Nā platelet haʻahaʻa: he aha ka mea e hiki ai a he aha hoʻi e hana ai

Anter

• Nā hōʻailona nui
• He aha ia
• 1. Ka luku ʻia ʻana o nā pā
• 2. Ka nele o ka folic acid a i ʻole ka wikamina B12
• 3. Hoʻololi i ka momona o ka iwi
• 4. Nā pilikia i ka hana o ka mahuna
• 5. Nā kumu ʻē aʻe
• He aha e hana ai i ka hihia o nā platelet haʻahaʻa
• Pehea e hana ai i ka lāʻau

ʻO Thrombocytopenia, a i ʻole thrombositopenia, kūlike i ka emi o ka helu o nā platelet i loko o ke koko, kahi kūlana e hoʻopilikia ai i ka ʻōpala ʻana, a hiki ke hana i nā ʻōuli e like me nā ʻulaʻula a poni paha i ka ʻili, nā gum a me ka ihu, a me ka mimi ʻulaʻula, no ka laʻana.

ʻO nā platelet nā mea pono o ke koko no ka hoʻopili ʻana, kōkua i ka hōʻeha ʻana i ka ʻeha a me ka pale ʻana i ke kahe. Eia nō naʻe, aia kekahi mau hanana i hiki ke hōʻemi i ka nui o nā platelet, e like me nā maʻi, e like me dengue, hoʻohana ʻana i nā lāʻau, e like me heparin, nā maʻi e pili ana i ka pale ʻana, e like me ka thrombositopenic purpura a me ka maʻi ʻaʻai hoʻi.

ʻO ka mālama ʻana i nā platelet haʻahaʻa e pono e hana ʻia e like me kā lākou kumu, e ka mea hana maʻamau a i ʻole hematologist, a he mea pono wale nō paha e kaohi i ke kumu, ka hoʻohana ʻana i nā lāʻau a i ʻole, i nā hihia koʻikoʻi loa, ka transfusion o nā platelet.

E ʻike i nā hoʻololi platelet nui ʻē aʻe a me nā mea e hana ai.

Nā hōʻailona nui

Haʻahaʻa nā platelet ke emi ka helu o ke koko ma mua o 150,000 mau hunaola / mm blood o ke koko, a, i ka hapa nui o nā hihia, ʻaʻohe kumu. Eia nō naʻe, he ʻoi aku ka nui o ke kahe o ke kanaka i ke kahe, a me nā ʻōuli e like me:

• Pākuʻi poni a ʻulaʻula paha i ka ʻili, e like me nā ʻeha a me nā ʻūlū.
• Pepeiao koko;
• Kahe mai ka ihu;
• Mimi koko;
• ʻO ke kahe ʻana i ka pahu;
• Menstruation nui loa;
• ʻO nā maʻi hōʻeha paʻakikī e kaohi.

Hiki ke ʻike ʻia kēia mau ʻōuli i kēlā me kēia kanaka me nā platelet haʻahaʻa, akā ʻoi aku ka nui o ka wā ke haʻahaʻa loa lākou, e like me ma lalo o 50,000 mau huna / mm³ o ke koko, a i ʻole ke pili ʻia me kekahi maʻi ʻē aʻe, e like me dengue a i ʻole cirrhosis, ka mea e hōʻino ai i ka hoʻopili ʻana o ke koko. koko.

ʻO kekahi o nā maʻi e pili pinepine ʻia me ka hoʻēmi platelet ka thrombocytopenic purpura. E ʻike he aha kēia maʻi a pehea e mālama ai.

He aha ia

Hana ʻia nā platelet i loko o ka iwi iwi, a noho no 10 mau lā, no ka mea ke hoʻololi mau nei lākou iā lākou iho. ʻO nā kumu e hoʻopilikia i ka helu o nā platelet i ke koko.

1. Ka luku ʻia ʻana o nā pā

Hiki i kekahi mau hanana ke hana i nā platelet e noho i ke kahe o ke koko no ka liʻiliʻi o ka manawa, kahi e hoʻemi ai i kā lākou helu. ʻO kekahi o nā kumu nui:

• Nā maʻi virus, e like me dengue, Zika, mononucleosis a me HIV, no ka laʻana, a i ʻole nā ​​bacteria, e pili ana i ke ola ʻana o nā platelet ma muli o nā loli o ka pale o ke kanaka;
• Hoʻohana o kekahi mau hoʻoponopono, e like me Heparin, Sulfa, anti-inflammatory, anti-convulsant a me nā lāʻau antihypertensive, ʻo kahi laʻana, no ka mea hiki iā lākou ke kumu i nā hopena e luku i nā platelet;
• Nā maʻi maʻi autoimmune, hiki ke hoʻomohala i nā hopena e hoʻouka a hoʻopau i nā platelet, e like me lupus, immune a me thrombotic thrombositopenic purpura, hemolytic-uremic syndrome a me hypothyroidism, no ka laʻana.

