Muhimmancin MPV a matsayin wani ɓangare na ƙididdigar jini (CBC)
Kuna iya ganin haruffan "MPV" a matsayin ɓangare na jarrabawar Cod ɗinku cikakke (CBC) , gwajin da aka yi amfani da shi a gwaje-gwaje na gwaje-gwajen kiwon lafiyar, da kuma kulawa don maganin yanayin lafiya. Binciken na CBC yayi nazarin kwayoyin jinin ku (kwayoyin da ke dauke da oxygen), kwayoyin fararen jini (kwayoyin rikici), da kuma platelets (kwayoyin halitta). MPV (wanda ke nufin ma'anar ƙaramin plalet) shine ma'auni na girman adadin platelets (thrombocytes), wani ɓangaren jininka wanda zai taimakawa jinin jini.
A kan CBC za ku sami rahoto game da yawan adadi na platelet da "filayen platelet" kamar MPV. Za ka lura cewa akwai wasu alamomi don ƙididdigar jinin jininka da ƙididdigar jini. Wadannan filayen suna ba da cikakken bayani game da kowane matsala tare da jinin jininku. A gaskiya, a wasu lokuta wani mutum yana iya samun matakan jini, amma karatu mai mahimmanci a kan ƙididdiga na iya faɗakar da likitan ku ga matsala. MPV yana taimakawa wajen ƙaddamar da hanyar thrombocytopenia, ƙididdigar ƙananan platelet, amma zai iya zama gwaji mai taimako idan da yawan adadi ɗinka na al'ada ne.
Me ya sa girman girman plalets ke da mahimmanci, kuma menene ma'anar idan MPV ya fi girma ko ƙasa da na al'ada? Bari muyi magana game da yiwuwar yiwuwar wani MPV mai girma ko maras nauyi, da kuma yadda za a iya amfani da MPV don hango hasashen hasarin cikin mutane da wasu likita.
Ma'ana Platelet Volume (MPV) da kuma Lafiya naka
Platelets ne kwayoyin da ke da alhakin samar da fenti.
Suna da muhimmanci don kare mu daga zub da jini yayin da aka yanke mu da kuma sarrafa jini cikin jikinmu. Lokacin da laceration ya auku a kan fata ko cikin jikinmu, waxanda suke tarawa don tarawa cikin rami. Sauran cututtukan gudanarwa (irin su wadanda ba su da shi a cikin hemophilia) ana kiran su a wurin don hana yaduwar jini.
Ana samar da platelets a cikin kasusuwan kwayoyin ta kwayoyin da ake kira megakaryocytes. Wadannan tallan su ne kawai ƙwayoyin megakaryocytes, ba tare da nuclei ba, sun fito cikin jini daga marrow. Yawancin lokaci, ƙananan hotuna sun fi girma fiye da tsofaffi.
Matsayi na al'ada na Platelets da MPV
Lokacin kallon MPV, yana da mahimmanci a duba duka cikakkun lambobin platelets da MPV.
Hanya na al'ada don platelets (wannan zai iya bambanta tsakanin labs) yana da 150,000 zuwa 450,000 da milliliter. A al'ada, mutane za su iya jure wa ƙwayoyin platinet har zuwa 50,000 tare da raunin dan kadan. Tilashin plalet din kasa da 20,000, duk da haka, zai iya zama barazanar rai. Ƙididdigar Platelet sun haɗa da:
- MPV (tattauna a nan).
- PDW (plalet rarraba nisa). PDW ya kwatanta bambancin a cikin girman plalets.
Don ƙayyade yiwuwar yiwuwar MPV mai mahimmanci, yana da muhimmanci a duba ko lissafin platinum na al'ada ne, babba, ko ƙasa.
Ƙayyadewa a gwaji / Gaskiya na MPV
Mataki na farko idan likita ya ga cewa kana da MPV mai banƙyama zai kasance don tantance ainihin gwaji. Idan yana kama da akwai kuskure tare da zubar da jini, za a sake gwada gwajin.
Gwajin CBC na buƙatar jinin jini wanda aka zubar da jini (jinin da aka kai a cikin wani bututu wanda ya ƙunshi anticoagulant don haka jinin ba zai yiwa jini) kuma ana yawanci shi a cikin wani bututu mai haske.
