Thrombocytopenia i roto i ngā tamariki: Okú, tohu, Diagnosis, Treatment

He maha rawa ngā tamariki hou mamae mate nui, e maha pēhia ngā ratou whanaketanga. o te tekau tau Just te tokorua i mua, i rongo torutoru iwi o tenei mate, thrombocytopenia, a inaianei kua neke ake te maha e kitea i te reira i roto i whanau hou. Ko te aha te tikanga thrombocytopenia i roto i ngā tamariki e whakaongaonga tona whanaketanga me pehea faaite te reira iho?

Thrombocytopenia aha te mea tenei māuiuitanga?

Thrombocytopenia - Ko he mate rerekē, me te ngaro e taea whakaatu rite tohu suggestive o te tahi atu nui, me te mōrearea mō te māuiuitanga tangata (mate pukupuku, HIV) ranei he mate motuhake tenei. I tua atu, kia whakaatu i te mate ano i roto i te puka o tauhohe mate pāwera ki ahua o te taonga tetahi. Ano hoki, ka taea e tenei mate pā iwi e kino i te waipiro, ki te tiki i te horopeta nui o radiation ranei. I tenei kaupapa, ka taea e tatou e faaoti e thrombocytopenia i roto i ngā tamariki , me te taea te meinga pakeke i ngā take, a anake te tākuta mātanga, me te hou tikanga tātaritanga tukua ki te mohio rite te mea nā ia ahua.

Thrombocytopenia i roto i te tamarikitanga - ko te māuiuitanga, i roto i nei tatau te mōtepe iti, a ratou, i roto i tahuri, he kawenga mō te upoo- o toto. Platelets - platelets he e roto i te ofatiraa o te tapatahi o te mata o te wiwi oko ki te pae o te lesion me te patunga e katia, tu te toto.

He aha pāngia e te ahua o te thrombocytopenia i roto i ngā tamariki?

Nuinga o ngā wā thrombocytopenia i roto i te tamariki, ko te koha congenital, mo te tauira, hei wāhanga o syndromes Bernard - Soulier, Viskota - Aldrich syndrome, Fanconi me etahi atu. Hoki i roto i te tamarikitanga taea tenei mate meinga mahi whakarei o te kōateate - hypersplenism. A katoa no o te meka e ko te tinana te wahi pūtau toto, pau tona wa, te tukurua tenei.

kia tohu tatau mōtepe iti e te tangata he mate pukupuku toto. A, no te tino mutu te hematopoietic wheua wheua tukanga katoa i te wa ano te manawanui ko wāhanga kino, me te tahi atu toto.

whakarōpū o thrombocytopenia

Kei te wehea te mate ki ngā puka e rua:

• Kura Tuatahi - tahi anake i te ahua o te syndrome thrombotic, i he mea motu atu whekau o te mate. Thrombocytopenia te purapura, idiopathic me hemolytic syndrome uremic - te reira puka tuatahi māuiuitanga.
• Tuarua whakakitea rite pōauautanga o te māuiuitanga whakakaupapa, pērā i te HIV, ate cirrhosis kanisā ranei.

Tei runga i ranei tohatoha i te wāhanga ārai o nga take o te thrombocytopenia kore ranei e rua atu ngā puka nei:

• thrombocytopenia ārai - puta i roto i te whakangaromanga tere o platelets i raro i te mana o paturopi. I roto i tenei ahua, ko te pūnaha ārai mate te tangata e kore e mohio ki te platelets e ratou mo te tinana ke ka hua paturopi ki te hunga e e ārai ratou, reira exacerbating me huru na uaua o te manawanui.
• puka Nonimmune kia whakawhanake i roto i te hui o te kino pūkaha ki platelets, reira tino maha puta i roto i tohanga extracorporeal, ranei i mate Marchiafava - Micheli.

Nuinga o ngā wā ko reira thrombocytopenia ārai kitea i roto i ngā tamariki, ka wehe ai ki te maha ngā rōpū.

