Ukubaluleka kwe-MPV njengengxenye ye-Complete Count Count (CBC)
Kungenzeka ukuthi ubonile izinhlamvu "i-MPV" njengengxenye yokuhlolwa kwakho kwe- Complete Blood Count (CBC) , ukuhlolwa okusetshenziselwa ukuhlola ukuhlolwa kwezempilo, kanye nokuphathwa kokwelashwa kwemibandela eminingi yezempilo. Ukuhlola kwe-CBC kuhlola amangqamuzana akho abomvu egazi (amangqamuzana athatha i-oksijeni), amaseli egazi amhlophe (amangqamuzana elwa nokutheleleka), namaplatelets (amangqamuzana afaka ama-clot). I-MPV (okusho umthamo we-platelet) isilinganiso sobukhulu obuphakathi kwamaplatelet (thrombocytes), ingxenye yegazi lakho elisiza igazi lakho.
Ku-CBC yakho uzoba nombiko we-count total countlet yakho kanye "nama-platelet indices" njenge-MPV. Uzoqaphela ukuthi kunezikhombisi zesibalo sakho esibomvu segazi kanye nesibalo segazi elimhlophe. Lezi zimpawu zinikeza incazelo enembile kunoma yiziphi izinkinga ngamaseli akho egazi. Eqinisweni, ngezinye izikhathi umuntu angase abe namazinga avamile amangqamuzana egazi, kodwa ukufundwa okungavamile kuma-indices kungabonisa udokotela wakho inkinga. I-MPV iyasiza kakhulu ekunqumeni imbangela ye-thrombocytopenia, isibalo esincane seplatelet, kodwa singaba uvivinyo oluwusizo ngisho noma isibalo sakho seplatelet sijwayelekile.
Kungani ubukhulu bemaplatelet bubalulekile, futhi kusho ukuthini uma i-MPV yakho iphakeme noma iphansi kunebala elijwayelekile? Ake sikhulume ngezimbangela ezikhona ze-MPV ephakeme noma ephansi, nokuthi i-MPV ingasetshenziswa kanjani ukubikezela ingozi kubantu abanezimo ezithile zezokwelapha.
I-Platelet Volume (MPV) ne-Health yakho
Ama-Platelet amaseli anesibopho sokwenza ama-clots.
Kubalulekile ukusivikela ekuphuzeni ngokweqile uma sinqunywa futhi silawula ukungena ngaphakathi emzimbeni wethu. Uma kutholakala isikhumba esikhumbeni sethu noma ngaphakathi emzimbeni wethu, amaplatelets ahlanganiswe ukuxhuma imbobo. Ezinye izici zokugqoka (njengalabo abangekho e-hemophilia) zibizwa kanjalo endaweni yokuvimbela ukuphuma kwegazi.
Ama-platelets akhiqizwa emnothweni wamathambo ngamaseli abizwa ngokuthi i-megakaryocytes. Amaplatelet ngokwawo angamaqabunga e-megakaryocytes, ngaphandle kwe-nuclei, ekhishwe egazini elivela emnkantsheni. Ngokuvamile, amaplatelet amancane amancane kuneplatelet ezindala.
Amazinga avamile wePlatelets ne-MPV
Ekubukeni i-MPV, kubalulekile ukubheka kokubili inani eliphelele lama-platelet ne-MPV.
Uhlobo olujwayelekile lwamaplatelets (lokhu kungahlukahluka phakathi kwamalabhu) ngu-150,000 kuya ku-450,000 nge-milliliter. Ngokuvamile, abantu bangakwazi ukubekezelela amazinga epleletlet kuze kufike ku-50,000 nge-bruising kuphela. Izinga leplatelet elingaphansi kuka-20,000, noma kunjalo, lingasongela ukuphila. Ama-indices e-Platelet afaka:
- I-MPV (ixoxwe lapha).
- I-PDW (ububanzi bokusabalalisa kweplatelet). I-PDW ichaza ukuhlukahluka ngobukhulu bamaplatelet.
Ekunqumeni imbangela ekhona ye-MPV engavamile, kubalulekile ukubuka ukuthi inani leplatelet livamile, eliphakeme noma eliphansi.
Ukulinganiselwa ekuhlolweni / okulungile kwe-MPV
Isinyathelo sokuqala lapho udokotela ebona ukuthi une-MPV engavamile kuyoba ukuhlola ukunemba kwesivivinyo. Uma kubonakala sengathi kube khona iphutha nge-draw yakho yegazi, ukuhlolwa kuzophindwaphindwa.
Ukuhlolwa kwe-CBC kudinga igazi elingenayo igazi (igazi elidonsa ngaphakathi kwipayipi eliqukethe i-anticoagulant ukuze igazi lingagubuli) futhi ngokuvamile lidonsa ithubhu elibomvu.
