Koj puas muaj cov kab mob platelet hauv koj cov ntshav? Cia peb kawm txog Platelet Disorders hauv txoj kev yooj yim!

Koj puas muaj tej qhov mob ntawm koj lub cev? Los yog nws siv sijhawm ntev heev rau qhov ntshav kom tsis txhob los tom qab muaj qhov txiav me me? Tej zaum koj cov pos hniav los ntshav tas li? Tej zaum cov no yuav yog ib qho cim qhia tias muaj teeb meem nrog cov ntshav platelets, ib hom qe me me hauv peb cov ntshav. Hnub no, peb yuav tham txog cov teeb meem platelet no yog dab tsi.

Cov kab mob platelet no yog dab tsi?

Hais yooj yim xwb, cov kab mob platelet yog cov mob uas cuam tshuam rau tus naj npawb ntawm cov platelets hauv koj cov ntshav lossis txoj kev uas lawv ua haujlwm. Zoo, tam sim no koj yuav xav paub tias, "Cov platelets no yog dab tsi?" Cia peb piav qhia qhov ntawd thiab.

Cov platelets yog dab tsi?

Xav txog koj muaj ib qho qhov txhab me me. Cov ntshav tsis ntws tom qab ib pliag, puas yog? Zoo, cov platelets no pab nrog qhov ntawd. Platelets yog cov cell me me heev (zoo li cov cell) hauv peb cov ntshav. Lawv tsim tawm hauv peb cov pob txha. Thaum muaj kev raug mob, cov platelets no los ua ke, kaw qhov txhab thiab tiv thaiv cov ntshav. Nws zoo li ib daim plaster ntuj hauv peb lub cev! Lawv lo ua ke thiab tsim cov ntshav txhaws. Qhov no yog cov txheej txheem tseem ceeb uas tiv thaiv cov ntshav.

Yog li ntawd, cov kab mob platelet yog dab tsi?

Yog li, qhov teeb meem platelet yog qee yam tsis raug nrog cov platelets no. Qhov ntawd txhais tau tias, koj cov platelets yuav qis, lossis siab, lossis txawm tias koj muaj cov platelets kom raug, lawv yuav tsis ua haujlwm zoo. Txawm li cas los xij, nws tuaj yeem ua rau muaj teeb meem los ntshav.

Cov hom kab mob platelet tseem ceeb yog dab tsi?

Muaj peb hom kab mob platelet tseem ceeb:

1. Kab mob ntshav txhaws: Qhov no txhais tau tias cov ntshav platelets hauv koj cov ntshav ntau dua li qub .

2. Thrombocytopenia: Qhov no yog thaum tus naj npawb ntawm cov platelets hauv koj cov ntshav qis dua li qub .

3. Kev ua haujlwm tsis zoo ntawm cov ntshav platelet: Ntawm no, txawm hais tias cov ntshav platelet hauv koj cov ntshav yog qhov ib txwm muaj, lawv tsis ua haujlwm zoo. Nws zoo li muaj plaub lub log tsheb, tab sis ib lub ntawm lawv tiaj tus.

Feem ntau, cov tsos mob ntawm cov kab mob platelet no tsis hnyav heev. Ib txhia neeg yuav tsis pom muaj tsos mob dab tsi li. Txawm li cas los xij, qee zaum, tshwj xeeb tshaj yog tias cov platelets qis lossis tsis ua haujlwm zoo, tej zaum yuav muaj kev pheej hmoo ntawm kev los ntshav. Tsis tas li ntawd, yog tias cov platelets ntau dhau, tej zaum yuav muaj kev pheej hmoo ntawm kev tsim cov ntshav txhaws (cov ntshav txhaws txaus ntshai) .

Koj tus kws kho mob tuaj yeem piav qhia txog cov kev pheej hmoo no thiab pom zoo cov kev kho mob tsim nyog raws li koj qhov xwm txheej.

Cov tsos mob no yog dab tsi?

