Kodi muli ndi matenda a platelet m'magazi anu? Tiyeni tiphunzire za matenda a platelet m'njira yosavuta!

Kodi nthawi zina mumamva mabala m'thupi lanu? Kapena zimatenga nthawi yayitali kuti magazi asiye kutuluka mutadula pang'ono? Mwina m'kamwa mwanu mumatuluka magazi nthawi zonse? Izi nthawi zina zingakhale chizindikiro cha vuto la ma platelet, mtundu wa selo laling'ono m'magazi mwathu. Lero, tikambirana za matenda a ma platelet amenewa.

Kodi matenda a platelet awa ndi ati?

Mwachidule, matenda a platelet ndi matenda omwe amakhudza kuchuluka kwa ma platelet m'magazi mwanu kapena momwe amagwirira ntchito. Chabwino, tsopano mwina mukudabwa kuti, "Kodi ma platelet awa ndi chiyani?" Tiyeni tifotokozenso zimenezo.

Kodi ma platelet ndi chiyani?

Tangoganizani muli ndi bala laling'ono. Kutuluka magazi kumasiya pakapita kanthawi, sichoncho? Ma platelet awa amathandiza pa izi. Ma platelet ndi tinthu tating'onoting'ono ta maselo (monga zidutswa za maselo) m'magazi athu. Amapangidwa m'mafupa athu. Pakachitika kuvulala, ma platelet awa amasonkhana pamodzi, amatseka bala ndikuletsa kutuluka magazi. Zili ngati pulasitala wachilengedwe m'thupi lathu! Amamatirana pamodzi ndikupanga magazi kuundana. Iyi ndiyo njira yayikulu yomwe imaletsa kutuluka magazi.

Ndiye kodi matenda a platelet ndi chiyani?

Kotero, vuto la ma platelet ndi vuto ndi ma platelet awa. Izi zikutanthauza kuti, mwina kuchuluka kwa ma platelet anu kungakhale kochepa, kapena kwakukulu, kapena ngakhale mutakhala ndi kuchuluka koyenera kwa ma platelet, sangagwire ntchito bwino. Mulimonsemo, zingayambitse mavuto otuluka magazi.

Kodi mitundu ikuluikulu ya matenda a platelet ndi iti?

Pali mitundu itatu ikuluikulu ya matenda a platelet:

1. Kutupa kwa magazi m'magazi: Izi zikutanthauza kuti chiwerengero cha ma platelet m'magazi anu ndi chachikulu kwambiri kuposa chachibadwa .

2. Thrombocytopenia: Apa ndi pamene chiwerengero cha ma platelet m'magazi anu chimakhala chotsika kwambiri kuposa chachizolowezi .

3. Kusagwira bwino ntchito kwa ma platelet: Pano, ngakhale kuti kuchuluka kwa ma platelet m'magazi anu ndi kwabwinobwino, sikugwira ntchito bwino. Zili ngati kukhala ndi matayala anayi m'galimoto, koma limodzi mwa matayalawo ndi lopanda kanthu.

Nthawi zambiri, zizindikiro za matenda a platelet amenewa sizimakhala zazikulu. Anthu ena sangasonyeze zizindikiro zilizonse. Komabe, nthawi zina, makamaka ngati ma platelet ali otsika kapena sakugwira ntchito bwino, pangakhale chiopsezo chowonjezeka cha kutuluka magazi. Komanso, ngati kuchuluka kwa ma platelet kuli kokwera kwambiri, pakhoza kukhala chiopsezo chowonjezeka cha kupanga magazi oundana (magazi oundana oopsa) .

Dokotala wanu akhoza kufotokoza zoopsa izi ndikukupatsani chithandizo chofunikira kutengera momwe zinthu zilili.

Kodi zizindikiro zimenezi ndi ziti?

