Kupeza ma platelet ntchito chilema

Kupunduka kwa magalasi ogwira ntchito ndizomwe zimalepheretsa kutsekemera kwamagazi m'magazi otchedwa ma platelet kugwira ntchito momwe ayenera kukhalira. Mawu oti kupeza amatanthauza kuti izi sizipezeka pakubadwa.

Matenda am'magazi angakhudze kuchuluka kwa mapaleti, momwe amagwirira ntchito, kapena zonse ziwiri. Matenda am'magazi amakhudza magazi wamba.

Zovuta zomwe zingayambitse mavuto m'matumba zimaphatikizapo:

• Idiopathic thrombocytopenic purpura (kusokonekera kwa magazi komwe chitetezo chamthupi chimawononga ma platelet)
• Matenda a khansa ya m'magazi (khansa yamagazi yomwe imayamba mkati mwa mafupa)
• Multiple myeloma (khansa yamagazi yomwe imayamba m'maselo a plasma m'mafupa)
• Pulayimale ya myelofibrosis (mafupa am'mafupa momwe mafupa amalowetsedwa ndi minofu yolimba)
• Polycythemia vera (matenda am'mafupa omwe amatsogolera kuwonjezeka kosazolowereka kwama cell amwazi)
• Primary thrombocythemia (vuto la mafupa m'mene mafuta amapangira ma platelet ochulukirapo)
• Thrombotic thrombocytopenic purpura (matenda amwazi omwe amachititsa kuti magazi apange magazi m'mitsempha yaying'ono yamagazi)

Zina mwa zifukwa zake ndi izi:

• Impso (aimpso) kulephera
• Mankhwala monga aspirin, ibuprofen, mankhwala ena oletsa kutupa, penicillin, phenothiazines, ndi prednisone (mutagwiritsa ntchito nthawi yayitali)

Zizindikiro zimatha kuphatikizira izi:

• Kutha msambo kapena kutaya magazi kwa nthawi yayitali (masiku opitilira 5 pa nthawi iliyonse)
• Kutaya magazi kwachilendo
• Magazi mkodzo
• Kuthira pansi pakhungu kapena m'minyewa
• Kuluma mosavuta kapena kuloza mawanga ofiira pakhungu
• Kutuluka m'mimba kumayambitsa magazi, mdima wakuda, kapena matumbo oyenda; kapena kusanza magazi kapena zinthu zomwe zimawoneka ngati malo a khofi
• Kutulutsa magazi m'mphuno

Mayeso omwe angachitike ndi awa:

• Ntchito ya Platelet
• Kuwerengera kwa Platelet
• PT ndi PTT

Chithandizo ndicholinga chokonzera vuto:

• Mavuto am'mafupa am'mafupa amathandizidwa ndi kuthiridwa magazi kapena kuchotsa ma platelet m'magazi (platelet pheresis).
• Chemotherapy itha kugwiritsidwa ntchito kuthana ndi vuto lomwe likuyambitsa vutoli.
• Kupunduka kwa ma platelet chifukwa cha kulephera kwa impso kumathandizidwa ndi dialysis kapena mankhwala.
• Mavuto am'maplatelet obwera chifukwa cha mankhwala ena amathandizidwa poletsa mankhwalawo.

Nthawi zambiri, kuthana ndi vuto limayambitsa vutoli.

Zovuta zingaphatikizepo:

• Magazi omwe samasiya mosavuta
• Kuchepa kwa magazi (chifukwa chakutaya magazi kwambiri)

Imbani wothandizira zaumoyo wanu ngati:

• Mukutaya magazi ndipo simukudziwa chomwe chimayambitsa
• Zizindikiro zanu zimaipiraipira
• Zizindikiro zanu sizikusintha mukalandira chithandizo chamatenda omwe mwapeza

Kugwiritsa ntchito mankhwala monga momwe angalangizire kumachepetsa chiopsezo chaziphuphu zomwe zimapezeka m'matumbo. Kuchiza matenda ena kumathandizanso kuchepetsa ngozi. Milandu ina sitingapewe.

Matenda oyenerera a platelet; Matenda omwe amapezeka m'matumbo

• Mapangidwe a magazi
• Kuundana kwamagazi

Diz-Kucukkaya R, Lopez JA. Matenda omwe amapezeka m'matumbo. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: chap 130.

Hall JE. Hemostasis ndi magazi coagulation. Mu: Hall JE, mkonzi. Guyton ndi Hall Textbook of Medical Physiology. Wolemba 13. Philadelphia, PA: Elsevier; 2016: chap 37.

Jobe SM, Di Paola J. Congenital ndipo adapeza zovuta zamagulu ndi kuchuluka kwake. Mu: Makitchini CS, Kessler CM, Konkle BA, Streiff MB, Garcia DA, eds. Kufunsana kwa hemostasis ndi Thrombosis. Wolemba 4. Philadelphia, PA: Elsevier; 2019: chaputala 9.