MPV hauv qhov kev kuaj ntshav yog txhais li cas? MPV: kev txheeb cais

Cov tib neeg cov ntshav muaj ntau lub hlwb txawv (zoo ib yam), thiab tag nrho lawv ua haujlwm. Hauv tsab xov xwm peb yuav tham txog tias MPV txhais tau li cas hauv kev soj ntsuam cov ntshav thiab seb nws yog qhov zoo li cas.

Platelets nyob rau hauv cov ntshav

Platelets yog lub me tshaj cov ntshav. Lawv tsis muaj lub hauv paus, tab sis lawv ua haujlwm tseem ceeb heev. Lawv cov dej num tseem ceeb yog los muab ntshav rau tej yam tawv nqaij thiab rov kho kom zoo dua qub ntawm lub vas sab phab ntsa thaum nws puas lawm. Hauv qhov no, qhov tsim ntawm qee yam tshuaj yeeb dej caw (fibrinogens), hauv qab ntawm cov pa roj carbon monoxide platelets rau hauv daim ntawv. Nyob rau hauv qhov no, lawv muaj peev xwm flatten thiab kua nplaum ua ke thiab nrog rau phab ntsa ntawm cov hlab ntsha puas ntsoog, sib sau ua ib qho thrombus (ib hom cork uas npog qhov chaw puas tsuaj thiab pab nres qhov ntshav).

Lub platelets tshwm sim hauv cov pob txha pob txha, thiab vim yog qhov tseeb tias lawv lub neej tsis pub ntev tshaj 10 hnub, rau kev khiav haujlwm ntawm lub cev nws yuav tsum tau tas li tsim cov qe ntshav tshiab. Yog tias qhov kev sib npaug ntawm cov platelets thiab kev tsim ntawm cov neeg tshiab tuaj yeem cuam tshuam, tus neeg muaj lub siab los ntshav (cov platelets tsawg zuj zus), los yog - kom muaj ntau qhov thrombosis (ntawm cov nqi siab). Cov kev kuaj ntshav txiav txim siab txog cov nqi ntawm cov ntsiab lus hauv ib lim los yog microliter. Cov platelet suav nyob rau hauv ib txwm yog hom twg los ntawm ⁹ mus rau 180h10 320h10 ⁹ / L nyob rau hauv cov neeg laus.

Nruab nrab platelet suav

Indicators uas txiav txim seb lub general ntshav kuaj, hnub no yog sib txawv dog dig los ntawm cov neeg uas tau ob peb xyoos dhau los. Yog li, ntau abbreviations tshwm sim uas tsis to taub los ntawm uninitiated neeg. Ib qho ntawm cov ntsiab lus mysterious no yog MPV hauv kev kuaj ntshav. Nyob rau hauv qhov tseeb, txhua yam yog tsis yog li nyuaj. Nyob rau hauv cov lus luv luv no cov lus taw qhia uas txiav txim siab nruab nrab ntawm cov platelets.

Nyob rau hauv kev twb kev txuas nrog cov neeg mob platelets thiab lawv cov synthesis nyob rau hauv cov ntshav ntawm ib tug neeg, txhua lub sij hawm muaj cov qauv kawm uas muaj ntau theem ntawm lawv lub neej voj voog. Hauv cov ntaub ntawv no, cov hlwb thiab cov laus, nrog rau cov neeg platelets, nws lub neej voj voog nyob ze, tiav tsis tsuas txawv me me thiab nrog rau biologically active tshuaj, tab sis kuj muaj lwm txoj haujlwm. MPV nyob rau hauv kev kuaj ntshav yuav tso cai rau koj los txiav txim seb muaj pes tsawg leeg sib txawv hauv cov ntshav ntawm ib lub sijhawm.

Kev ua tau zoo thaum MPV

Yuav kom txiav txim seb qhov phem platelet ntim nqa zauv ntshav los ntawm ib tug hlab ntsha. Tom qab ntawd, 5 ml yog kuaj los ntawm cytometric fluorescence txoj kev. Cov txiaj ntsig yog ib qho keeb kwm - ib qhov qhia tias MPV hauv kev kuaj ntshav. Tus nqi ntawm qhov ntsuas no nws txawv ntawm qhov ntawm 7 mus rau 11 fL. Daim duab tso cai cia koj kwv yees seb muaj pes tsawg tus neeg platelets sib txawv. Feem ntau, cov ntsiab lus ntawm cov pob txha muaj peev xwm yuav tsum tau 90% ntawm tag nrho cov platelet pawg, cov tub ntxhais hluas - tsis tshaj li 0.8%, degenerative - 0.2%, laus - 5.6%. Nyob rau hauv qhov no, qhov predominance ntawm immature ntsiab hloov lub histogram mus rau sab laug, thiab cov ntsiab lus predominant ntawm lub qub cells yog mus rau sab xis. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias tej yam kev hloov nyob rau hauv lub MPV ntsuas (ntshav tsom xam) seev suab tau yuav qhia hais tias ib tug npaum li cas thiab nyob rau hauv ib txwm tsis tooj ntawm platelets.

