Kodi muli ndi ma platelet ochepa m'magazi anu? Tiyeni tikambirane za Thrombocytopenia!

Mukavulala pang'ono, kutuluka magazi kumasiya pakapita kanthawi, sichoncho? Kapena munayamba mwazindikirapo kuti nthawi zina mumavulala abuluu kapena ofiirira m'thupi lanu osagunda chilichonse? Chifukwa chachikulu cha zinthuzi ndi maselo ang'onoang'ono otchedwa ' ma platelet ' m'magazi athu. Koma chimachitika ndi chiyani othandizira awa akachepa? Ndicho chimene timachitcha kuti Thrombocytopenia mu zamankhwala. Musadandaule, tiyeni tikambirane za izi mosavuta.

Mwachidule, kodi Thrombocytopenia ndi chiyani?

Thrombocytopenia ndi vuto lomwe kuchuluka kwa ma platelet m'magazi anu kumakhala kotsika kuposa kwachibadwa. Ma platelet ndi maselo ang'onoang'ono , ooneka ngati disc m'magazi athu. Ntchito yawo yayikulu ndikupanga magazi kuundana pamalo pomwe bala lavulala kuti lisiye kutuluka magazi. Zili ngati kuboola dzenje pakhoma.

Kodi munayamba mwadzifunsapo tanthauzo la mawu awa? “Thrombocytes” ndi dzina lina la ma platelet. “Penia” amatanthauza kusakwanira ndi chinthu china, kusowa. Choncho pamene zonsezi zigwirizana, “Thrombocytopenia” imapangidwira.

Kawirikawiri, munthu wathanzi ayenera kukhala ndi ma platelet pakati pa 150,000 ndi 450,000 pa microliter imodzi ya magazi (dontho limodzi la magazi limakhala ndi pafupifupi ma microliter 35). Ngati chiwerengerochi chili chochepera 150,000 mu lipoti lanu la magazi, chimaonedwa kuti ndi vuto lotchedwa thrombocytopenia.

Kodi muli ndi zizindikiro ngati izi?

Nthawi zambiri, kuchepa pang'ono kwa ma platelet sikubweretsa zizindikiro zilizonse. Komabe, ngati kuchuluka kwa ma platelet m'magazi anu kumatsika kwambiri, mutha kukumana ndi zizindikiro izi:

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

Pakhoza kukhala zifukwa zambiri zomwe mungakhale ndi ma platelet otsika. Nthawi zambiri, zimatha kukhala zobadwa nazo. Koma nthawi zambiri, zimachitika chifukwa cha matenda ena kapena mankhwala omwe mukumwa. Mwachidule, pali magulu atatu akuluakulu a zifukwa.

1. Chifukwa thupi silipanga ma platelet okwanira

Mafupa athu ndi omwe amapanga ma platelet awa. Ngati kupanga kwa fakitale imeneyo kwachepa, ma platelet adzachepa.

• Matenda a khansa monga leukemia
• Mitundu ina ya kuchepa kwa magazi m'thupi
• Matenda opatsirana ndi mavairasi , monga dengue, hepatitis C , kapena HIV
• Chemotherapy kapena radiation therapy ya khansa
• Kumwa mowa mopitirira muyeso
• Kumeza zinthu zoopsa monga mankhwala ophera tizilombo ndi arsenic

2. Chifukwa ma platelet amawonongeka mofulumira kuposa momwe amapangidwira

Ngakhale fakitale ikugwira ntchito bwino, ngati malo ophikira moto awonongeka msanga, padzakhala kusowa kwa ma platelet.

• Mimba (kwa ena)
• Matenda a autoimmune. Apa ndi pamene chitetezo cha mthupi lathu chimawononga ma platelet ake molakwika. Mwachitsanzo, lupus.
• Matenda ena a bakiteriya kapena mavairasi
• Mankhwala ena (monga Heparin)
• Matenda osowa monga Thrombotic thrombocytopenic purpura (TTP)

3. Chifukwa ma platelet amamatira mu ndulu

Kawirikawiri, pafupifupi gawo limodzi mwa magawo atatu a ma platelet athu amasungidwa mu ndulu. Komabe, ngati nduluyo ikukula chifukwa cha matenda monga cirrhosis ya chiwindi, ma platelet ambiri amatsekeredwa mkati mwake, zomwe zimachepetsa kuchuluka kwa ma platelet omwe amazungulira m'magazi.

Palinso mitundu yosiyanasiyana ya thrombocytopenia.

Matenda a Thrombocytopenia amatha kugawidwa m'magulu akuluakulu angapo kutengera chomwe chimayambitsa.

