Une maplatelet akaderera muropa rako here? Ngatikurukurei nezveizvi (Thrombocytopenia)!

Makadini? Nhasi tichataura nezvechirwere chinganzwika sechakakomba zvishoma, asi kana chikanzwisiswa zvakanaka, chinogona kudzorwa zvakanyanya. Ndiko kudzikira kwemaplatelet muropa, chirwere chinonzi (Thrombocytopenia) mukurapa. Ungave wakanzwa izwi iri kubva kuna chiremba, kana kuti ungave wakariona mumushumo weropa. Usazvidya moyo, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Kutanga, ngationei kuti aya maplatelet eropa chii uye nei achikosha kwatiri?

Funga nezvazvo nenzira iyi: maplatelet ndiwo maumbirwo madiki akafanana nemasoja anofamba nemutsinga dzedu dzeropa. Kutaura chokwadi, iwo rudzi rwesero diki kwazvo, risina ruvara. Kufanana nemamwe masero ari muropa redu, maplatelet anogadzirwa munyama yakapfava iri mukati memapfupa edu inonzi bone marrow.

Zvino unobvunza kuti, sei tichida varwi ava vadiki? Heino chinhu chakakosha: Patinokuvara pane imwe nzvimbo totanga kubuda ropa, sepaya patinoenda kuhondo, maplatelet aya ndiwo anotanga kumhanyira ikoko obatana kuti agadzire ropa rakagwamba (`(clot)`) kuti amise kubuda ropa. Zvakafanana nepaunoisa simende mugomba riri pamadziro. Saka, pasina maplatelet, kunyange ronda diki ringasakwanisa kumisa kubuda ropa. Unonzwisisa here kukosha kwaro?

Saka, chii chinonzi low platelet count, kana kuti thrombocytopenia?

Zvichitaurwa zviri nyore, thrombocytopenia inyaya yekuti ropa rako rinenge riine huwandu hushoma pane hwakajairika hwemaplatelet. Kazhinji, munhu ane hutano hwakanaka ane maplatelet ari pakati pe1.5 ne4.5 miriyoni pa microliter yeropa. Kana nhamba iyi yadzikira pasi peiyi, tinoidaidza kuti thrombocytopenia.

Asi hechino chinhu: kudonha kudiki kwemaplatelet hakusi chinhu chikuru nguva dzose. Zvinoenderana nekuti kwakaderera sei, nei kwakaderera, uye kuti kunodonha nekukurumidza sei. Ndosaka zvichikosha kutsvaga mazano kuna chiremba.

Sei tiine maplatelet mashoma? Ndezvipi zvinokonzera?

Panogona kuva nezvikonzero zvakasiyana-siyana zvinoita kuti ropa rive shoma. Ngatizvikamuranisei muzvikamu zvitatu zvikuru.

1. Kana kugadzirwa kwemaplatelet eropa nemapfupa emubofu kukaderera:

Tambotaura nezve magadzirirwo emaplatelet mubhonzo. Saka, kana paine dambudziko nebhonzo iri uye kugadzirwa kwemaplatelet kuchiderera, huwandu hwemaplatelet muropa hunoderera. Pane zvikonzero zvakawanda zvinogona kukonzera izvi:

• Zvimwe zvirwere zvinotapukira: Semuenzaniso, zvirwere zvakaita sedengue fever, hepatitis C, uye HIV zvinogona kukonzera kutadza kushanda zvakanaka kwemapfupa.
• Mimwe mishonga: Mishonga inoshandiswa kurapa gomarara (Chemotherapy), mimwe mishonga inorwisa mabhakitiriya, uye mishonga inobvisa mvura mumuviri inogona kukanganisawo mwongo wemapfupa.
• Kunwa doro zvakanyanya: Izvi zvinogonawo kukuvadza mapfupa.
• Kushaikwa kwemavhitamini: Kana muviri usina vhitamini B12 yakakwana (`(Vitamin B12)`) kana folate (`(Folate)`), kugadzirwa kwemaplatelet eropa kunogona kudzikira.
• Kenza dzeropa: Kenza dzeropa dzakadai seleukemia dzinogona kukonzera kuti mupfupa umire kugadzira masero akajairwa.
• Aplastic Anemia: Apa ndipo apo muro wemapfupa usingagadzire masero eropa nemazvo.
• Myelodysplastic Syndromes: Ichi chirwere chinowanzoonekwawo sekuti bone morrow haisi kushanda zvakanaka.
• Zvirwere zvemajini zvisingawanzoitiki: Dzimwe nguva, kugadzirwa kwemaplatelet mashoma kunogona kukonzerwa nezvikonzero zvemajini zviripo pakuzvarwa.

