Kukosha kwePVV seChikamu cheNyu Chizere CheRopa (CBC)
Iwe unogona kunge wakaona mabhii "MPV" sechikamu chekuongorora kwako kweAll Blood Count (CBC) , muedzo unoshandiswa mukuongororwa kwehutano hwehutano, pamwe nekuona kurapwa kwehutano huzhinji. Muchirongwa cheCBC unoongorora masero matsvuku eropa (masero anotakura okisijeni), masero machena (zvirwere zvinokonzera utachiona), uye maplatelets (masero ekugadzira mazhenje). MPV (iyo inomiririra kureva kuti iplatelet volume) chiyero chemazana akaenzana eeplatelets (thrombocytes), chikamu cheropa rako rinobatsira ropa rako clot.
Pamusoro peCBC yako unenge uine ruzivo rwehuwandu hweplatelet count yako uye "platelet indices" yakadai sePVV. Iwe uchacherechedza kuti kunewo maharasi ako ega red cell cell count uye white white cell count. Aya maharasi anopa tsanangudzo yakanyatsorondedzerwa yezvinetso nemasero eropa rako. Mune dzimwe nguva, pane dzimwe nguva munhu angave ane maitiro akaenzana emasero eropa, asi kuverenga kusinganzwisisiki pane maharasi kungaita kuti chiremba wako ave nedambudziko. MPV inonyanya kubatsira mukugadzirisa chinokonzera thrombocytopenia, pasi peplatelet kuverengwa, asi inogona kuva muedzo unobatsira kunyange kana platelet yako yakawanda inowanikwa.
Nei chiyero chemajirisi eeplatelets chakakosha, uye zvinorevei kana MPV yako yakakwirira kana kuti yakaderera pane yakarongeka? Ngatitaurire nezvezvikonzero zvinokonzerwa nePVV yakakwirira kana yakaderera, uyewo kuti MPV ingashandiswa sei kuzivisa ngozi kune vanhu vane mamwe marapirwo.
Mean Platelet Volume (MPV) uye Utano Hwako
Platelets ndiyo masero anotarisirwa kugadzira mazamu.
Izvo zvinokosha kuti tisachengetedze kubuda ropa patinenge tatemwa uye tichidzivirira kubuda mukati memiviri yedu. Apo kusvetuka kunoitika paganda redu kana mukati memiviri yedu, maplatelet akabatanidzwa kuti avhare mamiriro. Zvimwe zvipfeko zvinokonzera (zvakadai sezvo zvisipo muHemophilia) zvino zvinoshevedzwa kunzvimbo yekudzivirira kuwedzera ropa.
Platelets anobudiswa mumapfupa emapfupa nemasero anonzi megakaryocytes. Iplatelet ivo pachavo ingongova zvikamu zve megakaryocytes, pasina nuclei, yakabudiswa muropa kubva mumarora. Kazhinji, maplatelet maduku akawandisa kupfuura mapeparele akare.
Nhamba Dzakakwana dzePlateti uye MPV
Mukutarisa paMPV, zvakakosha kutarisa zvose zviri zviviri nhamba dzeplatelet uye MPV.
Iyo yakarongeka yakawanda yeplatelets (izvi zvinogona kuchinja zvimwe pakati pemabhati) 150,000 kusvika 450,000 pamamiriyoni. Kazhinji, vanhu vanogona kubvumira mapepa eplatelet kusvika pasi pe50 000 nechinguva chiduku chete. Nhamba yeplatelet iri pasi pe20,000, zvisinei, inogona kutyisa upenyu. Platelet indices dzinosanganisira:
- MPV (yakakurukurwa pano).
- PDW (platelet distribution width). PDW inotsanangura kuchinja kwehukuru hweplatelets.
Mukugadzirisa chinokonzera chinokonzera MPV isina kukodzera, zvinokosha kutarisa kana platelet kuverengwa inowanzo, yakakwirira, kana yakaderera.
Kukanganisa Mukuedzwa / Kururamiswa kwePVV
Nhanho yekutanga apo chiremba anoona kuti une MPV isina kukodzera ichave yekuongorora kururama kwekuedzwa. Kana ichiita sekuti pane kunge yakanganisa kukanganiswa neropa rako, muedzo uchadzokororwa.
Chirongwa cheCBC chinoda ropa rinoshandiswa ropa (ropa rinotorwa mukati mehubhuti ine anticoagulant kuitira kuti ropa rirege kuvhara) uye rinowanzosvitsa muhututi yepepuru.
