Xinjiraha: heerka dadka loogu dhiigga

Xinjiraha - a unugyada non-nuclear ee qaab spherical ballaciisu yahay ee 2-4 microns (micrometer). Kuwani unugyada, marka lagu daro leukocytes iyo platelets waa corpuscles dhiigga. Waxay yihiin yeedhay platelets. bulk ee dhiiga ka kooban platelets baaluq - oo ku saabsan 87% ka mid ah unugyada jirka - 4.5% oo yar ama qaan - 3.2%. muddada koriinkedu of platelets celcelis ahaan waxay qaadataa 8 maalmood. Waxay waxaa laga helaa dhiiga of 9 ilaa 11 maalmood platelets.

caadi ah, waayo, ragga, haweenka iyo caruurta ay noqon doontaa wax yar ka duwan. Intaa waxaa dheer, iyadoo ku xiran da'da qofka waxaa sidoo kale la beddelo. In falanqaynta dhiig guud oo ay la socdaan leucocytes, hemoglobin, heerka Kimikada erythrocyte (ESR) iyo caanaha leukocytic ka mid ah tilmaame sida platelets. unugyadan lab ee caadiga ah waa 180 ilaa 400 bilyan on litir.

Xaggee loo sameeyay oo la dilo?

Platelets loo sameeyay unugyo badan oo megakaryocytes, kuwaas oo ku dhawaad gebi ahaanba buuxiyey cytoplasm. Tani unugyada Rafaa ee dhuuxa lafaha. Inta lagu jiro maalintii, jirka waxaa la aasaasay oo ku saabsan 70 kun platelets cusub - platelets. Goosimo yar oo cytoplasm megakaryocyte kala soocan yihiin iyo galaan dhiigga - platelets sameeyay. Ka dibna, unugyadan hagaagaan, fuliyaan hawlaha ay, iyo in 9-11 maalmood waa la wada baabbi'iyey ee beeryarada. jirka Tani waxay masuul ka tahay ka saarida ee xubno dhiig sameeyay qaab ka jabay, da'da weyn.

Mid ka mid ah megakaryocyte la abuuri karaa ka hor 8000 platelets. Waayo, horumarinta unugyada dhuuxa ah ee jirka ku jawaabaan hormone gaar ah - thrombopoietin, kaas oo uu ku dhexsameeysmo beerka, kelyaha, iyo muruqa lafaha. From waxaa jira dhiiga ay geleyso dhuuxa lafta cas. Oo waxaa dejisa formation of megakaryocytes iyo platelets. Iyada oo la kordhiyo platelets dhiig dhacdaa Iscelin of Avv hormone thrombopoietin.

guryaha nafsaaniga ah

Platelets ka ciyaaraan door muhiim ah geedi socodka nafsaaniga ah. Waxay ku fuliyo hawlahan soo socda:

• dhiig-stop bilowga ah.
• Joogtaynta midab vascular iyo permeability.
• reaction Ilaalin.
• Wada jir ah ula leukocytes ku lug baabi'inta geedi socodka bararka.
• Joogtaynta dhiig ee gobolka dareere ah.

Laakiin ugu muujiyey sida ay u shaqeeyaan hemostatic. Marka xididada dhiigga waxaa burburay reflex gaabiso Lumen ah. Xinjiraha lalana xiriiro collagen (ay coalescence dhacdaa) iyo xinjir dhiig ah waxaa la aasaasay taas oo kor u hemostasis.

Maxaa saamayn ku dhiig xinjirowga ku tirisaan?

Ina keena aynu u ogaato waxa saamayn ku tilmaame sida platelets. caadi ah waayo, nimankii waa wax yar ka badan yahay in haweenka iyo caruurta. On dacwadood dhiig xinjirowga, iyo waxyaabo kale, in carruurta iyo dadka waaweyn ee ay da'doodu u saameeyeen. Sidaas darteed, kala duwan ee dhasha caadiga ah ee platelets waa arrin ballaaran oo u dhaxeysa 100 ilaa 420 x 10 ⁹ / L (xoreynta / l). kala duwanaanshaha waxay la xidhiidhaa xaqiiqada ah in nidaamka wareegga dhiigga ee dhallaanka waa mid aad u deganayn iyo platelets, iyo sidoo kale unugyada kale ee dhiiga, waxay si firfircoon horumarinta iyo dhiman. Tani waxay sii ilaa hal sano.

Tirada platelets in dhiigga laga yaabaa in ay bed-xilliyeedka, oo kordhay ka dib markii dhibta jidhka u daran oo ay leeyihiin isbedbedelka maalin kasta.

caadi dhiig xinjirowga sameeya, waayo, rag, dumar, caruur

u baro sharciyada in rag, haween iyo carruur, ku xiran da'da noqon kartaa jadwalka hoose.

Ilo Qaar ka mid ah ayaa tilmaamay in heerka of dhiig xinjirowga sameeya ragga ilaa 320 x 10 ⁹ / l. Waa xogta dhacsan yara.