2. Kana maplatelet anogadzirwa akaparadzwa nekukurumidza kana akashandiswa zvakanyanya mumuviri:

Dzimwe nguva, kunyangwe mupfupa ukaburitsa maplatelet akakwana, kana akaparadzwa nekukurumidza mumuviri, kana akashandiswa zvakanyanya nekuda kwekubuda ropa zvakanyanya, huwandu hwemaplatelet hunogona kudzikira.

• ITP (Immune Thrombocytopenic Purpura): Apa ndipo apo masoja edu emuviri anorwisa nekukanganisa maplatelet edu eropa. Izvi zvinogona kuitika kuvana vadiki mushure mekurwara nefivha, asi zvinogonawo kuitika kuvanhu vakuru.
• Izvi zvinogonawo kuitika mune zvimwe zvirwere zvinorwisa muviri, zvakaita se lupus ne rheumatoid arthritis.
• Mimwe mishonga: Mimwe mishonga inogona kukonzera kuti masoja emuviri aparadze maplatelet eropa, kunyangwe semugumisiro weallergy.
• Utachiona hwakanyanya (sepsis): Muzvirwere zvakakomba, zvirwere zvakaita seDIC (Disseminated Intravascular Coagulation) zvinogona kuitika, zvichikonzera kupera kwemaplatelet eropa nekukurumidza.
• TTP (Thrombotic Thrombocytopenic Purpura) (`(Thrombotic Thrombocytopenic Purpura)`) uye HUS (Hemolytic Uremic Syndrome) (`(Hemolytic Uremic Syndrome)`): Aya mamiriro asingawanzoitiki asi ane njodzi. Mumamiriro ezvinhu aya, madomasi madiki eropa anoumbwa mukati metsinga dzeropa uye maplatelet anobviswa.

3. Kana chiropa chikakura uye maplatelet akaungana ipapo:

Chiropa inhengo iri kumusoro kuruboshwe kwedumbu redu. Inosefa ropa uye inobvisa masero eropa ekare. Kana chiropa chikakura nekuda kwezvirwere zvakasiyana (semuenzaniso, chirwere chechiropa - cirrhosis, mamwe hutachiona, kenza yeropa), chinogona kuunganidza maplatelet akawanda kupfuura zvakajairika, zvichikonzera kudzikira kwehuwandu hwemaplatelet muropa.

Ndezvipi zviratidzo zvinogona kuitika kana maplatelet eropa ari mashoma?

Zviratidzo zvemaplatelet akaderera zvinogona kusiyana kubva pamunhu nemunhu. Zvinoenderanawo nekuti maplatelet ako akaderera sei uye kuti anokurumidza kudonha sei. Dzimwe nguva vanhu vane maplatelet akaderera vanogona kusava nezviratidzo zvachose. Zvisinei, heano mamwe ezviratidzo zvakajairika:

• Maronda: Maronda matema makuru, ebhuruu kana epepuru paganda. Kunyangwe bundu diki chero kupi rinogona kukonzera maronda makuru.
• Madonhwe madiki matsvuku paganda:Dzimwe nguva, madotsi madiki matsvuku kana epepuru (`(petechiae)`) anoonekwa mumuviri wese, semasvosve madiki, pamakumbo nemaoko. Aya haanyangarike kana ukaatarisa.
• Zvinotora nguva yakareba kuti kubuda ropa kumire mushure mekukuvara.
• Kubuda ropa mumatadza, kubuda ropa mumhino kakawanda.
• Kubuda ropa muweti kana tsvina (weti inogona kunge yakatsvuka, tsvina inogona kunge yakasviba kana kuti ine ropa).
• Kuvakadzi, nguva yekuenda kumwedzi inorema uye inotora mazuva akawanda kupfuura mazuva ese.
• Kunzwa kuneta, kuneta.
• Dzimwe nguva, kana zvakabatana nedambudziko rechiropa, maziso anogona kuita yero (jaundice).

Zvakakosha: Kana ukaona zviratidzo zvakaita semusoro, kunzwa kupera simba, kana kuoma kutaura, unofanira kuenda kuchipatara nekukasika, sezvo izvi zvingava chiratidzo chekubuda ropa muuropi!

