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What about thrombocytopenia**? To solve this problem, you first need to know what causes thrombocytopenia, because **different** methods are different. In general, the following three situations are common in clinical practice:
decreased platelet production, commonly seen in blood disorders such as aplastic anemia and acute leukemia, and after the use of certain chemotherapy drugs, which are often accompanied by anemia and leukopenia; Excessive platelet destruction, most of which is unknown, and some are secondary to autoimmune diseases and the use of certain drugs; Abnormal platelet distribution, common in splenomegaly, etc. I wrote to you that you have been suffering from rheumatoid arthritis for more than 20 years, which is an autoimmune disease that can cause thrombocytopenia by destroying too much. But why is thrombocytopenia only in recent years after more than 20 years of disease?
It seems that the disease alone is not easy to explain, and it may also be related to factors such as medication, especially tripterygium wilfordii, which can cause thrombocytopenia. Therefore, it is recommended that you first go to the hospital for a bone marrow examination to determine the bone marrow's platelet production, if it is not caused by the decrease in production, you can stop Tripterygium wilfordii first, and continue to ** rheumatoid arthritis to observe platelet changes. Generally speaking, drugs such as salvia and notoginseng will not cause thrombocytopenia, but since thrombocytopenia is already available, there is no need to activate blood and dissolve stasis.
It is not known whether it is splenomegaly, and if it is, it should be further examined in the hospital. The normal value of platelets is (100-300) 109 liters, but generally it does not bleed when it reaches about 50 109 liters, and the letter mentions that the platelets are 46 109 liters, which can generally be maintained without bleeding, but it is not possible if cataract surgery is performed. If there is no improvement after about 3 months of observation, and the bone marrow megakaryocytes are not reduced and the spleen is not large, glucocorticoids can be given to the hospital without contraindications to hormone use**, and cataract surgery can be performed after platelet rise, and if you want to have surgery and platelets are still low, you can perform surgery at the same time as continuous platelet suspension.
For refractory thrombocytopenia that is not satisfactory for efficacy, it is necessary to go to the hematology department of the hospital.
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Diet to increase platelets Steamed fresh lotus root Fresh lotus root is washed, the coat peanuts are mashed, combined with sesame seeds and rock sugar into the lotus root holes, steamed at a simmer, and eaten at will. Lotus root is cold and can stop bleeding; Peanuts and sesame seeds nourish blood and can accelerate platelet regeneration. 80 grams of fried leeks with pig's blood leeks (washed), 50 grams of pig's blood, fried with fire, seasoned with salt, and eaten as vegetables.
Leeks invigorate blood, pig blood nourishes blood, so it has a good effect of replenishing blood and dissolving stasis. Steamed purslanePurslane purslane is washed, steamed on rice, and flavored with garlic and sesame oil, and served as a dish. Purslane is cool, can stop bleeding, thrombocytopenia, blood in the stool can be eaten often.
12 grams of black fungus in fungus persimmon soup, 4 persimmons, with decoction, as tea every night. Fungus and persimmon are all cool, can nourish yin, and have the function of eliminating spots and stopping bleeding for thrombocytopenia, ecchymosis and bright red. 50 ml of rice wine Ejiao liquid rice wine, 10 grams of Ejiao, dissolved and drunk, once a day, has the function of activating blood and removing stasis, replenishing blood and stopping bleeding.
40 grams of fresh lamb liver and 15 grams of kelp soup, with the soup, add a small amount of starch, garlic, vinegar, soy sauce to taste, take it every morning, it is more appropriate in winter, it can replenish serum heat and promote platelet growth.
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Causes of low platelets.
1. There are many causes of thrombocytopenia.
2. For example, primary thrombocytopenia is an immune syndrome and a common bleeding disorder. It is characterized by the presence of antiplatelet antibodies in the blood circulation, which destroys excessive platelets; In contrast, megakaryocytes in the bone marrow are normal or increased, and they are infantilized.
3. Secondary thrombocytopenia refers to secondary to a certain disease, which can be secondary to aplastic anemia, hypersplenism, leukemia, systemic lupus erythematosus, and Sjögren's syndrome.
4. Some drugs (such as rifampicin, aspirin, quinine, cephalosporins, digitoxin, etc.), infection, malignant tumors, ionizing radiation and other factors can also cause thrombocytopenia.
