3 Txoj hauv kev yooj yim kom kov yeej kev tsis muaj ntshav platelet

Cov txheej txheem:

3 Txoj hauv kev yooj yim kom kov yeej kev tsis muaj ntshav platelet
3 Txoj hauv kev yooj yim kom kov yeej kev tsis muaj ntshav platelet

Video: 3 Txoj hauv kev yooj yim kom kov yeej kev tsis muaj ntshav platelet

Video: 3 Txoj hauv kev yooj yim kom kov yeej kev tsis muaj ntshav platelet
Video: Ntxawm Nuj Nplhaib Tus Thaum Ub Thiab Nim No 29/8/2021 2024, Tej zaum
Anonim

Qhov tsis muaj ntshav platelet, tseem hu ua thrombocytopenia, yog thaum koj cov ntshav tsis muaj cov platelets txaus los ua kom khov. Txhua yam ntawm txhua yam tuaj yeem ua rau qhov teeb meem no, suav txij ntawm cov kab mob autoimmune mus rau cev xeeb tub. Qhov no suab nrov, tab sis nws yog ib qho xwm txheej zoo nkauj thiab neeg feem coob txhim kho yam tsis muaj teeb meem nyob mus ib txhis. Yog tias koj tab tom qhia pom tus mob thrombocytopenia, teem sijhawm nrog koj tus kws kho mob thiab ua raws lawv cov lus qhia kom rov zoo.

Cov kauj ruam

Txoj Kev 1 ntawm 3: Tau Txais Kev Kho Mob

Kov yeej Platelet Deficiency Step 1
Kov yeej Platelet Deficiency Step 1

Kauj Ruam 1. Mus ntsib koj tus kws kho mob yog tias koj pom cov tsos mob ntawm thrombocytopenia

Thaum muaj cov platelet suav tsawg feem ntau tsis txaus ntshai lossis txaus ntshai rau lub neej, nws tseem xav tau kev kho mob los ntawm kws kho mob. Cov tsos mob tseem ceeb yog yooj yim lossis ntau dhau, ua ntshav ntev los ntawm kev txiav uas yuav tsis tso tseg, los ntshav los ntawm koj cov pos hniav lossis lub qhov ntswg, lub cev ntas hnyav hnyav heev, thiab qaug zog. Yog tias koj pom cov tsos mob no, hu rau koj tus kws kho mob kom kuaj.

  • Bruises kuj tseem yuav siv sijhawm ntev, zoo li ntev tshaj li ib lub lim tiam. Qhov no yog vim cov ntshav kis hauv qab koj cov tawv nqaij.
  • Qee zaum los ntshav hauv qab ntawm koj cov tawv nqaij zoo li cov pob liab liab me me nthuav tawm thoob plaws thaj chaw loj.
  • Ib txwm nrhiav kev kho mob xwm txheej ceev yog tias koj tau txais lub qhov txhab hnyav uas yuav tsis tso ntshav tawm. Nov yog kev kho mob xwm txheej ceev. Thaum qhov no nyob ib leeg tsis yog ib qho cim ntawm cov ntshav platelet tsawg, nws tuaj yeem yog lub cim yog tias koj tseem muaj ntshav los ntshav yav dhau los lossis ntshav me ntsis hauv koj lub qhov ncauj.
Ua kom kov yeej Platelet Deficiency Step 2
Ua kom kov yeej Platelet Deficiency Step 2

Kauj Ruam 2. Cia tus kws kho mob tshuaj xyuas koj txhawm rau txiav txim siab tias koj muaj tus mob thrombocytopenia

Ua ntej ua qhov kev sim twg, koj tus kws kho mob yuav nug koj txog koj keeb kwm kev kho mob thiab ua qhov kev kuaj mob lub cev yam tsis cuam tshuam. Tus kws kho mob yuav nrhiav cov cim qhia ntshav los hauv qab ntawm koj cov tawv nqaij lossis qhov nqaij ntuag thoob plaws hauv koj lub cev. Lawv kuj tseem tuaj yeem nias ntawm koj lub plab kom pom tias koj tus po tau o, uas yog qhov ua rau ua rau mob thrombocytopenia.

