Yini i-lymphocytosis, izimbangela eziyinhloko nokuthi yini okufanele uyenze

-Delile

• Izimbangela eziyinhloko ze-lymphocytosis
• 1. I-Mononucleosis
• 2. Isifo Sofuba
• 3. Imasisi
• 4. Isibindi sokusha kwesibindi
• 5. I-Acute Lymphocytic Leukemia
• 6. I-Chronic Lymphocytic Leukemia
• 7. ILymphoma

I-Lymphocytosis yisimo esenzeka lapho inani lama-lymphocyte, abizwa nangokuthi amangqamuzana amhlophe egazi, lingaphezulu kokujwayelekile egazini. Inani lama-lymphocyte egazini likhonjiswa engxenyeni ethile yesibalo segazi, i-leukogram, ebhekwa njenge-lymphocytosis lapho kuhlolwe ama-lymphocyte angaphezu kwama-5000 nge-mm³ yegazi ngalinye.

Kubalulekile ukukhumbula ukuthi lo mphumela uhlukaniswa njengokubalwa ngokuphelele, ngoba lapho umphumela wokuhlolwa uvela kuma-lymphocyte angaphezu kwama-50% ubizwa ngokuthi ukubalwa okuhlobene, futhi lawa manani angahluka ngokuya nge-laboratory.

Ama-lymphocyte amangqamuzana abhekele ukuvikela umzimba, ngakho-ke uma enwetshiwe kuvame ukuthi kusho ukuthi umzimba uphendula okuthile okuncane, njengamagciwane, amagciwane, kepha futhi angakhuliswa uma kunenkinga ekukhiqizeni lezi amaseli. Funda kabanzi ngama-lymphocyte.

Izimbangela eziyinhloko ze-lymphocytosis

I-Lymphocytosis iqinisekiswa ngokubalwa okuphelele kwegazi, ikakhulukazi esibalweni segazi elimhlophe, okuyingxenye yesibalo segazi eliqukethe imininingwane ephathelene namaseli amhlophe egazi, okungamaseli abhekele ukuvikelwa komzimba, njengama-lymphocyte, ama-leukocyte, ama-monocyte, ama-eosinophil nama-basophil.

Ukuhlolwa kwenani lama-lymphocyte ajikelezayo kufanele kuhlolwe ngudokotela wezifo zegazi, udokotela ojwayelekile noma ngudokotela owayalele ukuhlolwa. Ukwanda kwenani lama-lymphocyte kungaba nezimbangela eziningana, okuyizimbangela ezinkulu yilezi:

1. I-Mononucleosis

I-Mononucleosis, eyaziwa nangokuthi isifo se-kiss, ibangelwa yigciwaneU-Epstein-Barr edluliswa ngamathe ngokuqabula, kodwa futhi ngokukhwehlela, ukuthimula noma ngokwabelana ngemishini yokusika nezibuko. Izimpawu eziyinhloko amabala abomvu emzimbeni, umkhuhlane omkhulu, ikhanda elibuhlungu, amanzi entanyeni nasemakhwapheni, umphimbo obuhlungu, izingcwecwe ezimhlophe emlonyeni nokukhathala komzimba.

Njengoba ama-lymphocyte esebenza ekuvikeleni umzimba, kuyinto ejwayelekile ukuthi abe phezulu, futhi kungenzeka futhi ukuqinisekisa ezinye izinguquko esibalweni segazi, njengokutholakala kwama-lymphocyte angama-atypical nama-monocyte, ngaphezu kwezinguquko kumakhemikhali ezinto eziphilayo izivivinyo, ikakhulukazi amaprotheni asebenza ngo-C, CRP.

Okufanele ngikwenze: Ngokuvamile, lesi sifo sisuswa ngokwemvelo ngamaseli wokuzivikela omzimba uqobo, futhi singahlala emavikini amane kuya kwayisithupha. Kodwa-ke, udokotela ojwayelekile angahle anikeze ukusetshenziswa kwemithi ethile ukukhulula izimpawu ezinjengokudambisa izinhlungu kanye nama-antipyretics ekwehliseni umkhuhlane nama-anti-inflammatories ukunciphisa izinhlungu. Thola ukuthi ukwelashwa kwe-mononucleosis kwenziwa kanjani.

2. Isifo Sofuba

Isifo sofuba yisifo esithinta amaphaphu, sidlulela kumuntu siye komunye, futhi sidalwa yigciwane elaziwa ngeKoch bacillus (BK). Imvamisa lesi sifo sihlala singasebenzi, kepha uma sisebenza sidala izimpawu ezifana nokukhwehlela okunegazi kanye ne-phlegm, ukujuluka ebusuku, umkhuhlane, ukwehla kwesisindo nokudla.

