Platelet Qhov Kev Ntsuam Xyuas
Zoo Siab
- Cov ntshav kuaj ua dab tsi?
- Lawv siv rau dab tsi?
- Vim li cas kuv thiaj yuav tsum kuaj ntshav yas?
- Yuav ua li cas thaum lub sijhawm kuaj pob txha caj ces?
- Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
- Puas muaj kev pheej hmoo rau kev kuaj?
- Cov txiaj ntsig li cas?
- Puas muaj lwm yam ntxiv uas kuv xav paub txog cov ntshav txhaus ua haujlwm kev ntsuam xyuas?
- Ua tim khawv
Cov ntshav kuaj ua dab tsi?
Platelets, tseem hu ua thrombocytes, yog cov ntshav me me uas tseem ceeb rau cov ntshav txhaws. Clotting yog txheej txheem uas pab koj nres ntshav tom qab raug mob. Muaj ob txoj kev kuaj ntshav yog ib qho: kev ntsuas platelet suav thiab platelet kuaj ntsuas.
Platelet suav kuaj ntsuas cov platelets hauv koj cov ntshav. Qhov qis dua cov ntshav ntawm ib txwm yog hu ua thrombocytopenia. Tus mob no tuaj yeem ua rau koj los ntshav ntau dhau tom qab txiav lossis lwm qhov kev raug mob uas ua rau los ntshav. Ib qho siab dua ntawm cov ntshav ntshav yog ib qho hu ua thrombocytosis. Qhov no tuaj yeem ua rau koj cov ntshav txhaws ntau dua qhov koj xav tau. Cov ntshav txhaws tuaj yeem tsim kev phom sij vim tias lawv tuaj yeem thaiv kev ntshav.
Platelet muaj nuj nqi kuaj xyuas koj lub platelets 'lub peev xwm los tsim cov clots. Platelet muaj nuj nqi kuaj mob suav nrog:
- Kaw lub sijhawm. Qhov ntsuas no ntsuas lub sijhawm nws yuav siv sij hawm rau cov ntshav hauv ntshav yuav txhaws lub qhov rau hauv txoj yas me. Nws pab tshuaj ntsuam rau cov ntshav tsis zoo ntawm cov ntshav tsis zoo.
- Viscoelastometry. Qhov ntsuas no ntsuas lub zog ntawm cov ntshav txhaws raws li nws tsim. Ib txoj hlab ntshav yuav tsum muaj zog kom tsis txhob los ntshav.
- Platelet aggregometry. Qhov no yog pab pawg ntawm cov kev ntsuas uas siv los ntsuas ntsuas cov platelets clump ua ke zoo li cas (sib sau ua ke).
- Lumiaggregometry. Qhov ntsuas no ntsuas seb lub teeb tsim tawm thaum tso qee yam tshuaj ntxiv rau hauv cov ntshav. Nws tuaj yeem pab qhia tau yog tias muaj qhov tsis xws luag hauv lub tshuab yob.
- Ntws cytometry. Qhov no yog kev sim siab uas siv cov lasers los nrhiav cov protein nyob rau saum npoo ntawm platelets. Nws tuaj yeem pab soj ntsuam kab mob platelet tsis zoo. Nov yog kev sim tshwj xeeb. Tsuas muaj nyob hauv cov tsev kho mob thiab chav soj ntsuam xwb.
- Los ntshav sijhawm. Qhov kev ntsuas no ntsuas lub sijhawm ntau npaum li cas rau cov ntshav los tom qab txiav me me hauv lub nrig. Nws yog ib zaug siv los ntsuas rau ntau lub platelet ntshawv siab. Tam sim no, lwm cov kev ntsuam xyuas platelet muaj nuj nqi yog siv ntau dua. Cov kev ntsuam xyuas tshiab muab cov txiaj ntsig zoo dua qub.
Lwm lub npe: platelet suav, thrombocyte suav, platelet muaj nuj nqi kuaj, platelet muaj peev xwm sojntsuam, platelet aggregation kev tshawb nrhiav
Lawv siv rau dab tsi?
