Puas siv sijhawm ntev dua li niaj zaus rau qhov txiav me me kom tsis txhob los ntshav? Los yog koj cov pos hniav puas los ntshav thaum koj txhuam koj cov hniav? Tej zaum koj muaj cov qhov txhab ntawm koj lub cev uas zoo li tsis yog los ntawm dab tsi. Cov no yuav yog cov cim qhia tias cov ntshav platelets hauv koj lub cev txo qis. Hauv kev kho mob, peb hu qhov mob no ua Thrombocytopenia. Txawm hais tias lub npe yuav zoo li txawv txawv, qhov no yog ib qho mob uas peb feem ntau ntsib. Yog li hnub no peb yuav tham txog qhov Thrombocytopenia no uas cuam tshuam rau ntau tus neeg tab sis tsis paub zoo. Tsis txhob txhawj, peb yuav tham txog txhua yam yooj yim thiab meej.
Hauv lwm lo lus, Thrombocytopenia yog dab tsi?
Zoo, cia peb xub nkag siab txog cov platelets yog dab tsi. Xav txog tias muaj cov khoom me me ntawm 'plaster' khiav ib ncig hauv koj lub cev. Cov no hu ua platelets. Lawv tsim tawm hauv peb cov pob txha pob txha. Lawv txoj haujlwm tseem ceeb yog kom sai sai sib sau ua ke ntawm qhov chaw raug mob thiab tsim cov ntshav txhaws kom tsis txhob los ntshav. Nws zoo li txhaws ib lub qhov rau hauv phab ntsa.
Thrombocytopenia yog thaum cov platelets hauv koj cov ntshav qis dua li qub. Yuav ua li cas thaum qhov ntawd tshwm sim? Cov 'pas' uas ua rau kom tsis txhob los ntshav tsis txaus lawm. Yog li txawm tias qhov txhab me me tuaj yeem los ntshav ntau, thiab nws tuaj yeem siv sijhawm ntev los ua kom tsis txhob los ntshav.
Feem ntau, qhov mob no yog tshwm sim los ntawm lwm yam mob, xws li tus kab mob autoimmune, lossis ua ib qho kev phiv ntawm qee yam tshuaj uas peb noj. Qhov zoo tshaj plaws yog tias thaum pom qhov ua rau, nws tuaj yeem kho tau thiab cov platelet suav tuaj yeem rov qab mus rau qhov qub.
Yuav ntsuas cov ntshav platelet li cas? Cov qib ib txwm thiab tsis zoo
Thaum peb ua qhov kev kuaj ntshav (Kev suav tag nrho cov ntshav), peb tuaj yeem paub tus lej tseeb ntawm cov platelets. Feem ntau, ib tus neeg laus noj qab haus huv muaj 150,000 txog 450,000 platelets ib microliter ntawm cov ntshav. Hauv thrombocytopenia, tus lej no txo qis. Peb faib qhov hnyav ntawm tus mob raws li qhov ntau ntawm kev txo qis.
| Xwm txheej | Platelet suav (ib microliter ntawm cov ntshav) |
|---|---|
| Qib nruab nrab | 150,000 - 450,000 |
| Mob ntshav qis me ntsis | 101,000 - 140,000 |
| Kev mob ntshav qis nruab nrab | 51,000 - 100,000 |
| Mob ntshav qis heev | Tsawg dua 51,000 |
Feem ntau, cov neeg uas muaj qhov tsis txaus me ntsis tsis qhia cov tsos mob loj. Tab sis thaum nws mus txog theem loj, peb yuav tsum ceev faj.
Yuav paub li cas yog tias koj muaj mob ntshav qis? Ceev faj txog cov tsos mob no
Txawm tias cov neeg muaj cov ntshav platelet tsawg me ntsis los xij, tej zaum yuav tsis muaj tsos mob dab tsi li. Tiam sis thaum muaj cov tsos mob tshwm sim, tej zaum yuav muaj xws li: Yog tias koj muaj ib lossis ntau yam ntawm cov no, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob kom tau lus qhia.