Ngaphezu kwama-lymphocyte aphezulu, udokotela futhi angabona ukwanda kwama-monocyte, abizwa nge-monocytosis, ngaphezu kokukhuphuka kwama-neutrophils. Uma kwenzeka umuntu enezimpawu zesifo sofuba kanye nezinguquko ezisikisela ekubaleni kwegazi, udokotela angacela ukuhlolwa okuthile kofuba, okubizwa nge-PPD, lapho umuntu ethola khona umjovo omncane weprotheni ekhona kubhaktheriya ebanga isifo sofuba kanye ne-The umphumela uncike ngosayizi wokuphendula kwesikhumba okubangelwa yilomjovo. Bona ukuthi ungasiqonda kanjani isivivinyo se-PPD.

Okufanele ngikwenze: Ukwelashwa kufanele kusungulwe yi-pulmonologist noma isifo esithathelwanayo, futhi umuntu kufanele abhekwe njalo. Ukwelashwa kwesifo sofuba kuthatha cishe izinyanga eziyi-6 futhi kwenziwa ngama-antibiotic okumele athathwe noma ngabe izimpawu ziyanyamalala. Ngoba noma kungekho zimpawu, amabhaktheriya asengaba khona futhi uma ukwelashwa kuphazanyiswa, kunganda futhi futhi kulethe imiphumela kumuntu.

Ukuqashwa kwesiguli esinesifo sofuba kufanele kwenziwe njalo ukuze kubhekwe ukuthi ngabe asekhona yini ama-Koch bacilli, okudingeka ukuthi lowo muntu ahlolwe isikhwehlela, kunconywa ukuqoqwa okungenani kwamasampuli ama-2.

3. Imasisi

Imasisi yisifo esithathelwanayo esidalwa yigciwane elithinta kakhulu izingane ezifika onyakeni owodwa. Lesi sifo sithathwa njengesithelelana kakhulu, ngoba singadluliselwa kalula sisuka kumuntu siye komunye ngamaconsi akhishwe ekukhwehleleni nasekuthimuleni. Yisifo esihlasela uhlelo lokuphefumula, kepha singadlulela kuwo wonke umzimba sidale izimpawu ezifana namabala abomvu esikhunjeni nasemphinjeni, amehlo abomvu, ukukhwehlela nomkhuhlane. Yazi ukuthi ungazibona kanjani izimpawu zesimungumungwane.

Ngaphezu kwama-lymphocyte aphezulu, udokotela ojwayelekile noma udokotela wezingane angabheka ezinye izinguquko esibalweni segazi nasezivivinyweni zomzimba nezamakhemikhali, njenge-CRP eyandisiwe, ekhombisa ukwenzeka kwenqubo yokutheleleka.

Okufanele ngikwenze: Kufanele uthintane nodokotela wakho ojwayelekile noma udokotela wezingane ngokushesha nje lapho kuvela izimpawu, ngoba noma lungekho unyango oluthile lwesimungumungwane, udokotela uzoncoma imishanguzo yokuqeda izimpawu. Ukugoma kuyindlela engcono yokuvikela isimungumungwane futhi kukhonjiswa izingane kanye nabantu abadala kanti umuthi wokugoma utholakala mahhala ezikhungweni zezempilo.

4. Isibindi sokusha kwesibindi

I-Hepatitis ukuvuvukala esibindini okudalwa yizinhlobo ezahlukahlukene zamagciwane noma kubangelwe ukusetshenziswa kwemithi ethile, izidakamizwa noma ukungenisa ubuthi. Izimpawu eziyinhloko zesifo sokusha kwesibindi yisikhumba namehlo aphuzi, ukwehla kwesisindo nokudla, ukuvuvukala kohlangothi lwesokudla lwesisu, umchamo omnyama nomkhuhlane. I-hepatitis ingadluliselwa ngokwabelana ngezinaliti ezingcolile, ucansi olungavikelekile, amanzi nokudla okungcoliswe indle nokuthintana negazi lomuntu onegciwane.

Njengoba i-hepatitis ibangelwa amagciwane, ukuba khona kwayo emzimbeni kukhuthaza ukusebenza kwamasosha omzimba, ngokwanda kwenani lama-lymphocyte. Ngaphezu koshintsho ku-WBC nokubalwa kwegazi, okuvame ukukhombisa ukushoda kwegazi, udokotela kumele futhi ahlole ukusebenza kwesibindi ngokuhlolwa okufana ne-TGO, TGP ne-bilirubin, ngaphezu kokuhlolwa kwe-serological ukukhomba igciwane le-hepatitis.

Okufanele ngikwenze: Ukwelashwa kwe-hepatitis kwenziwa ngokususelwa kuyo imbangela, kepha uma kubangelwa igciwane, ukusetshenziswa kwama-antivirals, ukuphumula nokwanda kokudla uketshezi kunganconywa ngudokotela wezifo, i-hepatologist noma udokotela ojwayelekile. Endabeni yesifo sokusha kwesibindi esifakwe umuthi, udokotela obhekele ukushintshwa noma ukumiswa komuthi obhekele ukulimala kwesibindi kufanele anconywe ngudokotela.Yazi ukwelashwa kohlobo ngalunye lwe-hepatitis.

