Wakambotora gwaro rako reFull Blood Count ukatarisa zvinhu zvarinotaura here? Unofanira kunge wakaona kuti pane kukosha kunonzi "Platelets" pakati pezvinhu zviripo. Dzimwe nguva chiremba anoti, "Platelet count yako yakakwira zvishoma." Panguva iyoyo, zvakajairika kunzwa kutya uye kunetseka zvishoma. "Chii ichi? Zvakakomba here?" Unofunga. Saka nhasi, ngatitaurei zviri nyore uye zvine hushamwari nezvekuwedzera uku kwemaplatelet eropa, inova chirwere chinonzi Thrombocytosis mukurapa.
Kutanga, ngationei, chii chinonzi maplatelet?
Muchidimbu, maplatelet rudzi rwesero diki muropa redu. Funga nezvawo se "boka diki rekubatsira" rinouya kuzomisa kubuda kweropa kana wachekwa kana kukwenywa pane imwe nzvimbo mumuviri wako. Anokurumidza kusvika panzvimbo yekukuvara, onamatirana, uye oita clot, seplaster, yekuvhara ronda. Aya ndiwo magumiro anoita kubuda kweropa. Saka unogona kuona kuti maplatelet chikamu chakakosha uye chakakosha kwazvo chemuviri wedu.
Asi, sezvimwe zvinhu, matambudziko anogona kumuka kana maplatelet aya akanyanya kukwira. Thrombocytosis inguva iyo huwandu hwemaplatelet muropa hunowedzera kupfuura mwero wenguva dzose. Kana maplatelet akawedzera nenzira iyi, ropa redu dzimwe nguva rinogona kunamira. Izvi zvinogona kutungamira mukuumbwa kweropa risingadiwe munzvimbo dzisina kukuvara, ndiko kuti, mukati metsinga dzeropa. Kana maplatelet aya asina kurapwa, anogona kutotungamira kuzvirwere zvakakomba zvakaita sechirwere chemwoyo kana sitiroko.
Kune mhando mbiri huru dze thrombocytosis:
Zvichienderana nechikonzero chekuwanda kwemaplatelet muropa rako, chirwere ichi chinogona kukamurwa kuita mhando mbiri huru. Zvakakosha kunzwisisa idzi mbiri, nekuti nzira dzekurapa dzinoenderana nerudzi urwu.
| Rudzi rwe thrombocytosis | Zvichitaurwa zviri nyore... |
|---|---|
| Reactive Thrombocytosis (Yechipiri) | Iyi ndiyo mhando inonyanya kuwanikwa. Chinoitika pano ndechekuti huwandu hwemaplatelet hunowedzera se 'mhinduro' kune chimwe chirwere kana chiitiko mumuviri wako. Zvakafanana nemunhu wese anotya kana mbavha ikapinda mumba mako. Dambudziko pano harisi rekuti maplatelet anogadzirwa kupi, asi kune imwe nzvimbo. Dambudziko iri rinowanzo kuve renguva pfupi . |
| Kuumbwa kweThrombocytosis Yakakosha (Yekutanga) | Izvi hazviwanzoitiki. Dambudziko riri pano riri mumongo wemapfupa, 'fekitori' uko masero eropa anogadzirwa. Nekuda kwekusashanda zvakanaka mumongo wemapfupa, anogadzira maplatelet akawanda asina kujairika. Ichi ndicho 'chinonyanya kukonzera' kana kuti chikonzero chayo. |
Zvisinei, kana kuongororwa kweropa rako kuchiratidza kuti huwandu hwemaplatelet ako hwakakwira, zvinoreva kuti pane chiri kuitika mumuviri wako chinofanira kuongororwa nachiremba. Zvichienderana nechikonzero chezvakawanikwa, ungangoda kurapwa kwenguva refu, kurapwa kwenguva pfupi, kana kusamborapwa zvachose.
Ndezvipi zviratidzo zvekuwanda kwemaplatelet mumuviri?
Kutaura zvazviri, vanhu vazhinji havaoni zviratidzo zvekuwanda kwemaplatelet mumuviri. Zvinowanikwa netsaona kana kuongororwa ropa kukaitwa nechimwe chikonzero.
Kana uine Reactive Thrombocytosis, unogona kuona zviratidzo zvechirwere chiripo (semuenzaniso, fivha inokonzerwa nehutachiona).
Zvisinei, kana kuwedzera kwemaplatelet kuchikonzera kuumbwa kweropa rakagwamba kana (kashoma) kubuda ropa mukati, zvimwe zviratidzo zvinogona kuitika. Dambudziko iri rinowanzoonekwa muEssential Thrombocytosis.
