Ntawm cov kab mob ntawm qhov xwm txheej autoimmune, thrombocytopenia tsim nyog tau txais kev saib xyuas tshwj xeeb. Rau tus kab mob no, ib tug yam ntxwv feature yog ib tug txo nyob rau hauv cov platelets - indispensable ntsiab ntawm cov ntshav coagulation. Tsis paub txawm tias nws yog dab tsi - autoimmune thrombocytopenia, ntau tus neeg mob tsis quav ntsej thawj cov tsos mob ntawm tus kab mob, thiab raws li nws feem ntau hloov tawm, tsis muaj dab tsi. Nyob rau theem siab, muaj kev pheej hmoo ntawm kev tsim cov teeb meem uas tuaj yeem ua rau tuag taus, thiab txoj hauv kev yuav rov zoo tag nrho yog tsawg.
Dab tsi yog thrombocytopenia: kev piav qhia luv luv
Tus kab mob no tshwm sim los ntawm qhov tsis muaj peev xwm ntawm lub cev tiv thaiv kab mob kom paub txog nws tus kheej platelets, uas ua rau lawv tsis lees paub. Qhov tshwm sim ntawm cov txheej txheem pathological yog tsim cov tshuaj tiv thaiv kab mob hauv tus po, uas pab tshem tawm lub cev "hloov txawv teb chaws" ntawm qhov nrawm nrawm. Feem ntau, tus kab mob manifests nws tus kheej nyob rau hauv lub caij ntuj no thiab caij nplooj ntoos hlav. Nrog rau qib qis ntawm platelets hauv cov ntshav, qee zaum lawv hais txog cov kab mob uas tsis muaj kev tiv thaiv kab mob. Hauv qhov no, thrombocytopenia tshwm sim thaum lub cevCov teebmeem ntawm platelets.
Raws li pab pawg ntawm cov kab mob ntawm cov kab mob hauv lub cev, thrombocytopenia tau faib ua ntau yam. Feem ntau, tus kab mob tau muab faib raws li lub sijhawm ntawm chav kawm ua ob hom - mob thiab mob ntev. Hom kab mob thib ob yog qhov txaus ntshai tshaj plaws rau ib tus neeg, vim nws yuav siv sij hawm ntau lub hlis, thiab qee zaum xyoo, kom rov qab tau cov platelets ib txwm muaj. Lwm qhov kev faib tawm ntawm thrombocytopenia kuj tseem ua tau, raws li qhov thib ob lossis thawj qhov xwm txheej ntawm tus kab mob - tus kab mob tuaj yeem tshwm sim ntawm nws tus kheej lossis tshwm sim tawm tsam keeb kwm ntawm lwm yam txawv txav hauv lub cev.
Nyob rau pathology, pawg pheej hmoo
Nws yog ib qho nyuaj rau kev faib ib pawg ntawm cov neeg mob mus rau pawg neeg muaj kev pheej hmoo rau thrombocytopenia. Tab sis qhov hloov pauv tas li ntawm qib ntawm cov qe ntshav liab hauv lub cev hauv cov poj niam tso cai rau peb hu rau cov neeg sawv cev ntawm cov poj niam cev xeeb tub uas muaj feem cuam tshuam rau pathology.
Yog vim li cas qhov no tuaj yeem yog ntau yam uas cuam tshuam ncaj qha lossis tsis ncaj qha tawm ntawm lawv qhov kev ua haujlwm hematopoietic (piv txwv li, kev xeeb tub, muaj teeb meem tom qab yug menyuam, cev xeeb tub, thiab lwm yam). Nws tsis tshua muaj nyob rau menyuam yaus.
Dab tsi ua rau tus kab mob no?
Nrog qhov tseeb tiag, nws tsis tuaj yeem hu ua qhov ua rau muaj mob li no. Tab sis, txawm li cas los xij, cov kws tshaj lij nyiam pom zoo rau autoimmune thrombocytopenia purpura - genetic heredity plays lub luag haujlwm tseem ceeb hauv qhov pib ntawm tus kab mob. Lwm yam ua rau autoimmune thrombocytopeniaxa mus rau:
- kev ua xua ntawm lub cev (tshwj xeeb, tshuaj sedatives, tshuaj tua kab mob thiab tshuaj alkaloid tuaj yeem ua rau tus kab mob hnyav);
- tiv thaiv tsis muaj zog, tiv thaiv tsis muaj zog;
- ntshav ntshav tsis sib haum ntawm cov ntshav pub dawb;
- mob raum tsis ua haujlwm;
- kab mob siab ntev;
- scleroderma;
- lupus;
- leukemia;
- kev quav cawv.
