Ukubalwa kwe-WBC

Isibalo se-WBC ukuhlolwa kwegazi ukukala inani lamaseli amhlophe egazi (ama-WBC) egazini.

Ama-WBC abizwa nangokuthi ama-leukocyte. Zisiza ukulwa nezifo. Kunezinhlobo ezinhlanu ezinkulu zamaseli amhlophe egazi:

• Ama-Basophils
• Ama-Eosinophils
• Ama-lymphocyte (amaseli we-T, amaseli we-B, namaseli we-Natural Killer)
• Ama-monocyte
• Ama-neutrophils

Kudingeka isampula yegazi.

Isikhathi esiningi, awudingi ukuthatha izinyathelo ezikhethekile ngaphambi kwalolu vivinyo. Tshela umhlinzeki wakho wezokunakekelwa kwempilo ngemithi oyiphuzayo, kufaka phakathi leyo engenayo incwadi kadokotela. Eminye imishanguzo ingashintsha imiphumela yokuhlolwa.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulinyazeka okuncane. Lokhu maduzane kuyaphela.

Uzoba nalolu vivinyo ukuthola ukuthi mangaki ama-WBCs onawo. Umhlinzeki wakho anga-oda lokhu kuhlolwa ukusiza ukuxilonga izimo ezifana nokuthi:

• Ukutheleleka
• Ukusabela okweqile
• Ukuvuvukala
• Umdlavuza wegazi onjenge-leukemia noma i-lymphoma

Inani elijwayelekile lama-WBC egazini liyi-4,500 kuya ku-11,000 WBCs nge-microliter ngayinye (4.5 kuya ku-11.0 × 10⁹/ L).

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalebhu ahlukile. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezihlukile. Khuluma nomhlinzeki wakho ngemiphumela yakho yokuhlolwa.

EZIPHANSI WBC COUNT

Inani eliphansi lama-WBC libizwa ngeleukopenia. Isibalo esingaphansi kwamaseli angama-4 500 nge-microlita ngayinye (4.5 × 10⁹/ L) ingaphansi kokujwayelekile.

Ama-neutrophils awuhlobo olulodwa lwe-WBC. Zibalulekile ekulweni nezifo.

Isibalo se-WBC esiphansi kunokujwayelekile singabangelwa:

• Ukushoda komnkantsha noma ukwehluleka (ngokwesibonelo, ngenxa yokutheleleka, isimila noma isibazi esingajwayelekile)
• Imithi yokwelapha umdlavuza, noma eminye imithi (bheka uhlu olungezansi)
• Izinkinga ezithile ze-autoimmune ezifana ne-lupus (SLE)
• Isifo sesibindi noma ubende
• Ukwelashwa ngemisebe yomdlavuza
• Izifo ezithile zegciwane, njenge-mononucleosis (mono)
• Umdlavuza olimaza umnkantsha
• Ukutheleleka okunzima kakhulu kwamagciwane
• Ukucindezeleka okukhulu ngokomzwelo noma ngokomzimba (njengokulimala noma ukuhlinzwa)

OKUBALULEKILE WBC COUNT

Isibalo esiphezulu se-WBC esibizwa ngeleukocytosis. Kungahle kube ngenxa:

• Izidakamizwa ezithile noma imithi (bheka uhlu olungezansi)
• Ukubhema ugwayi
• Ngemuva kokuhlinzwa kokukhishwa kobende
• Ukutheleleka, kuvame ukubangelwa amagciwane
• Izifo ezivuthayo (njenge-rheumatoid arthritis noma ukungezwani komzimba)
• I-leukemia noma isifo se-Hodgkin
• Ukulimala kwezicubu (isibonelo, ukusha)

Kungahle kube nezizathu ezingejwayelekile zokubalwa kwe-WBC okungavamile.

Izidakamizwa ezinganciphisa isibalo sakho se-WBC zifaka:

• Imithi elwa namagciwane
• Ama-anticonvulsants
• Izidakamizwa ze-Antithyroid
• Ama-Arsenicals
• I-Captopril
• Imithi yokwelashwa ngamakhemikhali
• I-chlorpromazine
• I-Clozapine
• I-diuretics (amaphilisi wamanzi)
• Abavimba be-Histamine-2
• AmaSulfonamides
• I-Quinidine
• I-Terbinafine
• I-Ticlopidine

Izidakamizwa ezingakhuphula ukubalwa kwe-WBC zifaka:

• I-beta adrenergic agonists (ngokwesibonelo, i-albuterol)
• Ama-Corticosteroids
• I-Epinephrine
• Isici esikhuthazayo se-Granulocyte colony
• I-Heparin
• ILithium

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo iyehluka ngobukhulu ukusuka komunye umuntu iye komunye, futhi kusukela kolunye uhlangothi lomzimba kuye 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
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ukubalwa kwe-leukocyte; Ukubalwa kwamaseli amhlophe egazi; Umehluko wamaseli egazi amhlophe; Umehluko we-WBC; Ukutheleleka - ukubalwa kwe-WBC; Umdlavuza - ukubalwa kwe-WBC

• I-Basophil (ukusondela)
• Izakhi ezakhiwe zegazi
• Ukubalwa kwamaseli amhlophe - uchungechunge

IChernecky CC, iBerger BJ. Ukwehluka kwe-leukocyte count (Diff) - igazi eliseceleni. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 441-450.

I-Vajpayee N, Graham SS, Bem S. Ukuhlolwa okuyisisekelo kwegazi nomnkantsha. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 30.