He aha ka Thrombocytopenia? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka thrombocytopenia kahi kūlana kahi e emi ai ka nui o nā platelets i loko o kou koko ma mua o ka maʻamau. ʻO nā platelets he mau pūnaewele koko liʻiliʻi e kōkua ana i kou koko e hoʻopaʻa inā ʻeha ʻoe, e like me ka hoʻokomo ʻana i kahi kāpili kūlohelohe ma kahi ʻoki.

Ke emi iho ka nui o kāu platelets ma lalo o 150,000 no kēlā me kēia microliter o ke koko, kapa nā kauka i kēia he thrombocytopenia. Hiki i kēia ke hoʻopilikia i kou koko e hoʻopaʻa pono, ʻo ia hoʻi paha e maʻalahi ai ka ʻūhū a i ʻole ke kahe koko e lōʻihi ai ka hoʻōki ʻana.

He aha nā hōʻailona o ka thrombocytopenia?

ʻAʻole ʻike nui nā kānaka me ka thrombocytopenia māmā i kekahi hōʻailona. Ke ʻike ʻia nā hōʻailona, pili pinepine lākou i ka hiki ʻole o kou koko ke hoʻopaʻa pono.

Eia nā hōʻailona maʻamau āu e ʻike ai:

• ʻŪhū maʻalahi, ʻoi aku hoʻi mai nā kīkī liʻiliʻi a i ʻole nā pā ʻana
• Nā kiko ʻulaʻula a ʻeleʻele paha ma kou ʻili i kapa ʻia ʻo petechiae
• Ke kahe koko lōʻihi mai nā ʻoki a i ʻole ka hana niho
• Nā manawa menstrual kaumaha a lōʻihi paha
• Ke kahe koko mai nā gums ke hulu ʻoe i kou mau niho
• Nā ihu kahe koko e hana pinepine ana ma mua o ka maʻamau

I nā hihia koʻikoʻi, hiki iā ʻoe ke ʻike i ke koko i loko o kou mimi a i ʻole ka wai ʻōpū, a i ʻole ke kahe koko kaumaha ma hope o ka ʻoki. Hana ʻia kēia mau hōʻailona no ka mea ʻaʻohe lawa o nā platelets i kou kino e hana koke a maikaʻi ai i nā clots.

He aha nā ʻano o ka thrombocytopenia?

Loaʻa ka thrombocytopenia i kekahi mau ʻano like ʻole, ma muli o ka mea e hoʻemi ai i ka nui o kāu platelets. Hiki i ka hoʻomaopopo ʻana i ke ʻano ke kōkua i kāu kauka e koho i ke ala lapaʻau maikaʻi loa no ʻoe.

ʻO nā ʻano nui e komo pū ana:

• Immune thrombocytopenic purpura (ITP): Hoʻouka hewa kāu ʻōnaehana pale i kou mau platelets ponoʻī
• Drug-induced thrombocytopenia: Hoʻemi kekahi mau lāʻau lapaʻau i ka nui o kāu platelets
• Pregnancy-related thrombocytopenia: Ka emi iki ʻana o nā platelets i ka wā hāpai
• Secondary thrombocytopenia: Nā platelets emi i hoʻokumu ʻia e nā kūlana olakino ʻē aʻe

Loaʻa i kēlā me kēia ʻano nā kumu kumu like ʻole a pono paha i nā ʻano lapaʻau like ʻole. E hoʻoholo kāu kauka i ke ʻano āu e loaʻa ai ma o nā hoʻokolohua koko a me kou mōʻaukala lapaʻau.

He aha nā kumu o ka thrombocytopenia?

Hana ʻia ka thrombocytopenia ke hana ʻole kāu kino i nā platelets lawa, e luku ai i ka nui o lākou, a i ʻole e hopu iā lākou i loko o kāu spleen. E ʻimi kākou i nā mea e alakaʻi ai i kēia mau kūlana.

