Tsawg platelets: dab tsi tuaj yeem yog thiab ua dab tsi

Zoo Siab

• Cov tsos mob tseem ceeb
• Dab tsi tuaj yeem ua tau
• 1. Kev Puas Tsuaj Ntawm Platelets
• 2. Tsis muaj folic acid lossis vitamin B12
• 3. Hloov hlwb pob txha
• 4. Cov teeb meem hauv kev ua haujlwm ntawm tus po
• 5. Lwm yam ua
• Yuav ua li cas yog tias muaj platelets tsawg
• Yuav kho tus mob li cas

Piv txwv Thrombocytopenia, lossis mob thrombocytopenia, ua rau cov ntshav platelets txo qis, muaj xwm txheej ua rau cov ntshav tsis tuaj yeem, thiab tuaj yeem ua rau cov tsos mob xws li liab lossis liab doog ntawm daim tawv nqaij, cov pos hniav los ntshav lossis lub qhov ntswg, thiab tso zis liab.

Platelets yog qhov tseem ceeb ntawm cov ntshav txhaws, pab txhawb kom qhov txhab zoo thiab tiv thaiv kom txhob los ntshav. Txawm li cas los xij, muaj qee yam xwm txheej uas tuaj yeem ua rau platelets txo qis, xws li kis mob, xws li mob dengue, kev siv tshuaj, xws li heparin, kab mob cuam tshuam nrog kev tiv thaiv kab mob, xws li thrombocytopenic purpura thiab txawm tias mob cancer.

Kev kho cov qes ntshav qis yuav tsum tau ua raws li lawv qhov ua rau, los ntawm cov kws kho mob feem ntau lossis hematologist, thiab tsuas yog yuav tsum tau tswj hwm qhov ua rau, kev siv tshuaj kho mob lossis, thaum mob hnyav heev, hloov ntshav ntawm platelets.

Saib lwm yam platelet loj hloov thiab yuav ua li cas.

Cov tsos mob tseem ceeb

Platelets muaj qis thaum ntshav suav tsawg dua 150,000 hlwb / mm³ ntawm cov ntshav, thiab, feem ntau, ua rau tsis muaj tsos mob. Txawm li cas los xij, tus neeg yuav muaj ntau dua nrog kev los ntshav, thiab cov tsos mob xws li:

• Ua daim tawv nqaij liab lossis xim liab rau ntawm daim tawv nqaij, xws li pob bruises lossis doog ntshav;
• Cov pos hniav los ntshav;
• Los ntshav tawm ntawm qhov ntswg;
• Ntshav cov zis;
• Los ntshav hauv cov quav;
• Kev coj khaub ncaws loj;
• Los ntshav ua rau mob uas nyuaj los tswj tsis tau.

Cov tsos mob no tuaj yeem tshwm sim rau txhua tus neeg uas muaj platelets tsawg, tab sis lawv muaj ntau dua thaum lawv tsawg heev, xws li qis hauv qab 50,000 ntshav / mm³ ntawm cov ntshav, lossis thaum cuam tshuam nrog lwm yam kab mob, xws li ntshav tawm lossis mob ntsws, uas ua rau cov ntshav tsis tuaj yeem ua haujlwm. ntshav.

Ib qho ntawm cov kabmob uas feem ntau cuam tshuam nrog txo platelet yog thrombocytopenic purpura. Saib seb tus kab mob no yog dab tsi thiab yuav kho nws li cas.

Dab tsi tuaj yeem ua tau

Platelets raug tsim tawm hauv cov leeg pob txha, thiab nyob rau li 10 hnub, zoo li lawv ib txwm rov ua lawv tus kheej. Cov xwm txheej uas cuam tshuam nrog tus naj npawb ntawm platelets hauv cov ntshav yog:

1. Kev Puas Tsuaj Ntawm Platelets

Qee qhov xwm txheej tuaj yeem ua rau platelets nyob hauv cov hlab ntshav tsawg dua sijhawm, uas ua rau lawv cov lej poob qis. Muaj qee qhov laj thawj tseem ceeb yog:

