E ʻike kākou e pili ana i kāu helu platelet? Nā ʻano like ʻole a me nā mea e ʻike ai

Ua ʻike anei ʻoe i kahi waiwai i kapa ʻia ʻo 'PLT' ke nānā ʻoe i kahi hōʻike Full Blood Count? A i ʻole ua loaʻa iā ʻoe kahi ʻeha liʻiliʻi e hoʻoulu ai i kahi palapū nui, a i ʻole ke kahe ʻana o ke koko i ka wā e palaki ai i kou mau niho? Hiki i kēia mau mea āpau ke pili i kahi hui liʻiliʻi o nā cell i loko o kou koko i kapa ʻia he platelets. Ua kapa ʻia hoʻi lākou he thrombocytes. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia mau platelets a me ka mea e hana ʻia ke haʻahaʻa loa lākou.

No laila, he aha kēia mau platelets?

I ka ʻōlelo maʻalahi, he mau ʻāpana liʻiliʻi nā platelets i loko o ko kākou koko i hana ʻia i loko o ko kākou iwi iwi. ʻO kā lākou hana nui ka hoʻōki ʻana i ke kahe ʻana o ke koko ke ʻeha mākou. E noʻonoʻo pehea e pau ai kou koko ma hope o kekahi manawa pōkole ke ʻoki ʻoe i kou lima. I kēlā manawa, hele mai kēia mau platelets e like me nā koa, hui pū e hana i kahi ʻūpā koko, a sila i ka ʻeha. Ua like ia me kahi hui o nā mīkini liʻiliʻi e wikiwiki ana e hoʻoponopono i kahi paipu haki.

Pehea e ana ʻia ai ka helu o nā platelet?

Ana ʻia ka helu platelet me kahi hoʻāʻo koko maʻamau. Ana ʻia kēia ma ka hoʻāʻo Complete Blood Count (CBC) a mākou e hana mau ai. Hiki i kēia ke nānā i ka helu o nā platelet i loko o ke koko me nā keʻokeʻo koko a me nā keʻokeʻo koko ʻulaʻula.

E nānā kākou i ka nui o ka helu platelet maʻamau i loko o ke koko o ke kanaka olakino.

E kamaʻilio kākou e pili ana i nā platelets haʻahaʻa (Thrombocytopenia)

Inā emi ka helu o kou platelet ma mua o 150,000, kapa nā kauka i kēia maʻi he thrombocytopenia. ʻO kēia ka manawa ʻaʻole lawa kāu platelets e hoʻōki ai i ke kahe ʻana o ke koko ma hope o kahi ʻeha.

He aha nā hōʻailona?

I kekahi manawa, ʻaʻole paha e hōʻike ka emi iki ʻana o nā platelets i kekahi mau hōʻailona. Eia nō naʻe, ke emi nui ka helu, e ʻike paha ʻoe i nā mea e like me:

• ʻEha maʻalahi: ʻOiai he puʻupuʻu iki hiki ke hana i nā ʻeha polū/poni nui.
• Ke kahe koko paʻakikī e hoʻōki: Ke kahe koko ʻana o nā ʻāʻī i ka wā e palaki ai i kou mau niho, ke kahe pinepine ʻana o ka ihu, ke kahe koko lōʻihi mai kahi ʻeha liʻiliʻi.
• Ke kahe koko kūloko: Koko i loko o ka mimi, koko i loko o ka ʻōpala (ʻeleʻele paha ka ʻōpala), koko i loko o ka luaʻi (e like paha me ka lepo kofe).
• Nā kiko ʻulaʻula ma ka ʻili: Nā kiko ʻulaʻula pālahalaha liʻiliʻi loa (petechiae) i hoʻokumu ʻia e ke kahe ʻana o ke koko mai nā kīʻaha koko ma lalo o ka ʻili.
• Nā kiko poni ma ka ʻili: Nā kiko poni nui, ʻulaʻula, ʻeleʻele-melemele (Purpura) i hoʻokumu ʻia e ke kahe ʻana o ke koko ma lalo o ka ʻili.
• Ka luhi nui a me ka nāwaliwali.
• Ke kahe koko nui i ka wā o ka menstruation i nā wahine.
• Pehu ʻana o ka spleen a i ʻole ke akepaʻa.

No ke aha e emi ai ke kiʻekiʻe o nā platelets?

ʻEkolu mau kumu nui no nā platelet haʻahaʻa:

1. ʻAʻole lawa ka nui o nā platelet i hana ʻia e ka iwi iwi.