ʻO nā kumu maʻamau o ka emi ʻana o ka hana ʻana o nā platelets e komo pū ana:

• Nā maʻi viral e like me ka hepatitis C a i ʻole HIV
• Kekahi mau lāʻau lapaʻau, ʻoi aku hoʻi nā lāʻau chemotherapy
• Ka inu waiʻona nui i ka manawa lōʻihi
• Ka nele o ka huaora B12 a i ʻole folate
• Nā maʻi iwi iwi

Hiki i kāu ʻōnaehana pale ke luku i nā platelets wikiwiki ma mua o ka maʻamau ma muli o:

• Nā kūlana autoimmune e like me ka lupus a i ʻole ka rheumatoid arthritis
• Kekahi mau lāʻau lapaʻau e like me ka heparin a i ʻole quinine
• Nā maʻi bacteria i loko o kou koko
• Nā pilikia hāpai

I kekahi mau hihia kakaikahi, hiki i kāu spleen ke hopu a paʻa i nā platelets ma kahi o ka hoʻokuʻu ʻana iā lākou e holo manuahi. Hiki i kēia ke hana me ka maʻi ate, kekahi mau kanesa, a i ʻole nā maʻi e like me ka malaria.

I ka wā e ʻike ai i ke kauka no ka thrombocytopenia?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i nā ʻano kahe koko a i ʻole ka ʻūhū maʻamau ʻole. ʻOiai he mea maʻamau nā ʻūhū liʻiliʻi i kekahi manawa, pono ke nānā pono i kekahi mau hōʻailona.

E ʻimi i ka mālama lapaʻau inā ʻike ʻoe i:

• ʻŪhū mai nā pā māmā loa a i ʻole ʻaʻohe kumu maopopo
• Ke kahe koko ʻaʻole e hoʻōki ma hope o 10-15 mau minuke o ke kaomi pololei
• Nā kiko ʻulaʻula a ʻeleʻele paha e ʻike ʻia ana ma kou ʻili
• Ke kahe koko menstrual kaumaha ma mua o ka maʻamau
• Nā ihu kahe koko pinepine a i ʻole nā gums kahe koko

E kiʻi i ke kōkua lapaʻau pilikia koke inā loaʻa iā ʻoe nā poʻo ʻeha koʻikoʻi, ka huikau, ke koko i loko o kou lua a i ʻole ka wai ʻōpū, a i ʻole kekahi hōʻailona o ke kahe koko kūloko. Hiki i kēia ke hōʻike i ka nui o nā platelets weliweli e pono ai ka mālama koke.

He aha nā pilikia no ka thrombocytopenia?

Noho nā kānaka nui me ka thrombocytopenia māmā i nā ola maʻamau me ka ʻole o nā pilikia koʻikoʻi. Eia naʻe, hiki i nā nui platelets haʻahaʻa loa ke alakaʻi i nā pilikia kahe koko e pono ai ka mālama pono.

ʻO nā pilikia hiki ke komo pū ana:

• Ke kahe koko lōʻihi ma hope o nā ʻeha a i ʻole nā ʻoki
• Ke kahe koko kūloko i nā hihia koʻikoʻi
• Ka nele hao anemia mai ka nalowale koko mau
• Ka hoʻonui ʻia o ka pilikia i ka wā o nā hana niho a i ʻole nā ʻoki

ʻO ka pilikia koʻikoʻi loa akā kakaikahi ka kahe koko i loko o ka lolo, hiki ke hana ke emi iho ka nui o nā platelets i ka haʻahaʻa loa (ma lalo o 10,000 maʻamau). ʻO ia ke kumu e nānā pono ai nā kauka i nā hihia koʻikoʻi a hiki ke ʻōlelo aku i ka lapaʻau e hoʻokiʻekiʻe koke i nā pae platelets.

Me ka mālama lapaʻau a me ka nānā pono, hiki ke pale ʻia a i ʻole ke mālama pono ʻia ka hapa nui o nā pilikia. E hana pū kāu hui mālama ola me ʻoe e hoʻemi i nā pilikia ʻoiai e mālama ana i kou maikaʻi o ke ola.

Pehea e pale ai i ka thrombocytopenia?

