MPV mu kusanthula magazi izo zikutanthauza? MPV: mawu olembedwa kusanthula

magazi a anthu chikuphatikizapo kuchuluka kwa maselo osiyana (anapanga zinthu), ndi iwo onse ntchito zina. Nkhaniyi itithandiza kulankhula za tanthauzo MPV mu kusanthula magazi ndi zomwe zimatiyika mwake.

Othandiza magazi

Othandiza ali wamng'ono maselo magazi. Iwo alibe phata, koma ntchito zofunika kwambiri. ntchito yawo yaikulu ndi kuphunzitsa kukhuthala ena a magazi ndi kubwezeretsa umphumphu wa chotengera khoma pamene chimawononga. Pamene izi zimachitika mapangidwe zinthu zina (fibrinogen) umene ndi maselo othandiza magazi kuundana ndi anasamutsidwa mu thupi lithe. Mmenemonso, amapeza luso flatten, ndi kukakamirana pamodzi ndi mpanda wa chotengera owonongeka kupanga nthinthi (a mtundu wa pulagi, amene atseka malo zowonongeka ndi kulimbikitsa hemostasis).

kupatsidwa zinthu za m'mwazi mapangidwe akupezeka m'mafupa ndi chifukwa chakuti moyo wawo si oposa 10 masiku thupi yachibadwa ntchito Pamafunika nthawi zonse popanga maselo atsopano. Ngati bwino pakati m'chiwonongeko ndi mapangidwe othandiza magazi kuundana latsopano wasweka, pali chizolowezi magazi (yafupika kupatsidwa zinthu za m'mwazi achiyesa) mwa anthu, kapena - kuti kwambiri thrombus mapangidwe (pa ziwawa). Kuyesa kwa magazi Mzimuyo chiwerengero cha corpuscles pa lita kapena microlitre. The kupatsidwa zinthu za m'mwazi kuwerenga mu ranges yachibadwa kuchokera ⁹ kwa 180h10 320h10 ⁹ / L akuluakulu.

Zikutanthauza kupatsidwa zinthu za m'mwazi buku

Indicators kuti kudziwa ambiri atayezetsa, lero akusiyanako amene anali zaka zingapo zapitazo. Choncho, pali achidule ambiri omwe zovuta kuzimvetsa kwa anthu sazidziwa bwinobwino. Imodzi mwa mfundo izi ndi zachinsinsi MPV mu magazi. Ndipotu, chirichonse si zovuta. Pansi chidule izi amabisa chithunzi, anatsimikiza mtima pafupifupi kupatsidwa zinthu za m'mwazi buku.

Chifukwa m'kanthawi kochepa moyo wa maselo othandiza magazi kuundana ndi magazi awo nthawi zonse kaphatikizidwe wa anthu nthawi zonse pali mphako zinthu zomwe tili pamisinkhu yosiyanasiyana ya mkombero moyo wawo. Pa achinyamata ndi okhwima izi maselo, ndi maselo othandiza magazi kuundana, amene mkombero ndi yatsala pang'ono kutha, osati amasiyana kukula ndi machulukitsidwe zinthu biologically yogwira, komanso kubala osiyana katundu zinchito. MPV mu magazi kuti adziwe mmene maselo othandiza magazi kuundana zambiri zamitundu yosiyanasiyana ndi mwazi pa mphindi.

mfundo Normal MPV

Kudziwa zikutanthauza kupatsidwa zinthu za m'mwazi buku anagwira zochepa chabe pamalangizo magazi kuchokera mu mtsempha wa. Kenako, 5 ml kufufuza fulorosenti cytometric njira. Chifukwa ndi histogram - ngodya yokhota kusonyeza MPV mu magazi. Wakudziko index n'kosiyanasiyana mu osiyanasiyana kuchokera 7.5 kuti 11 FL. Tchati amalola inu amati chiwerengero cha othandiza magazi kuundana osiyana kakulidwe. The zili zabwinobwino maselo okhwima chiyenera kutenga 90% ya maselo othandiza magazi kuundana, anyamata - osapitirira 0,8%, osachiritsika - 0.2%, akale - 5.6%. Choncho predominance maselo mwana akugwiritsa ndi histogram lamanzere ndi ŵakwenera zili maselo akale - kumanja. Ziyenera adzanyamula kukumbukira kuti musinthe zinthu zina pa MPV zizindikiro (kusanthula magazi) zotsatira decoding akhoza kudziwa kuchuluka ndi pansi yachibadwa chiwerengero mtheradi wa othandiza magazi kuundana.

