Kuongorora kwezviratidzo, kuongororwa uye kurapwa kweThrombocytopenia
Tsanangudzo
Thrombocytopenia ndiro izwi rezvokurapa kurondedzera pasi shorelet count. Platelets ndeimwe yemasero edu eropa uye basa ravo ndedze kutibatsira kuti tisiye kubuda ropa. Thrombocytopenia inotsanangurwa se platelet count pasi pe 150,000 masero / mL, pasinei nezera rako.
Zviratidzo
Nemhaka yokuti maplatelet anokosha mukumira ropa, zviratidzo uye zviratidzo zvakabatana nekuwedzera kwengozi yekubuda ropa.
Kana iwe thrombocytopenia unyoro iwe unogona kunge usina zviratidzo. Icho chiri pasi pasi platelet count yako, iwe unowanzove uine ropa.
Nosebleeds
Kubvambura kubva kune gums
Ropa mumugini kana chigaro
Ropa mabhetera mumuromo anonzi purpura
Zviri nyore kupwanya
Zviduku zviduku zvakatsvuka zvinoratidzika sekumhanya kunonzi petechiae
Zvinokonzera
Kune zvikonzero zvakasiyana-siyana zvetapidysteniaa kusanganisira bhositori kukanganisa. Zvimwe zvinokonzera ndezvenguva pfupi uye zvinogona kugadzirisa nekurapa uye vamwe zvinoda kurapwa kweupenyu hwose.
Mavirusi: Panguva dzehutachiona hwehutachiona mapfupa ako mapfupa anogona kuita zvishoma zvishoma maplatelet; izvi zvinonzi kushandiswa kwehutachiwana. Kana kamwe utachiona hwabviswa kubva mumuviri, fufupa remapfupa rinogona kutanga zvakare kugadzirwa.
Mishonga: Mamwe mishonga inogona kuita kuti muviri usakwanisa kuita maplatelet kana kuita zvirwere zvinoparadza maplatelet. Nyaya yemishonga inokonzera thrombocytopenia yakareba uye inosanganisira antibiotics (vancomycin, trimethoprim / sulfamethoxazole, rifampin, nezvimwe), ranitidine (Zantac), mishonga inobata malaria, uye valproic acid (anti-seizure medication). Nenzira yakanaka, ruzhinji rwevanhu vanogamuchira mishonga iyi haruzombogadziri hutachivi.
Immune thrombocytopenia : Iyi ndiyo mamiriro apo maitiro ezvirwere zvemasimba anorasikirwa uye anoparadza maplatelets apo haafaniri.
Kunyunyuta: Dzimwe kanzira, kunyanya chirwere chinokonzerwa neukemia, chinogona kukonzera kuderera kweplatelet count. Izvi zvinowanzoitika nokuti kenza inotora nzvimbo mumapfupa emapfupa achidzivirira kubudiswa kwemaplatelets matsva.
Chemotherapy: Most chemotherapy inoshanda nekurwisa masero mashoma akaparadzaniswa sekenza masero. Zvinosuruvarisa, masero edu eropa anobva pakukurumidza kuparadzanisa masero mumapfupa emapfupa uye paanenge avhiringidzika iwe haugone kuita masero matsva eropa kwechinguva. Zvose zvitatu zvemasero eropa zvinogona kuchinjwa; izvi zvinonzi pancytopenia.
Aplastic Anemia : Aplastic anemia ndiyo mamiriro apo marora emapfupa haagoni kuita masero eropa kazhinji izvo zvingaguma ne-thrombocytopenia.
Inherited thrombocytopenia: Pane zvakagadzirirwa nhaka seBernard Soulier neHIVH9 zvirwere zvakagadzikana zvinokonzera kushaya chirwere chechipiri kune chinonzi genetic mutation.
Splenomegaly: Chikamu cheplatelet edu chinochengetwa munharaunda yedu, nhengo mumuviri wemuviri. Kana chirwere chacho chichiwedzera, mamwe maplatelet akabatanidzwa muchero anokonzera thrombocytopenia. Splenomegaly inogona kukonzerwa nemamiriro ezvinhu akawanda kusanganisira portal hypertension kana nhaka spherocytosis.
