Mea Kākau: Clyde Lopez
Lā O Ka Hana: 26 Iulai 2021
HōʻAno Hou I Ka Lā: 22 Iune 2024
Anonim
Hematology | Hemostasis: Coagulation Cascade
Wikiō: Hematology | Hemostasis: Coagulation Cascade

Anter

He aha nā hoʻokolohua platelet?

ʻO nā platelet, i ʻike ʻia hoʻi me nā thrombosit, he mau huna koko liʻiliʻi ia e pono ai no ke kāpili ʻana i ke koko. ʻO ka Clotting ke kaʻina e kōkua iā ʻoe e hōʻoki i ke kahe ʻana ma hope o kahi ʻeha. ʻElua ʻano o nā hōʻike platelet: kahi hōʻike helu platelet a me nā hoʻokolohua hana platelet.

Hōʻike helu platelet ana i ka helu o nā platelet i kou koko. Kapa ʻia kahi haʻahaʻa ma mua o ka helu platelet maʻamau thrombositopenia. Hiki i kēia ʻano ke hoʻokahe i kou koko ma hope o ka ʻoki a i ʻole nā ​​ʻeha ʻē aʻe e hiki ai i ke kahe ʻana. ʻO kahi kiʻekiʻe ma mua o ka helu platelet maʻamau i kapa ʻia ʻo thrombositosis. Hiki i kēia ke hana i kou kōkuʻu koko ma mua o kāu e pono ai. Hiki ke weliweli i nā kahe koko no ka mea hiki iā lākou ke pale i ke kahe o ke koko.

Nā hoʻāʻo papa platelet e hōʻoia i ka hiki i kāu platelet ke hana i nā clots. Pākuʻi ʻia nā hana papa Platelet:

  • Wā panina. Ana kēia hōʻike i ka manawa no nā platelet i kahi hāpana koko e kuʻi i kahi puka liʻiliʻi i kahi ʻōpala liʻiliʻi. Kōkua ia i ka pale no nā maʻi platelet like ʻole.
  • ʻO Viscoelastometry. Ana kēia ho'āʻo i ka ikaika o kahi kōkuʻu koko i kona ʻano. Pono ka ikaika o ke koko e hoʻopau i ke kahe ʻana o ke koko.
  • ʻO ka hōʻuluʻulu platelet. ʻO kēia kahi hui o nā hoʻokolohua e hoʻohana ʻia e ana i ka maikaʻi o ka hoʻopili ʻana o nā platelet (hōʻuluʻulu).
  • Lumiaggregometry. Ana kēia hōʻike i ka nui o nā kukui i hana ʻia ke hoʻohui ʻia kekahi mau mea i kahi hāpana koko. Hiki iā ia ke kōkua e hōʻike inā aia nā hemahema i nā platelet.
  • Kahe cytometry. ʻO kēia kahi ho'āʻo e hoʻohana i nā laser e nānā i nā protein i ka ʻili o nā platelet. Hiki ke kōkua i ke kuhi ʻana i nā maʻi platelet hoʻoilina. He hōʻike loea kēia. Loaʻa wale ia ma kekahi mau haukapila a me nā hale hana.
  • Ka wā koko. Ana kēia hōʻike i ka nui o ka manawa no ke kahe ʻana o ke kahe ʻana ma hope o ka hana ʻoki liʻiliʻi ʻana i ka forearm. Hoʻohana ʻia ia i kahi manawa e pale no nā ʻano maʻi platelet. I kēia manawa, hoʻohana pinepine ʻia nā hoʻokolohua hana platelet ʻē aʻe. Hāʻawi nā hōʻike hou i nā hopena hilinaʻi hou aʻe.

Nā inoa ʻē aʻe: helu platelet, helu thrombocyte, hōʻike platelet function, platelet function assay, platelet hōʻuluʻulu haʻawina.


No ke aha lākou e hoʻohana ai?

Hoʻohana pinepine ʻia kahi helu platelet e nānā a ʻike ai paha i nā kūlana e kumu ai ka nui o ke kahe ʻana o ke kō a i ʻole ka nui o ka hoʻopili ʻana. Hiki ke hoʻopili ʻia kahi helu platelet i kahi helu piha o ke koko, kahi hōʻike e hana pinepine ʻia ma ke ʻano he mahele o ka hōʻoia maʻamau.

Hiki ke hoʻohana ʻia nā hoʻāʻo papa platelet i:

  • Kōkua e hōʻoia i kekahi mau maʻi platelet
  • E nānā i ka hana platelet i ka wā o nā kaʻina hana maʻalahi, e like me ka bypass cardiac and trauma trauma ʻO kēia ʻano o nā kaʻina hana i hoʻonui i ka makaʻu o ke kahe ʻana i ke kahe.
  • E hōʻoia i nā mea maʻi ma mua o ke kaha ʻana, inā he pilikino a ʻohana paha kā lākou o nā maʻi kahe
  • Nānā i ka poʻe e lawe nei i ka lahilahi o ke koko. Hāʻawi ʻia kēia mau lāʻau e hoʻoliʻiliʻi i ka hōʻuluʻulu ʻana i ka poʻe i ka makaʻu no ka hōʻeha puʻuwai a i ʻole ka hahau.

