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OfbọChị Okike: 26 Julai 2021
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Kedu ihe bụ ule platelet?

Platelet, a makwaara dị ka thrombocytes, bụ obere mkpụrụ ndụ ọbara dị mkpa maka mkpụkọ ọbara. Ihe nkedo bụ usoro nke na - enyere gị aka ịkwụsị ọbara ọgbụgba mgbe ọnyá gasịrị. E nwere ụdị ule platelet abụọ: ọnụọgụ platelet na ule ọrụ platelet.

Nlele ule platelet atụ nọmba nke platelet dị n’ọbara gị. A na-akpọ nke na-erughị ala platelet a na-akpọ thrombocytopenia. Ọnọdụ a nwere ike ime ka ị gbaa ọbara nke ukwuu mgbe ị gbusịrị ma ọ bụ mmerụ ahụ ọzọ na-akpata ọbara ọgbụgba. A na-akpọ ọnụ ọgụgụ platelet dị elu karịa thrombocytosis. Nke a nwere ike ime ka ọbara gị gbochie karịa ka ịchọrọ. Ọbara ọbara nwere ike ịdị ize ndụ n’ihi na ha nwere ike igbochi mmụba ọbara.

Nlele ọrụ platelet lelee gị platelet ’ikike na-etolite clots. Nlele ọrụ platelet gụnyere:

  • Oge mmechi. Ule a na-etinye oge ọ na-ewe maka platelet na ọbara iji tinye obere oghere na obere tube. Ọ na - enyere aka hụ maka nsogbu platelet dị iche iche.
  • Viscoelastometry. Ule a na-atụle ike nke eriri ọbara ka ọ na-etolite. Ihe mkpụkọ nke ọbara kwesịrị ịdị ike iji kwụsị ọbara ọgbụgba.
  • Mkpokọta platelet. Nke a bụ otu ule a na-eji iji tụọ etu platelet siri dịkọta ọnụ (nchịkọta).
  • Lumiaggregometry. Nnwale a na-atụle ole ọkụ a na-ewepụta mgbe e tinyere ihe ụfọdụ n’ihe atụ ọbara. Ọ nwere ike inyere aka igosi ma ọ bụrụ na enwere ntụpọ na platelet.
  • Na-agba cytometry. Nke a bụ ule nke na-eji lasers achọ protein na platelet. Ọ nwere ike inyere aka chọpụta ọrịa platelet anyị ketara eketa. Nke a bụ ule pụrụ iche. Ọ dị naanị na ụfọdụ ụlọ ọgwụ na ụlọ nyocha.
  • Oge igba obara. Nnwale a na-atụle oge maka ọbara ọgbụgba iji kwụsị mgbe obere egbutu na aka. A na-ejikarị ya enyocha maka ọtụtụ nsogbu platelet. Ugbu a, a na-ejikwa ule ọrụ platelet ndị ọzọ arụ ọrụ ọtụtụ mgbe. Nnyocha ndị ọhụrụ na-enye nsonaazụ ndị a pụrụ ịtụkwasị obi karị.

Aha ndị ọzọ: platelet count, thrombocyte count, platelet function tests, platelet function assay, platelet aggregation studies


Kedu ihe eji ha eme?

A na-ejikarị ọnụ ọgụgụ platelet eme ihe iji nyochaa ma ọ bụ chọpụta ọnọdụ ndị na-akpata ọbara ọgbụgba dị ukwuu ma ọ bụ oke mkpụkọ. Achịcha platelet nwere ike ịgụnye n'ọbara zuru oke, nyocha nke a na-emekarị dịka akụkụ nke nyocha mgbe niile.

Enwere ike iji ule platelet rụọ ọrụ:

  • Nyere aka ịchọpụta ụfọdụ ọrịa platelet
  • Lelee ọrụ platelet n'oge usoro ịwa ahụ siri ike, dịka ịmegharị obi na ịwa ahụ. Typesdị usoro ndị a nwere ọnụọgụ ọbara ọgbụgba.
  • Lelee ndị ọrịa tupu ịwa ahụ, ọ bụrụ na ha nwere akụkọ gbasara onwe ha ma ọ bụ nke ezinụlọ nke ọgbụgba ọbara
  • Nyochaa ndị na-anersụ ọgwụ. Enwere ike inye ọgwụ ndị a ka ibelata ọgbụgba na ụmụ mmadụ nọ n'ihe egwu maka nkụchi obi ma ọ bụ ọrịa strok.

