Thrombocytopenia ekukhulelweni: izimbangela, imiphumela, ukwelashwa

Thrombocytopenia ekukhulelweni kutholakala 7% abesifazane futhi ithuthukisa kaningi senyanga zokugcina. Mshini nesenzakalo yalesi sifo kuze kube sekupheleni engakaze wafunda. Ngo-70% amacala, kulesi simo lihlotshaniswa sokulungiswa i umzimba ezenzeka ngemva kokubamba.

Uhlolojikelele

Thrombocytopenia - isifo igazi libhekene platelet ongaphakeme (kwakhiwa kusukela giant umnkantsha amaseli). Iyini indima lawa maseli? Uma kwakheka umzimba isilonda, ubaqondisa inqwaba zegazi, ukuze "uphawu" zalo. Khona-ke, izinguquko zenzeka amapuleti ngokwabo futhi uquqaba amangqamuzana amasha ukuze lisetshenziswe ngaphambilini yokuvala amanxeba. Kulesi isifo noma izinhlayiya zegazi ngokushesha ubhujiswe, noma kuhlelwe izinto eziningi ezincane.

Emzimbeni abesifazane abaphilile ukungabi khona ukukhulelwa inani la mangqamuzana kuhluka 200 ukuze 300h10 ⁹ / l. yempilo yabo ayikho izinsuku ezingaphezu kweziyisikhombisa, ke kukhona kabusha ku isibindi noma ubende. Uma inani la mangqamuzana abahlukene encishisiwe, thrombocytopenia kutholakala abesifazane ngesikhathi sokukhulelwa (evamile 150h10 ⁹ / L ladies endaweni). Odokotela okuzwakalisa inhlabamkhosi, lapho kulo mdwebo ongezansi 140h10 ⁹ / L.

The main umsebenzi platelet - ehilelekile igazi ekunqandeni - ukusabela ezibalulekile okuvikela umzimba. Ngaphezu kwalokho, la mangqamuzana neqhaza kuya kulencane yokudla kwangaphakathi Umthambo igobolondo kokusinika umswakama waso kanye ukumelana izinhlobo ezahlukene ukulimala zangaphandle.

Abesifazane ku isikhundla kaningi abhekene nalesi sifo. Nokho, it is hhayi njalo ethwala ingozi embungwini futhi livela imiphumela engemihle.

Izizathu eziyinhloko

Thrombocytopenia ekukhulelweni - iyisici ezijwayelekile. Kungaba ukuthuthukisa ngenxa yezizathu eziningi:

• Izinguquko kwama-hormone.
• Ukwanda igazi circulating.
• Nephropathy.
• Ukungondleki kahle futhi vitamin B12 ukuntula.
• igciwane lohlobo.
• komzimba kanye nezifo letindzala.
• Intrauterine ukufa fetus.
• abruption esinomhlapho.
• Ukuthatha amaqembu athile izidakamizwa.

I iconsi ecijile platelet count angase abe uhlobo bokuphila, isb kube ezincane (hhayi ngaphansi 140h10 ⁹ / l). Njengomthetho, isimo esinjalo akahlukile izimpawu ezicacile futhi itholwa kuphela ngesikhathi amaskeni ehleliwe. Kulokhu, ukuphathwa kungadingeki, kodwa kudinga njalo ukulawula ukuhlolwa. Ngo sokugembula izifo samuntu, udokotela kufanele uqale ukunquma imbangela zokugula futhi iphathwa ngokushesha. Uma kungenjalo, kwandisa ingozi yezinkinga kuyingozi ngempela.

emitholampilo isithombe

Thrombocytopenia ekukhulelweni lunencazelo ngokucace nakakhulu futhi ezihlukahlukene izimpawu kunezinye iziguli. Ukuze abesifazane isimo libhekene:

• Ukubukeka nemihuzuko ezincane esikhumbeni ngemva kokuthintana.
• Ukopha ezingadingekile esibelethweni.
• Acinene ukopha gingival. Lokhu uphawu ayikwazi kubhekwe ethize, njengoba abesifazane abaningi abakhulelwe ngaphansi kwesimo amavithamini namaminerali ukuntula endaweni asathuthuka gum ukuvuvukala.

