Ua haʻahaʻa kou mau platelets koko? E aʻo kākou e pili ana i ka thrombocytopenia ma nā ʻōlelo maʻalahi!

He lōʻihi ka manawa e pau ai ke kahe ʻana o ke koko ke loaʻa iā ʻoe kahi ʻoki liʻiliʻi? A i ʻole e polū wale ʻoe a hana i nā palapū me ka ʻole o ka pā ʻana i kekahi mea ma kou kino? Inā ua hana ʻia kēia iā ʻoe, malia paha no ka mea he haʻahaʻa kou helu platelet . Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano ʻo Thrombocytopenia (puana ʻia ʻo "thrombo-cyto-penia"). Mai hopohopo, e mālama mākou i nā mea āpau i maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka Thrombocytopenia?

Ma waho aʻe o nā hunaola koko ʻulaʻula a me nā hunaola koko keʻokeʻo , aia i loko o ko kākou koko kekahi ʻano hunaola kūikawā ʻē aʻe, i kapa ʻia ʻo nā platelets . ʻO kā lākou hana nui ke kōkua i ka hoʻōki ʻana i ke kahe ʻana o ke koko ke hōʻeha ʻia kākou. I mea e pololei ai, hana lākou i kahi ʻūpā koko a hoʻōki i ke kahe ʻana o ke koko.

I kēia manawa, ʻo ka Thrombocytopenia ka wā i emi ai ka nui o nā platelets i loko o ko kākou koko ma mua o ka nui e pono ai. Hana ʻia kēia mau mea e ko kākou iwi iwi . No laila, inā ʻaʻole lawa ka nui o nā platelets i ka iwi iwi, a inā paha e luku koke ʻia nā platelets i hana ʻia, hiki ke hana ʻia kēia ʻano. Hiki ke hana ʻia kēia e nā mea e like me kekahi mau maʻi a me nā lāʻau lapaʻau.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, he nui ka poʻe i loaʻa i kēia maʻi ma kahi pae iki loa. ʻAʻole paha lākou e ʻike ua loaʻa iā lākou no ka mea ʻaʻohe o lākou mau hōʻailona nui. No laila, paʻakikī ke ʻōlelo pololei i kona ʻano maʻamau.

Eia nō naʻe, ua ʻike ʻia kekahi maʻi pili, ʻo Immune Thrombocytopenia , e hoʻopilikia ana ma kahi o 3-4 o 100,000 mau keiki a me nā pākeke. Eia kekahi, ma kahi o 5% o nā wahine hāpai e loaʻa paha ka thrombocytopenia iki ma mua koke o ka hānau ʻana.

He aha nā pilikia e hiki ke kū mai ma muli o ka thrombocytopenia?

ʻO ka helu platelet haʻahaʻa loa hiki ke alakaʻi i nā kūlana weliweli.

• Ke kahe koko nui i loko o ke kino: Hiki ke kahe koko mai nā wahi e like me ka ʻōpū a me nā ʻōpū. ʻOi aku ka weliweli o ke kahe koko i loko o ka lolo. Hiki i kēia ke lilo i mea hoʻoweliweli i ke ola.
• Hoʻouka puʻuwai: ʻO ka emi ʻana o nā platelets koko e hiki ke hōʻemi i ka nui o ke koko e kahe ana i ka puʻuwai, e hoʻonui ana i ka pilikia o ka hoʻouka puʻuwai.

He aha nā pae maʻamau a me nā pae haʻahaʻa o nā platelets koko?

Inā ʻoe e nānā i kāu hōʻike koko, e ʻike ʻoe e papa inoa ana i kāu helu platelet. E nānā kākou i nā pae maʻamau a me nā pae haʻahaʻa.

Loaʻa iā ʻoe kēia mau hōʻailona? Nā hōʻailona o ka thrombocytopenia

ʻAʻole paha e loaʻa i ka poʻe me ka hemahema platelet iki kekahi mau hōʻailona. Eia nō naʻe, i ka wā e ʻike ʻia ai nā hōʻailona, ​​ʻo kekahi o nā mea mua āu e ʻike ai, ʻo ia ka paʻakikī o ka hoʻōki ʻana i ke kahe ʻana o ke koko mai kahi ʻoki liʻiliʻi a i ʻole ke kahe ʻana o ka ihu. Eia kekahi mau hōʻailona ʻē aʻe.