  • Txij li qee yam tshuaj tuaj yeem ua rau mob thrombocytopenia, qhia koj tus kws kho mob txog txhua daim ntawv yuav tshuaj thiab tsis yog tshuaj uas koj noj. Nov yog ib feem tseem ceeb ntawm koj keeb kwm kev kho mob.
  • Kuj qhia rau koj tus kws kho mob yog tias ib tus neeg hauv koj tsev neeg muaj keeb kwm ntawm cov ntshav tsis txaus.
Kov yeej Platelet Deficiency Step 3
Kov yeej Platelet Deficiency Step 3

Kauj Ruam 3. Ntsuas koj cov ntshav txhawm rau ntsuas koj cov ntshav platelet

Yog tias koj tus kws kho mob xav tias koj muaj thrombocytopenia, lawv yuav kuaj ntshav los suav koj cov ntshav platelets. Nov yog qhov kev sim tseem ceeb los txiav txim siab seb koj puas muaj tus mob.

  • Cov qib platelet ib txwm yog 150, 000 txog 400, 000 platelets ib microliter ntawm cov ntshav. Yog tias koj suav qis dua 150, 000, tom qab ntawv koj yuav xav tau lwm qhov kev kuaj mob los txiav txim seb koj puas muaj tus mob thrombocytopenia.
  • Kev kuaj ntshav feem ntau siv li ob peb hnub, yog li koj qhov mob ruaj khov, tom qab ntawd koj tus kws kho mob yuav xa koj mus tsev thiab hu rau koj nrog cov txiaj ntsig.
Kov yeej Platelet Deficiency Step 4
Kov yeej Platelet Deficiency Step 4

Kauj Ruam 4. Muaj CT scan txhawm rau txiav txim siab qhov ua rau mob

Cov ntshav platelet tsawg feem ntau yog cov tsos mob ntawm tus mob sib txawv, yog li koj tus kws kho mob kuj tseem xav ua CT scan. Qhov no qhia tus kws kho mob yog tias ib qho ntawm koj lub nruab nrog cev, tshwj xeeb yog koj tus spleen lossis daim siab, o o lossis zoo li txawv txav. Qhov no pab kws kho mob txiav txim siab qhov ua rau muaj teeb meem thiab yuav kho nws li cas.

Yog tias koj tus po tau o, nws tuaj yeem qhia tias muaj kab mob lossis kab mob autoimmune. Lub siab loj tuaj yeem yog los ntawm kab mob cirrhosis lossis kab mob autoimmune

Txoj Kev 2 ntawm 3: Kho Qhov Ua Phem

Ua kom kov yeej Platelet Deficiency Step 5
Ua kom kov yeej Platelet Deficiency Step 5

Kauj Ruam 1. Tos rau qhov xwm txheej kom pom tseeb ntawm nws tus kheej yog tias nws yog rooj plaub me me

Qee qhov xwm txheej ntawm thrombocytopenia tsis xav tau kev kho mob hlo li. Yog tias koj tus kws kho mob xav tias qhov mob me me thiab yuav kho nws tus kheej, tom qab ntawd lawv yuav xa koj mus tsev kom tos kom cov tsos mob qis dua.

  • Lub sijhawm luv luv thrombocytopenia tuaj yeem yog los ntawm kev noj qee yam tshuaj, kis kab mob, lossis koj noj zaub mov. Koj tus kws kho mob yuav hais qhia qee qhov hloov pauv me ntsis kom tshem tawm qhov ua rau thiab nce koj cov ntshav platelet.
  • Tiv tauj nrog koj tus kws kho mob nyob rau lub sijhawm no thiab qhia rau lawv paub yog tias koj cov tsos mob tsis ploj mus lossis mob zuj zus.
Kov yeej Platelet Deficiency Step 6
Kov yeej Platelet Deficiency Step 6

Kauj Ruam 2. Tsis txhob noj cov tshuaj twg uas tuaj yeem ua rau mob thrombocytopenia

Qee yam tshuaj tuaj yeem ua rau suav cov ntshav qis, yog li koj lub cev yuav tsum rov qab zoo li qub tom qab siv cov tshuaj ntawd. Yog tias koj tus kws kho mob xav tias tshuaj koj tab tom noj ua rau muaj mob, lawv yuav hloov koj tawm. Tsis tas li ua raws tus kws kho mob cov lus qhia rau ib qho ntawm cov tshuaj uas koj noj.

