Thaum koj raug ib qho me me, cov ntshav tsuas yog nres tom qab ib pliag, puas yog? Los yog koj puas tau pom tias qee zaum koj tau txais cov kab mob xiav lossis ntshav ntawm koj lub cev yam tsis tau ntaus dab tsi? Qhov laj thawj tseem ceeb tom qab cov no yog cov hlwb me me hu ua ' platelets ' hauv peb cov ntshav. Tab sis yuav ua li cas thaum cov neeg pab no txo qis? Qhov ntawd yog qhov peb hu ua Thrombocytopenia hauv kev kho mob. Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.
Hauv lwm lo lus, Thrombocytopenia yog dab tsi?
Kab mob ntshav qis yog ib qho mob uas cov ntshav platelets hauv koj cov ntshav tsawg dua li qub. Cov platelets yog cov qe ntshav me me , zoo li daim disc hauv peb cov ntshav. Lawv txoj haujlwm tseem ceeb yog los ua ib qho ntshav txhaws ntawm qhov chaw raug mob kom tsis txhob los ntshav. Nws zoo li kho ib lub qhov hauv phab ntsa.
Koj puas tau xav txog lo lus no txhais li cas? "Thrombocytes" yog lwm lub npe rau cov platelets. "Penia" txhais tau tias tsis muaj txaus, tsis txaus. Yog li thaum ob qho no los ua ke, "Thrombocytopenia" tshwm sim.
Feem ntau, ib tug neeg noj qab nyob zoo yuav tsum muaj cov platelets ntawm 150,000 thiab 450,000 rau ib microliter ntawm cov ntshav (ib tee ntshav muaj li ntawm 35 microliters). Yog tias tus lej no tsawg dua 150,000 hauv koj daim ntawv qhia txog cov ntshav, nws suav tias yog ib qho mob hu ua thrombocytopenia.
Koj puas muaj cov tsos mob zoo li no?
Feem ntau, cov ntshav platelets me me tsis ua rau muaj tsos mob. Txawm li cas los xij, yog tias koj cov ntshav platelet poob qis heev, koj yuav muaj cov tsos mob no:
| Cov tsos mob | Muaj dab tsi tshwm sim hauv qhov ntawd? |
|---|---|
| Los ntshav | Tej zaum yuav muaj ntshav los ntawm cov pos hniav lossis qhov ntswg, tshwj xeeb tshaj yog thaum txhuam koj cov hniav. Cov poj niam yuav muaj lub hlis ntau dua lossis ntev dua. Qee zaum, ntshav kuj tseem yuav muaj nyob rau hauv cov zis lossis quav. |
| Cov qhov txhab thiab cov pob me me | Cov qhov mob xiav/ntshav (zoo li raug ntaus) tshwm sim rau ntawm lub cev yam tsis muaj laj thawj. Cov no hu ua Purpura hauv kev kho mob. Cov no yog cov ntshav uas tshwm sim hauv qab daim tawv nqaij. |
| Cov pob liab me me ntawm daim tawv nqaij | Cov pob liab me me (spots) uas loj li lub ntsis cwj mem tuaj yeem pom ntawm daim tawv nqaij, tshwj xeeb tshaj yog ntawm ob txhais ceg. Cov no kuj tuaj yeem ua pawg. Cov kws kho mob hu cov no ua Petechiae . |
| Kev qaug zog | Tsuas yog cov ntshav platelet tsawg xwb tsis ua rau koj qaug zog. Txawm li cas los xij, muaj ib qho mob uas ua rau cov ntshav platelet tsawg (piv txwv li ntshav tsis txaus) yuav ua rau koj nkees thiab qaug zog. |
| Kev loj hlob ntawm tus po | Lub qhov ntswg yog ib lub cev nyob rau sab laug saum toj ntawm peb lub plab. Qee zaum, cov ntshav platelets tuaj yeem raug kaw thiab puas tsuaj sab hauv, uas tuaj yeem ua rau cov ntshav platelets txo qis. Tom qab ntawd lub qhov ntswg yuav o. |
Vim li cas cov ntshav platelets thiaj txo qis li no? Dab tsi yog cov ua rau muaj qhov no?
Muaj ntau yam ua rau koj cov ntshav platelets qis. Tsis tshua muaj, nws tuaj yeem yog los ntawm noob caj noob ces. Tab sis feem ntau, nws yog los ntawm lwm yam mob lossis tshuaj uas koj noj. Hais yooj yim, muaj peb pawg tseem ceeb ntawm cov laj thawj.