ʻAʻole hiki iā ʻoe ke pale i nā ʻano āpau o ka thrombocytopenia, akā hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i kou pilikia o kekahi mau kumu. Hoʻokumu pinepine ʻia ka pale ʻana i ka pale ʻana i nā mea hoʻonāukiuki i ʻike ʻia a me ka mālama ʻana i ke olakino holoʻokoʻa.

Eia kekahi mau hana pale kōkua:

• E kaupalena i ka inu waiʻona i nā nui i ʻōlelo ʻia
• E lawe i nā lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia a e hōʻike i kekahi kahe koko maʻamau ʻole
• E ʻai i ka ʻai kaulike waiwai i nā huaora B12 a me folate
• E hoʻomaʻamaʻa i ka hoʻomaʻemaʻe maikaʻi e pale aku i nā maʻi
• E kiʻi i nā lāʻau palekana i ʻōlelo ʻia e pale aku i nā maʻi viral

Inā loaʻa iā ʻoe kahi kūlana autoimmune, hiki i ka hana pili me kāu kauka e mālama ai ke kōkua i ka pale ʻana i ka thrombocytopenia. Hiki i nā nānā maʻamau ke hopu i nā loli i ka nui o kāu platelets i ka wā mua, ma mua o ka hoʻomohala ʻana o nā hōʻailona.

Pehea ka hōʻoia ʻana o ka thrombocytopenia?

Hoʻomaka ka hōʻoia ʻana o ka thrombocytopenia me kahi hoʻokolohua koko maʻalahi i kapa ʻia ʻo ka helu koko piha (CBC). Ke ana nei kēia hoʻokolohua i ka nui o nā platelets āu e loaʻa ai no kēlā me kēia microliter o ke koko.

E kauoha paha kāu kauka i nā hoʻokolohua hou e ʻike i ke kumu kumu:

• Ke nānā ʻana i ka smear koko e nānā i ka nui a me ke ʻano o nā platelets
• Nā hoʻokolohua no nā antibodies autoimmune
• Nā nānā pae huaora B12 a me folate
• Nā hoʻokolohua hana ate
• Nā hoʻokolohua no nā maʻi viral e like me ka hepatitis a i ʻole HIV

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka biopsy iwi iwi e nānā i ka maikaʻi o ka hana ʻana o kāu kino i nā platelets. E komo kēia i ka lawe ʻana i kahi laʻana liʻiliʻi o ka iwi iwi, maʻamau mai kāu iwi hip, e nānā ma lalo o ka microscope.

Ke kōkua nei ke kaʻina hana hōʻoia i kāu hui mālama ola e hoʻomaopopo ʻaʻole wale nō ʻoe e loaʻa ana nā platelets haʻahaʻa, akā no ke aha e hana ai. Ke alakaʻi nei kēia ʻike i ke ala lapaʻau maikaʻi loa no kāu kūlana kikoʻī.

He aha ka lapaʻau no ka thrombocytopenia?

Aia ka lapaʻau no ka thrombocytopenia ma muli o ka mea e hoʻemi ai i ka nui o kāu platelets a me ka koʻikoʻi o kāu mau hōʻailona. ʻAʻole pono kekahi lapaʻau i nā kānaka he nui me nā hihia māmā.

Hiki i kāu kauka ke ʻōlelo aku i:

• Ke hoʻōki ʻana i nā lāʻau lapaʻau e hiki ke hoʻokumu i ka pilikia
• Corticosteroids e hoʻemi i ka hana ʻōnaehana pale
• Immunoglobulin therapy e hoʻonui i ka hana ʻana o nā platelets
• Nā transfusion platelets no nā hihia koʻikoʻi
• Nā lāʻau lapaʻau e like me eltrombopag e hoʻoulu i ka hana ʻana o nā platelets

No ka immune thrombocytopenic purpura, hiki i ka lapaʻau ke komo pū me nā lāʻau lapaʻau e hoʻohaʻahaʻa i kou ʻōnaehana pale a i ʻole, i nā hihia koʻikoʻi, ka wehe ʻana o kāu spleen. ʻO ka pahuhopu ke hoʻokiʻekiʻe i ka nui o kāu platelets i kahi pae palekana ʻoiai e hoʻoponopono ana i ke kumu kumu.

