Platelets lossis platelets yog cov cell uas ua rau cov ntshav khov ua rau lawv xav tau los tiv thaiv lub cev los ntawm kev txaus ntshai los ntshav. Cov qib platelet tsawg (lossis thrombocytopenia) tuaj yeem tshwm sim los ntawm ntau yam xws li kev kho tshuaj, cev xeeb tub, ua xua zaub mov, thiab ua npaws kub cev. Qhov xwm txheej no tseem tuaj yeem tshwm sim los ntawm qhov ua rau tsis nkag siab, tab sis tuaj yeem cuam tshuam nrog cov kab mob autoimmune, xws li idiopathic thrombocytopenia purpura. Txhawm rau kho cov qib platelet qis, koj yuav tsum ua haujlwm nrog kws kho mob. Raws li kev saib xyuas ntawm kws kho mob, koj tseem tuaj yeem sim qee txoj hauv kev uas tuaj yeem ua rau nce qib platelet.
Kauj ruam
Ntu 1 ntawm 2: Txhim Kho Kev Noj Qab Nyob Zoo Hauv Lub Cev
Kauj Ruam 1. Noj ntau yam zaub mov tshiab thiab noj qab nyob zoo
Cov pluas noj uas tau xav kom nce platelets tuaj yeem sib txawv ntawm cov peev txheej. Txawm li cas los xij, ib yam uas lawv muaj sib xws yog noj zaub mov kom muaj kev noj qab haus huv feem ntau yog qhov tseem ceeb.
- Tej zaum koj tau hnov nws ua ntej: nce koj cov txiv hmab txiv ntoo thiab zaub, cov protein uas muaj roj tsawg thiab cov nplej tag nrho, thiab txo koj cov kev noj kom zoo ntawm cov carbohydrates thiab suab thaj, saturated thiab trans fat, thiab cov zaub mov tiav.
- Xaiv cov zaub mov muaj txiaj ntsig zoo uas muab txiaj ntsig tsim nyog tau txais nyiaj uas koj siv, xws li zaub tshiab, tsis txhob noj cov zaub mov qis xws li ntim cov ncuav qab zib, piv txwv. Muab kev txhawb nqa rau lub cev kom tau txais zaub mov kom ntau li ntau tau los ntawm cov zaub mov uas koj haus.
- Noj txiv hmab txiv ntoo kiwi. Cov txiv hmab txiv ntoo no tuaj yeem nce platelets sai dua.
Kauj Ruam 2. Ua kom tau txais qee yam khoom noj tshwj xeeb
Ib zaug ntxiv, cov khoom noj khoom haus tseem ceeb xav kom nce platelets sib txawv ntawm cov peev txheej. Ua haujlwm nrog pab kws kho mob los txiav txim siab qhov kev xaiv zoo tshaj plaws. Qee cov as -ham uas yuav muaj txiaj ntsig zoo rau txhua tus neeg, tsis hais txog qib ntshav platelet, suav nrog:
- Vitamin K, uas tuaj yeem pab cov txheej txheem ntshav khov thiab muaj cov tshuaj tiv thaiv kab mob (o tuaj yeem ua rau cov platelets puas). Cov vitamins no muaj nyob hauv cov nplooj zaub ntsuab xws li zaub qhwv, zaub ntsuab, zaub ntsuab, zaub paj zaub, thiab seaweed. Ua noj cov zaub no ib pliag kom khaws tau lawv cov as -ham. Qe thiab daim siab kuj yog qhov zoo ntawm cov vitamin K.
- Folate (Vitamin B9), uas yog ib qho tseem ceeb hauv cov txheej txheem ntawm kev faib cov cell (nco ntsoov tias platelets tseem yog cov cell). Ib qho ntxiv, cov qib folate qis kuj tseem tuaj yeem txo qib platelet. Qee cov zaub mov muaj nplua nuj nyob hauv folate xws li asparagus, txiv kab ntxwv, zaub ntsuab, thiab ua kom muaj zog ua kom muaj pluas tshais pluas noj (cov nplej tag nrho, qab zib tsawg) yuav tsum tau noj txhua hnub. Cov tshuaj vitamin kuj tseem yuav raug txiav txim siab. Txawm li cas los xij, sab laj nrog koj tus kws kho mob ua ntej.
