Kana wachekwa zvishoma, kubuda ropa kunomira mushure mechinguva, handiti? Kana kuti wakamboona here kuti dzimwe nguva unowana mavanga ebhuruu kana epepuru pamuviri wako usingarove chero chinhu? Chikonzero chikuru chezvinhu izvi masero madiki anonzi ' maplatelet ' muropa redu. Asi chii chinoitika kana vabatsiri ava vadzikira muhuwandu? Ndizvo zvatinodaidza kuti Thrombocytopenia mukurapa. Usazvidya moyo, ngatitaurei nezvazvo zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Thrombocytopenia?
Thrombocytopenia chirwere chinokonzerwa nekuti huwandu hwemaplatelet muropa rako hwakaderera pane zvakajairwa. Maplatelet masero madiki , akaita sedhisiki muropa redu. Basa rawo guru nderekuumba ganda panzvimbo yeronda kuti ropa rimire kubuda. Zvakafanana nekugadzira buri pamadziro.
Wakambozvibvunza here kuti izwi iri rinorevei? "Thrombocytes" rimwe zita remaplatelet. "Penia" zvinoreva kusava nechimwe chinhu chakakwana, kushomeka. Saka kana izvi zviviri zvasangana, "Thrombocytopenia" inoumbwa.
Kazhinji, munhu ane hutano hwakanaka anofanira kuva nemaplatelet ari pakati pe150,000 ne450,000 pa microliter yeropa (donhwe reropa rine angangoita 35 microliters). Kana nhamba iyi iri pasi pe150,000 muropa rako, inoonekwa sechirwere chinonzi thrombocytopenia.
Une zviratidzo zvakaita seizvi here?
Kazhinji, kudzikira kudiki kwemaplatelet hakukonzeri zviratidzo. Zvisinei, kana huwandu hwemaplatelet ako hukadzikira zvakanyanya, unogona kusangana nezviratidzo izvi:
| Chiratidzo | Chii chinoitika ipapo? |
|---|---|
| Kubuda ropa | Kubuda ropa kunogona kuitika kubva mumazino kana mumhino, kunyanya kana uchikwesha mazino ako. Vakadzi vanogona kunge vaine nguva yekuenda kumwedzi yakanyanya kana yakareba. Dzimwe nguva, ropa rinogonawo kuvapo muweti kana tsvina. |
| Maronda nemavanga | Mavanga ebhuruu/pepuru (sekunge akarohwa) anoonekwa pamuviri pasina chikonzero. Aya anonzi Purpura mukurapa. Aya kubuda ropa kunoitika pasi peganda. |
| Mavara madiki matsvuku paganda | Madonhwe madiki matsvuku (madonhwe) akakura semuromo wepeni anogona kuonekwa paganda, kunyanya pamakumbo. Aya anogonawo kuuya ari mapoka. Vanachiremba vanodana aya kuti Petechiae . |
| Kuneta | Kuderera kwehuwandu hwemaplatelet mumuviri chete hakukonzeri kuneta. Zvisinei, chirwere chiripo (semuenzaniso anemia) chinokonzera kuderera kwehuwandu hwemaplatelet mumuviri chinogona kuita kuti unzwe kuneta uye kuneta. |
| Kuwedzera kwetsandanyama | Chidende chinhengo chiri kumusoro kuruboshwe kwedumbu redu. Dzimwe nguva, maplatelet anogona kubatwa oparadzwa mukati maro, izvo zvinogona kukonzera kudzikira kwehuwandu hwemaplatelet. Zvadaro chidende chinozvimba. |
Sei maplatelet achidzikira seizvi? Ndezvipi zvinokonzera?
Panogona kuva nezvikonzero zvakawanda nei ungave uine maplatelet akaderera. Kashoma, zvinogona kuva zvenhaka. Asi kazhinji, zvinokonzerwa nechimwe chirwere kana mushonga wauri kutora. Zvichitaurwa zviri nyore, kune mapoka matatu makuru ezvikonzero.
1. Nekuti muviri haugadzi maplatelet akakwana
Muromo wedu wemapfupa ndiwo fekitari inogadzira maplatelet aya. Kana kugadzirwa kwefekitori iyoyo kukakanganiswa, maplatelet anoderera.