Platelet suav feem ntau siv rau saib xyuas lossis kuaj mob uas ua rau ntshav tawm los lossis txhaws ntau dhau. Ib lub platelet tuaj yeem suav nrog kev ua tiav ntawm cov ntshav, ib qho kev sim uas feem ntau ua raws li kev soj ntsuam ib txwm muaj.
Kev ntsuam xyuas Platelet muaj nuj nqi yuav siv tau rau:
- Pab ntsuas qee cov kab mob platelet
- Kuaj platelet muaj nuj nqi thaum ua cov txheej txheem phais mob, xws li mob plawv hla thiab phais mob. Cov txheej txheem no muaj kev pheej hmoo los ntshav ntau ntxiv.
- Kuaj xyuas cov neeg mob ua ntej kev phais mob, yog tias lawv muaj keeb kwm tus kheej lossis tsev neeg keeb kwm los ntshav
- Soj ntsuam cov tib neeg noj ntshav yuag. Cov tshuaj no muab tau los txo cov ntshav txhaws nyob hauv tib neeg muaj kev pheej hmoo mob plawv lossis hlab ntsha tawg.
Vim li cas kuv thiaj yuav tsum kuaj ntshav yas?
Koj yuav tsum tau kuaj cov ntshav platelet thiab / lossis platelet muaj nuj nqi kuaj yog tias koj muaj cov tsos mob ntawm muaj ntshav ntau dhau lossis muaj ntshav ntau dhau.
Cov tsos mob ntawm ob peb platelets muaj xws li:
- Lub caij nyoog los ntshav tom qab txiav me me lossis raug mob
- Kab Ntsig
- Xuas tsis pom nqaij ntuag ntshav nrog
- Pinpoint qhov loj me liab rau ntawm daim tawv nqaij, hu ua petechiae
- Purplish me ntsis rau ntawm daim tawv nqaij, lub npe hu ua purpura. Cov no tuaj yeem tshwm sim los ntawm los ntshav hauv qab daim tawv nqaij.
- Hnyav thiab / lossis ntev lub sijhawm coj khaub ncaws
Cov tsos mob ntawm ntau cov platelets muaj xws li:
- Tsa ob txhais tes thiab taw
- Mob taub hau
- Kiv taub hau
- Neeg tsis muaj zog
Koj kuj tseem yuav tsum tau kuaj ntshav muaj nuj nqi yog tias koj:
- Kev phais mob siab ua
- Noj tshuaj los txo txhaws
Yuav ua li cas thaum lub sijhawm kuaj pob txha caj ces?
Yuav luag txhua qhov kev kuaj ntshav ntshav tawm ntawm qhov ntshav.
Thaum qhov kev kuaj ntawd, tus kws saib xyuas kev noj qab haus huv yuav ntsuas ntshav ntawm txoj leeg hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.
Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
Koj tsis tas yuav muaj kev npaj tshwj xeeb txog kev ntsuas ntshav txha hniav txiag
Yog tias koj tau txais cov ntshav pob ua haujlwm sim, koj yuav tsum tsis txhob noj qee yam tshuaj, xws li tshuaj aspirin thiab ibuprofen, ua ntej koj sim. Koj tus kws kho mob yuav qhia rau koj paub yog tias nws muaj lus qhia tshwj xeeb ua raws.
Puas muaj kev pheej hmoo rau kev kuaj?
Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.
Cov txiaj ntsig li cas?
Yog tias koj cov txiaj ntsig pom tau qis dua qis dua ntawm cov ntshav platelet (thrombocytopenia), nws yuav qhia tau tias:
- Mob qog noj ntshav uas cuam tshuam rau cov ntshav, xws li mob leukemia lossis lymphoma
- Kab mob khaub thuas, xws li mononucleosis, mob siab, lossis mob qhua pias
- Tus kab mob autoimmune. Qhov no yog qhov tsis zoo uas ua rau lub cev tua nws tus kheej cov nqaij noj qab haus huv, uas tuaj yeem suav nrog cov platelets.