Kana ropa rinokweverwa mukati me tube risina anticoagulant, richavhara, kupa chiitiko chisina kukodzera cheplatelet count uye MPV. Kana chiremba wako achifunga kuti kubwinya kungave kwakaitika, imwe samuenzaniso ichave yakatorwa. Vamwe vanhu vanoda ropa ravo rakaiswa mune imwe tube yose, sezvo maplatelet avo angaramba vachikanganisa ne anticoagulant inoshandiswa muhuputa tsvuku yepepuru.
Apo iyo MPV inokosha yakakwirira, labhi inowanzotarisa nemusiyano ropa smear, muedzo unotarisa nhamba dzemhando dzakasiyana dzemasero machena eropa aripo. Unyanzvi hwekugadzira huchaita uye hunovhiringidza ropa rako uye wotarisa pasi pe microscope kuti uone kana maplatelets ari kuunganidza pamwe chete kana kana iwe une mapelice akawanda.
Izvozvo zvichiti, vamwe vanhu vane zvigaro zveplatelet zvizere nekuda kwezvikonzero zviri pasi apa.
Zvinokonzera High High Mean Platelet Volume (MPV)
I MPV yakakwirira inowanzova chiratidzo chokuti pane mamwe mapepa akawanda ari kubuda muropa rako. Kana uine chirongwa chakadai sekuvhiyiwa kukuru, muviri wako uri kushandisa maplatelet kugadzirisa zvigurwa kumidziyo yeropa. Mukupindura, fupa rako refupa rinobudisa zvakawanda zvemadiki, maplatelet makuru, uye mapVP ako anomuka.
Kuongorora maPMV akakwirira kunobatsira pakugadzira chikonzero cheplatelet count count, uye chinonyanya kukonzera "kuparadzwa," kana maplatelets ari kuparadzwa neimwe nzira, yakadai sezvirwere zvinowedzera (ona ITP iri pasi).
MuPVV yakakwirira nepamusoro peplatelet kuverengwa, zvakasiyana, kazhinji inokonzerwa nechirongwa chekutanga kana kuti chinokosha thrombocytosis (chiitiko umo muviri unobereka mapepa akawanda akawanda, kazhinji nokuda kwechibereko chekuchinja), kana kenza.
MuPVV yakakwirira neyakasvibirira platelet count inoratidza mamiriro ezvinhu akadai se hyperthyroidism, kana isingagumi myelogenous leukemia.
Mamiriro ezvinhu angaita kuti MPV yakakwirira inosanganisira:
- Idiopathic thrombocytopenic purpura (ITP): ITP ndiyo mamiriro ayo maitiro emusununguko anoparadza maplatelet. Idiopathic thrombocytopenic purpura ine zita refu, asi kutarisa imwe neimwe yemashoko muItP inoita kuti izvi zvive nyore kunzwisisa. Idiopathic izwi rinoshandiswa kurondedzera mamiriro ezvinhu asingazivikanwe. Icho chiremba chinoreva "hatina chizivo" nei ichiitika. Izwi rokuti "thrombo" rinoreva kuti clot (basa remaplatelet) uye "penia" rinoreva kusakosha, saka thrombocytopenia inoreva kushaya kweplatelets. Purpura ndiyo izwi rezvokurapa nokuda kwekupwanya, kazhinji kutyora kukuru. (Izwi rokuti petechiae rinoreva zviduku zviduku zvitsvuku paganda (zvinyorwa zviduku) zvisingaiti blanch kana uchizvinyima.)
- Ropa kanzira dzakadai seyukemia.
- Kwete-doro rechiropa chirwere.
- Genetic kusagadzikana muplatelet.
- Bernard-Soulier Disease (giant platelet syndrome).
- Bhata marora zvinokonzera zvinodhaka, zvakadai se erythropoietin kana thrombopoietin.
- Diabetes mellitus.
- Kufuridza zvirwere.
- Sepsis.
- Hyperthyroidism.
- Kurwisa Kwemwoyo (ona pasi apa).
- Pre-eclampsia (toxemia of pregnancy) uye HELLP syndrome.
- Mwoyo mavheti emwoyo.
Zvinokonzera Low Low Platelet Volume (MPV)
Zvimwe zvikonzero zvinokonzerwa nePVV yakaderera zvinogonawo kusiyana zvichienderana ne platelet count. AAVV yakaderera nekapu yeplatelet yakawanda inogona kutarisa kumatambudziko anokonzera marora emapfupa anononoka kana kuderedza kubudiswa kwemaplatelets, akadai semamiriro ezvinhu anonzi aplastic anemia . IAVV yakaderera nepamusoro weplatelet kuwanda inowanzoreva chirwere, kuputika, kana kenza. IAVV yakaderera neyakashambadza platelet yakawanda inowanzova nekusingaperi kwepvo kusagadzikana.
