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

ʻO ka thrombocytosis, ʻo ia ka nui loa o nā platelets i loko o kou koko. He mau pūnaewele koko liʻiliʻi nā platelets e kōkua i ka hoʻopaʻa ʻana o kou koko ke ʻoki ʻoe a i ʻole e hōʻeha.

Aia ka nui maʻamau o nā platelets mai 150,000 a 450,000 no kēlā me kēia microliter o ke koko. Ke piʻi aku kou nui ma luna o 450,000, kapa nā kauka i kēia he thrombocytosis. E noʻonoʻo i nā platelets e like me ka hui hoʻoponopono o kou kino - e wikiwiki lākou e hoʻoponopono i nā kīʻaha koko i hōʻeha ʻia.

He aha nā hōʻailona o ka thrombocytosis?

ʻAʻole manaʻo nui nā kānaka me ka thrombocytosis i kekahi hōʻailona. Hana pinepine ke kino i nā platelets keu me ka ʻole o ka hoʻopilikia ʻana, ʻoi aku hoʻi ke māmā ka piʻi ʻana.

Ke ʻike ʻia nā hōʻailona, pili pinepine lākou i ka hiki ke hoʻopaʻa koko o kou koko. Eia nā hōʻailona āu e ʻike ai:

• Nā poʻo ʻeha e ʻokoʻa ana mai kāu mau poʻo ʻeha maʻamau
• Nā ʻōpū a i ʻole nā ​​ʻano māmā
• ʻEha umauma a i ʻole ka hanu pōkole
• Nāwaliwali a i ʻole ka luhi ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Loli ʻana o ka ʻike a i ʻole ka ʻike ʻōlinolino
• Nāwaliwali a i ʻole ka tingling i kou mau lima a me kou mau wāwae
• ʻO ka ʻeha maʻalahi a i ʻole ke kahe koko maʻamau ʻole
• Nā clots koko i kou mau wāwae (e hoʻopilikia ana i ka pehu a me ka ʻeha)

Hana ʻia kēia mau hōʻailona no ka mea hiki i nā platelets nui ke hoʻokumu i nā clots makemake ʻole ʻia a i ʻole, he mea kupanaha, e hana iā ʻoe e kahe koko maʻalahi. Hiki i kāu kauka ke kōkua i ka hoʻoholo inā pili kāu mau hōʻailona i kāu helu platelet.

He aha nā ʻano o ka thrombocytosis?

Hoʻokaʻawale nā ​​kauka i ka thrombocytosis i ʻelua ʻano nui ma muli o ka mea e hoʻokumu ai i kāu helu platelet kiʻekiʻe. ʻO ka hoʻomaopopo ʻana i ke ʻano āu e loaʻa ai e kōkua i ka alakaʻi ʻana i kāu lapaʻau.

Primary thrombocytosis e hana ana ke hana nui nei kou iwi ʻiwi i nā platelets ma luna o kona iho. Hana ʻia kēia ma muli o nā loli genetic i nā pūnaewele e hana i nā platelets. Ua kapa ʻia hoʻi ʻo ia he essential thrombocythemia.

Secondary thrombocytosis e ulu ana ma ke ʻano he pane i kekahi kūlana ʻē aʻe i loko o kou kino. Hoʻonui kou iwi ʻiwi i ka hana ʻana o nā platelets e pane i ka mumū, ka maʻi, a i ʻole nā ​​pilikia olakino ʻē aʻe. ʻOi aku ka maʻamau o kēia ʻano ma mua o ka primary thrombocytosis.

He mea nui ka hoʻokaʻawale ʻana no ka mea hoʻomaikaʻi pinepine ka secondary thrombocytosis ke mālama ʻoe i ke kūlana kumu. Pono ka primary thrombocytosis i nā ala ʻē aʻe, ʻoi aku ka pololei.

He aha ka mea e hoʻokumu ai i ka thrombocytosis?

He nui nā mea hoʻonāukiuki o ka secondary thrombocytosis, ʻoiai ʻo ka primary thrombocytosis mai nā loli genetic. E ʻimi kākou i ka mea e hoʻokumu ai i kāu helu platelet kiʻekiʻe.

