Hanyoyin maganin thrombocytopenia (CAMT) na al'ada ne na ɗaya daga cikin ƙungiya mafi girma na gadon raunin kasusuwan kasusuwa, irin su Fanconi anemia ko dyskeratosis na ciki. Kodayake kalma ta kasance mai magana, ya fi kyau fahimta ta kallon kowane kalma da sunansa. Abinda ke ciki shine cewa an haifi mutum tare da yanayin. Thrombocytopenia shine lokacin kiwon lafiya don ƙididdigar ƙananan platelet.
Amegakaryocytic ya bayyana dalili na thrombocytopenia. Ana sanya platelets a cikin kututtukan fata ta hanyar megakaryocytes. Amegakaryocytic thrombocytopenia yana nufin cewa ƙananan ƙididdigar countlet shine na biyu ga rashin megakaryocytes.
Cutar cututtuka na Amegakaryocytic Thrombocytopenia
Yawancin mutanen da ke tare da CAMT an gano su a jariri, yawancin jimawa bayan haihuwa. Hakazalika da sauran yanayi tare da thrombocytopenia, zub da jini shine sau da farko bayyanar cututtuka. Shanuwa yawanci yakan faru a cikin fata (wanda ake kira purport), bakin, hanci, da kuma gastrointestinal tract. Kusan dukkan yara da aka gano tare da CAMT suna da wasu binciken fata. Yawanci game da zub da jini shine ciwon jini (intanet) (kwakwalwa), amma godiya wannan baya faruwa sau da yawa.
Yawancin raunin kasusuwan kasusuwan kasusuwa kamar Fanconi anemia ko dyskeratosis congenita suna da mummunan lahani. Yara da CAMT ba su da ƙananan lahani na haihuwa waɗanda suke haɗuwa da ita.
Wannan zai taimaka wajen rarrabe CAMT daga wani yanayin da ke gabatarwa a lokacin haihuwa tare da thrombocytopenia da ake kira thrombocytopenia rashin radius syndrome (TARS). Wannan yanayin yana da babbar thrombocytopenia amma yana da alamar ƙaddamar da ƙaddara.
Sanin asali
Kammala ƙididdiga jini (CBC) jarabawa ne na jini wanda aka gwada lokacin da wani ya zub da jini saboda dalilan da ba a sani ba.
A CAMT, CBC tana nuna kyamara mai tsanani tare da ƙididdigar platinum yawanci kasa da 80,000 sel da microliter ba tare da anemia (ƙananan jinin jini ba) ko canje-canje a cikin ƙwayar jinin jini. Akwai dalilai masu yawa na jaririn jariri don samun thrombocytopenia don haka aikin zai iya hada da hukuncin fitar da cututtuka irin su rubella, cytomegalovirus (CMV), da kuma sepsis (kamuwa da cuta mai tsanani). Thrombopoietin (wanda ake kira "Megakaryocytic Growth" da "ci gaba factor") shine furotin da ke karfafa motsi na platelet. Matakan thrombopoietin a cikin mutanen da ke tare da CAMT suna ɗaukaka.
Bayan da aka lalata magunguna na thrombocytopenia, za a iya buƙatar ƙwayar maniyyi mai yalwa don tantance aikin samar da talifin. Kwayar kasusuwan kwayar halitta a CAMT zai nuna kusan babu cikakkiyar megakaryocytes, kwayar jini wanda ke samar da platelets. Haɗuwa da ƙididdigar ƙananan platelet da ƙananan megakaryocytes shine bincike don CAMT. Ana haifar da CAMT ta maye gurbi a cikin MPL gene (thrombopoietin receptor). An gada shi a cikin wani hanzari wanda yake nufin dukkan iyaye suna daukar nauyi don yarinyar su bunkasa yanayin. Idan iyaye biyu masu sufuri ne, suna da 1 cikin 4 dama na samun ɗa tare da CAMT.
Idan ana so, za a iya gwada gwajin kwayoyin don neman maye gurbin a cikin tsarin MPL, amma wannan gwaji bazai buƙata don yin ganewar asali ba.
Jiyya
An fara yin maganin farko a dakatar ko hana zub da jini tare da fassarar platelet. Cigaban jini na iya zama tasiri sosai, amma hadari da kuma amfanin ya kamata a auna su da kyau kamar yadda wasu mutane da ke karɓar fassarar platinum daban-daban zasu iya ci gaba da maganin maganin wannan magani. Ko da yake wasu nau'o'in thrombocytopenia za a iya bi da su tare da thrombopoietin, domin mutanen da ke da CAMT ba su da isasshen megakaryocytes don su yi plalets daidai, ba su amsa wannan magani ba.
Ko da yake kawai a cikin kwayoyin halitta ne aka fara aukuwa, tun lokacin da anemia da leukopenia (ƙananan jinin jini) zasu iya bunkasa. Wannan ragewa daga dukkan nau'in jini guda uku ana kiran pancytopenia kuma zai iya haifar da ci gaba da anemia aplastic mai tsanani . Wannan yana faruwa a tsakanin shekaru 3 zuwa 4, amma yana iya faruwa a lokacin tsufa a wasu marasa lafiya.
Iyakar maganin curative kawai a halin yanzu shine kwayar juyi (ko ɓawon jini). Wannan hanya tana amfani da kwayoyin sutura daga wasu masu bada agaji masu dacewa (yawancin mawuyacin hali idan akwai) don sake cigaba da samar da kwayar jini a cikin kasusuwa.
Kalma Daga
Gano dan jaririn yana da yanayin likita na jimawa bayan haihuwarsa zai iya zama mummunan abubuwa. Abin farin ciki, ana iya amfani da ƙwayoyin platinet don hana halayen zubar da zubar da jini kuma ya sa dashi yana iya zama curative. Yi magana da likitan ɗanka game da damuwa kuma ka tabbata ka fahimci dukkanin zaɓuɓɓukan magani.
> Sources:
> Olson TS. Anemia aplastic da aka haifa a cikin yara da matasa. A: UpToDate, Post, TW (Ed), UpToDate, Waltham, MA.
> Ee DL. Dalilin thrombocytopenia a cikin yara. A: UpToDate, Post, TW (Ed), UpToDate, Waltham, MA.