MPV ekuhlalutyeni igazi kuthetha? MPV: Uhlalutyo umbhalo

igazi Human kuquka ezininzi iiseli ezahlukeneyo (izinto kwakhiwa), yaye zonke kwenza imisebenzi ethile. Eli nqaku liza kuthetha ukuba kuthetha ukuthini MPV ekuhlalutyeni igazi nento imigangatho yaso yesiqhelo.

Zegazi egazini

IiPlatelets zincinane egazi. Bona azinayo inucleus, kodwa enze imisebenzi emininzi ebalulekileyo. msebenzi zazo eziphambili kukuba ukudlulisela viscosity ethile igazi abuyisele isidima eludongeni inqanawa xa umonakalo. Xa oku kwenzeka ukuyilwa kwezinto ezithile (lwefibrinogen), phantsi apho zegazi zidluliselwa kwi kwifom esebenzayo. Kule meko, ukuba ufumane ithuba icombuluke, yaye unamathele kunye besa eludongeni benqanawa umonakalo, kusekwe ihlwili (uhlobo lweplagi, leyo ivale indawo onakeleyo kwaye ikhuthaza hemostasis).

owabumba zegazi lwenzeka kwi ngumongo ithambo kwaye ngenxa yokuba ukuba ubomi babo akuntsuku zingaphezu kwe-10 ukuze umsebenzi umzimba eqhelekileyo kudinga rhoqo ukuvelisa iiseli ezintsha. Ukuba ukuzinza phakathi Unxunguphalo ukuyilwa zegazi ezintsha yaphulwe, kukho umkhwa ophela (ukuncipha zegazi count) yomuntu, okanye - sobuchwepheshe thrombus ekwakhiweni (ngamazinga aphezulu). Uvavanyo igazi ligqiba inani corpuscles ilitha okanye microlitre nganye. Le zegazi babale kumaqondo eqhelekileyo ukususela ⁹ ukuya 180h10 320h10 ⁹ / L abadala.

umthamo Mean zegazi

Iimpawu ezibonakalisa uvavanyo lwegazi jikelele, namhlanje zisenokwahluka abo kwiminyaka emininzi eyadlulayo. Ngoko ke, kukho ezininzi izifinyezo ukuba Akukwazi ebantwini uninitiated. Enye yezi lamaxabiso MPV eliyimfihlakalo uvavanyo lwegazi. Enyanisweni, yonke into akunzima. Phantsi kwale abbreviation ifihla nani, emiselwe yi-avareji volume zegazi.

Ngenxa kwixesha elifutshane wobomi zegazi negazi kuyondelelaniswe labo rhoqo oluntu lonke ixesha kukho izinto ezimile okwesitya leyo zikumanqanaba ahlukeneyo lomjikelo wobomi babo. Kule iiseli abatsha abaqolileyo, neeplatelets, umjikelo abakuphila sele ziza kugqitywa, ayahlukanga kuphela ubungakanani kunye Ukwanda kwezinto eziphilayo esebenzayo, kodwa kuwuthwala owakhe umthwalo eyahlukileyo esebenza. MPV kuvavanyo igazi ukuba zingaphi zegazi ezohlukeneyo ngobukhulu usegazini ngalo mzuzu.

amanani Eqhelekileyo MPV

Yokwazi ubuninzi koko zegazi kwenziwa isampulu yegazi ukusuka apho iphuma khona. Emva koko, 5 ml baphande indlela cytometric ezibengezelayo. Ngenxa yoko a ngumbala osetyenziselwa ukuzoba - egopheni ebonisa MPV kuvavanyo lwegazi. Yamihla le index ziyohluka kuluhlu ukususela 7.5 ukuya 11 fl. Chart ikuvumela ukuqikelela inani ziiplatelets ezahlukeneyo ngobukhulu. Umxholo eqhelekileyo iiseli abaqolileyo kufuneka kungene 90% ye zegazi, mfana - hayi ngaphezulu kwe 0.8%, sisiba mandundu - 0.2%, endala - 5.6%. Ngaloo ngakumbi ubukho bezinto iiseli bezingekavuthwa ngokutshintsha lo ngumbala osetyenziselwa ukuzoba kumxholo yasekhohlo kunye preferential of iiseli ezindala - ekunene. Kufuneka kukhunjulwe ukuba utshintsho oluthile izikhombisi MPV iziphumo zokucazulula (analysis igazi) ichonge imali kwaye phantsi inani eziqhelekileyo elililo ziiplatelets.

