Thrombocyte ndilo liwu lina la mbale, magazi omwe amachititsa kuti magazi azikhala ochepa. Mzu wa "thrombo" umatanthauza clot, ndipo udzawona kuti umagwiritsidwa ntchito ndi matenda ndi zinthu zomwe zimakhudza mapiritsi ndi magazi.
Ndi Zomwe Zimapangidwira Zomwe Zimapangidwira
Mipateti imachokera ku maselo otchedwa megakaryocytes, omwe amapezeka m'mafupa . Ndizofunikira kuti magazi azikhala ochepa.
Izi zikutanthauza kuti panthawi yopuma kapena kudula mu mitsempha yanu yamagazi, amatsatira tsamba lanu, kutumiza zizindikiro zamagetsi kuti athandizidwe, ndikugwirana kuti mupange pulagi. Kamodzi pakangopangidwa pulasitiki, coagulation (clotting) cascade imatsegulidwa yomwe imapangitsa fibrin kuti ikhale yophimba, kuti igwirizane.
Chitsanzo chenicheni cha moyo wamagazi wamba kumakhala ngati mutadula chala chanu ndipo imasiya kutuluka magazi, koma imakhalanso mitsempha ya mthupi m'thupi lanu lonse.
Ngati palibe mapuloleteni okwanira (chikhalidwe chotchedwa thrombocytopenia) chiopsezo cha kutaya mwadzidzidzi kapena kwa nthawi yaitali chimawonjezeka. Ngati pali mapiritsi ambiri m'magazi (chikhalidwe chotchedwa thrombocytosis), chingayambitse kupanga magazi osadziwika bwino, omwe angakhale oopsa komanso owopsa.
Aspirin ndi mankhwala ena osagwiritsa ntchito mankhwala oletsa kutupa amachititsa kuti mapuloteni asagwire ntchito, chifukwa chake mungapempheke kuti musamawagwiritse ntchito kwa nthawi ndithu musanachite opaleshoni kapena ndondomeko.
Zimene Platelet Yanu Amawerengera
Kuyang'ana chiwerengero, kukula, ndi thanzi la mapiritsi (thrombocytes) ndi mbali ya mayeso a Complete Blood Count (CBC). Nambala yofunika kwambiri ndi dokotala wanu kuti adziwe kale komanso atatha opaleshoni kuti awonetsetse kuti magazi ndi omwe amatha kutaya magazi. Ndikofunika kwambiri pa mankhwala a chemotherapy ndi ma radiation monga izi zingalepheretse kupanga mapaleletti m'mafupa.
- Platelet Count (PLT): zosiyana ndi 150-450 10 3 / microliter kapena 150,000 - 450,000 pa microliter.
- Kutanthauza mapepala apulaneti (MPV): kukula kwa mapulateletti. Mapapulaneti aang'ono ndi akuluakulu kusiyana ndi achikulire, choncho chiwerengero chokwanira chimatanthauza kuti mukuwulutsa ndikuwamasula mofulumira koma nambala yochepa imasintha kupanga mmafupa.
- Kugawa kwa Platelet (PDW): kusiyana kwa kukula kwa mapiritsi, omwe angasonyeze zomwe zimakhudza mapulaneti.
Kuyeza kwa Platelet kungapangidwenso ngati pali zizindikiro kapena kuthekera kwa magazi ochulukirapo, komanso kuyang'ananso mankhwala osokoneza bongo.
Nchiyani Chimachititsa Thrombocytopenia, Low Platelet Count?
Pali zifukwa zingapo zomwe zingayambitse chiwerengero chochepa cha platelet. Mukadwala mankhwala a chemotherapy kapena mankhwala a radiation, mungakhale ndi chiwerengero chochepa cha mapiritsi chifukwa cha zotsatira zopondereza pa maselo opanga magazi mumtambo wanu.
Zitsanzo zina za zikhalidwe zomwe zingayambitse thrombocytopenia zimaphatikizapo matenda opatsirana omwe amachititsa fupa la mafupa, ma syndromes omwe amadzimadzimadzimadzi monga lupus, immune thrombocytopenic purpura, matenda a HELLP pathupi, kutenga mavairasi a heparin, mankhwala ena, kumwa mowa kwambiri, matenda a chiwindi, zilonda zam'madzi, ndi poizoni.
Chiwerengero cha mapiritsi pansi pa 20,000 pa microliter ndi chiopsezo chowopsya chifukwa nthawi zambiri magazi amatha kupezeka ndipo zimakhala zovuta kuima. Pa msinkhu umenewo, mukhoza kupatsidwa magazi.
Kodi Thrombocytosis kapena High Platelet Zikutanthauza Chiyani?
Kuwerengera kwapamwamba pamapiritsi kungatheke ku matenda a mafupa oyambirira (mwachitsanzo, thrombocytosis yofunika) kapena chifukwa cha kutupa kosatha m'thupi, matenda, kuperewera kwa iron, kuchepa kwa mpweya wa munthu.
Kuwerengera kwapamwamba pamatope kumatha kuwonanso khansa, makamaka ndi khansa ya m'mimba, komanso lymphoma, mapapo, mazira, ndi khansa ya m'mawere.
Izi zikuganiziridwa kuti ndizo chifukwa cha kutupa komwe kumayenderana ndi malungo omwe amachititsa kupanga mapaleti mu fupa la fupa.
Zochitika zina zomwe zingasonyeze thrombocytosis zikuphatikizapo kutupa thupi monga nyamakazi ya nyamakazi ndi IBD. Kuonjezera apo, kuwonjezeka kwa kanthaŵi kowerengeka kwa platelet kungathe kuchitika pambuyo pa opaleshoni yaikulu kapena kupwetekedwa mtima.
> Zotsatira:
> American Association for Clinical Chemistry. Mayesero a Lab: Pa Platelet Count.
> Gauer RL, Braun MM. Thrombocytopenia. Am Phys Physician . 2012 Mar 15; 85 (6): 612-22.
> Ioannis A Voutsadakis. Thrombocytosis monga chizindikiro chodziwika m'matenda a khansa. Padziko Lonse Yopweteka Kwambiri. 2014 Feb 15; 6 (2): 34-40.