- Kev kis mob lossis ua kom puas rau cov pob txha pob txha
- Kab mob ntsws
- Vitamin B12 tsis muaj peev xwm
- Gestational thrombocytopenia, uas ib txwm muaj, tab sis mob sib khuav hauv platelet tsawg rau tus poj niam cev xeeb tub. Tsis paub tias yuav ua mob dabtsi rau leej niam lossis tus menyuam hauv plab. Nws feem ntau tau zoo me ntsis ntawm nws tus kheej thaum cev xeeb tub lossis tom qab yug menyuam.
Yog tias koj cov txiaj ntsig pom tau siab dua ntau dua li cov ntshav platelet (thrombocytosis), nws yuav qhia tau tias:
- Qee hom mob cancer, xws li mob ntsws lossis mob cancer mis
- Mob Kev Plab
- Cov mob ntawm txoj hnyuv
- Kev mob caj dab
- Tus mob voos lossis kab mob kis tau
Yog tias koj cov ntshav ntawm ntshav tawm los kuaj tsis zoo li qub, nws yuav txhais tau tias koj muaj keeb kwm los yog muaj kab mob hauv cov ntshav pliaj. Cov muaj kab mob siab tau sib kis los ntawm koj tsev neeg. Cov xwm txheej muaj nyob rau thaum yug, tab sis koj yuav tsis muaj cov tsos mob kom txog thaum koj laus dua. Yuav kis mob tsis pom nyob rau thaum yug. Lawv tuaj yeem tshwm sim los ntawm lwm yam kab mob, tshuaj noj, lossis raug rau ib puag ncig. Qee zaum cov laj thawj tsis paub.
Inherited platelet ntshawv siab:
- Von Willebrand tus kab mob, qhov kev tsis sib haum xeeb ntawm caj ces uas txo qis kev tsim cov platelets lossis ua rau cov platelets ua haujlwm tsis tshua zoo. Nws tuaj yeem ua rau kom ntshav dhau los.
- Glanzmann's thrombasthenia, kev tsis sib haum xeeb uas cuam tshuam rau platelets 'lub peev xwm los pob ua ke
- Bernard-Soulier syndrome, lwm qhov kev tsis sib haum xeeb uas cuam tshuam rau platelets lub peev xwm los txhaws
- Cov kab mob hauv pas dej ua ke, ib qho xwm txheej uas cuam tshuam rau platelets 'lub peev xwm tso tawm cov tshuaj uas pab cov platelets clump ua ke
Txais platelet ntshawv siab tuaj yeem yog vim muaj kab mob xws li:
- Raum tsis ua haujlwm
- Qee hom mob qog ntshav
- Myelodysplastic syndrome (MDS), tus mob ntawm pob txha pob txha
Puas muaj lwm yam ntxiv uas kuv xav paub txog cov ntshav txhaus ua haujlwm kev ntsuam xyuas?