Tsopano tiyeni tikambirane zimene zikutanthauza kuti ndi kugwa MPV.

atayezetsa: MPV downgraded

chitsanzo zingaoneke ngati magazi ndi wabwinobwino kupatsidwa zinthu za m'mwazi achiyesa mtheradi buku avareji poyerekeza yachibadwa. Izi anawonetseredwa mu histogram kwambiri predominance maselo akale. Pankhaniyi, otsika MPV mu kusanthula magazi chizindikiro kuti boma oopsa monga thrombocytopenia (kupatsidwa zinthu za m'mwazi kuwerenga zosakwana 100x10 ⁹ / L), ngati n'kotheka yaikulu magazi chifukwa utachepa magazi clotting.

Zimayambitsa vuto limeneli akhoza kukhala cholowa zinthu, matenda a magazi ndi ziwalo zina, kugwiritsa ntchito mankhwala ena. Mu njira ya thrombocytopenia mfundo zitatu:

• kuchepetsa kapena kutha kwa kaphatikizidwe wa maselo wamng'ono - izi zingachitike pa pathologies osiyana chiwindi, chithokomiro, kuchepa magazi, kuledzera chifukwa cha mowa kapena mankhwala ena akupha, komanso pa chiphaso cha mankhwala ena;
• Ngati maselo othandiza magazi kuundana anawonongedwa mofulumira kuposa apanga - kungakhale chifukwa cha pathologies zina m'thupi (thrombocytopenic purpura), mwiniwakeyo intravascular coagulation, magazi;
• kuphwanya kupatsidwa zinthu za m'mwazi yogawa - mu chikhalidwe wabwinobwino, pafupifupi theka kupatsidwa zinthu za m'mwazi ali ngati zofikira, ntchito ndi ndulu, mu matenda ena (chifuwa chachikulu, matenda a chiwindi) Chiwerengero cha othandiza magazi kuundana waikamo angafikire 90%.

Zizindikiro lililonse kwa MPV otsika

The symptomatology kuti silipita zinthu, pamene MPV mu kusanthula magazi ndi adatchithisira, chifukwa zinthu ziwiri: chakhungu magazi njira clotting ndi kuchuluka permeability makoma mtima. Umaonekanso mwa zinthu zotsatirazi:

• angapo subcutaneous kukha mwazi nthawi zambiri ili kutsogolo padziko malekezero, pamimba, chifuwa;
• pafupipafupi nosebleeds;
• akazi wautali ndi katundu msambo;
• retinal kukha magazi.

MPV kumatheka

Komabe, pali zochitika zina pamene mtima wa MPV magazi (decryption) chimasonyeza choposa milingo yachibadwa ya maselo othandiza magazi kuundana. Nthawi zina kuchuluka awo akhoza kwambiri upambana 400h10 ⁹ / l. Chikhalidwe chotere cha thrombocytosis ndi mutu ndi kungachititse kuti kudwala kwambiri ndithu kugwirizana ndi thrombosis bwino. Kusiyanitsa thrombocytosis wachibale (kuwerenga kuposa malire chapamwamba yachibadwa pa 100-200 zikwi. Mayunitsi) ndi kudzudzula pamene choposa mfundo yachibadwa limasonyeza kawiri malamulowa. MPV akhoza akweza kwambiri pa zifukwa zosiyanasiyana, choncho m'pofunika kuchita zambiri mu mozama bwinobwino kupeza chifukwa cha thrombocytosis ndi kuyesa kukonza.