Zina mwa zizindikiro zomwe zingawonekere m'matenda a platelet ndi:

• Zizindikiro za kutuluka magazi pansi pa khungu:
• Mabala amangoonekera m'malo enaake pathupi. Izi nthawi zina zimatchedwa purpura.
• Madontho ang'onoang'ono ofiira, ofanana ndi madontho (petechiae) amaonekera pakhungu. Izi nthawi zambiri zimakhala madontho osayabwa omwe samadzisandutsa oyera okha.
• Azimayi amatuluka magazi ambiri panthawi ya msambo (nthawi yayitali kuposa nthawi zonse, kutuluka magazi ambiri).
• Kutuluka magazi m'mphuno pafupipafupi.
• Kutuluka magazi m'kamwa mukamatsuka mano.
• Magazi mu ndowe zanu (zomwe zingasanduke zakuda) kapena magazi mu mkodzo wanu (zomwe zingasanduke zofiira/pinki).
• Kumva kufooka, chizungulire, kapena kukomoka (makamaka pamene magazi atayika).
• Nthawi zina, magazi oundana osazolowereka amatha kupangika (makamaka ngati pali kuchuluka kwa ma platelet m'magazi).

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndi bwino kufunafuna upangiri wa dokotala.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Matenda a platelet angachitike pazifukwa zosiyanasiyana. Nthawi zina, angayambitsidwe ndi matenda ena omwe muli nawo kapena mankhwala omwe mumamwa. Nthawi zina, angayambitsidwe ndi matenda a majini omwe mumalandira kuchokera kwa makolo anu.

Zifukwa za kuchuluka kwa ma platelet m'magazi

Pali zifukwa ziwiri zazikulu zomwe ma platelet amawonjezeka:

• Essential thrombocythemia: Imeneyi ndi vuto losowa kwambiri pomwe mafupa anu amapanga ma platelet ambiri kuposa momwe ayenera kukhalira chifukwa cha kusintha kwa majini.
• Matenda otchedwa Reactive thrombocytosis: Mtundu uwu ndi wofala kwambiri. Umachitika pamene thupi limapanga ma platelet ambiri chifukwa cha vuto lina. Mwachitsanzo:
• Kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni.
• Matenda otupa m'thupi (monga khansa, matenda).
• Kuvulala.
• Mankhwala ena.

Zifukwa za ma platelet otsika

Pali zifukwa zingapo zomwe kuchuluka kwa ma platelet m'magazi anu kungakhale kochepa:

• Thupi silipanga ma platelet okwanira: Izi zitha kukhala chifukwa cha vuto la mafupa.
• Kuwonongeka kwa ma platelet chifukwa cha matenda: Mwachitsanzo, mu `(Matenda a Autoimmune)` (matenda a chitetezo chamthupi), chitetezo chamthupi chimawononga ma platelet ake. `(Immune thrombocytopenia - ITP)` ndi vuto lotere.
• Nkhumba imasunga ma platelet ambiri: Kawirikawiri, nkhumba imasunga pafupifupi gawo limodzi mwa magawo atatu a ma platelet athu. Komabe, m'matenda ena, kuchuluka kumeneku kumawonjezeka.
• Zifukwa zina:
• Khansa ya m'magazi (yomwe imayambitsidwa ndi kudzaza kwa mafupa ndi maselo a khansa).
• Matenda ena a magazi, mwachitsanzo `(Thrombotic thrombocytopenic purpura - TPP)` ndi `(Disseminated intravascular coagulation - DIC)`.
• Matenda oopsa.
• Mankhwala ena ndi mankhwala a khansa (Chemotherapy, Radiation therapy).

