Ngatizivei nezvehuwandu hwemaplatelet ako? Kusiyana kwezvinhu uye zvinhu zvekuziva

Wakamboona here kukosha kunonzi 'PLT' paunotarisa gwaro reFull Blood Count? Kana kuti wakambova nekukuvara kudiki kunokonzera kukuvara kukuru, kana kubuda ropa mukanwa paunenge uchikwesha mazino ako? Zvese izvi zvinogona kunge zvine chekuita neboka diki remasero muropa rako anonzi maplatelet. Anonziwo mathrombocytes. Saka, nhasi tichataura nezvemaplatelet aya uye zvinoitika kana akaderera zvakanyanya.

Saka, maplatelet aya chii?

Zvichitaurwa zviri nyore, maplatelet masero madiki muropa redu anogadzirwa mumongo wedu wemapfupa. Basa rawo guru nderekumisa kubuda ropa kana tikakuvara. Funga nezvekuti ropa rako rinomira sei mushure mechinguva chidiki paunocheka ruoko rwako. Panguva iyoyo, maplatelet aya anouya semagamba, anoungana kuti aumbe ropa rakagwamba, uye ovhara ronda. Zvakafanana nechikwata chemakanika madiki ari kumhanya-mhanya kugadzirisa pombi yakatyoka.

Kuverengwa kwePlatelet Count kunoyerwa sei?

Kuwanda kwemaplatelet kunoyerwa nekuongorora ropa nguva dzose. Izvi zvinoyerwa muongororo yeComplete Blood Count (CBC) yatinoita nguva dzose. Izvi zvinogona kutarisa huwandu hwemaplatelet muropa pamwe chete nemasero machena eropa nemasero matsvuku eropa.

Ngationei kuti huwandu hwemaplatelet muropa remunhu ane hutano hunofanira kunge hwakaita sei.

Ngatitaurei nezve maplatelet akaderera (Thrombocytopenia)

Kana huwandu hwemaplatelet ako huri pasi pe150,000, vanachiremba vanodana chirwere ichi kuti thrombocytopenia. Apa ndipo paunoshaya maplatelet akakwana ekumisa kubuda ropa mushure mekukuvara.

Zviratidzo zvacho ndezvipi?

Dzimwe nguva, kudzikira kudiki kwemaplatelet kunogona kusakonzera zviratidzo. Zvisinei, kana nhamba yacho yadzikira zvakanyanya, unogona kuona zvinhu zvakaita se:

• Inokuvara zviri nyore: Kunyangwe bundu diki rinogona kukonzera mavanga makuru ebhuruu/pepuru.
• Kubuda ropa kwakaoma kumisa: Kubuda ropa mumazino paunenge uchikwesha mazino, kubuda ropa mumhino nguva nenguva, kubuda ropa kwenguva refu kunyangwe kubva paronda diki.
• Kubuda ropa mukati: Ropa muweti, ropa mutsvina (tsvina inogona kunge yakasviba), ropa mukurutsa (rinogona kutaridzika sekofi yakakuyiwa).
• Mavara matsvuku paganda: Mavara madiki matsvuku, akati sandara (petechiae) anokonzerwa neropa rinobuda mutsinga dzeropa dziri pasi peganda.
• Mavara epepuru paganda: Mavara makuru epepuru, matsvuku, mashava-yero (Purpura) anokonzerwa nekubuda ropa pasi peganda.
• Kuneta zvakanyanya uye kushaya simba.
• Kubuda ropa rakawanda panguva yekuenda kumwedzi kuvakadzi.
• Kuzvimba kwechiropa kana kuti pleen.

Sei maplatelet achiderera?