Uma igazi lidonsa ngaphakathi kwipayipi ngaphandle kwe-anticoagulant, lizovala, linikeze imiphumela engavamile kokubili isibalo seplatelet ne-MPV. Uma udokotela wakho ekholelwa ukuthi kungenzeka ukuthi kwenzeke, esinye isampula sizokhishwa. Abanye abantu badinga igazi labo elidonsa emgqonyeni ohlukile, njengoba amapulletthi abo engase ahlanganise ne-anticoagulant esebenzisa ithubhu eliphezulu elibomvu.
Uma inani le-MPV liphakeme, ibhubhu lizoyihlola ngokuhlukana kwegazi, ukuhlola okubheke izinombolo zezinhlobo ezahlukene zamaseli ezimhlophe ekhona. I-technologist izokwenza futhi ichithe isilayidi segazi lakho futhi uyibuke ngaphansi kwe-microscope ukuze ubone ukuthi ama-platelets ahlangana ndawonye noma uma empeleni unama-platelet amakhulu.
Lokhu kuthiwa, abanye abantu banamaplatelet amakhulu noma amakhulu ngenxa yezimbangela ezingezansi.
Izimbangela ze-High High Platelet Volume (MPV)
I-MPV ephakeme ngokuvamile isibonakaliso sokuthi kunezinhlamvu ezincane ezincane ezijikeleza emzimbeni wakho wegazi. Uma uye nenqubo efana nokuhlinzeka okukhulu, umzimba wakho usebenzisa amaplatelets ukulungisa ukusikeka emithanjeni yegazi. Ekuphenduleni, umnyo wakho wethambo ukhulula ama-platelet amancane, ama-platelet amakhulu, nokuphakama kwe-MPV yakho.
Ukuhlola i-MPV ephezulu kuyasiza kakhulu ekunqumeni imbangela yamanani aseplatelet aphansi , kanti imbangela evame kakhulu "ukubhujiswa," noma amapleletthi abhujiswa ngandlela-thile, njengama-antibodies owakhiqizayo (bheka i-ITP ngezansi).
I-MPV ephezulu ngenani leplatelet eliphakeme , ngokuphambene, livame ukubhekana ne-thrombocytosis eyinhloko noma ebalulekile (isimo lapho umzimba uveza amapulelet amaningi kakhulu, ngokuvamile ngenxa yokuguqula izakhi), noma umdlavuza.
I-MPV ephezulu ngenani leplatelet elijwayelekile liphakamisa izimo ezifana ne-hyperthyroidism, noma i-leukemia engapheliyo i-myelogenous.
Izimo ezingase zenze i-MPV ephakeme ihlanganisa:
- Idiopathic thrombocytopenic purpura (i-ITP): I-ITP yisimiso lapho isimiso somzimba samasosha omzimba sibhubhisa amaplatelet. Isimo se- idiopathic thrombocytopenic purpura sinalo igama elide, kodwa ukubuka ngayinye yemigomo e-ITP kwenza kube lula ukuyiqonda. Idiopathic yigama elisetshenziselwa ukuchaza isimo esingesizathu esingaziwa. Kuyinto yokudokotela kadokotela ngoba "asinayo inkomba" ukuthi kungani kwenzeka. Igama lempande elithi "thrombo" libhekisela ku-clot (umsebenzi weplatelet) kanye ne "penia" ibhekisela ekuswelekeni, ngakho-ke i-thrombocytopenia ibhekisela ekuntulekeni kwamaplatelet. I-Purpura yigama lezokwelapha lokulimaza, ngokuvamile ukulimaza okukhulu. (Igama elithi petechiae libhekisela emanzini amancane abomvu esikhumbeni (izibhamu ezincane) ezingagcini uma ucindezela.)
- Amagciwane egazi njenge-leukemia.
- Isifo sesibindi esingasona utshwala.
- Ukungafani kahle kwezakhi zofuzo emaplatelets.
- I-Bernard-Soulier Disease (i-platelet enkulu ye-platelet syndrome).
- Umnkantsha we-bone ovuselela izidakamizwa, njenge-erythropoietin noma i-thrombopoietin.
- Isifo sikashukela.
- Izifo Zokuphefumula.
- Sepsis.
- Hyperthyroidism.
- Ukuhlasela kwenhliziyo (bheka ngezansi).
- I-pre-eclampsia (i-toxemia yokukhulelwa) ne-HELLP syndrome.
- Ama-valve yenhliziyo yokufakelwa.