Zifukwa za kusagwira bwino ntchito kwa ma platelet

Nthawi zina, ngakhale kuchuluka kwa ma platelet m'magazi kuli bwino, pangakhale vuto linalake ndi ntchito yawo. Palinso zifukwa zina izi:

• Matenda obadwa nawo (majini): Izi sizichitika kawirikawiri. Zitsanzo: `(Bernard Soulier syndrome)`, `(Glanzman thrombasthenia)`, `(Von Willebrand disease)` (yomwe imakhudza ntchito ya ma platelet komanso zinthu zina zomwe zimakhudza magazi kuundana), `(Wiskott-Aldrich syndrome)`.
• Matenda omwe amapezeka: Matenda monga kulephera kwa impso, matenda a chiwindi, ndi lupus angakhudze momwe ma platelet amagwirira ntchito.
• Mankhwala: Mankhwala ena, makamaka mankhwala oletsa kuvutika maganizo a SSRI ndi NSAID, amatha kusokoneza ntchito ya ma platelet. Ndipotu, kulephera kugwira ntchito kwa ma platelet chifukwa cha mankhwala ndi komwe kumayambitsa kwambiri vutoli.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Pali zinthu zingapo zomwe zimawonjezera chiopsezo chokhala ndi vuto la ma platelet:

• Zaka: Matenda ena a platelet angachitike kawirikawiri m'magulu ena azaka.
• Jenda: Ngakhale kuti aliyense akhoza kudwala matendawa, akazi nthawi zambiri amakhala ndi zizindikiro panthawi ya kusamba, monga nthawi ya kusamba ndi kubereka.
• Mbiri ya banja: Matenda ena a majini a platelet amatha kufalikira kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo.
• Matenda ena: Matenda ambiri, monga matenda odziteteza ku matenda a autoimmune, matenda opatsirana, matenda a impso ndi chiwindi, komanso khansa, angayambitse mavuto a platelet.
• Mankhwala a khansa: Chemotherapy ndi radiation therapy zingathandize kuchepetsa kuchuluka kwa ma platelet m'magazi.
• Mankhwala: Mankhwala opha tizilombo toyambitsa matenda ndi mankhwala ena a khunyu angakhudzenso ma platelet.
• Moyo: Kumwa mowa kwambiri komanso kugwiritsa ntchito fodya kungakhudze kupanga kwa ma platelet m'magazi.

Kodi ndi mavuto otani omwe angabwere chifukwa cha vutoli?

Ngati matenda a platelet sakuthandizidwa bwino, mavuto ena angachitike:

• Kutaya magazi: Ngakhale bala laling'ono lingayambitse kutuluka magazi ambiri.
• Kutuluka magazi ambiri m'mimba mwa akazi (Menorrhagia).
• Kutuluka magazi m'mimba.
• Mu matenda monga `essential thrombocytosis`, matenda oopsa monga magazi kuundana m'mitsempha ya miyendo (deep vein thrombosis) kapena magazi kuundana m'mapapo (pulmonary embolism) amatha kuchitika.
• Kuopsa kwa matenda a mtima kapena sitiroko (makamaka ngati magazi amaundana mosavuta).

Koma kumbukirani,Mwa kugwira ntchito ndi dokotala ndikutsatira ndondomeko yoyenera ya chithandizo, mavuto ambiriwa angapewedwe.

Kodi mumapeza bwanji izi? (Kuzindikira)

Ngati muli ndi zizindikiro za vuto la platelet, dokotala adzakuyesani kaye. Adzakufunsani za zizindikiro zanu, mankhwala omwe mumamwa, komanso ngati pali wina aliyense m'banja mwanu amene wakhala ndi vuto lofanana ndi lanu. Adzalembanso mbiri yachipatala. Kenako, adzayesa magazi kuti aone ngati platelet yanu ili ndi magazi ochulukirapo.

Mayeso akuluakulu a magazi ndi awa:

• Kuchuluka kwa magazi (CBC): Izi zimayesa kuchuluka kwa maselo ofiira a magazi, maselo oyera a magazi, ndi ma platelet m'magazi anu.
• Kuyeza magazi m'magazi (PBS): Mu mayesowa, dontho la magazi anu limatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti muwone ngati ma platelet akuwoneka bwino komanso ngati pali kusintha kulikonse mu mawonekedwe awo kapena kukula kwawo.
• Mayeso a ntchito ya ma platelet: Mayesowa amawunika momwe ma platelet anu amapangira magazi kuundana komanso ngati akugwira ntchito bwino.