ʻO nā kumu maʻamau o ka secondary thrombocytosis e komo pū ana:

• Nā maʻi e like me ka pneumonia, nā maʻi o ka ʻōnaehana mimi, a i ʻole ka maʻi pākē
• Nā kūlana mumū e like me ka rheumatoid arthritis a i ʻole ka inflammatory bowel disease
• Ka nele o ka hao
• Ka hana ʻoki a i ʻole ka hōʻeha hou
• Ka maʻi kanesa, ʻoi aku ka maʻi ʻaʻai o ka māmā, ka puʻupaʻa, a i ʻole ka umauma
• Ka wehe ʻana o kou spleen
• Nā lāʻau lapaʻau e like me nā corticosteroids
• Ka hōʻino ʻana o nā pūnaewele mai nā puhi a i ʻole nā ​​hakakā

Hana ʻia ka primary thrombocytosis ke hoʻomohala nā gene e kaohi i ka hana ʻana o nā platelets i nā mutations. ʻO nā loli genetic maʻamau loa e hoʻopilikia ana i nā gene i kapa ʻia ʻo JAK2, CALR, a i ʻole MPL. ʻAʻole kēia mau mutations kahi mea āu e hoʻoilina mai kāu mau mākua - e ulu lākou i loko o kou ola.

ʻO nā kumu maʻamau ʻole e komo pū ana ka myelofibrosis, polycythemia vera, a me nā maʻi koko ʻē aʻe e hoʻopilikia ana i kou iwi ʻiwi. E noiʻi kāu kauka i kēia mau mea hiki ke loaʻa inā ʻaʻole hōʻike nā hoʻokolohua mua i kahi kumu lua maopopo.

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

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana i nā pilikia hoʻopaʻa koko. Mai kali inā ʻike ʻoe i nā hōʻailona koʻikoʻi, koʻikoʻi e hōʻike ana i kahi clot koʻikoʻi.

E ʻimi i ka mālama ola kino koke no kēia mau hōʻailona hōʻailona:

• Poʻo ʻeha koʻikoʻi me nā loli ʻike
• ʻEha umauma me ka pilikia hanu
• ʻEha wāwae me ka pehu a me ka mahana
• Nāwaliwali a i ʻole ka numbness koke ma kekahi ʻaoʻao o kou kino
• Ka pilikia i ka ʻōlelo a i ʻole ka hoʻomaopopo ʻana i ka ʻōlelo
• ʻEha ʻōpū koʻikoʻi

E hoʻonohonoho i kahi manawa maʻamau inā ʻike ʻoe i nā hōʻailona mau e like me nā poʻo ʻeha mau, ka luhi, a i ʻole ka ʻeha maʻamau ʻole. Loaʻa i nā kānaka he nui kā lākou thrombocytosis i ka wā o ka hana koko maʻamau, ʻo ia ka mea maʻamau loa.

Inā ʻike mua ʻoe iā ʻoe i ka thrombocytosis, e hahai i ka papa hana kiaʻi o kāu kauka. Kōkua nā nānā maʻamau e hahai i kāu mau pae platelet a hoʻoponopono i ka lapaʻau e like me ka pono.

He aha nā mea pilikia no ka thrombocytosis?

He nui nā mea e hoʻonui ai i kou hiki ke loaʻa i ka thrombocytosis. He mea nui ka makahiki, me ka primary thrombocytosis e hoʻopilikia pinepine ana i nā kānaka ma luna o 50.

Nā mea pilikia no ka secondary thrombocytosis e komo pū ana:

• Loaʻa nā kūlana mumū mau
• Ka hana ʻoki nui a i ʻole ka hōʻeha hou
• Nā maʻi hana, ʻoi aku hoʻi nā mea lōʻihi
• Ka nele o ka hao a i ʻole nā ​​nele meaʻai ʻē aʻe
• Ka maʻi kanesa a i ʻole ka mālama ʻana i ka maʻi kanesa
• Ka wehe ʻana o ka spleen a i ʻole ka hana ʻole o ka spleen
• Ke lawe ʻana i kekahi mau lāʻau lapaʻau lōʻihi

No ka primary thrombocytosis, ʻo nā mea pilikia nui loa ka genetic. Eia naʻe, ʻaʻole hoʻoilina pinepine kēia mau loli genetic - e ulu kūlohelohe lākou i ka manawa. Hiki i ka mōʻaukala ʻohana o nā maʻi koko ke hoʻonui iki i kou pilikia, akā hana ka hapa nui o nā hihia me ka ʻole o ka pilina ʻohana.