Izimbangela zePlatelet Volume Low (MPV)
Izimbangela ezikhona ze-MPV ephansi nazo zingahlukahluka kuye ngokuthi inani leplatelet. I-MPV ephansi ngenani eliphansi leplatelet lingabhekisela ezinkingeni ezithinta umnyofu wethambo elinciphisa noma linciphise ukukhiqizwa kwamaplatelet, afana nesimo esibizwa ngokuthi i- aplastic anemia . I-MPV ephansi nebala eliphakeme leplatelet livame ukukhombisa ukutheleleka, ukuvuvukala noma umdlavuza. I-MPV ephansi nebala elivamile leplatelet livame ukuhluleka kwezinso ezingapheli.
Izimbangela ezikhona ze-MPV ephansi zihlanganisa:
- Ukungaphumeleli komnumzana we-bone (amaplatelets asele asele amancane, ngakho i-MPV iphansi uma umnkantso wesithambo ungakhiqizi abaningi).
- I-Splenomegaly (ukukhuliswa kwesipere). Nge-hypersplenism, amaplatelets ngokuvamile "ahlukaniswa" esitezini.
- Ukuhluleka kwezinso ezingapheli
- Imithi ephazamisa ukwakheka kweplatelet (njengezidakamizwa zamakhemikhali).
- I-Hypothyroidism.
- Ukuntula i-Iron okunempilo.
- I-HIV / AIDS.
Ukuxilongwa
Ukuxilongwa kwe-MPV ephezulu noma ephansi kuzoxhomeka ezintweni eziningi ezifaka isibalo seplatelet, isibalo segazi elibomvu, nesibalo segazi elimhlophe. Isivivinyo somswakama wamathambo singadingeka uma kukhona ukukhathazeka mayelana nomnyofu wethambo okungasebenzi noma ukuthi umdlavuza ungaba khona. Lokhu kusho ukuthi ukuhlolwa kungase kube lula njengokuhlola ukuhlolwa komsebenzi we -roid.
I-MPV ephakeme, i-Heart Disease, ne-Stroke
Eminyakeni yamuva itholakale i-MPV ingasiza ekuhlolisweni kokuqala kwenhliziyo. Ucwaningo lusemncane, kodwa ucatshangwa ukuthi i-MPV ephakeme ingase isho ukuthi ingozi yokuthi umuntu onesifo senhliziyo uzoba nesifo senhliziyo, futhi abikezele ukuhlushwa okuncane kakhulu kulabo ababenokuhlukunyezwa kwe-myocardial. Ngendlela efanayo, i-MPV ephakeme ingase ibe ukubikezela kokushaya, futhi inikeze inkomba kulabo abangase benze kabi ngemva kokushaywa yisifo. Ucwaningo lubheka futhi ukuthi ngabe i-MPV ephakeme ingaba nendima ekubikezeleni ingozi yezindwangu zegazi (ejulile i-vein thrombosis kanye ne-pulmonary emboli), kanye nesifo se-peripheral arterial.
I-MPV Njengomphawu Wokumemezela
Ngaphandle kwendima engenzeka ekubikezelweni kwemiphumela yesifo senhliziyo nesifo sohlangothi, izifundo zitholile ukuthi i-MPV ingaba nendima yokubikezela ezimweni ezifana nobuhlungu be-sepsis ezinsana ezisanda kuzalwa, ukubikezela ngesifo somdlavuza webele, ukuhlukanisa umdlavuza we-ovarian ezifweni ze-benign ovarian , futhi ngisho nasekutholeni i-appendicitis enzima.
I-Bottom Line Platelet Inombhalo Ephansi
Umthamo weplatelet ophakathi (i-MPV) isilinganiso sobukhulu bamaplatelet futhi singadlala indima ebalulekile ekuhloleni izifo ukuthi inani leplatelet liphakeme, liphansi noma livamile. Ngaphezu kokuhlolwa kokuhlola, sifunda ukuthi i-MPV ingakwazi futhi ukudlala indima yokubikezela ezimweni ezinjengezifo zenhliziyo, futhi uma kunjalo, ingakwazi ukuqondisa odokotela ukuthi yiziphi abantu okudingeka zilandelwe eduze noma zithole ngaphezulu ukwelashwa.
> Imithombo:
> Fixter, K., Rabbolini, D., Valecha, B. et al. Amaphesenti ama-Platelet Amamitha Wokukala I-Thrombocytopenia Efa. I-International Journal ye-Laboratory Hematology . 2017 Nov 16. (Epub ngaphambi kokuphrinta).
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Umholi, A., Pereg, D., noMnu Lishner. Ingabe imiqulu ye-Platelet Volume ye-Clinical Use? Ukubukezwa Kwabaningi. Ama-Annal of Medicine . 2012. 44 (8): 805-16.
> Noris, P., Melazzini, F., noC. Balduini. Izindleko ezintsha zePlatelet Inombolo Yokulinganisa Emisebenzini Yomtholampilo? . Platelets . 2016. 27 (7): 607-612.