- Saib xyuas koj li kev noj cov omega 3 fatty acids. Cov zaub mov uas tuaj yeem ua kom lub cev tiv thaiv kab mob thiab muaj cov tshuaj tiv thaiv kab mob muaj nyob hauv ntses, seaweed, walnuts, roj flaxseed, thiab ntxiv dag zog rau qe. Txawm li cas los xij, omega-3 fatty acids tuaj yeem tiv thaiv platelet ua kom zoo, yog li txo lawv qib. Yog li, thaum muaj thrombocytopenia, omega 3 fatty acids yog qhov zoo tshaj plaws zam.
Kauj Ruam 3. Txiav cov zaub mov uas ua teeb meem
Cov zaub mov muaj txiaj ntsig zoo, muaj calorie ntau xws li cov nplej ua tiav (qhob cij dawb, piv txwv) thiab qab zib (ncuav, ncuav, thiab lwm yam), tsis muaj txiaj ntsig zoo rau lub cev thiab hauv qee qhov kev xav, tuaj yeem ua rau mob ntxiv.
- Kev haus cawv ntau kuj tseem tuaj yeem ua rau cov pob txha puas thiab ua rau cov ntshav qis qis. Yog li, nws yog lub tswv yim zoo los txwv lossis txawm txwv tsis pub haus cawv tag nrho thaum sim ua kom cov qib platelet nce ntxiv.
- Gluten rhiab heev thiab kab mob celiac (qhov tseem ceeb ua xua rau gluten) yog cov kab mob autoimmune uas cuam tshuam tsis zoo rau qib platelet. Xav txog kev kuaj mob kom paub tseeb tias qhov teeb meem no. Yog tias koj raug kev txom nyem los ntawm nws, zam kev noj cov gluten tag nrho.
Kauj Ruam 4. Sim ua ib ce nquag thiab ua tib zoo
Kev tawm dag zog lub plawv xws li taug kev lossis ua luam dej nrog rau kev qhia lub zog tuaj yeem txhim kho cov ntshav ntws hauv lub cev thiab txhawb kev tiv thaiv kab mob. Ob qho no yuav muaj txiaj ntsig zoo rau koj kom kov yeej cov qib platelet qis.
- Txawm li cas los xij, koj yuav tsum ua kom ntse thiab nrog ceev faj. Yog tias koj muaj thrombocytopenia, koj yuav nkees yooj yim dua, txawm hais tias qaug zog tuaj yeem ua rau koj pheej raug mob.
- Sim zam kev ua ub no uas yuav ua rau ntshav los, tsis yog los ntshav sab nraud, tab sis kuj los ntshav sab hauv (tawv nqaij). Nco ntsoov, nrog qib platelet qis, cov txheej txheem ntshav khov yuav ua qhov qeeb dua.
- Cov kis las ncaws pob lossis cov dej num uas muaj feem cuam tshuam, xws li ncaws pob lossis ncaws pob, yuav tsum tau ua nrog ceev faj heev lossis zam tag nrho. Tiv thaiv koj tus kheej los ntawm kev txiav thiab nqaij tawv los ntawm kev hnav cov khau kom zoo, siv txheej tiv thaiv hauv qab khaub ncaws, thiab saib xyuas qhov xwm txheej zoo.
- Ib qho ntxiv, sab laj nrog koj tus kws kho mob kom paub seb yam tshuaj twg tuaj yeem ua rau muaj kev pheej hmoo los ntshav, xws li tshuaj aspirin lossis lwm yam tshuaj kho mob.
Kauj Ruam 5. So kom txaus
Kev pw tsaug zog 7-9 teev tau pom zoo rau cov neeg laus tsis hais txog qib ntshav platelet. Txawm li ntawd los, so thiab rov ua kom lub zog muaj txiaj ntsig zoo rau cov uas xav kom nce qib platelet.
Koj yuav nkees yooj yim dua nrog qib qis platelet. Yog li, koj yuav tsum tau so thiab txav mus (nrog kev saib xyuas) hauv txoj kev sib npaug. Tham nrog koj tus kws kho mob
Kauj Ruam 6. Ua kom tau raws li lub cev xav tau
Txhua tus xav tau dej, tab sis tsuas yog ob peb ntawm peb haus dej txaus. Lub cev muaj dej txaus yuav tuaj yeem ua haujlwm tau zoo dua, thiab ib ntawm lawv yog tsim cov platelets.