ʻAʻole manaʻo nā mea pilikia e loaʻa maoli iā ʻoe ka thrombocytosis. Loaʻa i nā kānaka he nui me kēia mau kūlana nā helu platelet maʻamau i ko lākou ola.

He aha nā pilikia hiki ke loaʻa i ka thrombocytosis?

ʻO nā pilikia mai ka thrombocytosis e pili ana i nā pilikia me ka hoʻopaʻa koko. Kūpono ka koʻikoʻi i ka nui o ka piʻi ʻana o kāu helu platelet a inā loaʻa iā ʻoe nā kūlana olakino ʻē aʻe.

Nā pilikia hiki ke komo pū ana:

• Nā clots koko i kou mau wāwae (deep vein thrombosis)
• Nā clots e hele ana i kou mau māmā (pulmonary embolism)
• Stroke mai nā clots i nā kīʻaha koko o ka lolo
• Heart attack mai nā clots i nā arteries o ka naʻau
• Nā clots i nā kīʻaha koko ʻōpū
• Ke kahe koko maʻamau ʻole ʻoiai he nui nā platelets
• Nā pilikia hāpai e komo pū ana ka miscarriage

He mea kupanaha, hiki i nā helu platelet kiʻekiʻe loa ke hoʻokumu i nā pilikia kahe koko. Hana ʻia kēia no ka mea ʻaʻole hana pono nā platelets ke nui loa lākou.

ʻAʻole ʻike ka hapa nui o nā kānaka me ka thrombocytosis māmā i nā pilikia koʻikoʻi. E loiloi kāu kauka i kāu pilikia pilikino ma muli o kāu helu platelet, nā hōʻailona, ​​a me nā mea pilikino ʻē aʻe. Kōkua ka nānā maʻamau e hopu i nā pilikia hiki ke loaʻa i ka wā mua.

Pehea e pale aku ai i ka thrombocytosis?

ʻAʻole hiki ke pale aku i ka primary thrombocytosis no ka mea mai nā loli genetic kūlohelohe. Eia naʻe, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻemi i kou pilikia o nā pilikia ke loaʻa iā ʻoe ke kūlana.

No ka secondary thrombocytosis, pili ka pale ʻana i ka mālama ʻana i nā kūlana kumu. Hiki i ka mālama koke ʻana i nā maʻi, ka hoʻomalu ʻana i nā maʻi mumū, a me ka hoʻoponopono ʻana i nā nele meaʻai ke kōkua i ka mālama ʻana i kāu helu platelet maʻamau.

Nā ʻano pale maʻamau e komo pū ana:

• Ke mālama nei i nā kūlana mau e like me ka maʻi diabetes a me ka maʻi ʻaʻai
• Ke mālama nei i ka nele o ka hao me ka hoʻohui kūpono
• Ke loaʻa nei nā nānā olakino maʻamau
• Ke hahai nei i nā hana pale ʻana i nā maʻi
• Ke lawe nei i nā lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka
• Ke mālama nei i kahi ola olakino me ka meaʻai maikaʻi

Inā loaʻa iā ʻoe ka thrombocytosis, e nānā i ka pale ʻana i nā pilikia. Hiki paha kēia ke komo pū me ka lawe ʻana i nā mea hoʻohaʻahaʻa koko i kuhikuhi ʻia, ka noho ʻana i ka wai, a me ka pale ʻana i ka neʻe ʻole lōʻihi i ka wā e huakaʻi ai.

Pehea ka hōʻoia ʻana o ka thrombocytosis?

