Thrombocytopenia

Thrombocytopenia ke bothata bofe kapa bofe boo ho nang le liplatelete tse tlase ka mokhoa o sa tloaelehang. Liplatelete ke likarolo tsa mali tse thusang mali ho hoama. Boemo bona ka linako tse ling bo amahanngoa le ho tsoa mali ho sa tloaelehang.

Thrombocytopenia hangata e arotsoe lisosa tse tharo tse kholo tsa liplatelete tse tlase:

1. Ha ho na liplatelete tse lekaneng tse entsoeng mokong oa masapo
2. Ho senyeha ho eketsehileng ha liplatelete maling
3. Ho senyeha ho eketsehileng ha liplatelete ka spleen kapa sebete

Moko oa hau o kanna oa se ke oa etsa liplatelete tse lekaneng haeba u na le a mang a maemo a latelang:

• Phokolo ea mali (aplastic anemia) (bothata boo moko oa masapo o sa etse lisele tse lekaneng tsa mali)
• Kankere mokong oa masapo, joalo ka kankere ea mali
• Cirrhosis (lefu la sebete)
• Ho haella ha Folate
• Ts'oaetso mosong oa masapo (e sa tloaelehang haholo)
• Myelodysplastic syndrome (mokong oa masapo ha o etse lisele tse lekaneng tsa mali kapa ho etsa lisele tse sa sebetseng)
• Khaello ea Vitamin B12

Ts'ebeliso ea lithethefatsi tse ling e kanna ea lebisa tlhahisong e tlase ea li-platelet mokong oa masapo. Mohlala o tloaelehileng ke kalafo ea chemotherapy.

Maemo a latelang a bophelo bo botle a baka ho senyeha ha liplatelete:

• Ho hloka taolo moo liprotheine tse laolang ho hoama ha mali li sebetsang haholo, hangata nakong ea bokuli bo tebileng (DIC)
• Palo ea liplatelete e tlase e bakoang ke lithethefatsi
• Spleen e atolositsoeng
• Ho hloka taolo moo sesole sa 'mele se senyang liplatelete (ITP)
• Ho hloka taolo ho bakang mali a mali ho hlaha methapong e menyenyane ea mali, ho baka palo e tlase ea li-platelet (TTP)

Mohlomong ha u na matšoao. Kapa o kanna oa ba le matšoao a akaretsang, joalo ka:

• Ho tsoa mali ka hanong le marenene
• Ho rohakana
• Ho tsoa mali
• Rash (supa libaka tse khubelu tse bitsoang petechiae)

Matšoao a mang a ipapisitse le sesosa.

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele' me a botse nalane ea hau ea bongaka le matšoao. Liteko tse latelang li ka etsoa:

• Palo e felletseng ea mali (CBC)
• Liteko tsa ho koala mali (PTT le PT)

Liteko tse ling tse ka thusang ho fumana boemo bona li kenyelletsa takatso ea moko oa masapo kapa biopsy.

Kalafo e ipapisitse le sesosa sa boemo. Maemong a mang, tšelo ea liplatelete e ka hlokahala ho emisa kapa ho thibela ho tsoa mali.

Sephetho se ipapisitse le bothata bo bakang lipalo tse tlase tsa platelet.

Ho tsoa mali a mangata (hemorrhage) ke bothata bo boholo. Ho tsoa mali ho ka hlaha bokong kapa pampitšaneng ea meno.

Bitsa mofani oa hau haeba u tsoa mali kapa matetetso a sa hlaloseheng.

Thibelo e ipapisitse le sesosa se itseng.

Palo e tlase ea platelet - thrombocytopenia

Abrams CS. Thrombocytopenia. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 163.

Arnold DM, MP ea Zeller, Smith JW, Nazy I. Mafu a palo ea platelet: immune thrombocytopenia, neonatal alloimmune thrombocytopenia, le posttransfusion purpura. 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 131.

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.