• Tus kab mob kis, xws li dengue, Zika, mononucleosis thiab HIV, piv txwv, lossis los ntawm cov kab mob, uas cuam tshuam rau kev muaj sia nyob ntawm cov platelets vim muaj kev hloov pauv ntawm tus neeg lub cev tsis muaj zog;
• Kev siv qee qhov kev daws teeb meem, xws li Heparin, Sulfa, tiv thaiv mob, tiv thaiv tawm tsam thiab antihypertensive tshuaj, piv txwv li, vim lawv tuaj yeem ua rau cov tshuaj tiv thaiv uas ua puas platelets;
• Cov kab mob autoimmune, uas tuaj yeem tsim cov kev tawm tsam uas tua thiab tshem tawm cov platelets, xws li mob lupus, tiv thaiv lub cev thiab mob plab thuv thuv thuv tawv nqaij, mob ntshav qab zib mob ntshav qab zib thiab mob ntshav qab zib (hypothyroidism), piv txwv.

Cov kab mob tiv thaiv kab mob hauv lub cev muaj peev xwm ua rau muaj qhov hnyav dua thiab cov kev txo qis hauv cov platelets dua li kev siv tshuaj thiab kis mob. Tsis tas li ntawd, txhua tus neeg yuav muaj qhov sib txawv, uas txawv raws li lub cev tiv thaiv kab mob thiab cov lus teb, yog li nws yog qhov pom pom cov tib neeg muaj platelets qis dua qee qhov mob dengue dua li lwm tus, piv txwv.

2. Tsis muaj folic acid lossis vitamin B12

Cov tshuaj zoo li folic acid thiab vitamin B12 yog qhov tseem ceeb rau hematopoiesis, uas yog cov txheej txheem ntawm kev tsim cov ntshav. Txawm li cas los xij, tsis muaj cov folic acid lossis vitamin B12 tuaj yeem ua rau txo qis cov qe ntshav liab, cov qe ntshav dawb thiab cov qe ua kom ntshav khov. Cov kev tsis zoo no tshwm sim muaj ntau hauv cov vegans tsis muaj kev soj ntsuam kev noj zaub mov, cov neeg tsis muaj zaub mov, haus dej cawv thiab cov neeg muaj kab mob uas ua rau zais ntshav, xws li lub plab lossis plab hnyuv.

Nov yog qee qhov lus qhia txog yuav noj dab tsi kom tsis txhob muaj cov tshuaj folic acid thiab vitamin B12.

3. Hloov hlwb pob txha

Qee qhov kev hloov pauv hauv kev ua haujlwm ntawm tus txha caj qaum ua rau lub platelets ua kom tsawg, uas tuaj yeem tshwm sim rau ntau yam, xws li:

• Mob hlwb pob txha kab mob, piv txwv li qhov mob ntshav qog ntshav lossis mob myelodysplasia, piv txwv, uas ua rau kom txo qis qis hauv kev tsim lossis yuam kev tsim cov qe ntshav;
• Mob txha caj qaum, rau cov kabmob HIV, Epstein-Barr tus kabmob thiab kabmob qhua dej;
• Mob kheesxaws uas cuam tshuam rau pob txha caj qaum, piv txwv li kab mob qog ntshav, mob ntsws lossis mob ua paug, piv txwv;
• Kws khomob, kev siv hluav taws xob tua hluav taws xob los yog nthuav tawm cov tshuaj lom rau tus txha caj qaum, xws li taug txhuas thiab txhuas;

Nws yog ib qho muaj tshwm sim hais tias, nyob rau hauv cov xwm txheej no, tseem muaj qhov tsis txaus thiab txo cov qe ntshav dawb hauv cov ntshav kuaj, vim tias cov hlwb pob txha yog lub luag haujlwm rau kev tsim ntau yam ntshav. Kuaj seb puas yog cov tsos mob tshwm sim mob leukemia thiab thaum twg yuav yog tus neeg phem.

4. Cov teeb meem hauv kev ua haujlwm ntawm tus po

Tus po yog lub luag haujlwm rau kev tshem tawm ob peb lub qe ntshav qub, suav nrog platelets, thiab yog tias nws loj dua, ib yam li ntawm cov kab mob xws li mob siab, mob sarcoidosis thiab amyloidosis, piv txwv li, tej zaum yuav muaj kev tshem tawm cov ntshav ntshav uas tseem noj qab nyob zoo., nyob rau hauv ib qhov nyiaj saum toj no ib txwm.