Qee cov tsos mob uas tuaj yeem pom hauv cov kab mob platelet yog:

• Cov cim qhia txog kev los ntshav hauv qab daim tawv nqaij:
• Cov qhov txhab tsuas yog tshwm sim rau ntawm qhov chaw ntawm lub cev xwb. Qhov no qee zaum hu ua purpura.
• Muaj tej qhov me me liab, zoo li lub qhov me me (petechiae) tshwm sim rau ntawm daim tawv nqaij. Feem ntau cov no yog cov qhov tsis khaus thiab tsis hloov dawb ntawm lawv tus kheej.
• Cov poj niam muaj ntshav ntau thaum lub sijhawm muaj hli (ntev dua li niaj zaus, ntshav ntau).
• Ntsws ntshav ntau zaus.
• Cov pos hniav los ntshav thaum txhuam koj cov hniav.
• Ntshav hauv koj cov quav (uas tej zaum yuav hloov mus ua xim dub) lossis ntshav hauv koj cov zis (uas tej zaum yuav hloov mus ua xim liab/xim av).
• Hnov tsis muaj zog, kiv taub hau, lossis tsaus muag (tshwj xeeb tshaj yog thaum poob ntshav).
• Qee zaum cov ntshav txhaws tsis zoo li qub tuaj yeem tsim tau (tshwj xeeb tshaj yog thaum muaj cov ntshav platelet ntau).

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, zoo dua mus nrhiav kev pab kho mob.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Cov teeb meem ntawm cov ntshav platelet tuaj yeem tshwm sim rau ntau yam. Qee zaum, lawv tuaj yeem tshwm sim los ntawm lwm yam mob uas koj muaj lossis cov tshuaj uas koj noj. Lwm lub sijhawm, lawv tuaj yeem tshwm sim los ntawm cov mob caj ces uas koj tau txais los ntawm koj niam koj txiv.

Ua rau cov platelets siab

Muaj ob qho laj thawj tseem ceeb uas ua rau cov platelets nce ntxiv:

• Kab mob ntshav txhaws tseem ceeb: Qhov no yog ib qho mob tsis tshua muaj uas koj cov pob txha pob txha tsim cov ntshav txhaws ntau dua li nws yuav tsum tau vim yog kev hloov pauv caj ces.
• Kab mob ntshav txhaws uas tshwm sim los ntawm kev ua haujlwm tsis zoo (reactive thrombocytosis): Qhov no yog hom kab mob uas tshwm sim ntau tshaj plaws. Nws tshwm sim thaum lub cev tsim cov ntshav txhaws ntau dhau los teb rau lwm yam mob. Piv txwv li:
• Kab mob ntshav tsis txaus hlau.
• Cov mob o hauv lub cev (piv txwv li, mob qog noj ntshav, kab mob sib kis).
• Kev raug mob.
• Qee cov tshuaj.

Ua rau cov ntshav platelets qis

Tej zaum yuav muaj ntau yam ua rau koj cov ntshav platelet qis:

• Lub cev tsis tsim cov platelets txaus: Qhov no yuav yog vim muaj teeb meem nrog cov pob txha.
• Kev puas tsuaj ntawm cov ntshav platelet vim muaj kab mob: Piv txwv li, hauv '(Cov kab mob Autoimmune)' (cov kab mob ntawm lub cev tiv thaiv kab mob), lub cev lub cev tiv thaiv kab mob rhuav tshem nws cov ntshav platelets. '(Immune thrombocytopenia - ITP)' yog ib qho mob zoo li no.
• Tus po (spleen) khaws cov ntshav platelets ntau dua: Feem ntau, tus po (spleen) khaws kwv yees li ib feem peb ntawm peb cov ntshav platelets. Txawm li cas los xij, hauv qee yam kab mob, qhov ntau no nce ntxiv.
• Lwm yam laj thawj:
• Mob qog ntshav (ua rau muaj cov qog ntshav puv cov pob txha).
• Qee cov kab mob ntshav, piv txwv li "(Thrombotic thrombocytopenic purpura - TPP)" thiab "(Disseminated intravascular coagulation - DIC)".
• Cov kab mob hnyav heev.
• Qee cov tshuaj thiab kev kho mob qog noj ntshav (Chemotherapy, Radiation therapy).

