What are platelets? What is the problem if platelets decrease? How to increase it.


* What is platelet?

Platelet is the smallest of the three types of blood cells in our body. Cells are produced in the bone marrow. Along with red blood cells and white blood cells, they are one of the components of blood. Platelets, also known as thrombocytes. The main function of platelets is to help blood clot. It plays an important role in stopping the bleeding quickly in case of a cut anywhere in the body.

Platelets are among the first responders at the site of injury when there is a cut or injury anywhere in the body. They adhere to damaged blood vessel walls and release chemical signals to attract more platelets to the wound area. They then combine to form a plug that helps stop the bleeding. This process is essential to prevent excessive bleeding during injury. 

Today, we are going to know What are platelets? What is the problem if platelets decrease? How to increase it etc.

* What are the functions of platelets?

Platelets perform several essential functions in the human body. Primarily concerned with blood clotting and wound healing. In summary, the main functions of platelets are:

Hemostasis: Platelets are crucial for hemostasis. Bleeding stops when blood vessels are damaged in this process. They combine at the site of injury to form a plug that helps seal the wound.

Blood clot formation: Platelets release substances that help form a stable blood clot. They work together with proteins in the blood, such as fibrin, to form a mesh-like structure that traps red blood cells and forms a clot.

Vasoconstriction: Platelets are vasoconstrictors, releasing substances that narrow blood vessels. This contraction helps reduce blood flow to the injured area, also helps in clot formation and reduces bleeding.

Inflammation: Platelets are inflammatory mediators at the site of injury. These substances attract white blood cells to the area and promote an inflammatory response, which is essential for the healing process.

Tissue repair: Platelets secrete platelet-derived growth factor (PDGF) and transforming growth factor-beta (TGF-β), which stimulate cell proliferation and tissue repair and play an important role in healing damaged tissue.

Immune Response: Platelets also participate in immunity by interacting with white blood cells to fight infection and inflammation.

Angiogenesis: Platelets release factors that stimulate the formation of new blood vessels (angiogenesis) in injured tissue, ensuring adequate blood supply for healing.

Homeostasis: Platelets help maintain the balance of coagulation and coagulation in the blood, ensuring that blood clots needed to stop bleeding but do not form inappropriately within intact blood vessels.

Overall, platelets play a central role in maintaining the integrity of the circulatory system, preventing excessive bleeding, and facilitating the healing of damaged tissues. Platelet function disorders or platelet count abnormalities can lead to bleeding disorders or clotting disorders, which can have serious health implications.

How many healthy people have platelets?

A healthy person normally has 150,000 to 450,000 platelets per microliter (μL) of blood. This calculation may vary slightly depending on the reference standards used by the laboratory and experts, but it generally falls within this range.

* What are the causes of decreased platelets?

The human body has a certain level of platelets as discussed above. It can increase or decrease at any time. If it falls below the normal level, it is called thrombocytopenia in medical terms.

Causes of low platelet count or thrombocytopenia include:

First, platelet destruction

Second, insufficient production of platelets.

Significant causes of decreased platelet destruction are:

1. Bone marrow disorders: These conditions can inhibit the production of platelets. Examples include aplastic anemia, myelodysplastic syndromes, and leukemia.

2. Autoimmune disorders: Conditions such as immune thrombocytopenic purpura (ITP) and systemic lupus erythematosus (SLE) can cause the immune system to mistakenly destroy platelets.

3. Viral infections: Some viruses, such as HIV, hepatitis C, and the Epstein-Barr virus, can lower platelet counts.

4. Medications: Some medications, such as chemotherapy, antibiotics, and anticonvulsants, can cause thrombocytopenia as a side effect.

5. Alcohol abuse: Excessive alcohol consumption can damage bone marrow and reduce platelet production.

6. Nutritional deficiencies: Deficiencies in certain nutrients such as vitamin B12 and folate can affect platelet production.

7. Cancer: In addition to leukemia, other types of cancer can invade the bone marrow and reduce platelet production.

8. Hypersplenism: An enlarged spleen (splenomegaly) can prematurely trap and remove platelets from the circulation, resulting in decreased platelet counts.

9. Inherited conditions: Some rare genetic disorders, such as Wiskott-Aldrich syndrome, can lead to low platelet counts.

10. Chemical exposure: Exposure to certain chemicals, such as pesticides and benzene, can affect bone marrow function and decrease platelet production.

11. Pregnancy: Some complications of pregnancy can also cause decreased platelets.

It is important to note that the severity of thrombocytopenia can vary widely but a mild decrease in platelet count may not cause noticeable symptoms. However, severe thrombocytopenia may increase the risk of bleeding and bruising, and such cases may require medical evaluation and treatment.