Hoʻonohonoho ʻia nā papahana lapaʻau ma muli o kāu kūlana kikoʻī, ke olakino holoʻokoʻa, a me kāu pane i nā therapies mua. E nānā pono kāu hui mālama ola i kou holomua a e hoʻoponopono i ka lapaʻau e like me ka pono.

Pehea e mālama ai i ka thrombocytopenia ma ka home?

ʻO ka mālama ʻana i ka thrombocytopenia ma ka home e kau i ka pale ʻana i nā ʻeha a me ka ʻike ʻana i ka wā e pono ai ʻoe i ka mālama lapaʻau. Hiki i nā hoʻoponopono ola liʻiliʻi ke hana i kahi ʻokoʻa nui i kou palekana a me kou ʻoluʻolu.

Eia nā hana hana āu e hiki ke lawe:

• E hoʻohana i kahi hulu niho palupalu a e pale i ka flossing ikaika
• E komo i nā mea pale i ka wā o nā haʻuki a i ʻole nā hana kino
• E pale i nā lāʻau lapaʻau e like me ka aspirin e hiki ke hoʻonui i ka pilikia kahe koko
• E hoʻohana i nā ʻūhū uila ma kahi o nā mea lima
• E mālama i kou wahi noho me nā kihi ʻoi a me nā pilikia hāʻule

E makaʻala i nā loli i kāu mau hōʻailona a e mālama i kekahi ʻūhū hou a i ʻole ke kahe koko. Inā pono ʻoe i nā kaʻina hana lapaʻau, e haʻi mau i kāu poʻe mālama ola e pili ana i kāu thrombocytopenia i hiki iā lākou ke lawe i nā palekana kūpono.

E noho pili me kāu hui mālama ola a mai kānalua e kāhea inā hopohopo ʻoe e pili ana i kekahi hōʻailona. Aia lākou e kākoʻo iā ʻoe a e kōkua iā ʻoe e ola palekana me kēia kūlana.

Pehea ʻoe e hoʻomākaukau ai no kāu ʻaha kūkā kauka?

Ke hoʻomākaukau nei no kāu ʻaha kūkā e kōkua iā ʻoe e kiʻi i ka nui loa mai kāu manawa me kāu mea mālama ola. Ke alakaʻi nei ka hoʻomākaukau maikaʻi i ka kamaʻilio maikaʻi a me ka hoʻolālā lapaʻau maikaʻi loa.

Ma mua o kāu kipa, e hōʻiliʻili i ka ʻike e pili ana i:

• Nā lāʻau lapaʻau a pau a me nā mea hoʻohui āu e lawe nei i kēia manawa
• I ka wā āu i ʻike mua ai i nā hōʻailona a pehea lākou i loli ai
• Kekahi mau maʻi, maʻi, a i ʻole nā kaʻina hana lapaʻau hou
• Ka mōʻaukala ʻohana o nā maʻi kahe koko
• Nā nīnau e pili ana i kāu hōʻoia, nā koho lapaʻau, a i ʻole ka mālama ʻana i kēlā me kēia lā

E kākau i kāu mau hōʻailona, ​​​​e komo pū ana i ka wā e hana ai lākou a me ka koʻikoʻi o lākou. E lawe i nā kiʻi o kekahi ʻūhū maʻamau ʻole a i ʻole nā ​​loli ʻili e hōʻike i kāu kauka inā ʻaʻole ʻike ʻia lākou i kāu ʻaha kūkā.

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike koʻikoʻi a e nīnau i nā nīnau āu e poina ai. Hiki iā lākou ke hāʻawi i ke kākoʻo manaʻo i ka wā e manaʻo ai he ʻaha kūkā kaumaha.

He aha ka lawe nui e pili ana i ka thrombocytopenia?

ʻO ka thrombocytopenia kahi kūlana hiki ke mālama ʻia e hoʻopilikia i ka hiki o kou koko ke hoʻopaʻa pono. ʻOiai ke kani nei ia he mea hopohopo, nui nā kānaka me kēia kūlana e ola ana i nā ola piha, hana me ka mālama lapaʻau kūpono a me nā hoʻoponopono ola.

