I-High Platelet Count (Thrombocytosis): Izimpawu, Izimbangela kanye Nokwelashwa

I-high platelet count, noma i-thrombocytosis, kwenzeka lapho umzimba wakho wenza amaplatelet amaningi kakhulu, amangqamuzana egazi amancane asiza igazi lakho ukuba lihlule. Ngenkathi udinga ama-platelet ukuyeka ukuphuma, ukuba neziningi kungabangela izinkinga zempilo ezingathi sína. Lo mhlahlandlela uzohlola ukuthi kungani kwenzeka, izimpawu okufanele uzibheke, ukuthi odokotela bakuxilonga kanjani, nezindlela ezingcono kakhulu zokuyiphatha. Umgomo wethu ukukusiza uqonde futhi ulawule lesi simo ukuze uhlale unempilo futhi ungakhathazeki. 

Izimbangela Zokubalwa Kweplatelet Ephakeme

Kunezimbangela eziningana ezingaba khona zevolumu ephezulu yeplatelet, kufaka phakathi: 

• I-Reactive Thrombocytosis: Lolu uhlobo oluvame kakhulu lwesibalo seplatelet ephezulu, evame ukubangelwa izimo ezifana ukutheleleka, ukuvuvukala, noma ukulimala kwezicubu. Lezi zici zishukumisa umzimba ukuthi ubangele ivolumu ephezulu yeplatelet ukusiza enqubweni yokuphulukisa. 
• I-Essential Thrombocythemia: Lesi yisifo segazi esingavamile, esingamahlalakhona esibonakala ngokukhiqizwa ngokweqile kwamaplatelet ngenxa yanoma yikuphi ukuguqulwa kofuzo ku umkantsha. Imbangela yalesi simo ayikaziwa ngokugcwele.
• I-Myeloproliferative Disorders: Izinhlobo ezithile zomdlavuza wegazi, njenge-polycythemia vera ne-myelofibrosis, zingaholela ekwandeni okungavamile kokukhiqizwa kweplatelet. 
• I-Iron Deficiency Anemia: Kwezinye izimo, ukuntula kwalesi sakhi esincane somsoco kungashukumisa ukukhiqizwa kwamaplatelet engeziwe ukuze kunxeshezelwe isibalo esinciphile samangqamuzana abomvu egazi. 
• I-Spleenectomy: Isihlungi sethu se-spleen futhi sisusa ama-platelet amadala noma awonakele. Ukukhishwa kwe-spleen kungaholela ekukhuphukeni kwenani leplatelet. 
• Imithi: Imithi ethile, njenge imiphumela emibi yokwelashwa ngamakhemikhali ama-ejenti, ngezinye izikhathi angabangela ukwanda kokukhiqizwa kweplatelet njengomphumela omubi. 

Izimpawu ze-High Platelet Count 

Ezimweni eziningi, inani eliphakeme leplatelet alikhiqizi izimpawu eziphawulekayo. Nokho, abanye abantu bangase babe nalokhu okulandelayo: 

• Ubuhlungu bekhanda: Ukwanda kwe-viscosity yegazi ehambisana nokubalwa kweplatelet ephezulu kungaholela ekuphikeleni noma okuphindaphindekayo izinhlungu zekhanda. 
• Isiyezi: Ukubalwa kweplatelet ephezulu kwesinye isikhathi kungabangela izinkinga zokujikeleza kwegazi, okuholela emizweni isiyezi noma ubucwebe. 
• Ukuba ndikindiki noma Ukuluma: Ukwenyuka kwamazinga eplatelet kungaholela ekuphambeni kahle kwegazi, ikakhulukazi emaphethelweni, okubangela ukungabi namandla noma imizwelo elumayo. 
• Ukopha Kakhulu noma Ukulimala: Nakuba ama-platelet aphezulu ngokuvamile ehlotshaniswa nengozi eyengeziwe yamahlule egazi, kwezinye izimo, ama-platelet angase angasebenzi kahle, okuholela ekopheni ngokweqile ngenxa yokusikeka okuncane, ukuphuma kwegazi, ukulimaza kalula, noma ukuphuma emlonyeni noma ezinsinini. 
• Ukungakhululeki Kwesisu: Ukubalwa kweplatelet ephezulu kungabangela i-spleen ekhulisiwe noma ezinye izitho zesisu, ezingabangela ukungakhululeki noma umuzwa wokugcwala. Kubalulekile ukukhumbula ukuthi ukuba khona noma ukungabi khona kwalezi zimpawu ezibalwe ngenhla akubonisi ukuqina kwalesi simo. Ukuhlolwa kwezokwelapha okujwayelekile kanye nokuqapha kubalulekile kubantu abanezibalo eziphezulu zeplatelet. 

