Raws li kev cuam tshuam ntawm ntau yam tsis zoo, cov txheej txheem ntawm kev tsim cov platelets tshiab qeeb qeeb lossis tus nqi ntawm kev puas tsuaj ntawm cov uas twb muaj lawm tau nce. Raws li qhov tshwm sim, qhov concentration ntawm platelets hauv cov ntshav txo qis heev, uas yog ib qho mob pathological uas cuam tshuam rau ob qho tib si kev noj qab haus huv thiab lub neej ntawm tus neeg mob. Hauv qhov no, qhov kev kuaj mob yog thrombocytopenia.
tus kab mob no yog dab tsi?
Muaj ntau yam ua rau pathology, lawv tuaj yeem yog yam ntawm cov khoom lom neeg, lub cev lossis tshuaj lom neeg.
Lub tshuab ntawm kev txhim kho tus kab mob yog kev siv cov txheej txheem hauv qab no:
- Slow down the formation of platelets. Cov phaj yog tsim nyob rau hauv cov pob txha pob txha los ntawm megakaryocytes. Kev cuam tshuam ntawm cov txheej txheem tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev txhim kho pathology ntawm qhov xwm txheej tsis zoo, kab mob hluav taws xob, kev tsis txaus ntawm folic acid hnyav, yam tshwm sim, nrog rau kev noj qee yam tshuaj.
- nce tus nqi ntawm kev puas tsuaj lossis nojntshav platelets. Qhov no mechanism yog feem ntau ua rau thrombocytopenia. Nws tuaj yeem txhim kho nrog ib txwm lossis nce ntau ntawm cov hlwb progenitor - megakaryocytes. Nws yog kev cai los tham txog tus kab mob thaum tus nqi ntawm platelet kev puas tsuaj siab dua li cov peev txheej ntawm cov pob txha liab.
- Ntau cov qe ntshav no hauv tus po. Feem ntau, lub cev muaj ib feem peb ntawm tag nrho cov platelets. Nyob rau hauv cov kev taw qhia loj, qhov taw qhia hloov, raws li txoj cai, nrog rau kev nce hauv qhov loj ntawm tus po. Nyob rau tib lub sijhawm nrog kev tso tawm ntawm ntau tus lej ntawm platelets, lawv raug cais tawm ntawm cov txheej txheem hemostasis. Cov khoom tsim ntxiv tseem koom nrog hauv kev ncig.
Yog li, muaj ntau yam ua rau thrombocytopenia. Raws li kev cuam tshuam ntawm txhua tus ntawm lawv, ib lossis lwm lub tswv yim rau kev txhim kho tus kab mob tau pib.
Yog vim li cas
Thrombocytopenia hauv cov txiv neej thiab poj niam tuaj yeem ua tau ob qho tib si thiab kis tau. Hauv thawj kis, cov tsos mob ntawm tus kab mob pib tshwm sim sai tom qab yug menyuam.
Qhov laj thawj tseem ceeb ntawm thrombocytopenia yog cov kab mob hauv qab no:
- YWiskott-Aldrich Syndrome. Qhov no yog ib qho kev tiv thaiv kab mob, thaum lub sij hawm kev loj hlob ntawm cov platelets thiab lymphocytes raug cuam tshuam.
- May-Hegglin anomaly. Qhov no yog ib qho tsis tshua muaj kab mob uas ua rau thrombocytopenia ntawm qhov sib txawv ntawm qhov hnyav.
- YBernard-Soulier Syndrome. Qhov teeb meem no yog characterizedTsis tsuas yog los ntawm kev txo qis ntawm cov platelets hauv cov ntshav, tab sis kuj los ntawm qhov loj me ntawm cov phiajcim, nrog rau kev nyiam ua rau qhov pib los ntshav sai.
- Chediak Anomaly - Higashi. Qhov no yog ib yam kab mob uas cuam tshuam nrog kev ua haujlwm ntawm tes ntawm ib daim ntawv dav dav.
- Fanconi syndrome. Tus cwj pwm los ntawm ntau yam tsis xws luag hauv reabsorption ntawm cov kua hauv lub raum tubules.
Ntxiv rau, thrombocytopenia yog suav tias yog qhov tshwm sim, qhov ua rau yog ib qho kev sib cais ntawm cov kab mob megakaryocyte nyob rau hauv cov pob txha pob txha.
