Isikrini se-B ne-T

Isikrini se-B ne-T yisivivinyo se-laboratory ukuthola inani lamaseli we-T no-B (ama-lymphocyte) egazini.

Kudingeka isampula yegazi.

Igazi lingatholwa nangesampula le-capillary (umunwe noma isithende ezinganeni).

Ngemuva kokuthi igazi likhishwe, lihamba ngenqubo yezinyathelo ezimbili. Okokuqala, ama-lymphocyte ahlukaniswe nezinye izingxenye zegazi. Lapho amaseli esehlukanisiwe, izikhombi ziyangezwa ukuhlukanisa phakathi kwamaseli we-T ne-B.

Tshela umhlinzeki wakho wezokunakekelwa kwezempilo uma ngabe uke waba nokulandelayo, okungathinta isibalo sakho se-T no-B:

• Ukwelashwa ngamakhemikhali
• I-HIV / AIDS
• Ukwelashwa ngemisebe
• Ukutheleleka kwakamuva noma kwamanje
• Ukwelashwa kwama-steroid
• Ukucindezeleka
• Ukuhlinzwa

Lapho inaliti ifakwa ukuze kudonswe igazi, abanye abantu bezwa ubuhlungu obulinganiselayo, kanti abanye bazizwa kuphela umuzwa wokubhoboza noma wokuhlaba. Ngemuva kwalokho, kungahle kube nokushaywa okuthile.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zezifo ezithile ezenza buthakathaka amasosha omzimba. Ingasetshenziselwa ukwahlukanisa phakathi kwesifo somdlavuza nesingenalo umdlavuza, ikakhulukazi umdlavuza obandakanya igazi nomnkantsha wethambo.

Ukuhlolwa kungasetshenziselwa ukunquma ukuthi ukwelashwa kwezimo ezithile kusebenza kahle kangakanani.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Ukubalwa kweseli okungajwayelekile kwe-T ne-B kusikisela ukuthi kungenzeka kube nesifo. Ukuhlolwa okuqhubekayo kuyadingeka ukuqinisekisa ukuxilongwa.

Inani elinyukile le-T cell lingabangelwa:

• Umdlavuza wamangqamuzana amhlophe egazi obizwa nge-lymphoblast (acute lymphoblastic leukemia)
• Umdlavuza wamaseli amhlophe egazi abizwa ngama-lymphocyte (chronic lymphocytic leukemia)
• Ukutheleleka ngegciwane okubizwa nge-infectious mononucleosis
• Umdlavuza wegazi oqala kumaseli e-plasma emnkantsheni (multiple myeloma)
• Ugcunsula, i-STD
• I-Toxoplasmosis, ukutheleleka ngenxa yegciwane
• Isifo sofuba

Inani elinyukile le-B cell lingabangelwa:

• I-leukemia engapheli ye-lymphocytic
• I-DiGeorge syndrome
• I-myeloma eminingi
• I-Waldenstrom macroglobulinemia

Isibalo se-T cell esinciphile kungenzeka ukuthi singenxa yokuthi:

• Isifo se-Congenital T-cell, njenge-Nezelof syndrome, i-DiGeorge syndrome, noma i-Wiskott-Aldrich syndrome
• Ukushoda kwe-T-cell okutholakele, njengokutheleleka nge-HIV noma ukutheleleka kwe-HTLV-1
• Ukuphazamiseka okwandayo kwe-B cell, njenge-lymphocytic leukemia noma iWaldenstrom macroglobulinemia

Ukuncipha kwesibalo se-B kungahle kube ngenxa:

• I-HIV / AIDS
• I-leukemia enamandla ye-lymphoblastic
• Ukuphazamiseka komzimba
• Ukwelashwa ngemithi ethile

Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthola isampula yegazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

I-E-rosetting; Ukuhlolwa kwe-T ne-B lymphocyte; Ukuhlolwa kwe-B ne-T lymphocyte

Liebman HA, Tulpule A. Ukubonakaliswa kwe-Hematologic kwe-HIV / AIDS. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 157.

URiley RS. Ukuhlolwa kwelabhorathri kwamasosha omzimba amaselula. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 45.