- Zvirwere zvegomarara zvakaita seleukemia
- Mamwe marudzi eanemia
- Utachiona hwemavhairasi , semuenzaniso dengue, hepatitis C , kana HIV
- Kurapwa nekenza nemakemikari kana kuti nemwaranzi
- Kunwa doro zvakanyanya
- Kudya zvinhu zvine chepfu zvakaita semishonga yekuuraya zvipembenene nearsenic
2. Nekuti maplatelet anoparadzwa nekukurumidza kupfuura aanoitwa
Kunyangwe kana fekitari ikashanda zvakanaka, kana chitofu chikapwanyika nekukurumidza, pachava nekushomeka kwemaplatelet.
- Kubata pamuviri (kune vamwe)
- Zvirwere zve autoimmune. Apa ndipo apo masoja emuviri wedu anoparadza nemaune maplatelet awo. Semuenzaniso, lupus.
- Zvimwe zvirwere zvebhakitiriya kana mavhairasi
- Mimwe mishonga (semuenzaniso Heparin)
- Zvirwere zvisingawanzoitiki zvakaita seThrombotic thrombocytopenic purpura (TTP)
3. Nekuti maplatelet anonamira muspleen
Kazhinji, chikamu chimwe muzvitatu cheplatelets dzedu chinochengetwa mupleen. Zvisinei, kana pleen ikakura nekuda kwechirwere chakadai secirrhosis yechiropa, maplatelets akawanda anobatwa mukati mayo, zvichideredza huwandu hweplatelets dzinotenderera muropa.
Kunewo marudzi akasiyana e thrombocytopenia.
Thrombocytopenia inogona kukamurwa kuita mhando dzakasiyana-siyana zvichienderana nechikonzero.
- Immune Thrombocytopenic Purpura (ITP): Iyi ndiyo mhando inonyanya kuwanikwa. Chinoitika pano ndechekuti masoja edu emuviri anoparadza maplatelet edu nekuda kwedambudziko. Izvi zvinogona kuuya mumhando mbiri: acute ITP muvana uye chronic ITP muvakuru.
- Thrombotic Thrombocytopenic Purpura (TTP): Ichi chirwere chisingawanzoitiki asi chine njodzi. Madota madiki eropa anoumbwa mumuviri wese. Nekuti maplatelet akawanda anoshandiswa kugadzira madota aya, huwandu hwemaplatelet muropa hunoderera.
- Chirwere cheThrombocytopenia chinokonzerwa nemishonga (DIT): Chirwere ichi chinogona kuitika semhedzisiro yemishonga yakati wandei. Chinowanzo pera kana mushonga wacho wamiswa.
- Kushungurudzika kwepamuviri: Chirwere chinoitika panguva yekuzvitakura, kazhinji kacho chisiri chakakomba. Chinowanzopera mushure mekusununguka.
Unoona sei izvi, Chiremba?
Kazhinji inowanikwa netsaona panguva yekuongororwa ropa nguva dzose (Full Blood Count - FBC) nekuda kwechimwe chikonzero. Kana chiremba wako angoona kuti une maplatelet akaderera, acharaira mimwe miedzo kuti aone chikonzero chacho.
Yeuka, kana kuongororwa kweropa rako kukaratidza kuti maplatelet akaderera, chinhu chakakosha ndechekusavhunduka woenda kuna chiremba kuti akupe mazano.
| Bvunzo | Chii chaunoona ipapo? |
|---|---|
| Kuverengwa kweropa rose (CBC/FBC) | Huwandu hwemasero matsvuku, masero machena, uye maplatelet muropa hunoyerwa. |
| Kusvuta Ropa (Kusvuta Ropa Panze) | Maplatelet anoongororwa nemaikorosikopu kuti vaone kana aine chimiro chakajairika uye chitarisiko chakajairika. |
| Kuedzwa kweBone Morrow | Kana chikonzero chisina kujeka, bvunzo iyi inoitirwa kuona kana fekitari yemapfupa emubofu iri kushanda nemazvo. |
Pamusoro pezvo, chiremba anogona kuongorora muviri wako uye kuita ultrasound scan yemudumbu kuti aone kana paine dambudziko replenhe kana chiropa.
