Koj puas tau khaws koj daim ntawv qhia txog Kev suav ntshav tag nrho thiab saib cov khoom uas nws hais? Koj yuav tsum tau pom tias muaj tus nqi hu ua "Platelets" ntawm cov khoom ntawd. Qee zaum tus kws kho mob hais tias, "Koj cov ntshav platelet siab me ntsis." Lub sijhawm ntawd, nws yog ib qho ib txwm muaj los xav tias ntshai thiab txhawj xeeb me ntsis. "Qhov no yog dab tsi? Puas yog qhov loj heev?" Koj xav. Yog li hnub no, cia peb tham yooj yim thiab zoo txog qhov kev nce ntxiv ntawm cov ntshav platelets, uas yog ib qho mob hu ua Thrombocytosis hauv kev kho mob.
Ua ntej, cia peb saib, platelets yog dab tsi?
Hauv cov lus yooj yim, cov ntshav platelets yog ib hom qe me me hauv peb cov ntshav. Xav txog lawv zoo li ib pawg me me uas tuaj yeem nres qhov ntshav thaum koj raug txiav lossis khawb qhov twg ntawm koj lub cev. Lawv sai sai tuaj rau ntawm qhov chaw raug mob, lo ua ke, thiab ua ib qho ntshav txhaws, zoo li ib daim plaster, los kaw qhov txhab. Qhov no yog li cas qhov ntshav thiaj li nres. Yog li koj tuaj yeem pom tias cov ntshav platelets yog ib feem tseem ceeb thiab tseem ceeb heev ntawm peb lub cev.
Tiam sis, zoo li txhua yam, teeb meem tuaj yeem tshwm sim thaum cov platelets no siab dhau. Thrombocytosis yog thaum tus naj npawb ntawm cov platelets hauv cov ntshav nce siab dua qib ib txwm. Thaum cov platelets nce ntxiv li no, peb cov ntshav qee zaum tuaj yeem nplaum. Qhov no tuaj yeem ua rau cov ntshav txhaws tsis xav tau tsim nyob rau hauv qhov chaw uas tsis muaj kev raug mob, uas yog, sab hauv cov hlab ntsha. Yog tias cov ntshav txhaws no tsis raug kho, lawv tuaj yeem ua rau muaj mob hnyav xws li mob plawv lossis mob hlwb.
Muaj ob hom thrombocytosis tseem ceeb:
Nyob ntawm seb ua li cas cov ntshav platelet ntau hauv koj cov ntshav, qhov mob no muaj ob hom loj. Nws yog ib qho tseem ceeb kom nkag siab txog ob hom no, vim tias cov kev kho mob yuav nyob ntawm hom no.
| Hom mob thrombocytosis | Hais yooj yim xwb... |
|---|---|
| Kev Mob Thrombocytosis Uas Muaj Kev Xav (Qhov Thib Ob) | Qhov no yog hom uas feem ntau tshwm sim. Qhov uas tshwm sim ntawm no yog tias cov ntshav platelets nce ntxiv ua ib qho 'kev teb' rau lwm yam mob lossis qhov xwm txheej hauv koj lub cev. Nws zoo li txhua tus neeg ntshai thaum tus tub sab nkag mus rau hauv koj lub tsev. Qhov teeb meem ntawm no tsis yog qhov chaw uas cov ntshav platelets tau ua, tab sis lwm qhov chaw. Qhov mob no feem ntau yog ib ntus xwb . |
| Kev Mob Ntshav Txhaws (Primary) | Qhov no tsis tshua muaj. Qhov teeb meem ntawm no yog nyob rau hauv cov pob txha, lub 'factory' qhov chaw tsim cov qe ntshav. Vim muaj qee qhov tsis zoo hauv cov pob txha, lawv tsim cov platelets tsis zoo ntau dhau. Qhov no yog 'thawj qhov' lossis qhov ua rau. |
Txawm li cas los xij, yog tias koj cov ntshav kuaj qhia tias koj cov ntshav platelet siab, nws txhais tau tias muaj qee yam tshwm sim hauv koj lub cev uas yuav tsum tau kuaj xyuas los ntawm kws kho mob. Nyob ntawm seb qhov ua rau pom dab tsi, koj yuav xav tau kev kho mob mus sij hawm ntev, kev kho mob luv luv, lossis tsis kho dab tsi li.