Xinjiraha: heerka ragga

Hoos u qiimaha laga yaabaa in jinsi xoog 60 sano ka dib. Iyada oo ku xidhan da'da qaar ka mid ah falanqaynta guud ee beegyada uu dhiig laga yaabaa in la beddelo. Tani waxay sidoo kale khuseysaa qiyaas noocan oo kale ah, sida platelets. iska caadi ah in raga ka weyn ee u dhimaya nabadgelyada this waxaa ku cad miiska.

In qaangaarnimada, tirada platelets noqon karaan wax yar ka hooseeya. Jadwalkan waxa uu si cad u muujinaysaa sida ay kala duwan tahay kuna xiran tahay da'da ah tilmaame heerka sida platelets. iska caadi ah in nin 60 sano jir wax yar hoos u marka la barbar dhigo qiimaha ee dadka dhalinyarada ah.

Waa maxay macnaha heerka sii kordhaya ee platelets?

The falanqaynta guud ee dhiigga , oo ay la socdaan hemoglobin, leucocytes, heerka Kimikada erythrocyte iyo count leukocyte waa tilmaame muhiim ah, iyo platelets. nin caadi ah leeyihiin in ay dhiig ilaa 400, haweenka - ilaa 380 x 10 ⁹ / l. Haddii tiradaasi waa inta ka sareeya, ka dibna xaalad la yiraahdo thrombocytosis. Waxay keeni kartaa korodhka xinjirowga dhiigga. Laakiin ma uusan symptomatically muujiyey. Inta badan xad shaaca ka qaaday by shil - waqti tijaabo dhiig guud inta lagu guda jiro kormeerka joogtada ah. Thrombocytosis dhici kara hoos shuruudaha soo socda:

• geeddi socodka Oncological.
• Mielofiboz.
• geeddi socodka bararka Chronic.
• cudurrada faafa.
• Muddada postoperative.
• Eritromiya (leukemia chronic).
• Ka dib saarista beeryarada (splenectomy).
• Marka dhiig yaraanta birta.
• Sidaas darteed isticmaalka sii dheerayn daawooyinka qaarkood, sida corticosteroids.

Dhammaan xaaladahan waa keeni kartaa kororka ee tilmaamahan, sida platelets. iska caadi ah in dhiiggii nimankan ay sida caadiga ah waa wax yar ka badan yihiin haween iyo carruur. korodhka A yar ee dhiig xinjirowga ka dib jimicsiga degdeg ah. Tani ma aha cudurada a. Ka dib markii nasasho, tiradaasi yimaado dib u caadi ah. Thrombocytosis waa hoose iyo kuwa sare.

Sababaha thrombocytosis Primary

Natiijada thrombocytosis hoose ka cudurada of hematopoiesis (formation iyo koriinkedu of unugyada dhiigga), unugyada asliga ah ee dhuuxa lafaha. Sababaha waxay noqon kartaa:

• Qaar ka mid ah dhiig-yaraan.
• Eritromiya.
• leukemia myeloid Chronic.
• xumaanshaha Fibrotic ee dhuuxa lafta (myelofibrosis).
• thrombocythemia Idiopathic, dhiig xinjirowga ku kordhin kara in 4,000.

Sababaha thrombocytosis Secondary

thrombocytosis Secondary horumarisa oo sabab u ah xaaladaha bahal (cudurada) in hakad meydadka krovetvoritelnyh. Sababta ugu badan ee thrombocytosis sare waa infakshan.

sababaha suuragalka ah ee thrombocytosis sare:

• Rheumatoid arthritis.
• Ruumatiisimka (magaca saxda ah ee cudurka this - qandho rheumatic ba'an).
• Osteomyelitis ama habka necrotic dhuuxa lafta.
• colitis Ulcerative.
• cudurrada beerka oo daran, sida cirrhosis.
• Tuberculosis.
• geeddi socodka Neoplastic, tus, carcinoma, lymphoma ama cudurka Hodgkin.
• Dhiig bax ballaaran.
• hemolysis Ba'an (xaalad aad u daran, taas oo suuska ee erythrocytes dhacdaa).

Waa maxay dhiig xinjirowga hooseeyo tirin?

Torombositobiiniya - xaalad taas oo platelets dhiig la yareeyo. iska caadi ah in nin ee ilaha qaar ka mid ah la heli karo ilaa 320 bilyan oo unugyada halkii litir, halka kuwo kale - 400, oo hoose xidhxidhan kiis kasta laga bilaabo 180 unugyada. Yaraynta tirada this waa dhowr jeer waxaa loo tixgelin doonaa Torombositobiiniya.

Sababaha waxaa laga yaabaa:

• geeddi socodka faafa.
• aan caadi ahayn Functional ee dhuuxa lafta.
• Uurka iyo caadada dumarka.
• Dhiig noocyo kala duwan ah.
• Leukemias.
• Hiddo.
• The waxyeellada daran ee macdanaha culus.
• Alcohol ee u tiro badan.
• dhiig u ballaaran.
• Qaadashada daawooyinka qaarkood (sida antibiotics, analgesics, estrogens).

Duwanaanta ka qiyamka dhiig xinjirowga caadiga ah jihada midkood u baahan tahay baaritaan taxadar badan iyo daaweyn daroogada ma aha oo kaliya, laakiin sidoo kale cuntada ku habboon.