Ua haʻahaʻa kou mau platelets koko? E aʻo pono kākou e pili ana i ka thrombocytopenia!

I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hele mai me kahi huaʻōlelo weliweli iki, akā hiki ke mālama maikaʻi ʻia inā ʻike pono ʻia ʻoe. ʻO ia ka Thrombocytopenia . Malia paha ʻaʻole ʻoe i lohe i kēia inoa ma mua. A i ʻole ua haʻi aku kekahi kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pili ana i ia mea. He aha kēia Thrombocytopenia i kapa ʻia he ʻano ʻē? No ke aha e hana ai kēia? He mea weliweli anei? Pono e noʻonoʻo ʻia nā nīnau he nui e like me ia. No laila, e kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maopopo a me ka maʻalahi, e like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ka thrombocytopenia?

I ka ʻōlelo maʻalahi, ʻo ka thrombocytopenia ka wā he emi iho nā platelets i loko o kou koko ma mua o ka mea e pono ai. I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha kēia mau platelets?" Mai hopohopo, e kamaʻilio pū mākou e pili ana i kēlā.

E noʻonoʻo i kēia ʻano: ua like ko mākou kino me kahi hale hana nui. Aia nā ʻano limahana like ʻole ma kēia hale hana no nā hana like ʻole. Pēlā nō, aia nā ʻano ʻokoʻa o nā cell i loko o ko mākou koko, kēlā me kēia me kahi hana kikoʻī. ʻO nā platelets koko kekahi o ia mau hui o nā limahana kūikawā.

No laila, ke hāʻule ka helu platelet ma lalo o ka pae i koi ʻia, kapa mākou ia he Thrombocytopenia. Ua like ia me ka wā e emi ana nā kiaʻi palekana ma kahi hana, hiki i nā pilikia liʻiliʻi ke lilo i mea nui.

He aha nā platelets? He aha kā lākou hana?

ʻO nā platelets, a i ʻole e like me kā mākou e kapa aku nei iā lākou , nā platelets, he mau ʻāpana liʻiliʻi a ʻaʻohe kala i loko o ko mākou koko. Hana ʻia lākou ma ka ʻāpana palupalu o ko mākou mau iwi i kapa ʻia ʻo ka iwi iwi . E noʻonoʻo i ka iwi iwi e like me kahi hale hana koko. ʻO ia kahi e hana ʻia ai nā ʻāpana koko ʻulaʻula (nā ʻāpana e hāʻawi i ke koko i kona kala ʻulaʻula a lawe i ka oxygen), nā ʻāpana koko keʻokeʻo (nā ʻāpana e pale iā mākou mai nā maʻi), a me nā platelets.

No laila, ʻoiai he liʻiliʻi lākou, hana nui nā platelets. ʻO kā lākou hana nui ka hoʻōki ʻana i ke kahe ʻana o ke koko, ʻo ia hoʻi, ke kāpili ʻana i ke koko. Ke ʻeha ʻoe i kekahi wahi, pau ke kahe ʻana o ke koko ma hope o kekahi manawa, ʻeā? ʻĀ, kōkua kēia mau platelets koko i kēlā. Hele mai lākou i kahi i ʻeha a pili pū, e like me ka pā, a hoʻōki lākou i ke koko mai ke kahe ʻana i waho.

No laila, loaʻa iā ʻoe ka manaʻo, ʻeā? He ʻāpana koʻikoʻi loa nā platelets o ko mākou kino e kāohi ana i ke kahe ʻana o ke koko, e hana ana e like me nā "plasters" liʻiliʻi.

No ke aha e kū mai ai ka Thrombocytopenia? He aha nā kumu?