Kana tiine zviratidzo zvakadai, tinofanira kuitei? Tinofanira kuona chiremba here?

Ehe, zvechokwadi! Kana uine kubuda ropa kusingawanzoitiki, mavanga eropa paganda rako, kana kuneta kwakanyanya, usazviregeredza woona chiremba. Usavhunduke, asi usanonokawo. Chiremba achakubvunza mibvunzo, achakuongorora, uye achakutumira kuti unoongororwa kana zvichidikanwa.

Chiremba anoongorora sei izvi? Ndedzipi mhando dzebvunzo dzavanoita?

Kana ukaona chiremba, vanotanga vakubvunza nezvezviratidzo zvako, mishonga yauri kutora, uye kana paine mumwe munhu mumhuri mako akambosangana nematambudziko akafanana. Vachakuongorora voongorora kana paine kubuda ropa, ruvara rweganda, uye chiropa chakakura.

Uye zvakare, zvinokwanisika kuita bvunzo dzakadai se:

• Kuverengwa Kweropa Rakazara (FBC) : Iyi ndiyo nzira huru yekuongorora huwandu chaihwo hwemaplatelet muropa. Inopawo ruzivo nezvemasero matsvuku eropa nemasero machena eropa.
• Kusveta Ropa Panze : Izvi zvinosanganisira kutora sampuro yeropa uye kutarisa chimiro nehukuru hwemaplatelet pasi pemaikorosikopu. Dzimwe nguva, vanoongororawo kana maplatelet akabatana pamwe chete kana kuti pane masero asina kujairika.
• Kumwe kuongororwa kweropa: Kune kumwe kuongororwa kunogona kubatsira kuwana chikonzero. Semuenzaniso, kuongororwa kwekushanda kwechiropa (kuyedzwa kwebasa rechiropa), kuongororwa kwebasa reitsvo, kuongororwa kwehutachiona, uye kuongororwa kwezviratidzo zve autoimmune.
• Kufema Bone Morrow uye Biopsy : Dzimwe nguva, kana bvunzo dzeropa chete dzikasaratidza chikonzero, bvunzo iyi inoitirwa kuona kana bone morrow iri kugadzira maplatelet nemazvo. Izvi zvinosanganisira kutora huwandu hushoma hwe bone morrow kubva munzvimbo diki, senge muhudyu, uchibatsirwa neanesthesia.

Ndeipi mishonga yekurapa maplatelet eropa akaderera?

Iri idambudziko rinosangana nevanhu vazhinji. Kurapwa kwemaplatelet akaderera kunoenderana nekuti chii chakakonzera uye kuti chirwere chacho chakakomba zvakadii. Hapana mhinduro imwe chete inokodzera zvese.

• Kune avo vane huwandu hwemaplatelet hwakaderera zvishoma: Kana huwandu hwemaplatelet husina kuderera zvakanyanya uye pasina zviratidzo zvekubuda ropa, dzimwe nguva hapana kurapwa kunodiwa, kungoongororwa neropa nguva dzose.
• Kurapa chikonzero chikuru:
• Kana mushonga waita kuti huwandu hwemaplatelet mumuviri wako huderere, chiremba wako achakuudza kuti urege kutora mushonga wacho kana kuti uchachinja kuti ushandise mumwe mushonga. Unofunga kuti zvakanaka here kuti usarega kutora mushonga wacho?
• Kana zvichikonzerwa nehutachiona, hutachiona ihwohwo hunorapwa.
• Kana chiri chirwere che autoimmune, chinorapwa.
• Kurapa kwakanyanya kune maplatelet eropa akaderera:
• Corticosteroids : Semuenzaniso, mishonga yakaita seprednisolone. Iyi inopihwa kudzivirira masoja emuviri kubva mukuparadza maplatelet eropa (mumamiriro akaita seITP).
• Immunoglobulin yemutsinga (IVIG): Uyu mushonga wakaita semunyu unopihwa mutsinga. Unoshandiswa kuwedzera huwandu hwemaplatelet nekukurumidza muzviitiko zvakakomba apo masoja emuviri ari kuparadza maplatelet eropa.
• Mimwe mishonga inodzora masoja emuviri (immunosuppressants): Iyi inopihwa kana ma steroid asingashande kana mhedzisiro yacho yakanyanya kuipa.
• Mishonga yeThrombopoietin receptor agonists (TPO-RAs): Mishonga iyi inosimudzira mapfupa kuti agadzire maplatelet akawanda.
• Kuisirwa Maplatelet: Kana uri kubuda ropa rakawanda kana kuti huwandu hwemaplatelet ako hwakaderera zvikuru uye hune njodzi (semuenzaniso usati wavhiyiwa), unogona kupihwa maplatelet kunze. Zvisinei, iyi ingori mhinduro yenguva pfupi.
• Kubviswa kwetsvina: Kana tsandanyama ikaonekwa kuti ndiyo inokonzeresa kuparadzwa kwemaplatelet, uye mamwe marapirwo asingashande (kunyanya muITP yenguva refu), kuvhiyiwa kwekubvisa tsandanyama kunogona kuitwa. Zvisinei, kubviswa kwetsandanyama kunowedzera njodzi yehutachiona.
• Kuchinjana kweplasma (kana kuti Plasmapheresis): Kurapa uku kunoshandiswa mumamiriro ezvinhu akadai seTTP.