Kedu ihe kpatara m ji achọrọ m platelet?

Nwere ike ịchọ ọnụ ọgụgụ platelet na / ma ọ bụ nyocha ọrụ platelet ma ọ bụrụ na ị nwere mgbaàmà nke inwe platelet ole na ole ma ọ bụ karịa.

Mgbaàmà nke platelet ole na ole gụnyere:


  • Ọbara na-agbatị ogologo oge mgbe obere mbepụ ma ọ bụ mmerụ ahụ dị
  • Ọbara imi
  • Ọnụnọ a na-akọwaghị
  • Pinpoint buru ibu na-acha uhie uhie na akpụkpọ ahụ, nke a maara dị ka petechiae
  • Meecha ntụpọ na akpụkpọ ahụ, nke a maara dị ka purpura. Ihe ndị a nwere ike ibute site n'ịkwa ọbara dị n'okpuru anụ ahụ.
  • Ọbara ma / ma ọ bụ ogologo oge ịhụ nsọ

Mgbaàmà nke ọtụtụ platelet gụnyere:

  • Ọnụ ọgụgụ nke aka na ụkwụ
  • Isi ọwụwa
  • Dizzziness
  • Adịghị ike

Nwekwara ike ịchọ nyocha ọrụ platelet ma ọ bụrụ na ị bụ:

  • Ga n'ịwa ahụ dị mgbagwoju anya
  • Medicinesụ ọgwụ iji belata nsị

Kedu ihe na-eme n'oge ule platelet?

Imirikiti ule platelet na-eme n'omume ọbara.

N'oge ule ahụ, onye ọkachamara ahụike ga-ewere ihe nyocha ọbara site na akwara aka gị, na-eji obere agịga. Mgbe etinyere agịga ahụ, a ga-achịkọta obere ọbara n'ime ule nyocha ma ọ bụ vial. Nwere ike na-eche ntakịrị ihe mgbe agịga na-abanye ma ọ bụ na-apụta. Nke a na-ewe ihe na-erughị nkeji ise.


Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?

Kwesighi nkwadebe ọ bụla pụrụ iche maka ule gụọ platelet

Ọ bụrụ na ị na-enweta platelet platelet, ọ ga-adị mkpa ka ị kwụsị ị takingụ ọgwụ ụfọdụ, dị ka ọgwụ aspirin na ibuprofen, tupu ule gị. Onye na-ahụ maka ahụike gị g’eme ka ị mara ma enwere ntuziaka puru iche iji soro.

Onwere ihe egwu di n’ule a?

O nwechaghị ihe egwu dị n’inyocha ọbara. May nwere ike ịnwe obere ihe mgbu ma ọ bụ mmerụ ahụ ebe etinyere agịga ahụ, mana ọtụtụ mgbaàmà na-apụ ngwa ngwa.

Kedu ihe nsonaazụ ahụ pụtara?

Ọ bụrụ na nsonaazụ gị gosipụtara obere karịa platelet (thrombocytopenia), ọ nwere ike igosi:

  • Ọrịa kansa na-emetụta ọbara, dị ka ọrịa leukemia ma ọ bụ lymphoma
  • Ọrịa nje, dịka mononucleosis, ịba ọcha n'anya, ma ọ bụ kịtịkpa
  • Ọrịa autoimmune. Nke a bụ nsogbu na - akpata ahụ ịwakpo anụ ahụ ya dị mma, nke nwere ike ịgụnye platelet.
  • Ofufe Ọrịa ma ọ bụ mebie ụmị ọkpụkpụ
  • Ọrịa cirrhosis
  • Vitamin B12 erughi
  • Gestational thrombocytopenia, ọnọdụ nkịtị, ma dịkwa nro, nke na-emetụta ụmụ nwanyị dị ime. A maghị na ọ ga-emebi nne na nwa o bu n’afọ. Ọ na-akawanye mma n'onwe ya n'oge ime ime ma ọ bụ mgbe amuchara nwa.