Ukuxilongwa kwe-High Platelet Count

Ukuxilongwa kwesibalo esiphezulu seplatelet ngokuvamile kuqala ngokuhlolwa kwegazi okujwayelekile okwaziwa ngokuthi isibalo segazi esiphelele (CBC). Lokhu kuhlola kukala inani lamangqamuzana egazi ahlukahlukene, kuhlanganise nama-platelet. Uma isibalo seplatelet siphakeme, odokotela bangase batuse ukuhlolwa okwengeziwe kokuxilonga, okufana nalokhu: 

• I-Peripheral Blood Smear: Ukuhlolwa kwe-microscopic yesampula yegazi kungasiza ukukhomba usayizi, umumo, nokubukeka kwama-platelet, okunganikeza imikhondo eyengeziwe mayelana nembangela ewumsuka. 
• I-Bone Marrow Aspiration kanye ne-Biopsy: Ngezinye izikhathi, odokotela bangase bakhiphe isampula umkantsha futhi ihlaziye ukuze kutholwe imbangela yesibalo esiphezulu seplatelet, ikakhulukazi uma kusolwa ukuphazamiseka kwegazi okucashile. 
• Ukuhlolwa Kwezakhi Zofuzo: Ukuhlaziywa kwezakhi zofuzo kungenziwa ukuze kuhlonzwe ukuguqulwa kofuzo okuqondile okuhlobene nokuphazamiseka okuthile kwegazi okungaholela ku-thrombocytosis. 
• Ukuhlolwa Kwezithombe: Kuye ngesizathu esisolekayo, odokotela bangase benze ukuhlola okuhlukahlukene kwezithombe, njenge-ultrasound, i-CT scan, noma i-MRI, ukuze bahlole ubende noma ezinye izitho ezithintekayo ngenxa yokubala okuphezulu kweplatelet. 

Ukwelashwa kwe-High Platelet Count

Ukwelashwa kwesibalo esiphezulu se-platelet kuzoncika kumsuka wembangela, ubunzima besimo, kanye nanoma yiziphi izimpawu ezihambisanayo noma izinkinga. 
Izindlela ezijwayelekile zokwelapha i-high platelet count zihlanganisa: 

• Imithi: Odokotela bangase banikeze imithi ethile yokunciphisa ukukhiqizwa kwe-platelet noma ukuthuthukisa ukubhujiswa kwayo. 
• I-Phlebotomy: Kwezinye izimo, inqubo ebizwa ngokuthi i-phlebotomy, ehlanganisa ukukhipha inani elincane legazi, ingenziwa ukuze kwehliswe isibalo seplatelet okwesikhashana. 
• I-Antiplatelet noma i-Anticoagulant Therapy: Kubantu abasengozini enkulu yokugula amahlule igazi, imithi evimbela noma ephula amahlule ingase inqunywe. Ukuqapha kanye Nezinguquko Zendlela Yokuphila: Ukuqapha njalo amazinga e-platelet, ngokushintsha kwendlela yokuphila njengokudla okunempilo, Ukuvivinya, Futhi ukucindezeleka ukuphathwa, kungasiza ukuphatha inani eliphezulu leplatelet. 

Izinkinga ze-High Platelet Count

Nakuba isibalo seplatelet esiphezulu singalawuleka ngokuphumelelayo, kubalulekile ukuqaphela izinkinga ezingase zibe khona uma zishiywa zingalashwanga noma zingalawulwa. Lezi zinkinga zihlanganisa: 

• Amahlule Egazi: Ukwanda kwenani lamaplatelet kungaholela engcupheni ethuthukisiwe yokwakheka kwehlule legazi, okungase kuvimbe imithambo yegazi futhi kubangele izimo eziphuthumayo zezokwelapha, njenge. kokuhlaselwa yisifo senhliziyo, imivimbo, noma i-deep vein thrombosis. 
• Ukopha Nokulimala: Kwezinye izimo, isibalo esiphezulu seplatelet singaholela ngendlela exakayo ekwenyukeni kwegazi kanye nemihuzuko, njengoba amaplatelet angase angasebenzi kahle. 
• I-Splenomegaly: I-spleen ingase ikhulise (i-splenomegaly) ngenxa yomthwalo owandayo wokuhlunga nokukhipha ama-platelet amaningi, okungabangela ukungakhululeki nezinye izinkinga. 
• Ukushintshela kuLeukemia: Ezimweni ezingavamile, izinhlobo ezithile zesibalo seplatelet ephezulu, njenge-thrombocythemia ebalulekile, zingase zithuthukele zibe zimbi kakhulu. umdlavuza wegazi, njenge-acute myeloid leukemia. 
• Izinkinga Zokukhulelwa: Isibalo esiphezulu seplatelet ngesikhathi ukukhulelwa kungandisa amathuba okuba nezinkinga ezihlobene nokukhulelwa, njenge-preeclampsia, ukuphuma kwe-placenta, kanye nomkhawulo wokukhula kombungu. 