Tus kab mob uas nquag pom tshwm sim hauv cov txheej txheem ntawm lub neej. Muaj cov nram qab no hom thrombocytopenia:
- Kev faib tawm.
- Kev siv.
- Vim qhov nce ntawm platelet kev puas tsuaj.
- Productive.
Nyob rau hauv cov txiv neej thiab poj niam, qhov ua rau ntawm dilutional thrombocytopenia yog hloov cov ntshav poob nrog ntau yam kev daws teeb meem. Raws li txoj cai, qhov concentration ntawm daim hlau yog txo los ntawm ib lub hlis twg ntawm tus nqi qub.
Qhov ua rau ntawm kev faib tawm thrombocytopenia yog qhov nce qib ntawm platelet deposition nyob rau hauv ib qho loj spleen. Feem ntau, tsuas yog ib feem peb ntawm lawv tag nrho cov khoom tso tawm. Feem ntau ntawm daim hlau tseem nyob hauv qhov loj spleen. Nyob rau hauv lub cev, ntau yam kev tswj hwm lub luag haujlwm yog tswj hwm tag nrho cov platelets, tab sis lawv tsis siv nws dhau qhov concentration ntawm cov ntsiab lus tsim hauv cov ntshav. Yog li ntawd, cov txheej txheem ntawm kev nce ntxivplatelet tsim.
Yog li, hauv cov neeg laus, qhov ua rau thrombocytopenia yog splenomegaly (ib qho spleen loj). Tej zaum nws yuav tshwm sim vim:
- hemangiomas;
- haus dej cawv ntau dhau;
- sarcoidosis;
- tuberculosis ntawm tus po;
- lymphomas;
- myeloproliferative pathologies;
- Felty Syndrome;
- Kab mob Gaucher.
Tib lub sijhawm, kev haus dej cawv yog qhov ua rau thrombocytopenia thiab leukopenia. Qhov tsis muaj ntau yam tsim ib zaug ua rau tsis yog tsuas yog ua txhaum ntawm cov ntshav txhaws, tab sis kuj ua rau lub cev tsis muaj zog, vim tias txoj haujlwm ntawm leukocytes yog los rhuav tshem cov kab mob.
Nyob rau hauv cov neeg laus, qhov ua rau noj thrombocytopenia yog qhov ua rau muaj zog platelet activation hauv lub txaj vascular. Yog li ntawd, tus nqi ntawm cov ntshav txhaws tau nce ntau. Ib qho txiaj ntsig ntawm kev noj cov platelets ntxiv yog qhov nce hauv lawv cov khoom. Nyob rau hauv cov ntaub ntawv no, nws yog ib qhov tsim nyog yuav tau nrhiav kom paub qhov ua rau ntawm tus mob no sai li sai tau. Yog tias nws tsis raug tshem tawm hauv lub sijhawm luv luv, lub peev xwm them nyiaj ntawm cov pob txha pob txha yog depleted. Feem ntau, cov kab mob tshwm sim tawm tsam keeb kwm ntawm DIC.
Qhov feem ntau ua rau thrombocytopenia hauv cov neeg laus thiab menyuam yaus yog qhov nce ntawm kev puas tsuaj ntawm cov platelets liab. Tus kab mob tuaj yeem tiv thaiv kab mob los yog tsis muaj kab mob.
Hauv thawj kis, tus kab mob tuaj yeem yog:
- Alloimmune. Hauv daim ntawv no, cov txheej txheem ntawm kev puas tsuaj ntau ntxiv ntawm cov platelets yog qhov tshwm sim ntawm cov ntshav tsis sib haum, muaj cov tshuaj tiv thaiv kab mob thaum lub sijhawm hloov pauv cov khoom txawv teb chaws, lossis kev nkag mus ntawm cov tshuaj no rau tus menyuam hauv plab los ntawm tus poj niam txhaj tshuaj antigen uas tsis tuaj. nws, tab sis tam sim no nyob rau hauv tus me nyuam. Nyob rau hauv rooj plaub no, thrombocytopenia tej zaum yuav yog neonatal los yog post-transfusion.
