Kuyini iLeukocytosis?

-Delile

• Izinhlobo ze-leukocytosis
• Izimpawu ze-leukocytosis
• Izimbangela ze-leukocytosis
• Leukocytosis ekukhulelweni
• Itholakala kanjani i-leukocytosis
• Ukwelashwa kwe-leukocytosis
• Ukuvimbela leukocytosis

Ukubuka konke

ILeukocyte elinye igama leseli elimhlophe (WBC). Lawa ngamangqamuzana asegazini lakho asiza umzimba wakho ukulwa nezifo kanye nezinye izifo.

Lapho inani lamaseli amhlophe egazini lakho liphakeme kunokujwayelekile, libizwa ngokuthi i-leukocytosis. Lokhu kuvamise ukwenzeka ngoba uyagula, kodwa kwesinye isikhathi kuba uphawu nje lokuthi umzimba wakho unengcindezi.

Izinhlobo ze-leukocytosis

I-leukocytosis ihlukaniswa ngohlobo lwe-WBC olukhuphukile. Izinhlobo ezinhlanu yilezi:

• I-neutrophilia. Lokhu kukwanda kwama-WBC abizwa ngama-neutrophils. Luhlobo oluvame kakhulu lwama-WBCs, abalwa ngamaphesenti angama-40 kuye kwangama-60 ama-WBCs akho. I-neutrophilia uhlobo lwe-leukocytosis olwenzeka kaningi.
• I-Lymphocytosis. Cishe amaphesenti angama-20 kuye kwangama-40 ama-WBCs akho angama-lymphocyte. Inani elikhulayo lala maseli libizwa nge-lymphocytosis. Lolu hlobo lwe-leukocytosis luvame kakhulu.
• I-Monocytosis. Leli igama lenani eliphakeme lama-monocyte. Lolu hlobo lweseli lwakha cishe amaphesenti amabili kuya kwangu-8 ama-WBCs akho. I-Monocytosis ayivamile.
• I-Eosinophilia. Lokhu kusho ukuthi kunenani eliphezulu lamaseli abizwa ngama-eosinophils egazini lakho. Lawa maseli akha amaphesenti angama-1 kuya kwangu-4 ama-WBCs akho. I-Eosinophilia futhi uhlobo olungavamile lwe-leukocytosis.
• I-Basophilia. Leli yizinga eliphezulu lama-WBC abizwa ngama-basophil. Awekho amaningi ala maseli egazini lakho - kuphela amaphesenti ayi-0.1 kuya ku-1 wama-WBCs akho. I-Basophilia ayivamile.

Uhlobo ngalunye lwe-leukocytosis luvame ukuhlotshaniswa nezimo ezimbalwa:

• I-neutrophilia ihlotshaniswa nokutheleleka nokuvuvukala.
• I-Lymphocytosis ihlotshaniswa nokutheleleka ngegciwane kanye ne-leukemia.
• I-Monocytosis ihlotshaniswa nokutheleleka okuthile nomdlavuza.
• I-Eosinophilia ihlotshaniswa nokungezwani komzimba kanye nama-parasites.
• I-Basophilia ihlotshaniswa ne-leukemia.

Izimpawu ze-leukocytosis

I-leukocytosis uqobo ingadala izimpawu. Uma inani lama-WNC liphezulu, lenza igazi lakho libe likhulu kangangokuba lingakwazi ukugeleza kahle. Lesi yisimo esiphuthumayo sezokwelapha esingadala:

• isifo sohlangothi
• izinkinga ngombono wakho
• izinkinga zokuphefumula
• ukopha ezindaweni ezimbozwe yi-mucosa, njengomlomo wakho, isisu namathumbu

Lokhu kubizwa ngokuthi yi-hyperviscosity syndrome. Kwenzeka nge-leukemia, kepha akuvamile.