Ọ bụrụ na nsonaazụ gị gosipụtara ọnụ ọgụgụ platelet dị elu karịa (thrombocytosis), ọ nwere ike igosi:

  • Fọdụ kansa, dị ka ọrịa akpa ume ma ọ bụ kansa ara
  • Anaemia
  • Ọrịa afọ bowel
  • Ọrịa ogbu ogbu na nkwonkwo
  • Nje virus ma ọ bụ nje

Ọ bụrụ na nsonaazụ ọrụ platelet gị abụghị ihe nkịtị, ọ nwere ike ịpụta na ị nwere nsogbu eketa ma ọ bụ nke enwetara. Ọrịa a ketara eketa na-ebufe ezinụlọ gị. Ọnọdụ ndị a dị n'oge a na-amụ nwa, mana ị gaghị enwe ihe mgbaàmà ruo mgbe ị mere agadi. Ọrịa ndị enwetara adịghị n'oge a na-amụ nwa. Enwere ike ibute ya site na ọrịa ndị ọzọ, ọgwụ, ma ọ bụ ikpughe na gburugburu ebe obibi. Mgbe ụfọdụ amaghị ihe na-akpata ya.

Ihe nketa platelet na-eketa gụnyere:

  • Ọrịa Von Willebrand, mkpụrụ ndụ ihe nketa nke na-ebelata mmepụta nke platelet ma ọ bụ na-eme ka platelet na-arụ ọrụ na-adịghị arụ ọrụ nke ọma. Ọ nwere ike ibute ọbara ọgbụgba.
  • Ọkpụkpụ thrombasthenia nke Glanzmann, nkwarụ nke na-emetụta ikike platelet nwere ijikọ ọnụ
  • Ọrịa Bernard-Soulier, nsogbu ọzọ na-emetụta ikike platelet nwere ike ịbịkọta ọnụ
  • Nchekwa ọdọ mmiri, ọnọdụ nke na-emetụta platelet ’ikike ịhapụ ihe ndị na - enyere plateeti aka ịta ọnụ

Nsogbu platelet a na - enweta nwere ike ịbụ n'ihi ọrịa na - adịghị ala ala dịka:

  • Akụrụ ọdịda
  • Tainfọdụ ụdị-arịa ọrịa kansa ọbara
  • Ọrịa Myelodysplastic (MDS), ọrịa nke ụmị ọkpụkpụ

Enwere ihe ọ bụla ọzọ m kwesịrị ịma gbasara ule ọrụ platelet?

A na-eme ule platelet mgbe ụfọdụ yana otu ma ọ bụ karịa n'ime ule ọbara ndị a:

  • Nnwale ọbara MPV, nke na-aha nha platelet gị
  • Oge nyocha thromboplastin (PTT) nke na-ewe oge iji were ọbara gbanye
  • Oge Prothrombin na nyocha INR, nke na-enyocha ikike ahụ iji mepụta mkpụkọ ọbara