Muaj feem ntau ntawm kev tsim kab mob hauv cov neeg yug los nrog tus kab mob HIV. Qhov ua rau ntawm qhov tshwm sim ntawm tus kab mob tuaj yeem raug ntaus nqi los ntawm metastasis hauv lub cev thaum muaj tus kab mob malignant neoplasm. Kev tsis txaus ntawm folic acid, vitamin B12, los yog ntau dhau ntawm cov hluav taws xob raug hluav taws xob, hluav taws xob ultraviolet ua rau cov qe ntshav qis.
Cov cim tseem ceeb ntawm tus kab mob autoimmune ntau yam
Cov tsos mob ntawm autoimmune thrombocytopenia txawv ntawm tus neeg mob mus rau tus neeg mob. Cov yam ntxwv ntawm chav kawm ntawm tus kab mob yog txiav txim siab, ua ntej ntawm tag nrho cov, los ntawm qhov ua rau ntawm txoj kev loj hlob ntawm pathology, qhov xwm ntawm lub chav kawm ntawm tus kab mob.
Thiab tsis tau, nws tsis yog qhov nyuaj los qhia cov cim tseem ceeb, cov tsos mob uas yuav tsum tau mus ntsib kws kho mob sai li sai tau:
- Pom qhov nqaij tawv, hemorrhages ntawm daim tawv nqaij. Tsis zoo li cov nqaij ntshiv zoo tib yam, cov pob liab liab feem ntau pom los ntawm cov neeg mob nyob rau sab qis, lub cev, nrog rau lub ntsej muag thiab daim di ncauj.
- Ntev hemorrhage vim kev ua txhaum ntawm cov ntaub so ntswg ncaj ncees (tom qab tshem cov hniav, nrog rauqhov txhab tawv nqaij, txiav).
- Cov qog nqaij hlav hauv ncauj tsev menyuam o, nrog rau kev ua npaws tsis tu ncua subfebrile.
- Perceptible malaise, qaug zog ntawm ob txhais ceg, kiv taub hau.
Kuv yuav tsum saib cov tsos mob twg?
Kev kuaj mob thrombocytopenia sai dua, nws yuav kho tau yooj yim dua. Piv txwv li, cov neeg mob tsis tshua tau saib xyuas cov tsos mob ntawm tus kab mob xws li cov pos hniav los ntshav, pob me me ntawm lub cev. Yog vim li cas thiaj xav thiab mus kuaj yog qhov mob hematomas thiab qhov o loj ntawm cov ntaub so ntswg uas tshwm sim nrog cov nqaij ntshiv me ntsis, nrog rau kev tawm ntawm cov quav thiab tso zis nrog cov ntshav txhaws.
Nyob rau hauv cov menyuam yaus uas muaj autoimmune thrombocytopenia, qhov ntswg los ntshav tuaj yeem raug hu ua qhov tshwm sim tsis tu ncua, hmoov tsis zoo, niam txiv tsis saib xyuas. Feem ntau, nws yog qhov tseeb uas tiv thaiv kev txiav txim siab raws sij hawm ntawm qhov tseeb ntawm qhov tshwm sim ntawm pathological.
Platelet deficiency hauv cev xeeb tub: qhov laj thawj tseem ceeb
Kev cev xeeb tub thiab autoimmune thrombocytopenia yog suav tias yog qhov tsis sib haum xeeb ntawm cov kws kho mob. Hauv cov poj niam uas tos txog kev rov ua dua tshiab, cov qe ntshav ntau, txawm tias thaum lub sijhawm ua haujlwm ib txwm muaj, hloov pauv nrog qhov sib txawv, yog li cov haujlwm ntawm tus kws kho mob tuaj koom tuaj yeem hu ua cov ncauj lus kom ntxaws txog kev saib xyuas cov ntshav hauv lub xeev. Feem ntau, thaum cev xeeb tub, tus naj npawb ntawm cov platelets hauv ib tug poj niam txo qis kom qhib lub peripheral ncig, tab sis cov kev hloov no tsis tseem ceeb,ua rau muaj kev cuam tshuam loj heev hauv lub neej ntawm lub cev. Los ntawm txoj kev, cov ua rau tus kab mob nyob rau hauv cov niam expectant feem ntau ua:
- noj tsis zoo thiab tsis noj;
- vim ntshav poob;
- hlau deficiency anemia;
- kev tiv thaiv kab mob sib kis.
