Low platelets are dangerous, how can low platelets be treated?

The thing you need to do when you have low platelets is to identify what's causing the low platelets.

For example, some low platelets are ITP, or immune thrombocytopenia, and that kind of patient usually has normal white blood cells and normal hemoglobin. If there is anemia, the degree of anemia matches the degree of bleeding, for example, this patient is bleeding and has anemia.

The patient if there is no bleeding there is no anemia, on the monophyletic thrombocytopenia, this is called immune thrombocytopenia. Often the first line of treatment is with hormone therapy, if the hormone therapy is not good, there are other ways to treat.

For example, if it is caused by idiopathic thrombocytopenic purpura, the first choice of therapeutic drug is the application of glucocorticoids, and the response rate can reach 60%-90%. If thrombocytopenia is caused by acute leukemia, systemic chemotherapy should be given;

And if thrombocytopenia is caused by aplastic anemia, immunosuppressants should be given or treatment such as hematopoietic stem cell transplantation should be done.

Additionally, patients with thrombocytopenia should be given symptomatic treatment, especially if the platelets are lower than 20X10^9/L and accompanied by obvious bleeding, such as blood blisters in the mouth, bleeding gums, hematuria, excessive menstruation and so on, platelet transfusion should be given to symptomatic treatment.

There are two reasons for low platelets: first, thrombocytopenia; second, increased platelet destruction. Reduced platelet production, common diseases are aplastic anemia, acute leukemia, severe iron deficiency anemia, severe megaloblastic anemia and so on.

Diseases with increased platelet destruction include immune thrombocytopenic purpura, Irving's syndrome, systemic lupus erythematosus, rheumatoid arthritis, and others.

For diseases with reduced platelet production, such as aplastic anemia, you can take androgens, cyclosporine, or apply anti-lymphocyte globulin, anti-thymocyte globulin, or do allogeneic bone marrow transplantation therapy.

For thrombocytopenia caused by leukemia, it is necessary to combine chemotherapy or do bone marrow transplantation. For thrombocytopenia caused by increased platelet destruction, such as immune thrombocytopenic purpura, the common methods are taking glucocorticoids, splenectomy, splenic embolization and other treatments.