Thrombositopenia i hoʻokomo ʻia i ka lāʻau

ʻO Thrombocytopenia kekahi maʻi i lawa ʻole nā ​​platelet. ʻO nā platelet nā hunaola i loko o ke koko e kōkua i ke kōkuʻu koko. ʻO kahi pālāki haʻahaʻa e hoʻonui ai i ke kahe ʻana o ke koko.

Ke loaʻa nā lāʻau a i ʻole nā ​​lāʻau i ke kumu o ka helu platelet haʻahaʻa, ua kapa ʻia ia ʻo thrombositopenia i hoʻokomo ʻia i ka lāʻau.

Hana ʻia ka thrombositopenia i hoʻokomo ʻia i ka lāʻau ke hoʻopau kekahi mau lāʻau i nā platelet a i ʻole keakea i ka hiki i ke kino ke hana i lawa iā lākou.

ʻElua mau ʻano thrombositopenia i hoʻokomo ʻia i ka lāʻau: immune a nonimmune.

Inā he lāʻau i kumu i kou kino e hana i nā mea ʻino, nāna e ʻimi a luku hoʻi i kāu mau platelet, ua kapa ʻia kēia ʻano he thrombositopenia immune i hoʻokomo ʻia i ka lāʻau. ʻO Heparin, kahi lahilahi o ke koko, ʻo ia ke kumu maʻamau o ka thrombositopenia immune immune.

Inā pale ka lāʻau i kou iwi iwi mai ka hana pono ʻana i nā platelet, kapa ʻia ke ʻano he thrombositopenia nonimmune i hoʻokomo ʻia i ka lāʻau. ʻO nā lāʻau Chemotherapy a me kahi lāʻau hopu i kapa ʻia ʻo valproic acid e alakaʻi i kēia pilikia.

ʻO nā lāʻau ʻē aʻe e hoʻokumu i ka thrombositopenia i hoʻokomo ʻia i loko o ka lāʻau e:

• Furosemide
• ʻO ke gula, hoʻohana ʻia e mālama i ka maʻi kō
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• Penikila
• Quinidine
• ʻO Quinine
• Ranitidine
• Sulfonamides
• Linezolid a me nā lāʻau ʻaloʻalo ʻē aʻe
• Statins

Hiki i nā platelet hoʻoliʻiliʻi ke kumu:

• Kahe koko ʻole
• Hele kahe ke palaki ʻoe i kou mau niho
• ʻĀpiki maʻalahi
• Pinpoint ʻulaʻula kiko ma ka ʻili (petechiae)

ʻO ka hana mua e kāpae i ka hoʻohana ʻana i ka lāʻau i loaʻa i ka pilikia.

No nā poʻe i loaʻa ke kahe e hoʻoweliweli nei i ke ola, komo pū paha nā lapaʻau:

• Hāʻawi ʻia ʻo Immunoglobulin therapy (IVIG) ma o kahi aa koko
• Pākuʻi Plasma (plasmapheresis)
• Hoʻohui platelet
• Laau lāʻau Corticosteroid

Hiki ke hoʻoweliweli ke ola ʻana inā hiki i ka lolo a i ʻole nā ​​mea ʻē aʻe.

ʻO ka wahine hāpai i loaʻa nā mea ʻino i nā platelet hiki ke hāʻawi aku i nā mea ʻino i ka pēpē i loko o ka ʻōpū.

Kāhea i kāu kauka inā loaʻa ʻoe i ka hoʻokahe koko ʻole ʻia a ʻeha a ke lawe nei ʻoe i nā lāʻau, e like me nā mea i ʻōlelo ʻia ma luna ma lalo o nā kumu.

Thrombositopenia i hoʻokomo ʻia e ka lāʻau; Immune thrombositopenia - lāʻau

• Hoʻomaʻamaʻa koko
• Huʻi koko

ʻO Abrams CS. Thrombositopenia. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 172.

ʻO Warkentin TE. Hoʻokumu ʻia ʻo Thrombocytopenia e ka luku ʻana i ka platelet, hypersplenism, a i ʻole hemodilution. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 132.