Ua rau muaj teeb meem platelet tsis ua haujlwm

Qee zaum, txawm tias cov ntshav platelet zoo li qub los xij, tej zaum yuav muaj teeb meem nrog lawv txoj haujlwm. Kuj tseem muaj cov laj thawj rau qhov no:

• Cov mob uas los ntawm noob caj ces (genetic): Cov no tsis tshua muaj. Piv txwv li: `(Bernard Soulier syndrome)`, `(Glanzman thrombasthenia)`, `(Von Willebrand disease)` (uas cuam tshuam rau kev ua haujlwm ntawm cov ntshav platelet thiab lwm yam uas cuam tshuam rau kev txhaws ntshav), `(Wiskott-Aldrich syndrome)`.
• Cov mob uas tau txais: Cov kab mob xws li lub raum tsis ua haujlwm, kab mob siab, thiab lupus tuaj yeem cuam tshuam rau txoj kev ua haujlwm ntawm cov ntshav platelets.
• Cov Tshuaj: Qee cov tshuaj, tshwj xeeb yog cov tshuaj SSRI antidepressants thiab NSAIDs, tuaj yeem ua rau cov ntshav tsis ua haujlwm. Qhov tseeb, qhov ua rau cov ntshav tsis ua haujlwm yog qhov ua rau feem ntau.

Leej twg muaj feem yuav muaj cov no ntau dua?

Muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev mob platelet:

• Hnub nyoog: Qee cov kab mob platelet yuav tshwm sim ntau dua rau qee pawg hnub nyoog.
• Txivneej/Pojniam: Txawm hais tias leej twg los xij tuaj yeem mob tau, cov poj niam feem ntau yuav muaj cov tsos mob thaum lub sijhawm los ntshav, xws li kev muaj hli thiab kev yug menyuam.
• Keeb kwm tsev neeg: Qee cov kab mob platelet caj ces tuaj yeem kis tau los ntawm ib tiam dhau ib tiam.
• Lwm yam mob: Ntau yam kab mob, xws li cov kab mob autoimmune, kev kis kab mob, kab mob raum thiab siab, thiab mob qog noj ntshav, tuaj yeem ua rau muaj teeb meem platelet.
• Kev Kho Mob Cancer: Chemotherapy thiab kev kho mob hluav taws xob tuaj yeem txo cov platelet suav.
• Cov Tshuaj: Cov tshuaj tua kab mob thiab qee cov tshuaj rau kev qaug dab peg kuj tuaj yeem cuam tshuam rau cov platelets.
• Txoj Kev Ua Neej: Kev haus dej cawv ntau dhau thiab kev siv cov khoom luam yeeb tuaj yeem cuam tshuam rau cov ntshav platelet ntau lawm.

Cov teeb meem dab tsi tuaj yeem tshwm sim los ntawm tus mob no?

Yog tias cov kab mob platelet tsis raug tswj hwm kom zoo, qee qhov teeb meem tuaj yeem tshwm sim:

• Los ntshav: Txawm tias yog qhov txhab me me los kuj tuaj yeem ua rau los ntshav ntau heev.
• Cov poj niam uas muaj ntshav ntau thaum lawv tseem muaj hli (Menorrhagia).
• Kev los ntshav hauv txoj hnyuv.
• Hauv cov mob xws li 'essential thrombocytosis', cov mob txaus ntshai xws li cov ntshav txhaws hauv cov leeg ntawm ob txhais ceg (deep vein thrombosis) lossis cov ntshav txhaws hauv lub ntsws (pulmonary embolism) tuaj yeem tshwm sim.
• Muaj feem yuav mob plawv nres lossis mob hlwb (tshwj xeeb yog tias cov ntshav txhaws yooj yim tsim).

Tiam sis nco ntsoov,Los ntawm kev ua haujlwm nrog kws kho mob thiab ua raws li txoj kev npaj kho mob kom zoo, ntau yam teeb meem no tuaj yeem zam tau.

Koj nrhiav tau qhov no li cas? (Kev kuaj mob)

Yog koj muaj cov tsos mob ntawm tus kab mob platelet tsis zoo, tus kws kho mob yuav kuaj koj lub cev ua ntej. Lawv yuav nug txog koj cov tsos mob, cov tshuaj uas koj noj, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov teeb meem zoo sib xws. Lawv kuj yuav sau keeb kwm kev kho mob. Tom qab ntawd, lawv yuav kuaj ntshav los xyuas koj cov platelets.

Cov kev kuaj ntshav tseem ceeb yog:

• Kev suav cov ntshav tag nrho (CBC): Qhov no ntsuas tus naj npawb ntawm cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets hauv koj cov ntshav.
• Kev kuaj ntshav ntawm cov hlab ntsha sab nraud (PBS): Hauv qhov kev kuaj no, ib tee ntawm koj cov ntshav yuav raug coj mus kuaj hauv qab lub tshuab kuaj mob kom pom tias cov platelets puas zoo li qub thiab yog tias muaj kev hloov pauv hauv lawv cov duab lossis qhov loj.
• Kev ntsuam xyuas kev ua haujlwm ntawm cov platelet: Cov kev ntsuam xyuas no xyuas seb koj cov platelets tsim cov ntshav txhaws zoo li cas thiab seb lawv puas ua haujlwm zoo.

