Loaʻa kīnā i ka platelet

Loaʻa nā hemahema o ka platelet kuleana i nā mea e pale ai i nā mea hoʻopili i ke koko i kapa ʻia nā platelet mai ka hana ʻana e like me ka mea e pono ai. ʻO ka huaʻōlelo i loaʻa ma ke ʻano ʻaʻohe kēia mau kūlana i ka wā hānau.

Hiki i nā maʻi platelet ke hoʻopili i ka helu o nā platelet, pehea ka maikaʻi o kā lākou hana, a i ʻole ʻelua paha. Hoʻopilikia kahi maʻi platelet i ke kāpili ʻana o ke koko maʻamau.

Nā pilikia i hiki ke kumu i nā pilikia i ka platelet function:

• Idiopathic thrombositopenic purpura (ka maʻi koko e hoʻopau ai ka ʻōnaehana pale pale i nā pā.)
• Leukemia myelogenous mau (ka maʻi ʻaʻa koko e hoʻomaka i loko o ka iwi iwi)
• Myeloma maha (ka maʻi ʻaʻai koko e hoʻomaka i nā hunaola plasma i ka iwi iwi)
• ʻO ka myelofibrosis mua (ka maʻi o ka iwi iwi kahi e pani ʻia ka momona e ka fibrous scar tissue)
• ʻO Polycythemia vera (ka maʻi o ka iwi iwi e alakaʻi aku ai i kahi piʻi maʻamau o ka helu o nā hunaola koko)
• ʻO ka thrombocythemia mua (ka maʻi o ka iwi iwi kahi e hua ai ka momona i nā pā nui he nui)
• Thrombotic thrombositopenic purpura (ke koko maʻi e kumu i ke koko clots e hana i loko o nā liʻiliʻi kō koko)

Nā kumu ʻē aʻe e:

• Hewa (hakuʻala) kō ʻole
• Nā lāʻau e like me aspirin, ibuprofen, nā lāʻau anti-inflammatory ʻē aʻe, penicillin, phenothiazines, a me prednisone (ma hope o ka hoʻohana wā lōʻihi)

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• ʻO nā wā paʻahana kaumaha a hoʻolōʻihi paha i ke kahe ʻana (ʻoi aku ma mua o 5 mau lā i kēlā me kēia manawa)
• ʻO ke kahe o ke kahe maʻamau
• Koko i ka mimi
• Kahe i lalo o ka ʻili a i ʻole i nā mākala
• Māmā maʻalahi a kuhikuhi paha i nā kikoʻula i ka ʻili
• Ke kahe ʻana o ka gastrointestinal i ka hopena i ke koko, ʻeleʻele ʻeleʻele, a i ʻole neʻeneʻe iwi ʻōpū. a i ʻole ka luaʻi ʻana i ke koko a i ʻole nā ​​mea e like me ke kahua kope
• Nā Nosebleeds

ʻO nā hoʻokolohua i hana ʻia e komo pū paha:

• ʻO ka hana platelet
• Heluna pāluna
• PT a me PTT

Hoʻopaʻa ʻia ka mālama ʻana i ka hoʻoponopono ʻana i ke kumu o ka pilikia.

• Hoʻomaʻamaʻa pinepine ʻia nā maʻi pūpū me nā transfusions platelet a i ʻole ka lawe ʻana i nā platelet mai ke koko (platelet pheresis).
• Hoʻohana ʻia ʻo Chemotherapy e mālama i kahi ʻano i lalo ke kumu o ka pilikia.
• Mālama ʻia nā hemahema o ka platelet ma muli o ke kīnā ʻole me ka dialysis a i ʻole nā ​​lāʻau.
• Mālama ʻia nā pilikia platelet e kekahi lāʻau i ka hoʻopau ʻana i ka lāʻau.

ʻO ka hapa nui o ka manawa, mālama i ke kumu o ka pilikia e hoʻoponopono i ka hemahema.

Komo pū nā pilikia:

• ʻO ke kahe ʻole ʻaʻole e oki maʻalahi
• Anemia (ma muli o ke kahe nui)

Kāhea i kāu kahu mālama ola inā:

• He kahe kou mai ʻike ʻole i ke kumu
• Maikaʻi loa kāu mau ʻōuli
• ʻAʻole hoʻomaikaʻi kāu mau ʻōuli ma hope o kou mālama ʻia ʻana no kahi kīnā o ka platelet i loaʻa

ʻO ka hoʻohana ʻana i nā lāʻau e like me ke kuhikuhi e hiki ai ke hōʻemi i ka makaʻu o nā lāʻau i loaʻa i ka lāʻau i pili i ka lāʻau. ʻO ka mālama ʻana i nā maʻi ʻē aʻe e hōʻemi paha i ka makaʻi. ʻAʻole hiki ke pale ʻia kekahi mau hihia.

Loaʻa nā maʻi platelet qualitative; Loaʻa nā maʻi o ka platelet function

• Hoʻomaʻamaʻa koko
• Huʻi koko

ʻO Diz-Kucukkaya R, Lopez JA. Loaʻa nā maʻi o ka platelet function. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 130.

Halelu JE. Hemostasis a me ka coagulation koko. I: Hall JE, hoʻoponopono. ʻO Guyton a me Hall Textbook of Medical Physiology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 37.

ʻO Jobe SM, Di Paola J. Congenital a loaʻa nā maʻi o ka platelet a me ka helu. I: Nā lumi kuke CS, Kessler CM, Konkle BA, Streiff MB, Garcia DA, eds. ʻO Hemostasis kūkā a me Thrombosis. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 9.