Tej zaum koj yuav tau hnov tus kws kho mob saib daim ntawv qhia txog kev kuaj ntshav thiab hais tias, "Koj cov ntshav platelets qis me ntsis." Los yog koj yuav tau ntshai thaum koj tsis tuaj yeem nres los ntshav txawm tias yog ib qho me me xwb los xij. Qhov kev txo qis ntawm cov ntshav platelets hauv cov ntshav no yog qhov peb hu ua Thrombocytopenia hauv kev kho mob. Tsis txhob ntshai. Cia peb tham txog qhov no yooj yim thiab meej.
Vim li cas cov ntshav platelets thiaj txo qis li no?
Hais yooj yim xwb, cov ntshav platelets yog ib hom qe me me uas pab peb cov ntshav txhaws . Lawv raug tsim tawm hauv cov pob txha hauv peb cov pob txha. Xav txog peb cov pob txha zoo li lub Hoobkas uas tsim cov ntshav platelets. Muaj ob qho laj thawj tseem ceeb uas ua rau qhov mob no tshwm sim. Yog tias lub Hoobkas tsim cov ntshav platelets no txo qis. Los yog, cov ntshav platelets uas tsim tawm raug rhuav tshem sai sai hauv lub cev.
Tam sim no cia peb saib seb yog vim li cas qhov no. Cia peb saib lub rooj no kom nkag siab qhov no kom meej.
| Ua rau cov platelet tsawg zuj zus | Ua rau kev puas tsuaj ntawm cov ntshav platelets uas tsim tawm |
|---|---|
| Cov kab mob ntshav uas cuam tshuam rau cov pob txha (piv txwv li Aplastic Anemia). | Cov kab mob autoimmune, xws li lupus lossis ITP, tawm tsam lub cev cov hlwb noj qab haus huv. |
| Cov mob qog nqaij hlav uas ua rau cov pob txha puas tsuaj, xws li mob leukemia lossis lymphoma. | Kev kis kab mob bacterial (bacteremia) nkag mus rau hauv cov ntshav. |
| Cov kab mob sib kis xws li mob qhua pias, mob qog, HIV, thiab Epstein-Barr. | Qee cov tshuaj (piv txwv li, sulfa tshuaj tua kab mob, heparin kom tiv thaiv cov ntshav txhaws, phenytoin kom kho tus mob qaug dab peg). |
| Haus dej cawv ntau dhau rau lub sijhawm ntev. | Cov kab mob tsis tshua muaj uas ua rau cov ntshav txhaws, xws li TTP lossis DIC. |
| Kev kho mob qog nqaij hlav los yog kev siv tshuaj tua kab mob rau mob qog noj ntshav. | Hemolytic uremic syndrome yog ib qho mob tsis tshua muaj uas ua rau cov qe ntshav liab puas tsuaj thiab cuam tshuam rau lub raum. |
| Kev raug tshuaj lom neeg xws li tshuaj tua kab thiab arsenic. | Cov kab mob xws li Epstein-Barr virus (EBV), hepatitis C, thiab HIV. |
Ntxiv rau cov laj thawj no, qee zaum cov platelets no tuaj yeem daig thiab sib sau ua ke hauv lub po , uas yog ib lub cev hauv peb lub cev. Tsis tas li ntawd, thaum cev xeeb tub, qhov xwm txheej no tuaj yeem tshwm sim ib ntus vim tias qee tus poj niam cov platelets raug tshem tawm ntawm lawv lub cev sai dua li qub.
Cov tsos mob ntawm tus mob no yog dab tsi?
Feem ntau, cov ntshav platelet qis tsis ua rau muaj tsos mob. Tab sis yog tias muaj cov tsos mob tshwm sim, cov tsos mob tseem ceeb yog los ntshav thiab mob nqaij. Koj kuj tseem yuav pom cov pob me me, liab lossis ntshav ntawm koj daim tawv nqaij. Cov no hu ua petechiae .
Cov no yog cov ntshav uas tuaj yeem tshwm sim sab hauv lossis sab nraud lub cev. Qee zaum cov ntshav no tuaj yeem hnyav thiab nyuaj rau nres.
Tsis tas li ntawd xwb, cov yam ntxwv no kuj tuaj yeem pom:
- Los ntshav ntawm cov pos hniav lossis qhov ntswg.
- Ntshav nyob rau hauv cov zis los yog quav.
- Kev los ntshav ntau dhau thaum lub sijhawm ntawm cov poj niam.
- Mob taub hau .
- Nquag qaug zog thiab qaug zog .
- Tawv nqaij thiab qhov muag daj (jaundice).
- Mob qog ntshav o.
Cov tsos mob no tuaj yeem pib tom qab koj cov ntshav platelet tau poob qis heev, yog li nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob tam sim ntawd yog tias koj pom ib yam dab tsi zoo li no.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib koj tus kws kho mob, nws yuav nug koj txog koj keeb kwm kev mob nkeeg thiab cov tsos mob tam sim no. Tom qab ntawd nws yuav kuaj koj lub cev thiab xyuas seb puas muaj cov qhov txhab, cov pob khaus, thiab cov cim qhia tias muaj kab mob, xws li kub taub hau thiab cov qhov txhab ntawm daim tawv nqaij.
Tom qab ntawd, koj yuav raug hais kom kuaj ntshav, uas yog, suav tag nrho cov ntshav. Feem ntau, ib tus neeg noj qab haus huv muaj cov ntshav platelets ntawm 150,000 thiab 450,000 rau ib microliter ntawm cov ntshav. Yog tias tus lej no poob qis dua 50,000, qhov kev pheej hmoo ntawm kev los ntshav nce ntxiv.
