo midiki yeropa)

Zvimwe zvikonzero zvinosanganisira:

• Itsvo (renal) kutadza
• Mishonga yakadai saasipurini, ibuprofen, mamwe anti-anogumbura zvinodhaka, penicillin, phenothiazines, uye prednisone (mushure mekushandisa kwenguva refu)

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kuenda kumwedzi kwakanyanya kana kubuda ropa kwenguva refu (anopfuura mazuva mashanu nguva imwe neimwe)
• Kubuda ropa mukati memadzimai
• Ropa mune weti
• Kubuda ropa pasi peganda kana mumhasuru
• Kupwanya zviri nyore kana kunongedza mavara matsvuku paganda
• Kubuda ropa mudumbu zvichikonzera kubuda kweropa, kusviba kwakasviba, kana kufamba kwemukati. kana kurutsa ropa kana zvinhu zvinoita kunge kofi nzvimbo
• Mhino dzemhino

Miedzo inogona kuitwa inosanganisira:

• Platelet basa
• Platelet kuverenga
• PT uye PTT

Kurapa kunoitirwa kugadzirisa chinokonzera dambudziko.

• Bone marrow kusagadzikana kunowanzo kurapwa neplatelet kuwedzerwa kana kubvisa maplatelet kubva muropa (platelet pheresis).
• Chemotherapy inogona kushandiswa kurapa mamiriro ari kukonzeresa dambudziko.
• Platelet basa kusakwana kunokonzerwa neitsvo kutadza kunorapwa ne dialysis kana mishonga.
• Matambudziko eplatelet anokonzerwa nemumwe mushonga anorapwa nekumisa mushonga.

Kazhinji yenguva, kurapa chinokonzera dambudziko kunogadzirisa kukanganisa.

Zvinetso zvinogona kusanganisira:

• Ropa risingamire nyore
• Anemia (nekuda kwekubuda ropa zvakanyanya)

Fonera wako mupi wezvehutano kana:

• Une ropa uye hauzive chakakonzera
• Zviratidzo zvako zvinowedzera
• Zviratidzo zvako hazvivandudzike mushure mekunge iwe wabatwa kune yakawanikwa platelet basa kusakwana

Kushandisa mishonga sekurairwa kunogona kudzikisa njodzi yezvinodhaka zvine chekuita nezvinodhaka zvakawanikwa zveplatelet basa kusakwana. Kurapa kumwe kusagadzikana kunogona zvakare kudzikisira njodzi. Zvimwe zviitiko hazvigone kudzivirirwa.

Akawana hunhu hweplatelet kusagadzikana; Kuwana kusagadzikana kweplatelet basa

• Ropa kugadzirwa
• Ropa rinovhara

Diz-Kucukkaya R, Lopez JA. Kuwana kusagadzikana kweplatelet basa. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 130.

Horo JE. Hemostasis uye kuwanda kweropa. Mune: Horo JE, ed. Guyton uye Horo Chinyorwa cheMedhi Physiology. 13 ed. Philadelphia, PA: Elsevier; 2016: chits. 37.

Jobe SM, Di Paola J. Congenital uye yakawana kusagadzikana kweplatelet basa uye nhamba. Mu: Makicheni CS, Kessler CM, Konkle BA, Streiff MB, Garcia DA, eds. Kubvunza Hemostasis uye Thrombosis. 4th ed. Philadelphia, PA: Elsevier; 2019: chits. 9.