Ezinye izimpawu ze-leukocytosis zihlobene nesimo esibangela inani lakho eliphakeme lama-WBCs, noma kwesinye isikhathi ngenxa yemiphumela yohlobo oluthile lweseli elimhlophe. Lokhu kungafaka:

• umkhuhlane nobuhlungu noma ezinye izimpawu endaweni yokutheleleka
• umkhuhlane, ukulimazeka okulula, ukwehla kwesisindo, nokujuluka ebusuku nge-leukemia neminye imidlavuza
• isifuba, isikhumba esilumayo, nokuqubuka okuvela kokungazwani kwesikhumba sakho
• izinkinga zokuphefumula nokuphefumula ngenxa yokusabela okweqile emaphashini akho

Ungahle ungabi nazimpawu uma i-leukocytosis yakho ihlobene nengcindezi noma ukusabela kumuthi.

Izimbangela ze-leukocytosis

Izimbangela ze-leukocytosis zingahlukaniswa ngohlobo lwe-WBC.

Izimbangela ze-neutrophilia:

• izifo
• noma yini ebanga ukuvuvukala kwesikhathi eside, kufaka phakathi ukulimala ne-arthritis
• ukusabela komunye umuthi onjenge-steroids, i-lithium, namanye ama-inhalers
• ezinye izinhlobo zegazi
• ukusabela ekucindezelekeni ngokomzwelo noma ngokomzimba okuvela ezintweni ezinjengokukhathazeka, ukuhlinzwa nokuvivinya umzimba
• kususwe ubende lwakho
• ukubhema

Izimbangela ze-lymphocytosis:

• ukutheleleka ngegciwane
• ukukhohlela okubi
• ukusabela okweqile
• ezinye izinhlobo zegazi

Izimbangela ze-eosinophilia:

• ukungezwani komzimba nokwaliwa, kufaka phakathi i-hay fever ne-asthma
• ukutheleleka kwamagciwane
• ezinye izifo zesikhumba
• i-lymphoma (umdlavuza ohambisana namasosha omzimba)

Izimbangela ze-monocytosis:

• ukutheleleka okuvela ezintweni ezithile njengegciwane le-Epstein-Barr (kufaka phakathi i-mononucleosis), isifo sofuba nefungus
• izifo ezizimele, njenge-lupus ne-ulcerative colitis
• kususwe ubende lwakho

Izimbangela ze-basophilia:

• i-leukemia noma umdlavuza womnkantsha (kaningi)
• ngezikhathi ezithile ukusabela okweqile (ngezikhathi ezithile)

Leukocytosis ekukhulelweni

Abesifazane abakhulelwe bavame ukuba namazinga aphezulu we-WBC angaphezu kwavamile. Lawa mazinga akhula kancane kancane, futhi ezinyangeni ezintathu zokugcina zokukhulelwa isibalo se-WBC ngokujwayelekile siphakathi kuka-5,800 no-13,200 nge-microliter ngayinye yegazi.

Ukucindezeleka kwabasebenzi nokubeletha kungakhuphula nama-WBCs. Ihlala ingaphezu kokujwayelekile (cishe i-12,700 nge-microliter ngayinye yegazi) isikhashana ngemuva kokuzalwa kwengane.

Itholakala kanjani i-leukocytosis

Imvamisa unama-WBCs aphakathi kuka-4,000 no-11,000 nge-microliter ngayinye yegazi uma ungakhulelwe. Noma yini ephakeme ibhekwa njengeleukocytosis.

I-WBC ibala phakathi kuka-50 000 no-100,000 nge-microlitere ngayinye ngokuvamile kusho ukutheleleka okunzima kakhulu noma umdlavuza kwenye indawo emzimbeni.

Isibalo se-WBC ngaphezulu kwe-100,000 sivame ukwenzeka nge-leukemia noma omunye umdlavuza wegazi nomnkantsha.