Zifukwa kuwonjezeka MPV

mankhwala amakono limachititsa kudziwa osati kuchuluka kwa chiwerengero cha othandiza magazi kuundana magazi, komanso kupeza zomwe maganizo awo pa nthawi yomweyo chogwidwa. Nthawi zambiri n'kofunika oterewa matenda. Mwachitsanzo, chiwerengero cha achinyamata othandiza magazi kuundana kuchuluka pambuyo opaleshoni kapena chizindikiro magazi mkati kapena yaitali kutaika kwa magazi. Mkulu chiwerengero cha othandiza magazi kuundana okalamba akulankhula za ndondomeko khansa. Osachiritsika mawonekedwe kukula matenda a ndondomeko hematopoiesis. Thrombocytosis nthawi zambiri limodzi ndi limati zotsatirazi:

• exacerbation njira aakulu mu kapepala m'mimba, dongosolo chigoba;
• matenda magazi;
• opaleshoni;
• Oncology;
• monga mbali zotsatira za mankhwala ena.

MPV ana

Ambiri, ambiri ntchito mlingo wa maselo othandiza magazi kuundana ana osiyana ndi anthu akuluakulu osakwana zaka chaka chimodzi chokha. Kenako, nkhani mwazi wa zinthu izi ziyenera makhalidwe ofanana, kaya mwamuna kapena mkazi. Monga momwe makanda, iwo ndi mfundo zomveka amati osiyanasiyana monga 100 400h10 ⁹ / L. Mu kudziŵa MPV mu kusanthula mlingo magazi ana ndi 150-350h10 ⁹ / l kwa chaka.

MPV mimba

Mimba amafuna thupi la mkaziyo kusintha ntchito zonse, ndi kusintha kwenikweni bwanji mitsempha ya magazi. Kufunika mapangidwe zina (placental) makope Pamafunika kuwonjezera okwana magazi buku. Wapakati mfundo yachibadwa ya maselo othandiza magazi kuundana ndi mkazi wapakati imatengedwa imeneyi 150-380h10 ⁹ / L. Komabe, zolakwika ku ponseponse mu chikhalidwe ichi kungayambitse mavuto aakulu. Ndicho chifukwa pamene nyengo yonse ya mimba mkazi ayenera kukayezetsa mayesero zasayansi zonse.

Ngati mimba limodzi ndi toxemia kwambiri, ndiye kusanza ndi matenda ena matumbo kungachititse kuti madzi m'thupi lake, limene pamapeto zidzakhudza mlingo kupatsidwa zinthu za m'mwazi - imatuluka zikuchepa. Mu zizindikiro mimba sayenera upambana 400h10 ⁹ / l, mwinamwake angayambe njira pathological zimene zimachititsa kupatsidwa zinthu za m'mwazi agglutination ndi mapangidwe magazi kuundana mu m'magazi. Pa magawo oyambirira a matenda amenewa kungachititse kuti imfa ya mwana wosabadwayo, ndipo kenako ndi Chinsinsi cha magazi kuundana ziwiya miyendo, limodzi ndi chitukuko cha mitsempha varicose. Pofuna kupewa izi, mungathe kugwiritsa ntchito gofu mafupa.

Osati milingo zochepa oopsa ndi kuchepetsedwa kupatsidwa zinthu za m'mwazi pansipa 140h10 ⁹ / l. Mu magawo oyambirira zingayambitse magazi ndipo ngakhale chiopsezo imfa yoopsa. Maonekedwe a thrombocytopenia pa mimba kungakhale kufinya pa thupi ngakhale pambuyo chikunena ang'ono, magazi m'kamwa, nosebleeds. Pamisinkhu kutsogoloku thrombocytopenia zikhoza ataya magazi nthawi yobereka ndi pakutchulidwa magazi ana.

Choncho, mlingo avareji maselo othandiza magazi kuundana ndi chizindikiro zofunika la dziko la thupi. Iye amalola oyambirira kudziwa kuthekera yatsoka matenda makamaka ndi kuchitapo kanthu kuteteza izo.