Mamiriro ezvinhu aya angava akakomba here?
Kune vanhu vazhinji, iri harisi dambudziko guru. Zvisinei, kana huwandu hwemaplatelet hukadzikira pasi pe20,000, zvinogona kuva nengozi. Izvi zvinokonzerwa nekuti kubuda ropa kunogona kuitika mumuviri, kunyanya muuropi, kunyangwe pasina kukuvara. Izvi zvinoisa hupenyu panjodzi.
Saka, kana uine Thrombocytopenia, zvakakosha kuti utevedzere mirairo yachiremba wako nemazvo uye uende kumakiriniki nenguva. Kana ukaona zviratidzo zvakaita semusoro wakanyanya, kuchinja kwekuona, kana kuoma kutaura, unofanira kuenda kuEmergency Department (ETU) yechipatara chiri pedyo nekuti izvi zvinogona kunge zviri zviratidzo zvekubuda ropa muuropi.
Inorapwa sei?
Kurapwa kunoenderana nechikonzero chehuwandu hwemaplatelet mumuviri wako uye kuti huwandu hwemaplatelet mumuviri wako hwakaderera sei.
- Kurapa chikonzero: Kana chikonzero chekuderera kwehuwandu hwemaplatelet mumuviri chiri mushonga, chiremba achamisa mushonga iwoyo onyora mumwe mushonga. Kana chiri chirwere, vachachirapa.
- Mishonga: Kana paine dambudziko redziviriro yemuviri seITP, dziviriro yemuviri inodzorwa nekupa mishonga yakaita semasteroids.
- Kuwedzerwa ropa kana maplatelet: Kana huwandu hwemaplatelet hwakaderera zvikuru kana kuti kubuda ropa kwakanyanya, maplatelet anopihwa kunze (Platelet transfusion).
- Kuvhiyiwa: Kana mamwe marapirwo akatadza kudzora mamiriro acho ezvinhu, kuvhiyiwa kwe splenectomy kunogona kudiwa.
- Kuchinjana kwePlasma: Nzira iyi yekurapa inoshandiswa mumamiriro ezvinhu akaita seTTP.
Ungazvitarisira sei?
Kana uchirarama nechirwere ichi, zvakakosha kuderedza njodzi yekukuvara.
- Dzivisa mitambo ine njodzi: Rega mitambo yekubata vanhu yakaita sebhokisi, karate, uye rugby.
- Chenjerera nemishonga: Gara uchibvunza chiremba wako usati washandisa mishonga inoderedza marwadzo inowedzera njodzi yekubuda ropa, senge aspirin neibuprofen.
- Deredza doro: Doro rinogona kuderedza kugadzirwa kwemaplatelet mumongo wemapfupa, saka zvakanaka kuderedza kunwa doro.
Mharidzo Yekuenda Nayo Kumba
- Thrombocytopenia kudzikira kwehuwandu hwemaplatelet muropa. Izvi zvinogona kuwedzera njodzi yekubuda ropa.
- Kazhinji, hapana zviratidzo. Zvisinei, ziva zvinhu zvakaita semavanga asina kutsanangurwa, kubuda ropa mumazino/mhino, uye mavanga matsvuku paganda.
- Pane zvikonzero zvakawanda zvechirwere ichi. Saka, usatya kana ukaona maplatelet akaderera muropa rako, asi enda kuna chiremba kuti uzive chikonzero chacho.
- Kurapwa kunoenderana nechikonzero uye kuoma kwechirwere chacho. Dzimwe nguva hapana kurapwa kunodiwa.
- Tevedzera mirairo yachiremba wako nemazvo. Kana ukaona zviratidzo zvekunyevera zvakaita semusoro wakakomba kana kuchinja kwemaonero, enda kuchipatara nekukasika.
Thrombocytopenia, Maplatelet, Kuwanda kwemaplatelet kwakaderera, Kubuda ropa, Kukuvara, Purpura, Petechiae
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