Ke ʻōlelo nei ʻoe he haʻahaʻa kou mau platelets? (Thrombocytopenia) E ʻike kākou i ke ʻano o kēia.

Ua lohe paha ʻoe i ke kauka e nānā ana i kahi hōʻike hoʻāʻo koko a ʻōlelo mai, "Ua haʻahaʻa iki kou mau platelets ." A i ʻole ua makaʻu paha ʻoe i ka wā ʻaʻole hiki iā ʻoe ke hoʻōki i ke kahe ʻana o ke koko mai kahi ʻoki liʻiliʻi. ʻO kēia emi ʻana o ka helu o nā platelets i loko o ke koko ka mea a mākou e kapa nei he Thrombocytopenia i ka lāʻau lapaʻau. Mai makaʻu. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.

No ke aha e emi ai nā platelets koko penei?

I ka ʻōlelo maʻalahi, ʻo nā platelets kahi ʻano o nā cell liʻiliʻi e kōkua i ko mākou koko e hoʻopili . Hana ʻia lākou i loko o ka iwi iwi i loko o ko mākou mau iwi. E noʻonoʻo i ko mākou iwi iwi e like me kahi hale hana e hana ai i nā platelets. Aia ʻelua mau kumu nui e hiki ai ke hana ʻia kēia ʻano. ʻO ka emi ʻana o ka hana ʻana o kēia hale hana. A i ʻole, ua luku koke ʻia nā platelets i hana ʻia i loko o ke kino.

I kēia manawa, e nānā kākou i nā kumu ma hope o kēia. E nānā kākou i kēia papa e hoʻomaopopo pono ai i kēia.

Ma waho aʻe o kēia mau kumu, i kekahi manawa hiki i kēia mau platelets ke paʻa a hōʻiliʻili i loko o ka spleen , kahi ʻōkana i loko o ko mākou kino. Eia kekahi, i ka wā hāpai, hiki ke loaʻa kēia ʻano no kekahi manawa no ka mea ua wehe ʻia nā platelets o kekahi mau wahine mai ko lākou kino ma mua o ka maʻamau.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka helu platelet haʻahaʻa i kekahi mau hōʻailona. Akā inā loaʻa nā hōʻailona, ​​ʻo nā mea nui ka kahe koko a me ka palapū. Hiki paha iā ʻoe ke ʻike i nā kiko liʻiliʻi, ʻulaʻula a poni paha ma kou ʻili. Ua kapa ʻia kēia mau mea he petechiae .

He mau kahe koko kēia e hiki ke hana i loko a i waho paha o ke kino. I kekahi manawa hiki ke kaumaha kēia kahe koko a paʻakikī ke hoʻōki.

Eia kekahi, hiki ke ʻike ʻia kēia mau ʻano:

• Ke kahe ʻana o ke koko mai nā ʻāʻī a i ʻole ka ihu.
• Koko i loko o ka mimi a i ʻole ka ʻōpala.
• Ka nui o ke kahe koko i ka wā o ka menstruation i nā wahine.
• ʻEha poʻo .
• Ka luhi pinepine a me ka luhi .
• Melemele o ka ʻili a me nā maka (jaundice).
• Pehu ʻana o ka spleen.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i kāu kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a me nā hōʻailona o kēia manawa. A laila e nānā ʻo ia i kou kino a nānā i nā palapū, petechiae, a me nā hōʻailona o ka maʻi, e like me ke kuni a me nā ʻeha ʻili.

A laila, e noi ʻia ʻoe e hana i kahi hoʻāʻo koko, ʻo ia hoʻi, he helu koko piha. ʻO ka maʻamau, he 150,000 a me 450,000 mau platelets i kēlā me kēia microliter o ke koko i loko o ke kanaka olakino. Inā hāʻule kēia helu ma lalo o 50,000, piʻi ka pilikia o ke kahe ʻana o ke koko.

I ka hapanui o nā hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea koko (hematologist). Eia kekahi, e noi ʻia paha ʻoe e hana i kekahi mau hoʻokolohua ʻē aʻe.

