He haʻahaʻa kou mau platelets? E kamaʻilio kākou e pili ana i ka Thrombocytopenia ma nā huaʻōlelo maʻalahi.

ʻOi aku ka lōʻihi o ka manawa ma mua o ka maʻamau no kahi ʻoki liʻiliʻi e hoʻōki ai i ke kahe ʻana o ke koko? A i ʻole ke kahe nei kou mau ʻāʻī ke palaki ʻoe i kou mau niho? Malia paha he mau palapū kou ma kou kino ʻaʻole i ʻike ʻia he kumu o kekahi mea. He mau hōʻailona paha kēia o ka emi ʻana o ka helu o nā platelets i loko o kou kino. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he Thrombocytopenia. ʻOiai ke kani ʻē paha ka inoa, he ʻano maʻamau kēia i waena o mākou. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia Thrombocytopenia e hoʻopilikia ana i nā poʻe he nui akā ʻaʻole i ʻike nui ʻia. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.

I ka ʻōlelo maʻalahi, he aha ka Thrombocytopenia?

ʻAe, e hoʻomaopopo mua kākou i ke ʻano o nā platelets. E noʻonoʻo he mau ʻāpana liʻiliʻi o ka 'plaster' e holo ana a puni i loko o kou kino. Ua kapa ʻia kēia mau mea he platelets. Hana ʻia lākou i loko o ko kākou iwi iwi. ʻO kā lākou hana nui, ʻo ia ka hōʻuluʻulu koke ʻana ma kahi o kahi ʻeha a hana i kahi ʻūpā koko e hoʻōki i ke kahe ʻana o ke koko. Ua like ia me ke pani ʻana i kahi lua i loko o ka paia.

ʻO ka Thrombocytopenia ka wā e emi ai ka helu o nā platelets i loko o kou koko ma mua o ka maʻamau. He aha ka mea e hana ʻia ke hana ʻia kēlā? ʻAʻole lawa ka 'plaster' e hoʻōki ai i ke kahe ʻana o ke koko. No laila, hiki i kahi ʻeha liʻiliʻi ke kahe nui ke koko, a hiki ke lōʻihi ka manawa e hoʻōki ai i ke kahe ʻana o ke koko.

ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia ʻano e kekahi ʻano olakino ʻē aʻe, e like me ka maʻi autoimmune, a i ʻole he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a mākou e lawe ai. ʻO ka mea maikaʻi loa, ke ʻike ʻia ke kumu, hiki ke mālama ʻia a hiki ke hoʻihoʻi ʻia ka helu platelet i ka maʻamau.

Pehea e ana ʻia ai ka helu platelet koko? Nā pae maʻamau a me nā pae ʻē aʻe

Ke hana mākou i kahi hoʻāʻo koko (Full Blood Count), hiki iā mākou ke ʻike i ka helu pololei o nā platelets. ʻO ka maʻamau, he 150,000 a 450,000 platelets i kēlā me kēia microliter o ke koko o kahi pākeke olakino. I ka thrombocytopenia, emi kēia helu. Hoʻokaʻawale mākou i ke koʻikoʻi o ke kūlana e like me ka nui o ka emi ʻana.

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka poʻe me ka hemahema iki i nā hōʻailona nui. Akā i ka wā e hiki ai i kahi pae koʻikoʻi, pono mākou e makaʻala.

Pehea e ʻike ai inā he thrombocytopenia kou? E makaʻala i kēia mau hōʻailona

ʻAʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona ʻoiai inā he haʻahaʻa iki ka helu platelet o lākou. Akā i ka wā e ʻike ʻia ai nā hōʻailona, ​​​​​​hiki iā lākou ke komo pū me: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo.

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

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

1. ʻAʻole lawa ka hana ʻana o nā platelets e ka iwi iwi: Aia kahi pilikia me ka iwi iwi, ʻo ia hoʻi kā mākou 'hale hana platelet', e hōʻemi ana i ka hana ʻana.

2. Ua luku ʻia a hoʻohana ʻia paha nā platelets i hana ʻia i loko o ke kino: Hana maikaʻi ka hale hana, akā ua haki koke nā platelets i hana ʻia no kekahi kumu.

3. Ka paʻa ʻana o nā platelet i loko o ka spleen: ʻO ka spleen kahi ʻōkana aia ma ka ʻaoʻao hema o luna o ko kākou ʻōpū. I kekahi manawa paʻa ia i nā platelet he nui ma mua o ka mea e pono ai, e pale ana iā lākou mai ka hoʻokuʻu ʻia ʻana i loko o ke koko.