Zvimwe zvikonzero zvinokonzerwa nePVV shoma zvinosanganisira:
- Kutadza kwemapfupa emapfupa (mapeparele akakura mashoma, saka MPV yakaderera kana bone marora iri kusinganisi vakawanda).
- Splenomegaly (kuwedzera kwepleen). Ne hypersplenism, maplatelets anowanzotorwa "sequestered" mu spleen.
- Kusangana kwepfungwa kusingaperi
- Mishonga inodzvinyirira platelet maitiro (akadai semakemotherapy mishonga).
- Hypothyroidism.
- Kurema kwehuni anemia.
- HIV / AIDS.
Kuziva
Kuonekwa kwePVV yakakwirira kana yakaderera kunobva kune zvinhu zvakawanda zvinosanganisira platelet count, tsvuku dzeropa rekuverenga, uye nyemba yeropa rekuverenga. Chiyero chemapfupa emapfupa chinogona kudiwa kana pane kunetseka pamusoro pemafupa asina kushanda kana kuti kenza inogona kuvapo. Izvozvo zvakati, kuongororwa kunogona kunge kwakajeka sekutarisa utachiona hwekushanda.
High MPV, Heart Disease, uye Stroke
Mumakore achangopfuura yakawanikwa kuti MPV inogona kubatsira mukurapa kwekutanga kwekurwadziwa kwemoyo. Tsvakurudzo idiki, asi inofungidzirwa kuti MPV yakakwirira inogona kufungidzira dambudziko rekuti munhu ane chirwere chepfungwa achave nekurwadziwa kwepfungwa, uye anofanotaura kusarudzwa kwevarombo kune avo vane myocardial infarction. Saizvozvowo, MPV yakakwirira inogona kuva inopedzisira yarohwa, uyewo inopa ruzivo rwevaya vanogona kuita zvisina kunaka mushure mekurohwa. Dzidzo dziri kutarisa kuone kana MPV yakakwirira inogona kuva nechinzvimbo mukufanotaura nezvekuchengetedzwa kwemazimbe emuropa (deep vein thrombosis nemaplmonary emboli), pamwe nehutachiona hutachiona hwezvirwere.
MPV Sechiratidzo chekunyengedzera
Mukuwedzera pane zvinogona kuitwa pakufanotaura zviitiko nehutano hwepfungwa nekurova, tsvakurudzo dzakawana kuti MPV inogona kuva nechinangwa chekufungidzira mumamiriro ezvinhu akadai sokuoma kwechiputi mumana achangoberekwa, kufungidzira nekenza yemazamu, yekusiyanisa kenza yevana mavari kubva mumaronda ebenign ovarian , uye kunyange pakuona kubwinya kwemaitiro.
Pasi Pasi Pamusoro Pakati Platelet Volume
Pakati platelet volume (MPV) chiyero chehukuru hweplatelet uye inogona kuita basa rinokosha pakutsvaga zvirwere pasinei nokuti platelet yakawanda yakakwirira, yakaderera, kana yakasikwa. Mukuwedzera pakuva muedzo wokuongororwa, tiri kudzidza kuti MPV inogonawo kukwanisa kuita basa rekufananidzira mumamiriro ezvinhu akafanana nehutano hwemwoyo, uye kana zvakadaro, inogona kutungamirira vanachiremba kuti vanhu vanoda kutevererwa zvakanyanya zvakadini kana kugamuchira zvechisimba kurapwa.
> Sources:
> Fixter, K., Rabbolini, D., Valecha, B. et al. Zvinonzi Platelet Diameter Mienzaniso Yokugadzirisa Nhaka Yakagadzirwa neThrombocytopenias. International Journal of Laboratory Hematology . 2017 Nov 16. (Epub mberi kwekudhinda).
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
> Mutungamiri, A., Pereg, D., uye M. Lishner. Ndeapi Platelet Volume Nhamba dzeKushandiswa Kwechipatara? A Review Multidisciplinary. Annals of Medicine . 2012. 44 (8): 805-16.
> Noris, P., Melazzini, F., uye C. Balduini. Mitsva Idzva yeChipupuriro Chekuwedzera kwePlatelet Murairo muKizvipiki Chekugadzirira? . Platelets . 2016. 27 (7): 607-612.