Ngati mayesowa akutsimikizira kuti muli ndi vuto la ma platelet, mungafunike kuyesedwanso kuti mudziwe chomwe chikuyambitsa vutoli. Mwachitsanzo:

• Kufufuza za mafupa: Pa izi, chitsanzo chaching'ono cha mafupa chimatengedwa ndikuyang'aniridwa ngati pali maselo osazolowereka (zizindikiro za matenda a magazi kapena khansa).
• Kuyesa majini: Popeza matenda ena a platelet amayamba chifukwa cha majini, mayesowa amafufuza kusintha kwa majini komwe kumachitika chifukwa cha zimenezi.

Kodi mankhwala ake ndi otani?

Chithandizo cha matenda a platelet chimadalira chomwe chimayambitsa. Matenda ena ndi akanthawi ndipo amatha chifukwa chake chitatha. Komabe, ngati muli ndi matenda a platelet osatha (a nthawi yayitali), muyenera kuonana ndi dokotala wa matenda a magazi ndikulandira chithandizo kuti platelet yanu ikhale yotetezeka.

Zotsatirazi zitha kuchitika ngati chithandizo:

• Kudikira Mosamala: Ngati zizindikiro zanu sizili zazikulu, simungafunike chithandizo mwachangu. M'malo mwake, dokotala wanu adzayang'anira kuchuluka kwa ma platelet m'magazi anu ndi kuyezetsa magazi nthawi zonse.
• Mankhwala: Ngati kuchuluka kwa ma platelet anu kuli kokwera kwambiri, kaya chifukwa cha vuto monga `essential thrombocytosis` kapena khansa ina yamagazi (monga `(myeloproliferative disease)`), mungapatsidwe mankhwala ochepetsa. Mofananamo, ngati kuchuluka kwa ma platelet anu kuli kotsika, mungapatsidwe mankhwala owonjezera kupanga kwawo kapena kuchepetsa kuwonongeka kwawo.
• Kuchepa kwa ma platelet: Izi zimachitika kawirikawiri. Njira yotchedwa apheresis imachotsa ma platelet ochulukirapo m'magazi.
• Kuika magazi m'magazi:Ngati kuchuluka kwa ma platelet anu kuli kochepa kwambiri (makamaka ngati mukutuluka magazi), mungapatsidwe ma platelet kunja kwa thupi.
• Kuchiza ndi plasma / Kusinthana kwa plasma: Chithandizochi chingakhale chofunikira pa matenda monga TPP. Izi zimaphatikizapo kusintha gawo la magazi lomwe lasowa lotchedwa (ADAMTS13).

Kodi mumakhala bwanji ndi vutoli? Kodi mumadzisamalira bwanji?

Zomwe mwakumana nazo zidzadalira mtundu wa vuto la ma platelet lomwe muli nalo komanso chifukwa chake. Nthawi zambiri, kuchuluka kwa ma platelet anu kudzabwerera mwakale chifukwacho chikachiritsidwa. Kapena, vuto lanu silingakhale loopsa mpaka mutavulala. Pankhaniyi, muyenera kuchitapo kanthu kuti muchepetse chiopsezo chovulala. Ngati mukuchitidwa opaleshoni, gulu lanu lachipatala liyenera kusamala kwambiri kuti mupewe kutuluka magazi.

Pa milandu yoopsa kwambiri, mungafunike kupitiriza kumwa mankhwala, kulandira chithandizo nthawi zonse, ndikuyesedwa kuti muwonetsetse kuti muli ndi ma platelet okwanira m'thupi lanu.

