Thrombocytopenia

Thrombocytopenia ndi vuto lililonse momwe pamakhala kuchuluka kwamagazi. Ma Platelet ndi magawo amwazi omwe amathandizira magazi kuundana. Vutoli nthawi zina limagwirizanitsidwa ndi kutuluka magazi kwachilendo.

Thrombocytopenia nthawi zambiri imagawika m'magulu atatu amitundu yayikulu yamagazi:

1. Palibe ma platelet okwanira omwe amapangidwa m'mafupa
2. Kuwonjezeka kwamagazi m'magazi
3. Kuwonjezeka kwamagazi m'matumba kapena chiwindi

Mafupa anu sangakhale ndi ma platelet okwanira ngati muli ndi izi:

• Kuchepa kwa magazi m'thupi (vuto lomwe mafupa samapanga maselo amwazi okwanira)
• Khansa m'mafupa, monga khansa ya m'magazi
• Cirrhosis (kufooka kwa chiwindi)
• Kuperewera kwamunthu
• Matenda m'mafupa (osowa kwambiri)
• Matenda a Myelodysplastic (mafupa samapanga maselo amagazi okwanira kapena amapanga maselo olakwika)
• Kulephera kwa Vitamini B12

Kugwiritsa ntchito mankhwala ena kungapangitsenso kuti mapulateleti azikhala ochepa m'mafupa. Chitsanzo chofala kwambiri ndi mankhwala a chemotherapy.

Zinthu zotsatirazi zokhudzana ndi thanzi zimayambitsa kuwonongeka kwa ma platelet:

• Kusokonezeka komwe mapuloteni omwe amaletsa kutsekedwa kwa magazi amayamba kugwira ntchito, nthawi zambiri akamadwala kwambiri (DIC)
• Kuchuluka kwa ma platelet ochepa opangidwa ndi mankhwala osokoneza bongo
• Kukula kwa nthata
• Kusokonezeka komwe chitetezo chamthupi chimawononga ma platelet (ITP)
• Kusokonezeka komwe kumayambitsa kuundana kwamagazi m'mitsempha yaying'ono yamagazi, ndikupangitsa kuchuluka kwamagazi (TTP)

Simungakhale ndi zizindikiro zilizonse. Kapena mutha kukhala ndi zizindikilo zambiri, monga:

• Kutuluka magazi mkamwa ndi m'kamwa
• Kulalata
• Kutulutsa magazi m'mphuno
• Ziphuphu (tchulani mawanga ofiira otchedwa petechiae)

Zizindikiro zina zimadalira chifukwa.

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani za mbiri yanu yazachipatala. Mayesero otsatirawa akhoza kuchitika:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Mayeso okutira magazi (PTT ndi PT)

Mayesero ena omwe angathandize kuzindikira vutoli akuphatikizapo kufunafuna mafuta m'mafupa kapena biopsy.

Chithandizo chimadalira chifukwa cha vutoli. Nthawi zina, kuthiridwa magazi kwamagazi kumatha kufunika kuti muchepetse magazi.

Zotsatira zake zimadalira chisokonezo chomwe chimayambitsa kuchuluka kwamagulu ochepa.

Kutuluka magazi kwambiri (kutuluka magazi) ndiye vuto lalikulu. Kutuluka magazi kumatha kuchitika muubongo kapena m'mimba.

Itanani omwe akukuthandizani ngati mukumva magazi kapena mabala osadziwika.

Kupewa kumadalira pazifukwa zenizeni.

Kuchuluka kwa mapuloteni - thrombocytopenia

Abrams CS. Thrombocytopenia. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 163.

Arnold DM, MP wa Zeller, Smith JW, Nazy I. Matenda a nambala yamaplatelet: immune thrombocytopenia, neonatal alloimmune thrombocytopenia, ndi posttransfusion purpura. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 131.

Zolemba pa Warkentin TE. Thrombocytopenia yoyambitsidwa ndi kuwonongedwa kwa ma platelet, hypersplenism, kapena hemodilution. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 132.