Platelet Kuedza

Zvemukati

• Ndeapi maplatelet bvunzo?
• Chii chavanoshandiswa?
• Nei ini ndichida kuyedzwa kweplatelet?
• Chii chinoitika panguva yeplatelet bvunzo?
• Ndichafanira here kuita chero chinhu kugadzirira bvunzo?
• Pane here njodzi kune bvunzo?
• Zvinorevei mhedzisiro yacho?
• Pane chimwe chinhu here chandinofanira kuziva nezve platelet basa bvunzo?
• Zvinyorwa

Ndeapi maplatelet bvunzo?

MaPlatelet, anozivikanwawo sekuti thrombocyte, mashoma masero eropa akakosha pakuvhara ropa. Kuvhara inzira inobatsira iwe kurega kubuda ropa mushure mekukuvara. Kune maviri marudzi eplatelet bvunzo: a platelet kuverenga bvunzo uye platelet basa bvunzo.

Yeplatelet kuverenga bvunzo unoyera huwandu hwemaplatelet muropa rako. Iyo yakaderera pane yakajairwa platelet kuverenga inonzi thrombocytopenia. Aya mamiriro anogona kukonzera kuti ubude ropa rakawandisa mushure mekucheka kana kumwe kukuvara kunokonzera kubuda ropa. Iyo yakakwira kupfuura yakajairwa platelet kuverenga inonzi thrombocytosis. Izvi zvinogona kuita kuti ropa rako rigadzike kupfuura zvaungade iwe. Kuvhara kweropa kunogona kuva nenjodzi nekuti kunogona kutadzisa kubuda kweropa.

Platelet basa bvunzo tarisa maplatelets ako 'kugona kugadzira clots. Platelet basa bvunzo dzinosanganisira:

• Nguva yekuvhara. Bvunzo iyi inoyera nguva inotora maplatelets muropa sampura kubaya gomba diki mutubhu tudiki. Inobatsira skrini yezvinetso zvakasiyana zveplatelet.
• Viscoelastometry. Uyu muyedzo unoyera kuyera kweropa rinovhara sezvarinogadzira. Ropa rinovhara ropa rinofanira kuva rakasimba kuti rirege kubuda ropa.
• Platelet aggregometry. Iri iboka rebvunzo rinoshandiswa kuyera kuti maplatelet anonamira pamwechete sei (akaunganidzwa).
• Lumiaggregometry. Chiyero ichi chinoyera huwandu hwechiedza chinogadzirwa kana zvimwe zvinhu zvikawedzerwa muyero yeropa. Inogona kubatsira kuratidza kana paine hurema mumaplatelet.
• Kuyerera cytometry. Uyu ndiwo muyedzo unoshandisa lasers kutsvaga mapuroteni pamusoro pemaplatelet. Inogona kubatsira kuongorora kusagadzikana kweplatelet. Uyu muedzo wakasarudzika. Inongowanikwa chete kune zvimwe zvipatara nemarabhoritari.
• Nguva yekubuda ropa. Uyu muyedzo unoyera huwandu hwenguva yekubuda ropa kuti imire mushure mekucheka kudiki kunoitwa kumberi. Iyo yaimbove inowanzo shandiswa kutarisisa kweakasiyana maplatelet kusagadzikana. Zvino, mamwe maplatelet basa bvunzo anoshandiswa kazhinji. Iyi miedzo mitsva inopa mhinduro dzakavimbika.

Mamwe mazita: platelet count, thrombocyte count, platelet function test, platelet function assay, platelet aggregation zvidzidzo

Chii chavanoshandiswa?

Kuverenga kweplatelet kunowanzo shandiswa kuongorora kana kuongorora mamiriro ezvinhu anokonzeresa kubuda ropa zvakanyanya kana kuvhara zvakanyanya. Kuverenga kweplatelet kunogona kuverengerwa muhuwandu hwakazara hweropa, muyedzo unowanzoitwa sechikamu chenguva dzose yekutarisa.