Thrombotic thrombocytopenic purpura: Mamiriro aya anonyanya kuwanika kuvarume vakuru vanokonzera maduku maduku kuti aumbe mumidziyo yeropa inoparadza maplatelet nemasero matsvuku eropa.
Kuberekwa: Thrombocytopenia inogona kuitika zvinodarika 5% zvepamuviri hwepamuviri kana kuti inogona kuva mugumisiro we pre-eclampsia.
Kuziva
Thrombocytopenia inotanga kuongororwa pane imwe nhamba yeropa (CBC). Izvi zvinogona kutorwa sechikamu chekuongorora kwegore negore kana nekuda kwekuuya kwachiremba wako ane zviratidzo zvekubuda ropa. Kuti uone chinokonzera thrombocytopenia chiremba wako achada kutumira mamwe mabhii. Izvi zvingangosanganisira chirwere cheropa chinogadziriswa apo masero eropa anoongororwa pasi microscope. Kuonekwa kweplatelet kunogona kuratidza chikonzero chaicho cheplate platelet count. Uyezve, miedzo inotarisa basa remaplatelet, seplatelet aggregometry, inogona kubatsira pakuongorora chikonzero cheprombocytopenia.
Iwe unogona kudikanwa kutumirwa kune hematologist (chirwere cheropa) kuti uone chikonzero che thrombocytopenia yako.
Mishonga
Mushonga wako unotsanangurwa nekuoma kwekubuda ropa kwako uye chinokonzera chirwere chetapidhi. Vose varwere vane thrombocytopenia vanofanira kuchengetedza aspirin kana kuti kwete-steroidal anti-inflammatory drugs (NSAIDs) saibuprofen sezvo mishonga iyi inoderedza basa replatelet uye kukwanisa kugadzira jira.
- Hapana: Kana thrombocytopenia yako iine unyoro kana kuti iwe usina ropa rinobuda ropa, iwe haungatengi mishonga. Kana yako thrombocytopenia inofungidzirwa kuva yechipiri kune hutachiwana hwehutachiwana yako platelet yako inogona kuongororwa kakawanda kuti ione kuti iri kudzokera kune yakajairika.
- Platelet transfusions: Thrombocytopenia yenguva duku, sezvinoonekwa panguva yemakemikari, inogona kurapwa neuplatelet transfusions. Kuwedzerwa kweplatelet kunoshandiswawo kakawanda kana iwe uri kuita ropa rinoshingaira ne-thrombocytopenia.
- Kuvhara mishonga: Kana thrombocytopenia yako ichiguma nemishonga, mupi wako wehutano anogona kumira iyo mishonga. Uyu ndiwo mutambo wokuenzanisa. Kana mamiriro ako (sekutambudza) akachengetedzwa zvakanaka pamishonga uye yako thrombocytopenia iine unyoro, mutapi wako wehutano anogona kupfuurira iyi mishonga.
- Mishonga: Kana thy thrombocytopenia inokonzerwa nekudzivirira immune thrombocytopenia (ITP), unogona kurapa nemishonga steroid, intravenous immunoglobulin (IVIg), kana anti-D immune globulin.
- Splenectomy: Mumhando dzakawanda dze-thrombocytopenia, spleen ndiyo nzvimbo inoshandiswa yekuparadzwa kweplatelets kana kutema maplatelet. Splenectomy, kuporesa kubviswa kwepleen, kunogona kuvandudza platelet yako yakawanda.
- Plasma kuchinja: Thrombotic thrombocytopenic purpura (TTP) inobatwa nekushandura kweplasma. Mune nzira iyi plasma yako (inenge yega yega ropa) inodzingwa neAi uye inotsiviwa nemvura yakachena yemalasma.
Shoko Rinobva
Kubvumira kunogona kuva chiratidzo chinotyisa. Kana uine ropa risina kujairika kana rakareba, kurukurai nezvekunetseka kwako nechiremba wako kuitira kuti zvakakodzera basa-up rinogona kuitwa uye kurapwa kwakatangwa kana zvichidiwa.
> Kwakabva:
> George JN naArnold DM. (2017). Nzira kune munhu mukuru ane thrombocytopenia. Mu TW Post, LLK Leung, uye JS Tirnauer (eds.) UpToDate .