Qhov sib txawv tseem ceeb ntawm thrombocytopenia thiab thrombocytosis yog tias thrombocytopenia yog ib hom kab mob platelet uas tus neeg mob muaj platelet tsawg hauv cov ntshav, thaum thrombocytosis yog hom platelet mob uas tus neeg mob muaj platelet siab. suav hauv ntshav.
Platelets yog cov hlwb uas ua rau cov ntshav txhaws thaum cov hlab ntsha raug mob. Cov qe ntshav no ua ke ua ke los thaiv qhov chaw raug mob. Platelets tsuas yog nyob rau ib lub lim tiam. Ces lub cev rhuav tshem lawv thiab ua tshiab. Muaj ntau ntau pab pawg sib txawv uas cuam tshuam rau cov platelets hauv lub cev, suav nrog thrombocytopenia, thrombocytosis, thiab kev ua haujlwm tsis zoo.
YThrombocytopenia yog dab tsi?
Thrombocytopenia yog ib qho mob ntshav uas tshwm sim thaum cov ntshav platelet suav ntawm tus neeg tsawg heev. Cov neeg uas muaj thrombocytopenia tsis muaj platelet txaus los tsim cov ntshav txhaws. Yog tias lawv raug txiav los yog lwm qhov raug mob, lawv tuaj yeem los ntshav ntau dhau, thiab cov ntshav tuaj yeem nres. Thrombocytopenia feem ntau tuaj yeem cuam tshuam rau tib neeg ntawm txhua lub hnub nyoog, haiv neeg, thiab poj niam txiv neej. Txawm li cas los xij, yog vim li cas tsis paub, kwv yees li 5% ntawm cov poj niam cev xeeb tub tsim mob thrombocytopenia me ntsis ua ntej yug menyuam. Hauv qee zaus, thrombocytopenia tau txais txiaj ntsig.
Daim duab 01: Idiopathic Thrombocytopenic Purpura
Feem ntau, qee yam kev mob, cov xwm txheej, thiab tshuaj noj, suav nrog kev siv cawv, kev mob autoimmune uas ua rau ITP (idiopathic thrombocytopenic purpura), cov kab mob hauv pob txha xws li aplastic anemia, leukemia, qee yam lymphomas, kev kho mob qog noj ntshav xws li kws khomob thiab. hluav taws xob, qhov loj ntawm tus po tshwm sim los ntawm tus kab mob cirrhosis lossis Gaucher kab mob, raug rau cov tshuaj lom (arsenic, benzene, tshuaj tua kab), cov tshuaj uas siv los kho cov kab mob (tshuaj tua kab mob), qaug dab peg, teeb meem plawv thiab kab mob xws li kab mob siab C, CMV, EBV, thiab HIV tuaj yeem ua rau cov ntshav platelet tsawg.
Cov tsos mob ntawm thrombocytopenia muaj xws li qhov ntswg los ntshav, cov pos hniav los ntshav, cov ntshav hauv cov quav, tso zis lossis ntuav, lub cev hnyav hnyav, petechiae, purpura, thiab qhov quav los ntshav. Ntxiv mus, tus mob no tuaj yeem kuaj tau los ntawm kev kuaj lub cev, suav ntshav, kuaj ntshav, kuaj pob txha pob txha, thiab kuaj duab (ultrasound thiab CT scan). Tsis tas li ntawd, kev kho mob rau thrombocytopenia suav nrog kev kho mob hauv qab los ntawm kev hloov cov tshuaj, hloov ntshav, splenectomy, thiab lwm yam tshuaj xws li steroids, thiab immunoglobulins uas txo cov platelet puas thiab txhawb cov platelet ntau lawm.
YThrombocytosis yog dab tsi?
Thrombocytosis yog hom kab mob platelet uas tus neeg mob muaj ntshav platelet suav. Thaum thrombocytosis tsis muaj qhov tshwm sim tshwm sim los ntawm qhov ua rau, qhov teeb meem no hu ua thawj thrombocythemia (tseem ceeb thrombocythemia). Qhov no yog kab mob ntshav thiab pob txha. Txawm li cas los xij, thaum tus kab mob thrombocytosis tshwm sim vim muaj qhov tshwm sim zoo li tus kab mob, nws hu ua reactive thrombocytosis (them ob thrombocytosis).
Daim duab 02: Thrombocytosis
Cov tsos mob ntawm tus mob no yuav muaj xws li mob taub hau, kiv taub hau lossis lub taub hau, mob hauv siab, tsis muaj zog, thiab loog lossis loog ntawm tes thiab ko taw. Ntxiv mus, thrombocytosis tuaj yeem kuaj tau los ntawm kev kuaj lub cev, suav ntshav, kuaj caj ces rau JAK2 gene, thiab pob txha pob txha biopsy. Tsis tas li ntawd, kev kho mob rau thrombocytosis suav nrog kev kho mob hauv qab, noj tshuaj aspirin los tiv thaiv cov ntshav txhaws, tshuaj xws li hydroxyurea lossis anagrelide txhawm rau txo qis platelet ntau lawm los ntawm cov pob txha, kev kho mob interferon, thiab plateletpheresis.
Dab tsi zoo sib xws ntawm Thrombocytopenia thiab Thrombocytosis?
- Thrombocytopenia thiab thrombocytosis yog ob hom platelet mob.
- Ob qho kev mob no tuaj yeem muaj cov caj ces.
- Lawv tuaj yeem yog vim muaj mob hauv qab.
- Ob qhov mob tuaj yeem kuaj tau los ntawm kev kuaj ntshav.
- Lawv raug kho los ntawm cov tshuaj tshwj xeeb.
Qhov txawv ntawm Thrombocytopenia thiab Thrombocytosis yog dab tsi?
Thrombocytopenia yog ib hom kab mob platelet uas tus neeg mob muaj cov ntshav platelet tsawg, thaum thrombocytosis yog ib hom kab mob platelet uas tus neeg mob muaj ntshav platelet suav. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm thrombocytopenia thiab thrombocytosis. Tsis tas li ntawd, tus kab mob ntau zaus ntawm thrombocytopenia hauv Tebchaws Meskas yog 3.3 tus neeg ntawm 100, 000 nyob rau ib xyoos, thaum tus kab mob ntau zaus ntawm thrombocytopenia hauv Tebchaws Meskas yog 2.5 tus neeg rau 100,000 ib xyoos.
Cov ntawv qhia hauv qab no nthuav tawm qhov sib txawv ntawm thrombocytopenia thiab thrombocytosis hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – Thrombocytopenia vs Thrombocytosis
Thrombocytopenia thiab thrombocytosis yog ob hom platelet mob. Thrombocytopenia yog ib hom kab mob platelet uas tus neeg mob muaj cov ntshav platelet tsawg, thaum thrombocytopenia yog ib hom kab mob platelet uas tus neeg mob muaj ntshav platelet suav. Yog li, qhov no qhia txog qhov sib txawv ntawm thrombocytopenia thiab thrombocytosis.
