Kodi ma platelet anu m'magazi ndi ochepa? Tiyeni tiphunzire za thrombocytopenia mwachidule!

Kodi zimatenga nthawi yayitali kuti magazi asiye kutuluka mukadula pang'ono? Kapena mumangosanduka buluu ndikupanga mabala osakhudza chilichonse pathupi lanu? Ngati izi zakuchitikirani, zitha kukhala chifukwa chakuti muli ndi kuchuluka kochepa kwa ma platelet . M'mawu azachipatala, timatcha vutoli Thrombocytopenia (lomwe limatchedwa "thrombo-cyto-penia"). Musadandaule, tidzasunga zonse mosavuta.

Mwachidule, kodi Thrombocytopenia ndi chiyani?

Kuwonjezera pa maselo ofiira a magazi ndi maselo oyera a magazi , magazi athu ali ndi mtundu wina wapadera wa maselo, otchedwa ma platelet . Ntchito yawo yaikulu ndi kuthandiza kuletsa kutuluka magazi tikavulala. Kunena zoona, amapanga magazi oundana ndikuletsa kutuluka magazi.

Tsopano, Thrombocytopenia ndi pamene chiwerengero cha ma platelet m'magazi athu chimakhala chotsika kuposa kuchuluka komwe kumafunika. Izi zimapangidwa ndi mafupa athu. Chifukwa chake, ngati mafupa sapanga ma platelet okwanira, kapena ngati ma platelet omwe amapangidwa awonongeka mwachangu kwambiri, vutoli lingachitike. Izi zitha kuchitikanso chifukwa cha zinthu monga matenda ena ndi mankhwala.

Kodi vutoli ndi lofala bwanji?

Ndipotu, anthu ambiri ali ndi vutoli pang'ono kwambiri. Mwina sangadziwe kuti ali nalo chifukwa alibe zizindikiro zazikulu. Choncho n'zovuta kunena momwe matendawa amachitikira kawirikawiri.

Komabe, vuto lina lofanana nalo, Immune Thrombocytopenia , lapezeka kuti limakhudza ana ndi akuluakulu pafupifupi 3-4 mwa 100,000. Komanso, pafupifupi 5% ya amayi apakati amatha kukhala ndi thrombocytopenia yochepa nthawi yochepa asanabadwe.

Kodi ndi mavuto otani omwe angabwere chifukwa cha thrombocytopenia?

Kuchuluka kwa ma platelet m'magazi kungayambitse matenda oopsa.

• Kutuluka magazi ambiri m'thupi: Kutuluka magazi kungachitike m'malo monga m'mimba ndi m'matumbo. Choopsa kwambiri ndi kutuluka magazi m'bongo. Ichi chingakhale vuto lomwe likhoza kupha munthu.
• Matenda a mtima: Kuchepa kwa ma platelet m'magazi kungachepetse kuchuluka kwa magazi omwe amalowa mumtima, zomwe zimapangitsa kuti chiopsezo cha matenda a mtima chiwonjezeke.

Kodi kuchuluka kwa ma platelet m'magazi n'kotani komanso kotsika?

Mukayang'ana lipoti lanu la magazi, mudzawona kuti limalemba kuchuluka kwa ma platelet m'magazi anu. Tiyeni tiwone kuchuluka kwa magazi m'magazi mwachibadwa komanso kuchepa kwa magazi m'magazi.

Kodi inunso muli ndi zizindikiro izi? Zizindikiro za Thrombocytopenia

Anthu omwe ali ndi vuto lochepa la platelet sangakhale ndi zizindikiro zilizonse. Komabe, zizindikiro zikayamba kuonekera, chimodzi mwa zinthu zoyamba zomwe mumazindikira ndizovuta kusiya kutuluka magazi chifukwa cha bala laling'ono kapena kutuluka magazi m'mphuno. Nazi zizindikiro zina.