Cov tsos mob ntawm cov ntshav platelet siab yog dab tsi?
Qhov tseeb, ntau tus neeg tsis muaj cov tsos mob ntawm cov ntshav platelet ntau. Nws raug pom los ntawm kev kuaj ntshav rau lwm yam laj thawj.
Yog koj muaj Reactive Thrombocytosis, koj yuav muaj cov tsos mob ntawm tus mob tseem ceeb (piv txwv li, kub taub hau los ntawm kev kis kab mob).
Txawm li cas los xij, yog tias cov ntshav platelets nce ntxiv ua rau cov ntshav txhaws lossis (tsis tshua muaj) los ntshav sab hauv, qee cov tsos mob yuav tshwm sim. Qhov mob no feem ntau pom muaj nyob rau hauv Essential Thrombocytosis.
- Kev qaug zog
- Ntsws ntshav ntau zaus
- Los ntshav (mob nqaij) txawm tias tom qab raug mob me me los xij
- Los ntshav yooj yim los ntawm cov pos hniav lossis lwm qhov chaw hauv qhov ncauj
- Kiv taub hau , pom kev tsis meej, thiab mob taub hau
- Mob, o, thiab liab ntawm tes thiab taw (ib qho tsos mob ntawm tus mob hu ua erythromelalgia)
- Mob plab, tshwj xeeb tshaj yog nyob rau sab xis saum toj ntawm lub plab (tej zaum yuav yog ib qho cim ntawm ib qho mob xws li Budd-Chiari syndrome)
Qhov tseem ceeb yog tias tsis yog txhua yam tsos mob no yog tshwj xeeb rau Thrombocytosis. Yog li ntawd, yog tias koj muaj ib yam dab tsi zoo li no, nws yog qhov zoo tshaj plaws kom tsis txhob ntshai thiab mus ntsib koj tus kws kho mob thiab tham txog nws.
Vim li cas cov ntshav platelets thiaj nce ntxiv li no? Yog vim li cas?
Cov laj thawj kuj sib txawv nyob ntawm ob hom uas peb tau tham ua ntej.
Cov Ua Rau Muaj Kab Mob Thrombocytosis Tseem Ceeb (ET)
Qhov no yog tshwm sim los ntawm kev hloov pauv ntawm cov noob caj noob ces. Tab sis qhov no tsis yog ib yam dab tsi uas yug los nrog, tab sis ib yam dab tsi uas loj hlob zuj zus. Hais yooj yim xwb, muaj kev hloov pauv hauv cov noob caj noob ces uas qhia peb lub cev kom tsim cov ntshav txhaws. Yog li ntawd, cov pob txha pib tsim cov ntshav txhaws ntau dhau yam tsis muaj kev tswj hwm.
Cov Ua Rau Mob Thrombocytosis
Qhov no tsuas yog lub cev teb rau lwm qhov teeb meem xwb. Nov yog qee qhov ua rau cov ntshav platelets ntau:
- Kev Los Ntshav: Thaum muaj ntshav ntau heev vim muaj xwm txheej lossis phais.
- Cov mob qog noj ntshav: Vim yog qee hom mob qog noj ntshav.
- Kev kis kab mob: Cov kab mob bacterial lossis viral.
- Cov mob o: Cov kab mob uas ua rau mob hauv lub cev, xws li mob pob qij txha.
- Kab mob ntshav tsis txaus hlau.
- Qee cov tshuaj.