- Kev tiv thaiv kab mob. Feem ntau kuaj pom hauv cov menyuam yaus. Qhov ua rau thrombocytopenia yog qhov nkag mus ntawm autoantibodies ntawm leej niam expectant los ntawm cov placenta mus rau fetus.
- Heteroimmune. Nyob rau hauv cov ntaub ntawv no, tsim cov tshuaj tiv thaiv pib nyob rau hauv cov lus teb rau kev nkag mus ntawm txawv teb chaws antigen rau hauv lub cev los yog mus rau ib tug hloov nyob rau hauv cov qauv ntawm daim hlau. Feem ntau, tus kab mob no tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev ua haujlwm tseem ceeb ntawm cov kab mob lossis kev noj cov tshuaj (sedatives, tshuaj tua kab mob, tshuaj tua kab mob, thiab lwm yam). Hauv cov menyuam yaus, qhov ua rau heteroimmune thrombocytopenia yog kis kab mob. Tus kab mob no ploj mus tom qab lawv kho tau zoo.
- Autoimmune. Nws tshwm sim los ntawm kev tsim cov tshuaj tiv thaiv rau cov hlwb ntawm ib tus kheej lub cev. Lub ntsiab tshwm sim ntawm pathology yog idiopathic thrombocytopenic purpura.
Ib tug kab mob uas tsis muaj zog tiv thaiv kab mob tshwm sim vim kev puas tsuaj rau cov hlau. Qhov no feem ntau tshwm sim thaum phais.
Productive thrombocytopenia txhim kho thaum cov pob txha pob txha tsis tuaj yeem tsim cov khoom tsim raws li qhov uas lub cev xav tau.
Feem ntau, qhov nokev soj ntsuam ntawm:
- myelodysplastic syndrome;
- mob leukemia;
- sarcoma;
- hypersensitivity rau tej yam tshuaj;
- hluav taws xob thiab tshuaj tua kab mob;
- kab mob sib kis;
- haus dej cawv ntau dhau;
- tsis txaus ntawm folic acid thiab vitamin B12;
- raug rau cov tshuaj lom neeg tsis zoo.
Yog li, qee zaum, pathology yuav tshwm sim vim kev txhim kho ntawm ntau lub tshuab.
Feem ntau muaj qhov txo qis ntawm cov khoom tsim thaum cev xeeb tub. Qhov ua rau thrombocytopenia thaum yug me nyuam yog cov kab mob hauv qab no:
- Hormonal restructuring. Vim muaj cov kev hloov pauv, lub neej voj voog ntawm cov platelets raug txo, cov txheej txheem ntawm lawv kev puas tsuaj pib ntxov tshaj li 7 hnub.
- Kev faib tsis sib npaug ntawm daim phiaj. Hauv qee qhov chaw ntawm cov hlab ntsha, lawv qhov tsis txaus tau sau tseg, hauv lwm tus - ntau tshaj. Tib lub sijhawm, qhov ntsuas ntawm tag nrho cov huab hwm coj tseem nyob li qub.
- Kev nce ntshav sai sai. Rau cov poj niam cev xeeb tub, cov txheej txheem no yog lub cev nqaij daim tawv, tawm tsam nws keeb kwm yav dhau, cov platelets txo qis heev.
- Kab mob sib kis. Ib txhij nrog qhov tshwm sim ntawm cov tsos mob, tus kws kho mob sau tseg qhov kev hloov pauv ntawm cov ntshav suav.
- Kev noj haus tsis raug. Kev noj zaub mov tsis zoo ua rau muaj qhov tsis txaus ntawm cov vitamin B12 thiab folic acid, uas yog ib qho ntawm cov ua rau thrombocytopenia hauv cov poj niam cev xeeb tub.
- ua xuacov tshuaj tiv thaiv.
- Kev mob lub cev. tshwm sim vim tshuaj. Nws yog ib qho tseem ceeb rau cov poj niam cev xeeb tub kom paub tias txhua yam tshuaj cuam tshuam rau qib platelet rau qee qhov.
- HIV. Tus kab mob no tawm tsam keeb kwm yav dhau los ntawm qhov tsis muaj zog ntawm lub cev tiv thaiv.
- Ntsuag. Raws li txoj cai, lawv tshwm sim vim nchuav menyuam thiab placental abruption.