Platelet basa bvunzo dzinogona kushandiswa ku:

• Batsira kuongorora zvimwe zvirwere zveplatelet
• Tarisa platelet rinoshanda panguva yakaoma yekuvhiya nzira, senge moyo wekupfuura uye kuvhiya kwekutambudzika. Aya marudzi emashandiro ane njodzi yekuwedzera kubuda ropa.
• Tarisa varwere usati wavhiyiwa, kana vaine nhoroondo yemunhu kana yemhuri yezvirwere zvekubuda ropa
• Tarisa vanhu vari kutora ropa rinoonda. Iyi mishonga inogona kupihwa kudzikamisa kugwamba kwevanhu vari panjodzi yekurwadziwa nemoyo kana sitiroko.

Nei ini ndichida kuyedzwa kweplatelet?

Iwe ungangoda platelet kuverenga uye / kana platelet basa rekuyedza kana uine zviratidzo zvekuve mashoma kana akawandisa maplatelet.

Zviratidzo zvemaplatelet mashoma kwazvo anosanganisira:

• Kubuda ropa kwenguva refu mushure mekucheka kana kukuvara kudiki
• Mhino dzemhino
• Kusanzwisisika kupwanya
• Pini hukuru hukuru mutsvuku paganda, inozivikanwa se petechiae
• Anopenya mavara paganda, anozivikanwa seipurura. Izvi zvinogona kukonzerwa nekubuda ropa pasi peganda.
• Yakanyanya uye / kana yakareba nguva yekuenda kumwedzi

Zviratidzo zvemaplatelet akawandisa anosanganisira:

• Chiveve chemaoko netsoka
• Kutemwa nemusoro
• Dzungu
• Kushaya simba

Iwe unogona zvakare kuda platelet basa rekuyedza kana iwe uri:

• Achivhiyiwa zvakaoma
• Kutora mishonga kudzikisa kugwamba

Chii chinoitika panguva yeplatelet bvunzo?

Mazhinji maplatelet bvunzo anoitwa pane yeropa sampuro.

Munguva yekuyedzwa, wezvehutano anotora muyero weropa kubva mutsinga iri muruoko rwako, achishandisa tsono diki. Mushure mekunge tsono yaiswa, kashoma reropa kanounganidzwa muthubhu yekuyedza kana muhombodo. Unogona kunzwa kakuruma kana tsono ichipinda kana kubuda. Izvi zvinowanzotora maminetsi asingasviki mashanu.

Ndichafanira here kuita chero chinhu kugadzirira bvunzo?

Iwe haudi chero yakakosha gadziriro yeplatelet kuverenga bvunzo

Kana iwe uri kuwana yeplatelet basa bvunzo, ungangoda kumira kutora mimwe mishonga, senge aspirin uye ibuprofen, usati waedzwa. Mutapi wako wezvehutano anokuzivisa iwe kana paine chero akakosha mirairo yekutevera.

Pane here njodzi kune bvunzo?

Pane njodzi shoma yekuongororwa ropa. Unogona kunge uine marwadzo mashoma kana kupwanya panzvimbo yakaiswa tsono, asi zviratidzo zvizhinji zvinokurumidza kupera.

Zvinorevei mhedzisiro yacho?

Kana zviwanikwa zvako zvichiratidza yakaderera pane yakajairwa platelet kuverenga (thrombocytopenia), inogona kuratidza:

• Kenza inobata ropa, senge leukemia kana lymphoma
• Utachiona hwehutachiona, hwakadai se mononucleosis, hepatitis, kana gwirikwiti
• Chirwere chekuzvimiririra. Ichi chirwere chinokonzera kuti muviri urwise matukisi ayo ane hutano, ayo anogona kusanganisira maplatelet.
• Utachiona kana kukuvara kumongo wemapfupa
• Cirrhosis
• Vitamin B12 kushomeka
• Gestational thrombocytopenia, yakajairika, asi yakapfava, yakaderera-platelet mamiriro anokanganisa vakadzi vane nhumbu. Hazvizivikanwe kuti zvinokuvadza amai kana mwana wavo asati aberekwa. Inowanzoita zvirinani pachayo panguva yekuzvitakura kana mushure mekuberekwa.

