Ọrịa thrombocytopenia nke ọgwụ na-akpata

Thrombocytopenia bu nsogbu obula nke enweghi platelet zuru oke. Platelet bụ mkpụrụ ndụ dị n’ọbara nke na-enyere aka ịgbanye ọbara. Obere platelet na-eme ka ọbara ọgbụgba yikarịrị.

Mgbe ọgwụ ma ọ bụ ọgwụ ọjọọ na-akpata ọnụọgụ platelet dị ala, a na-akpọ ya thrombocytopenia nke ọgwụ na-akpata.

Ọkpụkpụ ọgwụ na-akpata thrombocytopenia na-eme mgbe ụfọdụ ọgwụ na-ebibi platelet ma ọ bụ gbochie ikike ahụ iji mezuo ha.

E nwere ụdị ọgwụ abụọ na-akpata thrombocytopenia: mgbochi na nonimmune.

Ọ bụrụ na ọgwụ na-eme ka ahụ gị mepụta ihe ndị na-alụso ọrịa ọgụ, nke na-achọ ma bibie platelet gị, a na-akpọ ọnọdụ ahụ ị drugụ ọgwụ mgbochi ọrịa thrombocytopenia. Heparin, onye na-eme ka ọbara gwọọ, bụ ihe kachasị akpata ọgwụ thrombocytopenia nke ọgwụ na-ebute.

Ọ bụrụ na ọgwụ na-egbochi ụmị ọkpụkpụ gị ịme platelet zuru ezu, a na-akpọ ọnọdụ ahụ ọgwụ na-akpata nonimmune thrombocytopenia. Ogwu ọgwụ na ọgwụ ọdịdọ akpọrọ valproic acid nwere ike ibute nsogbu a.

Ọgwụ ndị ọzọ na - akpata thrombocytopenia nke ọgwụ na - agụnye:

• Furosemide
• Gold, eji agwọ ọrịa ogbu na nkwonkwo
• Ọgwụ ndị na-adịghị egbochi ọgwụ ọjọọ (NSAIDs)
• Penisilini
• Quinidine
• Quinine
• Ranitidine
• Sulfonamides
• Linezolid na ọgwụ nje ndị ọzọ
• Statins

Mbelata platelet nwere ike ibute:

• Ọbara na-adịghị mma
• Ọbara ọgbụgba mgbe ị na-asa ezé gị
• Mgbu bruising
• Pinpoint uhie tụrụ na anụ (petechiae)

Ihe mbụ ị ga-eme bụ ịkwụsị ị theụ ọgwụ na-akpata nsogbu a.

Maka ndị nwere ọbara ọgbụgba na-eyi ndụ egwu, ọgwụgwọ nwere ike ịgụnye:

• Immunoglobulin ọgwụ (IVIG) enyere site na akwara
• Mgbanwe Plasma (plasmapheresis)
• Mmịnye platelet
• Corticosteroid ọgwụ

Ọbara ọgbụgba nwere ike bụrụ ihe egwu ma ọ bụrụ na ọ pụta na ụbụrụ ma ọ bụ akụkụ ndị ọzọ.

Nwanyị dị ime nke nwere ihe na-alụso ọrịa platelet ọgụ nwere ike ibufe nje ahụ n’ahụ nwa nọ n’akpa nwa.

Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na ị nwere ọbara ọgbụgba ma ọ bụ ọnya na-enweghị atụ na ị na-a medicinesụ ọgwụ, dị ka ndị ahụ a kpọtụrụ aha n'elu.

Ọrịa na-akpata ọgwụ thrombocytopenia; Dịghịzi thrombocytopenia - ọgwụ

• Ọkpụkpụ ọbara
• Ọbara ọbara

Abrams CS. Thrombocytopenia. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 172.

Warkentin TE. Thrombocytopenia nke mbibi platelet, hypersplenism, ma ọ bụ hemodilution kpatara. Na: Hoffman R, Benz EJ, Silberstein LE, et al, ndị ọzọ. Hematology: ickpụrụ na Omume. Nke 7. Philadelphia, PA: Elsevier; 2018: isi 132.