- Tus neeg laus nruab nrab yuav tsum haus 2-3 liv dej txhua hnub. Yog li, qhov kev pom zoo ntev los haus 8 khob dej txhua hnub yog qhov tseeb tiag.
- Qee qhov kev xav txhawb nqa kev haus dej sov lossis dej kub kom nce qib platelet vim tias cov dej txias dua yuav ua rau cov txheej txheem zom zaub mov qeeb thiab txwv tsis pub nqus dej. Yam tsawg kawg, sim haus dej ntawm qhov kub uas haum rau koj, lossis sim haus cov dej sov yog tias koj xav tau.
Kauj Ruam 7. Nyob zoo
Cov kauj ruam no ib txwm muaj txiaj ntsig, tshwj xeeb tshaj yog thaum daws teeb meem kev kho mob xws li thrombocytopenia.
Xam cov txiaj ntsig tseeb ntawm tus cwj pwm zoo tuaj yeem nyuaj. Txawm li cas los xij, qib no yuav tsis txo koj txoj hauv kev rov zoo
Ntu 2 ntawm 2: nthuav kev paub
Kauj Ruam 1. Nkag siab cov platelets
Thaum koj txiav koj txhais tes nrog rab chais los yog koj muaj qhov ntswg, qhov ntawd yog thaum cov platelets yuav ua haujlwm. Platelets yog cov qe ntshav hauv cov hlab ntshav uas zoo li ua ke ua ke thiab tuaj yeem kho qhov ntws ntawm cov ntshav uas tawm los.
- Ib tus zuj zus, cov qe ntshav platelet tsuas tuaj yeem muaj sia nyob ntev txog 10 hnub hauv cov ntshav. Yog li, cov cell no yuav tsum tau tsim tawm tas li. Tus neeg noj qab nyob zoo nruab nrab muaj 150,000-450,000 platelets ib microliter ntawm cov ntshav.
- Yog tias koj tus kws kho mob qhia koj qib ntshav platelet yog 150, qhov ntawd txhais tau tias muaj 150,000 platelets ib microliter ntawm koj cov ntshav.
Kauj Ruam 2. Nkag siab txog koj tus mob
Ntau yam tuaj yeem ua rau qib platelet qis. Tus mob no hu ua thrombocytopenia yog tias cov platelet suav tsawg dua 150.
- Ua rau suav nrog kev tiv thaiv kab mob tsis zoo (uas ua rau cov platelets raug tawm tsam), cov kab mob ntshav qab zib (vim tias cov platelets tau tsim hauv cov pob txha pob txha), kev kho tshuaj (vim tias cov platelets raug rhuav tshem ua ib qho kev phiv), cev xeeb tub (nce hauv lub cev qhov hnyav tuaj yeem cuam tshuam tsis zoo rau qib platelet)), thiab ntau yam ntxiv.
- Cov tsos mob ntawm thrombocytopenia suav nrog qaug zog, tawv nqaij yooj yim, los ntshav ntev, los ntshav los ntawm cov pos hniav lossis lub qhov ntswg, tso ntshav tso zis los yog quav, thiab rab koob me me liab-liab tawm ntawm ob txhais ceg thiab hauv caug.
- Yog tias koj ntsib cov tsos mob no, sab laj nrog kws kho mob thiab kuaj ntshav tas.
Kauj Ruam 3. Ua haujlwm nrog pab kws kho mob
Yog tias koj muaj thrombocytopenia thiab qhov ua rau tsis meej, koj yuav xav tau kev tshuaj xyuas ntxiv. Piv txwv li, kev ua haujlwm tsis zoo ntawm tus po uas lim ntshav platelets tawm ntawm cov ntshav.
- Feem ntau qhov ua rau thrombocytopenia tuaj yeem txheeb xyuas tau thiab qee zaum kev kho mob zoo tshaj yog tos (zoo li thaum cev xeeb tub). Txawm li cas los xij, ib txwm tham nrog kev kho mob zoo tshaj rau koj nrog koj tus kws kho mob.
- Tham txog txoj hauv kev kom nce lossis tsawg kawg tswj qib ntshav platelet nrog pab kws kho mob uas kho koj. Koj qhov xwm txheej tshwj xeeb tuaj yeem muaj txiaj ntsig zoo hauv kev xaiv qhov yog.
- Ib zaug ntxiv, tsis txhob sim nce qib platelet yam tsis muaj kws kho mob saib xyuas.