1. Vim tias lub cev tsis tsim cov ntshav txaus
Peb cov pob txha yog lub Hoobkas uas ua cov platelets no. Yog tias lub Hoobkas ntawd tsim cov platelets tsis zoo, cov platelets yuav txo qis.
- Cov mob qog nqaij hlav xws li leukemia
- Qee hom mob ntshav tsis txaus
- Cov kab mob viral , piv txwv li dengue, hepatitis C , lossis HIV
- Kev kho mob chemotherapy los yog kev kho mob hluav taws xob rau mob qog noj ntshav
- Haus dej cawv ntau dhau
- Kev noj cov tshuaj lom xws li tshuaj tua kab thiab arsenic
2. Vim tias cov ntshav platelets raug rhuav tshem sai dua li lawv tau tsim
Txawm tias lub Hoobkas ua haujlwm tau zoo los xij, yog tias lub qhov cub tawg sai sai, yuav muaj qhov tsis txaus ntawm cov platelets.
- Cev xeeb tub (rau qee tus)
- Cov kab mob autoimmune. Qhov no yog thaum peb lub cev lub cev tiv thaiv kab mob ua yuam kev rhuav tshem nws cov platelets. Piv txwv li, lupus.
- Qee cov kab mob bacterial lossis viral
- Qee cov tshuaj (piv txwv li Heparin)
- Cov mob tsis tshua muaj xws li Thrombotic thrombocytopenic purpura (TTP)
3. Vim tias cov ntshav platelets daig hauv lub pores
Feem ntau, kwv yees li ib feem peb ntawm peb cov ntshav platelets khaws cia rau hauv lub po. Txawm li cas los xij, yog tias lub po loj zuj zus vim muaj kab mob xws li mob siab cirrhosis, yuav muaj ntau cov ntshav platelets raug kaw hauv nws, ua rau cov ntshav platelets tsawg zuj zus.
Kuj tseem muaj ntau hom thrombocytopenia sib txawv.
Kab mob Thrombocytopenia muaj peev xwm muab faib ua ntau hom loj nyob ntawm seb ua rau muaj li cas.
- Kab mob ntshav txhaws (ITP): Qhov no yog hom kab mob uas feem ntau tshwm sim. Qhov uas tshwm sim ntawm no yog tias peb lub cev tiv thaiv kab mob rhuav tshem peb cov ntshav platelets vim muaj teeb meem. Qhov no tuaj yeem muaj ob hom: ITP mob hnyav rau menyuam yaus thiab ITP mob ntev rau cov neeg laus.
- Kab mob ntshav txhaws (TTP): Qhov no yog ib qho mob uas tsis tshua muaj tab sis txaus ntshai. Cov ntshav txhaws me me tsim thoob plaws lub cev. Vim tias muaj ntau cov platelets siv los ua cov ntshav txhaws no, cov platelets hauv cov ntshav yuav txo qis.
- Cov mob ntshav qis uas tshwm sim los ntawm tshuaj (DIT): Qhov mob no tuaj yeem tshwm sim los ntawm kev siv tshuaj ib ntus. Feem ntau nws yuav ploj mus thaum tsis noj tshuaj lawm.
- Mob ntshav qis thaum cev xeeb tub: Ib qho mob uas tshwm sim thaum cev xeeb tub, feem ntau tsis loj heev. Feem ntau nws ploj mus tom qab yug menyuam.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Feem ntau pom muaj qhov no thaum lub sijhawm kuaj ntshav tas li (Full Blood Count - FBC) vim lwm yam laj thawj. Thaum koj tus kws kho mob pom tias koj cov ntshav platelets qis, lawv yuav xaj ob peb qhov kev kuaj ntxiv kom paub qhov ua rau.
Nco ntsoov, yog tias koj cov ntshav kuaj pom tias cov ntshav platelets qis, qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thiab mus ntsib kws kho mob kom tau lus qhia.
| Kev Ntsuas | Koj pom dab tsi hauv qhov ntawd? |
|---|---|
| Kev suav cov ntshav tag nrho (CBC/FBC) | Ntsuas seb muaj pes tsawg cov qe ntshav liab, cov qe ntshav dawb, thiab cov qe ntshav dawb hauv cov ntshav. |
| Kev Ntsuas Ntshav (Kev Ntsuas Sab Nraud) | Cov platelets raug kuaj xyuas hauv qab lub tshuab microscope kom pom tias lawv puas muaj cov duab thiab tsos zoo li qub. |
| Kev Ntsuas Pob Txha | Yog tias qhov ua rau tsis meej, qhov kev kuaj no yog ua los saib seb lub Hoobkas pob txha puas ua haujlwm zoo. |
Ntxiv rau qhov ntawd, tus kws kho mob yuav kuaj koj lub cev thiab ua qhov kev ntsuas ultrasound hauv plab kom paub seb puas muaj teeb meem ntawm tus po lossis daim siab loj.