- Kuneta
- Kubuda ropa mumhino kakawanda
- Kubuda ropa (kukuvadzwa) kunyangwe mushure mekukuvara kudiki
- Kubuda ropa zviri nyore kubva mumatadza kana kune dzimwe nzvimbo dziri mumuromo
- Dzungu , kuona zvisipo, uye musoro
- Marwadzo, kuzvimba, uye kutsvuka mumaoko netsoka (chiratidzo chechirwere chinonzi erythromelalgia)
- Kurwadziwa mudumbu, kunyanya kurutivi rwekumusoro rwerudyi rwedumbu (kunogona kuva chiratidzo chechirwere chakadai seBudd-Chiari syndrome)
Chinhu chakakosha ndechekuti hazvisi zvese zviratidzo izvi zvinongoratidza Thrombocytosis chete. Saka kana uine chimwe chinhu chakadai, zvakanaka kuti usavhunduke woona chiremba wako wotaura nezvazvo.
Sei maplatelet achiwanda seizvi? Ndezvipi zvikonzero?
Zvikonzero zvinosiyanawo zvichienderana nemhando mbiri dzatakambokurukura.
Zvinokonzera Essential Thrombocytosis (ET)
Izvi zvinokonzerwa nekuchinja kwemajini. Asi ichi hachisi chinhu chinoberekwa nacho, asi chimwe chinhu chinokura nekufamba kwenguva. Zvichitaurwa zviri nyore, pane shanduko mumajini anoudza muviri wedu kuti ugadzire maplatelet. Nekuda kweizvozvo, muro wemapfupa unotanga kugadzira maplatelet akawanda pasina kudzora.
Zvinokonzera Reactive Thrombocytosis
Izvi zvinongoitika mumuviri kune rimwe dambudziko. Heano zvimwe zvikonzero zvinowanzoita kuti ropa riwedzere muropa:
- Kubuda ropa: Kana ropa rakawanda richibuda nekuda kwetsaona kana kuvhiyiwa.
- Zvirwere zvegomarara: Zvinokonzerwa nemamwe marudzi egomarara.
- Utachiona: Utachiona hwehutachiona kana hwehutachiona.
- Zvirwere zvinozvimba: Zvirwere zvinokonzera kuzvimba mumuviri, zvakaita searthritis.
- Kushaya iron mumuviri.
- Mimwe mishonga.
- Kubviswa kwetsvina pakuvhiyiwa: Rimwe remabasa etsvina kubvisa maplatelet ekare. Kubviswa kwayo kunogona kuwedzera huwandu hwemaplatelet.
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?
Vanhu vane Essential Thrombocytosis (ET) vari panjodzi huru yekusangana nematambudziko. Matambudziko haawanzoitiki muReactive Thrombocytosis.
Njodzi huru ndeyekuumbwa kweropa rakagwamba . Kana ropa iri rikagwamba mutsinga yeropa inoenda kuuropi, rinogona kukonzera sitiroko , uye kana rikagwamba mutsinga yeropa inoenda kumoyo, rinogona kukonzera chirwere chemwoyo . Magwamba aya eropa anogonawo kuumbwa mune dzimwe nzvimbo, dzakadai semapapu nemakumbo.
Kashoma, ET inogona kukura kuita mamwe magomarara eropa, akadai seleukemia, kana kukonzera mavanga emumongo wemapfupa (myelofibrosis). Izvi zvinogonawo kuwedzera njodzi yemamwe matambudziko panguva yekuzvitakura.
Asi musazvidya mwoyo. Kana muine chirwere cheET, chiremba wenyu achanyatsoongorora hutano hwenyu uye achakupai marapirwo anodiwa kudzivirira matambudziko akadai.
Vanachiremba vanowana sei izvi chaizvo?
Thrombocytosis inonyanya kuonekwa kuburikidza nekuongororwa kweropa. Kazhinji, huwandu hwemaplatelet hunopfuura 450,000 pa microliter yeropa hunoonekwa sehwakakwira. Chiremba wako angangoda kuyedzazve ropa rako mushure memavhiki mashoma kuti aone kana huwandu hwemaplatelet ako huchiri pamusoro. Kana huwandu hwacho hwadzokera pahwakajairika, kazhinji hapana chekunetseka nacho.
Kana huwandu hwemaplatelet hukaramba hwakakwira, danho rinotevera nderekuona kana iri Reactive kana kuti Essential. Izvi zvinoda mimwe miedzo yakawanda.
- Kumwe kuongororwa kweropa: Izvi zvinoongorora zvinhu zvakaita sehuwandu hwesimbi nezviratidzo zvekuzvimba, uye zvinotarisa maumbirwo asina kujairika emaplatelet pasi pemaikorosikopu.