Tom ntej no, peb tham txog seb qhov txo qis thiab siab MPV txhais tau licas.

Kev kuaj ntshav: MPV txo qis

Xws li ib daim duab tuaj yeem pom tau yog tias nyob hauv kev kuaj ntshav tawm tsam tus keeb kwm yav dhau los ntawm tus neeg mob platelets lub qhov nruab nrab yog qis dua tus qauv. Qhov no yog tshwm sim los ntawm qhov tseem ceeb ntawm cov keeb kwm ntawm cov keeb kwm yav dhau los ntawm cov histogram. Nyob rau hauv cov ntaub ntawv no, tsis tshua muaj MPV nyob rau hauv lub tsom xam ntawm cov ntshav yuav co tes tias ib tug txaus ntshai lub xeev raws li thrombocytopenia (platelet suav tsawg tshaj li 100x10 ⁹ / L), qhov chaw uas tau uas nws kim heev los ntshav vim tsis ntshav.

Qhov ua rau ntawm tus mob no yuav ua tau cov keeb kwm, cov kab mob ntawm cov ntshav thiab lwm yam kabmob, kev siv cov tshuaj. Hauv kev txhim kho ntawm kev sib kis ntawm thrombocytopenia, nws muaj peb lub ntsiab lus tseem ceeb:

• Txo lossis tsis ua kom tiav ntawm qhov kev sib txuas ntawm cov qe menyuam yaus - qhov no tuaj yeem tshwm sim los ntawm ntau yam kabmob ntawm lub siab, thyroid, anemia, kev qaug cawv los ntawm kev haus cawv thiab lwm yam tshuaj lom, thiab thaum siv qee yam tshuaj muaj yees;
• Yog hais tias platelets tawg sai dua li lawv cov synthesized - nws tuaj yeem ua los ntawm qee yam kev tiv thaiv kab mob (thrombocytopenic purpura), DIC syndrome, ntshav transfusions;
• Kev sib kis ntawm platelet suav faib - nyob hauv lub xeev li qub, yuav luag ib nrab ntawm cov platelets nyob rau hauv ib hom ntawm depot, lub luag hauj lwm uas yog ua los ntawm spleen, nyob rau hauv qee qhov kab mob (tuberculosis, kab mob siab), qhov uas tso cov pa plab hnyuv tso tau 90%.

Cov tsos mob ntawm MPV tsawg kawg

Tus kab mob sympathology nrog accompanies qhov teeb meem thaum MPV nyob rau hauv qhov kev ntsuam xyuas ntshav yog vim ob yam tseem ceeb: kev cuam tshuam hauv cov coagulation mechanisms ntawm cov ntshav thiab cov kab mob muaj zog ntawm cov vascular phab ntsa. Qhov ua tau zoo tshaj qhov no yog tshwm sim los ntawm cov nram no:

• Ntau yam kab mob subcutaneous hemorrhages, feem ntau nyob rau ntawm lub hauv ntej ntawm cov tawv nqaij, lub plab, lub hauv siab;
• Nquag ntshav qhov ntswg;
• Cov poj niam tau ntev thiab kev caij cov poj niam;
• Hemorrhages nyob rau hauv retina ntawm lub qhov muag.

MPV qib nce

Txawm li cas los, muaj tej yam teeb meem thaum qhov kev txiav txim ntawm MPV ntshav (decryption) qhia tau hais tias yog tau siab tshaj qub ntau ntau cov qe ua ntshav khov. Nyob rau hauv tej rooj plaub lawv nqi peev xwm heev tshaj 400h10 ⁹ / l. Qhov mob no yog hu ua thrombocytosis thiab tuaj yeem ua rau muaj kab mob loj heev nrog kev muaj zog ntawm tus kab mob thrombosis. Sib nrauj ntawm tus kab mob thrombocytosis (qhov tshwm sim ntau tshaj qhov siab tshaj plaws ntawm txoj cai ntawm 100-200 000 units) thiab qhov tseem ceeb, thaum qhov ntau tshaj qhov qub nqi ntsuas ob txoj kev kuaj ntshav. MPV tuaj yeem ua kom zoo rau ntau yam, vim li ntawd nws yog ib qho tsim nyog yuav tau ua kev soj ntsuam tob, nrhiav qhov ua rau ntawm tus kab mob thrombocytosis thiab sim tshem tawm.

