Liteko tsa Platelet

Litaba

• Liteko tsa platelet ke eng?
• Li sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea platelet?
• Ho etsahalang nakong ea tlhahlobo ea platelet?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka liteko tsa ts'ebetso ea platelet?
• Litšupiso

Liteko tsa platelet ke eng?

Liplatelete, tse tsejoang hape e le li-thrombocyte, ke lisele tse nyane tsa mali tse bohlokoa bakeng sa ho koala mali. Ho koala ke mokhoa o u thusang ho emisa ho tsoa mali kamora ho tsoa kotsi. Hona le mefuta e 'meli ea liteko tsa platelet: tlhahlobo ea platelet count le liteko tsa platelet.

Teko ea palo ea platelet E lekanya palo ea liplatelete maling a hau. Palo ea li-platelet e tlase ho feta e tloaelehileng e bitsoa thrombocytopenia. Boemo bona bo ka etsa hore u tsoe mali haholo kamora ho khaola kapa kotsi e ngoe e bakang ho tsoa mali. Palo ea liplatelete e phahameng ho feta e tloaelehileng e bitsoa thrombocytosis. Sena se ka etsa hore mali a hao a koalehe ho feta kamoo o hlokang. Ho koala mali ho ka ba kotsi hobane ho ka thibela phallo ea mali.

Liteko tsa mosebetsi oa Platelet lekola bokhoni ba hau ba liplatelete ho theha mahloele. Liteko tsa ts'ebetso ea Platelet li kenyelletsa:

• Nako ea ho koala. Teko ena e lekanya nako eo e e nkang bakeng sa liplatelete ka har'a sampole ea mali ho koala lesoba le lenyane ka har'a tube e nyane. E thusa skrineng bakeng sa mathata a fapaneng a platelet.
• Viscoelastometry. Teko ena e lekanya matla a mali a koaloang ha a ntse a hlaha. Lefu la mali le tlameha ho ba matla ho emisa ho tsoa mali.
• Platelet aggregometry. Ena ke sehlopha sa liteko tse sebelisetsoang ho lekanya hore na liplatelete li kopana joang (kakaretso).
• Lumiaggregometry. Teko ena e lekanya palo ea khanya e hlahisoang ha lintho tse ling li eketsoa sampoleng ea mali. E ka thusa ho bonts'a haeba ho na le liphoso liplatelete.
• Phallo ea cytometry. Ena ke teko e sebelisang lasers ho batla liprotheine ka holim'a liplatelete. E ka thusa ho fumana mathata a lefutso a platelet. Ena ke teko e khethehileng. E fumaneha feela lipetleleng le lilaboratoring tse itseng.
• Nako ea ho tsoa mali. Teko ena e lekanya nako ea ho tsoa mali hore e emise kamora ho khaola hanyane phakeng. E kile ea sebelisoa hangata ho lekola mathata a fapaneng a platelet. Hona joale, liteko tse ling tsa ts'ebetso ea platelet li sebelisoa khafetsa. Liteko tse ncha li fana ka liphetho tse tšepahalang haholoanyane.

Mabitso a mang: palo ea platelet, palo ea thrombocyte, liteko tsa ts'ebetso ea platelet, tlhahlobo ea platelet, lithuto tsa pokello ea platelet

Li sebelisetsoa eng?

Palo ea platelet hangata e sebelisoa ho lekola kapa ho fumana maemo a bakang ho tsoa mali haholo kapa ho koala haholo. Palo ea platelet e ka kenyelletsoa palong e felletseng ea mali, teko e atisang ho etsoa e le karolo ea tlhahlobo e tloaelehileng.

Liteko tsa mosebetsi oa Platelet li ka sebelisoa ho:

• Thusa ho fumana mafu a itseng a platelet
• Lekola ts'ebetso ea platelet nakong ea ts'ebetso e rarahaneng ea ho buoa, joalo ka ho feta ha pelo le ho buuoa ka tsietsi. Mefuta ena ea lits'ebetso e na le kotsi e kholo ea ho tsoa mali.
• Lekola bakuli pele ba etsoa opereishene, haeba ba na le nalane ea botho kapa ea lelapa ea mathata a tsoang mali
• Hlahloba batho ba noang mali a fokolang. Meriana ena e ka fuoa ho fokotsa ho koala mali ho batho ba kotsing ea ho hlaseloa ke pelo kapa ho otloa ke seterouku.

Hobaneng ha ke hloka tlhahlobo ea platelet?

U kanna oa hloka tlhahlobo ea platelet le / kapa platelet liteko haeba u na le matšoao a ho ba le liplatelete tse fokolang haholo kapa tse ngata haholo.

Matšoao a liplatelete tse fokolang haholo a kenyelletsa:

• Ho tsoa mali nako e telele kamora ho khaola kapa ho tsoa kotsi e nyane
• Ho tsoa mali
• Ho longoa ho sa hlaloseheng
• Tšoaea matheba a khubelu letlalong, a tsejoang e le petechiae
• Matheba a maputsoa letlalong, a tsejoang e le purpura. Tsena li ka bakoa ke ho tsoa mali ka tlasa letlalo.
• Nako e boima le / kapa e telele ea ho ilela khoeli

Matšoao a liplatelete tse ngata haholo a kenyelletsa:

• Boikutlo ba matsoho le maoto
• Ho opeloa ke hlooho
• Botsoa
• Bofokoli

U kanna ua hloka tlhahlobo ea tšebetso ea platelet haeba u:

• Ho etsoa opereishene e rarahaneng
• Ho noa meriana ho fokotsa ho koala

Ho etsahalang nakong ea tlhahlobo ea platelet?

