زيادة الصفائح

السلام عليكم ورحمة الله وبركاته انا استخدم علاج نفسي وعملت تحليل نخاع وطلع كما هو موضح clinical history: general weakness Tissue origin: bone marrow aspirate and blood peripheral blood: the red cells are normochromic normocytic the white cells show neutrophillic leucocytosis the platelets show the thrombocyt osis with normal sized platelets peripheral blood counts: wbc=13.8 ×10/L nutrophils=65 % lymphocytes = 30% monocytes =4% eosinopils =1% ht =42% platelet =521×10/L Bone Marrow Aspirate: the bone marrow particles are hypercellular.the estimated M:E ratio is 3:1 the erythroid precursors quantatively increased the erythroid maturation is normoblastic.the granulocytic precursors are qunatitatively increased with normal maturation.blasts are not increased.megakaryoctes are quantitively increased.lymphocytes are quantitatively normal. plasma clls are quantitively normal Iron Stain: stainable Iron is present.Ringed sideroblasts are not seen Bone marrow biopsy: recived is a 2.0 cm core biopsy.the biopsy specimen is slightly hypercellular,the cellulrity is 70% .erythroid precusors are quantitatively slightly increased.granulocytic precursors are quantitatively increased. granulocytic maturation is norml. megkaryocytes are quantiatively increased and present in loose clusters but some with hyperlobulated morphology lymphocytes are quantitatively normal .no evdence of fibrosis Diagnosis: Bone marrow, (aspirate and biopsy) and peripheral blood (smear and hemogram): slightly hypercellular bone marrow with trilineage hyperplasia If no secondary casa for thrombocytosis is identified ,and if persistent, the findings are consistent with essential therombocythema وتوقفت عن العلاج النفسي وعملت cbcوكانت النتيجه wbc 11.8 Rbc 5.35 Hgb 13.9 Hct 45.6 Mcv 85.2 Mch 26.0 Mchc 30.5 pLT 564 LY 4.9 MO 1.0 GR 5.9 EO 0.7 RDW 14.8 PCT 0.17 MPV 3.1 PDW 17.8 اتمنى افادتي هل انا مريض ؟ مع العلم اني لا استخدم اي علاج نهائي سو العلاج النفسي وتوقفت عنه طولي 176 وزني 103 عمري 26 عملت تحاليل سكر كسلترول وظائف كبد وظائف كلى صورة نخاع ايكو للقلب سليمه لايوجد لدي ضغط ارجوا افادتي بالحل في سبب ارتفاع الصفائح لاني تعبت منها نفسيا