5. Chemotherapy is the fastest improving method in cancer in recent years. However, chemotherapy drugs are often unclear and indistinguishable from friend and foe, killing tumor cells and normal cells in the human body at the same time. As a result, chemotherapy may have many toxic effects and adverse effects
These include inhibition of the bone marrow's hematopoietic system, mainly a decrease in white blood cells and platelets. Before each chemotherapy treatment, blood tests should be done, and if the number of white blood cells is less than (3) 109 liters and platelets (50 80) 109 liters, chemotherapy should be temporarily stopped.
6. Prostate cancer bone metastasis can also be thrombocytopenia 7. Western medicine can generally play a certain role in alleviating the condition, but it cannot cure the root cause, and it is very toxic 8. It is recommended to combine Chinese herbal medicine, Chinese medicine can also alleviate the risk of Western medicine, but Chinese medicine is available all over the country, but the best plan of each Chinese medicine expert is different, and the best effect and prognosis that can be achieved are also different, and the first plan of Chinese medicine is very important.
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Do you know the causes of thrombocytopenia? Maybe some people don't even know what thrombocytopenia is. In fact, thrombocytopenia can be caused by a variety of reasons, and experts here introduce you to the main causes of thrombocytopenia.
The main causes of thrombocytopenia are mainly manifested in the following four major points: 1Decreased platelet production:
1) Idiopathic thrombocytopenic purpura, chronic aplastic anemia (CAA) and myelodysplastic syndrome (MDS): some patients can first present with thrombocytopenia, and then other blood cells can be reduced, bone marrow smear and bone marrow biopsy have certain distinguishing significance. (2) Infection:
Occurs in children with acute idiopathic thrombocytopenic purpura. (3) Decreased platelet production after radiotherapy and chemotherapy. 2.
Increased platelet destruction: (1) Caused by autoimmune diseases: such as systemic lupus erythematosus (SLE), rheumatoid arthritis, Evans syndrome, hyperthyroidism, chronic hepatitis, etc., which cause decreased platelet production.
Therefore, screening tests such as antinuclear antibodies and anti-double-stranded DNA antibodies should be routinely performed in patients with suspected ITP, especially young women. (2) Antiphospholipid syndrome: thrombocytopenia can also occur first, and then other manifestations such as antiphospholipid antibody and lupus anticoagulant positive, thromboembolism, and miscarriage may appear.
3) Human immunodeficiency virus (HIV): The associated thrombocytopenic purpura is also mediated by immune mechanisms. Thrombocytopenia can occur at different stages in asymptomatic carriers and in patients with AIDS after HIV infection.
4) Drug-induced thrombocytopenia: it can be divided into direct platelet destruction, myelosuppressive type, and immune thrombocytopenia. Chemotherapy drugs and other drugs that may cause myelosuppression may cause myelosuppression, such as alkylating agents, chloramphenicol, antimetabolites, thiazide diuretics, ethanol, etc.
For example, antipyretic analgesics such as aspirin, indomethacin, paraphrenia, penicillin, cephalosporins, sulfonamides, rifampicin antibacterial drugs and heparin, carbamazepine, phenytoin, valproate and other drugs can cause immune platelet destruction and thrombocytopenia. Usually the onset is more acute and the bleeding is heavier, but most of the bleeding symptoms disappear quickly after stopping the drug, and the hormone ** tends to have a faster onset of action). 3.
Thrombotic thrombocytopenic purpura (TTP): In addition to thrombocytopenia, typical TTP has microangiopathic hemolysis, neuropsychiatric abnormalities, renal insufficiency, and fever. 4.
Decreased platelet production caused by abnormal platelet distribution: For example, hypersplenism, myelofibrosis, liver cirrhosis, etc., resulting in splenomegaly, platelets can be retained in the liver and spleen, and abnormal platelet distribution can cause decreased platelet production. The main reason above is the cause of thrombocytopenia, I hope it will help you.
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The root cause of this disease is the defect of the body's immune mechanism, and the onset of the immune system is caused by the imbalance of the immune system, which is also known as immune thrombocytopenia in medicine.
There are many predisposing factors of the disease, including chemical poisons, radiation, ionizing radiation, injection vaccines, inflammatory virus infections, drugs, overwork, etc.
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The causes of thrombocytopenia can be divided into: (1) Decreased platelet production or ineffective death: including hereditary and acquired, acquired thrombocytopenia is caused by certain factors such as drugs, malignant tumors, infections, ionizing radiation, etc., which damage hematopoietic stem cells or affect their proliferation in the bone marrow.