Yog tias cov kev kuaj no lees paub tias koj muaj teeb meem platelet, tej zaum koj yuav tsum tau kuaj ntxiv kom paub seb yog dab tsi ua rau nws. Piv txwv li:

• Kev kuaj mob pob txha: Hauv qhov no, yuav muab ib qho qauv me me ntawm cov pob txha coj mus kuaj thiab kuaj seb puas muaj cov hlwb txawv txav (cov cim qhia txog kab mob ntshav lossis mob qog noj ntshav).
• Kev kuaj mob caj ces: Vim tias qee qhov teeb meem platelet yog tshwm sim los ntawm cov yam ntxwv caj ces, qhov kev kuaj no nrhiav kev hloov pauv caj ces uas cuam tshuam nrog lawv.

Cov kev kho mob yog dab tsi?

Kev kho mob rau cov kab mob platelet nyob ntawm seb ua rau muaj li cas. Qee yam mob tsuas yog ib ntus xwb thiab yuav zoo thaum qhov ua rau ploj mus lawm. Txawm li cas los xij, yog tias koj muaj kab mob platelet ntev (ntev ntev), koj yuav tsum mus ntsib kws kho mob ntshav thiab kho kom koj cov platelet nyob ruaj ntseg.

Cov hauv qab no tuaj yeem ua tau raws li kev kho mob:

• Tos ntsoov: Yog tias koj cov tsos mob tsis hnyav heev, tej zaum koj tsis tas yuav kho tam sim ntawd. Hloov chaw, koj tus kws kho mob yuav saib xyuas koj cov ntshav platelet nrog kev kuaj ntshav tsis tu ncua.
• Cov Tshuaj: Yog tias koj cov ntshav platelet siab dhau, txawm yog vim muaj mob xws li 'essential thrombocytosis' lossis lwm yam mob qog ntshav (xws li '(myeloproliferative disease)'), koj yuav tau txais tshuaj kom txo nws. Ib yam li ntawd, yog tias koj cov ntshav platelet qis, koj yuav tau txais tshuaj kom nce lawv cov ntau lawm lossis txo lawv cov kev puas tsuaj.
• Kev txo cov ntshav platelet: Qhov no tsis tshua muaj neeg ua. Ib txoj kev kho mob hu ua apheresis tshem cov ntshav platelets ntau dhau ntawm cov ntshav.
• Kev hloov ntshav platelet:Yog tias koj cov ntshav platelet qis heev (tshwj xeeb tshaj yog tias koj los ntshav), koj yuav raug muab cov ntshav platelets rau sab nraud.
• Kev kho mob Plasma / Kev pauv Plasma: Kev kho mob no yuav tsim nyog rau cov mob xws li TPP. Qhov no suav nrog kev hloov qhov uas ploj lawm ntawm cov ntshav hu ua (ADAMTS13).

Koj ua neej li cas nrog tus mob no? Koj saib xyuas koj tus kheej li cas?

Koj qhov kev paub yuav nyob ntawm seb koj muaj hom kab mob platelet tsis zoo li cas thiab ua rau muaj li cas. Feem ntau, koj cov ntshav platelet yuav rov qab mus rau qhov qub thaum kho qhov ua rau muaj li ntawd. Lossis, koj tus mob yuav tsis ua rau koj tuag taus kom txog thaum koj raug mob. Yog li ntawd, koj yuav tsum ua cov kauj ruam los txo qhov kev pheej hmoo ntawm kev raug mob. Yog tias koj muaj ib yam dab tsi zoo li phais, koj pab neeg kho mob yuav tsum tau saib xyuas tshwj xeeb kom tiv thaiv kev los ntshav.

Hauv cov xwm txheej loj dua, koj yuav tsum tau noj tshuaj ntxiv, kho mob tas li, thiab kuaj xyuas kom paub tseeb tias koj muaj cov ntshav platelets txaus hauv koj lub cev.