Rōpū thrombocytopenia ārai

He 4 ngā rōpū matua o te thrombocytopenia ārai:

1. Isoimmune - he puka i roto i nei e ngaro te platelets i te incompatibility o tetahi o nga pūnaha rōpū toto. Kia hoki kia te reira e tika ana ki te kaiwhiwhi huhu ki platelets ke i roto i te aroaro o paturopi ki ranei kătahi o paturopi ki te tamaiti i roto i te kopu o te whaea.
2. Transimmunnaya - puta ka autoantibodies whaea, e mamae i te puka autoimmune, haere i roto i te ewe me te i muri i whanau whakakitea tonu thrombocytopenia i roto i neonates.
3. Geteroimmunnaya - e hāngai ana tenei rōpū e ki rahunga i roto i te hanganga antigenic o platelets, e kua awe e te huaketo te putanga o te ahua hou o te antibody ranei.
4. Autoimmune - he rōpū i roto i nei e hua paturopi ki tetahi o ake ahua o antibody ōnaianei kia.

Ko te aha whakaoho te ahua o te mate, e ai mata ki reira, ki te kahore te take tuku?

Ko te take o te thrombocytopenia

Nuinga o ngā wā e taea te rongo thrombocytopenia i roto i ngā tamariki e taua āhuatanga:

• moni iti o ngā āhuatanga wahi i roto i te tinana.
• Haurangi.
• He urupare kë ki te hua i te ao i waho.
• tukanga Autoimmune i roto i te tinana.
• maha ko tētahi atu māuiuitanga HIV, cirrhosis kanisā ranei.

Otiia e kore e anake te mate, me te pānga o te āhuatanga o waho e taea meinga mate, e taea hoki te whakapataritari reira he rongoā kua whakaritea ki te manawanui.

He aha rongoā taea tīmata te whanaketanga o te thrombocytopenia?

Ka rite ki kua whakaaturia wheako, me pūtaiao rangahau maha, maha thrombocytopenia i roto i nga kohungahunga puta rite ki te hua o te rongoā e whai ake nei ngā rōpū:

• He maha paturopi "Chloramphenicol" sulfonamides ranei.
• Diuretics - "Furosemide" ranei "Hydrochlorothiazide".
• Anticonvulsant "Phenobarbital".
• Antipsychotics - "prochlorperazine" ranei "meprobamate."
• raau taero Antithyroid - "Tiamazol".
• Drugs ki te mate huka - "glibenclamide" me "Glipizide".
• taero Anti-inflammatory - "Indomethacin".

Ko te aha e kia tohu i te tohu e te manawanui e thrombocytopenia?

tohutanga o te mate

Manifest i roto i nga manawanui kia whai rerekē thrombocytopenia, take takitahi me te maimoatanga, te kupu ano, engari atu pinepine atu i te nuinga o te iwi e tino rite nga tohu:

• Pakaruhanga toto i roto i te kiri, me te kiriuhi mucous. whakakitea te reira i roto i te puka o pāti whero rahi iti o. He rawa kite i roto i aua wahi i reira rubs kakahu te nuinga o te tinana ratou. e kore e ēnei wahi meinga mamae tetahi hūhi ranei, e kore e protrude runga ake te mata o te kiri kiriuhi mucous ranei. Ka taea e rānei hei wāhi ka hipokina e ngā wāhi nui. kia hoki e koe te riro me te hue pepe whero, puru puwhero-kōwhai ranei.
• nosebleeds toutou. Nasal mucosa nui tukua ki te toto, a ka he maha nui o tōiti reira i roto i reira. Nā ki nui haere te whakaiti o te hanganga mōtepe capillary fragility, reira tetahi te tihe, whara iti maremare ranei kia whakapataritari toto e taea muri hoki neke atu i te 10 meneti.