Okulandelayo, makhe sithethe ngayo kuthetha ntoni ukuba ukwenyuka isehla MPV.

Blood test: MPV .o

Le ndlela inokubonakalisa ukuba uvavanyo igazi kunye zegazi count avareji volume oluqhelekileyo nto kuthiwa ngaphantsi kunesiqhelo. Oku kuboniswa kule ngumbala osetyenziselwa ukuzoba kwayo elibalulekileyo iiseli ezindala. Kulo mzekelo, MPV ephantsi ekuhlalutyeni igazi liya kubonisa ukuba urhulumente ayingozi njengoko thrombocytopenia (zegazi ukubala ngaphantsi kwe 100x10 ⁹ / L), apho kunokwenzeka ukopha kakhulu ngenxa yehle ekunqandeni igazi.

Izinto ezibangela le meko ingaba izinto ilifa, izifo egazini kunye namanye amalungu, ukusetyenziswa amayeza athile. Xa indlela thrombocytopenia amanqaku amathathu aphambili:

• ukuncitshiswa okanye ukumisa Yindibanisela iiseli abaselula - oku kwenzeka xa ezimbi ezahlukeneyo kwesibindi, lengqula, ianemia, ukunxila ezibangelwa butywala okanye ezinye izinto eziyityhefu, kwakunye phezu kokufumana iziyobisi ezithile;
• Ukuba zegazi utshabalale ngokukhawuleza kunokuba kuhlelwe - inokuba sisiphumo ezimbi athile omzimba (purpura thrombocytopenic), zasasazwa coagulation intravascular, igazi;
• distribution zegazi ukungathobeli - ngokwaseburhulumenteni eqhelekileyo, isiqingatha phantse zegazi na uhlobo lwe yokugcina, indima edlalwe yi-udakada, kuzo izifo ezithile (tuberculosis, hepatitis) Inani zegazi ezifakwe uyakwazi ukufikelela 90%.

Iimpawu okufana MPV eliphantsi

Le symptomatology ohamba meko, xa MPV ekuhlalutyeni igazi uvikivwa, ngenxa yezizathu ezibini: kakuhle iindlela igazi ekunqandeni kunye nokwanda permeability beendonga nemithambo. Ubonakala ezi mpawu zilandelayo:

• yokopha multiple ongama, amaxesha amaninzi ibekwe phezu phambi kweqondo, isisu, esifubeni;
• nokopha rhoqo;
• basetyhini sexesheni elide kwaye inzima;
• yokopha semehlo.

MPV kunyuswa

Nangona kunjalo, kukho iimeko apho ukuzimisela MPV igazi (khowudi yasiwa kumbhalo) ibonisa ogqitha imigangatho eqhelekileyo ziiplatelets. Kwezinye iimeko imali yabo ngaphezu kakhulu 400h10 ⁹ / l. Loo nemeko thrombocytosis zezona isihloko kwaye kunokukhokelela kwizifo ezinkulu kakhulu ezinxulumene thrombosis kwalo. Ukwahlula thrombocytosis isihlobo (ukufunda lugqithe ngaphaya umda eliphezulu zesiqhelo 100-200 amawaka. Units) kanti xa kunene amaxabiso eziqhelekileyo kubonisa kabini ICBC. MPV zingaphuculwa ukuze ngenxa yezizathu ezahlukeneyo, ngoko kuyimfuneko ukuba ukuqhuba ngaphezulu olunzulu yoviwo, ukufumana unobangela thrombocytosis kwaye zama ukulungisa oku.

