Thrombocytopenia

Thrombocytopenia chero chirwere mukati mayo mune yakawandisa mashoma maplatelet. Maplatelet zvikamu zveropa zvinobatsira ropa kuvhara. Iyi mamiriro dzimwe nguva inosanganisirwa nekubuda ropa zvisina kujairika.

Thrombocytopenia inowanzo kuve yakakamurwa muzvikamu zvitatu zvakakonzera maplatelet mashoma:

1. Hakuna kukwana maplatelet anogadzirwa mumongo wemapfupa
2. Kuwedzera kuputsika kwemaplatelet muropa
3. Kuwedzera kuputsika kwemaplatelet mupleen kana chiropa

Pfupa rako rinogona kusaita maplatelet akakwana kana iwe uine chero eanotevera mamiriro:

• Aplastic anemia (kusagadzikana uko mwongo wepfupa usingaite yakakwana masero eropa)
• Kenza mumapfupa emapfupa, senge leukemia
• Cirrhosis (kuora kwechiropa)
• Kusakwana kwemunhu
• Zvirwere mumapfupa emapfupa (zvisingawanzoitika)
• Myelodysplastic syndrome (mwongo wemabhonzo haugadzi masero eropa akakwana kana kuita masero asina kukwana)
• Vitamin B12 kushomeka

Kushandiswa kwemamwe madhiragi kunogona zvakare kutungamira mukugadzirwa kwakaderera kwemaplatelet mumongo wemapfupa. Muenzaniso wakakurumbira ndeye chemotherapy kurapwa.

Aya anotevera mamiriro ehutano anokonzeresa kuputsika kwemaplatelet:

• Kukanganiswa uko mapuroteni anodzora kugwamba kweropa anova pamusoro pekushanda, kazhinji panguva yekurwara kwakakomba (DIC)
• Zvinodhaka-zvinoita yakaderera platelet kuverenga
• Yakawedzera spleen
• Kukanganiswa uko immune system inoparadza maplatelet (ITP)
• Kuvhiringidzika kunokonzera kugwamba kweropa kuumbwa mumidziyo midiki yeropa, zvichikonzera yakaderera platelet kuverenga (TTP)

Iwe unogona kunge usina chero zviratidzo. Kana iwe unogona kunge uine zviratidzo zvakajairika, senge:

• Kubuda ropa mukanwa nemumatadza
• Kutuka
• Mhino dzemhino
• Rash (inongedzera mavara matsvuku anonzi petechiae)

Zvimwe zviratidzo zvinoenderana nechikonzero.

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve nhoroondo yako yezvokurapa nezviratidzo. Iyi bvunzo inotevera inogona kuitwa:

• Yakazara kuverenga ropa (CBC)
• Ropa rekuvhara miedzo (PTT uye PT)

Mimwe miedzo inogona kubatsira kuongorora iyi mamiriro inosanganisira mapfupa kufema kushuvira kana biopsy.

Kurapa kunoenderana nechikonzero chemamiriro acho. Mune zvimwe zviitiko, kuwedzerwa maplatelet kunogona kudiwa kuti umise kana kudzivirira kubuda kweropa.

Mhedzisiro yacho inoenderana nedambudziko rinokonzera yakaderera platelet kuverenga.

Kubuda ropa kwakanyanya (kubuda ropa) ndiko kunetsa kukuru. Kubuda ropa kunogona kuitika muuropi kana mudumbu.

Fonera mupiki wako kana iwe uchinge uchinge uchitsanangura kubuda ropa kana kupwanya.

Kudzivirira kunoenderana nechikonzero chaicho.

Yakaderera platelet kuverenga - thrombocytopenia

Abrams CS. Thrombocytopenia. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 163.

Arnold DM, Zeller MP, Smith JW, Nazy I. Zvirwere zveplatelet nhamba: immune thrombocytopenia, neonatal alloimmune thrombocytopenia, uye posttransfusion purpura. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 131.

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.