Kauj Ruam 4. Tau txais kev kho mob raws li xav tau
Thaum nws yog qhov zoo uas tuaj yeem ua kom nce qib platelet ntau ntxiv, thiab feem ntau tsis muaj kev phom sij hauv kev sim, qhov xwm txheej thiab qhov hnyav ntawm koj tus mob yuav xav tau kev kho mob. Cov kev kho mob no suav nrog:
- Kev kho mob rau lwm yam mob. Piv txwv li, hloov heparin nrog lwm cov tshuaj ua kom ntshav qis yog tias qhov no yog qhov ua rau koj mob thrombocytopenia. Koj yuav tsum tsis txhob tso tseg tam sim noj cov tshuaj ua kom ntshav qis uas koj tus kws kho mob tau sau tseg, tshwj xeeb yog tias koj muaj kab mob plawv.
- Kev hloov pauv ntawm cov qe ntshav liab lossis cov qe ntshav kom ncaj qha nce koj cov ntshav platelet ntau ntau.
- Siv cov tshuaj xws li corticosteroids lossis lwm yam tshuaj tiv thaiv kab mob yog tias qhov ua rau muaj kev tiv thaiv kab mob tsis zoo. Koj tus kws kho mob yuav qhia koj tias yuav zam dab tsi vim tias koj yuav kis tau tus kab mob yooj yim dua.
- Kev phais tshem tawm ntawm tus po (splenectomy) yog tias lub luag haujlwm ntawm lub cev no tsis zoo thiab lim cov platelets noj qab nyob zoo los ntawm lub cev.
- Plasmapheresis feem ntau tsuas yog siv thaum muaj mob hnyav ua rau muaj xwm txheej ceev.
Kauj Ruam 5. Sim cais qhov pov thawj tshawb fawb los ntawm kev xav
Muaj ntau qhov chaw uas muaj ntau yam kev xav txog yuav ua li cas nce qib platelet ib txwm muaj. Nkag siab cov ntaub ntawv tsis sib xws no feem ntau tuaj yeem nyuaj. Qhov no yog vim li cas cov kws kho mob yuav tsum koom nrog.
- Piv txwv ntawm kev noj zaub mov noj los ntawm cov koom haum ua lag luam uas tsom mus rau cov teeb meem hauv cov ntshav ntshav kuj tseem txawv ntawm cov txiaj ntsig ntawm kev haus mis, piv txwv. Qhov no qhia ntxiv tias nyuaj npaum li cas los txiav txim cov kauj ruam raug.
- Qhov tseeb, tsis muaj pov thawj tshawb fawb me me los txhawb tias qee yam kev noj zaub mov tuaj yeem ua rau nce qib platelet. Lub caij no, qhov uas ze dua rau kev tshawb fawb qhov tseeb yog qhov hloov kev noj zaub mov tuaj yeem pab tiv thaiv kev txo qis hauv qib platelet.
- Qhov no txhais tau tias koj tsis muaj kev xaiv? Tsis yog tiag. Qhov no txhais tau tias koj yuav tsum nrhiav cov ntaub ntawv ntxaws, teeb tsa kev cia siab, thiab vam khom cov lus qhia thiab kev pab ntawm pab kws kho mob.
Lub tswv yim
- Ua ntej sim cov txheej txheem hauv kab lus no, nco ntsoov nrog koj tus kws kho mob tham ua ntej. Cov kws kho mob yuav tsum tau saib xyuas koj kev noj qab haus huv, tshwj xeeb tshaj yog tias koj kuj raug mob los ntawm lwm yam kab mob uas tuaj yeem cuam tshuam los ntawm kev noj zaub mov zoo lossis hloov pauv kev ua neej. Yog tias koj txoj kev noj qab haus huv tsis zoo, koj yuav xav tau kev kho mob tam sim.
- Ua ntej pib siv qee yam tshuaj, nrhiav cov ntaub ntawv kho mob ywj pheej los txiav txim siab lawv li kev ua tau zoo. Cov pov thawj kho mob suav nrog cov txiaj ntsig ntawm kev sim qhov muag tsis pom kev. Hauv qhov kev sim no, ib nrab ntawm cov ncauj lus tau sim tsuas yog muab cov tshuaj placebo. Xyuas kom tseeb tias cov txiaj ntsig tau tshaj tawm hauv phau ntawv kho mob tshawb fawb.