Thrombocytopenia Vana: Inokonzera, Zviratidzo, nechirwere, Treatment

Vana vakawanda achangobva kutambura zvakakomba zvirwere, izvo kazhinji kukanganisa kukura kwavo. Just vaviri emakore akapfuura, vanhu vashoma anzwa chirwere ichi, thrombocytopenia, uye ikozvino zvakawanda uye kakawanda zvichinzi dzakaonekwa vachangoberekwa. Asi chii chinoumba thrombocytopenia nevana kuti zvinosimudzira kukura kwayo uye sei chinoratidza pacharo?

Thrombocytopenia chii zvokurwara ichi?

Thrombocytopenia - ichi chinhu kujairika uye asinganzwisisiki chirwere chinogona kuratidza sezvo zviratidzo anoratidza zvimwe zvakakomba uye ngozi zvokurwara kwevanhu (kenza, HIV) kana yakazvimirira chirwere. Mukuwedzera, chirwere anogona kuoneka muchimiro neutachiona chero mhando fuma. Uyewo, chirwere ichi chinogona kukanganisa vanhu vanoshungurudza doro, kana kuti kuwana hombe dose nemwaranzi. On hwaro ichi, tinogona kugumisa kuti thrombocytopenia muvana uye vakuru zvinogona kukonzerwa zvikonzero zvakasiyana-siyana, uye chete chiremba ane ruzivo uye ano chirwere nzira kubvumira kuziva chaizvoizvo chii akaparirwa chitarisiko chake.

Thrombocytopenia pauduku - ari zvokurwara, panguva iyo munhu akaderedza platelet kuverenga, uye ivo, akavapindurawo, vane basa pakugwamba ropa. Maplatelet - maplatelet ndechokuti kutyora kuvimbika pemvura mudziyo nenhokwe kune nzvimbo lesion uye ronda yapera, zvokurega kubuda ropa.

Chii zvinokonzera kuonekwa thrombocytopenia muvana?

Kakawanda thrombocytopenia mune vana ari vachiberekwa kuremara Somuenzaniso, sezvo chikamu syndromes Bernard - Soulier, Viskota - Aldrich urwere, Fanconi nevamwe. Uyewo pauduku chirwere ichi chinogona kukonzera akanatsiridzwa kushanda chirwatata - hypersplenism. Uye zvose nokuda chokwadi kuti ichi ndicho muviri apo masero eropa, akapedza nguva yake, recyclable.

Akaderedza platelet count zvingaratidza kuti munhu ane kenza ropa. Kana mumwongo hematopoietic chiregai chose pezvakaitwa zvose panguva murwere akaipa uye zvimwe zvinoumba ropa.

kupatsanura pakati thrombocytopenia

The chirwere rakakamurwa kuva mhando mbiri:

• Primary - achiperekedzwa chete zvinenge thrombotic chirwere, nepo dzimwe nhengo dzomukati chirwere hatisi. Thrombocytopenia purpura, idiopathic uye hemolytic uremic chirwere - zviri zvokurwara chepuraimari siyana.
• Secondary akaratidza sezvo matambudziko ari inotsigira zvokurwara, akadai HIV, chiropa cirrhosis kana neleukemia.

Zvichienderana nokuti masoja pakuderedza zvezvinokonzera thrombocytopenia kana kwete govera zvakawanda siyana chipo maviri:

• Immune thrombocytopenia - rinowanikwa nokukurumidza kuparadzwa maplatelet pasi pokudzora antibodies. In mamiriro ichi, masoja vanhu hurongwa asingadi kuziva maplatelet anovaendesera kuti muviri wokumwe uye inobereka antibodies pamusoro pavo kuti vari ichivharira navo, nokudaro achitowedzera uye zvakaoma ezvinhu omurwere.
• Nonimmune chimiro anogona kuva ari chiitiko zvokuimba kukuvara maplatelet, izvozvo kazhinji kunoitika munguva extracorporeal kuparadzirwa, kana panguva chirwere Marchiafava - Micheli.

Kakawanda iri masoja thrombocytopenia kuonekwa nevana, uye kuiganhura vachiita mapoka akawanda.