- Kuongororwa kwemajini: Kuongororwa uku kunogona kuona shanduko dzemajini dzakadai seJAK2 , CALR1 , kana MPL1, izvo zvinowanzoonekwa muEssential Thrombocytosis.
- Kuongororwa kwemapfupa emubofu: Izvi zvinosanganisira kutora sampuli diki yemapfupa emubofu kubva panzvimbo yakaita sepfupa remuhudyu uchibatsirwa neanesthesia woiedza murabhoritari. Izvi zvinogona kusimbisa mamiriro eET.
Inorapwa sei?
Nzira dzekurapa dzinoenderana nerudzi rwe thrombocytosis yaunayo uye zviratidzo zvako.
Kune Reactive Thrombocytosis:
Apa ndipo panowedzera maplatelet nekuda kwechimwe chirwere. Saka, kurapwa kwacho kwakanangana nechikonzero chaicho . Semuenzaniso, kana huwandu hwemaplatelet hukawedzera nekuda kwehutachiona, kana mishonga inorwisa utachiona ikapihwa, huwandu hwemaplatelet huchadzokera pahwakajairika sezvo hutachiona hwacho huchipora.
Kune Essential Thrombocytosis (ET):
ET haisi chirwere chinorapika. Zvisinei, chinogona kurapwa zvakanaka kuderedza njodzi yekugwamba kweropa. Kune nzira dzakasiyana siyana dzekurapa:
- Kumirira Wakangwarira: Kana usina zviratidzo uye njodzi yako yekugwamba ropa iri shoma, chiremba wako anogona kutarisa mamiriro ako nekuongororwa ropa nguva dzose pasina kunyora chero mushonga.
- Aspirin ine mwero mudiki: Unogona kunyorerwa piritsi reaspirin zuva nezuva kuti ubatsire kudzivirira kuumbwa kweropa. Asi yeuka, usambofa watanga kutora aspirin wega usina kubvunza chiremba.
- Mishonga inoderedza huwandu hwemaplatelet: Mishonga yakaita seHydroxyurea, Anagrelide, uye Interferon alfa inodzora kugadzirwa kwemaplatelet.
- Maitiro ekubvisa maplatelet: Kana paine njodzi yekuumbwa kweropa rinouraya, ropa rako rinogona kupfuudzwa nemuchina kuti ribvise maplatelet akawandisa.
Unofanira kuona chiremba rini?
Kana wakamboonekwa uine thrombocytosis, zvakakosha kuti uongororwe ropa nguva nenguva sezvakarairwa nachiremba wako. Zvakare, bvunza chiremba wako kuti ndezvipi zviratidzo zvaunofanira kutaura nekukurumidza kana zvikaitika.
Zvikuru sei, kana ukava nezviratidzo zvestroke kana chirwere chemwoyo (semuenzaniso kurwadziwa kwechipfuva kamwe kamwe, kuoma kutaura, kushaya simba kune rumwe rutivi rwemuviri, kurembera kwechiso), enda kuchipatara kuEmergency Department (ETU) nekukasika.
Yeuka, usatya kana ukaona huwandu hwemaplatelet akawandisa pamushumo weropa rako. Ingori mufananidzo wemamiriro emuviri wako panguva iyoyo. Kazhinji, chiratidzo chechirwere chenguva pfupi, chinorapika zviri nyore. Kashoma, chiratidzo chechirwere chenguva refu. Zvisinei, kune mishonga yakanaka iripo nhasi yekugadzirisa chirwere ichi.
Mharidzo Yekuenda Nayo Kumba
- Thrombocytosis inhamba yakakura kupfuura yakajairika yemaplatelet muropa.
- Rudzi rwakajairika rwe thrombocytosis runonzi reactive thrombocytosis, iyo inoitika mushure meimwe chirwere. Kazhinji inongoitika kwenguva pfupi.
- Essential Thrombocytosis (ET), chirwere chisingawanzoitiki chinokonzerwa nekukanganisika kwemumongo wemapfupa pachawo, chirwere chinotora nguva refu.
- Vanhu vazhinji havaratidzi zviratidzo. Kana zviratidzo zvikaitika, zvinogona kunge zvichikonzerwa nekugwamba kweropa kana kubuda ropa.
- Kana huwandu hwemaplatelet ako hwakakwira, zvakakosha kuti usavhunduke woenda kuna chiremba kuti uwane chikonzero chaicho uye kuti uwane kurapwa kwakakodzera.
- Usambofa watora mishonga (kunyanya aspirin) wega usina kupiwa mazano nachiremba.
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