2. Ka luku wikiwiki ʻana a i ʻole ka hoʻohana ʻana o nā platelets e ke kino.

3. Mālama ka spleen i nā platelets a ʻaʻole e hoʻokuʻu iā lākou i ka wā e pono ai.

Eia kekahi o nā maʻi a me nā kumu e hiki ai ke hoʻoulu i kēia mau kūlana:

• Nā maʻi iwi ʻiʻo: Nā maʻi laha ʻole e like me Aplastic Anemia, nā maʻi ʻaʻai koko e like me Leukemia a i ʻole Lymphoma.
• Nā lāʻau lapaʻau no ke kanesa: Hiki i ka chemotherapy a me ka radiation therapy ke hōʻino i ka iwi ʻiʻo.
• Nā hemahema o ka wikamina: Ke haʻahaʻa ka wikamina B12 a me ka folate, lilo ia i mea paʻakikī no ka iwi iwi ke hana i nā platelets.
• Nā kūlana Autoimmune: I nā maʻi e like me Lupus a me Rheumatoid Arthritis, hoʻouka hewa ka ʻōnaehana pale o ke kino a luku i kāna mau platelets ponoʻī.
• Nā maʻi: Nā maʻi viral e like me ka HIV, Hepatitis C, a me kekahi mau maʻi bacteria.
• ʻO kekahi mau lāʻau lapaʻau:ʻO kekahi mau lāʻau lapaʻau, e like me Heparin a me Quinine, hiki ke hoʻopau i nā platelet.
• Nā maʻi e like me ka cirrhosis o ke akepaʻa: Hiki i kēia ke hoʻoulu i ka pehu ʻana o ka spleen a me ka paʻa ʻana o nā platelets i loko.
• Ka inu nui ʻana i ka waiʻona.
• Kekahi mau ʻoki kino nui: Eia kekahi laʻana, ʻoki kino puʻuwai.

E aʻo pū kākou e pili ana i ka hoʻonui ʻia ʻana o nā platelets (Thrombocythemia/Thrombocytosis)

He pilikia nō hoʻi ka helu platelet ma luna o 450,000. Hiki i kēia ke alakaʻi i ka hoʻokumu ʻia ʻana o nā clots koko i makemake ʻole ʻia . Hiki i kēia mau clots koko ke paʻa i loko o nā kīʻaha koko a hoʻoulu i nā kūlana weliweli e like me ka hōʻeha puʻuwai, ka hahau ʻana, a me ka pulmonary embolism.

ʻElua ʻano o kēia ʻano:

• ʻO ka Thrombocythemia Mua: Hoʻokumu ʻia kēia e ka hana ʻano ʻē o nā platelets i loko o ka iwi iwi. ʻO ka maʻamau, hoʻokumu ʻia kēia e nā loli genetic.
• ʻO ka Thrombocytosis Lua: ʻO kēia ke ʻano maʻamau o ka thrombocytosis, kahi e hoʻoulu ʻia ai ka iwi iwi e hana i nā platelets hou aʻe ma muli o kekahi maʻi ʻē aʻe (e.g., ka maʻi, ka hemahema hao).

ʻIke pinepine ʻia nā hōʻailona i ke kahua mua. Eia nā hiʻohiʻona:

• ʻUlaʻula, kuni, a me ka maneʻo i nā lima a me nā wāwae.
• ʻEha ka umauma.
• ʻEha poʻo, poniuniu, nāwaliwali.
• Nā loli i ka ʻike.
• Ke kahe ʻana o ke koko (ʻoiai he nui nā platelets, i kekahi manawa ʻaʻole lākou e hana pono).

He aha ka mea e hana ai inā haʻahaʻa nā platelets?

ʻO ka lāʻau no nā platelets haʻahaʻa e pili ana i ke kumu a me ke koʻikoʻi o nā hōʻailona. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa.

• Ke mālama ʻana i ke kumu: Inā he lāʻau lapaʻau ke kumu o ka helu platelet haʻahaʻa, hiki ke hoʻōki i kēlā lāʻau lapaʻau a hiki ke hāʻawi ʻia kekahi. Inā he hemahema i ka hao a i ʻole nā ​​​​huaʻai, hiki ke hāʻawi ʻia nā mea hoʻohui.
• Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me 'Corticosteroids' (e.g. Prednisone) e hoʻonui i ka helu platelet, nā lāʻau lapaʻau e like me 'Eltrombopag' a me 'Romiplostim' e hoʻonui i ka hana ʻana o nā platelet i loko o ka iwi iwi, a me nā lāʻau lapaʻau e like me 'Immunoglobulin' e pale aku i ke kino mai ka luku ʻana i nā platelet.
• Ke kahe koko a i ʻole ka platelet: Inā he kahe koko a inā haʻahaʻa loa ka pae platelet, hiki ke hana ʻia kahi hoʻoili platelet waho.
• Splenectomy: Inā ʻaʻole holomua nā lāʻau ʻē aʻe a ke luku nei ka spleen i nā platelets, hiki i kāu kauka ke ʻōlelo aku i ka wehe ʻana i ka spleen .