Maplatelet epasi: chii chingave uye chekuita

Zvemukati

• Zviratidzo zvikuru
• Chingave chii
• 1. Kuparadzwa kweMaplatelet
• 2. Kushaikwa kwe folic acid kana vhitamini B12
• 3. Kuchinja mumongo wemapfupa
• 4. Matambudziko mukushanda kwepesi
• 5. Zvimwe zvikonzero
• Zvekuita kana paine mashoma maplatelet
• Kurapwa kunoitwa sei

Thrombocytopenia, kana thrombocytopenia, inoenderana nekudzikira kwenhamba yemaplatelet muropa, mamiriro anotadzisa kugwamba, uye anogona kukonzera zviratidzo zvakaita sekutsvuka kana kwepepuru mavara paganda, kubuda ropa mazino kana mhino, uye weti tsvuku, semuenzaniso.

Maplatelet akakosha zvikamu zveropa rekugwamba, kufambisa ronda kupora uye kudzivirira kubuda ropa. Nekudaro, kune akati wandei mamiriro ezvinhu anogona kukonzera kudzikira kwehuwandu hwemaplatelet, senge hutachiona, senge dengue, kushandiswa kwemishonga, senge heparin, zvirwere zvine chekuita nekudzivirira, senge thrombocytopenic purpura uye kunyangwe cancer.

Kurapa kwemaplatelet epasi kunofanirwa kuitwa zvichienderana nechikonzero chavo, nachiremba mukuru kana chiremba wezvematambudziko, uye zvinogona kungodikanwa kukonzera chikonzero, kushandiswa kwemishonga kana, mumatambudziko akakomba, kuwedzerwa maplatelet.

Ona mamwe makuru eplatelet shanduko uye zvekuita.

Zviratidzo zvikuru

Maplatelet akaderera kana kuwanda kweropa kuri pasi pezviuru zana nemakumi mashanu emakumi masero / mm³ eropa, uye, kazhinji, hakukonzere zviratidzo. Nekudaro, munhu wacho anogona kunge aine tsika yakakura yekubuda ropa, uye zviratidzo zvakaita se:

• Mavara epepuru kana akatsvukuruka paganda, akadai semaronda kana mavanga;
• Kubuda ropa mazino;
• Kubuda ropa kubva mumhino;
• Uropa weti;
• Kubuda ropa muzvigaro;
• Kuenda kumwedzi;
• Kubuda ropa maronda anonetsa kudzora.

Zviratidzo izvi zvinogona kuoneka mune chero munhu ane maplatelet mashoma, asi anowanzoitika kana akaderera kwazvo, senge ari pazasi pemasero zviuru makumi mashanu / mm³ weropa, kana kana akabatana nechimwe chirwere, senge dengue kana cirrhosis, izvo zvinowedzera kushanda kweropa. ropa.

Chimwe chezvirwere chinowanzo sangana nekuderedzwa kweplatelet ndeye thrombocytopenic purpura. Ona kuti chirwere ichi chii uye kuti ungachirapa sei.

Chingave chii

Maplatelet anogadzirwa mumongo wemapfupa, uye anorarama kwemazuva angangoita gumi, sezvo vachigara vachizvivandudza. Izvo zvinhu zvinokanganisa nhamba yemaplatelet muropa ndeaya:

1. Kuparadzwa kweMaplatelet

Mamwe mamiriro ezvinhu anogona kukonzera maplatelet kugara muropa kwenguva shoma, izvo zvinoita kuti nhamba yavo idzikire. Zvimwe zvezvikonzero zvikuru ndezvi:

• Utachiona hutachiona, senge dengue, Zika, mononucleosis uye HIV, semuenzaniso, kana nemabhakitiriya, ayo anokanganisa kurarama kwemaplatelet nekuda kweshanduko yekudzivirira kwemunhu;
• Kushandiswa kwemimwe mishonga, seHeparin, Sulfa, anti-inflammatory, anti-convulsant uye antihypertensive zvinodhaka, semuenzaniso, sezvo vachigona kukonzera maitiro anoparadza maplatelet;
• Zvirwere zvekuzvidzivirira, iyo inogona kukudziridza maitiro anorwisa uye kubvisa maplatelet, akadai se lupus, immune uye thrombotic thrombocytopenic purpura, hemolytic-uremic syndrome uye hypothyroidism, semuenzaniso.

Zvirwere zvekudzivirira muviri zvinokonzeresa kudzikisira zvakanyanya uye kusingagumi mumaplatelet pane kushandisa mushonga uye hutachiona. Pamusoro pezvo, munhu wega wega anogona kuita zvakasiyana, zvinosiyana zvichienderana nekuzvidzivirira uye kupindurwa kwemuviri, saka zvakajairika kuona vanhu vane maplatelet epasi mune zvimwe zviitiko zvedengue kupfuura mune vamwe, semuenzaniso.

2. Kushaikwa kwe folic acid kana vhitamini B12

Zvinhu zvakaita se folic acid uye vhitamini B12 zvakakosha kune hematopoiesis, inova nzira yekuumbwa kwesero reropa. Nekudaro, kushomeka kwe folic acid kana vhitamini B12 kunogona kutungamira kudzikira kwekugadzirwa kwemasero matsvuku eropa, machena masero eropa uye maplatelet. Uku kushomeka kwakajairika muvhegi pasina kuongorora kwehutano, vanhu vasina kudya zvinovaka muviri, zvidhakwa uye vanhu vane zvirwere zvinokonzera kubuda ropa kwakavanzika, senge gastric kana ura.

Heano mamwe matipi ezve kudya kuti usakwanise kushomeka kwe folic acid uye vhitamini B12.