Pane zvikonzero zvitatu zvikuru zvinoita kuti pave nemaplatelet akaderera:

1. Muromo wemapfupa haugadzi maplatelet akakwana.

2. Kukurumidza kuparadzwa kana kushandiswa kwemaplatelet nemuviri.

3. Chidendene chinochengeta maplatelet uye hachiaburitse kana zvichidikanwa.

Izvi ndizvo zvimwe zvezvikonzero zvezvirwere zvinogona kukonzera matambudziko aya:

• Zvirwere zveBone Morrow: Zvirwere zvisingawanzoitiki zvakaita seAplastic Anemia, kenza yeropa yakaita seLeukemia kana Lymphoma.
• Kurapa Gomarara: Kurapa nemakemikari nemwaranzi zvinogona kukuvadza mapfupa.
• Kushaikwa kwemavhitamini: Kana vhitamini B12 nefolate zvikashomeka, zvinova zvakaoma kuti mupfupa ugadzire maplatelet.
• Zvirwere zve autoimmune: Muzvirwere zvakaita seLupus neRheumatoid Arthritis, masoja emuviri anorwisa nekuparadza maplatelet awo nemazvo.
• Utachiona: Utachiona hwemavhairasi hwakaita seHIV, Hepatitis C, uye humwe utachiona hwemabhakitiriya.
• Mimwe mishonga:Mimwe mishonga, yakaita seHeparin neQuinine, inogona kukonzera kuparadzwa kwemaplatelet.
• Zvirwere zvakaita secirrhosis yechiropa: Izvi zvinogona kukonzera kuti spleen izvimbe uye maplatelet abatwe mairi.
• Kunwa doro zvakanyanya.
• Kuvhiyiwa kukuru: Semuenzaniso, kuvhiyiwa kwemoyo.

Ngatidzidzeiwo nezvekuwedzera kwemaplatelet (Thrombocythemia/Thrombocytosis)

Kuwanda kwemaplatelet anodarika 450,000 idambudzikowo. Izvi zvinogona kukonzera kuumbwa kwemabundu eropa asingadiwe . Mabundu aya eropa anogona kunamira mutsinga dzeropa uye kukonzera zvirwere zvine njodzi zvakaita sekurwadziwa kwemoyo, sitiroko, uye pulmonary embolism.

Kune mhando mbiri dzechirwere ichi:

• Thrombocythemia Yekutanga: Izvi zvinokonzerwa nekusagadzirwa kwemaplatelet mumongo wemapfupa. Izvi zvinowanzokonzerwa nekuchinja kwemajini.
• Thrombocytosis Yechipiri: Iyi ndiyo mhando inonyanya kuzivikanwa yethrombocytosis, apo mupfupa unokonzereswa kuti ugadzire maplatelet akawanda nekuda kwechimwe chirwere (semuenzaniso, hutachiona, kushomeka kwesimbi).

Zviratidzo zvinowanzoonekwa zvakanyanya padanho rekutanga. Mienzaniso inosanganisira:

• Kutsvuka, kutsva, uye kusanzwa simba mumaoko nemakumbo.
• Kurwadziwa kwechipfuva.
• Musoro, dzungu, kushaya simba.
• Kuchinja kwemaonero.
• Kubuda ropa (kunyangwe paine maplatelet akawanda, dzimwe nguva haashande nemazvo).

Chii chekuita kana maplatelet ari pasi?

Kurapwa kwemaplatelet akaderera kunoenderana nechikonzero uye kuoma kwezviratidzo. Chiremba wako ndiye achasarudza kurapwa kwakanakisa.

• Kurapa chinokonzera chirwere: Kana mushonga uri kukonzera kuwanda kwemaplatelet mumuviri, mushonga iwoyo unogona kumiswa wopihwa mumwe. Kana paine kushomeka kwesimbi kana mavhitamini, mishonga yekuwedzera inogona kupihwa.
• Mishonga: Mishonga yakaita se `Corticosteroids` (semuenzaniso Prednisone) yekuwedzera huwandu hwemaplatelet, mishonga yakaita se `Elthrombopag` ne `Romiplostim` yekuwedzera kugadzirwa kwemaplatelet mumongo wemapfupa, uye mishonga yakaita se `Immunoglobulin` yekudzivirira muviri kubva mukuparadza maplatelet inogona kupihwa.
• Kuisirwa ropa kana kuti maplatelet: Kana paine kubuda ropa kana kuti platelet yakaderera zvakanyanya, kuwedzerwa kweplatelet yekunze kunogona kuitwa.
• Kubviswa kwetsvina: Kana mamwe marapirwo asingabudirire uye tsandanyama iri kuparadza maplatelet, chiremba wako anogona kukurudzira kubviswa kwetsandanyama .