Idan jini ya kusata a cikin bututu ba tare da kwayar cutar ba, sai ya yi jini, yana bada sakamako mai banƙyama saboda duka lambobin plalet da MPV. Idan likitanka ya yi imanin kullun ya yiwu ya faru, wani samfurin zai zaku. Wasu mutane suna buƙatar jinin da aka ɗora su a cikin wata kwayar cutar guda ɗaya, kamar yadda abincin su na iya kasancewa tare da magungunan da aka yi amfani da su a cikin wani bututun mai tsalle.
Lokacin da darajar MPV ta yi tsawo, ƙwaƙwal zai iya duba shi tare da jini mai bambance-bambancen, gwajin wanda yana duban lambobi daban-daban na jini na jini. Masanin kimiyya zaiyi da zubar da jinin jinin ku kuma duba shi a ƙarƙashin microscope don ganin idan platelets suna jingina tare ko kuma idan kuna da manyan talifun.
Wannan an ce, wasu mutane suna da manyan littattafai masu yawa ko giant saboda dalilai da ke ƙasa.
Dalili na Ma'anar Filatin Ma'ana (MPV)
Wani babban MPV mai yawa shine alamar cewa akwai wasu ƙananan matasa waɗanda ke kewaya cikin jini. Idan kuna da hanyar da ta dace kamar aikin tiyata, jikinka yana amfani da platelets don gyara cututtuka zuwa jini. A mayar da martani, ƙashin karanka ya bar yawancin matasa, ya fi girma, kuma MPV ya tashi.
Gayyata babban MPV yana taimakawa wajen ƙayyade dalilin ƙimar ƙwararrun platelet, kuma mafi mahimmanci dalili shine "lalacewa," ko kuma waxanda aka lalace a wasu hanyoyi, irin su da kwayoyin da kuka samar (duba ITP a kasa).
Babban MPV mai girma tare da ƙididdigar ƙwararra mai mahimmanci , sau da yawa, sau da yawa ne saboda ƙananan ka'idoji ko mahimmanci (yanayin da jiki ke samarwa da yawa platelets, sau da yawa saboda maye gurbin kwayoyin halitta), ko ciwon daji.
Wani MPV mai girma tare da ƙididdigar plalet na al'ada yana nuna yanayin irin su hyperthyroidism, ko cutar cutar sankarar jini mai yawan gaske.
Yanayi waɗanda zasu iya haifar da MPV mai girman ma sun hada da:
- Tsarin tumatir thrombocytopenic (Idplastic) (ITP): ITP yana da yanayin da tsarin rigakafi ya rusa platelets. Tsarin tsirrai na thrombocytopenic yana da doguwar suna, amma yana duban kowane sharuɗɗa a ITP yana sa wannan ya fi sauki. Idiopathic wani lokaci ne wanda aka yi amfani dashi don bayyana yanayin rashin sani. Likita likita ne don "ba mu da wata alamar" dalilin da yasa yake faruwa. Kalmar kalmar "thrombo" tana nufin jini (aikin platelets) da "penia" na nufin rashi, don haka thrombocytopenia yana nufin rashi na platelets. Purpura shi ne lokacin likita don ƙwaƙwalwa, yawanci yawan ƙwanƙwasa. (Kalmar petechiae yana nufin kananan ja a kan fata (ƙananan ƙuƙwalwa) wanda ba ya rufe lokacin da kake danna su.)
- Magunguna na jini kamar cutar sankarar bargo.
- Abun rashin ciwon hanta.
- Abubuwa masu ciwo da kwayoyin halitta a plalets.
- Bernard-Soulier cuta (ciwon gurasar platinis).
- Magunguna masu yalwaci, kamar su erythropoietin ko thrombopoietin.
- Ciwon sukari mellitus.
- Cututtuka na numfashi.
- Sepsis.
- Hyperthyroidism.
- Ciwon zuciya (duba ƙasa).
- Pre-eclampsia (toxemia na ciki) da ciwon HELLP.
- Artificial zuciya valves.
Dalili na Ƙananan Filatin Ƙananan (MPV)
Dalili mai yiwuwa na MPV mai ƙananan iya bambanta dangane da ƙididdigar platelet. MPV maras nauyi tare da ƙididdigar ƙaddarar ƙananan ƙila yana iya nunawa ga matsalolin da ke ɗauke da kasusuwa na ƙasƙara wanda zai jinkirta rage ko rage yawan samar da platelets, kamar yanayin da ake kira anemia aplastic . MPV maras nauyi tare da ƙididdigar launi mai yawa yana nuna kamuwa da cuta, kumburi, ko ciwon daji. Ƙananan MPV maras nauyi tare da ƙididdigar plalet na al'ada shi ne na kowa tare da gazawar koda.