- Pre-eclampsia thiab eclampsia.
- Pathology ntawm lub raum.
Thaum yug me nyuam, nws yog ib qho tseem ceeb kom tshem tawm qhov ua rau kom raws sijhawm. Kev kho mob ntawm thrombocytopenia hauv cov poj niam cev xeeb tub thiab lawv cov kev soj ntsuam ntxiv yog ua los ntawm hematologist. Nyob rau tib lub sijhawm, qib platelet yuav tsum tau saib xyuas thoob plaws lub sijhawm gestational.
Ntxiv rau, tus kab mob no feem ntau kuaj pom hauv tib neeg cov tsiaj nyiam (ob leeg miv thiab dev). Cov ua rau thrombocytopenia nyob rau hauv lawv yog: tshuaj, neoplasms, kis kab mob, txo kev tiv thaiv. Kev kho tsiaj yuav tsum tau tso siab rau tus kws kho tsiaj.
Feem ntau, ib tug neeg tsis muaj dab tsi txhawj txog. Nws yog ib qho tsim nyog ua txhua yam kev ntsuas tsim nyog yog tias tus tsiaj muaj tus kab mob ntawm tus kab mob sib kis. Piv txwv li, toxoplasmosis, uas yog qhov txaus ntshai tshwj xeeb rau cov poj niam cev xeeb tub.
Degrees ntawm qhov hnyav
Thrombocytopenia tuaj yeem ua tus kab mob ywj pheej, thiab ua lub cim ntawm txhua yam kab mob. Txawm li cas los xij, tus kws kho mob tuaj koom xav tau cov ntaub ntawv hais txog cov ntsiab lus ntawm platelets hauv cov kua dej sib txuas. Raws li cov nocov ntaub ntawv, nws tuaj yeem txiav txim siab qhov mob hnyav.
Thrombocytopenia tuaj yeem yog:
- Moderate.
- Sharp.
- Qhia.
Raws li, nyob rau hauv thawj rooj plaub, qhov concentration ntawm daim hlau txo me ntsis, nyob rau tom kawg - rau qhov tseem ceeb.
Symptoms
Nyob rau qee kis, kab mob kis tsis tau nrog cov cim ceeb toom. Koj yuav tsum sab laj nrog kws kho mob hematologist yog tias koj muaj cov tsos mob hauv qab no:
- daim tawv nqaij hemorrhages tau hais txawm tias tau txais qhov nqaij me me.
- pob liab liab me me, feem ntau ntawm ob txhais ceg.
- Qhov tshwm sim ntawm kev cuam tshuam me me ntawm cov mucous membranes yog los ntshav.
- Hav poj niam cev xeeb tub.
- Ntsim los ntshav los ntawm qhov ntswg thiab pob ntseg.
- Kev muaj cov kua dej sib txuas hauv cov zis thiab quav.
- Tom qab tau txais kev raug mob me me, nrog rau kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij, nws nyuaj heev kom tsis txhob los ntshav.
- Nco cov pos hniav rhiab heev. Los ntshav tshwm sim thaum txhuam hniav thiab noj cov khoom noj.
Thaum ntxov tshaj plaws, tus neeg, raws li txoj cai, tsis xav tias muaj kev hloov pauv hauv lub cev. Feem ntau, tus kab mob no tau kuaj pom thaum lub sij hawm kuaj xyuas rau kev kuaj mob ntawm lwm yam pathology. Tus kab mob ntawm qhov mob hnyav yog qhov tshwm sim los ntawm cov tsos mob hnyav. Nyob rau theem no, cov pob khaus hemorrhagic feem ntau tshwm sim. Qhov kawg theem nyob rau hauv uasqib platelet poob mus rau qhov tseem ceeb, yog qhov txaus ntshai tshaj plaws. Hauv cov xwm txheej zoo li no, hemorrhages tuaj yeem tshwm sim hauv txhua qhov ntawm tib neeg lub cev.
Diagnosis
Txawm hais tias qhov ua rau thrombocytopenia, tus kws kho mob hematologist yog lub luag haujlwm rau kev kho mob thiab ua raws li tus neeg mob. Thaum lub sijhawm teem sijhawm, tus kws kho mob ua qhov kuaj pom thawj zaug, suav nrog kev nug tus neeg thiab palpation, uas lees paub lossis tsis suav qhov tseeb ntawm qhov nce ntawm tus po.