• Hoʻāʻo koko: ʻO kēia kahi e nānā ʻia ai ke ʻano a me ke olakino o kāu mau platelets ma lalo o kahi microscope.
• Hoʻāʻo ʻiʻo iwi: ʻAe kēia iā ʻoe e nānā hohonu i nā ʻano o nā cell i loko o ka iwi a me ko lākou olakino.
• Nā hoʻāʻo koko: Nā hoʻāʻo kūikawā e nānā inā ke hana pono nei ke kaʻina hana koko.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO kēia ka mea e pono ai kākou e makaʻala nui ai.

• Inā hāʻule kāu helu platelet ma lalo o 50,000, hiki i kahi ʻeha liʻiliʻi ke hoʻoulu i ke kahe koko nui.
• Inā hāʻule kēia helu ma lalo o 30,000, hiki i kahi hanana liʻiliʻi i manaʻo ʻole ʻia ke hoʻokahe koko nui.
• Inā hāʻule ka helu o kāu platelet ma lalo o 10,000, hiki iā ʻoe ke hoʻomaka e kahe koko i loko o kou kino, me ka ʻole o ka ʻeha. He mea kākaʻikahi loa, hiki ke alakaʻi i nā kūlana hoʻoweliweli i ke ola, e like me ke kahe koko i loko o ka lolo. No laila he mea nui e ʻimi i ke kōkua lapaʻau no kēia kūlana.

He aha nā lāʻau lapaʻau no kēia?

Hoʻokumu ʻia ka lāʻau lapaʻau ma muli o ka helu o kāu platelet a me ke kumu i hoʻokumu ai.

• Inā ʻaʻole haʻahaʻa loa kou helu platelet, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. Na kāu kauka e nānā iā ia.
• I kekahi manawa, hoʻi ka helu platelet i ka maʻamau ke pau ke kumu. Eia kekahi laʻana, inā ua hoʻoholo ʻia he lāʻau lapaʻau ke kumu o ka pilikia, e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kēlā lāʻau.

Eia nō naʻe, i nā hihia koʻikoʻi (thrombocytopenia koʻikoʻi), hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā lāʻau steroid: Inā ma muli kēia o kahi pilikia me ka ʻōnaehana pale, hāʻawi ʻia kēia mau lāʻau e pale i ke kino mai ka luku ʻana i kāna mau platelets ponoʻī.
• IVIG (Intravenous Immune Globulin): Hāʻawi ʻia kēia lāʻau inā ʻaʻole hiki iā ʻoe ke lawe i nā steroids, a inā pono ʻoe e hoʻonui koke i kāu helu platelet.
• Ke kahe koko a i ʻole ka platelet:Ke hāʻawi ʻana i ke koko a i ʻole nā ​​platelets mai ke kanaka olakino i ke kino.
• Splenectomy: Inā ʻaʻole hiki i nā lāʻau ʻē aʻe ke kaohi i ke kūlana, ua wehe ʻia ke ʻoki ʻana i ka spleen, ka mea e hoʻopau ai i nā platelets.
• Nā lāʻau lapaʻau ʻē aʻe: Inā ʻaʻole kēia mau lāʻau lapaʻau e kāohi i ke kūlana, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau kikoʻī ʻē aʻe, e like me eltrombopag (Promacta, Revolade) a i ʻole romiplostim (Nplate).

He aha ka mea e hiki ke hana ʻia e pale aku ai i ke kahe ʻana o ke koko?

Inā haʻahaʻa kou pae platelet, e mālama i kēia mau mea e pale ai i ke kahe ʻana o ke koko.

• Mai lawe i nā lāʻau ʻeha e like me ka aspirin a me ka ibuprofen, ka mea e hoʻopilikia ai i ke kāpili ʻana o ke koko, me ka ʻole o ke aʻo ʻana a kāu kauka.
• E hōʻemi i ka inu ʻana i ka waiʻona. Hiki i ka waiʻona ke hoʻonui i ke kahe koko.
• E noho mamao aku mai nā haʻuki pili i hiki ke hōʻeha, e like me ka pôpeku, ka mokomoko, a me ka rugby, no kekahi manawa.
• I ka palaki ʻana i kou mau niho, e hoʻohana i ka pulupulu niho palupalu e pale ai i ka hōʻino ʻana i kou mau ʻāʻī.
• E kau mau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa. Inā ʻoe e hana ana me nā mīkini, e kau i nā mīkina lima palekana a me nā maka aniani.