  • Qee cov tshuaj uas tuaj yeem ua rau thrombocytopenia yog cov ntshav thinner xws li ibuprofen, tshuaj aspirin, NSAIDs, Heparin, tshuaj siv tshuaj kho mob, penicillin, quinine, thiab qee yam statins.
  • Ib txwm noj tshuaj raws nraim li tau hais tseg. Kev siv tshuaj ntau dhau ntawm qee yam tshuaj kuj tseem tuaj yeem ua rau cov ntshav poob qis.
Ua kom kov yeej Platelet Deficiency Step 7
Ua kom kov yeej Platelet Deficiency Step 7

Kauj Ruam 3. Siv corticosteroids los ua kom koj cov ntshav platelet ntau ntxiv

Yog tias koj xav tau kev kho mob rau koj tus mob thrombocytopenia, thawj kauj ruam ib txwm yog tshuaj corticosteroids. Cov tshuaj no tuaj yeem ua kom koj cov ntshav platelet ntau ntxiv thiab txo koj cov tsos mob. Ua raws koj tus kws kho mob cov lus qhia rau kev noj tshuaj kom raug thiab ua tiav tag nrho cov tshuaj.

  • Corticosteroids feem ntau tuaj ntawm daim ntawv ntsiav tshuaj. Coj lawv nrog ib khob dej.
  • Cov kev mob tshwm sim ntawm corticosteroids yog ua rau cov ntshav siab, ua kom lub cev muaj zog, hloov pauv lub siab, thiab nce qhov hnyav me.
Ua kom kov yeej Platelet Deficiency Step 8
Ua kom kov yeej Platelet Deficiency Step 8

Kauj Ruam 4. Noj tshuaj tiv thaiv kab mob yog tias tus mob no yog los ntawm tus kab mob autoimmune

Qee qhov teeb meem autoimmune, zoo li lupus, tuaj yeem ua rau koj tus po thiab tiv thaiv nws los ntawm kev lim ntshav platelets kom raug. Yog tias koj cov ntshav platelet yog los ntawm tus kab mob autoimmune, cov tshuaj tiv thaiv kab mob tuaj yeem txwv koj lub cev los ntawm kev tawm tsam nws tus kheej thiab txo koj cov tsos mob.

  • Thaum koj tab tom noj tshuaj tiv thaiv kab mob, koj yuav muaj kev pheej hmoo kis mob ntau ntxiv thiab kis kab mob. Noj cov txiv hmab txiv ntoo thiab zaub ntau kom koj tuaj yeem tiv taus kev mob thiab ntxuav tawm qhov txiav uas koj tau txais kom tsis txhob kis mob.
  • Tej zaum koj yuav tau teem sijhawm nrog kws kho mob hematologist uas yuav kawm koj cov ntshav.
Ua kom kov yeej Platelet Deficiency Step 8
Ua kom kov yeej Platelet Deficiency Step 8

Kauj Ruam 5. Tau txais kev tso ntshav yog tias koj cov ntshav platelet tsawg heev

Rau cov mob thrombocytopenia hnyav dua, koj yuav xav tau cov ntshav los hloov cov platelets uas ploj lawm. Txog kev hloov ntshav, koj yuav tau txais IV txhaj cov ntshav hauv tsev kho mob. Qhov no yuav ua rau koj suav cov platelet ntau ntxiv thaum koj tus kws kho mob coj koj tus mob los tswj nrog lwm cov tshuaj lossis kev kho mob.