Feem ntau, koj tus kws kho mob yuav xa koj mus rau tus kws tshwj xeeb txog ntshav (hematologist). Tsis tas li ntawd xwb, koj yuav raug hais kom ua qee yam kev kuaj mob ntxiv.
- Kev kuaj ntshav smear: Qhov no yog qhov uas cov duab thiab kev noj qab haus huv ntawm koj cov platelets raug kuaj xyuas hauv qab lub tshuab microscope.
- Kev kuaj pob txha: Qhov no tso cai rau koj saib tob txog cov hom hlwb hauv pob txha thiab lawv txoj kev noj qab haus huv.
- Kev kuaj ntshav txhaws: Kev kuaj tshwj xeeb uas xyuas seb cov txheej txheem ntshav txhaws puas ua haujlwm zoo.
Qhov no ua rau muaj teeb meem dab tsi?
Qhov no yog qhov peb yuav tsum tau ceev faj tshwj xeeb txog.
- Yog tias koj cov ntshav platelet poob qis dua 50,000, txawm tias raug mob me me los kuj tuaj yeem ua rau los ntshav ntau dhau.
- Yog tias tus lej no poob qis dua 30,000, txawm tias yog ib qho xwm txheej me me uas tsis tau xav txog los kuj tuaj yeem ua rau los ntshav loj heev.
- Yog koj cov ntshav platelet poob qis dua 10,000, koj tuaj yeem pib los ntshav hauv koj lub cev, txawm tias tsis muaj kev raug mob los xij. Tsis tshua muaj, nws tuaj yeem ua rau muaj mob hnyav, xws li los ntshav hauv lub hlwb. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum nrhiav kev kho mob rau qhov mob no.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm koj cov platelet suav thiab qhov mob uas ua rau nws.
- Yog koj cov ntshav platelet tsis qis dhau, tej zaum koj tsis tas yuav kho mob dab tsi li. Koj tus kws kho mob yuav saib xyuas nws.
- Qee zaum, cov ntshav platelet rov qab mus rau qhov qub thaum tsis muaj qhov ua rau muaj teeb meem lawm. Piv txwv li, yog tias pom tau tias muaj tshuaj ua rau muaj teeb meem, koj tus kws kho mob yuav hais kom koj tsum tsis txhob noj tshuaj ntawd lawm.
Txawm li cas los xij, thaum muaj mob hnyav (mob ntshav qis heev), tus kws kho mob yuav sau ntawv kho mob xws li:
- Cov tshuaj steroid: Yog tias qhov no yog vim muaj teeb meem nrog lub cev tiv thaiv kab mob, cov tshuaj no raug muab los tiv thaiv lub cev kom tsis txhob rhuav tshem nws cov platelets.
- IVIG (Intravenous Immune Globulin): Kev kho mob no yog muab rau yog tias koj tsis tuaj yeem noj tshuaj steroids, lossis yog tias koj xav tau kom koj cov ntshav platelet nce sai sai.
- Kev ntxiv ntshav los yog platelet:Muab cov ntshav los yog cov platelets los ntawm ib tus neeg noj qab haus huv rau lub cev.
- Kev phais mob qog ntshav: Tsuas yog tias lwm yam kev kho mob tsis ua haujlwm los tswj tus mob, tus qog ntshav, uas rhuav tshem cov platelets, raug phais tshem tawm.
- Lwm cov tshuaj: Yog tias cov kev kho mob no tsis tswj tau tus mob, koj tus kws kho mob yuav sau ntawv rau lwm cov tshuaj tshwj xeeb, xws li eltrombopag (Promacta, Revolade) lossis romiplostim (Nplate).
Yuav ua li cas thiaj li tiv thaiv tau kev los ntshav?
Yog koj cov ntshav platelet qis, ua tib zoo saib xyuas cov no kom tsis txhob los ntshav.
- Tsis txhob noj tshuaj tua kab mob xws li aspirin thiab ibuprofen, uas ua rau cov ntshav txhaws, yam tsis tau koj tus kws kho mob qhia.
- Txwv kev haus dej cawv. Cawv tuaj yeem ua rau kom los ntshav ntau ntxiv.
- Tsis txhob koom nrog kev ua si uas yuav ua rau raug mob, xws li football, boxing, thiab rugby, ib ntus.
- Thaum txhuam koj cov hniav, siv txhuam hniav mos mos kom tsis txhob ua rau koj cov pos hniav puas.
- Ib txwm hnav txoj siv sia thaum caij tsheb. Yog tias koj ua haujlwm nrog cov tshuab, hnav hnab looj tes thiab tsom iav.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Thrombocytopenia yog qhov txo qis ntawm cov platelets hauv cov ntshav, uas yog qhov tseem ceeb rau kev txhaws ntshav.
- Muaj ntau yam ua rau qhov no. Kev tsim cov ntshav tsawg dua los ntawm cov pob txha, kev puas tsuaj ntawm cov ntshav platelets, cov tshuaj, lossis lwm yam mob tuaj yeem ua rau qhov no.
- Cov tsos mob tseem ceeb yog qhov mob nqaij ntuag, los ntshav tsis tu ncua, thiab muaj cov pob liab ntawm daim tawv nqaij (petechiae). Yog tias koj pom ib yam dab tsi zoo li no , mus ntsib kws kho mob tam sim ntawd.
- Kev kho mob nyob ntawm seb cov ntshav platelet suav li cas thiab qhov ua rau muaj cov ntshav txhaws. Qee zaum tsis tas yuav kho mob, thiab qee zaum xav tau cov tshuaj lossis kev kho mob tshwj xeeb.
- Yog koj muaj tus mob no, nco ntsoov zam tej yam uas yuav ua rau raug mob thiab cov tshuaj uas koj tus kws kho mob tsis pom zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus