I-monocytosis: iyini nezimbangela eziyinhloko

-Delile

• Izimbangela eziyinhloko zeMonocytosis
• 1. Isifo Sofuba
• 2. I-endocarditis yebhaktheriya
• 3. Ukululama ezifweni
• 4. Isifo samathambo
• 5. Izinguquko ze-Hematological

Igama elithi monocytosis lisho ukwanda kwenani lama-monocyte ajikeleza egazini, okungukuthi, lapho kutholakala ngaphezu kwama-monocyte ayi-1000 nge-ofL yegazi ngalinye. Amanani ayizethenjwa ama-monocyte egazini angahluka ngokuya kwelabhorethri, kepha inani lama-monocyte aphakathi kuka-100 no-1000 nge-µL yegazi evame ukubhekwa njengejwayelekile.

Ama-monocyte amangqamuzana egazi akhiqizwa emnkantsheni wethambo futhi ayingxenye yamasosha omzimba, abhekele ukuvikela umzimba. Ngakho-ke, inani lama-monocyte egazini lingakhuphuka ngenxa yenqubo yokuvuvukala neyokutheleleka, futhi i-monocytosis ingabonakala ikakhulukazi ku-TB, ngenkathi ilulama ezifweni nase-endocarditis. Funda kabanzi ngama-monocyte.

Izimbangela eziyinhloko zeMonocytosis

I-Monocytosis ibonwa ngokusebenzisa inani eliphelele legazi, futhi kuyadingeka ukuqoqa inani elincane legazi elithunyelwa elabhorethri liyohlaziywa. Umphumela ukhishwa engxenyeni ethile yesithombe segazi esibizwa nge-leukogram, lapho kungatholakala khona yonke imininingwane ephathelene namaseli abhekele ukuvikela umzimba.

Isikhathi esiningi, i-monocytosis ihambisana nezinye izinguquko esibalweni segazi nokunye ukuhlolwa okungenzeka ukuthi kuyalelwe ngudokotela, ngaphezu kweqiniso lokuthi isiguli imvamisa sinezimpawu ezihlobene nembangela yenguquko. Lapho i-monocytosis ivela yodwa futhi ingenazo izimpawu, kunconywa ukuphinda ukubalwa kwegazi ukuze kubhekwe ukuthi inani lama-monocyte lihlelisiwe yini noma ngabe kudingeka olunye uphenyo.

Izimbangela eziyinhloko ze-monocytosis yizi:

1. Isifo Sofuba

Isifo sofuba yisifo esithathelwanayo esibangelwa Isifo sofuba iMycobacterium, eyaziwa kakhulu ngokuthi i-Koch's Bacillus, ibhaktheriya elihlala ohlelweni lokuphefumula, lidala ukubandakanyeka kwamaphaphu futhi liholele ekubonakaleni kwezimpawu ezithile, njengokukhwehlela okungapheli, ubuhlungu besifuba, ukuphefumula kanzima, ukujuluka ebusuku nokukhiqizwa kwesikhohlela esiluhlaza okotshani noma okuphuzi.

Ngaphezu monocytosis, udokotela angabheka ezinye izinguquko ukubalwa kwegazi nokuhlolwa kwamakhemikhali. Ngaphezu kwalokho, ekusolweni kwesifo sofuba ngokwezimpawu nezimpawu ezethulwe ngumuntu, kungacelwa ukuthi kuhlolwe isikhwehlela noma ukuhlolwa kwe-tuberculin, okubizwa nangokuthi ukuhlolwa kwe-PPD, okuhlose ukuqinisekisa ubukhona begciwane umzimba. Qonda ukuthi yini ukuhlolwa kwe-PPD nokuthi kwenziwa kanjani.

Okufanele ngikwenze: Lapho kukhona noma yiziphi izimpawu noma izimpawu zesifo sofuba, kubalulekile ukuya kudokotela ojwayelekile, udokotela wamaphaphu noma isifo esithathelwanayo ukuze kucelwe ukuhlolwa, ukuxilongwa kukhonjiswe futhi ukwelashwa kuyasungulwa, okwenziwa ngama-antibiotic. Kubalulekile ukuthi ukwelashwa kwenziwe njengoba nje kunconyiwe ngudokotela, noma ngabe izimpawu ziyathuthuka. Lokhu kungenxa yokuthi uma ukwelashwa kuphazamisekile, kungenzeka ukuthi amabhaktheriya azokwanda futhi athole ukumelana, okwenza ukwelashwa kube nzima kakhulu futhi kungaletha izinkinga kumuntu.

