Trombokrit – This is the ratio of the total blood volume that platelets acquire (blood platelets).
The blood platelet thrombocyte (platelet critical, PCT or PCT) is an analogue of the hematocrit (NST), but if the hematocrit is still measured to a certain extent, although approximately, it is possible after spontaneous erythrocyte sedimentation, it is not possible with thrombocritis.
Outside the bloodstream, platelets, which appear on a foreign surface (for example, in a container destined for blood), receive pseudopodia, significantly increase in size (up to 10 times), then join and form aggregates.
This characteristic of platelets makes it difficult to study and store for transfusion (it is necessary to maintain the state of rotation), so in the case of thrombokrit the automatic analyzer is essential.
Thrombokrit, did not receive widespread use.
Why do a trombokrit analysis?
Why determine thrombokrit?
- Determination of the patient’s tendency to increase blood clots or bleeding.
- Thrombocritis can be used to evaluate the risk of possible complications when choosing a prophylactic treatment.
Any doctor should consider the platelet count in the study of the coagulation of his patient’s blood.
In general, platelets are not among the general indicators, and their analysis is carried out only at the request of physicians. This fact is due to the complexity of the thrombocyte analysis technology.
The fact is that platelets are distinguished by a special property: when moving towards “alien” space, they grow almost ten times due to the formation of pseudopodia (false legs). After that, the platelets stick together in aggregates – small particles.
This indicator correlates with the MPV indicator: this is the average platelet volume measured: the higher the MPV indicator, the higher the thrombocyte (PCT) and, consequently, a decrease in the same effect in both indicators.
What is the thrombocyte rate?
In a general analysis of blood, the thrombocyte characterizes the content of platelet mass in whole blood, reporting an unacceptable increase or decrease in platelets in a patient.
If the thrombocyte index is in the range of 0.15 to 0.4, this means that it is normal (different sources indicate other normal values: 0.11 – 0.28, 0.12 – 0.38, 0.12 -0.36 …).
Science does not distinguish the differences between the norm of this indicator in an adult and in babies (that is, if the rate of thrombocritis increases in a child, this is not only due to their age).
Thrombocyte levels decrease or increase proportionally with patients according to age, so it is not necessary to look for differences in children.
Another thing is the physiological fluctuations of platelets:
- Seasonal and daily fluctuations can change the number of plates up to 10%. (depression in the spring and at night) – PCT (thrombokrit) may have a value below the norm or be at the lower limit of the norm.
- Menstruation can reduce the rate of PCT in women by 50%, reduced PCT will be during pregnancy (This phenomenon is associated with the protection of the body against thrombosis).
- Platelets are also subject to physical exertion: perhaps an increase in thrombocritis (the value of the indicator can increase 2 times).
When the thrombocyte rises
The reasons for the increase in the level of thrombocritis are associated with the reaction to the pathology, the stimulation of the platelet outbreak in the blood.
More often, PCT rates rise with:
- Iron deficiency anemia
After splenectomy (this is an operation to remove the spleen), an increase in PCT can last up to 2 months
- Blood diseases associated with the stimulation of the myeloid outbreak (essential thrombocythemia, chronic myeloid leukemia, thrombocytopenic purpura, polycythemia)
- Inflammatory diseases of various etiologies (including fungal infections, bacteria)
- The tuberculosis
- Thyroid hyperfunction
- Virus attack (measles, flu, chicken pox in a child)
Laboratory blood tests
If the growth of this indicator was identified, the patient falls into the risk group due to the risk of development:
- Thrombotic stroke (circulatory disorders of the brain).
- Acute coronary thrombosis With the probability of an outcome in myocardial infarction.
The opportunities to increase blood clots should be considered when:
- Hospital treatment
- Rest in a long bed
- The next operation
Why the thrombocyte goes down
If the thrombocyte index is lowered, then it indicates:
- Increased destruction
- Inhibition of platelet formation by exposure to megakaryoblasts (progenitor cells).
Most times the thrombokrit goes down due to the following reasons:
- Myelodysplastic syndrome
- Anemia (megaloblastic and aplastic)
- Inadequate nutrition of folic acid, when its content for a month and more is kept below the required level
- Allergic diseases
- Lupus erythematosus, as well as other collagen
- The effects of chemotherapy.
- Blood tumors (hemoblastosis, leukemia).
- Exposure to poisonous substances.
- Penetrating radiation
- Negative effects of drugs (antibiotics, cytostatics, corticosteroids, diuretics)
- Chronic renal and hepatic insufficiency.
- Viral infections.
Detected by fetal asphyxia, in low birth weight infants. In the elderly, it has been shown that low thrombocritis is associated with the effects of helminthiasis (parasitic infection).
A dangerous consequence for the life of the patient may be their tendency to bleed, since any injury, even the smallest, can cause more blood loss. Hemorrhage in the brain and other organs may be the most serious manifestation.
Manifestations of changes in the level of thrombokritis.
It is imperative that a doctor prescribe a blood test for thrombocritis if the aforementioned diseases are suspected.
Consider the symptoms that may be associated with a decrease or an increase in the number of platelets.
The patient has:
Impairment of well-being
Additional tests in case of change trombokrit
In order to diagnose the disease it is important to determine the cause of the changes in thrombocyte level. And a complete blood count may not be enough for this.
Taking blood samples
The doctor prescribes the patient:
- Studies of devices using X-rays and ultrasound.
- To check the permeability of the blood vessels, the Doppler examination is shown.
- In case of detection of certain symptoms, MRI of the brain is prescribed.
- If there is suspicion of a blood disease, a puncture of the bone marrow is prescribed.
- A check is made on the accuracy of the blood formation process.
Prophylaxis when thrombocritis changes.
If the thrombocyte is elevated, the doctor prescribes:
Its reception is necessary to reduce the risk of vascular thrombosis.
The duration of the course and the dose is determined by the attending physician. Regardless to increase the dose or stop taking it can not.
You should consult your doctor about the advisability of taking hormonal contraceptives and the need for diuretics (diuretics).
The patient is recommended:
Give up smoking
- Give up alcoholic beverages.
- Drink filtered clean water in an amount of not less than two liters / day.
- The daily ration should include:
- The tomatoes
- Vegetable linseed oil
- Fruits and berries
- The meat
- Buckwheat groats
- Dairy products
- The seafood
- Lentil Porridge
- Pomegranates and mango fruits
- The drinks with chokeberry.
When the thrombocyte level in the diet is reduced, it should include:
- Vegetables and fruits
- Make sure you eat fish or meat dishes every day.
- Fresh juices with viburnum, blueberries, sea buckthorn.
It is not recommended to use products that contain acetic acid and preservatives. The task is also harmful to the body.
It is necessary to exclude all types of allergens (citrus, honey, eggs, chocolate).
In order to preserve the thrombocritis to the patient, it is recommended that
- Reduce the possibility of minor injuries.
- Limit physical activity.
- Organize the dream and rest in sufficient quantities.
- Reject vaccines
The specific need for a course of treatment when changing the thrombocyte is determined by the physician. If the listed symptoms were found, you can not self-medicate.
Common folk remedies are more likely to harm than help.
After spending time selecting the “best” method of treatment, the patient loses the possibility of using the minimum doses of necessary medications, which worsens the prognosis.