| Cov tsos mob | Piav qhia yooj yim |
|---|---|
| Mob nqaij yooj yim | Cov qhov mob xiav lossis ntshav tshwm sim rau ntawm lub cev yam tsis muaj kev raug mob. Cov no yog tshwm sim los ntawm cov ntshav me me hauv qab daim tawv nqaij. |
| Cov pos hniav los ntshav | Cov pos hniav tuaj yeem los ntshav tsis yog thaum txhuam koj cov hniav xwb, tab sis kuj thaum koj sawv ntawd thiab. |
| Los ntshav ntswg | Ntsws ntshav ntau zaus tsis muaj laj thawj tshwj xeeb. |
| Cov pob me me liab/ntshav ntawm daim tawv nqaij (Petechiae) | Cov pob me me, liab uas tshwm sim hauv qab daim tawv nqaij, feem ntau ntawm ob txhais ceg qis. Cov no yuav zoo li pob khaus. |
| Cov poj niam uas muaj ntshav ntau thaum cev xeeb tub | Kev muaj hli ntev dua li niaj zaus lossis los ntshav ntau dua li niaj zaus. |
| Ntshav hauv cov quav | Yog koj muaj ntau cov quav dub los yog liab tsaus, nws yuav yog ib qho cim qhia tias koj los ntshav hauv txoj hnyuv. |
| Ntshav nyob rau hauv cov zis | Yog tias cov zis hloov xim liab los yog liab, qhov ntawd kuj yog ib qho cim qhia tias yuav tsum txhawj xeeb txog. |
Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob thiab nrhiav kev pab tswv yim, es tsis txhob tsis quav ntsej txog cov tsos mob no vim tias "nws tsuas yog lwm yam xwb."
Vim li cas cov ntshav platelets thiaj li txo qis li no? Cov laj thawj tseem ceeb yog dab tsi?
Cov ua rau cov ntshav platelets qis tuaj yeem muab faib ua peb pawg tseem ceeb.
1. Cov pob txha tsis tsim cov ntshav txaus: Muaj teeb meem nrog cov pob txha, uas yog peb lub 'hoob kas tsim cov ntshav', ua rau kev tsim cov ntshav tsawg zuj zus.
2. Cov platelets uas tsim tawm raug rhuav tshem lossis siv tag hauv lub cev: Lub Hoobkas ua haujlwm tau zoo, tab sis cov platelets uas tsim tawm ntawd tawg sai sai rau qee qhov laj thawj.
3. Tus po (spleen) khaws cov ntshav platelets: Tus po (spleen) yog ib lub cev nyob rau sab laug saum toj ntawm peb lub plab. Qee zaum nws tuav cov ntshav platelets ntau dua li nws yuav tsum tau ua, tiv thaiv lawv kom tsis txhob raug tso tawm mus rau hauv cov ntshav.
Tam sim no cia peb saib seb yog vim li cas thiaj ua li no.
- Cov Kab Mob Autoimmune: Qhov no yog thaum peb lub cev tiv thaiv kab mob tawm tsam thiab rhuav tshem peb cov ntshav platelets. Piv txwv li suav nrog cov mob xws li '(Immune Thrombocytopenia - ITP)', '(Lupus)', thiab '(Rheumatoid Arthritis)'.
- Mob Qog Ntshav: Cov mob qog ntshav xws li Leukemia thiab Lymphoma tuaj yeem ua rau cov pob txha puas tsuaj thiab txo cov ntshav platelets.
- Kev kho mob qog noj ntshav:Kev kho mob chemotherapy thiab kev kho mob hluav taws xob, uas tua tau mob qog noj ntshav, tuaj yeem ua puas tsis yog cov hlwb qog noj ntshav xwb, tab sis kuj ua puas rau cov hlwb pob txha noj qab haus huv.
- Qee qhov kev kis kab mob: Cov kab mob viral xws li dengue, nrog rau qee qhov kev kis kab mob bacterial, tuaj yeem txo cov platelets hauv cov ntshav ib ntus.
- Cov Tshuaj: Qee cov tshuaj tua kab mob, cov tshuaj ua kom cov ntshav nyias xws li heparin, thiab cov tshuaj qaug dab peg kuj tuaj yeem ua rau cov ntshav platelets qis ua ib qho kev phiv.