* What problems can occur if platelets decrease?

Low platelets or thrombocytopenia is not a medical emergency, it is a common occurrence. Do not panic and consult a doctor. That is, the patient will suddenly die of hemorrhage as soon as the platelets are depleted—this is not the case. But if the platelet level drops too low, such as below 10,000, then internal bleeding means there is a fear of bleeding inside the body in the brain, kidneys, heart.

Common problems that occur are:

1. Increased risk of bleeding: The most significant concern with low platelet counts is an increased risk of bleeding. This can be expressed as:

Petechiae: Small red or purple spots on the skin, often seen on the legs.

Ecchymosis: Large bruise.

Nosebleeds: Spontaneous or prolonged nosebleeds.

Bleeding gums: Bleeding gums, especially when brushing teeth.

Heavy Menstrual Bleeding: In women, periods may be unusually heavy.

2. Prolonged Bleeding: Bruises and cuts may take longer to stop bleeding and minor injuries may cause excessive bleeding.

3. Internal bleeding: Thrombocytopenia can cause internal bleeding, which may not be immediately apparent. It can occur in organs such as the gastrointestinal tract, brain or joints and can be life-threatening.

4. Increased risk during surgery: Surgical procedures may pose a higher risk to people with low platelet counts, as they may have difficulty clotting to stop bleeding during and after surgery.

5. Spontaneous Bleeding: In severe cases, spontaneous bleeding may occur without obvious injury or trauma.

6. Intracranial Hemorrhage: A serious complication of thrombocytopenia is bleeding into the brain, which can lead to neurological symptoms and be life-threatening.

7. GI Bleeding: Gastrointestinal bleeding, which may present as black, tarry stools (melena) or bloody vomit (hematemesis).

8. Heavy menstrual bleeding: Women with low platelet counts may experience exceptionally heavy menstrual bleeding (menorrhagia).

9. Blood in the urine: Hematuria, or blood in the urine, can be caused by bleeding from the urinary tract.

10. Excessive bruising: Easy and excessive bruising is common in people with low platelet counts.

If you suspect you have a low platelet count or are experiencing symptoms such as unexplained bruising, bleeding gums, or petechiae (small red or purple spots on the skin), immediate medical attention is essential for diagnosis and appropriate management. Treatment will depend on the underlying cause of the low platelet count.

What to eat to increase platelets?

Along with a doctor's prescription, certain fruits and vegetables can help increase platelets faster. However, there is no specific food or diet list that is scientifically proven to increase platelets. But many people think that eating some special foods can increase platelets. Let's know about those foods:

Papaya: Papaya is useful in dengue as it helps to increase the microcirculation. You can eat papaya juice to increase platelets. You can juice the papaya leaves and drink it. Apart from this, the leaves can also be boiled and eaten.

Broccoli: Broccoli is a great source of the vitamin, which helps increase platelets in the blood. If platelets are rapidly decreasing, then broccoli must be added to the daily diet. It contains antioxidants and beneficial minerals.

Currants: Currants contain various essential nutrients and minerals, which are very effective in providing energy to the body. Currants are very useful in reducing body weakness. Apart from this, it is beneficial for the blood as it is a source of iron. It is very beneficial to keep platelet count normal and cure dengue.

Spinach: Spinach is one of the best sources of iron and omega-3 fatty acids. It increases the immunity of the body. Apart from this, the number of platelets in the body increases.

Dab: Dab water contains minerals or electrolytes, which are very useful in dengue fever. Source: NDTV.

Also orange, lemon juice, almond, water and liquid foods also help to increase platelet count and prevent dengue. In particular, any nutrient-rich liquid food should be eaten more.

* Symptoms of decreased platelet count

How to understand that platelets in your body or blood cells have decreased -

- Fine bleeding can occur from any part of the body which appears in the form of pinpoints.

- Appearance of purple marks on the skin. Because there is bleeding under the skin.

-Excessive bleeding during periods.

- Bleeding from the gums or nose.

- Bleeding with urine or stool.

- Bleeding for a long time if cut anywhere in the body. 

What happens if platelets increase?

Many diseases increase platelets in the blood. Blood clots can then form in the veins or arteries. As a result of which there is a possibility of stroke, heart attack. Blood clots can cause serious complications. This is seriously bad. If the platelet count is more than 900,000, talk to a hematologist and get treatment. However, accidents due to increased platelets are very rare.

Take care yourself. Keep good health.

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