Liteko tse ngata tsa platelet li etsoa ka sampole ea mali.

Nakong ea tlhahlobo, setsebi sa tlhokomelo ea bophelo se tla nka sampole ea mali mothapong o letsohong la hao, a sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa teko ea palo ea platelet

Haeba u fumana tlhahlobo ea platelet, ho ka 'na ha hlokahala hore u khaotse ho noa meriana e itseng, e kang aspirin le ibuprofen, pele ho tlhahlobo ea hau. Mofani oa hao oa tlhokomelo ea bophelo o tla u tsebisa haeba ho na le litaelo tse khethehileng tseo u lokelang ho li latela.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Haeba liphetho tsa hau li bonts'a palo e tlase ho feta e tloaelehileng ea platelet (thrombocytopenia), e kanna ea supa:

• Kankere e amang mali, joalo ka kankere ea mali kapa lymphoma
• Tšoaetso ea vaerase, joalo ka mononucleosis, hepatitis, kapa maselese
• Boloetse bo ikemetseng. Ena ke bothata bo etsang hore 'mele o hlasele lisele tsa ona tse phetseng hantle, tse ka kenyelletsang liplatelete.
• Ho tšoaetsoa kapa ho senyeha ha moko oa masapo
• Cirrhosis
• Khaello ea Vitamin B12
• Gestational thrombocytopenia, boemo bo tloaelehileng, empa bo le bobebe, bo tlase ba platelet bo amang bakhachane. Ha ho tsejoe ho baka kotsi ho mme kapa lesea la hae le e-so hlahe. Hangata e ba betere ka bo eona nakong ea bokhachane kapa kamora ho hlaha.

Haeba liphetho tsa hau li bonts'a palo e holimo ho feta e tloaelehileng ea platelet (thrombocytosis), e kanna ea supa:

• Mefuta e meng ea mofets'e, joalo ka mofets'e oa matšoafo kapa mofetše oa matsoele
• Khaello ea mali
• Maloetse a ho ruruha
• Ramatiki ea ramatiki
• Tšoaetso ea vaerase kapa baktheria

Haeba liphetho tsa liteko tsa tšebetso ea platelet li ne li sa tloaeleha, ho kanna ha bolela hore o na le boloetse bo futsitsoeng kapa bo fumanoeng ke platelet. Mathata a futsitsoeng a fetisoa ho tsoa lelapeng la hau. Maemo a teng nakong ea tsoalo, empa o kanna oa se be le matšoao ho fihlela o tsofetse. Mathata a fumanoeng ha a eo nakong ea tlhaho. Li ka bakoa ke mafu a mang, meriana kapa ho pepeseha tikolohong. Ka linako tse ling sesosa ha se tsejoe.

Mathata a futsitsoeng a platelet a kenyelletsa:

• Lefu la Von Willebrand, lefu la liphatsa tsa lefutso le fokotsang tlhahiso ea liplatelete kapa le etsang hore liplatelete li se sebetse hantle. E ka baka tšollo ea mali a mangata.
• Thrombasthenia ea Glanzmann, boloetse bo amang bokhoni ba liplatelete ho kopana
• Bernard-Soulier syndrome, boloetse bo bong bo amang bokhoni ba liplatelete ho kopana
• Matšoao a letamo la polokelo, boemo bo amang bokhoni ba liplatelete ho ntša lintho tse thusang li-platelet ho kopana

Mathata a fumanoeng a platelet a ka bakoa ke mafu a sa foleng a kang:

• Ho hloleha ha liphio
• Mefuta e meng ea kankere ea mali
• Myelodysplastic syndrome (MDS), lefu la moko oa masapo

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka liteko tsa ts'ebetso ea platelet?

Ka linako tse ling liteko tsa platelet li etsoa hammoho le e le 'ngoe kapa tse' maloa tsa liteko tse latelang tsa mali:

• Teko ea mali ea MPV, e lekanyang boholo ba liplatelete tsa hau
• Teko ea karolelano ea nako ea thromboplastin (PTT), e lekanyang nako eo e e nkang hore mali a hoama
• Nako ea Prothrombin le tlhahlobo ea INR, e lekolang bokhoni ba 'mele ba ho theha mali

Litšupiso

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2. ClinLab Navigator [Inthanete]. ClinLab Navigator; c2020. Platelet Function Screen; [e qotsitsoeng ka 2020 Oct 25]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.clinlabnavigator.com/platelet-function-screen.html
3. Gernsheimer T, James AH, Stasi R. Kamoo ke phekolang thrombocytopenia nakong ea bokhachane. Mali. [Inthanete]. 2013 Pherekhong 3 [e qotsitsoeng ka 2020 Nov 20]; 121 (1): 38-47. E fumaneha ho tsoa ho: https://pubmed.ncbi.nlm.nih.gov/23149846
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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.