Ukuhlolwa kokuhlanganiswa kweplatelet

Ukuhlolwa kwegazi lokuhlanganiswa kwegazi kubheka ukuthi amaplatelet, ingxenye yegazi, ahlangana kanjani futhi abangele igazi ukuba lijiye.

Kudingeka isampula yegazi.

Uchwepheshe waselabhoratri uzobheka ukuthi amaplatelet asakazeka kanjani engxenyeni engamanzi yegazi (i-plasma) nokuthi ngabe akha ama-clumps ngemuva kokufakwa kwekhemikhali noma umuthi othile. Lapho ama-platelet ehlangana, isampula yegazi icacile. Umshini ulinganisa ushintsho ebumnyameni bese uprinta irekhodi lemiphumela.

Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela ukuthi uyeke ukuthatha imishanguzo okwesikhashana engathinta imiphumela yokuhlolwa. Qiniseka ukuthi utshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo. Lokhu kufaka phakathi:

• Imithi elwa namagciwane
• Ama-antihistamine
• Izidambisi
• Ama-thinner egazi, njenge-aspirin, enza kube nzima ngegazi ukujiya
• Izidakamizwa zokuvuvukala ezingekho emthethweni (ama-NSAID)
• Izidakamizwa ze-Statin ze-cholesterol

Phinda utshele umhlinzeki wakho nganoma yimaphi amavithamini noma amakhambi owathathayo.

UNGAYEKISI ukuthatha noma imuphi umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulinyazwa. Lokhu maduzane kuyaphela.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zesifo sokopha noma inani eliphansi leplatelet. Kungabuye ku-odwe uma ilungu lomndeni wakho laziwa ukuthi linenkinga yokopha ngenxa yokungasebenzi kweplatelet.

Ukuhlolwa kungasiza ukuxilonga izinkinga ngomsebenzi weplatelet. Kungahle kunqume ukuthi ngabe inkinga ingenxa yezakhi zofuzo zakho, okunye ukuphazamiseka, noma imiphumela emibi yomuthi.

Isikhathi esijwayelekile esithathwa ngama-platelet ukuhlangana sincike emazingeni okushisa, futhi singahluka kuye ngelabhorethri.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezihlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Ukwehla kwe-platelet aggregation kungahle kube ngenxa ye:

• Ukuphazamiseka okuzenzakalelayo okukhiqiza amasosha omzimba alwa nama-platelet
• Imikhiqizo yokwehliswa kwe-Fibrin
• Izinkinga zomsebenzi weplatelet ezuzwe njengefa
• Imithi evimba ukuhlanganiswa kweplatelet
• Izinkinga zomnkantsha wamathambo
• I-Uremia (umphumela wokuhluleka kwezinso)
• Isifo seVon Willebrand (isifo sokopha)

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo iyehluka ngobukhulu ukusuka komunye umuntu iye komunye, futhi kusukela kolunye uhlangothi lomzimba kuye kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Qaphela: Lokhu kuhlolwa kuvame ukwenziwa ngoba umuntu unenkinga yokopha. Ukopha kungaba yingozi kakhulu kulo muntu kunabantu abangenazo izinkinga zokopha.

IChernecky CC, iBerger BJ. Ukuhlanganiswa kweplatelet - igazi; ukuhlanganiswa kweplatelet, isimo se-hypercoagulable - igazi. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2013: 883-885.

UMiller JL, uRao AK. Ukuphazamiseka kweplatelet kanye nesifo se-von Willebrand. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 40.

Ukuhlolwa kwelabhorethri yezifo ze-hemostatic ne-thrombotic. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds.I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 129.