Groups masoja thrombocytopenia

Mapoka makuru 4 masoja thrombocytopenia:

1. Isoimmune - mufananidzo umo maplatelet vanoparadzwa nokuda kusapindirana rimwe boka ropa hurongwa. Kungavawo nokuda yokuwedzera wacho nezvavatorwa maplatelet pamberi antibodies kuti kana kupinda kuti antibodies kuti mwana kubudikidza padumbu ramai.
2. Transimmunnaya - kunoitika apo mai autoantibodies, anorwara ane autoimmune chimiro, ichipfuura placenta uye pashure pokuberekwa pakarepo akaratidza thrombocytopenia mu neonates.
3. Geteroimmunnaya - boka iri chokuita kukundikana ari antigenic maumbirwo maplatelet, izvo vanotungamirirwa utachiwana kana chidzoke imwe mhando itsva antibody.
4. Autoimmune - boka umo antibodies anobudiswa kurwisa mumwe pakati unmodified antibody pachavo mhando.

Asi chii chinokurwadzai pakuonekwa chirwere, izvo chinoita achitungamirira kwariri, kunze nhaka chinhu?

The zvinokonzera thrombocytopenia

Kakawanda thrombocytopenia mune vana zvinogona kukonzerwa zvakadaro:

• Kushomeka yakawanda zvisaririra zvinhu pamuviri.
• Kudhaka.
• An sema pavakanzwa zvigadzirwa kubva kunze kwenyika.
• Autoimmune muitiro mumuviri.
• Chimwe zvokurwara kazhinji ndiye HIV, cirrhosis kana neleukemia.

Asi kwete chete chirwere uye matambudziko nechitarisiko zvinhu zvinogona kukonzera zvirwere, zvinogonawo kutsamwisa mumwe mushonga kuti akumbirwa kumurwere.

Chii mishonga kungamutsawo kukura thrombocytopenia?

Sezvinoratidzwa nezvakaitika dzakaratidza, uye tsvakurudzo masayendisiti dzakawanda, kazhinji thrombocytopenia mu vacheche anooneka somugumisiro mishonga anotevera mapoka:

• kazhinji mishonga ndivo "Chloramphenicol" kana sulfonamides.
• Diuretics - "Furosemide" kana "Hydrochlorothiazide".
• Anticonvulsant "Phenobarbital".
• Antipsychotics - "prochlorperazine" kana "meprobamate."
• Antithyroid zvinodhaka - "Tiamazol".
• Zvinodhaka pamusoro cheshuga - "glibenclamide" uye "Glipizide".
• Anti-anogumbura zvinodhaka - "Indomethacin".

Asi chii vari zvingaratidza kuti kuti murwere ane thrombocytopenia?

symptomatology chirwere

Kuonekwe ose murwere vangava zvakasiyana thrombocytopenia, zvinokonzera uye kurapwa, saka nemiwo munhu, asi kakawanda kupfuura vanhu vakawanda zviratidzo akafanana chaizvo:

• Hemorrhages paganda uye mucous membranes. It akaratidza muchimiro tsvuku makwapa akasvibirika vashoma saizi. Ndivo kunyanya kuoneka munzvimbo idzodzo umo zvipfeko rubs zvikuru muviri. mavara izvi regai marwadzo kana kusanzwa, regai protrude pamusoro pemvura ganda kana mucous membranes. Chinogona kuva pfungwa uye kufukidza nzvimbo huru. Ungazvidyawo kugamuchira uye yakakuzvuka tsvuku, zvitema kana greenish-yellow Hue.
• Kakawanda nosebleeds. Nasal mucosa zhinji yaipiwa neropa, uye vakawanda capillaries varipo mariri. Nokuda rutapudzo pamusoro platelet inotungamirwa yakawedzera rirambe richibvira fragility, saka chero sneezing, kukuvara kuduku kana chikosoro anogona kutsamwisa ropa hunogara kwemaminitsi anopfuura 10.