- Kev haus cawv ntau dhau: Cawv ua rau cov pob txha tsis ua haujlwm zoo thiab txo cov ntshav platelet ntau lawm.
- Cev Xeeb Tub: Qee tus poj niam cev xeeb tub yuav muaj cov ntshav platelets txo qis me ntsis, tshwj xeeb tshaj yog thaum lub sijhawm yug menyuam. Qhov no feem ntau rov qab mus rau qhov qub tom qab yug menyuam.
- Kev raug tshuaj lom: Kev raug tshuaj lom xws li arsenic, benzene, thiab tshuaj tua kab mus sij hawm ntev kuj tuaj yeem ua rau qhov no.
Qhov no puas yog ib yam dab tsi uas yuav tsum ntshai? Tej zaum yuav muaj teeb meem tshwm sim
Feem ntau cov neeg muaj mob ntshav qis me ntsis los yog nruab nrab. Nws tsis ua rau muaj kev phom sij ntau. Txawm li cas los xij, yog tias cov ntshav platelet hnyav heev , uas yog, yog tias cov ntshav poob qis dua 20,000, muaj qee qhov kev pheej hmoo.
- Kev los ntshav sab hauv: Qhov no yog qhov teeb meem loj tshaj plaws. Kev los ntshav tuaj yeem tshwm sim hauv txoj hnyuv lossis hauv lub hlwb. Kev los ntshav hauv lub hlwb yog ib qho mob txaus ntshai uas yuav tsum tau kho mob tam sim ntawd.
- Mob plawv nres: Tsis tshua muaj, qhov mob no tuaj yeem ua rau cov ntshav ntws mus rau lub plawv raug thaiv.
Tej yam no tsuas tshwm sim rau cov mob hnyav heev xwb. Yog li ntawd, yog tias koj muaj cov tsos mob, mus ntsib kws kho mob thaum ntxov thiab tau txais kev kho mob tuaj yeem tiv thaiv cov mob hnyav zoo li no.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob, cov tshuaj uas koj noj, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov mob zoo sib xws. Tom qab ntawd nws yuav kuaj lub cev kom paub seb puas muaj qhov liab, qhov txhab, thiab lwm yam.
Tsis tas li ntawd xwb, muaj ntau yam kev kuaj mob uas yuav ua tau los xyuas kom meej tias tus kab mob no muaj tseeb:
- Kev Ntsuas Ntshav Tag Nrho (CBC): Qhov no yog qhov kev kuaj yooj yim thiab tseem ceeb tshaj plaws. Nws tsis yog tsuas yog kuaj xyuas cov ntshav platelet xwb, tab sis kuj kuaj xyuas cov qe ntshav liab thiab cov qe ntshav dawb.
- Kev Ntsuas Ntshav Ntawm Ib Sab: Qhov no suav nrog kev noj ib tee ntshav thiab saib nws hauv qab lub tshuab tsom iav. Koj tuaj yeem tau txais lub tswv yim ntawm cov ntshav platelets los ntawm kev saib lawv cov duab thiab qhov loj.
- Kev Ntsuas Ntshav Txhaws:Cov kev kuaj uas ntsuas seb nws siv sijhawm ntev npaum li cas rau koj cov ntshav kom khov. `(PT)` thiab `(PTT)` yog ob qho kev kuaj zoo li no.
- Kev Kuaj Mob Pob Txha: Yog tias koj tus kws kho mob xav tias koj cov ntshav platelet qis yog vim muaj teeb meem nrog koj cov pob txha, lawv yuav xaj kom kuaj qhov no. Qhov no suav nrog kev coj me me ntawm cov pob txha los ntawm koj lub duav thiab kuaj nws.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb koj cov ntshav platelet qis npaum li cas thiab yog vim li cas.
Qee zaum, yog tias koj cov ntshav platelet qis me ntsis thiab koj tsis muaj tsos mob, koj tus kws kho mob yuav txiav txim siab saib koj yam tsis tas yuav kho dab tsi.
Tab sis yog tias xav tau kev kho mob, tej yam zoo li no feem ntau ua:
- Kev kho qhov ua rau mob: Qhov no yog qhov tseem ceeb tshaj plaws. Piv txwv li, yog tias koj cov ntshav platelet qis vim yog cov tshuaj uas koj noj, koj tus kws kho mob yuav hloov cov tshuaj ntawd. Yog tias nws yog vim muaj kev kis kab mob, lawv yuav kho nws.