Isiphetho

I-high platelet count, noma i-thrombocytosis, yisimo sezokwelapha esidinga ukuqapha nokuphathwa ngokucophelela. Ukuqonda izimbangela eziyinhloko, ukuqaphela izimpawu ezingase zibe khona, nokufuna ukuxilongwa ngesikhathi kanye nokwelashwa okufanele kunganciphisa ingozi yezinkinga ezihlobene. 

Ngokusebenzisana eduze nodokotela, abantu abanezibalo eziphezulu zeplatelet bangathatha izinyathelo ezisheshayo ukuze bagcine amazinga e-platelet abo ebangeni elinempilo, banciphise amathuba okuba nezinkinga zempilo ezingathi sína, futhi bathuthukise inhlalakahle yomuntu iyonke. Ukuqapha okuqhubekayo kanye nohlelo lokwelapha lomuntu siqu lubalulekile ekulawuleni ngempumelelo izibalo eziphezulu zeplatelet kanye nokuqinisekisa izinga elingcono lempilo. 

Imibuzo Evame Ukubuzwa 

1. Iyini imbangela ehamba phambili ye-thrombocytosis? 

Imbangela eyinhloko ye-thrombocytosis, noma i-high platelet count, i-reactive thrombocytosis, engabangelwa ukutheleleka, ukuvuvukala, noma ukulimala kwezicubu. Ezinye izimbangela ezingase zibe khona zihlanganisa i-thrombocythemia ebalulekile, ukuphazamiseka kwegazi okungavamile, kanye nokuphazamiseka okuthile kwe-myeloproliferative. 

2. Ingabe i-thrombocytosis yisimo esibucayi? 

I-Thrombocytosis ingaba yisimo esibucayi, ikakhulukazi uma ishiywe ingalashwa noma ingalawulwa. Ukubalwa kweplatelet ephezulu kwandisa ingozi yokwakheka kwamahlule egazi. Amahlule egazi angaholela ezinkingeni ezisongela ukuphila (ukuhlaselwa yinhliziyo, imivimbo, Futhi i-vein thrombosis ejulile). Kodwa-ke, ubunzima besimo buncike kumbangela kanye nesimo sempilo yomuntu sisonke. 

3. Ingabe i-thrombocytosis iyelapheka? 

Yebo, i-thrombocytosis yisimo eselaphekayo. Indlela yokwelapha incike kumbangela eyinhloko yokubala kweplatelet ephezulu. Ukwelashwa kungase kuhlanganise imithi yokunciphisa ukukhiqizwa kwe-platelet, i-phlebotomy yokwehlisa isibalo se-platelet okwesikhashana, nokuphathwa kwanoma yiziphi izimo eziyisisekelo ezibangela i-thrombocytosis. 

4. Ngingasijwayeza kanjani isibalo seplatelet yami ngokwemvelo? 

Kunezinguquko ezimbalwa zendlela yokuphila ezingasiza ekwenzeni ukubalwa kweplatelet kujwayelekile ngokwemvelo: 

• Yidla izithelo, imifino, nokusanhlamvu njengengxenye yakho Ukudla. Izakhamzimba ekudleni okunempilo zingaba nomthelela ekukhiqizweni kweplatelet enempilo. 
• Ngokuvamile Ukuvivinya noma ukusebenza ngokomzimba kungalawula ukusabela komzimba okuvuvukalayo kanye nokukhiqizwa kweplatelet. 
• Lawula ingcindezi ngokwenza amasu okuphumula, njengokuzindla noma i-yoga, njengoba ukucindezeleka kungaba nomthelela ekwandeni kokukhiqizwa kweplatelet. 
• Qinisekisa ukuthi uthola insimbi eyanele, njengoba iron ukuntula kwesinye isikhathi kungaholela ekwenyukeni kwesinxephezelo kwinani leplatelet. 

Kodwa-ke, kubalulekile ukukhumbula ukuthi amakhambi emvelo ewodwa angase anganeli kubantu abanenkinga yegazi ecashile noma esinye isimo sezempilo esibangela ukubalwa kweplatelet ephezulu. Ezimweni ezinjalo, kubalulekile ukusebenzisana eduze nodokotela ukuze wenze uhlelo olufanele lokwelapha. 

5. Ingabe isibalo seplatelet esiphezulu singadala amahlule egazi? 

Yebo, ukubalwa kweplatelet ephezulu kungandisa ingozi amahlule igazi. Ama-platelet amaningi angaba nomthelela ekwakhekeni kwamahlule, okungavimbela imithambo yegazi futhi kubangele isifo senhliziyo, unhlangothi, kanye ne-DVT (Deep Vein Thrombosis). Abantu abanezibalo eziphezulu zeplatelet bangase badinge imithi ye-antiplatelet noma i-anticoagulant ukuze basize ukunciphisa ingozi yamahlule egazi.