• ʻĀʻī koko: E ʻike paha ʻoe i ke koko ma kāu palaki niho i ka wā e palaki ai i kou mau niho. Hiki ke ʻike ʻia kou mau ʻāʻī e pehu ana.
• Koko i loko o ka noho: Hiki i ka noho ke lilo i ʻeleʻele loa.
• Koko i loko o ka mimi: Inā he ʻulaʻula māmā ka wai i loko o ka lua ma hope o ka mimi ʻana, aia paha no ka mea he koko i loko o ka mimi.
• Ka luaʻi ʻana i ke koko: ʻO ke ʻano kēia he kahe koko ma ka ʻaoʻao o luna o kou ʻōpū.
• Ke kahe koko nui i ka wā o ka menstruation: Inā ʻoi aku ka lōʻihi o kou wā mahina ma mua o 7 mau lā, a inā ʻoi aku kou kahe koko ma mua o ka maʻamau, he hōʻailona paha ia.
• Nā Petekia:Ua like ia me kahi ʻulaʻula o nā kiko liʻiliʻi ʻulaʻula/poni ma nā wāwae, ʻoi aku hoʻi ma ka ʻāpana ʻūhā.
• Purpura: Nā kiko ʻulaʻula, poni, a ʻeleʻele paha ma ka ʻili. Hoʻokumu ʻia kēia e ke kahe ʻana o ke koko mai nā kīʻaha koko liʻiliʻi ma lalo o ka ʻili.
• Nā palapū: Loaʻa nā palapū ke hōʻiliʻili ke koko ma lalo o ka ʻili. E ʻike paha ʻoe ua ʻoi aku ka maʻalahi o kou palapū ma mua o ka maʻamau.
• Ke kahe koko ʻana o ka rectal: E ʻike paha ʻoe i ke koko ma ka lua a i ka wā e hoʻomaʻemaʻe ana paha.

No ke aha e emi ai nā platelets koko penei? He aha nā kumu?

Hiki ke puʻunaue ʻia nā kumu o nā platelets koko haʻahaʻa i ʻekolu mau ʻāpana nui.

1. ʻAʻole lawa nā platelets i hana ʻia e kou iwi iwi: Hiki ke hana kēia i nā maʻi kanesa koko e like me ka leukemia a i ʻole lymphoma.

2. ʻOiai inā lawa nā platelets i hana ʻia e ka iwi iwi, ua luku koke ʻia a hoʻopau ʻia paha: Ma muli o kekahi mau maʻi, pau koke ka nui o nā platelets i hana ʻia.

3. Ka paʻa ʻana o nā platelets i loko o ka spleen: ʻO ka maʻamau, mālama ko mākou spleen i kahi hapakolu o ko mākou mau platelets koko. Eia nō naʻe, i kekahi mau hihia, mālama ia i ka nui o nā platelets.

Kekahi mau kumu kikoʻī

• Nā maʻi Autoimmune: I nā maʻi e like me ka Immune Thrombocytopenia (ITP) a me Lupus, hoʻouka a luku kā mākou ʻōnaehana pale ponoʻī i nā platelets koko.
• Nā maʻi ʻaʻai koko: ʻO nā maʻi e like me ka leukemia a me ka lymphoma hiki ke hōʻino i ka iwi iwi a hoʻōki iā ia mai ka hana ʻana i nā platelets koko.
• Nā lāʻau lapaʻau no ke kanesa: Hiki i ka Chemotherapy a me ka radiation therapy ke hoʻopau i nā hunaola kumu i lilo i platelets.
• ʻO kekahi mau maʻi koko: I nā kūlana e like me ka Thrombotic Thrombocytopenic Purpura (TPP), hana ʻia nā ʻōpū koko liʻiliʻi ma ke kino holoʻokoʻa, e hoʻopau koke ana i nā platelets.
• Nā maʻi: Hiki i nā maʻi bacteria a me nā viral ke hana i kahi helu platelet haʻahaʻa.
• Ka inu nui ʻana i ka waiʻona: Hoʻolohi ka waiʻona i ka hana ʻana o nā platelets koko.
• Nā kemika ʻawahia: Hiki ke hoʻopilikia ʻia ka ʻike ʻana i nā mea e like me ka arsenic, benzene, a me nā pesticides.
• ʻO kekahi mau lāʻau lapaʻau: ʻO nā lāʻau antibiotic, nā lāʻau epilepsy, nā lāʻau maʻi puʻuwai, a me nā lāʻau hoʻokahe koko e like me ka heparin hiki ke hana i kēia.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe i ke kauka, e nānā mua ʻo ia iā ʻoe. E nānā ʻo ia no nā palapū, nā kiko, a pēlā aku. E nīnau pū ʻo ia e pili ana i kou mōʻaukala olakino a me nā lāʻau lapaʻau āu e lawe nei. A laila e noi paha ʻo ia iā ʻoe e hana i kekahi mau hoʻokolohua e like me kēia.

