Okwera othandiza magazi kuundana - chizindikiro, omwe ndi ofunika powasamalira

Nthawi zambiri, pulogalamu iliyonse zasayansi Kupenda wodwala ndi nthenda pafupifupi chiwalo chilichonse dongosolo la thupi kukuyamba pa kuphedwa kwa matenda magazi. Mu pepala ili timaphunzira ma zikuchokera magazi, komanso kuphunzira katundu wa zinthu izi ma. Kuti kusintha dongosolo hematopoietic, pali yachangu ndi chimodzi mwa chizindikiro choyamba cha mavuto zam'tsogolo, ndi zotsatira za mayeso matenda magazi angazindikire kusintha mmodzi, awiri kapena atatu majeremusi magazi kupanga, kotero muyenera kulabadira onse yafupika ndi kuchuluka othandiza magazi kuundana, maselo magazi woyera kapena erythrocytes.

Kusintha chiwerengero cha othandiza magazi kuundana - chifukwa asungika

Anthu, maselo othandiza magazi kuundana ndi ntchito yofunika - maselo colorless amagwira ntchito ndondomeko ya coagulation magazi, motero, ndi kusintha kuchuluka kwa maselo zimenezi zimachititsa kuti kuvutika mu dongosolo magazi coagulation. Okwera kupatsidwa zinthu za m'mwazi, kaya operewera akhale chifukwa cha thrombus mapangidwe, koma chepetse chiwerengero cha maselo amenewa zimayambitsa magazi kapena kukha mwazi pansi pa khungu. mfundo Normal odwala wamkulu amaonedwa kukhala othandiza magazi kuundana zotumphukira magazi mu osiyanasiyana 180-320 * 109 / L, pomwe ana, makamaka nthawi neonatal ndi oyambirira ubwana (zaka do3) mu kusanthula matenda a magazi nthawi othandiza magazi kuundana povyshenny.

Mosakayikira, ambiri odwala nkhawa za kuchepa lakuthwa mu udindo kupatsidwa zinthu za m'mwazi pansipa ponseponse zaka, ngakhale ndi aakulu thrombocytopenia zotsatira yovuta kwa chamoyo anayamba mu kugwa kwa chiwerengero chawo pansipa 20 * 109 / L, ndipo pafupifupi sanadwalepo sindikusamala ngati othandiza magazi kuundana kuchuluka. Zifukwa okhumudwa akhoza kukhala okha osiyana - maonekedwe a kuundana thupi magazi ndi imfa kwambiri a madzimadzi kudzera pakhungu kapena mucosa m'mimba kapena kapepala kupuma, mwachitsanzo, mu yotentha kapena pakutchulidwa matenda matumbo, monga mphindi pamene anakwezedwa maselo othandiza magazi kuundana ndi zizindikiro za matenda a thupi.

Okwera kupatsidwa zinthu za m'mwazi amawerengedwa monga chizindikiro cha matenda

Nthawi zambiri, okwera kupatsidwa zinthu za m'mwazi angabuke kudwala a mafupa hematopoiesis, mmene chizindikiro zingaoneke monga zotupa za kupatsidwa zinthu za m'mwazi yekha nyongolosi ndiponso yathunthu chotupa a m'mafupa, mwachitsanzo mu chitukuko cha matenda myeloproliferative (khansa aakulu, myelodysplasia, subleukemic mieloze).

Kuli okwera kupatsidwa zinthu za m'mwazi achiyesa zikadzatha ntchito opaleshoni, amene pazifukwa zosiyanasiyana, ayenera kuchotsedwa ndulu - mwachitsanzo, pamene zoopsa, zotupa kapena matenda amene milingo kupatsidwa zinthu za m'mwazi likunena anakana, ndi kuchotsa ndulu anali kakasi ntchito. Kuwonjezeka kupatsidwa zinthu za m'mwazi tawerenga mu nkhani iyi ndi chifukwa ndulu zinthu zachilendo amasandulika "manda" maselo amenewa magazi, ndi chiwindi ndi wamkulu mmene reclamation erythrocytes amapezeka.

kawirikawiri, kuchuluka maselo othandiza magazi kuundana ndi zizindikiro za matenda ena tizilombo, koma uyu akubwera thrombocytosis mofulumira kwambiri ndipo angathe kuonedwa kokha pamene mwachisawawa zitsanzo zosankhidwazi kusanthula pa kufala yogwira HIV m'thupi.

Thrombocytosis. Kodi ndiyenera kuchitira izo?

Nthawi zambiri, kuchitira okwera kupatsidwa zinthu za m'mwazi achiyesa Ndikofunikira pamene kuwonjezeka yadzidzidzi, amene agonjetsa chitukuko cha thrombosis. Kusankha pa nkhani iliyonse makamaka m'pofunika kuchita zazikulu kuwunika magawo a kusanthula matenda magazi, komanso mu kupitirira thrombocytosis, anachita sternal puncture biopsy ndi phiko la ilium lapansi. Mafupa kuona ndi kuphunzira dongosolo fupa kumathandiza kumvetsa - kaya mkulu kupatsidwa zinthu za m'mwazi n'kulemba njira thupi ponseponse kapena chizindikiro choyamba cha matenda oopsa.