Binciken Harkokin Cutar cututtuka, ganewa da jiyya na Thrombocytopenia
Definition
Thrombocytopenia shine lokacin likita don bayyana ƙididdigar ƙananan platelet. Platelets daya daga cikin jinin jini kuma aikin su shine don taimaka mana mu dakatar da jini. Thrombocytopenia an ƙayyade a matsayin mai ɗaukar nau'in platelet ƙananan fiye da 150,000 Kwayoyin / ML, ko da kuwa shekarun ku.
Cutar cututtuka
Saboda abin da ke dauke da kayan ado yana da mahimmanci wajen dakatar da zub da jini, alamu da bayyanar cututtuka sun danganta da haɓakar jini.
Idan thrombocytopenia ya kasance mai sauƙi ba za ka iya samun wata alama ba. Ƙananan ƙididdigar takalman ku shine, mafi kusantar ku kasance zub da jini.
Hanciyar nama
Buga daga gums
Jubar da jini a cikin fitsari
Ruwan jini a cikin bakin da ake kira purpura
Ƙarfafawa mai sauki
Ƙananan dull ja wanda yayi kama da rash da aka kira petechiae
Dalilin
Akwai dalilai masu yawa na thrombocytopenia ciki har da kuskuren labarun. Wasu abubuwa suna da wucin gadi kuma suna iya magancewa tare da magani kuma wasu suna buƙatar magani na rayuwa.
Kwayoyin cuta: Yayinda cututtukan cututtuka sun kamu da ƙwayar ka zai iya yin kwanciyar hankali kaɗan na dan lokaci; wannan ake kira cututtukan hoto. Da zarar an cire cutar ta jiki, yatsun kasuwa zai iya ci gaba da aikin samarwa.
Magunguna: Wasu magunguna zasu iya hana ƙarfin jiki don yin plalets ko yin maganin rigakafin da ke rushe platelets. Jerin magunguna da ke haifar da thrombocytopenia yana da tsawo kuma ya hada da maganin rigakafi (vancomycin, trimethoprim / sulfamethoxazole, rifampin, da sauransu), ranitidine (Zantac), magunguna da ke maganin malaria, da kuma valproic acid (maganin magunguna). Abin farin, yawancin mutanen da suka karbi wadannan magunguna ba zasu taba inganta thrombocytopenia ba.
Labaran thrombocytopenia : Wannan yanayin ne inda tsarin rigakafi ya zama rikicewa kuma ya rushe plalets lokacin da bai kamata ba.
Malignancy: Wasu cututtuka, musamman cutar sankarar bargo, na iya haifar da ƙididdigar platelet. Wannan shi ne saboda ciwon daji yana ɗaukar sararin samaniya a cikin kututtukan kasusuwan da ke hana samar da sabon platelets.
Chemotherapy: Yawancin cutar shan-jijiyo na aiki ne ta hanyar kai hare-hare ta hanyar rarraba kwayoyin halitta kamar ciwon daji. Abin takaici, ƙwayoyin jini na fitowa daga hanzarin rarraba kwayoyin jikinsu a cikin kututtukan kasusuwa kuma lokacin da suka lalace baza ku iya yin sabon jini ba dan lokaci. Dukkanin jini guda uku zasu iya shafa; wannan ake kira pancytopenia.
Aplastic Anemia : Anemia aplastic ne yanayin da yatsun kasuwa ba zai iya yin jini ba wanda zai iya haifar da thrombocytopenia.
Amincewa da thrombocytopenia: Akwai gadon sarauta irin su Bernard Soulier da cututtukan MYH9 wadanda ke haifar da sakandaren thrombocytopenia zuwa maye gurbin kwayoyin.
Splenomegaly: An adana wani ɓangare na tallan mu a cikin raminmu, wani sashi a cikin tsarin rigakafi. Idan yatsun ya karu, sai dai wasu lakaran suna kamawa a cikin layi wanda ya haifar da thrombocytopenia. Splenomegaly za a iya haifar da yanayi da yawa ciki har da hauhawar jini ko kuma hereditary spherocytosis.