• Helu Koko Piha (CBC): He hoʻāʻo koko maʻamau kēia. Nānā ia i ka helu o nā platelets, nā hunaola koko ʻulaʻula, a me nā hunaola koko keʻokeʻo i loko o kou koko.
• ʻO ka Smear Koko Peripheral: Pili kēia i ka nānā ʻana i kāu mau platelets koko ma lalo o kahi microscope.
• Nā hoʻāʻo koko: Ke ana kēia i ka lōʻihi o ke koko e koko ai (e like me nā hoʻāʻo PTT a me PT).
• Biopsy o ka iwi iwi: Inā hōʻike nā hoʻokolohua koko ua haʻahaʻa loa kāu mau platelets a ʻaʻole maopopo ke kumu, hiki i kāu kauka ke hoʻoholo e lawe i kahi ʻāpana liʻiliʻi o kou iwi iwi no ka hoʻāʻo ʻana.

He aha nā lāʻau lapaʻau no kēia?

Inā ʻaʻole kāu helu platelet haʻahaʻa e hoʻoulu ai i kekahi mau pilikia nui, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. ʻO ka hapa nui o ka manawa, e mālama nā kauka i ke kumu kumu o ke kūlana. No ka laʻana, inā ua hoʻokumu ʻia e kahi lāʻau lapaʻau āu e lawe nei, hiki paha iā lākou ke hoʻololi i kēlā lāʻau lapaʻau.

ʻO nā lāʻau lapaʻau ʻē aʻe:

• Nā Steroid: Hiki i kēia mau lāʻau ke hoʻonui i ka hana ʻana o nā platelet koko.
• Hoʻoili Koko: Inā haʻahaʻa loa kou pae platelet, hiki ke hāʻawi ʻia iā ʻoe ke koko (platelets) e hoʻonui i kou pae platelet no kekahi manawa.
• Splenectomy: Inā hōʻike nā hoʻokolohua e ālai ana kou spleen i nā platelets he nui, hiki i kāu kauka ke ʻōlelo aku i ka wehe ʻana i kou spleen ma ke ʻoki kino. Eia nō naʻe, ʻoiai ʻo ka wehe ʻana i ka spleen e hoʻonui i kou pilikia o ka maʻi, pono ʻoe e loaʻa i ka lāʻau pale e pale aku iā ʻoe iho mai ia mea.

Nā mea e noʻonoʻo ai i ka wā e noho ai me kēia maʻi

Inā loaʻa iā ʻoe ka thrombocytopenia, he mea nui loa ia e hana i kekahi mau hoʻololi liʻiliʻi i kou nohona.

• Ke ʻano ola kino olakino: Inā ʻoe e puhipaka, e hoʻōki. Inā ʻoe e inu waiʻona, e kaupalena iā ia. E mālama i ke olakino niho maikaʻi, no ka mea hiki ke hoʻokahe i ke koko o nā niho a me nā ʻāʻī.
• Mai lawe i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka: Loaʻa i kekahi mau lāʻau ʻeha (e like me ibuprofen, aspirin) nā waiwai hoʻomāmā koko. Mai lawe i nā lāʻau ʻeha, nā mea hoʻohui, a i ʻole nā ​​​​mea kanu me ka ʻole o ka nīnau mua ʻana i kāu kauka.
• E hōʻalo i nā hana e hiki ai ke hoʻoulu i ka ʻeha a me ke kahe ʻana o ke koko: ʻOi aku ka maikaʻi o ka pale ʻana i nā haʻuki pili e like me ka rugby a me ka pôpeku. E nīnau i kāu kauka e pili ana i nā hoʻomaʻamaʻa palekana i kūpono iā ʻoe.
• E hele palekana: E kau mau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa.
• E hoʻomaopopo i kāu mau kauka: Inā ʻoe e hana ʻia ana i kekahi ʻoki kino a i ʻole ka unuhi ʻana i ka niho, e hoʻomaopopo mua i ke kauka he thrombocytopenia kou a me nā lāʻau lapaʻau āu e lawe nei.

ʻO ka Thrombocytopenia, ka helu platelet haʻahaʻa, ke kahe ʻana o ke koko, ka ʻeha ʻana, ka petechiae, ka purpura, ka hoʻāʻo CBC sinhala, ka iwi ʻai, ka spleen, ka splenectomy, Sri Lanka