Hoʻokumu nā maʻi palekana i kahi hōʻemi ʻoi aku ka nui a hoʻomau o ka hōʻemi ʻana i nā platelet ma mua o ka hoʻohana ʻana i nā lāʻau a me nā maʻi. Hoʻohui ʻia, loaʻa i kēlā me kēia kanaka kahi ʻano ʻokoʻa, i loli e like me ka pale o ke kino a me ka pane ʻana, no laila he mea maʻamau ke ʻike i ka poʻe me nā platelet liʻiliʻi ma kekahi mau hihia o ka dengue ma mua o nā mea ʻē aʻe, no ka laʻana.

2. Ka nele o ka folic acid a i ʻole ka wikamina B12

Pono nā mea e like me ka folic acid a me ka huaʻai B12 no ka hematopoiesis, ʻo ia ke kaʻina o ke kūkulu ʻana o ke koko. Eia nō naʻe, hiki i ka nele o ka folic acid a i ʻole ka wikamina B12 ke alakaʻi i ka hōʻemi ʻana i nā hana o nā ʻulaʻula, nā aʻa koko keʻokeʻo a me nā platelet. Kūleʻa kēia mau hemahema i nā vegans me ka ʻole o ka nānā pono ʻana i ka meaʻai, ka poʻe ʻai ʻole, nā mea ʻalekohola a me nā kānaka me nā maʻi e hana i ke kahe huna, e like me ka ʻōpū a me ka ʻōpū.

Eia kekahi ʻōlelo aʻoaʻo no ka mea e ʻai ai e hōʻalo ai i ka hemahema o ka folic acid a me ka huaʻai B12.

3. Hoʻololi i ka momona o ka iwi

ʻO kekahi mau hoʻololi i ka hana o ke kuamoʻo e hoʻoliʻiliʻi i ka hana ʻana o nā platelet, i hiki ke hana ʻia no kekahi mau kumu, e like me:

• Maʻi maʻi iwi, e like me ka anemia aplastic a i ʻole myelodysplasia, no ka laʻana, kahi e hoʻemi ai i ka hana a hana hewa paha o nā hunaola koko;
• Nā maʻi pūpū iwi, e like me ka maʻi HIV, Epstein-Barr virus a me ka moa;
• ʻO ke kanesa e pili ana i ka momona o ka iwi, e like me leukemia, lymphoma a metastases paha, no ka laʻana;
• ʻO Chemotherapy, radiation radiation a i ʻole ke hōʻike ʻana i nā mea ʻona i ka iwi kuamoʻo, e like me ke kēpau a me ke alumini;

He mea maʻamau ia, i kēia mau hihia, aia pū kekahi me ka anemia a me ka hōʻemi ʻana o nā hunaola keʻokeʻo i ka hoʻāʻo ʻana o ke koko, ʻoiai ke kuleana o ka iwi iwi no ka hana ʻana i nā ʻāpana koko. E hōʻoia he aha nā hōʻailona o ka leukemia a i ka manawa hea e manaʻo ai.

4. Nā pilikia i ka hana o ka mahuna

ʻO ke koʻo no ke kāpae ʻana i nā hunaola koko kahiko, e like me nā platelet, a inā hoʻonui ʻia, e like me nā maʻi e like me ka cirrhosis ate, sarcoidosis a me amyloidosis, no ka laʻana, aia paha he hoʻopau ʻia o nā platelet e ola mau ana., i kahi nui ma luna o ka maʻamau.

5. Nā kumu ʻē aʻe

I ke alo o nā platelet haʻahaʻa me ka ʻole o kahi kumu i wehewehe ʻia, he mea nui e noʻonoʻo e pili ana i kekahi mau hanana, e like me ke kuhi hopena o ke keʻena hoʻokolohua, e like me ka hōʻiliʻili ʻana o ka platelet i ka paipu hōʻiliʻili koko, no ka loaʻa o kahi reagent i ka paipu, a he mea nui e hana hou i ka hoʻokolokolo ma kēia mau hihia.