• Te toto pae. He tokomaha te iwi i te wa o te paraihe koutou niho puta toto iti, engari i roto i tūroro mate, kei te tino korerotia tenei tohumate i roto i te wāhi atu taepū o nga pae, me pumau roa nui.
• Toto i roto i te kopu, me te paru. whakatika ratou e tika ana ki te fragility o oko toto, a kia ara whakapataritari ratou fariiraa i kai mārō. Ka rite ki te hua, ka taea e toto mai i roto ki te feces.
• Toto i roto i te mimi. puta ana tēnei tohumate no te mea kei te toto e i roto i te mucosa o te tōngāmimi, me te putanga mimi.
• wā nui, me te roa i roto i ngā kōtiro. I roto i te roa noa o te huringa paheketanga ko 3-5 ra, a marama hoki thrombocytopenia kia muri hoki e rua ranei, ara e toru nga wa roa, haunga toto taimaha.
• toto roa i muri niho tangohanga. I roto i tona āhua noa i muri i te 20 meneti, mutu reira, a ki te kitea te manawanui te thrombocytopenia, taea muri i te reira nui roa, a katoa hoki o te meka e te platelets i roto i te tinana, ko te iti, a kore ratou e taea e hohoro akakoromaki i te mahi.

Kaua e wareware ki e taea whai take rawa rerekē o thrombocytopenia. Na tīpakohia takitahi ia maimoatanga. Ka taea e te mate puta me tohu e te hunga āhuatanga o te mate, ki te whakapataritari ia. I te wa o to ratou tātaritanga kia whakaaro.

tikanga tātaritanga

Ki te kite tetahi tākuta kua nga tohu āhuatanga o te mate te manawanui, te mea tuatahi e whakaturia ana e ia a CBC, ki e taea e koe mohio ki te taumata o platelets i roto i te toto. Kia whai whakaaro ki te maha o ngā tohu atu te tinana - pūtau toto whero, me te ma ngā pūtau toto. Ko te whakamāramatanga o te tatau mōtepe me ko te tikanga matua o te tātaritanga o taua mate rite anemia, i roto i te tamariki i raro i te kotahi tau o te tau, me te pakeke.

I tēnei wā, kei te tohutohu iwi katoa ki a HIV ki te koha wā tatau toto. Doctors tūtohu ki te haere tirohanga katoa marama e ono, a ki te tango atu, me te motu atu i te whakamātautau whānui: i runga i te mana ārai , me te kawenga viral.

E 5 āhuatanga matua e pā te whakatinanatanga o tātaritanga:

• Ko te kore o tetahi tohumate i roto i te kōhungahunga.
• Ko te ngaro o tohu o ngā momo tuku o thrombocytopenia.
• Ki te whanaunga asymptomatic.
• glucocorticosteroid miramira i roto i etahi momo o toketaá maimoatanga.
• Ki te taea, te tāutu i paturopi mōtepe.

Otiia me pehea ki te hamani thrombocytopenia i roto i ngā tamariki, he aha ngā tikanga e whai hua? rongoā tuku iho i te e taea te āwhina ki te tātaritanga, a taea ana e ia?

tikanga haumanu mō te thrombocytopenia

maimoatanga manawanui hoki thrombocytopenia ko tika ti'aturi i runga i te mea take i arahina ki tenei māuiuitanga. Anake te tātaritanga tika taea ki te whiriwhiri i tīkina whai hua atu. I teie mahana, tākuta whakamahi rave rahi kōwhiringa maimoatanga:

• Rongoā.
• Surgery.
• tikanga Treatment iwi.

I roto i ētahi wā te whakaora e kore e te mate hiahia, haere atu i te reira. Hei tauira, thrombocytopenia Tuarua, ngawari i roto i te tamariki ki te hekenga iti i roto i kaute mōtepe. I roto i tenei āhuatanga, kia whakahau koutou tākuta ki te manawanui anake huaora matatini me taka mo te whakapakari whānui o te tinana.

Ko nga wahine hapu, e kitea tenei mate, ka whai ratou i te mate e kore e waiho te āwangawanga nui. paopao Women tamaiti, mamae maha i te meka e kua nui ratou heke taumata mōtepe i roto i te toto. I muri i hoatu whanautanga, me etahi, ko te wā hapū, i te taumata o enei pūtau hoki ki noa, kahore tetahi maimoatanga. Kei te whakaaro te thrombocytopenia ārai tino mōrearea, he mea tino nui ki te hamani tika.