Hoʻomaka ka hōʻoia ʻana me ka helu koko piha (CBC) e ana i kāu mau pae platelet. Hōʻike pinepine kēia hoʻokolohua koko maʻalahi i ka thrombocytosis i ka wā o nā nānā olakino maʻamau.

E hana hou kāu kauka i ka hoʻokolohua koko e hōʻoia i ka helu platelet kiʻekiʻe. I kekahi manawa, hiki ke hoʻonui ʻia nā pae platelet no ka manawa pōkole ma muli o ka nele o ka wai a i ʻole ka maʻi hou, no laila he mea nui ka hōʻoia.

Kōkua nā hoʻokolohua hou e hoʻoholo i ke kumu kumu:

• Nānā smear koko e nānā i ke ʻano a me ka nui o nā platelets
• Nā haʻawina hao e nānā i ka nele
• Nā mea hōʻailona mumū e like me ka C-reactive protein
• Nā hoʻokolohua no nā maʻi a i ʻole nā ​​kūlana autoimmune
• Ka hoʻokolohua genetic no nā mutations e pili ana i ka primary thrombocytosis
• Ka biopsy iwi ʻiwi i kekahi mau hihia

Hiki paha i kāu kauka ke kauoha i nā haʻawina kiʻi e like me nā CT scans a i ʻole nā ​​ultrasounds e nānā i nā kūlana kumu e like me ka maʻi kanesa a i ʻole nā ​​mea nui nui. Pili nā hoʻokolohua kūikawā i kāu mau hōʻailona a me ka mōʻaukala lapaʻau.

Lawe ka loaʻa ʻana o ka hōʻoia pololei i ka manawa no ka mea nui nā kūlana e hiki ke hoʻokumu i nā platelets kiʻekiʻe. E hana kāu kauka ma ke ʻano ʻōnaehana e ʻimi i ke kumu kumu.

He aha ka lapaʻau no ka thrombocytosis?

Pili ka lapaʻau inā loaʻa iā ʻoe ka primary a i ʻole secondary thrombocytosis a me kou pilikia o nā pilikia. Nui nā kānaka me ka piʻi māmā wale nō ka nānā ʻana me ka ʻole o ka lapaʻau hana.

No ka secondary thrombocytosis, hoʻi pinepine nā helu platelet i ka maʻamau ke mālama ʻia ke kumu kumu. Hiki paha kēia ke komo pū me nā antibiotics no nā maʻi, nā lāʻau lapaʻau anti-inflammatory, a i ʻole nā ​​mea hoʻohui hao no ka nele.

Nā koho lapaʻau primary thrombocytosis e komo pū ana:

• Aspirin haʻahaʻa e hoʻemi i ka pilikia clotting
• Hydroxyurea e hoʻemi i ka hana ʻana o nā platelets
• Anagrelide e hoʻopili kūikawā i nā pūnaewele hana platelet
• Interferon no nā ʻōpio a i ʻole i ka wā hāpai
• Plateletpheresis no ka hoʻemi ʻana o nā platelets pilikia

E noʻonoʻo kāu kauka i kou makahiki, nā hōʻailona, ​​ka helu platelet, a me nā mea pilikia ʻē aʻe i ka wā e koho ai i ka lapaʻau. Hiki i nā ʻōpio me ka ʻole o nā hōʻailona ke pono wale nō ka nānā ʻana, ʻoiai ʻo nā poʻe ʻelemakule a i ʻole nā ​​mea me nā helu kiʻekiʻe loa e pōmaikaʻi pinepine mai ka lāʻau lapaʻau.

Nānā nā pahuhopu lapaʻau i ka pale ʻana i nā pilikia ma mua o ka hoʻoponopono ʻana i nā helu platelet. Nui nā kānaka e ola maʻamau me ka thrombocytosis māmā me ka mālama kūpono.

Pehea e mālama ai i ka thrombocytosis ma ka home?

Nānā ka mālama home i ka hoʻemi ʻana i kou pilikia o nā clots koko a me ka nānā ʻana i nā hōʻailona. Hiki i nā loli ola maʻalahi ke hana i kahi ʻokoʻa koʻikoʻi i kou olakino holoʻokoʻa.

