Heluna pāluna

ʻO ka helu platelet kahi hoʻokolohua lab e ana i ka nui o nā platelet i loaʻa i kou koko. ʻO nā platelet nā ʻāpana o ke koko e kōkua i ke kōkuʻu koko. Ua liʻiliʻi lākou ma mua o nā ʻulaʻula a keʻokeʻo o ke koko.

Pono kahi laʻana koko.

ʻO ka hapa nui o ka manawa ʻaʻole pono ʻoe e hana i nā hana kūikawā ma mua o kēia hōʻike.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

Hiki ke hoʻopili ʻia ka helu o nā platelet i kou koko e nā maʻi he nui. Hiki ke helu ʻia nā platelet e nānā a ʻike pono paha i nā maʻi, a i ʻole e nānā no ke kumu o ka kahe nui ʻana o ke kahe a i ʻole ke kō ʻana.

ʻO ka helu maʻamau o nā platelet i ke koko ʻo 150,000 a 400,000 platelet ma ka microliter (mcL) a i ʻole 150 a 400 × 10⁹/ L.

Hiki ke hoʻololi iki i nā pae waiwai maʻamau. Hoʻohana kekahi keʻena hana i nā ana ʻokoʻa a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio me kāu kauka e pili ana i kāu hopena hopena.

KA HELU PLATELET LOW

Aia ka helu platelet haʻahaʻa ma lalo o 150,000 (150 × 10⁹/ L). Inā aia kāu helu platelet ma lalo o 50,000 (50 × 10⁹/ L), kiʻekiʻe kou makaʻu i ke kahe ʻana o ke kahe. ʻOiai ʻo nā hana i kēlā me kēia lā ke kumu i ke kahe o ke kahe.

Kapa ʻia kahi helu platelet haʻahaʻa ma mua o ka maʻamau i thrombositopenia. Hiki ke hoʻokaʻawale ʻia ka helu platelet haʻahaʻa i 3 kumu nui:

• ʻAʻole lawa nā platelet e hana ʻia ana i ka iwi iwi
• Ke luku ʻia nei nā platelet i ke kahe o ke koko
• Ke luku ʻia nei nā platelet i ka ʻāpala a i ʻole ke ake

ʻEkolu o nā kumu maʻamau o kēia pilikia:

• Nā mālama maʻi ʻaʻai, e like me chemotherapy a i ʻole radiation
• Nā lāʻau a me nā lāʻau
• Nā maʻi Autoimmune, kahi a ka ʻōnaehana pale pale i hoʻohewa kolohe aku ai a luku hoʻi i ke kino olakino, e like me nā platelet

Inā haʻahaʻa kāu platelet, e kamaʻilio me kāu kauka olakino e pili ana i ka pale ʻana i ke kahe ʻana a me ka mea e hana ai inā ke kahe nei ʻoe.

KA HELU PALAPALA HOU

ʻO 400,000 (400 × 10 ka helu platelet kiʻekiʻe⁹/ L) a i luna paha

ʻO kahi kiʻekiʻe-ma mua o ka maʻamau helu o nā platelet i kapa ʻia ʻo thrombositosis. ʻO ka manaʻo ke hana nei kou kino i nā pāleka he nui. Nā kumu e komo pū paha:

• ʻO kekahi ʻano anemia kahi i hoʻopau ʻia ai nā hunaola koko ʻulaʻula i ke koko ma mua o ka maʻamau (hemolytic anemia)
• Ka hemahema hao
• Ma hope o kekahi mau maʻi, ʻoki kino nui a i ʻole trauma
• Kanesa
• Nā lāʻau lapaʻau kekahi
• ʻO ka maʻi iwi iwi i kapa ʻia ʻo myeloproliferative neoplasm (ʻo ia pū me polycythemia vera)
• Wehe ʻeleʻele

Hiki paha i kekahi poʻe me ka helu platelet kiʻekiʻe ke makaʻu i ka hana ʻana i nā clots koko a i ʻole ke kahe nui ʻana. Hiki i ke koko ke alakaʻi i nā pilikia olakino koʻikoʻi.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe.ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Heluhelu thrombocyte

• Trombosis o ka aa hohonu - hoʻokuʻu

Cantor AB. ʻO Thrombocytopoiesis. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 28.

Chernecky CC, Berger BJ. Heluhelu ka platelet (thrombosit) - koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 886-887.