Rau qhov kev kuaj mob kom raug, tus kws kho mob hematologist tau sau cov ntshav suav tag nrho, nrog rau kev tshawb fawb txog cov kua dej sib txuas rau cov ntshav txhaws thiab kom muaj cov tshuaj tiv thaiv kab mob rau platelets. Raws li cov txiaj ntsig tau, tus kws kho mob yuav pom zoo kom cov pob txha me me rau kev tshuaj xyuas. Nrog kev pab los ntawm txoj kev tshawb no, tus kws kho mob tshwj xeeb muaj lub sijhawm los ntsuas lub xeev ntawm cov txheej txheem hematopoietic, nrog rau txhawm rau txheeb xyuas qhov kev hloov pauv ntau thiab zoo hauv cov hlwb koom nrog.
txhawm rau txiav txim siab qhov loj ntawm tus po thiab kuaj pom cov kev hloov pauv hauv lwm cov kabmob, nws yog qhov yuav tsum tau kuaj xyuas ultrasound lossis MRI. Raws li cov txiaj ntsig tau txais, tus kws kho mob tuaj yeem txiav txim siab qhov ua rau thrombocytopenia thiab sau ntawv kho mob raws li tus kheej tus yam ntxwv ntawm tus neeg mob noj qab haus huv.
Drug therapy
Tam sim no, muaj ob peb txoj hauv kev uas nws tuaj yeem txhim kho cov kab mob lossis tshem tawm tag nrho.
nyob ntawmua rau kev kho mob ntawm thrombocytopenia hauv cov neeg laus tuaj yeem ua nrog cov tshuaj thiab tshuaj hauv qab no:
- Y Glucocorticosteroid cov tshuaj hormones. Lub luag haujlwm ntawm cov nyiaj no yog txhawm rau rhuav tshem cov kev cuam tshuam ntawm platelets thiab cov tshuaj tiv thaiv rau lawv. Tawm tsam keeb kwm ntawm lawv qhov kev noj haus, kev puas tsuaj ntawm platelets qeeb. Tsis tas li ntawd, qhov ceev ntawm tib txoj kev nyob rau hauv tus po yog txo, vim hais tias cov concentration ntawm platelets nyob rau hauv cov kua connective cov ntaub so ntswg nce. Feem ntau, cov kws kho mob tau sau Prednisolone lossis Methylprednisolone. Qhov ntau npaum ntawm cov tshuaj yog xam rau tus kheej. Kev kho mob yog los ntawm 1 mus rau 4 lub hlis. Cov kws tshaj lij txiav txim siab qhov ua tau zoo ntawm cov kev kho mob zoo li no tom qab nws ua tiav. Yog tias kev kho mob nrog glucocorticosteroids tsis cuam tshuam rau lub sijhawm ntawm tus kabmob, cov tshuaj ntawm qhov kev txiav txim no tsis raug sau tseg yav tom ntej.
- Non-hormonal immunosuppressants. Tawm tsam keeb kwm yav dhau los ntawm kev noj cov tshuaj no, kev tsim cov tshuaj tiv thaiv kab mob tiv thaiv tus kheej platelets txo qis. Qhov tshwm sim ntawm ntuj tsim yog ib qho kev poob qis hauv kev puas tsuaj ntawm platelets thiab nce lub sijhawm ntawm lawv lub neej voj voog. Raws li txoj cai, cov neeg sawv cev hauv qab no tau sau tseg rau kev kho mob pathology: Azathioprine, Vincristine, Cyclophosphamide. Kev kho mob yog ob peb lub lis piam. Tib lub sijhawm, kuaj ntshav tsis tu ncua kom tswj tau.
- txhais tau tias, cov tshuaj nquag uas yog danazol. Tam sim no, cov txheej txheem ntawm kev ua ntawm cov tshuaj no tsis tau kawm tag nrho, tab sis nws tau raug pov thawj tias nrog kev siv lawv ntev, qib ntawm platelets hauv cov ntshav nce ntau. Cov tshuaj no zoo tshaj plawsqhia hauv kev kho cov neeg tshaj 45.
