Ese ufite platelets nke mu maraso yawe? Reka tuvuge kuri Thrombocytopenia!

Iyo ukomeretse gato, kuva amaraso birahagarara nyuma y'igihe runaka, si byo se? Cyangwa wigeze ubona ko hari igihe uhura n'ibisebe by'ubururu cyangwa umuhengeri ku mubiri wawe nta kintu na kimwe kiguteye? Impamvu nyamukuru y'ibi bintu ni uturemangingo duto twitwa ' platelets ' mu maraso yacu. Ariko se bigenda bite iyo aba bafasha bagabanutse umubare? Ni cyo twita Thrombocytopenia mu buvuzi. Ntugahangayike, reka tubiganireho mu buryo bworoshye.

Mu magambo make, Thrombocytopenia ni iki?

Thrombocytopenia ni indwara aho umubare wa platelets mu maraso yawe uba uri hasi ugereranije n'ibisanzwe. Platelets ni uturemangingo duto cyane , dufite ishusho ya disiki mu maraso yacu. Akazi kabo nyamukuru ni ugukora agahu aho igikomere cyabereye kugira ngo amaraso ahagarike kuva. Ni nko gupfuka umwobo ku rukuta.

Ese wigeze wibaza icyo iri jambo risobanura? “Thrombocytes” ni irindi zina ry’udukoko twa platelets. “Penia” bivuze kutagira ikintu gihagije, kubura. Rero iyo ibi byombi bihuye, “Thrombocytopenia” iravuka.

Ubusanzwe, umuntu muzima agomba kuba afite plaquettes ziri hagati ya 150.000 na 450.000 kuri mililitiro imwe y'amaraso (igitonyanga cy'amaraso kiba kirimo mililitiro zigera kuri 35). Niba uyu mubare uri munsi ya 150.000 muri raporo y'amaraso yawe, bifatwa nk'indwara yitwa thrombocytopenia.

Ese ufite ibimenyetso nk'ibi?

Akenshi, kugabanuka gato kwa platelets nta bimenyetso bitera. Ariko, niba umubare wa platelets zawe ugabanuka cyane, ushobora kugira ibi bimenyetso:

Kuki platelets zigabanuka gutya? Ni izihe mpamvu?

Hari impamvu nyinshi zishobora gutuma ugira platelets nkeya. Ni gake cyane, bishobora kuba umurage. Ariko akenshi, biterwa n'indi ndwara cyangwa umuti urimo gufata. Muri make, hari ibyiciro bitatu by'ingenzi by'impamvu.

1. Kubera ko umubiri udakora platelets zihagije

Umwongo wacu w'amagufwa ni wo ruganda rukora izi platelets. Iyo umusaruro w'urwo ruganda ugabanutse, platelets ziragabanuka.

• Indwara za kanseri nka kanseri y'amaraso
• Amwe mu moko y'indwara yo kubura amaraso
• Kwandura virusi , urugero nka dengue, hepatite C , cyangwa virusi itera SIDA
• Kuvura kanseri hakoreshejwe imiti ikoreshwa mu gukamura imirasire cyangwa ubuvuzi bushingiye ku maraso
• Kunywa inzoga nyinshi
• Kurya ibintu by'uburozi nk'imiti yica udukoko na arsenic

2. Kubera ko plaquettes zisenyuka vuba kurusha uko zikorwa

Nubwo uruganda rwakora neza, niba umuriro wangiritse vuba, hazabaho ibura rya platelets.

• Gutwita (kuri bamwe)
• Indwara ziterwa n'ubwiyongere bw'umubiri. Iki ni cyo gihe ubudahangarwa bw'umubiri wacu bwibeshye bwangiza plaquettes zawo. Urugero, lupus.
• Hari ubwandu bwa bagiteri cyangwa virusi
• Imiti imwe n'imwe (urugero: Heparin)
• Indwara zidasanzwe nka Thrombotic thrombocytopenic purpura (TTP)

3. Kubera ko plaquettes zifata mu muhogo

Ubusanzwe, hafi kimwe cya gatatu cy'udukoko twa platelets tubikwa mu gahu. Ariko, iyo agahu kabaye kanini bitewe n'indwara nka cirrhosis y'umwijima, udukoko twinshi twa platelets tuba twafatiwemo, bigatuma umubare wa platelets utembera mu maraso ugabanuka.

Hariho kandi ubwoko butandukanye bwa thrombocytopenia.

Thrombocytopenia ishobora kugabanywamo ubwoko bwinshi bw'ingenzi bitewe n'icyayiteye.