Qee zaum kuaj Platelet nrog rau ib lossis ntau cov kev ntsuas ntshav hauv qab no:
- Kev kuaj ntshav MPV, uas ntsuas saib koj cov ntshav puas loj
- Qee lub sij hawm thromboplastin sij hawm (PTT) kev ntsuas, uas ntsuas lub sijhawm nws yuav siv ntshav txhaws
- Lub sijhawm Prothrombin thiab kev kuaj mob INR, uas kuaj lub cev lub peev xwm los ua cov ntshav txhaws
Ua tim khawv
- Cleveland Clinic [Hauv Is Taws Nem]. Cleveland (OH): Cleveland Clinic; c2020. Thrombocytopenia: Txheej txheem cej luam; [raug suav xyoo 2020 Oct 25]; [txog 3 ntxaij]. Muaj los ntawm: https://my.clevelandclinic.org/health/diseases/14430-thrombocytopenia
- ClinLab Navigator [Is Taws Nem]. ClinLab Tus Taw Qhia; c2020. Platelet Muaj Nuj Nqis Screen; [raug suav xyoo 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: http://www.clinlabnavigator.com/platelet-function-screen.html
- Gernsheimer T, James AH, Stasi R. Kuv ua li cas kho thrombocytopenia thaum cev xeeb tub. Ntshav. [Is Taws Nem]. 2013 Jan 3 [raug suav 2020 Nov 20]; 121 (1): 38-47. Muaj los ntawm: https://pubmed.ncbi.nlm.nih.gov/23149846
- Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Kev Cuam Tshuam Tsis Txaus Siab; [kho tshiab 2019 Oct 29; raug nplua 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/conditions/excessive-clotting-disorders
- Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Myelodysplastic Syndrome; [kho tshiab 2019 Nov 11; raug nplua 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/conditions/myelodysplastic-syndrome
- Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Qee Sijhawm Thromboplastin Sijhawm (PTT, aPTT); [kho tshiab 2020 Sep 22; raug nplua 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/partial-thromboplastin-time-ptt-aptt
- Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Platelet Suav; [kho tshiab 2020 Aug 12; raug nplua 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/platelet-count
- Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Platelet Muaj Kev Xeem; [kho tshiab 2020 Sep 22; raug nplua 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/platelet-function-tests
- Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Lub Sij Hawm Prothrombin thiab Txoj Haujlwm Li Cas Thoob Ntiaj Teb (PT / INR); [kho tshiab 2020 Sep 22; raug nplua 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/prothrombin-time-and-inationalational-normalized-ratio-ptinr
- MFM [Is Taws Nem] New York: Metnal Fetal Medicine Associates; c2020. Thromocytopenia thiab Cev Xeeb Tub; 2017 Lub Ob Hlis 2 2 [hais tawm 2020 Nov 20]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mfmnyc.com/blog/thrombocytopenia-during-pregnancy
- Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj ntshav; [raug suav xyoo 2020 Oct 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests
- NIH Koom Haum Neeg Kev Tshawb Fawb Hauv Tib Neeg [Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Caj ces tsis meej; [kho tshiab 2018 Tsib Hlis 18; hais txog 2020 Nov 20]; [txog 3 ntxaij]. Muaj los ntawm: https://www.genome.gov/For-Patients-and-Families/Genetic-Disorders
- Paniccia R, Priora R, Liotta AA, Kev Ntsuas Tshuaj R. Platelet muaj nuj nqi kuaj: kev tshuaj xyuas piv. Vasc Health Risk Management [Internet]. 2015 Lub Kaum Ob Hlis 18 [raug hais tawm 2020 Oct 25]; 11: 133-448. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340464
- Parikh F. Kab Mob thiab Thrombocytopenia. J Assoc Cov Kws Kho Mob Is Nrias teb. [Is Taws Nem]. 2016 Lub Ob Hlis [hais tawm 2020 Nov 20]; 64 (2): 11-12. Muaj los ntawm: https://pubmed.ncbi.nlm.nih.gov/27730774/
- Riley Cov Menyuam Txoj Kev Noj Qab Haus Huv: Indiana University Health [Is Taws Nem]. Indianapolis: Riley Tsev Kho Mob rau Cov Menyuam ntawm Indiana University Kev Noj Qab Haus Huv; c2020. Coagulation Kev Tsis Txaus Siab; [raug suav xyoo 2020 Oct 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.rileychildrens.org/health-info/coagulation-disorders
- University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2020. Kev Noj Qab Haus Huv Phau Ntawv Teev Tseg: Platelets; [raug suav xyoo 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=platelet_count
- University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2020. Cov Kws Kho Mob: Cov Platelets Yog Dab Tsi ?; [raug suav xyoo 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=160&ContentID=36
- Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. Platelet suav: Txheej txheem cej luam; [kho tshiab 2020 Oct 23; raug nplua 2020 Oct 25]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/platelet-count
- Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. Thrombocytopenia: Txheej txheem cej luam; [kho tshiab 2020 Nov 20; hais txog 2020 Nov 20]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/thrombocytopenia
Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.