No ke aha wau e pono ai i kahi hōʻike platelet?

Pono ʻoe i ka helu platelet a me / a i ʻole ka pāhana hoʻokolohua hoʻokolohua inā loaʻa iā ʻoe nā ʻōuli o ka loaʻa he nui a i ʻole ka nui o nā platelet.

ʻO nā ʻōuli o kekahi mau platelet liʻiliʻi:


  • ʻO ke kahe lōʻihi ʻana ma hope o kahi ʻoki liʻiliʻi a hōʻeha paha
  • Nā Nosebleeds
  • ʻĀpala ʻaʻano ʻole
  • E kuhikuhi i nā kiko ʻulaʻula i ka ʻili, i ʻike ʻia ʻo petechiae
  • ʻO nā kiko purplish ma ka ʻili, ʻike ʻia ʻo purpura. Hoʻokumu ʻia kēia mau mea e ke kahe ʻana o ke kahe ma lalo o ka ʻili.
  • Nā wā kaumaha a me / a i hoʻolōʻihi ʻia paha

ʻO nā ʻōuli o ka nui o nā platelet penei:

  • Numbness o nā lima a me nā wāwae
  • ʻEha poʻo
  • Puʻupuʻu
  • Nawaliwali

Pono paha ʻoe e hōʻoia i ka hana platelet inā ʻoe:

  • Ke hele nei i kahi ʻoki paʻakikī
  • Lawe i nā lāʻau e hōʻemi i ka hoʻopili ʻana

He aha ka hana i ka wā o kahi hōʻike platelet?

Hana ʻia ka hapa nui o nā hōʻike platelet ma kahi hāpana koko.

I ka wā o ka hoʻokolohua, e lawe kahi loea mālama ola i kahi laʻana koko mai kahi aa i loko o kou lima, e hoʻohana ana i kahi nila liʻiliʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.


Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no kahi hōʻike helu platelet

Inā ʻoe e kiʻi nei i kahi hoʻāʻo papa platelet, pono paha ʻoe e hōʻoki i ka lawe ʻana i kekahi mau lāʻau, e like me aspirin a me ibuprofen, ma mua o kāu hoʻāʻo. E haʻi aku kāu mea mālama ola iā ʻoe inā aia kekahi ʻōlelo kūikawā e ukali ai.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Inā hōʻike kāu mau hopena i kahi haʻahaʻa ma mua o ka helu platelet maʻamau (thrombositopenia), hōʻike paha ia:

  • ʻO kahi maʻi ʻaʻai e hoʻopili i ke koko, e like me leukemia a i ʻole lymphoma
  • ʻO kahi maʻi viral, e like me mononucleosis, hepatitis, a me ka maʻi ʻula
  • He maʻi maʻi autoimmune. He maʻi kēia e hoʻouka ai i ke kino e hoʻouka i kāna mau mea olakino ponoʻī, i hiki ke hoʻopili ʻia me nā platelet.
  • ʻO ka maʻi a hōʻino paha i ka momona o ka iwi
  • Cirrhosis
  • Ka nele o ka Vitamin B12
  • ʻO thrombositopenia gestational, kahi ʻano maʻamau, akā akahai, haʻahaʻa haʻahaʻa e hoʻopili ana i nā wahine hāpai. ʻAʻole ʻike ʻia e hōʻeha i ka makuahine a i kāna pēpē i hānau ʻole ʻia. Maikaʻi mau iā ia iho i ka wā o ka hāpai ʻana a ma hope paha o ka hānau ʻana.

Inā hōʻike kāu mau hualoaʻa i kahi kiʻekiʻe ma mua o ka helu platelet maʻamau (thrombositosis), hōʻike paha ia:

  • ʻO kekahi ʻano o ka maʻi ʻaʻai, e like me ka maʻi ʻaʻa maʻi a i ʻole ka maʻi ʻaʻai umauma
  • Anemia
  • Maʻi maʻi ʻōpū
  • Rheumatoid arthritis
  • ʻO kahi maʻi viral a bacteria paha

Inā ʻaʻole maʻamau kāu mau hopena hōʻike platelet, manaʻo paha ia he hoʻoilina hoʻoilina i loaʻa mai a loaʻa mai paha iā ʻoe. Ua hoʻoili ʻia nā maʻi hoʻoilina mai kou ʻohana. Aia nā kūlana i ka wā hānau, akā ʻaʻohe ou mau ʻōuli a hiki i kou ʻelemakule ʻana. ʻAʻole loaʻa nā maʻi loaʻa i ka wā hānau. Hoʻokumu ʻia lākou e nā maʻi ʻē aʻe, nā lāʻau, a i ʻole hōʻike ʻia i ke kaiapuni. I kekahi manawa ʻaʻole maopopo ke kumu.