5. I-Acute Lymphocytic Leukemia

I-acute lymphocytic leukemia (YONKE) uhlobo lomdlavuza oluvela emnkantsheni wethambo, okuyilungu elibhekele ukukhiqizwa kwamangqamuzana egazi. Lolu hlobo lwe-leukemia lubizwa ngokuthi yi-acute ngoba ama-lymphocyte asanda kwenziwa kumnkantsha wamathambo atholakala ejikeleza egazini, ngaphandle kokwenza inqubo yokuvuthwa, ngakho-ke abizwa ngokuthi ama-lymphocyte angavuthiwe.

Njengoba ama-lymphocyte ajikelezayo engakwazi ukwenza umsebenzi wawo ngendlela efanele, kunomkhiqizo omkhulu wama-lymphocyte ngomnkantsha wethambo emzameni wokunxephezela lokhu kushoda, okuholela ku-lymphocytosis, ngaphezu kwezinye izinguquko esibalweni segazi, njenge-thrombocytopenia , okungukuncipha kokubalwa kweplatelet.

Luhlobo lomdlavuza oluvame kakhulu ebuntwaneni, olunamathuba amaningi okwelashwa, kodwa futhi kungenzeka nakubantu abadala. ZONKE izimpawu zesikhumba esiphaphathekile, ukuphuma kwegazi emakhaleni, imihuzuko engalweni, emilenzeni nasemehlweni, amanzi asuka entanyeni, emgodini nasemakhwapheni, ubuhlungu bamathambo, umkhuhlane, ukuphefumula okuncane nokuba buthakathaka.

Okufanele ngikwenze: Kubalulekile ukuthi ubonane nodokotela wezingane noma udokotela ojwayelekile ngokushesha nje lapho kuvela izimpawu zokuqala nezimpawu ze-leukemia, ukuze lowo muntu adluliselwe ngokushesha ku-hematologist ukuze kwenziwe ukuhlolwa okuthe xaxa futhi kuqinisekiswe ukuxilongwa. Ezimweni eziningi, ukwelashwa KONKE kwenziwa nge-chemotherapy ne-radiotherapy futhi, kwezinye izimo, kunconywa ukufakelwa umnkantsha. Bona ukuthi ukufakelwa umnkantsha wenziwa kanjani.

6. I-Chronic Lymphocytic Leukemia

I-chronic lymphocytic leukemia (LLC) uhlobo lwesifo esibuhlungu, noma umdlavuza, esikhula emnkantsheni wethambo. Ibizwa ngokungapheli ngoba ingabonakala ijikeleza egazini ama-lymphocyte avuthiwe futhi angavuthiwe. Lesi sifo sivame ukukhula kancane, futhi izimpawu kunzima ukuzinaka.

Imvamisa i-LLC ayizibangeli izimpawu, kepha ingavela kwezinye izimo, njengekhwapha, ukubhoboza noma ukuvuvukala kwentamo, ukujuluka ebusuku, ubuhlungu ohlangothini lwesobunxele besisu obubangelwa ubende nomkhuhlane okhulisiwe. Yisifo esithinta kakhulu asebekhulile nabesifazane abangaphezu kweminyaka engama-70 yobudala.

Okufanele ngikwenze: Ukuhlolwa okwenziwa ngudokotela ojwayelekile kubalulekile futhi ezimweni lapho lesi sifo siqinisekiswa khona, kuzodingeka ukuthi kudluliselwe kudokotela wezifo zegazi. I-hematologist izoqinisekisa lesi sifo ngokusebenzisa ezinye izivivinyo, kufaka phakathi i-bone marrow biopsy. Endabeni yokuqinisekiswa kwe-LLC, udokotela ukhombisa ukuqala kokwelashwa, okubandakanya ukwelashwa ngamakhemikhali kanye nokufakwa komnkantsha wamathambo.

7. ILymphoma

I-Lymphoma futhi uhlobo lomdlavuza oluvela kuma-lymphocyte anezifo futhi lungathinta noma iyiphi ingxenye yohlelo lwe-lymphatic system, kepha luvame ukuthinta ubende, i-thymus, amalaka nezilimi. Kunezinhlobo ezingaphezu kwama-40 zama-lymphomas, kepha ezivame kakhulu yi-Hodgkin's kanye ne-non-Hodgkin's lymphoma, izimpawu zifana kakhulu phakathi kwazo njengezigaxa entanyeni, emgodini, kwi-clavicle, esiswini nasekhwapheni, ngaphezu komkhuhlane, umjuluko ebusuku , ukuncipha ngaphandle kwesizathu, ukuphefumula nokuphefumula.

Okufanele ngikwenze: Ngokuqala kwezimpawu kunconywa ukuthi ufune udokotela ojwayelekile ozokuthumela kudokotela we-oncologist noma we-hematologist ozo-oda ezinye izivivinyo, ngaphezu kwesibalo segazi, ukuqinisekisa lesi sifo. Ukwelashwa kuzokhonjiswa kuphela ngemuva kokuthi udokotela esechaze izinga lalesi sifo, kepha ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe nokufakelwa umnkantsha kuvame ukwenziwa.