Yuav ua li cas thiaj muaj tus menyuam noj qab nyob zoo nrog thrombocytopenia?
Txhua yam no ua rau me ntsis tsim cov qe ntshav liab los ntawm cov pob txha pob txha. Tsis tas li ntawd, platelets feem ntau yog tsim nrog cov duab tsis zoo. Thaum lub sij hawm cev xeeb tub, tus me nyuam hauv plab yuav muaj kev pheej hmoo loj ntawm cov hemorrhage.
Yog tias muaj cov cim qhia ua rau muaj teeb meem thiab ua rau tus niam thiab tus menyuam tsis zoo, cov kws kho mob tuaj yeem txiav txim siab txog kev yug ntxov ntxov. Autoimmune thrombocytopenia tsim nyog tau txais kev saib xyuas zoo tshaj plaws los ntawm cov kws tshaj lij ntawm txhua theem ntawm kev kuaj mob. Nrog rau kev kho mob raws sij hawm ntawm tus kab mob, uas tsis suav nrog kev poob ntshav tseem ceeb thaum yug me nyuam, qhov muaj peev xwm ntawm kev yug me nyuam tsis suav nrog.
Kev Tshawb Fawb: Yuav ua li cas paub qhov txawv ntawm lwm yam kab mob?
Ua ntej lees paub autoimmune thrombocytopenia, nws yog qhov tseem ceeb ua ntej kom paub qhov tseeb etiology ntawm platelet insufficiency, vim feem ntau cov tsos mob ntawm tus kab mob zoo ib yam li lwm yam mob loj hauv lub cev:
- ntshav qab zib;
- ze rau kab mob oncohematological;
- metastasizing nyob rau hauv cov pob txha;
- ntau yam ntawm splenomegaly -pathology ntawm tus po;
- kab mob endocrine.
Feem ntau, kev kuaj mob ntawm autoimmune thrombocytopenia tsis ua rau muaj teeb meem, vim muaj ntau yam kev soj ntsuam thiab kev tshawb fawb hauv chav kuaj tau siv los kuaj tus kab mob. Feem ntau, cov kws kho mob tuaj yeem lees paub qhov kev kuaj mob siv:
- CBC;
- ntshav chemistry;
- kuaj cytological;
- pob txha hlwb histology.
Yuav ua li cas kho platelet deficiency?
Feem ntau, kev kho mob ntawm autoimmune thrombocytopenia yog hormonal. Thaum kho tus kab mob no, tus neeg mob tau sau cov tshuaj uas muaj cov tshuaj hormones, feem ntau yog Prednisolone, ib qho glucocorticosteroid, kev siv tsis tau tso cai thiab tswj tsis tau uas yuav ua rau muaj kev phiv. Cov tshuaj tau sau tseg los ntawm tus kws kho mob uas tuaj koom, nws kuj suav cov koob tshuaj: qhov nruab nrab, "Prednisolone" raug tshuaj raws li qhov sib piv ntawm 1 ml ib 1 kg ntawm qhov hnyav. Nyob rau theem siab ntawm tus kab mob, tus kws kho mob tshwj xeeb tuaj yeem txiav txim siab nce qhov koob tshuaj tsawg kawg ob zaug.
Glucocorticoids tau ua pov thawj lawv tus kheej hauv kev tawm tsam autoimmune thrombocytopenia, tab sis feem ntau cov tshuaj kho mob muaj cov tsos mob tshwm sim nyob rau hauv daim ntawv thib ob ntawm pathology. Hauv qhov no, kev phais feem ntau yog tib txoj kev daws teeb meem. Lub sij hawm kho mob rau kev tshem tawm ntawm tus po yog splenectomy. Kev ua haujlwm tau ua tiavTxoj kev laparoscopic. Ua ntej qhov kev cuam tshuam tiag tiag, ntau npaum li cas ntawm cov tshuaj hormones dag zog yog nce peb zaug, txhaj ncaj qha rau hauv cov hlab ntsha. Tom qab tshem tawm ntawm tus po, cov chav kawm ntawm "Prednisolone" tsis xaus - cov tshuaj tau noj mus txog ob xyoos.