Ngati muli ndi vuto la ma platelet, chinthu chabwino chomwe mungachite ndikumvetsetsa bwino momwe mungachepetsere chiopsezo chanu chotuluka magazi kapena magazi kuundana. Ndikofunikira kudziwa zinthu izi:

• Zochita Zopewera: Matenda ena a platelet angayambitse kutuluka magazi kwambiri ngati mutavulala. Chifukwa chake, zochita zomwe zili pachiwopsezo chachikulu chovulala (monga masewera olimbitsa thupi) ziyenera kupewedwa.
• Momwe mungasamalire bala: Ngati pali chiopsezo cha kutuluka magazi, ndikofunikira kudziwa momwe mungakanikire bala kuti magazi asiye kutuluka. Dokotala wanu angakuphunzitseni momwe mungachitire izi.
• Mankhwala oti mumwe (ndi osamwe): Mungafunike kupitiriza kumwa mankhwala oletsa matenda a platelet. Mungafunikenso kupewa mankhwala ena (monga NSAIDs monga aspirin) omwe amasokoneza ntchito ya platelet ndikuwonjezera chiopsezo cha kutuluka magazi.
• Zakudya zowonjezera zomwe muyenera kupewa: Zakudya zina zowonjezera zimatha kuwonjezera chiopsezo cha kutuluka magazi mwa anthu omwe ali ndi vuto la ma platelet. Funsani dokotala wanu kuti ndi chiyani.
• Momwe mungalankhulire ndi madokotala anu: Ngati mukukonzekera kuchita chilichonse chomwe chingayambitse kutuluka magazi, kaya ndi njira yaying'ono monga kuchotsa dzino kapena opaleshoni yayikulu, muyenera kudziwitsa madokotala anu za izi.

Funsani upangiri pa zonsezi kwa dokotala wanu wa zamagazi kapena dokotala amene akusamalira vuto lanu.

Kodi muyenera kupita kwa dokotala liti?

Ngati muwona zizindikiro za vuto la platelet, monga kuvulala kosalekeza popanda chifukwa chomveka (makamaka kuvulala kwakukulu kuposa ndalama ya rupee zisanu zomwe simukukumbukira) , pitani kwa dokotala.

Ngati muli ndi zizindikiro za kutuluka magazi kwambiri (monga kutuluka magazi kosatha, chizungulire chachikulu, kutaya chidziwitso) kapena zizindikiro za magazi kuundana (monga kupweteka pachifuwa, kupuma movutikira, kuvutika kulankhula, dzanzi m'dzanja kapena mwendo - izi zitha kukhala zizindikiro za "stroke" kapena "kugunda kwa mtima"), pitani kuchipatala mwamsanga.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, musazengereze kufunsa mafunso ngati awa:

• Kodi vuto langa ndi lalikulu bwanji?
• Kodi izi zingathe kuchiritsidwa kwathunthu?
• Ndi mankhwala otani omwe angandithandize?
• Kodi ndiyenera kuyeza kuchuluka kwa ma platelet anga kangati?
• Kodi ndingachite chiyani kuti ndipewe kutuluka magazi koopsa kapena magazi kuundana?

Uthenga womaliza wopita nawo kunyumba

Pali zinthu zambiri zomwe zingakhudze ma platelet, ndipo ngakhale mankhwala ena angakhudze. Choncho, musaganize kuti choipa kwambiri mukapeza kuti kuchuluka kwa ma platelet m'magazi anu sikwabwinobwino. Komabe, ndikofunikira kudziwa chomwe chikuyambitsa vutoli. Pamenepo ndi pomwe mudzadziwa zomwe mukukumana nazo.

Ngati mukuganiza kuti muli ndi zizindikiro za vuto la platelet, pitani kwa dokotala. Iye angakulangizeni chithandizo chothandiza kubwezeretsa platelet yanu kukhala yachibadwa kapena kusamalira vuto lanu. Njira yabwino kwambiri yokhalira ndi thanzi labwino ndikulankhula momasuka, kufunsa mafunso, ndikumvetsetsa bwino vuto lanu.

Matenda a platelet , ma platelet, kutuluka magazi, magazi kuundana, thrombocytopenia, thrombocytosis, kusokonekera kwa ma platelet, matenda a Sinhala, matenda a magazi