These factors can affect multiple hematopoietic cell systems, often with varying degrees of anemia, leukopenia, and markedly decreased megakaryocytes in the bone marrow. (2) Excessive platelet destruction: including congenital and acquired.
Acquired platelet destruction overdestruction includes both immune and non-immune. Immune platelet destruction is excessive, common are idiopathic thrombocytopenic purpura, and pharmacological thrombocytopenia. Nonimmune thrombocytopenia destroys too much including infection, disseminated intravascular coagulation, thrombotic thrombocytopenic purpura, etc.
3) Excessive retention of platelets in the spleen: most commonly in hypersplenism.
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Decreased platelet production such as aplastic anemia, megakaryocyte aplasia, bone marrow infiltration, use of chemotherapy drugs, viral infections, folate deficiency, etc.
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There are many causes of thrombocytopenia, and the corresponding ** is different for different patients.
Thrombocytopenia is related to decreased platelet production, and is also caused by hereditary factors such as fanconi anemia, and can also be caused by aplastic anemia, leukemia, viral infection, folic acid deficiency, use of chemotherapy drugs and other acquired factors, which can lead to too little platelet production, resulting in thrombocytopenia; Patients generally have symptoms such as bleeding gums and ** bleeding. Thrombocytopenia is also associated with excessive platelet destruction, such as thrombotic thrombocytopenic purpura, acute respiratory distress syndrome and other non-immune factors, as well as HIV infection, blood transfusions, drugs, immune thrombocytopenic purpura and other immune factors can destroy platelets, and the number of platelet destruction is greater than the number of platelet production, resulting in thrombocytopenia; Patients often present with prolonged wound bleeding. Thrombocytopenia is also related to platelet loss, heavy bleeding, hemodialysis and other conditions can lead to the loss of excessive platelets in the human body, and the overall number of platelets decreases, resulting in thrombocytopenia; Patients may have symptoms such as epistaxis and fatigue.
In addition, hypersplenism, hypothermia and other conditions can also cause abnormal platelet distribution, which can also cause thrombocytopenia; Patients usually have symptoms such as melena and hematuria.
If thrombocytopenia is found, it is best to go to the hospital for further examination in time, and after finding out the cause, give relevant measures for **.
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This is usually caused by antibodies formed by the body (protective biochemicals) attacking the platelets. Certain acute infections are the root cause of the disease. Thrombocytopenia may be caused by taking certain drugs (e.g., sulfonamides, organoarsenic, quinidine, etc.)** other disorders, having too much blood transfused in a short period of time (such as during major surgery), or abnormal bleeding and clotting.
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There are two types of thrombocytopenia: primary thrombocytopenia is primary thrombocytopenic purpura, and secondary thrombocytopenia can be seen in neoplastic diseases, hematopoietic diseases, etc. Aspects should be targeted differently.
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Conditions that can cause secondary thrombocytopenic purpura include drug-induced immune thrombocytopenia; coagulation disorders (e.g., aplastic anemia and myelopathy diseases, physical and chemical factors inhibiting bone marrow, selective factors inhibiting megakaryocytes, congenital megakaryocyte dysproduction); ineffective platelet production; thrombopoietin deficiency; cyclic thrombocytopenia; Thrombocytopenia and infectious thrombocytopenia caused by splenic disease, among others.
At present, there is no good method in Western medicine, mainly hormones and blood transfusion, and long-term medication will also bring great pain and health risks to patients, while traditional Chinese medicine nourishing blood and spleen decoction is based on the ** syndrome differentiation treatment, avoiding forced blood replenishment, but also avoiding the harm of hormones to the body, and the effect is also very significant.
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Disorders that can cause secondary thrombocytopenia and bush purpura include drug-induced immune thrombocytopenia; coagulation disorders (e.g., aplastic anemia and myelopathy diseases, physical and chemical factors inhibiting bone marrow, selective factors inhibiting megakaryocytes, congenital megakaryocyte dysproduction); ineffective platelet production; thrombopoietin deficiency; cyclic thrombocytopenia; Thrombocytopenia and infectious thrombocytopenia caused by splenic disease, among others.
At present, there is no good method in Western medicine, the main type of cherry blossom is hormones and blood transfusion, and long-term medication will also bring great pain and health risks to patients, and the traditional Chinese medicine blood and spleen decoction is based on the ** syndrome differentiation treatment, to avoid forced blood and blood supplementation, but also to avoid the harm of hormones to the body, and the effect is also very significant.
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