3. Kuchinja mumongo wemapfupa

Dzimwe shanduko mukushanda kwetambo wespinal dzinokonzeresa kuti kugadzirwa kwemaplatelet kuderere, izvo zvinogona kuitika nekuda kwezvikonzero zvakati, sekuti:

• Zvirwere zvepfupa, senge aplastic anemia kana myelodysplasia, semuenzaniso, izvo zvinoita kuti kuderera mukugadzirwa kana kugadzirwa zvisizvo kwemasero eropa;
• Zvirwere zvepfupa remongo, nezveHIV, Epstein-Barr hutachiona uye huku;
• Gomarara rinokanganisa mwongo wemabhonzo, senge leukemia, lymphoma kana metastases, semuenzaniso;
• Chemotherapy, kurapa nemwaranzi kana kuiswa pazvinhu zvine chepfu kumuzongoza, zvakaita semutobvu nealuminium;

Zvakajairika kuti, mune idzi kesi, kune zvakare kuvepo kweanemia uye kuderera kwemasero machena eropa mukuyedzwa kweropa, sezvo mwongo wemapfupa ndiwo unoita kugadzirwa kwezvikamu zvakawanda zveropa. Tarisa uone kuti ndezvipi zviratidzo zveleukemia uye nguva yekufungidzira.

4. Matambudziko mukushanda kwepesi

Iyo spleen ine basa rekubvisa akati wandei masero eropa ekare, kusanganisira maplatelet, uye kana ikawedzerwa, semamiriro ezvinhu ezvirwere zvakaita sechiropa cirrhosis, sarcoidosis uye amyloidosis, semuenzaniso, panogona kuve nekubviswa kwemaplatelet achiri nehutano. muhuwandu hwapfuura zvakajairwa.

5. Zvimwe zvikonzero

Muhupo hwemaplatelet epasi pasina chikonzero chakatsanangurwa, zvakakosha kufunga nezve mamwe mamiriro ezvinhu, senge murabhoritari mhedzisiro yekukanganisa, sezvo kuunganidzwa kweplatelet kunogona kuitika muropa rekuunganidza chubhu, nekuda kwekuvapo kwe reagent muhubhu, uye zvakakosha kudzokorora bvunzo mune idzi kesi.

Kunwa doro kunokonzeresa kudzikiswa kwemaplatelet, sekunwa doro, pamusoro pekuva chepfu kumasero eropa, zvakare kunokanganisa kugadzirwa nemongo wemapfupa.

Pakubata pamuviri, kwega kwega thrombocytopenia kunogona kuitika, nekuda kwekudzikiswa kweropa nekuda kwekuchengetwa kwemvura, izvo zvinowanzo nyoro, uye zvinogadzirisa zvoga mushure mekusununguka.

Zvekuita kana paine mashoma maplatelet

Muhupo hwe thrombocytopenia yakaonekwa mumuedzo, zvakakosha kutora matanho ekudzivirira njodzi yekubuda ropa, sekudzivirira kushanda nesimba kana kubata mitambo, kudzivirira kunwa doro uye kusashandisa zvinodhaka zvinokanganisa mashandiro emaplatelet kana kuwedzera njodzi yekubuda ropa, senge aspirin, anti-inflammatories, anticoagulants uye ginkgo-biloba, semuenzaniso.

Kuchengetedza kunofanirwa kusimbiswa kana maplatelet ari pasi pezviuru makumi mashanu zvemasero / mm³ muropa, uye zviri kunetsa kana pazasi pemasero zviuru makumi maviri / mm³ muropa, kuiswa muchipatara kwekutarisa kunogona kudikanwa mune dzimwe nguva.

Kudya kwacho kunofanirwa kuve kwakaringana, kupfuma zviyo, michero, miriwo uye nyama dzakaonda, kubatsira mukuumbwa kweropa uye kupora kweiyo muviri.

Kuisirwa Platelet hakuwanzo kuve kwakakodzera, nekuti nekuchengetwa uye kurapwa, munhu anogona kupora kana kurarama zvakanaka. Zvisinei, chiremba anokwanisa kupa mamwe marongero kana paine mamiriro ekubuda ropa, pazvinenge zvakakodzera kuita imwe mhando yekuvhiya, kana maplatelet ari pasi pezviuru gumi / masero / muropa muropa kana kana ari pazasi pemasero zviuru makumi maviri / mm³ muropa, asiwo kana fivha kana kuda chemotherapy, semuenzaniso.

Kurapwa kunoitwa sei

Mushure mekuona chikonzero nei maplatelet ari mashoma, kurapwa kwako kunozotungamirwa, zvinoenderana nezano rekurapa, uye kunogona kuve:

• Kuregererwa kwechikonzero, senge mishonga, kurapwa kwezvirwere nezvirwere, kana kunwa doro, izvo zvinokonzeresa maplatelet mashoma;
• Kushandiswa kwekorticosteroids, steroids kana immunosuppressants, pazvinenge zvakakodzera kurapa autoimmune chirwere;
• Kuvhiya kubviswa kwepleen, inova splenectomy, apo thrombocytopenia yakaoma uye inokonzerwa nekuwedzera kwepleen basa;
• Ropa kusefa, inonzi exchange yeplasma kana plasmapheresis, imhando yekusefa kwechikamu cheropa chine ma antibodies uye zvinhu zviri kukanganisa kushanda kwekuzvidzivirira uye kutenderera kweropa, zvinoratidzwa muzvirwere zvakaita se thrombotic thrombocytopenic, hemolytic-uremic syndrome, semuenzaniso. .

Panyaya yekenza, kurapwa kunoitwa kune mhando uye kuomarara kwechirwere ichi, nekemotherapy kana kudyiwa kwemongo wepfupa semuenzaniso.