- Kev phais tshem tawm lub po: Ib qho ntawm cov haujlwm ntawm lub po yog tshem tawm cov platelets qub. Kev tshem tawm nws tuaj yeem ua rau cov platelets ntau ntxiv.
Vim muaj tus mob no, yuav muaj teeb meem dab tsi tshwm sim?
Cov neeg uas muaj tus kab mob Essential Thrombocytosis (ET) muaj feem yuav muaj teeb meem ntau dua. Cov teeb meem tsis tshua muaj nyob rau hauv Reactive Thrombocytosis.
Qhov kev pheej hmoo loj tshaj plaws yog kev tsim cov ntshav txhaws . Yog tias cov ntshav txhaws no daig hauv cov hlab ntsha uas mus rau lub hlwb, lawv tuaj yeem ua rau mob stroke , thiab yog tias lawv daig hauv cov hlab ntsha uas mus rau lub plawv, lawv tuaj yeem ua rau mob plawv nres . Cov ntshav txhaws no kuj tuaj yeem tsim nyob rau lwm qhov chaw, xws li lub ntsws thiab ceg.
Tsis tshua muaj, ET tuaj yeem hloov mus ua lwm yam mob qog ntshav, xws li mob ntshav dawb, lossis ua rau cov pob txha pob txha caws pliav (myelofibrosis). Nws kuj tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm qee yam teeb meem thaum cev xeeb tub.
Tiamsis tsis txhob txhawj. Yog tias koj muaj ET, koj tus kws kho mob yuav saib xyuas koj txoj kev noj qab haus huv ze thiab yuav muab kev kho mob tsim nyog rau koj kom tiv thaiv cov teeb meem zoo li no.
Cov kws kho mob nrhiav tau qhov no li cas?
Feem ntau, cov ntshav platelet suav ntau dua 450,000 rau ib microliter ntawm cov ntshav suav tias yog siab. Koj tus kws kho mob yuav xav rov kuaj koj cov ntshav tom qab ob peb lub lis piam kom pom tias koj cov ntshav platelet tseem siab. Yog tias cov ntshav tau rov qab mus rau qhov qub, feem ntau nws tsis muaj dab tsi yuav tsum txhawj txog.
Yog tias cov ntshav platelet tseem siab, kauj ruam tom ntej yog txiav txim siab seb nws puas yog Reactive lossis Essential. Qhov no yuav xav tau ntau qhov kev kuaj ntxiv.
- Lwm cov kev kuaj ntshav: Cov no kuaj xyuas tej yam xws li cov hlau thiab cov cim qhia txog kev o, thiab nrhiav cov duab platelet tsis zoo hauv qab lub tshuab microscope.
- Kev kuaj mob caj ces: Qhov kev kuaj no tuaj yeem nrhiav pom cov kev hloov pauv caj ces xws li JAK2 , CALR1 , lossis MPL1, uas feem ntau pom muaj nyob rau hauv Essential Thrombocytosis.
- Kev kuaj mob pob txha: Qhov no suav nrog kev coj cov qauv pob txha me me los ntawm qhov chaw xws li pob txha duav thiab siv tshuaj loog thiab kuaj hauv chav kuaj mob. Qhov no tuaj yeem lees paub qhov mob ET.
Yuav kho li cas?
Cov kev xaiv kho mob nyob ntawm seb koj muaj hom thrombocytosis thiab koj cov tsos mob.
Rau cov neeg mob uas muaj tus kab mob Reactive Thrombocytosis:
Qhov no yog thaum cov ntshav platelets nce ntxiv los teb rau lwm yam kab mob. Yog li ntawd, kev kho mob yog tsom mus rau qhov ua rau muaj kab mob . Piv txwv li, yog tias cov ntshav platelets nce ntxiv vim muaj kev kis kab mob, thaum muab tshuaj tua kab mob rau qhov kev kis kab mob ntawd, cov ntshav platelets yuav rov qab mus rau qhov qub thaum tus kab mob zoo.
