Liplatelete tse tlase: u ka ba eng le hore na u etse eng

Litaba

• Matšoao a mantlha
• Ekaba eng
• 1. Tšenyo ea liplatelete
• 2. Ho hloka folic acid kapa vithamine B12
• 3. Liphetoho mongoaneng oa masapo
• 4. Mathata tšebetsong ea spleen
• 5. Lisosa tse ling
• Seo u lokelang ho se etsa haeba ho na le liplatelete tse tlase
• Kalafo e etsoa joang

Thrombocytopenia, kapa thrombocytopenia, e tšoana le ho fokotseha ha palo ea liplatelete maling, boemo bo sitisang ho hoama, 'me bo ka baka matšoao a kang matheba a khubelu kapa a pherese letlalong, marenene a tsoang mali kapa nko, le moroto o mofubelu, mohlala.

Liplatelete ke likarolo tsa bohlokoa tsa mali bakeng sa ho hoama, ho thusa ho folisa leqeba le ho thibela ho tsoa mali. Leha ho le joalo, ho na le maemo a 'maloa a ka bakang ho fokotseha ha palo ea liplatelete, joalo ka ts'oaetso, joalo ka dengue, ts'ebeliso ea lithethefatsi, joalo ka heparin, mafu a amanang le boits'ireletso, joalo ka thrombocytopenic purpura esita le mofetše.

Kalafo ea liplatelete tse tlase e lokela ho etsoa ho latela lebaka la bona, ke ngaka e akaretsang kapa hematologist, mme ho ka hlokahala feela ho laola sesosa, ts'ebeliso ea meriana kapa, maemong a mabe haholo, ho tšeloa liplatelete.

Bona liphetoho tse ling tse kholo tsa platelet le seo u lokelang ho se etsa.

Matšoao a mantlha

Liplatelete li tlase ha palo ea mali e le ka tlase ho lisele tse 150,000 / mm³ tsa mali, 'me, maemong a mangata, ha e bake matšoao. Leha ho le joalo, motho a kanna a ba le tloaelo ea ho tsoa mali le matšoao a kang:

• Matheba a maputsoa kapa a mafubelu letlalong, joalo ka matetetso kapa matetetso;
• Marenene a tsoang mali;
• Ho tsoa mali ho tsoa nko;
• Moroto o nang le mali;
• Ho tsoa mali ka setuloaneng;
• Ho ilela khoeli ka bongata;
• Maqeba a tsoang mali ao ho leng thata ho a laola.

Matšoao ana a ka hlaha ho mang kapa mang ea nang le liplatelete tse tlase, empa a atile haholo ha a le tlase haholo, joalo ka tlase ho lisele tse 50 000 / mm³ tsa mali, kapa ha a amahanngoa le lefu le leng, joalo ka dengue kapa cirrhosis, e mpefatsang mosebetsi oa ho koala mali. mali.

E 'ngoe ea maloetse a atisang ho amahanngoa le phokotso ea platelet ke thrombocytopenic purpura. Bona hore na lefu lena ke eng le hore na u ka le phekola joang.

Ekaba eng

Liplatelete li hlahisoa mokong oa masapo, 'me li phela matsatsi a ka bang 10, kaha li lula li nchafatsa. Lintho tse sitisang palo ea liplatelete maling ke:

1. Tšenyo ea liplatelete

Maemo a mang a ka baka hore liplatelete li lule maling ka nako e nyane, e leng se etsang hore palo ea tsona e fokotsehe. Tse ling tsa lisosa tsa mantlha ke:

• Tšoaetso ea vaerase, mohlala, dengue, Zika, mononucleosis le HIV, kapa libaktheria, tse amang bophelo ba li-platelet ka lebaka la phetoho ea boits'ireletso ba motho;
• Ts'ebeliso ea litlhare tse ling, joalo ka Heparin, Sulfa, anti-inflammatory, anti-convulsant le antihypertensive, ka mohlala, kaha li ka baka tšabo e senyang li-platelet;
• Ho itšireletsa mafung, e ka hlahisang liphetoho tse hlaselang le ho felisa liplatelete, joalo ka lupus, immune le thrombotic thrombocytopenic purpura, hemolytic-uremic syndrome le hypothyroidism, mohlala.

Maloetse a ho itšireletsa mafung a atisa ho baka phokotso e matla le e phehellang ea liplatelete ho feta ts'ebeliso ea moriana le tšoaetso. Ho feta moo, motho e mong le e mong a ka ba le karabelo e fapaneng, e fapaneng ho latela boits'ireletso ba mmele le karabelo ea hae, ka hona ho tloaelehile ho bona batho ba nang le liplatelete tse tlase maemong a mang a dengue ho feta ho a mang.

2. Ho hloka folic acid kapa vithamine B12

Lintho tse kang folic acid le vithamine B12 li bohlokoa bakeng sa hematopoiesis, e leng ts'ebetso ea sebopeho sa lisele tsa mali. Leha ho le joalo, khaello ea folic acid kapa vithamine B12 e ka lebisa ho fokotseheng ha tlhahiso ea lisele tse khubelu tsa mali, lisele tse tšoeu tsa mali le liplatelete. Mefokolo ena e atile ho li-vegan ntle le tlhahlobo ea phepo e nepahetseng, batho ba sa fepehang hantle, makhoba a tahi le batho ba nang le mafu a bakang mali a patiloeng, joalo ka gastric kapa mala.

Malebela ke ana mabapi le seo u lokelang ho se ja ho qoba khaello ea folic acid le vithamine B12.