- YImmunoglobulin. Cov tshuaj txo cov kev ua ntawm cov tshuaj tiv thaiv rau nws tus kheej platelets. Tam sim no, qhov no yog txoj kev zoo tshaj plaws ntawm kev kho autoimmune pathology. Tsis tas li ntawd, cov tshuaj immunoglobulin npaj tau txhaj tshuaj intravenously nyob rau hauv lub xub ntiag ntawm hemorrhagic syndrome. Qhov no yog vim qhov tseeb tias cov tshuaj no nce cov platelets hauv cov ntshav hauv lub sijhawm luv tshaj plaws, tab sis cov nyhuv no luv luv.
- Interferon Nyob Cov tshuaj no tsis tsuas yog tua cov kab mob, tab sis kuj txo cov tshuaj tiv thaiv kab mob rau nws tus kheej platelets. Txoj kev kho no yog pom zoo kom muab tshuaj nrog qhov tsis zoo ntawm cov tshuaj glucocorticosteroid.
Ntxiv rau qhov saum toj no, cov tsos mob kho tau ua tiav. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm los ntshav, aminocaproic acid yog muab, rau kom muaj zog ntawm cov ntshav txhaws nyob rau hauv lub qhov txhab, cov tshuaj "Etamzilat"..
Thaum teeb tsa txoj kev kho mob rau thrombocytopenia hauv cov menyuam yaus, qhov ua rau tus kab mob tau muab rau hauv qhov kawg. Cov tshuaj tsuas yog muab rau thaum muaj cov tsos mob tshwm sim. Qhov kev tawm tsam no tau piav qhia los ntawm qhov tseeb tias hauv cov menyuam yaus, qib ntawm platelets feem ntau normalizes yam tsis muaj kev cuam tshuam. Thaum tsis muaj qhov ua tau zoo, glucocorticosteroids thiab cytostatics feem ntau tau sau tseg.
Cov txheej txheem ua pa tawm thiab splenectomy
Qee zaum, txhawm rau ua kom cov ntshav platelets normalizes, plasmapheresis yog siv. Lub ntsiab ntawm txoj kev yogcov hauv qab no: lub catheter nrog ib lub raj yog ntsia rau tus neeg mob, los ntawm qhov yuav tsum tau npaum li cas ntawm biomaterial yog npaum li cas. Tom ntej no, ib lub thawv ntim nrog cov ntshav muab tso rau hauv ib lub centrifuge, qhov chaw sib cais ntawm plasma thiab tsim cov ntsiab lus tshwm sim yam tsis ua txhaum txoj kev ntseeg ntawm lub hlwb. Nyob rau tib lub sijhawm, cov tshuaj tiv thaiv rau lawv tus kheej daim hlau raug tshem tawm los ntawm cov kua dej sib txuas. Tom qab ua tiav cov txheej txheem no, cov ntshav purified rov qab mus rau hauv cov hlab ntsha, thiab cov ntshav sib cais tau hloov nrog cov khov tshiab.
Plasmapheresis yog ib txoj kev siv dav los kho thrombocytopenia hauv cov menyuam yaus thiab. Qhov ua rau ntawm tus kab mob tuaj yeem ua rau mob hnyav heev, tab sis nrog nws cov kev pab nyob rau hauv feem ntau nws muaj peev xwm ua tiav qhov zoo dynamic. Feem ntau, txoj kev siv ib txhij nrog kev noj cov tshuaj glucocorticosteroids.
Lwm txoj kev yog kev hloov pauv ntawm cov neeg pub ntshav platelet loj. Txoj kev no tsuas yog siv nyob rau hauv lub xub ntiag ntawm tseem ceeb indications. Nyob rau hauv cov ntaub ntawv no, nws yog ntshaw kom muab platelets los ntawm tus neeg mob tam sim ntawd tsev neeg.
Thaum cov tshuaj thiab cov txheej txheem cuam tshuam tsis zoo, ob qho tib si menyuam yaus thiab cov neeg laus raug pom tias yog kev phais. Qhov no yog kev ua haujlwm uas cuam tshuam nrog kev tshem tawm ntawm tus po.