Rau Cov Kab Mob Thrombocytosis Tseem Ceeb (ET):
Kab mob ET tsis yog ib yam kab mob uas kho tau. Txawm li cas los xij, nws tuaj yeem tswj tau zoo kom txo tau qhov kev pheej hmoo ntawm cov ntshav txhaws. Muaj ntau txoj kev xaiv kho mob:
- Tos ntsoov: Yog tias koj tsis muaj tsos mob thiab koj qhov kev pheej hmoo ntawm kev mob ntshav qis, koj tus kws kho mob yuav saib xyuas koj tus mob los ntawm kev kuaj ntshav tsis tu ncua yam tsis tas yuav sau tshuaj dab tsi.
- Tshuaj aspirin tsawg tsawg: Tej zaum yuav muaj ib lub tshuaj aspirin rau koj noj txhua hnub kom pab tiv thaiv kom cov ntshav tsis txhob txhaws. Tiam sis nco ntsoov, tsis txhob pib noj tshuaj aspirin rau koj tus kheej yam tsis tau sab laj nrog kws kho mob.
- Cov tshuaj uas txo cov ntshav platelet: Cov tshuaj xws li Hydroxyurea, Anagrelide, thiab Interferon alfa tswj cov ntshav platelet tsim tawm.
- Cov txheej txheem tshem cov ntshav txhaws: Yog tias muaj kev pheej hmoo tam sim ntawd ntawm kev tsim cov ntshav txhaws uas hem txoj sia, koj cov ntshav yuav raug xa mus rau hauv lub tshuab kom lim cov ntshav txhaws ntau dhau.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog tias koj tau kuaj pom tias muaj tus kab mob thrombocytosis, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj ntshav tas li raws li koj tus kws kho mob hais. Tsis tas li ntawd, nug koj tus kws kho mob seb koj yuav tsum qhia cov tsos mob dab tsi tam sim ntawd yog tias lawv tshwm sim.
Tshwj xeeb, yog tias koj muaj cov tsos mob ntawm tus mob stroke lossis mob plawv nres (piv txwv li mob hauv siab tam sim ntawd, hais lus tsis tau zoo, tsis muaj zog ntawm ib sab ntawm lub cev, lub ntsej muag poob qis), mus rau chav kho mob ceev (ETU) tam sim ntawd.
Nco ntsoov, tsis txhob ntshai thaum koj pom cov ntshav platelet ntau hauv koj daim ntawv qhia ntshav. Nws tsuas yog ib daim duab ntawm koj lub cev mob thaum ntawd xwb. Feem ntau, nws yog ib qho cim qhia txog ib qho mob ib ntus, yooj yim kho. Tsis tshua muaj, nws yog ib qho cim qhia txog mob mus sij hawm ntev. Txawm li cas los xij, muaj kev kho mob zoo niaj hnub no los tswj nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Thrombocytosis yog tus lej ntawm cov platelets ntau dua li qub hauv cov ntshav.
- Hom kab mob thrombocytosis uas feem ntau pom muaj yog hu ua reactive thrombocytosis, uas tshwm sim los ntawm lwm yam mob. Feem ntau nws yog ib ntus xwb.
- Kab mob Essential Thrombocytosis (ET), yog ib yam mob tsis tshua muaj uas tshwm sim los ntawm qhov tsis zoo hauv cov pob txha pob txha, yog ib yam mob uas mob mus ntev.
- Muaj coob tus neeg tsis muaj tsos mob dab tsi li. Yog tias muaj tsos mob, tej zaum yuav yog vim cov ntshav txhaws lossis los ntshav.
- Yog tias koj cov ntshav platelet nce siab, nws yog ib qho tseem ceeb uas yuav tsum tsis txhob ntshai thiab mus ntsib kws kho mob kom paub qhov ua rau thiab tau txais kev kho mob tsim nyog.
- Tsis txhob noj tshuaj (tshwj xeeb yog tshuaj aspirin) koj tus kheej yam tsis tau kev qhia los ntawm kws kho mob.
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