• Indwara ya Thrombocytopenic Purpura (ITP): Iyi ni yo ndwara ikunze kugaragara cyane. Ikigaragara hano ni uko ubudahangarwa bwacu bw'umubiri bwangiza uduce twacu tw’amaraso bitewe n’ikibazo. Ibi bishobora kuza mu bwoko bubiri: ITP ikaze ku bana na ITP idakira ku bantu bakuru.
• Thrombotic Thrombocytopenic Purpura (TTP): Iyi ni indwara idasanzwe ariko iteje akaga. Uduce duto tw'amaraso tuba mu mubiri wose. Kubera ko hakoreshwa uduce twinshi twa platelets kugira ngo hakorwe utu duce tw'amaraso, umubare wa platelets mu maraso uragabanuka.
• Thrombocytopenia iterwa n'imiti (DIT): Iyi ndwara ishobora kubaho nk'ingaruka mbi z'imiti imwe n'imwe. Akenshi ishira iyo imiti ihagaritswe.
• Thrombocytopenia yo mu gihe cyo gutwita: Indwara ibaho mu gihe cyo gutwita, akenshi ntabwo ari ikomeye cyane. Ikunze kurangira nyuma yo kubyara.

Ubibona ute, Muganga?

Akenshi ikunze kuboneka mu buryo bw’impanuka mu gihe cyo gupima amaraso asanzwe (Umubare w’amaraso yose - FBC) bikozwe ku yindi mpamvu. Muganga wawe namara kumenya ko ufite plaquettes nke, azagutegeka ko hakorwa ibindi bipimo bike kugira ngo amenye icyabiteye.

Byongeye kandi, muganga ashobora gusuzuma umubiri wawe no gukora isuzuma rya ultrasound mu nda kugira ngo arebe niba urwagashya cyangwa ikibazo cy'umwijima byariyongereye.

Ese iki kibazo gishobora kuba gikomeye?

Ku bantu benshi, iki si ikibazo gikomeye. Ariko, niba umubare w’udukoko twa platelet ugabanutse ukagera munsi ya 20.000, bishobora guteza akaga. Ibi biterwa nuko kuva amaraso bishobora kubaho mu mubiri, cyane cyane mu bwonko, nubwo nta gikomere. Ibi bishyira ubuzima mu kaga.

Kubwibyo, niba ufite indwara ya Thrombocytopenia, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza no kujya kwa muganga ku gihe. Niba ugize ibimenyetso nko kuribwa umutwe cyane, guhinduka mu maso, cyangwa kugorwa no kuvuga, ugomba guhita ujya kwa muganga wita ku bibazo byihutirwa (ETU) by’ibitaro biri hafi kuko ibi bishobora kuba ibimenyetso by’amaraso ava mu bwonko.

Ivurwa ite?

Uburyo bwo kuvura buterwa n'impamvu ituma umubare wa platelet mu mubiri wawe uba muke ndetse n'uburyo umubare wa platelet mu mubiri wawe uba muke.

• Kuvura icyayiteye: Niba icyateye platelets nke ari umuti, muganga azahagarika uwo muti maze atange undi muti. Niba ari ubwandu, bazawuvura.
• Imiti: Iyo hari ikibazo cy’ubudahangarwa bw’umubiri nka ITP, ubudahangarwa bw’umubiri bugenzurwa no gutanga imiti nka steroid.
• Guterwa amaraso cyangwa platelets: Iyo umubare wa platelets ari muto cyane cyangwa amaraso menshi ava, platelets zitangwa hanze (Platelet transfusion).
• Kubagwa: Iyo ubundi buryo bwo kuvura budashoboye kugenzura iyo ndwara, hashobora kuba ngombwa ko habaho kubagwa kwa splenectomy.
• Guhinduranya Amaraso: Ubu buryo bwo kuvura bukoreshwa mu bihe nka TTP.

Ni gute wakwiyitaho?

Mu gihe ubana n'iki kibazo, ni ngombwa kugabanya ibyago byo gukomereka.

• Irinde ibikorwa biteje akaga: Irinde imikino yo gukubitanaho nko guterana iteramakofe, karate, na rugby.
• Witondere imiti: Buri gihe banza ubaze muganga wawe mbere yo gukoresha imiti igabanya ububabare yongera ibyago byo kuva amaraso, nka aspirine na ibuprofen.
• Gabanya inzoga: Inzoga zishobora kugabanya ikorwa rya plaquettes mu musemburo w'amagufwa, bityo ni byiza kugabanya ikoreshwa ry'inzoga.

Thrombocytopenia, Platelets, Umubare muto wa platelets, kuva amaraso, gukomereka, Purpura, Petechiae