Qhov teeb meem no puas yuav loj heev?
Rau feem coob ntawm cov neeg, qhov no tsis yog teeb meem loj. Txawm li cas los xij, yog tias cov ntshav platelet poob qis dua 20,000, nws tuaj yeem ua rau muaj kev phom sij. Qhov no yog vim tias kev los ntshav tuaj yeem tshwm sim hauv lub cev, tshwj xeeb tshaj yog hauv lub hlwb, txawm tias tsis muaj kev raug mob. Qhov no yog qhov txaus ntshai rau lub neej.
Yog li ntawd, yog tias koj muaj tus kab mob Thrombocytopenia, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej thiab mus rau cov chaw kho mob raws sijhawm. Yog tias koj muaj cov tsos mob xws li mob taub hau hnyav, pom kev hloov pauv, lossis hais lus tsis tau zoo, koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd vim tias cov no yuav yog cov cim qhia tias muaj ntshav hauv lub hlwb.
Yuav kho li cas?
Kev kho mob nyob ntawm seb ua rau koj cov ntshav platelet tsawg npaum li cas thiab koj cov ntshav platelet tsawg npaum li cas.
- Kev Kho Mob: Yog tias qhov ua rau cov ntshav platelet qis yog vim tshuaj, tus kws kho mob yuav tsum tsis txhob noj tshuaj ntawd thiab sau lwm yam tshuaj rau. Yog tias nws yog kev kis kab mob, lawv yuav kho nws.
- Cov Tshuaj: Yog tias muaj teeb meem ntawm lub cev tiv thaiv kab mob xws li ITP, lub cev tiv thaiv kab mob raug tswj los ntawm kev muab cov tshuaj xws li steroids.
- Kev ntxiv ntshav los yog platelet: Yog tias cov platelet tsawg heev los yog muaj kev los ntshav hnyav, cov platelets raug muab rau sab nraud (Platelet transfusion).
- Kev Phais Mob: Yog tias lwm yam kev kho mob tsis ua haujlwm tswj tau qhov mob, yuav tsum tau phais tshem lub qog.
- Kev Sib Plasma: Txoj kev kho mob no yog siv rau hauv cov mob zoo li TTP.
Koj yuav saib xyuas koj tus kheej li cas?
Thaum nyob nrog tus mob no, nws yog ib qho tseem ceeb kom txo qhov kev pheej hmoo ntawm kev raug mob.
- Tsis txhob ua tej yam txaus ntshai: Tsis txhob ua tej yam kev sib tw xws li kev sib tw ntaus nrig, karate, thiab rugby.
- Ceev faj nrog cov tshuaj: Ib txwm nug koj tus kws kho mob ua ntej siv cov tshuaj tua kab mob uas ua rau muaj kev pheej hmoo ntawm kev los ntshav, xws li aspirin thiab ibuprofen.
- Txwv kev haus dej cawv: Cawv tuaj yeem txo cov platelets hauv cov pob txha pob txha, yog li nws yog qhov zoo tshaj plaws kom txwv kev haus dej cawv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav tsawg yog qhov uas cov ntshav platelets hauv cov ntshav tsawg zuj zus. Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav ntau ntxiv.
- Feem ntau, tsis muaj tsos mob dab tsi li. Txawm li cas los xij, yuav tsum ceev faj txog tej yam xws li qhov mob uas tsis paub meej, cov pos hniav/qhov ntswg los ntshav, thiab cov pob liab ntawm daim tawv nqaij.
- Muaj ntau yam ua rau muaj tus mob no. Yog li ntawd, tsis txhob ntshai thaum koj pom cov ntshav platelets qis hauv koj cov ntshav, tab sis mus ntsib kws kho mob kom paub qhov ua rau.
- Kev kho mob nyob ntawm seb qhov ua rau mob thiab qhov hnyav ntawm tus mob. Qee zaum tsis tas yuav kho mob.
- Ua raws li koj tus kws kho mob cov lus qhia kom meej. Yog tias koj muaj cov cim ceeb toom xws li mob taub hau hnyav lossis pom kev hloov pauv, mus rau tsev kho mob tam sim ntawd.
Thrombocytopenia, Platelets, Cov ntshav platelet qis, Los ntshav, Mob nqaij ntuag, Purpura, Petechiae











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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