Thrombocytopenia e bakoang ke lithethefatsi

Thrombocytopenia ke bothata bofe kapa bofe boo ho lona ho se nang liplatelete tse lekaneng. Liplatelete ke lisele tse maling tse thusang mali ho koaloa. Palo e tlase ea li-platelet e etsa hore ho tsoe mali haholo.

Ha meriana kapa lithethefatsi e le lisosa tsa palo e tlase ea li-platelet, e bitsoa thrombocytopenia e bakoang ke lithethefatsi.

Thrombocytopenia e bakoang ke lithethefatsi e etsahala ha meriana e itseng e senya liplatelete kapa e kena-kenana le matla a 'mele a ho e etsa e lekaneng.

Hona le mefuta e 'meli ea thrombocytopenia e bakoang ke lithethefatsi: boits'ireletso ba mmele le bo sa itširelletseng.

Haeba moriana o etsa hore 'mele oa hau o hlahise lithibela-mafu tse batlang le ho senya liplatelete tsa hau, boemo boo bo bitsoa ts'oaetso ea "immune thrombocytopenia" e bakoang ke lithethefatsi. Heparin, mali a tšesaane, ke sesosa se atileng ka ho fetesisa sa thrombocytopenia e bakoang ke lithethefatsi.

Haeba moriana o thibela moko oa masapo ho etsa liplatelete tse lekaneng, boemo boo bo bitsoa "thrombocytopenia" e bakoang ke lithethefatsi. Lithethefatsi tsa chemotherapy le moriana oa ho inkela o bitsoang valproic acid o ka baka bothata bona.

Meriana e meng e bakang thrombocytopenia e bakoang ke lithethefatsi e kenyelletsa:

• Furosemide
• Khauta, e neng e sebelisoa ho phekola ramatiki
• Lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID)
• Penicillin
• Quinidine
• Quinine
• Ranitidine
• Sulfonamides
• Linezolid le lithibela-mafu tse ling
• Lipolelo

Ho fokotseha ha liplatelete ho ka baka:

• Ho tsoa mali ho sa tloaelehang
• Ho tsoa mali ha u hlatsoa meno
• Ho loma habonolo
• Tšoaea matheba a khubelu letlalong (petechiae)

Mohato oa pele ke ho emisa ho sebelisa moriana o bakang bothata.

Bakeng sa batho ba nang le tšollo ea mali e sokelang bophelo, kalafo e ka kenyelletsa:

• Phekolo ea Immunoglobulin (IVIG) e fanoang ka mothapo
• Phapanyetsano ea plasma (plasmapheresis)
• Litšelo tsa Platelet
• Moriana oa Corticosteroid

Ho tsoa mali ho ka beha bophelo kotsing haeba ho ka hlaha bokong kapa lithong tse ling.

Mokhachane ea nang le lithibela-mafu ho liplatelete a ka fetisetsa lithibela-mafu ho lesea le ka popelong.

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba u sa tsoa mali a sa hlalosoang kapa u khohile 'me u noa meriana, e kang e boletsoeng kaholimo ho Lisosa.

Thrombocytopenia e bakoang ke lithethefatsi; Thrombocytopenia ea 'mele - lithethefatsi

• Ho thehoa ha mali
• Ho koala mali

Abrams CS. Thrombocytopenia. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 172.

Warkentin TE. Thrombocytopenia e bakoang ke timetso ea platelet, hypersplenism, kapa hemodilution. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 132.