It kuhambisana enjalo ukubonakaliswa basemtholampilo thrombocytopenia ekukhulelweni. Izithombe ekubulaleni iziguli ezigulela kwakudingeka abhekane nesimiso kokutshelwa ngokukhubazeka kwengane, ngobuningi e ezikhethekile inkomba wezokwelapha izincwadi nezinye izinto ngezihloko ezifanele.

Izimpawu zesifo abonisa nokwephula yenqubo igazi. Lokhu kuyingozi ngempela, hhayi kuphela ngesikhathi sokukhulelwa umntwana, kodwa futhi ngesikhathi sokubeletha. Ukungabi yokwelashwa abanekhono kungamenza alahlekelwe ukuphila ngisho ukhulelwe kakhulu.

thrombocytopenia yesibili ekukhulelweni

thrombocytopenia yesibili ngokuvamile kutholakala ukuthi uphethwe maphakathi no-sokukhulelwa. Ngokuvamile, kuleli cala, lesi sifo eba ngenxa ngemisebe umzimba, ezinobuthi ubuthi izinto. Ngaphezu kwalokho, ukwehlisa inani zegazi kungabonakala nasemkhakheni ngenxa ukungenisa imithi ethile. Lesi sifo kuyingozi kakhulu ngomntwana, kodwa uma uphethwe esifike ngesikhathi futhi ifike ngesikhathi kuqalile ukwelashwa Izibikezelo ezimweni eziningi futhi umntwana nonina enobungane.

ukuhlola

Ukuqinisekiswa isifo ngokuyinhloko esekelwe laboratory izindlela zokuxilonga. Siqukethe izigaba eziningana:

• Anamnesis.
• ngihlolwa.
• Igazi test.
• Needle nenshisekelo biopsy we umnkantsha.

Igazi test - lena indlela iningi ulwazi ekutholweni ambalwa of platelet count. Uma behlolwa wembula izimpawu ezisobala lesi sifo (ukuqubuka emzimbeni, nokopha ezincane), udokotela angase akunikeze okwengeziwe wokubhoboza umnkantsha. Lokhu predominance yesibalo esikhulu megakaryocytes smear kungenzeka platelet buthelela noma ubhujiswe e ubende. Kwaze kwaba yilapho sebeshiye yonke le micimbi zokuxilonga waqinisekisa thrombocytopenia ekukhulelweni. Ukwelashwa kunikezwa umuntu ngamunye, esekelwe isimo jikelele isiguli, i-fetus.

ukwelashwa ngoludala

Amacala yalesi sifo, uma kukhona amathuba nemiphumela engathi sína awavamile. Uma zokugula kuhambisana ukwehla okuncane platelet ibala, emzimbeni akukho thuthuva abalulekile mayelana nesimo somzimba sokuzivikela ezifweni, ukuphathwa ngendlela ekhethekile ayidingekile. Thrombocytopenia ngesikhathi sokukhulelwa ngezimiso ezibucayi zidinga ukwelashwa kuphela embhedeni wasesibhedlela nge saziso ukuhambisana umbuso nje nemingcele ambalwa wegazi akayikungilandela kokuvamile. impatho eyisipesheli edingekayo kuphela ezifweni ezimbi lapho count platelet uwela ezingeni 20x10 ⁹ / l. Ngokuvamile, abesifazane kuyabekwa steroid. Inketho kakhulu kubhekwa "Prednisolone". Ukunciphisa imiphumela emibi embungwini, esimweni ngasinye, udokotela ukukhethela umthamo kanye nobude nokuphathwa izidakamizwa.

ezahlukeneyo Sinzima lesi sifo, lapho ukwelashwa kuyinto ingaphumeleli, kunconywa ukuhlinzwa ukhishwe ubende.

