Ake sikhulume ngezici ezijwayelekile zomumo wamaplatelet egazini labesifazane. Ngokuvamile, amaplatelet adlala indima ebaluleke kakhulu emzimbeni:
- ubukhulu begazi buxhomeke ngobuningi babo;
- banesibopho sokuqinisekisa ukuthi izindonga zezimpahla zizinzile;
- ukondla izindonga zemithambo yegazi;
- qiniseka ukuthi ukugeleza kwegazi emzimbeni kuvamile, ngaphandle kokuphambene.
Uma silimala endaweni ethile, futhi igazi ligeleza, umzimba uqala ukukhiqiza inani elikhuphukile lamaplatelet. Baya egijimeni engxenyeni yezinto ezonakalisiwe, kusukela kuhulumeni ojikelezayo kuya "ezinkanyezini" - ngakho kulula ukubamba. Ama-platelets abamba ndawonye, evimbela ingxenye eyonakalisiwe yemikhumbi, ngaleyo ndlela avimbele igazi ukuba lingaphumi futhi lilondoloze umuntu ekufeni ngenxa yokulahlekelwa igazi. Lena enye yemisebenzi ebaluleke kakhulu yale maseli. Bafana "ne-ambulensi" esebenza emzimbeni.
Iyini isimiso samaplatelets egazini labesifazane?
Uma sikhuluma ngomkhuba wamaplatelet egazini, izinga kufanele lihluke kusuka ku-200 kuya ku-400 000 / μl. Kwabesifazane, ama-indices angase ahluke, isibonelo, ngegazi ngesikhathi sokuya esikhathini. Umthamo wegazi ukwanda, umzimba awukwazi ukuphatha ukukhiqiza amapleletlet ngokwanele, ngakho-ke imali yabo evamile egazini labesifazane ingancipha futhi ihamba kusukela ku-150 kuya ku-400 000 / μl. Kodwa lesi senzakalo singesesikhashana.
Indlela yokunquma ukuthi inani lamaplatelet egazini livamile kubantu besifazane?
Ukunquma umkhuba wamaplatelets egazini labesifazane, futhi hhayi kuphela, kuhlolwa igazi, okuyinto kwezokwelapha kuthiwa i-coagulogram. Kubonisa izinga lokugaya igazi futhi ngokujwayelekile isimo samaplatelets ngokujwayelekile. Ngezinkomba zokuhlaziywa, kungenzeka ukugweba ukuphutha - inani elinciphile noma elanda lamaplatelet. Ukwelashwa kuyadingeka kunoma yikuphi, ngoba ukungajwayelekile kungabangela izifo ezinzima.
Ukuqokwa kwemingcele yesimiso sokugcinwa kwe-thrombocytes egazini labesifazane
Ukuhlaziywa kungaqondwa udokotela kuphela, kodwa kungenzeka ukuthi ufunde ukuthi unquma kanjani ukuthi izibalo zeplatelet zivamile. Yiqiniso, kunezici eziningi ezihlukahlukene ezisegazini, kodwa sizocabangela kuphela lezo ezihlobene namaplatelets. Izilinganiso ze-laboratory zamanani eplatelet zenziwa ezinkomba eziyi-8.
Ake sicabangele ukuthi bangaki emvelweni okufanele baqukathe amapulethi egazini labafazi - ama-indices of thrombocytes:
- I-MPV (ivolumu yeplatelet ekhomba) - ikhombisa ivolumu evamile yamaplatelets - 7-10 fl.
- I-PDW yibubanzi obuhlanganisiwe bokusabalalisa kweplatelet ngevolumu, inkomba okuthiwa i-platelet heterogeneity.
- I-PCT (i-platelet crit) - i-thrombocrit;
- I-PLT (amaplatelets) - ikhombisa inani lamaplatelet.
Ngokusho kwe-platelet count (PLT), umuntu angafunda ngenqubo yokuvuvukala noma ukuphuma kwangaphakathi . Kubalulekile ukwazi ukuthi le nkhomba ingashintsha kuye ngokuthi ngabe ukuhlaziywa kuhanjisiwe:
- Inkomba iphansi ekuseni;
- kusihlwa, ukufundwa okukhulu kakhulu kubonakala phakathi nosuku.
Kungaba kuhle ukuphawula ukuthi isimiso sincike nesigaba seminyaka yabesifazane:
- kusukela eminyakeni engu-16-80 - okujwayelekile kungu-180-320,000 / mkl;
- kusukela eminyakeni engu-18-15 - 180-340,000 / mkl;
- kusukela eminyakeni engu-1-4 - 150-300,000 / mkl;
- kuze kube ngonyaka - 120-300,000 / mkl.
Izinga eliphansi leplatelets lisikisela ukuthi izindonga zezimpahla zibuthakathaka, igazi lingamanzi. Ngesikhathi sokuya esikhathini, abesifazane bayabophala kakhulu.
Uma isibalo seplatelet sikhulu kakhulu, isibonakaliso siba ngaphezu kuka-320 000 / μl. Ngesikhathi esifanayo kunezinsizwa eziningi, isimo siseduze nesifo .
Kubalulekile ukuthi uqaphele ukuthi umzimba wesifazane ungangena ekuhlukumezeni kwenani leplatelet.