Dalili mai yiwuwa na MPV maras nauyi sun haɗa da:
- Raunin gazawar da aka yi (tsofaffin takalmanci sun fi ƙasa, saboda haka MPV yana da ƙananan idan ɓangaren kasusuwa ba ya samar da yawa).
- Splenomegaly (wani girma daga cikin raga). Tare da rubutun takalmanci, waxanda ake lakafta su suna "raguwa" a cikin rami.
- Kwanan koda koda
- Magunguna da suka rage kayan aikin platelet (irin su magungunan ilimin chemotherapy).
- Hypothyroidism.
- Ƙananan rashi anemia.
- HIV / AIDS.
Sanin asali
Sakamakon ganewar wani MPV mai girma ko maras nauyi zai dogara ne akan dalilai masu yawa ciki har da ƙididdigar platinum, ƙididdigar jini, da kuma ƙwayar jini. Za'a iya buƙatar gwaji mai laushi idan akwai damuwa game da kututtukan kashi ba aiki ko kuma ciwon daji zai iya zama ba. Wannan ya ce, kimantawa zai iya kasancewa mai sauƙi kamar yadda za a duba gwaje-gwaje na aikin thyroid.
High MPV, Ciwon Zuciya, da kuma Tashi
A cikin 'yan shekarun nan an gano cewa MPV na iya taimakawa wajen ganewar asalin zuciya. Binciken yana da ƙuruciya, amma an yi zaton cewa mafi girma MPV na iya hango hadarin cewa wani mai ciwon zuciya zai sami ciwon zuciya, kuma yayi la'akari da rashin talauci a cikin waɗanda suka yi mummunan ƙwayar cuta. Hakazalika, mai girma MPV na iya kasancewa tsinkaya ga ciwon bugun jini, da kuma bayar da alamar ga waɗanda suka yi rashin talauci bayan bugun jini. Nazarin kuma suna neman ganin idan magoya bayan MPV na iya kasancewa a cikin tsinkaya game da hadarin ƙuƙwalwar jini (ƙwararrakin ɓoye da ɓacin jini), kazalika da cututtukan jini.
MPV A matsayin Marker for Prognostic
Bugu da ƙari ga yiwuwar rawar da za a yi game da sakamakon da ciwo da cututtukan zuciya, binciken ya gano cewa MPV na iya zama tasiri a cikin yanayi irin su ƙananan sepsis a cikin jarirai, maganin tare da ciwon nono, don bambanta ciwon daji na ovarian daga ciwon ƙwayar cutar ovarian , har ma a cikin bincikar maganin mummunan appendicitis.
Rafin Ƙasa a Ma'anar Filatin Ƙira
Ma'ana Platelet din (MPV) shine ma'auni na girman platelets kuma zai iya taka muhimmiyar rawa wajen bincikar cutar ko adadin platelet yana da tsawo, ƙananan, ko al'ada. Bugu da ƙari, kasancewar gwajin gwaji, muna koyon cewa MPV na iya iya taka rawa a cikin yanayi irin su cututtukan zuciya, kuma idan haka ne, zai iya jagorantar likitoci wanda ya kamata a bi da mutane a hankali ko karɓar karin m magani.
> Sources:
> Daidaita, K., Rabbolini, D., Valecha, B. et al. Ƙididdigar Ƙididdigar Ƙididdigar Filato don Kayyade Thrombocytopenias wanda aka Tada. Jaridar Duniya na Laboratory Hematology . 2017 Nov 16. (Epub gaba da bugu).
> Kasper, Dennis L .., Anthony S. Fauci, da Stephen L .. Hauser. Ka'idodin Magungunan Hoto na Harrison. New York: Ilimin Mc Graw Hill, 2015. Print.
> Jagora, A., Pereg, D., da M. Lishner. Shin Lissafin Ƙididdigar Filatin na Abun Hoto? Ɗaukar Hidimar Shawarar Hoto. Annals na Medicine . 2012. 44 (8): 805-16.
> Noris, P., Melazzini, F., da kuma C. Balduini. Sabbin Mahimmancin Ƙididdigar Ƙididdigar Ƙwararren Ƙwararriyar Aikin Gudanar da Clinical? . Platelets . 2016. 27 (7): 607-612.