Thrombocytopenia

Thrombocytopenia o soʻo se faʻaletonu o loʻo i ai le le masani ai maualalo aofaiga o platelet. Platelet o vaega ia o le toto e fesoasoani i le toto e faʻaputuputu. O lenei tulaga e masani ona fesoʻotaʻi ma le le lava toto.

Thrombositopenia e masani ona vaevaeina i 3 sili mafuaʻaga o maualalo peleti:

1. E le lava platelets e faia i le ponaivi suo
2. Faateleina le malepe o peleti i ala toto
3. Faʻateleina le malepe o peleti i le spleen poʻo le ate

Atonu e le lava le faʻatulagaina o lou ivi ponaivi pe a fai e iai se tasi o tulaga nei:

• Anplastic anemia (faʻafitauli e le lava ai sela o le toto i le ponaivi ponaivi)
• Kanesa i le ponaivi ponaivi, pei o leukemia
• Cirrhosis (maʻila maʻila)
• Faʻaletonu faʻaletonu
• Faamaʻi pipisi i le ponaivi ponaivi (seasea lava)
• Myelodysplastic syndrome (ponaivi gaʻo le lava le faia o sela toto pe faia ni masei sela)
• Le lava le Vitamini B12

Faʻaaogaina o nisi vailaʻau mafai foi ona taʻitaʻia ai i le maualalo gaosia o platelet i le ponaivi suo. O le faʻataʻitaʻiga sili ona taatele ole togafitiga ole chemotherapy.

O tulaga faʻalesoifua maloloina nei e mafua ai le faʻateleina o le malepe o peleti:

• Faʻaletonu o polotini e faʻatonutonu ai le faʻaputuputu o le toto ua avea ma mea ola, e masani ona tupu i taimi o se maʻi tuga (DIC)
• Fuafua-faʻaoso maualalo paluga numera
• Faʻalautele pupula
• Faʻaletonu e faʻaleagaina ai e le tino faʻamaʻi tino (platelet) (ITP)
• Faʻaletonu e mafua ai toto toto e fausia i tamaʻi toto toto, mafua ai le maualalo platelet count (TTP)

Atonu e leai sau faʻailoga. Pe e te maua faʻailoga lautele, pei o:

• Toto i le gutu ma pulu
• Manuʻa
• Nosebleeds
• Rash (tumutumu mumu ila e taʻua o le petechiae)

O isi faʻailoga e faʻamoemoe i le mafuaʻaga.

O lau fomaʻi tausi soifua o le a faia se faʻataʻitaʻiga tino ma fesili e uiga i lau soifua maloloina talaʻaga ma faʻailoga. O suʻega ia e ono faia:

• Faitau atoa le toto (CBC)
• Suʻega ole faʻaputuga ole toto (PTT male PT)

O isi suʻega e ono fesoasoani e faʻailoaina ai lenei tulaga e aofia ai le faʻanaunautaʻiga o ponaivi poʻo le biopsy.

Togafitiga faalagolago i le mafuaaga o le tulaga. I nisi tulaga, o le tuʻufaʻatasia o platelets ono manaʻomia e taofi pe puipuia le toto.

O le iʻuga e faʻamoemoe i le faʻamaʻi e mafua ai le maualalo o papamaa.

Toto tele (palapala toto) o le autu faʻalavelave. O le toto e tupu i le faiʻai poʻo le manava o loʻo toto.

Valaʻau lau tautua pe a e aʻafia ile faʻamaligiina ole toto poʻo le papala.

Puipuiga faalagolago i le faapitoa mafuaaga.

Faitauga maualalo ole platelet - thrombocytopenia

Aperamo CS. Thrombocytopenia. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 163.

Arnold DM, Zeller MP, Smith JW, Nazy I. Faʻamaʻi o le platelet number: immune thrombocytopenia, neonatal alloimmune thrombocytopenia, ma posttransfusion purpura. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Faavae Autu ma Faʻataʻitaʻiga. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 131.

Warkentin TE. Thrombocytopenia e mafua mai ile faʻamaʻa ole platelet, hypersplenism, poʻo le hemodilution. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Faavae Autu ma Faʻataʻitaʻiga. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 132.