Namuhla, izazi Western ngenkuthalo ekuthuthukiseni imithi emisha yokulwa nale zokugula njengoba thrombocytopenia ekukhulelweni. Izibuyekezo wabo ithole edidayo. Kuyaziwa ukuthi ingxenye lezi zimali has ikhemikhali ezizokhuthaza ukukhiqizwa kwamangqamuzana megakaryocytes.

Usizo Traditional Medicine

Odokotela manje ukuncoma ukwelashwa ngoludala njengenye yezindlela esemqoka ye indlela yokubhekana nalesi sifo futhi thrombocytopenia. Ngo sokukhulelwa, ekwelapheni amakhambi abantu nazo kabanzi. Kubalulekile wazi ukuthi zokupheka ogogo bethu kungcono ukusebenzisa kanye izidakamizwa futhi kuphela ngaphansi kweso lwezokwelapha.

Ngakolunye uhlangothi ekulweni nalesi sifo ikufakazele ngokwayo beet ezivamile. Ngaphambi kokulala kutuswa bagcobe ufafaze ushukela. Ekuseni kufanele ngawakhamela ijusi kusukela uginindela futhi ulisebenzise esiswini esingenalutho. Naphezu kweqiniso lokuthi ukunambitheka le "imithi" akulona emnandi kunazo, umphumela kuwufanele.

uwoyela Sesame akusho kuphela lokulawula inani izinhlayiyana zegazi, kodwa futhi isheshisa ekunqandeni. Ukuze ukwelashwa eyanele ukuze ungeze uwoyela lapho upheka in salads.

Thrombocytopenia ekukhulelweni: nemithelela nasesimweni sengqondo

Ngokuvamile, onalesi sifo yalesi sifo sisihle. Ngo kwesigamu amacala kungenxa ukushintsha kwama-hormone emzimbeni, okuyinto kungokwemvelo le nkathi.

Ingozi embi kunazo zonke kuyinto thrombocytopenia sokuhlasela kwamasosha omzimba ngesikhathi sokukhulelwa. Kusho ukuthini? Antibodies abesifazane ngokusebenzisa placenta lingene egazini umbungu, okubangela ukubhujiswa platelet. Kulokhu, ngemva isiqinisekiso uphethwe ke akuvunyelwe kunoma ukungenelela azoya nokuhlinzwa bokubeletha. Into wukuthi lezi izinqubo kuhlinzwa kungabangela ingane ukopha intracranial.

General e isifo ayinzima kwenziwe indlela olandelanayo. Uma impatho efanele ehluleka noma eziwohlokayo isimo jikelele ukhulelwe, njengoba umthetho, isinqumo kwesigaba cesarean. Le ndlela kusiza ukuvikela i-fetus ekulimaleni futhi ukulawula ukulahlekelwa okungenzeka igazi eliningi ngesikhathi sokubeletha.

zokuvimbela

Ukuvimbela ukuthuthukiswa kwezifo ezifana thrombocytopenia ngesikhathi sokukhulelwa, kubalulekile ukunciphisa zonke izici obangela ukungasebenzi kwesimiso somzimba sokuzivikela ezifweni yowesifazane. Kunconywa ukwehlukanisa ezigulini kanye nezinhlobo ezahlukene izifo. Kubalulekile ngesikhathi esithwele umntwana wamenza wenqaba amaqembu athile izidakamizwa (anticancer, sulfonamides, anticoagulants futhi t. D.). Kufanele futhi kube yinto engenzeka ukuthi ukuvikela umzimba nokusondelana ezinobuthi, emisebeni. Ekukhulelweni ekuseni ngaphezu kwalokho esimisiwe zofuzo kanye nokubonisana Hematology, uma umndeni isivele uzibophezele Ezimweni ezinjalo.

isiphetho

Lesi sihloko sinikeza ngolwazi olunemininingwane ku "Thrombocytopenia:. Izimbangela zokukhulelwa, izimpawu eziyinhloko futhi ukwelashwa" ukwelashwa Kuncono futhi ifike ngesikhathi bangakhohlwa ngalesi sifo kuze kube phakade. Hlala uphilile!