Txoj Kev Kho Mob thrombocytopenia
Thaum muaj teeb meem tshwm sim thaum phais kho ntawm autoimmune thrombocytopenia, tus neeg mob tau muab tshuaj kho cytostatic nrog kev ua haujlwm ntawm kev tiv thaiv kab mob. Kev kho mob ntawm tus kab mob hnyav kuj suav nrog kev ntsuas los kho cov ntshav ntim ib txwm los ntawm kev tso ntshav pub dawb. Txhawm rau kom tsis txhob muaj tus kab mob rov qab los, tus neeg mob tau sau npe, pom zoo rau kev kuaj mob raws sij hawm rau kev tiv thaiv.
Nyob rau theem pib, tus kab mob no kho tau sai thiab zoo, kev kho mob feem ntau tshwm sim tom qab siv cov tshuaj rau ob peb hnub. Txawm li cas los xij, kev tshem tawm cov tshuaj yuav tsum tau pom zoo nrog tus kws kho mob - tus neeg mob, raws li txoj cai, yuav tsum siv tshuaj kom txog thaum kawg kho.
Koj tuaj yeem tiv nrog autoimmune thrombocytopenia nrog cov tshuaj pej xeem. Nyob rau theem siab ntawm tus kab mob, lawv cov txiaj ntsig tau qis, tab sis ua ke nrog cov tshuaj tau sau tseg, lwm txoj kev kho mob feem ntau qhia tau tias muaj txiaj ntsig zoo. Pab txhim kho cov ntshav thiab nce qib platelet:
- niam;
- walnuts;
- raspberries;
- rosehip infusion;
- nettledecoction;
- beet thiab birch kua txiv.
Nrog thrombocytopenia, tus neeg mob yuav tsum tau tshuaj xyuas cov zaub mov ib txwm muaj. Txawm hais tias tsis muaj cov lus pom zoo rau kev noj zaub mov tshwj xeeb, txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws nws nws yog ib qho tsim nyog yuav tsum tau zom cov zaub mov kom huv si, tsis txhob noj cov zaub mov kub dhau, tsis kam noj zaub mov uas ua rau mob plab hnyuv.
Puas muaj peev xwm kho tau tus kab mob: kev kuaj mob kom rov zoo
Qhov kev cia siab ntawm autoimmune thrombocytopenia feem ntau txiav txim siab los ntawm daim ntawv ntawm pathology. Piv txwv li, ib tus kab mob uas nyob rau theem mob yog yooj yim kho dua li hom kab mob. Qee zaum, kev kho mob tshwm sim yam tsis muaj kev siv tshuaj. Nyob rau hauv thrombocytopenia ntev, nws yog qhov nyuaj dua los kwv yees qhov kawg rov qab los. Nyob rau tib lub sijhawm, kev hem thawj loj rau tus neeg mob lub neej tseem yuav tsis tshwm sim yog tias nws nrhiav kev pab tshwj xeeb hauv lub sijhawm thiab pib kho yam tsis tau ua rau cov hemorrhages sab hauv.
Qhov yuav tshwm sim ntawm qhov rov ua dua ntawm cov ntshav platelet hauv cov kab mob autoimmune ntev heev, vim tias ntau yam tuaj yeem ua rau nws - los ntawm qhov xwm txheej ntxhov siab rau kev hloov pauv huab cua lossis noj tshuaj. Relapses feem ntau nrog cov chav kawm hnyav, thiab yog li ntawd cov neeg mob xav tau kev saib xyuas tas mus li los ntawm cov kws tshwj xeeb. Nws yog ib nqi sau cia hais tias qhov dubious prognosis rau tus kab mob no ntawm lub circulatory system yog ncaj ncees los ntawm concomitant kab mob. Piv txwv li,Tus neeg mob txoj kev pheej hmoo ntawm kev rov zoo los ntawm cov kab mob leukemia lossis cov pob txha pob txha metastases tsawg heev.
