Zvinodhaka-zvinokonzeresa thrombocytopenia

Thrombocytopenia chero kusagadzikana mukati mayo pasina kukwana maplatelet. Maplatelet ndiwo masero muropa ayo anobatsira iro rinovhara ropa. Iyo yakaderera maplatelet kuverenga inoita kuti kubuda ropa kuwande.

Kana mishonga kana zvinodhaka zviri izvo zvinokonzeresa yakaderera platelet kuverenga, inonzi zvinodhaka-inosimudzira thrombocytopenia.

Zvinodhaka-zvinokonzeresa thrombocytopenia inoitika apo mimwe mishonga inoparadza maplatelet kana kupindira kugona kwemuviri kuzviita zvakakwana.

Kune mhando mbiri dzezvinodhaka-zvinokonzeresa thrombocytopenia: immune uye isiri yemuviri.

Kana mushonga ukakonzera kuti muviri wako ubudise masoja ekudzivirira chirwere, ayo anotsvaga nekuparadza maplatelet ako, mamiriro acho anonzi mishonga-inosimudzira immune thrombocytopenia. Heparin, ropa rakatetepa, ndicho chinonyanya kukonzera chinodhaka-chinokonzera immune thrombocytopenia.

Kana mushonga ukadzivirira pfupa rako kubva pakugadzira maplatelet akakwana, mamiriro acho anonzi zvinodhaka-zvinokonzeresa nonimmune thrombocytopenia. Chemotherapy madhiragi uye mushonga wekubata unonzi valproic acid zvinogona kukonzera dambudziko iri.

Mimwe mishonga inokonzeresa zvinodhaka-zvinokonzeresa thrombocytopenia zvinosanganisira:

• Furosemide
• Ndarama, yaishandiswa kurapa arthritis
• Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
• Penicillin
• Quinidine
• Quinine
• Ranitidine
• Sulfonamides
• Linezolid uye mamwe maantibhakitiriya
• Statins

Kuderedza maplatelet kunogona kukonzera:

• Kubuda ropa zvisina kujairika
• Kubuda ropa kana uchikwesha mazino
• Kupwanya kuri nyore
• Pini tsvuku tsvuku paganda (petechiae)

Nhanho yekutanga ndeyekumira kushandisa mushonga uri kukonzera dambudziko.

Kune vanhu vane hupenyu hunotyisidzira kubuda ropa, kurapwa kunogona kusanganisira:

• Immunoglobulin therapy (IVIG) inopihwa kuburikidza netsinga
• Plasma kuchinjana (plasmapheresis)
• Platelet kuwedzerwa ropa
• Corticosteroid mushonga

Kubuda ropa kunogona kutyisidzira hupenyu kana kukaitika muuropi kana dzimwe nhengo.

Mukadzi akazvitakura ane ma antibodies kumaplatelet anogona kupfuudza kumwana ari mudumbu.

Fonera wako mupi wezvehutano kana iwe usina kutsanangurwa kubuda ropa kana kupwanya uye uri kutora mishonga, senge iyo yataurwa pamusoro apa pasi pezvikonzero.

Zvinodhaka-zvinokonzeresa thrombocytopenia; Immune thrombocytopenia - zvinodhaka

• Ropa kugadzirwa
• Ropa rinovhara

Abrams CS. Thrombocytopenia. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 172.

Warkentin TE. Thrombocytopenia inokonzerwa nekuparadzwa kweplatelet, hypersplenism, kana hemodilution. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 132.