Chii chatinofanira kufunga nezvacho patinenge tichirarama nechirwere ichi?

Vanhu vane maplatelet eropa akaderera vanofanira kungwarira zvishoma muhupenyu hwavo hwezuva nezuva.

• Dzivisa mitambo inogona kukonzera kudonha nekukuvara. Semuenzaniso, mitambo yekubata vanhu haina kukodzera.
• Chenjerera zvikuru pakushandisa zvishandiso zvakapinza kana kucheka miriwo.
• Shandisa bhurashi remazino rakapfava paunenge uchikwesha mazino ako. Chenjerera kuti usakuvadze mazino ako.
• Kutora mishonga inobvisa ropa yakaita seaspirin, NSAIDs (yakadai seibuprofen) pasina kurairwa nachirembaUsashandise izvi. Izvi zvinogona kuwedzera kubuda ropa. Udza chiremba wese nachiremba wemazino kuti unoona kuti une maplatelet akaderera.
• Ziva chero zviratidzo zvekubuda ropa (mavanga eganda, kubuda ropa mumhino, kubuda ropa mukanwa). Udza chiremba wako kana ukaona zviratidzo zvitsva.
• Idya chikafu chakakwana. Kana huwandu hwemaplatelet ako hukaderera nekuda kwekushomeka kwemavhitamini, kudya chete hakuzorapi. Zvisinei, zvakakosha kuwana chikafu chinodiwa nemuviri wako.
• Deredza kana kurega zvachose kunwa doro .

Izvi zvingave zvakakomba here? Ndezvipi zvinetso zviri kuitika?

Ehe, ichi chinogona kuva chirwere chakakomba kana huwandu hwemaplatelet hukadzikira zvakanyanya kana kamwe kamwe.

Njodzi huru kubuda ropa kwakanyanya. Izvi zvinogona kuonekwa (kubva paronda, mumhino) kana mukati (semuenzaniso, muuropi, mudumbu, muura). Kubuda ropa mukati kunogona kuisa upenyu panjodzi.

Ndosaka zvichikosha kutora mushonga sezvataurwa nachiremba uye kungwarira.

Pfupiso nemashoko ekupedzisira

Zvakanaka, saka ndinovimba wava kunzwisisa zviri nani zvatataura nezvazvo nhasi (Thrombocytopenia) kana kuti maplatelet eropa akaderera. Yeuka, izvi zvinoreva kuti maplatelet ari muropa akaderera pane zvakajairika. Panogona kuva nezvikonzero zvakawanda, uye zviratidzo zvakasiyana pamunhu wega wega.

Chinhu chinonyanya kukosha ndechekuti, kana uine zviratidzo izvi, pane kusarudza wega, kana kutsvaga mishonga online, tsvaga chiremba akanaka, tsvaga chikonzero chaicho, uye uwane kurapwa kwakakodzera.

Usazvidya mwoyo, kazhinji, nekurapwa kwakakodzera uye kutarisirwa, unogona kudzora dambudziko iri uye kurarama hupenyu hwakanaka. Iva akatendeseka kuna chiremba wako nezvese, uye bvunza chero mibvunzo yaungave nayo. Izvi zvichakubatsira kunzwisisa izvi zviri nani uye kukubatsira kugadzirisa zviri nani.

thrombocytopenia , kuwanda kwemaplatelet, maplatelet, mupfupa, kubuda ropa, mavanga, ITP, zvirwere zveropa, chinyorwa chekurapa cheSinhala, petechiae