Nā ʻano mālama i kēlā me kēia lā e komo pū ana:

• Ke lawe nei i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ka ʻōlelo
• Ke noho nei i ka wai maikaʻi i kēlā me kēia lā
• Ke neʻe nei maʻamau, ʻoi aku hoʻi i ka wā lōʻihi o ka noho ʻana
• Ke komo nei i nā lole compression inā kuhikuhi ʻia
• Ke pale aku nei i ka puhipaka, ka mea e hoʻonui ai i ka pilikia clotting
• Ke mālama nei i nā kūlana olakino ʻē aʻe e like me ke koko kiʻekiʻe

E hoʻolohe i nā hōʻailona hōʻailona o nā clots koko a i ʻole nā ​​pilikia kahe koko. E mālama i kahi papa inoa o kāu mau hōʻailona a me nā lāʻau lapaʻau e kaʻana like me nā mea lawelawe olakino. Hiki i ka hoʻomaʻamaʻa maʻamau, e like me ka ʻae ʻana o kāu kauka, ke kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko.

Inā lawe ʻoe i nā lāʻau lapaʻau hoʻohaʻahaʻa koko, e makaʻala loa e pili ana i ka pale ʻana i ka hōʻeha. E hoʻohana i nā toothbrushes palupalu, e komo i nā mea pale i ka wā o nā hana, a e haʻi aku i nā mea lawelawe olakino a pau e pili ana i kāu mau lāʻau lapaʻau ma mua o nā kaʻina hana.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

Kōkua ka hoʻomākaukau iā ʻoe e hana i ka hapa nui o kāu manawa a e hōʻoia i loaʻa i kāu kauka nā ʻike āpau e pono ai. E hōʻiliʻili i kāu mau moʻolelo lapaʻau a e noʻonoʻo i kāu mau hōʻailona ma mua o ka kipa.

E lawe mai i kēia mau mea i kāu manawa:

• Papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui a pau
• Nā hopena hoʻokolohua koko ma mua e hōʻike ana i nā helu platelet
• Hoʻopaʻa ʻana o nā hōʻailona me nā lā a me ka koʻikoʻi
• Mōʻaukala ʻohana o nā maʻi koko a i ʻole nā ​​pilikia clotting
• Nā kāleka ʻinikua a me ka hōʻike
• Papa inoa o nā nīnau āu e makemake ai e nīnau

E kākau i kāu mau hōʻailona ʻoiai inā ʻaʻole pili lākou. E komo pū i ka manawa i hoʻomaka ai lākou, ka mea e hoʻomaikaʻi ai a i ʻole ka hoʻopilikia ʻana iā lākou, a pehea lākou e hoʻopilikia ai i kāu mau hana i kēlā me kēia lā. Kōkua kēia ʻike i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha no ke kākoʻo, ʻoi aku hoʻi inā hopohopo ʻoe e pili ana i ka manawa. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi a e nīnau i nā nīnau āu e poina ai.

He aha ka mea nui e pili ana i ka thrombocytosis?

He kūlana hoʻokele ʻia ka thrombocytosis i ola nui nā kānaka me ka holomua. ʻOiai ʻo ka nui o nā platelets he mea hopohopo, ʻaʻole hana ka hapa nui o nā hihia i nā pilikia koʻikoʻi me ka nānā pono a me ka lapaʻau.

ʻO nā mea nui loa e hoʻomanaʻo:

• ʻAʻole manaʻo nui nā kānaka i nā hōʻailona a e ola maʻamau
• Hoʻomaikaʻi pinepine ka secondary thrombocytosis ke mālama ʻia nā kūlana kumu
• Kōkua ka nānā maʻamau i ka pale ʻana i nā pilikia
• Loaʻa nā lapaʻau maikaʻi ke pono
• Hiki i nā loli ola ke hoʻemi i kou pilikia o nā pilikia

E hana pili me kāu hui mālama olakino e hoʻomaopopo i kou kūlana kūikawā. ʻOkoʻa ka ʻike o kēlā me kēia kanaka me ka thrombocytosis, a pono e hoʻopilikino ʻia kāu papahana lapaʻau i kāu mau pono a me nā mea pilikia pilikino.