Yog tias koj yuav tsum nyob nrog tus kab mob platelet tsis zoo, qhov zoo tshaj plaws uas koj ua tau yog nkag siab meej tias yuav ua li cas thiaj li txo tau koj qhov kev pheej hmoo ntawm kev los ntshav lossis cov ntshav txhaws txaus ntshai. Nws yog ib qho tseem ceeb kom paub cov no:

• Tej yam uas yuav tsum tsis txhob ua: Qee yam kab mob platelet tuaj yeem ua rau los ntshav hnyav yog tias koj raug mob. Yog li ntawd, yuav tsum tsis txhob ua tej yam uas muaj feem yuav raug mob (piv txwv li, kev ua si sib tsoo).
• Yuav ua li cas saib xyuas qhov txhab: Yog tias muaj kev pheej hmoo ntawm kev los ntshav, nws yog ib qho tseem ceeb kom paub yuav ua li cas nias rau ntawm qhov txhab kom tsis txhob los ntshav. Koj tus kws kho mob tuaj yeem qhia koj yuav ua li cas ua qhov no.
• Cov Tshuaj Yuav Tsum Noj (thiab Tsis Txhob Noj): Tej zaum koj yuav tsum tau noj tshuaj ntxiv kom tswj tau tus kab mob platelet disorder. Tej zaum koj yuav tsum tsis txhob noj qee yam tshuaj (xws li NSAIDs xws li aspirin) uas cuam tshuam rau kev ua haujlwm ntawm platelet thiab ua rau muaj kev pheej hmoo ntawm kev los ntshav.
• Cov tshuaj ntxiv uas yuav tsum tsis txhob noj: Qee cov tshuaj ntxiv tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav rau cov neeg uas muaj teeb meem platelet. Nug koj tus kws kho mob seb cov no yog dab tsi.
• Yuav sib txuas lus nrog koj cov kws kho mob li cas: Yog tias koj npaj yuav muaj ib yam dab tsi uas yuav ua rau los ntshav, txawm tias nws yog ib qho kev phais me me xws li rho hniav lossis phais loj, koj yuav tsum qhia rau koj cov kws kho mob txog qhov ntawd.

Nrhiav kev qhia txog txhua yam no los ntawm koj tus kws kho mob ntshav lossis tus kws kho mob uas tswj koj tus mob.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj pom cov cim qhia txog kev mob platelet, xws li mob ntshav tsis tu ncua yam tsis muaj laj thawj pom tseeb (tshwj xeeb tshaj yog cov mob ntshav loj dua tsib lub npib rupee uas koj tsis nco qab) , mus ntsib kws kho mob.

Yog tias koj muaj cov cim qhia tias koj los ntshav hnyav heev (piv txwv li, los ntshav tsis tu ncua, kiv taub hau heev, tsis nco qab) lossis cov cim qhia tias koj cov ntshav txhaws (piv txwv li, mob hauv siab, ua pa nyuaj, hais lus tsis tau zoo, caj npab lossis ceg tsis muaj zog - cov no yuav yog cov cim qhia tias koj muaj "mob stroke" lossis "mob plawv nres", mus rau chav kho mob ceev tam sim ntawd.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, tsis txhob yig nug cov lus nug zoo li no:

• Kuv tus mob hnyav npaum li cas?
• Qhov no puas kho tau tag nrho?
• Cov kev kho mob twg yuav pab tau kuv?
• Kuv yuav tsum tau kuaj xyuas kuv cov ntshav platelet ntau npaum li cas?
• Kuv ua tau dab tsi los tiv thaiv kev los ntshav lossis cov ntshav txhaws txaus ntshai?

Ib zaj lus kawg coj mus tsev

Muaj ntau yam uas tuaj yeem cuam tshuam rau cov ntshav platelets, thiab txawm tias qee qhov kev kho mob kuj tuaj yeem cuam tshuam. Yog li, tsis txhob xav tias qhov phem tshaj plaws thaum koj pom tias koj cov ntshav platelets tsis zoo. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nrhiav seb qhov teeb meem yog dab tsi. Tsuas yog thaum ntawd koj thiaj li paub meej tias koj tab tom cuam tshuam nrog dab tsi.

Yog koj xav tias koj muaj cov cim qhia tias koj cov ntshav platelet tsis zoo, mus ntsib kws kho mob. Nws tuaj yeem pom zoo rau kev kho mob kom pab koj cov ntshav platelet rov qab zoo li qub lossis tswj koj tus mob. Txoj hauv kev zoo tshaj plaws kom noj qab haus huv yog qhib siab, nug cov lus nug, thiab nkag siab zoo txog koj tus mob.

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