Hiki i ka wai ʻona ke hana i ka hoʻoliʻiliʻi o nā platelet, e like me ka inu ʻana i ka waiʻona, a he mea ʻawaʻawa hoʻi i nā hunaola koko, e hoʻopili pū i ka hana ʻana o ka iwi iwi.

I ka hāpai ʻana, hiki i ka thrombocytopenia physiological ke kū, ma muli o ka dilution o ke koko ma muli o ka paʻa ʻana o ka wai, ka mea maʻa mau, a hoʻonā kū hoʻokahi ma hope o ka hānau.

He aha e hana ai i ka hihia o nā platelet haʻahaʻa

I ke alo o kahi thrombositopenia i ʻike ʻia ma ka hoʻāʻo, he mea nui e mālama i nā makaʻala e pale i ka hopena o ke kahe ʻana o ke kahe, e like me ka hōʻalo ʻana i nā hana ikaika a i ʻole ka hoʻopili ʻana i nā haʻuki, ka hōʻalo ʻana i ka inu waiʻona a me ka hoʻohana ʻole ʻana i nā lāʻau e hoʻopili i ka hana o nā platelet a hoʻonui paha ke kahe ʻana i ke kahe, e like me aspirin, anti-inflammatories, anticoagulants a me ginkgo-biloba, no ka laʻana.

Pono e hoʻokūpaʻa i ka mālama ʻana inā aia nā platelet ma lalo o 50,000 a / mm³ i loko o ke koko, a hopohopo ia ma lalo o 20,000 mau huna / mm³ i loko o ke koko, pono ka hoʻokipa no ka nānā ʻana i kekahi mau hihia.

Pono e kaulike maikaʻi ka papaʻai, waiwai i nā cereala, nā huaʻai, nā lau a me nā ʻino wīwī, e kōkua ai i ke kūkulu ʻia ʻana o ke koko a me ka hoʻōla hou ʻana o nā meaola.

ʻAʻole pono ka transfusion platelet i nā manawa a pau, no ka mea me ka mālama a me ka mālama ʻana, hiki i ke kanaka ke ola a ola maikaʻi paha. Eia nō naʻe, hiki i ke kauka ke hāʻawi i nā kulekele ʻē aʻe ke hiki i ke kahe o ke kahe, ke pono e hana i kekahi ʻano o ke ʻoki ʻana, ke hiki nā platelet ma lalo o 10,000 mau huna / mm³ i loko o ke koko a i ʻole aia lākou ma lalo o 20,000 a / mm³ i loko o ke koko akā i ka wā wela a pono paha no ka chemotherapy, no ka laʻana.

Pehea e hana ai i ka lāʻau

Ma hope o ka hoʻoholo ʻana i ke kumu o ka haʻahaʻa o nā platelet, e kuhikuhi ʻia kāu lapaʻau ʻana, e like me ka ʻōlelo aʻoaʻo a ka lāʻau, a hiki iā:

• Haʻalele kumu, e like me nā lāʻau, ka mālama ʻana i nā maʻi a me nā maʻi, a i ʻole ka hōʻemi ʻana i ka waiʻona, ka mea e hoʻāla ai i nā platelet liʻiliʻi;
• Hoʻohana o nā corticosteroids, nā steroid a i ʻole nā ​​pale pale pale, ke pono ia e mālama i kahi maʻi autoimmune;
• Wehe ʻoki ʻana o ka lūlū, ʻo ia ka splenectomy, ke koʻikoʻi ka thrombocytopenia a hoʻokumu ʻia e ka hoʻonui ʻana i ka hana spleen;
• Kānana koko, i kapa ʻia he pānaʻi o ka plasma a plasmapheresis paha, kahi ʻano kānana o kahi ʻāpana o ke koko i loaʻa nā mea ʻino a me nā mea e hōʻino ana i ka hana o ka pale a me ke kahe o ke koko, i hōʻike ʻia i nā maʻi e like me thrombotic thrombositopenic, hemolytic-uremic syndrome, no ka laʻana .

I ka hihia o ka maʻi ʻaʻai, hana ʻia ka lapaʻau no ke ʻano a me ke koʻikoʻi o kēia maʻi, me ka chemotherapy a i ʻole ka hoʻoneʻe iwi o ka iwi e laʻa me.