Othandiza: mlingo amuna m'magazi

Othandiza - ndi maselo sanali nyukiliya wa mawonekedwe ozungulira ndi awiri a 2-4 microns (micrometer). Izi maselo, kuwonjezera leukocytes ndi maselo othandiza magazi kuundana ndi magazi corpuscles. Iwo akutchedwa othandiza magazi kuundana. Zambiri za m'magazi akupanga okhwima othandiza magazi kuundana - za 87% ya foni awo akale - 4.5% ndipo wamng'ono kapena mwana - 3.2%. kusasitsa nthawi ya maselo othandiza magazi kuundana pafupifupi kumatenga masiku 8. Iwo ali m'magazi 9 mpaka 11 masiku othandiza magazi kuundana.

Ponseponse pa amuna, akazi ndi ana adzakhala yosiyaniranapo. Komanso, malinga ndi zaka munthuyo komanso kusintha. Mu kusanthula ambiri magazi pamodzi ndi leucocytes, hemoglobin, erythrocyte sedimentation mlingo (ESR) ndi chilinganizo leukocytic kumaphatikizapo chizindikiro monga othandiza magazi kuundana. Maselo amenewa mwamuna kuchokera 180 biliyoni 400 pa lita.

Kodi anapanga ndi kuwononga?

Othandiza anapanga maselo lalikulu megakaryocytes, amene pafupi kwathunthu wodzazidwa ndi cytoplasm. Izi maselo yaikulu mafupa. Masana, thupi aumbike 70 zikwi othandiza magazi kuundana watsopano - othandiza magazi kuundana. zidutswa ka megakaryocyte cytoplasm anasiyanitsidwa ndi kulowa m'magazi - anapanga othandiza magazi kuundana. Kenako, maselo amenewa okhwima, kugwira ntchito zawo, ndi 9-11 masiku adzaonongedwa mu ndulu ya. Thupi ili ndi udindo osati zinthu magazi anapanga ndi dongosolo wosweka, overage.

megakaryocyte wina akhoza kupangidwa pamaso pa othandiza magazi kuundana 8000. Pakuti kukula kwa maselo mafupa mu thupi kuyankha timadzi makamaka - thrombopoietin, amene apanga mu chiwindi, impso, ndi minofu chigoba. Kuchokera kumeneko kudzera m'magazi Lifikira wofiira mafupa. Ndipo nthawi mapangidwe megakaryocytes ndi maselo othandiza magazi kuundana. Ndi kuwonjezeka mu maselo othandiza magazi kuundana magazi kumachitika chopinga wa kaphatikizidwe thrombopoietin timadzi.

katundu thupi

Othandiza mbali yofunika kwambiri pa ndondomeko zokhudza thupi. Iwo kuchita ntchito zotsatirazi:

• Koyamba kuti magazi asiye kutuluka.
• Kukhalabe mtima kamvekedwe ndi permeability.
• Zoteteza anachita.
• Pamodzi ndi leukocytes nawo kuchotsa njira yotupa.
• Kusunga magazi m'chigawo madzi.

Koma ambiri anasonyeza ntchito zawo hemostatic. Pamene magazi chotengera chawonongeka reflex kuchepetsa lumen. Othandiza zimavuta ndi kolajeni (coalescence awo amapezeka) ndi magazi aumirira aumbike chimalimbikitsa hemostasis.

Kodi zimakhudza kupatsidwa zinthu za m'mwazi kuwerenga?

Tiyeni tione zimene zimakhudza chizindikiro monga othandiza magazi kuundana. Ponseponse pa amuna ndi pang'ono kuposa akazi ndi ana. Kukwaniritsa kupatsidwa zinthu za m'mwazi, mwa zina, ana ndi akulu omwe anakhudzidwa ndi zaka. Choncho, wakhanda yachibadwa osiyanasiyana othandiza magazi kuundana ndi lonse ndithu ndi ranges 100 mpaka 420 x 10 ⁹ / L (bn / l). kusintha n'logwirizana chakuti mitsempha ya magazi a ana ndi yovuta ndi maselo othandiza magazi kuundana, komanso maselo ena magazi, iwo mwachangu kukhala ndi kufa. Imeneyi kwa chaka.

chiwerengero cha othandiza magazi kuundana m'magazi mwina alili nyengo, kuchuluka pambuyo kwambiri zofuna kukhetsa thukuta ndipo ndi kusinthasintha tsiku.

kupatsidwa zinthu za m'mwazi ponseponse kwa amuna, akazi, ana

Mutidziwe bwino malamulo ndi za amuna, akazi ndi ana, malingana ndi msinkhu akhoza kukhala mu tebulo pansipa.

Magwero ena anasonyeza kuti mlingo wa kupatsidwa zinthu za m'mwazi anthu mpaka 320 x 10 ⁹ / l. Ndi pang'ono chakale deta.