2. I-endocarditis yebhaktheriya

I-bacterial endocarditis yisimo lapho ukwakheka kwangaphakathi kwenhliziyo kuthikamezeka ngamagciwane, afinyelela kulesi sitho ngokuhamba kwegazi, okuholela ekubonakaleni kwezimpawu nezimpawu ezinjengomkhuhlane omkhulu, ubuhlungu besifuba, ukuphefumula okuncane nokukhwehlela, ngokwesibonelo .

Lolu hlobo lwe-endocarditis luvame kakhulu kubantu abasebenzisa imithambo yegazi, ngoba amabhaktheriya akhona esikhunjeni angangena egazini ngqo lapho kusetshenziswa umuthi.

Ngaphezu koshintsho ekubalweni kwegazi, udokotela angabheka nezinguquko kwezinye izivivinyo zelebhu, izivivinyo zamagciwane nezenhliziyo, njenge-ultrasound yenhliziyo ne-echogram. Yazi ezinye izivivinyo ezihlola inhliziyo.

Okufanele ngikwenze: Kulezi zimo, kubalulekile ukunaka ukuvela kwezimpawu ezikhombisa i-endocarditis futhi uye esibhedlela ngokushesha lapho zivela khona, ngoba amabhaktheriya abhekene nalesi sifo angasakazeka ngokushesha futhi afinyelele kwezinye izitho ngaphandle kwenhliziyo, kuqhubeke kube nzima isimo somtholampilo sesiguli.

3. Ukululama ezifweni

Kuyinsakavukela ukuthi esikhathini sokululama ezifweni kukhona ukwanda kwenani lama-monocyte, ngoba lokhu kukhombisa ukuthi umzimba uphendula ngokumelene ne-ejenti elithathelwanayo futhi wandise umugqa wezokuvikela, okuvumela ukuqedwa okusheshayo nangokuphumelelayo ama-microorganism.

Ngaphezu kwenani lama-monocyte, kungenzeka futhi ukubona ukwanda kwenani lama-lymphocyte nama-neutrophils.

Okufanele ngikwenze: Uma umuntu etholwe enesifo, ukwanda kwenani lama-monocyte ngokuvamile kumelela ukubuyiswa kwesiguli namasosha omzimba kuphela. Kulezi zimo, asikho esinye isimo sengqondo esidingekayo, futhi udokotela angacela kuphela ukuthi kubalwe elinye igazi ngemuva kwamasonto ambalwa ukubheka ukuthi ngabe kube nokujwayelekile yini enanini lama-monocyte.

4. Isifo samathambo

I-rheumatoid arthritis nayo iyisifo lapho kungahle kube khona i-monocytosis, ngoba yisifo esizimele, okungukuthi, amaseli omzimba ahlasela amanye amaseli emzimbeni. Ngakho-ke, kuhlala kukhiqizwa amaseli omzimba, kufaka phakathi ama-monocyte.

Lesi sifo sibonakala ngokubandakanyeka kwamalunga, abuhlungu, avuvukele futhi aqinile, kube nzima ukuwahambisa okungenani ihora elilodwa ngemuva kokuvuka.

Okufanele ngikwenze: Ukwelashwa kwesifo samathambo kwenziwa ikakhulukazi ngokwelashwa ngokomzimba ukuze kuvuselelwe ilunga elithintekile, kuvimbele izinkinga kanye nokuqeda izinhlungu. Ngaphezu kwalokho, izazi ze-rheumatologists zingancoma ukusetshenziswa kwemithi kanye nokudla okwanele, okufanele kwenziwe ngaphansi kokuqondisa kongoti wezokudla. Qonda ukuthi ukwelashwa kwesifo samathambo kwenziwa kanjani.

5. Izinguquko ze-Hematological

I-Monocitosis nayo ingaba khona ekuphazamiseni kwegazi, njenge-anemia, i-lymphomas ne-leukemia. Njengoba i-monocytosis ingahlotshaniswa nezimo ezimnene nezinzima, kubalulekile ukuthi ukuhlolwa komphumela kwenziwe ngudokotela kanye nokuhlaziywa kweminye imingcele yokubalwa kwegazi okuphelele, ngaphezu kokufundwa kwesilayidi.

Okufanele ngikwenze: I-monocitosis ehlobene nezinkinga zegazi imvamisa iholela ekubonakaleni kwezimpawu ngokusho kwembangela. Ngakho-ke, kunconywa ukuthi udokotela ojwayelekile noma i-hematologist aziswe nganoma yisiphi isibonakaliso noma uphawu olwethulwayo, ngoba lokhu kuyabhekelelwa lapho kuhlaziywa isibalo segazi. Ngokuya ngokuhlolwa kukadokotela, kungenzeka ukuthi axilongwe futhi aqale ukwelashwa okufanele.