ʻAe, i kēia manawa ua ʻike mākou ʻo ka thrombocytopenia ka emi ʻana o nā platelets. Akā no ke aha e hana ʻia ai penei? Hiki ke loaʻa kekahi mau kumu no kēia. E hoʻokaʻawale kākou iā lākou i ʻekolu mau ʻano nui:

1. Ua emi ka hana ʻana o ka platelet mai ka iwi iwi

Inā ʻaʻole hana pono kā mākou hale hana platelet, ʻo ka iwi iwi, hiki ke emi ka nui o nā platelet i hana ʻia. Hiki ke hana ʻia kēia e:

• ʻO kekahi mau maʻi viral (e.g., ua lohe paha ʻoe e emi ana nā platelets ke loaʻa iā ʻoe ka maʻi dengue).
• ʻO kekahi mau lāʻau lapaʻau (ʻoi aku ka chemotherapy).
• Ka nele o ka huaora B12 a i ʻole ka waikawa folic.
• Nā maʻi e hoʻopilikia ai i ka iwi ʻiwi (e.g., Leukemia , Aplastic Anemia ).
• Ka inu nui ʻana i ka waiʻona.

2. Ka luku wikiwiki ʻana o nā platelets (ka haki nui ʻana)

I kekahi manawa, ʻoiai ke hana maikaʻi nei ka iwi iwi i nā platelets, ua luku koke ʻia lākou i loko o ke kino. E like me kekahi mau waiwai i hana maikaʻi ʻia e haki ana i ka wā e lawe ʻia ana. ʻO nā kumu no kēia:

• Nā maʻi o ka ʻōnaehana pale: I kekahi manawa, hoʻomaka hewa ka ʻōnaehana pale ponoʻī o ko mākou kino (ʻōnaehana pale) e luku i kāna mau platelets ponoʻī. Ua kapa ʻia kēia ʻo `(Immune Thrombocytopenic Purpura - ITP)`. Hiki ke ʻike ʻia kēia i nā keiki ʻōpio.
• Ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau (e.g. heparin).
• Kekahi mau maʻi lele.
• Hiki i kekahi poʻe ke ʻike i ka emi iki ʻana o ka helu platelet i ka wā hāpai, akā ʻaʻole ia he maʻi koʻikoʻi.

3. Hōʻiliʻili nā platelets ma kahi hoʻokahi o ke kino (ʻoi aku hoʻi ma ka spleen)

He ʻōkana ko ko kākou kino i kapa ʻia ʻo ka spleen. Aia ia ma ka ʻaoʻao hema o ka ʻōpū. ʻO kekahi o nā hana a ka spleen, ʻo ia ke wehe ʻana i nā hunaola koko kahiko. Eia nō naʻe, i kekahi manawa inā e hoʻonui ʻia ka spleen (no ka laʻana, i nā maʻi e like me ka cirrhosis o ke akepaʻa), hiki iā ia ke hōʻiliʻili i nā platelets he nui loa, hiki ke hoʻohaʻahaʻa i ka helu platelet i loko o ke koko.

Pehea ʻoe e ʻike ai inā he thrombocytopenia kou? He aha nā hōʻailona?

Ke haʻahaʻa nā platelets, emi iho ko lākou hiki ke hoʻōki i ke kahe ʻana o ke koko, no laila e ʻike ʻia nā ʻano hōʻailona like ʻole. Eia naʻe, ʻaʻole loaʻa kēia mau hōʻailona i nā kānaka a pau. ʻAʻole paha e hōʻike kekahi poʻe i kekahi mau hōʻailona ʻoiai inā haʻahaʻa iki ko lākou helu platelet. Eia naʻe, inā e emi nui ka helu platelet, e ʻike paha ʻoe i nā mea e like me:

• ʻO ka palapū maʻalahi: ʻOiai kahi palapū liʻiliʻi hiki ke hana i kahi palapū nui a ʻeleʻele. I kekahi manawa, ʻike ʻia nā kiko polū ma ke kino.
• Nā kiko ʻulaʻula/poni liʻiliʻi ma ka ʻili (petechiae): He mau kiko koko liʻiliʻi kēia e like me ka mea i hou ʻia me kahi lāʻau liʻiliʻi a ʻaʻole e lilo i keʻokeʻo ke kaomi ʻia. ʻIke pinepine ʻia lākou ma nā wāwae.
• ʻĀʻī koko: ʻĀʻī koko, inā paha i ka wā e palaki ai i kou mau niho a i ʻole ke kū mālie ʻoe.
• Ka kahe pinepine ʻana o ke koko ihu.
• He lōʻihi ka manawa e oki ai ke kahe ʻana o ke koko ma hope o kahi ʻeha.
• Ka nui o ke kahe koko i ka wā o ka menstruation i nā wahine.
• I ka manawa pinepine ʻole, aia paha ke koko i loko o ka mimi a i ʻole ka ʻōpala.
• I nā hihia koʻikoʻi loa (he mea kākaʻikahi ia), hiki ke loaʻa nā kūlana weliweli e like me ke kahe ʻana o ke koko i loko o ka lolo.

He mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he thrombocytopenia kou. Eia nō naʻe, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.

Pehea ʻoe e ʻike ai inā he thrombocytopenia kou? (Diagnosis)

Ke hele ʻoe i ke kauka, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe (ʻoi aku hoʻi no kekahi ʻeha a ʻulaʻula paha). A laila e kauoha paha lākou i nā hoʻokolohua e like me kēia e hoʻoholo ai inā he thrombocytopenia kou a, inā pēlā, he aha ke kumu:

• Helu Koko Piha (CBC): ʻO kēia ka hoʻāʻo koʻikoʻi loa. Ana ia i ka helu o nā ʻulaʻula, nā keʻokeʻo, a ʻo ka mea nui loa, nā platelets i loko o kou koko. ʻO ka helu platelet maʻamau i loko o ke kanaka olakino ma waena o 150,000 a me 450,000 no ka milliliter o ke koko. ʻO ka Thrombocytopenia ka wā e hāʻule ai kēia helu ma lalo o 150,000.
• ʻO ka hoʻāʻo ʻana i ke koko peripheral: Ma kēia, lawe ʻia kahi kulu koko a nānā ʻia ma lalo o kahi microscope e ʻike i ke ʻano o nā platelets a me ko lākou nui.
• Nā hoʻokolohua hou aʻe: Inā ua hōʻoia ʻia ka thrombocytopenia, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe e ʻike i ke kumu. Eia kekahi laʻana:
• Nā hoʻāʻo no nā maʻi viral.
• Nā hoʻokolohua e pili ana i ka ʻōnaehana pale (e nānā i kahi kūlana e like me ITP).
• Inā pono, hiki ke hana ʻia kahi ʻimi ʻana/biopsy o ka iwi . Pili kēia i ka lawe ʻana i kahi hāpana o ka iwi me kahi nila liʻiliʻi a hoʻāʻo iā ia e ʻike inā e hana pono ana ka iwi i nā platelets. Hana pinepine ʻia kēia i nā hihia paʻakikī.

He aha nā lāʻau lapaʻau no ka thrombocytopenia?

ʻO ka mālama ʻana no ka thrombocytopenia e pili ana i ke kumu o ka helu platelet haʻahaʻa, ka haʻahaʻa o ka helu platelet, a me ke koʻikoʻi o kāu mau hōʻailona.

• Ke mālama ʻana i ke kumu: I kekahi manawa, ke mālama ʻia ke kumu nui o ka thrombocytopenia, e hoʻi hou ka helu platelet i ka maʻamau. No ka laʻana, inā ua hoʻohaʻahaʻa ka lāʻau i ka helu platelet, hiki ke kōkua ka hoʻōki ʻana i ka lāʻau. Inā he nele i ka huaora, hiki ke kōkua ka lawe ʻana i nā pila huaora.
• ʻO ka Thrombocytopenia ʻoluʻolu: Inā ʻaʻole haʻahaʻa loa kāu helu platelet, a ʻaʻohe ou hōʻailona nui, ʻaʻole pono ʻoe i kekahi lāʻau lapaʻau kūikawā. E haʻi aku kāu kauka iā ʻoe e hana i nā hoʻāʻo koko maʻamau (nānā ʻana).
• Lapaʻau no ka ITP (Immune Thrombocytopenic Purpura):
• Nā Steroid: Hoʻemi kēia i ka hana o ka ʻōnaehana pale e luku ai i nā platelets.
• Intravenous Immunoglobulin (IVIG): Hoʻopilikia pū kēia i ka ʻōnaehana pale a hōʻemi i ka luku ʻia ʻana o nā platelets.
• Nā lāʻau lapaʻau ʻē aʻe e hoʻopau ana i ka pale ʻana.
• I kekahi mau hihia koʻikoʻi, hiki ke hana ʻia kahi splenectomy , ʻoiai ʻo ka spleen ke kahua nui o ka luku ʻia ʻana o ka platelet.
• Hoʻoili ʻana o nā platelet: Inā haʻahaʻa loa ka helu o nā platelet a aia ka pilikia o ke kahe ʻana o ke koko, hiki ke hāʻawi ʻia nā platelet ma waho. Eia nō naʻe, he hopena manawa pōkole kēia.