Othandiza: mlingo anthu

Adatchithisira mtengo kungakhale mu kugonana mphamvu pambuyo pa zaka 60. Malinga ndi zaka zina mwa kusanthula ambiri a magawo magazi amatha kusintha. Izi imakhudzanso muyeso umenewu monga othandiza magazi kuundana. Ponseponse anthu opitirira zaka chizindikiro ichi zafotokozeredwa tebulo.

Mu akula, chiwerengero cha othandiza magazi kuundana angakhale pang'ono m'munsi. tebulo limasonyeza bwino imasiyana malingana ndi zaka zingati chizindikiro monga othandiza magazi kuundana. Ponseponse amuna zaka 60 zakubadwa ndi pang'ono yafupika poyerekeza ndi makhalidwe a achinyamata.

Kodi mlingo bwino othandiza magazi kuundana?

The kusanthula ambiri a magazi , pamodzi ndi hemoglobin, leucocytes, erythrocyte mlingo sedimentation ndi leukocyte kuwerengedwa ndi chizindikiro chofunika komanso othandiza magazi kuundana. amuna Normal ndi magazi awo mpaka 400, akazi - mpaka 380 x 10 ⁹ / l. Ngati chithunzi ichi ndi apamwamba, ndiye chikhalidwe wotchedwa thrombocytosis. Zimenezi zingachititse chodziwa magazi clotting. Koma si symptomatically kuwonetseredwa. Nthawi zambiri anaulula ndithu mwangozi - panthawiyo ambiri atayezetsa pamene kuyendera chizolowezi. Thrombocytosis angayambe pansi zinthu zotsatirazi:

• Oncological njira.
• Mielofiboz.
• Matenda yotupa ndondomeko.
• matenda opatsirana.
• The postoperative nthawi.
• Eritromiya (aakulu khansa).
• Pambuyo kuchotsa ndulu (splenectomy).
• Pamene akusowa chitsulo magazi m'thupi.
• Chifukwa cha ntchito nthawi yaitali mankhwala ena, monga corticosteroids.

Onse a zinthu izi zingathe kudzetsa kuenjezera chizindikiro ichi, monga othandiza magazi kuundana. Ponseponse mu magazi a amuna iwo amakhala pang'ono kuposa akazi ndi ana. A kuwonjezeka pang'ono kupatsidwa zinthu za m'mwazi kutheka pambuyo zolimbitsa thupi kwambiri. Izi si kudwala. Titapuma, chithunzi ichi chimabwera kubwerera mwakale. Thrombocytosis ndi pulayimale ndi sekondale.

Pulayimale thrombocytosis Zoyambitsa

Zotsatira yaikulu thrombocytosis matenda a hematopoiesis (mapangidwe ndi kusasitsa wa maselo a mwazi), mafupa maselo tsinde. zifukwa zake zikhoza kukhala:

• Mitundu ina ya magazi m'thupi.
• Eritromiya.
• Matenda myeloid khansa.
• Fibrotic alibe la mafupa (myelofibrosis).
• Idiopathic thrombocythemia, ndi kupatsidwa zinthu za m'mwazi achiyesa akhoza ziwonjezeke kwa 4,000.

Secondary thrombocytosis Zoyambitsa

thrombocytosis Secondary akufotokozera chifukwa cha zinthu pathological (matenda) kuti amasokoneza matupi krovetvoritelnyh. Chifukwa ambiri thrombocytosis sekondale ndi matenda.

zomwe zingayambitse wa thrombocytosis yachiwiri:

• Nyamakazi.
• La misempha (dzina lolondola kwa matenda - pachimake enaake ophwanya malungo).
• Osteomyelitis kapena ndondomeko necrotic mu m'mafupa.
• Anam'peza matenda a m'matumbo.
• matenda aakulu chiwindi, monga matenda enaake.
• TB.
• njira Neoplastic, mwachitsanzo, carcinoma, lymphoma kapena matenda Hodgkin a.
• Large magazi otayika.
• Pachimake hemolysis (chikhalidwe kwambiri yomwe oipa a erythrocytes amapezeka).

Kodi otsika kupatsidwa zinthu za m'mwazi kuwerenga?

Thrombocytopenia - mkhalidwe umene othandiza magazi kuundana magazi ndi kuchepetsedwa. Ponseponse mu amuna ena amanena kupezeka kwa maselo biliyoni 320 pa lita, pamene ena - 400 ndipo m'munsi omangidwa Mulimonsemo kuyambira maselo 180. Kuchepetsa chithunzi ichi ndi kangapo tidzakambirana thrombocytopenia.

Zifukwa zingakhale:

• Opatsirana njira.
• kuvutika zinchito a m'mafupa.
• Mimba ndi kusamba mu akazi.
• Magazi m'thupi zamitundu yosiyanasiyana.
• Leukemias.
• Chibadwa.
• Mavuto zitsulo zolemera.
• Mowa lalikulu zedi.
• Chachikulu magazi.
• Kumwa mankhwala ena (monga mankhwala analgesics, estrogens).

Zolakwika ku kupatsidwa zinthu za m'mwazi mfundo yachibadwa malangizo mwina amafuna kuunika bwinobwino ndi chithandizo cha mankhwala osati kokha, komanso zakudya zoyenera.