I kēia manawa, e nānā kākou i nā kumu kikoʻī no kēia.

• Nā Maʻi Autoimmune: ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino a luku i kā mākou mau platelets koko ponoʻī. ʻO nā hiʻohiʻona e komo pū me nā kūlana e like me `(Immune Thrombocytopenia - ITP)`, `(Lupus)`, a me `(Rheumatoid Arthritis)`.
• Nā Maʻi ʻAʻai Koko: ʻO nā maʻi ʻaʻai e like me Leukemia a me Lymphoma hiki ke hōʻino i ka iwi iwi a hōʻemi i ka hana ʻana o nā platelets koko.
• Nā lāʻau lapaʻau no ka maʻi kanesa:ʻO ka chemotherapy a me ka radiation therapy, ka mea e pepehi ai i ka maʻi kanesa, hiki ke hōʻino ʻaʻole wale i nā hunaola kanesa, akā, i nā hunaola olakino hoʻi i loko o ka iwi iwi.
• ʻO kekahi mau maʻi: ʻO nā maʻi viral e like me ka dengue, a me kekahi mau maʻi bacteria, hiki ke hōʻemi i ka helu o nā platelets i loko o ke koko no kekahi manawa.
• Nā lāʻau lapaʻau: ʻO kekahi mau lāʻau antibiotic, nā lāʻau hoʻokahe koko e like me ka heparin, a me nā lāʻau hopu hopu hiki ke hana i nā platelets koko haʻahaʻa ma ke ʻano he hopena ʻaoʻao.
• Ka inu nui ʻana i ka waiʻona: Hoʻemi ka waiʻona i ka hana o ka iwi ʻiʻo a hōʻemi i ka hana ʻana o nā platelet koko.
• Hāpai keiki: Hiki i kekahi mau wahine hāpai ke ʻike i ka emi iki ʻana o nā platelets, ʻoiai kokoke i ka manawa hānau. Hoʻi pinepine kēia i ka maʻamau ma hope o ka hānau ʻana.
• ʻO ka ʻike ʻana i nā kemika ʻawahia: ʻO ka ʻike lōʻihi ʻana i nā mea e like me ka arsenic, benzene, a me nā pesticides hiki ke hana i kēia.

He mea anei kēia e makaʻu ai? Nā pilikia hiki ke loaʻa

Loaʻa i ka hapa nui o nā kānaka ka thrombocytopenia ʻoluʻolu a waena paha. ʻAʻole ia e hōʻeha nui. Eia nō naʻe, inā koʻikoʻi ka helu platelet, ʻo ia hoʻi, inā hāʻule ka helu ma lalo o 20,000, aia kekahi pilikia.

• Ke kahe koko ʻana i loko: ʻO kēia ka pilikia koʻikoʻi loa. Hiki ke kahe koko i loko o ke ala ʻai a i ʻole ka lolo. ʻO ke kahe koko ʻana i loko o ka lolo he kūlana hoʻoweliweli i ke ola e pono ai ke kōkua koke ʻia e ke kauka.
• Hoʻouka puʻuwai: He mea kākaʻikahi loa, hiki i kēia ʻano ke hoʻopilikia i ke kahe o ke koko i ka puʻuwai.

Hiki wale kēia mau mea i nā hihia koʻikoʻi loa. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​ʻo ka ʻike mua ʻana i ke kauka a me ka loaʻa ʻana o ka lāʻau lapaʻau hiki ke pale aku i ia mau kūlana koʻikoʻi.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​nā lāʻau lapaʻau āu e lawe ai, a inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like. A laila e hana ʻo ia i kahi hoʻokolokolo kino e nānā i nā palapū, nā kiko ʻulaʻula, a pēlā aku.

Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona:

• Helu Koko Piha (CBC): ʻO kēia ka hoʻāʻo maʻalahi a koʻikoʻi loa. Hiki iā ia ke nānā ʻaʻole wale i ka helu platelet, akā, i ka helu o nā hunaola koko ʻulaʻula a me nā hunaola koko keʻokeʻo.
• ʻO ka hoʻāʻo ʻana i ke koko peripheral: ʻO kēia ka lawe ʻana i kahi kulu koko a nānā iā ia ma lalo o kahi microscope. Hiki iā ʻoe ke loaʻa kahi manaʻo o ke kūlana o nā platelets ma ka nānā ʻana i ko lākou ʻano a me ka nui.
• Hoʻāʻo ʻana i ke koko paʻa:Nā hoʻokolohua e ana i ka lōʻihi o ke koko e paʻa ai. ʻO `(PT)` a me `(PTT)` ʻelua mau hoʻokolohua like.
• Biopsy Iwi ʻAo: Inā manaʻo kāu kauka ua haʻahaʻa kou helu platelet ma muli o kahi pilikia me kou iwi ʻao, hiki iā lākou ke kauoha i kēia hoʻāʻo. Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ka iwi ʻao mai kou iwi ʻūhā a hoʻāʻo iā ia.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka mālama ʻana ma muli o ka haʻahaʻa o kāu helu platelet a me ke kumu.

Akā inā pono ka lāʻau lapaʻau, hana pinepine ʻia nā mea e like me kēia:

• Ke mālama ʻana i ke kumu kumu: ʻO kēia ka mea nui loa. No ka laʻana, inā haʻahaʻa kāu helu platelet ma muli o kahi lāʻau āu e lawe nei, e hoʻololi kāu kauka i kēlā lāʻau. Inā ma muli o kahi maʻi, e mālama lākou.
• Nā Steroid: Hiki i kēia mau lāʻau lapaʻau ke kāohi i ka hana o ka ʻōnaehana pale i kekahi ʻano a hōʻemi i ka luku ʻia ʻana o nā platelets koko.
• Hoʻoili Koko: Inā haʻahaʻa loa ka helu o kou platelet a aia ʻoe i ka pilikia o ke kahe ʻana o ke koko, hiki iā ʻoe ke loaʻa i kahi hoʻoili platelet waho. Eia nō naʻe, he hopena manawa pōkole kēia.
• Splenectomy: Inā ʻaʻole holo pono nā lāʻau ʻē aʻe a ʻike ʻia ua paʻa ka spleen i kahi nui o nā platelets, hiki i kāu kauka ke hoʻoholo e wehe i ka spleen ma ke ʻoki ʻana. Pono ʻoe e loaʻa i nā lāʻau pale e pono ai ma mua, no ka mea, ʻoi aku ka nui o ka maʻi ma hope o ka wehe ʻana i ka spleen.

Nā mea hiki iā ʻoe ke hana i ka wā e noho ana me ka thrombocytopenia

Inā loaʻa iā ʻoe kēia ʻano, aia kekahi mau mea hiki iā ʻoe ke hana iā ʻoe iho e hōʻemi i ke kahe ʻana o ke koko a me ka ʻeha.

• Mai lawe i nā lāʻau ʻeha me ka ʻole o ke aʻo ʻana a ke kauka: ʻO kekahi mau lāʻau ʻeha, e like me `(Aspirin)` a me `(Ibuprofen),` hiki ke hōʻemi hou i ka hiki ke koko ke kāpili. No laila, e nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau.
• E pale i nā hana e hiki ai ke hōʻeha: ʻOi aku ka maikaʻi o ka noho mamao aku mai nā haʻuki pili e like me ka rugby a me ka pôpeku, a me ka hāpai kaumaha. Akā, hiki iā ʻoe ke kālele i nā hoʻomaʻamaʻa palekana e like me ka ʻauʻau a me ka hele wāwae. E kamaʻilio me kāu kauka e pili ana i kēia a koho i ka mea kūpono iā ʻoe.
• E kaupalena i ka inu ʻana i ka waiʻona: E like me kā mākou i ʻōlelo ai ma mua, hoʻopilikia ka waiʻona i ka hana ʻana o nā platelet. No laila, inā ʻoe e inu i ka waiʻona, e hana pēlā me ka palena iki.
• E akahele i ka palaki ʻana i kou mau niho:E hoʻohana i kahi palaki niho palupalu. E palaki pono i kou mau niho i ʻole e hōʻeha i kou ʻāʻī.
• E hele palekana: E kau mau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa.
• E hoʻomaopopo i nā kauka ʻē aʻe: Inā ʻoe e hele ana i ke kauka niho a i ʻole e hana ʻia ana i kekahi ʻoki kino ʻē aʻe, e hoʻomaopopo pono i kēlā mau kauka he thrombocytopenia kou a me nā lāʻau lapaʻau āu e lawe nei.