• Ropa matadza. Vanhu vazhinji panguva Kukwesha mazino ako ngavauye ropa duku, asi kurwara, chiratidzo ichi chaizvo kutaurwa zvikuru dzakabudirira nzvimbo matadza uye runogara kwenguva zvakakwana.
• Ropa mudumbu uye ura. Ivo simuka nokuda fragility midziyo ropa, uye vanogona kunyange kuvamutsira kugamuchira zvokudya zvikukutu. Somugumisiro, ropa rinogona kubuda pamwe mutsvina yadzo.
• Ropa weti. chiratidzo ichi sokuti nokuti riri ropa iri mucosa pamusoro dundira uye Urinary turakiti goho.
• Zhinji uye yakareba vari vasikana. Chaiye kureba kumwedzi mazuva 3-5, uye mwedzi woga woga pamusoro thrombocytopenia agare maviri kana kunyange katatu kwenguva, kunze rinorema kubuda ropa.
• Long ropa mushure zino dzokubudisa. In zvarakanga ezvinhu pashure maminitsi 20, izvozvo anomira, uye kana murwere akawanikwa thrombocytopenia, unogona kugara kwenguva refu, uye zvose nokuda ndechokuti maplatelet iri muviri diki, uye ivo havagoni kukurira basa nokukurumidza.

Usakanganwa kuti anogona kuva zvinokonzera akasiyana zvikuru thrombocytopenia. Uye mumwe kurapwa vakasarudzwa nomumwe. The chirwere chinogona kuitika uye zviratidzo zviri yo chirwere, vakamutsamwisa. Panguva nechirwere yavo inofanira kuonekwa.

chirwere nzira

Kana chiremba akaona murwere ane maitiro zviratidzo maperembudzi, chinhu chokutanga iye anogadza CBC, iyo unogona kuziva huwandu maplatelet muropa. Nyatsoteerera nhamba zviratidzo zvimwe muviri - masero matsvuku eropa uye ropa masero machena. Ndizvo tsanangudzo platelet count uye ndiyo nzira mikuru nechirwere zvirwere zvakadai kupererwa, vana pasi gore rimwe zera uye vakwegura.

Pari, vanhu vose vane HIV vari akanyeverwa vanogara vape ropa count. Doctors vanokurudzira zvakaitika rokuongorora mwedzi mitanhatu ose, uye kutora zvakawanda kunze vakawanda bvunzo: pamusoro masoja chinzvimbo uye nemavhairasi mutoro.

Pane 5 Pane zvinhu chokuita Implementation pamusoro Diagnostics:

• Kushaya chero zviratidzo mune muduku.
• Kusavapo zviratidzo enhaka siyana thrombocytopenia.
• Kana asymptomatic hama.
• Efficacy glucocorticosteroid mune zvimwe mishonga dosages.
• Kana zvichibvira, ziva platelet antibodies.

Asi sei kurapa thrombocytopenia kuvana, chii nzira dzinobudirira? Traditional mushonga pane anogona kubatsira pamwe nechirwere, uye anogona here?

Kuchirapa nzira nokuti thrombocytopenia

murefu kurapwa nokuti thrombocytopenia iri zvakananga novimba chii zvikonzero zvaita kuti zvokurwara ichi. yakarurama zvokuongorora chete kunoita kusarudza tibudirire kurapa. Nhasi, vanachiremba kushandisa dzakawanda marapirwo:

• Mishonga.
• Surgery.
• Treatment acho nzira.

Mune zvimwe zviitiko kurapa chirwere havadi, ruchapinda kure. Somuenzaniso, yechipiri thrombocytopenia, nyoro mune vana zvishoma kuderera platelet Counts. Pakadaro, chiremba wako anogona mishonga murwere chete vhitamini kunzwisisa uye gadziriro mukuru nokusimbaradza muviri.

Kana vakadzi nepamuviri, vanowana chirwere ichi, zvino vane chirwere chakakomba nehanya havafaniri kuva. Women vakarangana mwana, kazhinji kutambura kubva chokwadi kuti kwakaderedza zvikuru platelet yomuropa muropa. Pashure pokusununguka, uye vamwe, uye panguva pamuviri, pachiyero masero aya shure kufirwa pasina kurapwa. Anonzi zvikuru ngozi masoja thrombocytopenia, zvinokosha chaizvo kuti kurapa zvakanaka.