ʻO nā maʻi platelet i hoʻoilina ʻia me:

  • ʻO ka maʻi ʻo Von Willebrand, kahi maʻi genetical e hōʻemi ana i ka hana ʻana i nā platelet a i ʻole ke kumu o ka hana pono ʻana o nā platelet. Hiki iā ia ke kumu i ke kahe ʻana o ke kahe.
  • ʻO Glanzmann's thrombasthenia, kahi maʻi e hoʻopili i ka hiki i nā platelet ke hui pū
  • ʻO Bernard-Soulier syndrome, kahi maʻi ʻē aʻe e hoʻopili i ka hiki i nā platelet ke hui pū pū
  • ʻO ka maʻi mālama wai, kahi ʻano e hoʻopili i ka hiki i nā platelet ke hoʻokuʻu i nā mea i kōkua i ka hoʻopili pū ʻana o nā platelet

Loaʻa nā maʻi platelet i loaʻa i nā maʻi maʻi e like me:

  • Hewa ʻole nā ​​hakuʻala
  • Kekahi ʻano o ka leukemia
  • Myelodysplastic Syndrome (MDS), kahi maʻi o ka iwi iwi

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻokolohua hana platelet?

Hana ʻia nā hōʻike platelet me kekahi a ʻoi paha o nā hōʻike koko hou aʻe:

  • Hōʻaʻo koko MPV, kahi e ana ai i ka nui o kāu platelet
  • Hōʻike thromboplastin manawa (PTT) hōʻike, kahi e ana ai i ka manawa o ke kō ʻana o ke koko
  • ʻO ka Prothrombin manawa a me ka hoʻāʻo INR, kahi e nānā ai i ka hiki i ke kino ke hana i nā huʻa koko

Nā kūmole

  1. Ke Kalinika ʻo Cleveland [Pūnaewele]. Cleveland (OH): Ke Kula Nui ʻo Cleveland; c2020. Thrombocytopenia: Nānā Overview; [i helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 3 pale]. Loaʻa mai: https://my.clevelandclinic.org/health/diseases/14430-thrombositopenia
  2. ʻO ClinLab Navigator [Pūnaewele]. ʻO ClinLab Navigator; c2020. Pākuʻi Launch Platelet; [i helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 2 pale]. Loaʻa mai: http://www.clinlabnavigator.com/platelet-unction-screen.html
  3. ʻO Gernsheimer T, ʻo James AH, ʻo Stasi R. Pehea wau e mālama ai i ka thrombocytopenia i ka hāpai ʻana. Koko. [Pūnaewele]. 2013 Jan 3 [helu ʻia 2020 Nov 20]; 121 (1): 38-47. Loaʻa mai: https://pubmed.ncbi.nlm.nih.gov/23149846
  4. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Nā maʻi kīnā nui loa; [hōʻano hou ʻia 2019 Oct 29; helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/conditions/excessive-clotting-disorder
  5. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Myelodysplastic Syndrome; [hoʻohou 2019 Nov 11; helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/conditions/myelodysplastic-syndrome
  6. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Wahi Thromboplastin Wā (PTT, aPTT); [hōʻano 2020 Sep 22; helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/partial-thromboplastin-time-ptt-aptt
  7. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Heluna pāluna; [hōʻano 2020 ʻAkake 12; helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/platelet-count
  8. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Nā Hōʻoia ʻĀina Platelet; [hōʻano 2020 Sep 22; helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/platelet-function-tests
  9. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Ka Manawa Prothrombin a me ka Ratio Normalized International (PT / INR); [hōʻano 2020 Sep 22; helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/prothrombin-time-and-international-normalized-ratio-ptinr
  10. MFM [Pūnaewele] Nu Ioka: Nā Hana Hoʻoiho Fetal Maternal; c2020. Thromocytopenia a me ka hāpai keiki; 2017 Feb 2 [helu ʻia 2020 Nov 20]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mfmnyc.com/blog/thrombocytopenia-during-pregnancy
  11. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [i helu ʻia 2020 ʻOkakopa 25]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
  12. NIH National Human Genome Research Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā maʻi kūlohelohe; [hōʻano hou ʻia 2018 Mei 18; helu ʻia 2020 Nov 20]; [ma kahi o 3 pale]. Loaʻa mai: https://www.genome.gov/For-Patients-and-Families/Genetic-Disorders
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  19. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2020. Thrombositopenia: Nānā Overview; [hōʻano 2020 Nov 20; helu ʻia 2020 Nov 20]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/thrombocytopenia

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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