• Immune Thrombocytopenic Purpura (ITP): Iyi ndi mtundu wofala kwambiri. Chomwe chimachitika apa ndichakuti chitetezo chathu cha mthupi chimawononga ma platelet athu chifukwa cha vuto. Izi zitha kuchitika m'mitundu iwiri: acute ITP mwa ana ndi chronic ITP mwa akuluakulu.
• Matenda a Thrombotic Thrombocytopenic Purpura (TTP): Uwu ndi matenda osowa koma owopsa. Magazi ochepa amaundana m'thupi lonse. Chifukwa chakuti ma platelet ambiri amagwiritsidwa ntchito popanga ma clotting amenewa, kuchuluka kwa ma platelet m'magazi kumachepa.
• Matenda a Thrombocytopenia (DIT) omwe amabwera chifukwa cha mankhwala enaake: Matendawa amatha chifukwa cha mankhwala enaake. Nthawi zambiri amatha mankhwalawo akasiya kugwiritsidwa ntchito.
• Matenda a Mimba: Matenda omwe amapezeka panthawi ya mimba, nthawi zambiri si oopsa. Nthawi zambiri amatha pambuyo pobereka.

Kodi mwapeza bwanji izi, Dokotala?

Kawirikawiri zimapezeka mwangozi panthawi yoyezetsa magazi nthawi zonse (Full Blood Count - FBC) pazifukwa zina. Dokotala wanu akangodziwa kuti muli ndi ma platelet ochepa, adzalamula kuti muyesedwenso kuti adziwe chomwe chikuyambitsa.

Kuphatikiza apo, dokotala angakufufuzeni thupi lanu ndikuchita ultrasound ya m'mimba kuti aone ngati pali vuto la ndulu kapena chiwindi.

Kodi vutoli lingakhale lalikulu?

Kwa anthu ambiri, izi si vuto lalikulu. Komabe, ngati kuchuluka kwa ma platelet m'magazi kumatsika pansi pa 20,000, kungakhale koopsa. Izi zili choncho chifukwa kutuluka magazi kungachitike m'thupi, makamaka muubongo, ngakhale popanda kuvulala. Izi ndi zoopsa pa moyo.

Choncho, ngati muli ndi matenda a Thrombocytopenia, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola ndikupita kuzipatala nthawi yake. Ngati mukumva zizindikiro monga mutu waukulu, kusintha kwa masomphenya, kapena kuvutika kulankhula, muyenera kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi chifukwa izi zitha kukhala zizindikiro za kutuluka magazi muubongo.

Kodi chimachiritsidwa bwanji?

Chithandizo chimadalira chifukwa cha kuchepa kwa ma platelet m'magazi anu komanso momwe ma platelet anu alili otsika.

• Kuchiza chomwe chimayambitsa matendawa: Ngati chifukwa cha kuchepa kwa ma platelet m'magazi ndi mankhwala, dokotala adzasiya kumwa mankhwalawo ndikulemba mankhwala ena. Ngati ndi matenda, adzawachiza.
• Mankhwala: Ngati pali vuto la chitetezo chamthupi monga ITP, chitetezo chamthupi chimayendetsedwa ndi kupereka mankhwala monga ma steroids.
• Kuika magazi kapena ma platelet: Ngati kuchuluka kwa ma platelet kuli kochepa kwambiri kapena kutuluka magazi kwambiri, ma platelet amaperekedwa kunja (Platelet transfusion).
• Opaleshoni: Ngati mankhwala ena alephera kulamulira vutoli, opaleshoni ya splenectomy ingafunike.
• Kusinthana kwa Plasma: Njira yochizira iyi imagwiritsidwa ntchito m'mikhalidwe ngati TTP.

Kodi mungadzisamalire bwanji?

Mukakhala ndi vutoli, ndikofunikira kuchepetsa chiopsezo chovulala.

• Pewani zochita zoopsa: Pewani masewera olimbitsa thupi monga nkhonya, karate, ndi rugby.
• Samalani ndi mankhwala: Nthawi zonse funsani dokotala musanagwiritse ntchito mankhwala ochepetsa ululu omwe amawonjezera chiopsezo cha kutuluka magazi, monga aspirin ndi ibuprofen.
• Chepetsani mowa: Mowa ukhoza kuchepetsa kupanga ma platelet m'mafupa, choncho ndi bwino kuchepetsa kumwa mowa.

Thrombocytopenia, Mapulateleti, Kuchuluka kwa mapulateleti ochepa, Kutuluka magazi, Kutupa, Purpura, Petechiae