• Mkamwa umatuluka magazi: Mungaone magazi pa burashi yanu ya mano mukamatsuka mano. Mkamwa yanu ingaonekenso yotupa.
• Magazi mu ndowe: Ndowe ikhoza kukhala yakuda kwambiri.
• Magazi mu mkodzo: Ngati madzi m'chimbudzi akuoneka ngati pinki pang'ono mukatha kukodza, mwina chifukwa chakuti muli magazi mu mkodzo.
• Kusanza magazi: Izi zikutanthauza kuti pali kutuluka magazi kumtunda kwa mimba yanu.
• Kutuluka magazi ambiri panthawi ya msambo: Ngati msambo wanu wa mwezi uliwonse umatenga masiku opitilira 7, kapena ngati mutuluka magazi ambiri kuposa masiku onse, izi zitha kukhala chizindikiro.
• Petechiae:Zikuoneka ngati ziphuphu zazing'ono zofiira/zofiirira pa miyendo, makamaka m'mimba.
• Purpura: Madontho ofiira, ofiirira, kapena abulauni pakhungu. Izi zimachitika chifukwa cha magazi omwe amatuluka m'mitsempha yaying'ono yamagazi pansi pa khungu.
• Mabala: Mabala amapezeka magazi akamasonkhana pansi pa khungu. Mutha kuona kuti mumabala mosavuta kuposa masiku onse.
• Kutuluka magazi m'chimbudzi: Mutha kuona magazi pachimbudzi kapena mukutsuka.

N’chifukwa chiyani ma platelet m’magazi amachepa motere? Kodi zimayambitsa chiyani?

Zomwe zimayambitsa kuchepa kwa ma platelet m'magazi zitha kugawidwa m'magulu atatu akuluakulu.

1. Mafupa anu sakupanga ma platelet okwanira: Izi zitha kuchitika m'matenda a khansa ya m'magazi monga leukemia kapena lymphoma.

2. Ngakhale ma platelet okwanira atapangidwa ndi mafuta a m'mafupa, amawonongeka msanga kapena kutha msanga: Chifukwa cha matenda ena, kuchuluka kwa ma platelet omwe amapangidwa kumatha msanga.

3. Kusunga ma platelets a ndulu: Kawirikawiri, ndulu yathu imasunga pafupifupi gawo limodzi mwa magawo atatu a platelets athu a m'magazi. Komabe, nthawi zina, imasunga ma platelets ambiri.

Zifukwa zingapo zenizeni

• Matenda a Autoimmune: Mu matenda monga Immune Thrombocytopenia (ITP) ndi Lupus, chitetezo chathu chamthupi chimaukira ndikuwononga ma platelet amagazi.
• Khansa ya m'magazi: Matenda monga khansa ya m'magazi ndi lymphoma amatha kuwononga mafupa ndikuletsa kupanga ma platelet m'magazi.
• Mankhwala a khansa: Mankhwala a chemotherapy ndi radiation amatha kuwononga maselo oyambira omwe akanakhala ma platelet.
• Matenda ena a magazi: Mu matenda monga Thrombotic Thrombocytopenic Purpura (TPP), magazi ang'onoang'ono amaundana m'thupi lonse, zomwe zimapangitsa kuti ma platelet azitha msanga.
• Matenda: Matenda a bakiteriya ndi mavairasi angayambitsenso kuchuluka kwa ma platelet m'magazi.
• Kumwa mowa mopitirira muyeso: Mowa umachepetsa kupanga kwa ma platelet m'magazi.
• Mankhwala oopsa: Kukhudzana ndi zinthu monga arsenic, benzene, ndi mankhwala ophera tizilombo kungakhudzidwenso.
• Mankhwala ena: Mankhwala opha tizilombo toyambitsa matenda, mankhwala a khunyu, mankhwala a matenda a mtima, ndi mankhwala ochepetsa magazi monga heparin angayambitsenso izi.

Kodi mwapeza bwanji izi, Dokotala?

Mukapita kwa dokotala, adzakuyesani kaye. Adzakuyesani ngati muli ndi mikwingwirima, mawanga, ndi zina zotero. Adzakufunsaninso za mbiri yanu yachipatala komanso mankhwala omwe mukumwa. Kenako angakupempheni kuti muchite mayeso ngati awa.