E noʻonoʻo e pili ana i kou kūlana, akā mai ʻae iā ia e hoʻomaopopo i kou ola. Me ka mālama pono, hoʻomau ka hapa nui o nā kānaka me ka thrombocytosis i ka leʻaleʻa i ka olakino maikaʻi a me nā hana maʻamau.

Nā nīnau pinepine e pili ana i ka thrombocytosis

Hiki i ka thrombocytosis ke hele ma luna o kona iho?

Hoʻi pinepine ka secondary thrombocytosis i ka maʻamau ke mālama ʻia ke kumu kumu. No ka laʻana, inā hoʻokumu kahi maʻi i kāu mau platelets kiʻekiʻe, hoʻi pinepine ka mālama ʻana i ka maʻi i kāu helu i lalo. Eia naʻe, ʻo ka primary thrombocytosis, he kūlana lōʻihi ia e pono ai ka mālama mau ma mua o ka hele ʻana loa.

Ua manaʻo ʻia ʻo ka thrombocytosis he ʻano o ka maʻi kanesa?

Ua hoʻokomo ʻia ka primary thrombocytosis ma ke ʻano he maʻi koko, ʻoi aku hoʻi ka myeloproliferative neoplasm. ʻOiai he mea weliweli kēia, ʻoi aku ka māmā ma mua o nā maʻi kanesa maʻamau. Loaʻa i ka hapa nui o nā kānaka me ka primary thrombocytosis kahi ola ola maʻamau a kokoke paha i ka mālama pono.

Hiki iaʻu ke hoʻomaʻamaʻa inā loaʻa iaʻu ka thrombocytosis?

Hiki i ka hapa nui o nā kānaka me ka thrombocytosis ke hoʻomaʻamaʻa me ka palekana a pono e noho ikaika no ko lākou olakino holoʻokoʻa. Kūpono ka neʻe mau i ka pale ʻana i nā clots koko, he mea pono ia ke loaʻa iā ʻoe nā platelets kiʻekiʻe. Eia naʻe, inā lawe ʻoe i nā lāʻau lapaʻau hoʻohaʻahaʻa koko, pono paha ʻoe e pale aku i nā haʻuki pilina a i ʻole nā ​​hana me ka pilikia hōʻeha kiʻekiʻe. E kūkākūkā mau i kāu mau papahana hoʻomaʻamaʻa me kāu kauka.

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

Pili kēia i kāu ʻano thrombocytosis a me nā mea pilikia pilikino. Hiki i nā kānaka me ka secondary thrombocytosis ke pono wale nō i ka mālama manawa pōkole a hiki i ka hoʻomaikaʻi ʻana o ko lākou kūlana kumu. Pono pinepine nā mea me ka primary thrombocytosis i ka lāʻau lapaʻau lōʻihi, akā ʻaʻole pono nā mea a pau i ka mālama koke. E loiloi hou kāu kauka i ka manawa pono ʻoe i ka lāʻau lapaʻau mau ma muli o kāu mau pae platelet a me kou olakino holoʻokoʻa.

Hiki i ka thrombocytosis ke hoʻopilikia i ka hāpai ʻana?

Hiki i ka thrombocytosis ke hoʻopilikia i ka hāpai ʻana, akā nui nā wahine e loaʻa nā hāpai holomua me ka mālama lapaʻau kūpono. ʻO nā mea hopohopo nui loa ka hoʻonui ʻana i nā pilikia o nā clots koko a me nā pilikia hāpai e like me ka miscarriage. E nānā pono kāu hui mālama olakino iā ʻoe a hiki paha ke hoʻoponopono i nā lāʻau lapaʻau e hōʻoia i kou palekana a me ke olakino o kāu pēpē. ʻAʻole palekana kekahi mau lapaʻau i hoʻohana ʻia no ka thrombocytosis i ka wā hāpai, no laila he mea nui ka hoʻolālā mua.