- Cov tshuaj steroids: Cov tshuaj no tuaj yeem tswj cov haujlwm ntawm lub cev tiv thaiv kab mob rau qee qhov thiab txo qhov kev puas tsuaj ntawm cov ntshav platelets.
- Kev Hloov Ntshav: Yog tias koj cov ntshav platelet qis heev thiab koj muaj feem yuav los ntshav, koj tuaj yeem tau txais kev hloov ntshav platelet sab nraud. Txawm li cas los xij, qhov no yog ib qho kev daws teeb meem ib ntus xwb.
- Kev phais tshem cov noob qes tawm: Yog tias lwm yam kev kho mob tsis ua haujlwm thiab pom tias tus noob qes tau ntes cov ntshav ntau heev, koj tus kws kho mob yuav txiav txim siab phais tshem tus noob qes tawm. Koj yuav tsum tau txhaj tshuaj tiv thaiv ua ntej, vim tias muaj kev pheej hmoo ntau dua ntawm kev kis kab mob tom qab tshem tus noob qes tawm.
Tej yam koj ua tau thaum muaj tus kab mob thrombocytopenia
Yog koj muaj tus mob no, muaj ntau yam uas koj ua tau koj tus kheej kom txo qhov los ntshav thiab qhov mob nqaij.
- Tsis txhob noj tshuaj tua kab mob yam tsis tau kev qhia los ntawm kws kho mob: Qee cov tshuaj tua kab mob, xws li "Aspirin" thiab "Ibuprofen", tuaj yeem ua rau cov ntshav tsis khov. Yog li ntawd, nug koj tus kws kho mob ua ntej noj tshuaj.
- Tsis txhob ua tej yam uas yuav ua rau raug mob: Zoo tshaj kom tsis txhob ua tej yam uas yuav ua rau koj raug mob xws li ntaus pob rugby thiab ncaws pob, thiab nqa hnyav. Hloov chaw, koj tuaj yeem tsom mus rau tej kev tawm dag zog uas muaj kev nyab xeeb xws li ua luam dej thiab taug kev. Tham nrog koj tus kws kho mob txog qhov no thiab xaiv qhov uas zoo rau koj.
- Txwv kev haus dej cawv: Raws li peb tau hais ua ntej lawm, cawv cuam tshuam rau cov ntshav platelet tsim. Yog li ntawd, yog tias koj haus dej cawv, ua kom tsawg.
- Ceev faj thaum txhuam koj cov hniav:Siv txhuam hniav uas muaj cov plaub mos mos. Txhuam koj cov hniav kom zoo kom tsis txhob ua rau koj cov pos hniav raug mob.
- Mus ncig kom muaj kev nyab xeeb: Ib txwm hnav txoj siv sia thaum mus ncig hauv tsheb.
- Qhia rau lwm tus kws kho mob: Yog tias koj yuav mus ntsib kws kho hniav lossis phais lwm yam, nco ntsoov qhia rau cov kws kho mob ntawd tias koj muaj mob thrombocytopenia thiab cov tshuaj uas koj noj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qis yog ib qho mob uas cov ntshav platelets hauv cov ntshav tsawg dua li qub. Qhov no tuaj yeem ua rau los ntshav thiab mob nqaij yooj yim.
- Yog tias koj muaj cov tsos mob xws li cov pos hniav los ntshav, cov qhov txhab tsis paub meej, lossis cov pob liab ntawm koj daim tawv nqaij, tsis txhob tsis quav ntsej lawv.
- Muaj ntau yam ua rau tus mob no, yog li nws tseem ceeb heev uas yuav tsum nrhiav qhov ua rau thiab kho nws.
- Yog koj muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib koj tus kws kho mob sai li sai tau kom tau txais kev qhia. Thaum koj pom nws ntxov, nws yuav yooj yim dua los tswj.
- Los ntawm kev ua raws li cov lus qhia kho mob thiab hloov pauv me me hauv lub neej, koj tuaj yeem nyob noj qab haus huv nrog tus mob no.
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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