Is there any effect of thrombocytopenia in reducing spleen cutting?

Hello! I'm glad to answer my questions, here's the analysis:

When glucocorticoids** are not effective and the age is 2 years old, thrombocytopenic purpura is an indication, and the main complications of splenectomy are abdominal hemorrhage and subdiaphragmatic infection, which is directly related to the doctor's surgical level.

Recommendations:1Conservative**, intersegmental platelet transfusion, safety when the long-term effect is uncertain.

2.Splenectomy can control platelets, but it is risky and depends on the skill level of the chosen doctor.

Personally, I advocate cutting the spleen, but remember to choose a good surgeon.

If you still have any questions, please continue to ask me, and I will do my best to solve your doubts!

Hello! For the time being, it is not recommended to cut the spleen, and it is recommended to combine traditional Chinese and Western medicine**, and the traditional Chinese medicine that cools the blood and detoxifies the blood**Thrombocytopenic purpura has a very good effect.

If all the ** methods have been used, then choose to cut the spleen, because the success rate of spleen removal is not very high, it can be said that there is no way to do it (although it belongs to the second line**). According to your situation, there are many drugs that you have not used in Western medicine, including gamma, immunosuppressants, cyclosporine, rituximab, etc. Moreover, the biggest aspect is that you have not used traditional Chinese medicine, and it has almost no ***, it is best to use a combination of Chinese and Western medicine**.

In addition, a guide: hormones are not resistant, it can only be said that they are not sensitive or ineffective).

Hello! Idiopathic thrombocytopenic purpura is an unknown bleeding disorder, which is characterized by the presence of an antiplatelet antibody in the blood, resulting in excessive platelet destruction and low platelet count and purpura; Megakaryocytes in the bone marrow are normal or increased, and megakaryocytes are degenerated, infantilized, and impaired maturation. Because the pathogenesis of this disease is related to immunity, it is also called primary immune thrombocytopenic purpura.

** of thrombocytopenic purpura**: adrenocorticotropic hormones; gamma globulin in the acute phase; Immunosuppressants** such as vincristine, cyclophosphamide, CSA, etc.; Traditional Chinese Medicine**: Traditional Chinese Medicine often distinguishes the following syndromes:

a. Blood fever delusional type, choose rhino horn rehmannia soup; b. Blood stasis and obstruction type: medicinal safflower, salvia, madder, Chuanxiong, etc.; c. Qi does not take blood type: It is more common for the elderly or those who are weak, and they often use the tonic qi decoction to add or subtract.

Platelet transfusions may be used in critically ill patients; Splenectomy can be performed for patients who have failed to respond to various medical procedures.

Thrombocytopenic purpura is completely possible, but it is easy to repeat, it is recommended that you can use a combination of traditional Chinese and Western medicine**, Chinese medicine has little damage to the body, **after regular review of blood routine, avoid**.

Here we talk about the common confusion of immune thrombocytopenia.

The main function of the spleen is to filter and store blood.

At the same time, the spleen is the largest immune organ in the body.

It accounts for 25% of the total lymphoid tissue in the whole body, contains a large number of lymphocytes and macrophiles, and is the center of the body's cellular immunity and humoral immunity. The spleen is usually not palpable under normal conditions, and if the edge of the spleen can be felt in the supine or right-sided decubitus position, it indicates that the spleen is enlarged.

In order to combat the effects of external or internal negative substances on the human body, humans have evolved to develop immune functions. Once the human body recognizes the bad molecules in the bloodstream, such as various bacteria, viruses, tumors, parasites, etc., it will begin to mobilize the body's immune units to fight. And this main battlefield lies in the spleen.

The basic cause of immune thrombocytopenia is that platelets, which are a normal component of the human body, are mistaken for bad molecules.

The process of this misidentification is very complicated, here is a simple example to illustrate, easy for you to understand, our human body is very intelligent for the identification of foreign bad molecules, first of all, the bad molecule is dismantled into eight pieces, this is a leg, that is an arm, similar to this, and then there are antigen presenting cells, which is equivalent to the police workers who go out of the scene to hand over these arms and legs to B lymphocytes, which is equivalent to the forensic department, let the B lymphocytes of the forensic department go to shoot the ** loss, that is, to make antibodies, and then let the immune cells control** Go attack the bad guys. Then everyone's cutting process for foreign bad molecules is different, a patient with immune thrombocytopenia, his immune cells get **, for example, an arm**, which looks like his own platelets, then, his own platelets suffer. This is the cause of the disease.

After the spleen is removed, the number of antibodies produced by the body's B lymphocytes is significantly reduced, which greatly inhibits humoral immunity, and most of the immune thrombocytopenia, humoral immunity is the main position, **less, the attack of immune cells on platelets is also greatly reduced, so that the disease is controlled. However, the efficacy of spleen resection for immune thrombocytopenia is not 100%, that is to say, the main immune site of some patients with immune thrombocytopenia is not the spleen, and the literature has confirmed that the main parts of platelet destruction in some patients are in the liver and lymph nodes, and the effect of spleen resection in such patients is not good.

Hello: 1. Platelets mainly start to stop bleeding and coagulation function, and if the platelets are too low, there will be the possibility of spontaneous bleeding, and the light ones will have subcutaneous bleeding, that is, purpura or gingival bleeding, nosebleeds, and in severe cases, internal organ bleeding, which is life-threatening.

2. The root cause of this disease is caused by the defect of the human immune mechanism, the onset of the immune system imbalance and disorder, and the disease is also constantly changing, which is also known as immune thrombocytopenia in medicine.

3. Western medicine can generally play a certain role in alleviating the condition, but it cannot achieve the root cause, and the poison is very large.

Western medicine ** program: hormones, C-globulin (immunoglobulin), immunosuppressants, transfusion of component platelets, spleen cutting, all over the country, can generally play a certain role in alleviating the condition, but can not achieve the root cause, and the long-term use of hormones and immunosuppressants is very important to the body, with the reduction or discontinuation of the drug, platelets will still decline.

4. Cutting the spleen is an indication for surgery, if there is no enlargement to the flat umbilicus, it is not recommended to cut the spleen, the operation itself is a trauma to the body, the spleen is the largest immune organ in the human body, after resection will have a great impact on the entire immune system of the body, and it cannot reach the root cause, the rate of cutting the spleen accounts for 60%. Many patients have their spleen removed and then come back to take Chinese herbal medicines**.

5. This disease can be cured mainly through Chinese herbal medicine, but traditional Chinese medicine is found 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 traditional Chinese medicine is very important.

This cannot be generalized, some are effective, and some people have had their spleen removed and still have low platelets.

Hello thrombocytopenia**, spleen resection is an important method, mainly used for glucocorticoids** ineffective or unable to continue taking glucocorticoids, but the effective rate is only about 30%.

Thrombocytopenia is recommended to be combined with traditional Chinese medicine**, which can adjust the body's immune function, inhibit the production of platelet antibodies, and reduce platelet destruction. On average, 42 days after taking the drug, platelets began to rise, and the response rate was reached. It can also stably increase platelets, but it is non-toxic***, and it is not easy to ** after stopping the drug.

Hello, thrombocytopenia is effective in removing the spleen by 20-30%, but if the bleeding is not serious, it is not recommended to cut the spleen as the first choice**, and it is recommended to adjust it in traditional Chinese medicine**.

Platelets are an important component of blood, and blood is mainly controlled by the liver, so it should have little to do with spleen cutting.