Thrombotic thrombocytopenic purpura: Wannan yanayin da yawanci samu a cikin matasan da mace haifar da kananan clots ya zama a cikin jini da halakar da platelets da kuma jan jini jini.
Hawan ciki: Thrombocytopenia zai iya faruwa fiye da kashi 5 cikin haifa na al'ada ko kuma zai iya haifar da pre-eclampsia.
Sanin asali
Thrombocytopenia an fara bincikarsa akan cikakken jini (CBC). Wannan za a iya kusantar da shi a matsayin wani ɓangare na gwajin jiki na shekara-shekara ko kuma saboda ka zo likitanka tare da zubar da jini. Don ƙayyade dalilin hanyar likitan ku likitanku zai buƙaci aika ƙarin labs. Wannan zai iya haɗawa da jini a jikin jini inda aka bincika jinin jini a ƙarƙashin microscope. Harshen plalets zai iya nuna ainihin dalilin ƙididdigar ƙananan platelet. Bugu da ƙari, gwaje-gwaje da ke tantance aikin platelets, kamar launi na plaquettis, zai iya taimaka wajen bincikar matsalar thrombocytopenia.
Kila a buƙaci a kira ka zuwa likitan jini (likitan jini) don sanin dalilin yarinka na thrombocytopenia.
Jiyya
Gwargwadon ku yana ƙaddamar da ƙananan zubar da jini na jini da kuma dalilin thrombocytopenia. Duk marasa lafiya tare da thrombocytopenia ya kamata su guje wa aspirin ko marasa lafiya steroidal anti-inflammatory (NSAIDs) kamar ibuprofen kamar yadda waɗannan magunguna rage aiki na platelet da iyawa don kafa jini.
- Babu: Idan thrombocytopenia ya kasance mai sauƙi ko kuma idan ba ku da zubar da jini, mai yiwuwa bazai buƙatar kowane magani ba. Idan an yi tunanin cewa thrombocytopenia ya zama na biyu zuwa kamuwa da kwayar cutar hoto za'a iya dubawa a lokuta masu yawa don tabbatar da cewa yana dawowa zuwa al'ada.
- Hanyoyin cutar Pletlet: Tsarin thrombocytopenia mai yaduwa, kamar yadda aka gani a lokacin jiyya na jiyya, za'a iya bi da shi tare da traffusions plats. Hakanan ana amfani da karfin jini na yau da kullum idan kana da zubar da jini tare da thrombocytopenia.
- Tsayawa magunguna: Idan thrombocytopenia shine sakamakon magani, mai bada sabis na kiwon lafiya zai iya dakatar da wannan magani. Wannan wasa ne mai daidaita. Idan yanayinka (kamar sacewa) yana da kyau a kan sarrafa lafiyar ka kuma thrombocytopenia m, mai kula da lafiyarka zai iya ci gaba da wannan magani.
- Magani: Idan thrombocytopenia shine sakamakon ciwon thrombocytopenia (ITP), zaka iya zama magani tare da magungunan kamar magunguna, immunoglobulin intravenous (IVIg), ko anti-D immune globulin.
- Splenectomy: A cikin yawancin irin thrombocytopenia, macijin shine wuri na farko na lalacewa na plalets ko tarkon na platelets. Tsarke jiki, cirewa na cirewa, zai iya inganta ƙididdigar ka.
- Hanyoyin ƙwayoyi: Thrombotic thrombocytopenic purpura (TTP) ana bi da shi tare da musayar musayar. A wannan hanya ƙwayarku (ɓangaren ruwa na jini) an cire ta hanyar IV kuma an maye gurbin shi tare da ciwon gilashin gishiri.
Kalma Daga
Gurasa zai iya zama alama mai ban tsoro. Idan kana da sabon abu ko zub da jini mai tsawo, tattauna damuwarka tare da likitanka saboda haka ana iya yin aiki da kyau kuma an fara farawa idan an buƙata.
> Source:
> George JN da Arnold DM. (2017). Hanyar mai girma da thrombocytopenia. A TW Post, LLK Leung, da JS Tirnauer (eds.) UpToDate .