Mea nui: Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono iā ʻoe, no laila he mea nui loa e hahai i nā ʻōlelo a kāu kauka.

He aha nā mea e pono ai i kekahi kanaka me ka thrombocytopenia ke ʻike?

Inā loaʻa iā ʻoe ka thrombocytopenia, he mea maikaʻi e mālama i kēia mau mea e hōʻemi ai i kou pilikia o ke kahe ʻana o ke koko:

• E pale i nā haʻuki a me nā hana e hiki ai ke hōʻeha: E noho mamao mai nā haʻuki e pili ana i ka hoʻopā ʻana (e like me ka rugby, ka mokomoko).
• E akahele i ka hoʻohana ʻana i nā mea ʻoi: E akahele loa i ka hoʻohana ʻana i nā mea e like me nā pahi a me nā ʻūpā.
• E hoʻohana i kahi palaki niho palupalu i ka wā e palaki ai i kou mau niho. E pale i ka hōʻeha ʻana i kou mau ʻāʻī.
• Mai lawe i kekahi mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka: Mai lawe i nā lāʻau hoʻokahe koko, ʻoiai ʻo ka aspirin a i ʻole ibuprofen, me ka ʻole o ka ʻae ʻia e kāu kauka. Hoʻonui kēia i ka pilikia o ke kahe ʻana o ke koko.
• E hōʻemi a hoʻōki loa paha i ka inu ʻana i ka waiʻona.
• E pale i ka paʻa ʻana o ka ʻōpū: E ʻai i nā meaʻai kiʻekiʻe i ka fiber (nā mea kanu, nā huaʻai) a inu i ka wai he nui, no ka mea, hiki i ka paʻa ʻana ke hoʻoheheʻe i ke koko i ka wā e hoʻoluhi ai.
• E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe ke kahe koko ʻē, nā ʻeha poʻo nui, a i ʻole nā ​​​​hōʻailona hou ʻē aʻe.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻOiai hiki ke hoʻoweliweli ka inoa thrombocytopenia, he kūlana ia e hiki ke mālama maikaʻi ʻia inā ʻoe e ʻike, e ʻike i ke kauka i ka manawa kūpono, a loaʻa ka lāʻau kūpono.

E hoʻomanaʻo:

* ʻO ka Thrombocytopenia ka emi ʻana o nā platelets i loko o ke koko.

* He mau ʻāpana liʻiliʻi o nā platelets e kōkua i ka hoʻōki ʻana i ke kahe ʻana o ke koko.

* Nui nā kumu no kēia.

* Inā ʻike ʻoe i nā hōʻailona e like me ka polū maʻalahi a i ʻole ke kahe ʻana o ke koko i nā ʻāʻī, e ʻike i ke kauka.

* Hiki ke ʻike maʻalahi i kēia me kahi hoʻāʻo koko i kapa ʻia ʻo CBC.

* Pili ka lāʻau lapaʻau i ke kumu a me ke koʻikoʻi o ke kūlana.

No laila, inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kahi pilikia e like me kēia, mai hopohopo, mai hopohopo, a e ʻimi i ke aʻo lapaʻau. ʻO ka ʻike kūpono ka pale maikaʻi loa!

thrombocytopenia, thrombocytopenia, nā platelets koko, nā platelets, ke kahe ʻana o ke koko, ka iwi ʻiʻo, nā hōʻailona platelet haʻahaʻa, nā kumu o nā platelets haʻahaʻa