ʻO nā mea nui loa e hoʻomanaʻo ai ʻo ka ʻike mua e kōkua, loaʻa nā koho lapaʻau, a ʻaʻole ʻoe wale nō i ka mālama ʻana i kēia kūlana. E hana pū kāu hui mālama ola me ʻoe e hoʻomohala i kahi hoʻolālā e kūpono i kāu mau pono a me nā kūlana kikoʻī.

Me ka nānā pono a me ka mālama, hiki i ka hapa nui o nā kānaka me ka thrombocytopenia ke pale aku i nā pilikia koʻikoʻi a mālama i ko lākou maikaʻi o ke ola. E noho ʻike, e hahai i kāu papahana lapaʻau, a e mālama i ka kamaʻilio ākea me kāu poʻe mālama ola.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka thrombocytopenia

Hiki i ka thrombocytopenia ke hele wale ma luna o kona iho?

ʻAe, hiki i kekahi mau ʻano o ka thrombocytopenia ke hoʻonā me ka ʻole o ka lapaʻau, ʻoi aku hoʻi nā hihia i hoʻokumu ʻia e nā maʻi viral a i ʻole ka hāpai ʻana. Eia naʻe, ʻaʻole pono ʻoe e manaʻo e hele wale ma luna o kona iho me ka ʻole o ka loiloi lapaʻau. Hiki i kāu kauka ke hoʻoholo inā paha e hoʻomaikaʻi maoli kāu hihia kikoʻī a pono i ka lapaʻau hana.

He ʻano kanesa anei ka thrombocytopenia?

ʻAʻole ia he kanesa ka thrombocytopenia, akā hiki iā ia ke hoʻokumu ʻia e nā kanesa koko e like me ka leukemia a i ʻole lymphoma. ʻAʻole pili ka hapa nui o nā hihia o ka thrombocytopenia i ka kanesa. E holo kāu kauka i nā hoʻokolohua kūpono e hoʻoholo i ke kumu pololei o ka emi ʻana o kāu platelets a e kāpae i nā kūlana kumu koʻikoʻi.

Hiki iaʻu ke hoʻomaʻamaʻa inā loaʻa iaʻu ka thrombocytopenia?

Hiki i nā kānaka he nui me ka thrombocytopenia ke hoʻomaʻamaʻa palekana, akā pono paha ʻoe e hoʻololi i kāu mau hana ma muli o ka nui o kāu platelets. ʻOi aku ka palekana o nā hana hoʻomaʻamaʻa haʻahaʻa e like me ka hele wāwae, ka ʻauʻau, a i ʻole ka yoga ma mua o nā haʻuki hoʻopili. E kūkākūkā mau i kāu mau hoʻolālā hoʻomaʻamaʻa me kāu mea mālama ola, ka mea hiki ke hāʻawi iā ʻoe i nā kuhikuhi kikoʻī ma muli o kāu mau pae platelets.

Pono anei iaʻu e lawe i ka lāʻau lapaʻau no ke koena o koʻu ola?

ʻAʻole pono. Aia ka lōʻihi o ka lapaʻau ma muli o ka mea e hoʻokumu ai i kāu thrombocytopenia a me ka maikaʻi o kāu pane i ka therapy. Pono kekahi poʻe i ka lapaʻau pōkole, ʻoiai pono kekahi poʻe i ka mālama lāʻau lapaʻau mau. E loiloi hou kāu kauka i kāu kūlana a e hoʻoponopono i kāu papahana lapaʻau e like me ka pono.

Hiki i ka thrombocytopenia ke hoʻopilikia i ka hāpai ʻana?

Hiki i ka thrombocytopenia ke hana i ka wā hāpai a pono paha i ka nānā pono, akā nui nā wahine me kēia kūlana e loaʻa ana nā hāpai olakino a me nā hānau. E hana pū kāu hui mālama ola me ʻoe e mālama i ka nui o kāu platelets a e hōʻoia i ka palekana o ʻoe a me kāu pēpē i ka wā hāpai a me ka hānau.