Vim li cas rau qhov nce hauv MPV

Cov tshuaj noj tam sim no tso cai rau koj txiav txim siab tsis yog qhov nce hauv cov ntshav platelets tag nrho, tab sis kuj yuav tau xyuas seb lawv cov hom kev prevail hauv qhov no. Feem ntau qhov no tseem ceeb rau kev kuaj kab mob. Piv txwv li, tus naj npawb ntawm cov tub ntxhais platelets nce tom qab phais los yog teeb nrog los ntshav los yog ntev ntshav poob. Cov nqi qeeb qis ntawm cov laus hauv plab yeej qhia tau tias yog tus txheej txheem oncological. Cov ntaub ntawv sib txawv nce nrog kev ua txhaum ntawm txoj kev hematopoiesis. Thrombocytosis feem ntau nrog cov nram qab no:

• Exacerbation ntawm cov txheej txheem ntev hauv cov hnyuv, lub cev pob txha;
• Cov kab mob ntshav;
• Kev kho mob phais;
• Oncology;
• Raws li ib cov nyhuv sab ntawm qee cov tshuaj.

MPV ntawm cov menyuam yaus

Feem ntau, cov platelet nruab nrab nyob hauv cov menyuam yaus txawv ntawm cov laus hauv cov hnub nyoog txog li ib xyoos. Tom qab ntawd, cov ntsiab lus ntawm cov ntshav no muaj cov yam ntxwv zoo sib xws, tsis hais txog kev pw ua ke. Raws li deb raws li me nyuam mos cov me nyuam mos, lawv tau siv tau qhov tseem ceeb yog xav kom kev ntsuas pib ntawm 100 mus 400h10 ⁹ / L. Nyob rau hauv kev txiav txim MPV nyob rau hauv lub tsom xam ntawm cov ntshav npaum li cas nyob rau hauv cov me nyuam yog 150-350h10 ⁹ / l li ib xyoos.

MPV hauv kev xeeb tub

Cev xeeb tub yuav tsum tau hais kom tus poj niam hloov tag nrho cov dej num, thiab cov kev hloov no feem ntau cuam tshuam rau lub cev. Qhov yuav tsum tau ua kom muaj qhov ntxiv (lub plhu) ntawm lub voj voog yuav tsum tau nce rau hauv tag nrho cov ntu ntawm cov ntshav. Qhov nruab nrab ib txwm qhov tseem ceeb ntawm platelets nyob rau hauv ib tug cev xeeb tub poj niam yog suav tias yog luv 150-380h10 ⁹ / L. Txawm li cas los xij, kev txawv txav hauv tus mob no yuav ua rau muaj kev rau txim loj. Tias yog vim li cas lub sijhawm tag nrho ntawm lub cev xeeb tub tus poj niam yuav tsum tau ua ntu zus mus kuaj kev sim.

Yog tias cev xeeb tub nrog tus mob toxicosis, ces ntuav thiab lwm cov mob hauv plab hnyuv yuav ua rau lub cev qhuav dej, uas, tig mus, yuav muaj feem xyuam rau qib platelets - nws yuav nce siab. Nyob rau hauv cev xeeb tub ntsuas yuav tsum tsis pub tshaj 400h10 ⁹ / l, txwv tsis pub tej zaum yuav pib pathological dab uas ua rau platelet agglutination thiab tsim ntawm cov ntshav txhaws nyob rau hauv cov hlab ntsha. Nyob rau hauv thaum ntxov ua ntej ntawm xws li pathologies yuav ua rau poob ntawm fetus, thiab tom qab lub sij hawm yog fraught nrog tsos ntawm scots nyob rau hauv lub vessels ntawm ob txhais ceg, nrog los ntawm kev tsim ntawm varicose veins. Yuav kom tsis txhob muaj qhov no, koj tuaj yeem siv tau orthopedic golf.

Tsis pub tsawg txaus ntshai thiab txo platelet theem hauv qab 140h10 ⁹ / l. Hauv cov theem thaum ntxov, qhov no tuaj yeem ua rau muaj kev ntxhov siab thiab txawm tias yuav poob ntawm tus me nyuam hauv plab. Kev tshwm sim ntawm cov keeb thaum muaj menyuam hauv plab yog qhov tshwm sim ntawm lub cev txawm tias tom qab me ntsis kov, cov pos hniav los ntshav, nosebleeds. Nyob rau tom qab ntawd, thrombocytopenia tuaj yeem ua rau cov ntshav poob thaum lub sijhawm yug menyuam thiab los ntshav.

Yog li, qhov nruab nrab qib platelets yog ib qho tseem ceeb ntawm lub xeev ntawm tib neeg lub cev. Nws tso cai rau hauv cov theem thaum ntxov los txiav txim seb puas muaj peev xwm ntawm ib qho kev tawm tsam thiab siv kev ntsuas los tiv thaiv nws.