Kunezivivinyo ezintathu udokotela wakho angazisebenzisa ukusiza ukunquma ukuthi kungani i-WBC yakho iphakeme kunokujwayelekile:

• Qedela ukubalwa kwegazi (CBC) ngokuhluka. Lokhu kuhlolwa cishe kwenziwa njalo lapho isibalo sakho se-WBC siphezulu kunokujwayelekile ngezizathu ezingaziwa. Kulolu vivinyo, igazi elithathwe emthanjeni wakho liqhutshwa ngomshini okhomba amaphesenti ohlobo ngalunye lwe-WBC. Ukwazi ukuthi yiziphi izinhlobo ezinamaphesenti aphezulu kunokujwayelekile kungasiza udokotela wakho anciphise izimbangela zokubala kwakho okuphezulu kwe-WBC.
• I-peripheral blood smear. Lokhu kuhlolwa kwenziwa lapho kutholakala i-neutrophilia noma i-lymphocytosis ngoba udokotela wakho angabona ukuthi kunezinhlobo eziningi kakhulu zama-leukocyte. Kulesi sivivinyo, ungqimba oluncane lwesampuli yakho yegazi luthanjiswa kusilayidi. Kusetshenziswa imicroscope ukubheka amaseli.
• Umnkantsha wethambo. Ama-WBCs akho enziwa emnkantsheni wakho bese ededelwa angene egazini lakho. Lapho inani eliphakeme lezinhlobo ezithile zama-neutrophils litholakala kwi-permex smear yakho, udokotela wakho angenza lolu vivinyo. Amasampula omnkantsha wakho asuswa enkabeni yethambo, imvamisa okhalweni lwakho, ngenaliti ende futhi ahlolwe ngaphansi kwesibonakhulu. Lokhu kuhlolwa kungatshela udokotela wakho uma kunamaseli angajwayelekile noma kunenkinga ngokukhiqizwa noma ukukhishwa kwamaseli emnkantsheni wakho wethambo.

Ukwelashwa kwe-leukocytosis

Ukwelashwa kwe-leukocytosis kusekelwe kulokho okukubangelayo:

• ama-antibiotic okutheleleka
• ukwelashwa kwezimo ezibangela ukuvuvukala
• ama-antihistamine kanye nama-inhalers okuphendula okweqile
• i-chemotherapy, i-radiation, futhi kwesinye isikhathi ukufakelwa kwe-stem cell ye-leukemia
• ukushintsha kwemithi (uma kungenzeka) uma imbangela kungukusabela kwezidakamizwa
• ukwelashwa kwezimbangela zengcindezi nokukhathazeka uma kukhona

I-Hyperviscosity syndrome yisimo esiphuthumayo sezokwelapha eselashwa ngamanzi afakwa emithanjeni, imishanguzo, nezinye izindlela zokuthola ngokushesha ukubalwa kwe-WBC. Lokhu kwenzelwa ukwenza igazi lingagudluki kangako ukuze ligobhoze ngokwejwayelekile futhi.

Ukuvimbela leukocytosis

Indlela engcono yokuvimbela i-leukocytosis ukugwema noma ukunciphisa ubungozi bezinto eziyibangelayo. Lokhu kufaka:

• ukugcina indlela yokuphila enempilo, kufaka phakathi ukugeza izandla okuhle ukugwema ukutheleleka
• ukuhlala kude nanoma yini oyaziyo engadala ukusabela okweqile
• ukuyeka ukubhema ukuze ugweme i-leukocytosis ehlobene nokubhema, futhi wehlise ingozi yokuba nomdlavuza
• ukuthatha imithi njengokuyalelwa uma welashelwa isimo esidala ukuvuvukala
• ukuzama ukwehlisa inani lokucindezeleka empilweni yakho, nokwelashwa ngezinkinga ezinkulu zokukhathazeka noma ezingokomzwelo

I-leukocytosis imvamisa iyimpendulo yokutheleleka noma ukuvuvukala, ngakho-ke akuyona imbangela ye-alamu. Kodwa-ke, kungabangelwa izifo ezinzima ezifana ne-leukemia namanye umdlavuza, ngakho-ke kubalulekile ukuthi udokotela wakho axilonge imbangela yokwanda kwe-WBC lapho kutholakala. I-leukocytosis ehlotshaniswa nokukhulelwa noma ukuphendula ukuzivocavoca kuyinto ejwayelekile futhi akukho okumele ukhathazeke ngakho.