3. Liphetoho mongoaneng oa masapo

Liphetoho tse ling tšebetsong ea mokokotlo oa mokokotlo li etsa hore tlhahiso ea liplatelete e fokotsehe, e ka etsahalang ka mabaka a 'maloa, joalo ka:

• Mafu a moko oa masapo, mohlala, anemia ea mali kapa myelodysplasia, e bakang ho fokotseha ha tlhahiso kapa tlhahiso e fosahetseng ea lisele tsa mali;
• Ts'oaetso ea moko oa masapo, ha e le HIV, Epstein-Barr kokoana-hloko ea khōhō;
• Kankere e amang moko oa masapo, joalo ka kankere ea mali, lymphoma kapa metastases, mohlala;
• Chemotherapy, kalafo ea radiation kapa ho pepesehela lintho tse chefo mokokotlong, joalo ka lead le aluminium;

Ho tloaelehile hore, maemong ana, ho boetse ho na le phokolo ea mali le phokotso ea lisele tse tšoeu tsa mali tekong ea mali, kaha moko oa masapo o ikarabella bakeng sa tlhahiso ea likarolo tse 'maloa tsa mali. Hlahloba hore na matšoao a kankere ea mali ke eng le hore na o belaela neng.

4. Mathata tšebetsong ea spleen

Spleen e na le boikarabello ba ho tlosa lisele tse 'maloa tsa khale tsa mali, ho kenyeletsoa liplatelete, mme haeba e holisoa, joalo ka maemong a mafu a kang lefu la sebete, sarcoidosis le amyloidosis, mohlala, ho ka ba le ho tlosoa ha liplatelete tse ntseng li phela hantle. ka bongata bo fetang bo tloaelehileng.

5. Lisosa tse ling

Ha ho na le liplatelete tse tlase ntle le sesosa se hlalositsoeng, ho bohlokoa ho nahana ka maemo a mang, joalo ka phoso ea sephetho sa laboratori, kaha pokello ea platelet e ka hlaha ka har'a phaephe ea pokello ea mali, ka lebaka la boteng ba reagent ka har'a tube, mme ho bohlokoa ho pheta tlhahlobo maemong ana.

Bokhoba ba tahi le bona bo ka baka phokotso ea liplatelete, kaha tšebeliso ea joala, ntle le hore e chefo liseleng tsa mali, e ama le tlhahiso ea moko oa masapo.

Nakong ea bokhachane, thrombocytopenia ea 'mele e ka hlaha, ka lebaka la ho hlapolla mali ka lebaka la ho boloka mokelikeli, oo hangata o leng bonolo,' me o raroloha ka boithaopo kamora ho pepa.

Seo u lokelang ho se etsa haeba ho na le liplatelete tse tlase

Ha ho na le thrombocytopenia e fumanoeng tekong, ho bohlokoa ho nka mehato ea ho qoba likotsi tsa ho tsoa mali, joalo ka ho qoba boiteko bo matla kapa ho iteanya le lipapali, ho qoba tšebeliso ea joala le ho se sebelise lithethefatsi tse amang tšebetso ea liplatelete kapa ho eketsa kotsi ea ho tsoa mali, joalo ka aspirin, anti-inflammatories, li-anticoagulants le ginkgo-biloba, mohlala.

Tlhokomelo e tlameha ho matlafatsoa ha liplatelete li le ka tlase ho lisele tse 50 000 / mm³ maling, 'me hoa tšoenyeha ha li le ka tlase ho lisele tse 20 000 / mm³ maling, ho fuoa sepetlele bakeng sa ho shebella ho ka hlokahala maemong a mang.

Lijo li tlameha ho leka-lekana hantle, li be le lijo-thollo tse ngata, litholoana, meroho le nama e se nang mafura, ho thusa ho theheng mali le ho foleng ha 'mele.

Ho tšeloa platelet hangata ha ho hlokahale, hobane ka tlhokomelo le kalafo, motho a ka fola kapa a phela hantle. Leha ho le joalo, ngaka e ka fana ka litataiso tse ling ha ho na le maemo a tsoang mali, ha ho hlokahala ho etsa mofuta o itseng oa opereishene, ha liplatelete li le ka tlase ho lisele tse 10,000 / mm³ maling kapa ha li le ka tlase ho lisele tse 20 000 / mm³ maling, empa hape le ha feberu kapa tlhoko ea chemotherapy, mohlala.

Kalafo e etsoa joang

Kamora ho fumana hore na hobaneng liplatelete li le tlase, kalafo ea hau e tla lebisoa ho latela boeletsi ba bongaka mme e ka ba:

• Ho hulwa ha sesosa, joalo ka meriana, kalafo ea mafu le tšoaetso, kapa tšebeliso e fokolang ea joala, e hlahisang liplatelete tse tlase;
• Ts'ebeliso ea li-corticosteroids, li-steroids kapa li-immunosuppressants, ha ho hlokahala ho phekola lefu le itšireletsang mafung;
• Ho tlosoa ha spleen ho buoa, e leng splenectomy, ha thrombocytopenia e le matla 'me e bakoa ke ts'ebetso e eketsehileng ea spleen;
• Ho hloekisa mali, e bitsoang phapanyetsano ea plasma kapa plasmapheresis, ke mofuta oa ho sefa karolo ea mali e nang le lithibela-mafu le likarolo tse fokolisang tšebetso ea boits'ireletso le phallo ea mali, e bonts'itsoeng ho mafu a kang thrombotic thrombocytopenic, hemolytic-uremic syndrome, mohlala .

Tabeng ea mofetše, kalafo e etsoa bakeng sa mofuta le ho tiea ha lefu lena, ka kalafo ea chemotherapy kapa 'moko oa masapo ka mohlala.