• Kuchuluka kwa Magazi Okwanira (CBC): Uku ndi kuyeza magazi kwachizolowezi. Kumayesa kuchuluka kwa ma platelet, maselo ofiira a magazi, ndi maselo oyera a magazi m'magazi anu.
• Kupaka Magazi Pambali: Izi zimaphatikizapo kufufuza ma platelet a magazi anu pogwiritsa ntchito maikulosikopu.
• Mayeso oyezera magazi: Izi zimayesa nthawi yomwe magazi anu amaundana (monga mayeso a PTT ndi PT).
• Kufufuza Mafupa a Bone Morrow: Ngati mayeso a magazi akusonyeza kuti ma platelet anu ndi otsika kwambiri ndipo chifukwa chake sichikudziwika bwino, dokotala wanu angasankhe kutenga chitsanzo chaching'ono cha mafupa anu kuti akayesedwe.

Kodi mankhwala ochizira izi ndi otani?

Ngati kuchuluka kwa ma platelet m'magazi anu sikukuyambitsa mavuto akulu, mwina simungafunike chithandizo chilichonse. Nthawi zambiri, madokotala amachiritsa chomwe chimayambitsa vutoli. Mwachitsanzo, ngati layamba chifukwa cha mankhwala omwe mukumwa, akhoza kusintha mankhwalawo.

Mankhwala ena ndi awa:

• Ma Steroid: Mankhwalawa amatha kuwonjezera kupanga ma platelet m'magazi.
• Kuika Magazi: Ngati kuchuluka kwa ma platelet m'magazi anu kuli kochepa kwambiri, mungapatsidwe magazi (ma platelet) kuti muwonjezere kwakanthawi kuchuluka kwa ma platelet m'magazi anu.
• Kuchotsa spleenectomy: Ngati mayeso akusonyeza kuti ndulu yanu ikutseka ma platelet ambiri, dokotala wanu angakulangizeni kuti muchotse ndulu yanu opaleshoni. Komabe, popeza kuchotsa ndulu kumawonjezera chiopsezo chanu chotenga matenda, muyenera kulandira katemera kuti mudziteteze ku matendawa.

Zinthu zofunika kuziganizira mukakhala ndi vutoli

Ngati muli ndi thrombocytopenia, ndikofunikira kwambiri kusintha pang'ono moyo wanu.

• Moyo Wathanzi: Ngati mukusuta fodya, siyani. Ngati mukumwa mowa, chepetsani kumwa. Khalani ndi thanzi labwino la mano, chifukwa lingayambitse kutuluka magazi m'mano ndi m'kamwa.
• Musamwe mankhwala popanda upangiri wa dokotala: Mankhwala ena ochepetsa ululu (monga ibuprofen, aspirin) ali ndi mphamvu zochepetsera magazi. Musamwe mankhwala ochepetsa ululu, zowonjezera, kapena zitsamba popanda kufunsa dokotala wanu kaye.
• Pewani kuchita masewera olimbitsa thupi omwe angayambitse mabala ndi kutuluka magazi: Ndi bwino kupewa masewera olimbitsa thupi monga rugby ndi mpira. Funsani dokotala wanu za masewera olimbitsa thupi omwe ndi oyenera kwa inu.
• Yendani mosamala: Nthawi zonse valani lamba wachitetezo mukamakwera galimoto.
• Dziwitsani madokotala anu: Ngati mukuchitidwa opaleshoni iliyonse kapena kuchotsa dzino, dziwitsani dokotala pasadakhale kuti muli ndi thrombocytopenia ndi mankhwala omwe mukumwa.

Kutupa kwa magazi m'thupi, kuchepa kwa ma platelet, kutuluka magazi, kuvulala, petechiae, purpura, mayeso a CBC sinhala, mafuta am'mafupa, ndulu, spleenectomy, Sri Lanka