Kana zviwanikwa zvako zvichiratidza yakakwira kupfuura yakajairwa platelet kuverenga (thrombocytosis), inogona kuratidza:

• Dzimwe mhando dzekenza, senge kenza yemapapu kana kenza yemazamu
• Anemia
• Chirwere chekuputira ura
• Rheumatoid arthritis
• Utachiona hwehutachiona kana hwehutachiona

Kana yako platelet basa bvunzo mhedzisiro yanga isina kujairika, zvinogona kureva kuti une nhaka kana kuti wawana platelet kusagadzikana. Dambudziko rekugara nhaka rinopfuudzwa kubva kumhuri yako. Mamiriro acho aripo pakuzvarwa, asi iwe unogona kunge usine zviratidzo kusvika wakura. Matambudziko anowanikwa haapo pakuzvarwa. Zvinogona kukonzerwa nezvimwe zvirwere, mishonga, kana kuratidzwa munharaunda. Dzimwe nguva chikonzero chacho hachizivikanwe.

Nhaka dzeplatelet nhaka dzinosanganisira:

• Von Willebrand chirwere, chirwere chemagene chinoderedza kugadzirwa kwemaplatelet kana kukonzera maplatelet kushanda zvishoma zvine mutsindo. Inogona kukonzeresa kubuda ropa.
• Glanzmann's thrombasthenia, chirwere chinokanganisa maplatelet 'kugona kubatana
• Bernard-Soulier syndrome, chimwe chirwere chinokanganisa maplatelets 'kugona kubatana
• Kuchengetedza dziva chirwere, chimiro chinokanganisa maplatelet 'kugona kuburitsa zvinhu zvinobatsira maplatelet kuumbana pamwechete

Kuwana kweplatelet kusagadzikana kunogona kunge kuri nekuda kwezvirwere zvisingaperi zvakaita se:

• Itsvo kutadza
• Dzimwe mhando dzeleukemia
• Myelodysplastic syndrome (MDS), chirwere chefupa remongo

Pane chimwe chinhu here chandinofanira kuziva nezve platelet basa bvunzo?

Kuongororwa kweplatelet dzimwe nguva kunoitwa pamwe chete kana imwe kana yakawanda yekutevera kweropa inotevera:

• MPV yeropa bvunzo, iyo inoyera kukura kwemaplatelet ako
• Yakasarudzika thromboplastin nguva (PTT) bvunzo, inoyera iyo nguva inotora kuti ropa riputike
• Prothrombin nguva uye INR bvunzo, inoongorora kugona kwemuviri kuumba ropa reropa

Zvinyorwa

1. Cleveland Clinic [Internet]. Cleveland (OH): Cleveland Clinic; c2020. Thrombocytopenia: Ongororo; [yakataurwa 2020 Gumiguru 25]; [angangoita matatu skrini. Inowanikwa kubva: https://my.clevelandclinic.org/health/diseases/14430-thrombocytopenia
2. ClinLab Navigator [Indaneti]. ClinLab Navigator; c2020. Platelet Rinoshanda Screen; [yakataurwa 2020 Gumiguru 25]; [angangoita maviri skrini. Inowanikwa kubva ku: http://www.clinlabnavigator.com/platelet-function-screen.html
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9. Lab Kuedza Pamhepo [Internet]. Washington DC: American Association yeKiriniki Chemistry; c2001-2020. Prothrombin Nguva uye International Yakagadziriswa Ratio (PT / INR); [yakagadziridzwa 2020 Sep 22; yakataurwa 2020 Gumiguru 25]; [angangoita maviri skrini. Inowanikwa kubva: https://labtestsonline.org/tests/prothrombin-time-and-international-normalized-ratio-ptinr
10. MFM [Internet] New York: Maternal Fetal Mishonga Vanobatana; c2020. Thromocytopenia uye Pamuviri; 2017 Feb 2 [yataurwa 2020 Nov 20]; [angangoita matatu skrini. Inowanikwa kubva: https://www.mfmnyc.com/blog/thrombocytopenia-during-pregnancy
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18. UF Hutano: Yunivhesiti yeFlorida Hutano [Internet]. Gainesville (FL): Yunivhesiti yeFlorida Hutano; c2020. Platelet kuverenga: Ongororo; [yakagadziridzwa 2020 Gumiguru 23; yakataurwa 2020 Gumiguru 25]; [angangoita maviri skrini. Inowanikwa kubva: https://ufhealth.org/platelet-count
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Ruzivo ruri pane ino saiti harufanire kushandiswa sekutsiva kwehunyanzvi kurapwa kana kurairwa. Bata mupi wehutano kana iwe uine mibvunzo nezve hutano hwako.