Izizathu ukwandisa MPV

amayeza Modern kwenza kube lula ukufumanisa kuphela ukwanda kwenani lilonke zegazi, kodwa ufumanise ukuba izimvo zabo ngexesha elifanayo kugcwele. Idla kubalulekile ngoxilongo kwezifo. Umzekelo, inani abatsha zegazi landa emva utyando okanye Imiqondiso yophela lwangaphakathi okanye elide ukulahleka igazi. amazinga aphezulu zegazi abadala sithetha inkqubo somhlaza. imilo sisiba mandundu bukhula ukuphazamiseka kwenkqubo hematopoiesis. Thrombocytosis Idla yi lithi zilandelayo:

• exacerbation kweenkqubo ezondeleyo wokugaya, inkqubo skeletal;
• izifo igazi;
• utyando;
• Oncology;
• ibe nempembelelo kwicala iziyobisi ezithile.

MPV kubantwana

Ngokubanzi, inqanaba ngumndilili wenkqubo zegazi ebantwaneni ayahluka kulawo abadala abangaphantsi kweminyaka konyaka omnye kuphela. Emva koko, isiqulatho igazi kwezi zinto uneempawu efanayo, kungakhathaliseki ukuba yindoda. Njengokuba kude iintsana ezisanda kuzalwa, ukuba babe amaxabiso esebenzayo kuthathwa ukuba aqala ku-100 ukuya 400h10 ⁹ / L. Ekumiseleni MPV kwi kuhlalutyo ireyithi igazi abantwana yi 150-350h10 ⁹ / l ukuya kunyaka.

MPV ekukhulelweni

Pregnancy kufuna uhlengahlengiso umzimba umfazi ngayo yonke imisebenzi, yaye ezi nguqu becala kuchaphazela kwegazi. Imfuneko yokwakhiwa eyongezelelweyo (placental) ejikeleza kufuna ukwandisa umthamo wegazi iyonke. Amaxabiso avareji eqhelekileyo zegazi kwi Umfazi okhulelweyo ingqalelo lokuphumla 150-380h10 ⁹ / L. Nangona kunjalo, zikhona izinto eziphambukileyo kwi sisithethe kule meko nemiphumela emibi kakhulu. Kungenxa yokuba ngexesha lonke lokukhulelwa umfazi kufuneka bangenele iimvavanyo rhoqo elebhu.

Ukuba ukukhulelwa ihamba toxemia kakhulu, ukugabha ngoko kunye nezinye izifo wamathumbu kunokukhokelela emzimbeni, nto leyo iya kuchaphazela umgangatho zegazi - uya kuvuka kabukhali. Xa Iimpawu ukukhulelwa mayingagqithi 400h10 ⁹ / l, kungenjalo zingaqalisa iinkqubo zophendlo lwezifo akhokelela zegazi agglutination kunye nokusekwa egazi igazi egazini. Kumanqanaba okuqala ezi zifo kungakhokelela ekulahlekeni yosana olungekazalwa, yaye kamva iresiphi amahlwili egazi izitya imilenze, sikhatshwe uphuhliso imithambo varicose. Ukuze uphephe oku, ungasebenzisa i yegalufa wamathambo.

Hayi amanqanaba zegazi eliyingozi ngaphantsi wayicola ngezantsi 140h10 ⁹ / l. Kumanqanaba okuqala oko kunokubangela ukopha kunye esichengeni Palsy. Zokubonisa thrombocytopenia ngexesha lokukhulelwa inokuba ukugruzuka emzimbeni nasemva kokuba bemchukumisa ezincinane, ukopha iintsini, nokopha. Kwizigaba ezilandelayo thrombocytopenia kungabangela omkhulu ukopha ngexesha yokusiwa kukuvela ukopha ebantwaneni.

Ngenxa yoko, izinga avareji zegazi sisalathisi obalulekileyo isimo umzimba womntu. Yena ivumela ekuseni ukujonga amathuba isenzeko sisifo ethile kwaye ukuba athathe amanyathelo ukuthintela oko.