Kev taw qhia rau nws qhov kev siv kuj yog:
- Cov kab mob ntev ntev (ntau dua 12 lub hlis), pom muaj ntau dua 2 ntu ntawm kev mob hnyav tom qab kev kho hormonal.
- Tsis muaj peev xwm noj glucocorticosteroids (contraindications, phiv loj heev).
- Tom qab ua tiav chav kawm ntawm kev kho hormonal, rov ua dua ntawm pathology tshwm sim.
- Mob hnyav thrombocytopenia, thaum tus neeg mob muaj cov tsos mob hemorrhagic thiab ntau yam hemorrhage (xws li hauv lub hlwb).
Tom qab kev phais mob splenectomy, cov txheej txheem ntawm platelet kev puas tsuaj qeeb zuj zus, thiab lub sijhawm ntawm lawv lub neej nce ntxiv. Lub ntuj tshwm sim yog nce qib ntawm platelets nyob rau hauv cov kua connective cov ntaub so ntswg. Yog li, kev phais kom tshem tawm tus po tuaj yeem cawm cov neeg mob tau txais mus rau hauv tsev kho mob nrog txoj sia los ntshav. Thaum muaj xwm txheej ceev, tus kab mob splenectomy tuaj yeem ua thaum cev xeeb tub.
Kev noj haus
Kev noj zaub mov ntawm tus neeg mob thrombocytopenia yuav tsum sib npaug. Tsis muaj cov lus pom zoo rau kev noj zaub mov nruj, tab sis nws yog ib qho tseem ceeb kom tsis txhob muaj cov khoom noj uas muaj cov tshuaj tsis haum rau hauv cov ntawv qhia zaub mov.
txhawm rau txhim kho cov ntshav txhaws, koj tuaj yeem haus tshuaj ntsuab decoctions. Cov nroj tsuag hauv qab no yog tsim rau lub hom phiaj no: chamomile, peppermint, tus tswv yug yaj lub hnab, nettle. Decoctions tuaj yeem yog ib leeg lossis ntau yam. Tawm tsam keeb kwm yav dhau los ntawm lawv qhov kev noj haus, cov ntshav khov kho txhim kho, thiab vascular permeability kuj txo.
Ua ntej siv cov decoctions, nws raug nquahu kom sab laj nrog koj tus kws kho mob thiab tsis suav nrog kev ua xua rau cov nroj tsuag tshwj xeeb.
Yog tshuav tsis kho?
Kev tsis quav ntsej txog qhov muaj thrombocytopenia tuaj yeem ua rau ob qho tib si sab nraud thiab sab hauv los ntshav. Ntawmkev muab kev kho mob raws sij hawm rau tus neeg mob tuaj yeem cawm tau. Qhov txaus ntshai tshaj plaws yog mob hlab ntsha hlwb vim muaj feem pua ntawm cov neeg tuag ntau.
Cov xwm txheej no ua rau muaj kev hem thawj rau lub neej ntawm tus menyuam hauv plab. Thaum cev xeeb tub, los ntshav tuaj yeem tshwm sim, uas qee zaum kev yug ntxov ntxov. Tsis tas li ntawd, autoimmune thrombocytopenia tuaj yeem kis mus rau tus menyuam.
Raws li cov menyuam yaus, lawv yuav tsum tau kuaj xyuas tsis tu ncua los ntawm kws kho mob hematologist thiab kws kho mob. Yog tias tsim nyog, lawv raug muab tshuaj kho, uas tuaj yeem tiv thaiv qhov tshwm sim tsis zoo.
In xaus
Thrombocytopenia yog ib qho kab mob tshwm sim los ntawm kev txo qis hauv qib platelets hauv cov kua dej sib txuas. Cov neeg mob uas muaj tus kab mob zoo sib xws yuav tsum tau kuaj tsis tu ncua thiab ua raws li tag nrho cov lus qhia ntawm hematologist. Tus kws kho mob tuaj koom, nyob rau hauv lem, yuav tsum muab cov ntaub ntawv hais txog qhov ua rau thrombocytopenia, hom kab mob dab tsi thiab yuav ua li cas txaus ntshai rau ib tug neeg. Tus neeg mob yuav tsum nkag siab tias tsuas yog kev kho mob raws sij hawm xwb thiaj li yuav pab cawm nws ntawm qhov tshwm sim loj.