5. Lwm yam ua

Nyob rau ntawm qhov muaj cov qe ntshav qis uas tsis muaj lub laj thawj, nws yog ib qho tseem ceeb uas yuav tau xav txog qee qhov xwm txheej, xws li kuaj pom qhov yuam kev tshwm sim, vim tias cov ntshav platelet yuav tshwm sim hauv cov ntshav ntim raj, vim tias muaj qhov rov nkag hauv lub raj, thiab Nws yog ib qho tseem ceeb kom rov ua qhov kev kuaj mob hauv cov kis no.

Kev haus dej cawv kuj tuaj yeem ua rau txo cov platelets, raws li kev haus dej cawv, ntxiv rau kev ua rau cov ntshav lom hauv lub cev, kuj tseem cuam tshuam rau kev tsim cov pob txha pob txha.

Thaum cev xeeb tub, mob tshwm sim rau lub cev, vim ntshav nce vim yog ceev cov kua dej, uas ib txwm mob me, thiab daws sai sai tom qab xa tas.

Yuav ua li cas yog tias muaj platelets tsawg

Nyob rau ntawm qhov pom ntawm thrombocytopenia raug kuaj hauv qhov kev ntsuas, nws yog ib qho tseem ceeb yuav tsum ua qee qhov kev tiv thaiv kom tsis txhob muaj kev pheej hmoo los ntshav, xws li zam kev siv zog lossis tiv tauj kis las, zam kev haus cawv thiab tsis siv tshuaj uas cuam tshuam rau kev ua haujlwm ntawm platelets lossis nce pauj kev pheej hmoo los ntshav, xws li cov tshuaj aspirin, anti-inflammatories, anticoagulants thiab ginkgo-biloba, piv txwv.

Kev saib xyuas yuav tsum tau ua kom muaj zog thaum cov platelets qis dua 50,000 cell / mm³ hauv cov ntshav, thiab nws muaj kev txhawj xeeb thaum qis dua 20,000 hlwb / mm³ hauv cov ntshav, pw hauv tsev kho mob rau kev soj ntsuam yuav tsim nyog qee kis.

Kev noj haus yuav tsum muaj qhov zoo, muaj nplua mias ntawm zaub mov, txiv hmab txiv ntoo, zaub thiab nqaij ntshiv, los pab tsim ntshav thiab rov ua kom rov muaj sia.

Platelet hloov ntshav tsis yog tas li, vim hais tias nrog kev saib xyuas thiab kev kho mob, tus neeg tuaj yeem rov qab zoo lossis nyob zoo. Txawm li cas los xij, tus kws kho mob tuaj yeem muab lwm cov txheej txheem thaum muaj los ntshav, thaum yuav tsum tau ua qee qhov kev phais mob, thaum cov platelets qis dua 10,000 cells / mm³ hauv cov ntshav lossis thaum lawv qis dua 20,000 hlwb / mm³ hauv cov ntshav, tab sis kuj thaum kub taub hau lossis xav tau kev kho mob kws tshuaj, piv txwv.

Yuav kho tus mob li cas

Tom qab txiav txim siab qhov laj thawj yog vim li cas cov platelets muaj qis, koj txoj kev kho mob yuav qhia, raws li cov lus qhia kho mob, thiab tuaj yeem yog:

• Thim ntawm qhov ua rau, xws li tshuaj, kho kab mob thiab kab mob, lossis txo kev haus dej haus cawv, uas ua rau cov platelets qis;
• Kev Siv Tshuaj Corticosteroids, tshuaj steroids lossis immunosuppressants, thaum nws tsim nyog los kho tus kab mob autoimmune;
• Kev phais tshem tawm ntawm tus po, uas yog splenectomy, thaum thrombocytopenia yog mob hnyav thiab tshwm sim los ntawm kev ua haujlwm spleen ntau ntxiv;
• Ntshav pom, hu ua kev hloov pauv ntshav lossis plasmapheresis, yog ib hom kev lim ntshav ntawm ib feem ntawm cov ntshav uas muaj cov tshuaj tiv thaiv thiab cov khoom siv uas cuam tshuam rau kev ua haujlwm ntawm kev tiv thaiv kab mob thiab ntshav khiav, qhia nyob rau hauv cov kab mob xws li thrombotic thrombocytopenic, hemolytic-uremic syndrome, piv txwv li Cov.

Hauv kev mob qog noj ntshav, kev kho mob yog tsim rau hom thiab mob hnyav ntawm tus kabmob no, nrog kev siv tshuaj kho mob lossis hloov hlwb pob txha.