Maimoatanga o te thrombocytopenia ārai

whakaaro puka ārai o te mate e tetahi o te nui tino, i roto i te tua, ko ano hoki ia i te noa tino. Whakawhanake māuiuitanga i runga i te whakamārama o te pūnaha ārai mate ngoikore meinga e te meka e ko te tamaiti mate ki te rewharewha, te mahaha ranei he tūroro HIV-huaketo. I tua atu, kia te take o tenei ahua o te mate hei whakahaere haere noa, me te rata o te raau taero.

Haunga puka autoimmune noa ārai, e whakatika hoki i te kore o te pūnaha ārai mate. Hei whakaora i tēnei mate, tino maha tūtohu tango taero immunosuppressive. Hoki, kia whakahau i te tākuta taero glucocorticosteroid, no te mea he reira whakawhetai ki a ratou e nui haere te tatau mōtepe te.

I roto i te wā i reira meinga thrombocytopenia i te taha o te huaketo mate ranei i te wahi tuatahi ki te whakaora i te mate meinga e te hekenga i roto i tatau mōtepe. Pea, i muri i te maimoatanga, hoki katoa ki noa.

aro takitahi, HIV-huaketo tūroro. Na Me tika ngā mātua ki te āta aroturuki rātou hauora me te ki te whai tino tūtohutanga katoa o te tākuta.

I roto i ētahi wā, te maimoatanga o te thrombocytopenia tūtohu pokanga, ara te tango o te kōateate. Ko haere tenei tikanga te ki anake i roto i te wā tino, ki te he te mōrea o toto te manawanui. Ka rite ki whakaaturia, te nuinga o ngā tamariki i muri i te pokanga, ki te tangohia e te reira koutou hua pai.

Otiia tauturu kore rongoā tuku iho anake i roto i te maimoatanga ki te hei tikanga whai hua, me te rongonui.

Ngā tikanga i roto i te maimoatanga o te thrombocytopenia

Maimoatanga o te thrombocytopenia i roto i ngā tamariki ki te rongoā iwi homai hua pai, ngā whakamahi whai hua o te hinu hēhami. regulates te reira i te taumata o platelets i roto i te toto. Te reira i tika te tango i roto i te kai e te 10 karamu ki te toru nga wa o te ra.

Reira e tauturu hoki e whaowhia o verbena. Kei te rite te reira e whai ake: kohuatia 5 g verbena wai, takai i roto i te tauera, ka whakaaetia ki te infuse mō te 30 meneti. Tangohia i te reira i roto i te marama kotahi o te karaihe te ra i roto i nga wahi iti.

Kaua e wareware e pā ana ki āraihia ki te āwhina ki te tiaki ia ratou i te thrombocytopenia.

ārai

Me tautuku te hunga tamariki e kua mate i te haafifi i ki tenei raruraru ranei, ki te mehua ārai:

• A ape i tetahi āhuatanga e taea arahi ki whara.
• Me ki te whakatika i te kai o ngā tamariki ngā mātua.
• Kaua e tangohia "ahipirini" me ētahi atu taero no ki te rōpū o kore-steroidal taero anti-inflammatory.

kia āta aroturuki mau metua te mea ratou tamariki e kai, he aha ngā rongoā ki te whakahau i te tākuta. I te pokapū hauora tae noa ki noa te rata matao penei me kia mōhio o te tātaritanga e wātea ana.

mutunga

Komititanga ake, me mea te reira e anake te haapa'oraa auau o tūtohutanga katoa o te tākuta, taero katoa me āraihia ka āwhina i te tamaiti ki te thrombocytopenia ite pai, me te kore e whakaaro ratou bongana. kia utu mau metua o nga tamariki penei atu whakarongo ki a ratou tamariki, me te tonu ārahi ratou ki te whakamātautau i te tākuta. I roto i te meka, i roto i to tatou whenua, ko te rota taua o tūroro taitamariki, engari kei te ora ratou i te ora tonu, a kore e te mate whakararuraru ia ratou.