Ntughari

  1. Velọ Ọgwụ Cleveland [Internet]. Cleveland (OH): velọ Ọgwụ Cleveland; Agugu 2020. Thrombocytopenia: Nchịkọta; [akpọrọ 2020 Oct 25]; [ihe dị ka ihuenyo 3]. E Nweta site na: https://my.clevelandclinic.org/health/diseases/14430-thrombocytopenia
  2. ClinLab Navigator [Intanet]. ClinLab Navigator; Agugu 2020. Platelet Function Ihuenyo; [akpọrọ 2020 Oct 25]; [ihe dị ka ihuenyo 2]. Odi site na: http://www.clinlabnavigator.com/platelet-function-screen.html
  3. Gernsheimer T, James AH, Stasi R. Otu m si emeso thrombocytopenia na ime ime. Ọbara. [Intanet]. 2013 Jan 3 [akpọrọ 2020 Nov 20]; 121 (1): 38-47. O nwere site na: https://pubmed.ncbi.nlm.nih.gov/23149846
  4. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington DC: American Association maka Clinical Chemistry; C2001–2020. Ọgba aghara dị ukwuu; [emelitere 2019 Oct 29; akpọrọ 2020 Ọkt 25]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/condition/excessive-clotting-disorders
  5. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington DC: American Association maka Clinical Chemistry; C2001–2020. Ọrịa Myelodysplastic; [emelitere 2019 Nov 11; akpọrọ 2020 Ọkt 25]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/condition/myelodysplastic-syndrome
  6. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington DC: American Association maka Clinical Chemistry; C2001–2020. Oge Thromboplastin nke oge (PTT, aPTT); [emelitere 2020 Sep 22; akpọrọ 2020 Ọkt 25]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/tests/partial-thromboplastin-time-ptt-aptt
  7. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington DC: American Association maka Clinical Chemistry; C2001–2020. Platelet agụ; [emelitere 2020 Aug 12; akpọrọ 2020 Ọkt 25]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/tests/platelet-count
  8. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington DC: American Association maka Clinical Chemistry; C2001–2020. Nnwale Ọrụ platelet; [emelitere 2020 Sep 22; akpọrọ 2020 Ọkt 25]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/tests/platelet-function-tests
  9. Nnwale ụlọ nyocha na ntanetị [Intanet]. Washington DC: American Association maka Clinical Chemistry; C2001–2020. Oge Prothrombin na Usoro Nhazi Mba Nile (PT / INR); [emelitere 2020 Sep 22; akpọrọ 2020 Ọkt 25]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://labtestsonline.org/tests/prothrombin-time-and-international-normalized-ratio-ptinr
  10. MFM [Internet] New York: Ndị Mmekọ Nwa na-ahụ Maka etmụaka; Agugu 2020. Thromocytopenia na Ime Ime; 2017 Feb 2 [akpọrọ 2020 Nov 20]; [ihe dị ka ihuenyo 3]. E Nweta site na: https://www.mfmnyc.com/blog/thrombocytopenia-during-pregnancy
  11. National Heart, Lung, na Ọbara Institute [Internet]. Bethesda (MD): Ngalaba Ahụ Ike na Ọrụ Ndị Ọrụ U.S. Nnwale ọbara; [akpọrọ 2020 Oct 25]; [ihe dị ka ihuenyo 3]. E Nweta site na: https://www.nhlbi.nih.gov/health-topics/blood-tests
  12. NIH National Human Genome Research Institute [Intanet]. Bethesda (MD): Ngalaba Ahụ Ike na Ọrụ Ndị Ọrụ U.S. Ọrịa mkpụrụ ndụ; [emelitere 2018 May 18; akpọrọ 2020 Nov 20]; [ihe dị ka ihuenyo 3]. E Nweta site na: https://www.genome.gov/For-Patients-and-Families/Genetic-Disorders
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  15. Ahụike Riley Childrenmụaka: Ahụike Mahadum Indiana [Internet]. Indianapolis: ileylọ ọgwụ Riley maka Childrenmụaka na Mahadum Indiana University; Agugu 2020. Ọrịa Coagulation; [akpọrọ 2020 Oct 25]; [ihe dị ka ihuenyo 3]. E Nweta site na: https://www.rileychildrens.org/health-info/coagulation-disorders
  16. Mahadum nke Rochester Medical Center [Internet]. Rochester (NY): Mahadum nke Rochester Medical Center; Agugu 2020. Health Encyclopedia: platelet; [akpọrọ 2020 Oct 25]; [ihe dị ka ihuenyo 2]. E Nweta site na: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=platelet_count
  17. Mahadum nke Rochester Medical Center [Internet]. Rochester (NY): Mahadum nke Rochester Medical Center; Agugu 2020. Health Encyclopedia: Gịnị bụ platelet ?; [akpọrọ 2020 Oct 25]; [ihe dị ka ihuenyo 2]. Nweta site na: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=160&ContentID=36
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  19. Ahụike UF: Mahadum nke Florida Health [Internet]. Gainesville (FL): Mahadum nke Florida Health; Agugu 2020. Thrombocytopenia: Nchịkọta; [emelitere 2020 Nov 20; akpọrọ 2020 Nov 20]; [ihe dị ka ihuenyo 2]. Nweta ya site na: https://ufhealth.org/thrombocytopenia

Ejila ozi dị na saịtị a dị ka onye dochie anya nlekọta ahụike ọkachamara ma ọ bụ ndụmọdụ. Kpọtụrụ onye na-ahụ maka ahụike ma ọ bụrụ na ị nwere ajụjụ gbasara ahụike gị.

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