Liplatelete tse phahameng kapa tse tlase: lisosa le mokhoa oa ho khetholla

Litaba

• Liplatelete tse phahameng
• Liplatelete tse tlase
• Tsela ea ho khetholla
• Mokhoa oa ho fokotsa liplatelete tse phahameng

Liplatelete, tse tsejoang hape e le li-thrombocyte, ke lisele tsa mali tse hlahisoang ke moko oa masapo mme li ikarabella bakeng sa ts'ebetso ea ho koala mali, ka tlhahiso e phahameng ea li-platelet ha ho tsoa mali, ka mohlala, ho thibela tahlehelo e feteletseng ea mali.

Boleng ba litšupiso tsa platelet bo lipakeng tsa liplatelete / ,000L tsa mali tse lipakeng tsa 150,000 le 450,000, leha ho le joalo maemo a mang a ka kena-kenana le ts'ebetso ea tlhahiso ea li-platelet, ka keketseho kapa ea fokotseha mahlong a eona maling, boemo bona bo bitsoa thrombocytopenia.

Hase feela hore palo ea li-platelet e bohlokoa, empa le boleng ba li-platelet tse hlahisoang ke mokong. Mafu a mang a amanang le boleng ba liplatelete ke lefu la von Willebrand, le amanang le ts'ebetso ea ho hoama, Scott's Syndrome, Glanzmann's Thrombasthenia le Bernard-Soulier's Syndrome. Ho feta moo, ho bohlokoa ho hlokomela boleng ba hemoglobin, e ka supang mafu a kang phokolo ea mali, leukemia le pulmona emphysema.

Liplatelete tse phahameng

Keketseho ea palo ea liplatelete, eo hape e bitsoang thrombocytosis kapa thrombocytosis, e ka etsahala ka lebaka la lisosa tsa mafu kapa tsa mmele, ka boikoetliso bo matla, ho sebetsa, bophahamo bo phahameng, ho tsuba, khatello ea maikutlo kapa ts'ebeliso ea adrenaline, ka mohlala.

Lisosa tse ka sehloohong tsa lefu la thrombocytosis ke:

• Khaello ea mali e matla ea hemolytic;
• Khaello ea mali ea tšepe;
• Myeloproliferative syndromes, joalo ka Essential thrombocythemia, Polycythemia Vera le Myelofibrosis;
• Sarcoidosis;
• Tšoaetso e bohloko le e sa foleng;
• Lefuemia;
• Kamora ho tsoa mali haholo;
• Kamora ho tlosa spleen, e tsejoang ka hore ke splenectomy;
• Li-neoplasms;
• Ulcerative colitis;
• Kamora ts'ebetso.

Ho bohlokoa hore sesosa sa keketseho ea platelet se tsejoe e le hore ngaka e ka bonts'a khetho e nepahetseng ea kalafo.

Liplatelete tse tlase

Ntle le thrombocytosis, lefu le leng le amanang le bongata ba liplatelete ke thrombocytopenia, e tsamaellanang le ho fokotseha ha liplatelete maling, tse ka etsahalang ka lebaka la ts'ebeliso ea meriana e meng, phokolo ea mali e kotsi, mafu a itšireletsang mafung, joalo ka lupus le phepo e nepahetseng mefokolo, mohlala. Ithute ka lisosa tse ling tsa thrombocytopenia le hore na u ka e phekola joang.

Tsela ea ho khetholla

Ka tloaelo, keketseho ea palo ea liplatelete ha e bake matšoao, hobane e lemohuoa ka ts'ebetso ea palo e felletseng ea mali, e leng teko ea mali e lekolang bongata le litšobotsi tsa lisele tsa mali.

Maemong a mang ho ka ba le ponahalo ea matšoao, a ka fapana ho ea ka sesosa, a maholo e le ho nyekeloa ke pelo, ho hlatsa, ho tsekela le ho hlohlona lipheletsong.

Mokhoa oa ho fokotsa liplatelete tse phahameng

Ho ea ka bongata ba liplatelete maling, boteng ba matšoao le boemo ba motho ka kakaretso, ngaka e akaretsang kapa hematologist e ka khothaletsa ts'ebeliso ea acetylsalicylic acid e le ho fokotsa kotsi ea thrombosis, kapa hydroxyurea, e leng sethethefatsi se ka ho fokotsa tlhahiso ea lisele tsa mali ka moko oa masapo.

Ntle le moo, haeba mohopolo oa platelet o phahame haholo hoo o ka behang bophelo ba mokuli kotsing ka lebaka la monyetla o moholo oa ho thehoa ha lesela, kalafo ea thrombocytoapheresis e ka khothaletsoa, ​​e leng ts'ebetso eo e ntšitsoeng ka eona, ka thuso ea sesebelisoa, ho fetella ha liplatelete, ka hona, ho khona ho leka-lekanya boleng ba liplatelete tse potolohang.