Mabatirwo masoja thrombocytopenia

Immune chimiro chirwere ichaongororwa rimwe zvakakura, mukuwedzera, iye ndiye rakajairika. Anovandudza zvokurwara pamusoro pakanyorwa kuderera rokuzvidzivirira anokonzerwa ndechokuti mwana ari kurwara ane chikosoro, SARS kana varwere HIV-utachiona. Uyezve, mhosva chimiro ichi chirwere ave chin'a uye chiremba kwokubatsira zvinodhaka.

Kunze zvirwere chimiro zvakajairika autoimmune, izvo chinovapo kubva kukundikana dziviriro yezvirwere mumuviri. Kurapa chirwere ichi, kazhinji kuvakurudzira kushandisa zvinodhaka immunosuppressive. Uyewo, chiremba anogona kushandisa mishonga glucocorticosteroid, nokuti kuonga kwavari kuti platelet count inowedzerwa.

Muzviitiko apo thrombocytopenia kwakakonzerwa utachiwana kana chirwere panzvimbo yokutanga kurapa zvirwere zvinokonzerwa vasanyanye platelet count. Zvichida, pashure kurapwa, zvose anodzokera dzose.

Individual nzeve, HIV-utachiona varwere. Saka chete vanoda vabereki kunyatsofunga akuteerere utano hwavo uye kuti mukanyatsochengeta kutevera mazano ose chiremba.

Mune zvimwe zviitiko, kurapa thrombocytopenia yekupinda kuvhiyiwa, kureva kubviswa chirwatata. Asi nzira iri kuita chete Muzviitiko, kana murwere ane mukana ropa. Sezvaratidzwa, vakawanda vevana pashure pokuvhiyiwa, kana zvakatora imi nemigumisiro yakanaka.

Asi kwete mushonga chetsika chete anobatsira ari kurapwa kuti vabudirire uye dzakakurumbira nzira.

Traditional nzira yokurapa thrombocytopenia

Mabatirwo thrombocytopenia muvana vane chevarwere mishonga anopa kwazvo zvabuda, kunyanya kushandiswa zvinobudirira mafuta sesame. It anoita pachiyero maplatelet muropa. It ingotora zvokudya nenguva 10 magiramu matatu pazuva.

Chinobatsira aizomupa Verbena. Ndezvevakazvigadzirirwa sezvinotevera: 5 g Verbena yakabikwa nemvura, akaputirwa nejira uye akabvumira kuti richadzipa kwemaminitsi 30. Tora mukati mwedzi mumwe girazi rimwe zuva muna migove zviduku.

Usakanganwa pamusoro matanho kubatsira vazvidzivirire kubva thrombocytopenia.

dziviriro

Vana vaya vari kare kurwara kana katsika chirwere ichi, unofanira kuita zvinoenderana matanho:

• Dzivisa chero mamiriro ezvinhu aigona kuita kuti kukuvara.
• Vabereki vanofanira kuchinja zvokudya vana.
• Musatora "asipurini" uye zvimwe zvinodhaka weboka racho vasiri steroidal Anti-anogumbura zvinodhaka.

Vabereki vanofanira kunyatsoongorora kuongorora chii nevana vavo kudya, chii mishonga taurira chiremba. Panguva utano centre kunyange kurapa chiremba zvakafanana chando vanofanira kungwarira iripo nechirwere.

mhedziso

Achiratidza, zvinofanira kutaurwa kuti chete chenguva dzose pakuchengetwa vanorumbidza dzose chiremba, zvinodhaka zvose nezviyero chokudzivirira kuchabatsira mwana thrombocytopenia kunzwa zvakanaka uye havazvioni dzinotyorwa. Vabereki vevana vakadai vanofanira kunyatsoteerera vana vavo uye kuramba kuzvitubu kuongororwa nachiremba. Kutaura zvazviri, munyika yedu zvakadai zvakawanda varwere muduku, asi vari kurarama upenyu huzere, uye hosha hazvisi kunetsa navo.