  • Kev tso ntshav yuav zoo li txaus ntshai, tab sis nws tsis yog tus txheej txheem mob lossis mob. Ntau lab tus tib neeg tau txais kev tso ntshav thiab ua kom rov zoo tag nrho.
  • Koj yuav xav tau cov ntshav uas haum koj hom ntshav. Yog tias koj muaj phooj ywg lossis ib tus neeg hauv tsev neeg uas muaj hom ntshav zoo ib yam li koj, lawv tuaj yeem pub dawb. Txwv tsis pub, koj tuaj yeem tau txais ntshav los ntawm tsev kho mob txhab nyiaj.
  • Feem ntau, koj tsuas yog yuav tau txais cov ntshav yog tias koj yuav mus phais loj thiab muaj cov qib ntshav qis dua 50, 000. Txwv tsis pub, hauv qhov tsis tso ntshav, koj yuav tau txais kev tso ntshav yog tias cov qib platelet tsawg dua tshaj 10,000, 000.

Txoj Kev 3 ntawm 3: Tswj Cov tsos mob hauv Tsev

Kov yeej Platelet Deficiency Step 9
Kov yeej Platelet Deficiency Step 9

Kauj Ruam 1. Tsis txhob ua tej yam uas yuav ua rau raug mob

Txij li thaum muaj cov ntshav platelet tsawg ua rau cov ntshav txhaws nyuaj, kev raug mob me me tuaj yeem ua rau los ntshav ntau. Zam kev sib cuag kis las lossis lwm yam dej num uas koj yuav raug txiav lossis raug mob. Tos kom txog thaum koj cov tsos mob ploj mus ua ntej koom nrog dua.

  • Nco ntsoov tias tsuas yog vim koj tsis raug txiav tsis txhais tau tias koj tsis raug mob. Koj tuaj yeem muaj ntshav sab hauv yog tias koj raug ncaws pob ncaws pob, piv txwv.
  • Yog tias koj tsis tuaj yeem zam qee yam haujlwm vim tias koj txoj haujlwm, ua tib zoo tiv thaiv ntxiv. Yog tias koj ua haujlwm ncig cov khoom ntse, piv txwv li, hnav hnab looj tes thiab tsho ntev kom tsis txhob raug txiav.
  • Yog tias koj muaj kev ua xyem xyav txog yam haujlwm, hu rau koj tus kws kho mob thiab nug seb nws puas nyab xeeb.
Ua kom kov yeej Platelet Deficiency Step 10
Ua kom kov yeej Platelet Deficiency Step 10

Kauj Ruam 2. Txwv koj txoj kev haus cawv kom ua kom cov platelet ntau ntxiv

Dej cawv ua rau cov platelet ntau lawm thiab tuaj yeem ua rau koj lub siab puas tsuaj, yog li zam nws thaum koj tab tom qhia cov tsos mob. Tom qab koj cov tsos mob qis dua, txwv koj cov dej cawv kom haus 1-2 zaug hauv ib hnub kom tsis txhob mob siab rau koj lub siab thiab ua rau lwm qhov tawg.

  • Ib qho kev haus dej tau txiav txim siab 1 khob cawv, 1 tus qauv muaj peev xwm ntawm npias, lossis 1 txhaj cawv hnyav.
  • Nug koj tus kws kho mob yog tias koj yuav tsum zam kev haus cawv mus ntev, lossis tsuas yog thaum koj tseem pom cov tsos mob. Nws nyob ntawm qhov xwm txheej.
Kov yeej Platelet Deficiency Step 11
Kov yeej Platelet Deficiency Step 11

Kauj Ruam 3. Tsis txhob noj tshuaj uas yuav ua rau koj cov ntshav thin

Cov tshuaj kom zam tau yog tshuaj aspirin, naproxen, thiab ibuprofen. Cov no tuaj yeem ua rau koj cov ntshav thiab ua rau khov khov dua. Txij li cov no yog cov tshuaj kho mob, nrhiav cov tshuaj uas tsis yog tshuaj aspirin lossis NSAID zoo li acetaminophen.

Pom zoo: