Yini engaba ama-neutrophils aphezulu futhi aphansi
-Delile
Ama-neutrophils awuhlobo lwama-leukocyte futhi, ngakho-ke, anomthwalo wokuvikela umzimba, inani lawo lenyuka egazini lapho kukhona ukutheleleka noma ukuvuvukala okwenzekayo. I-neutrophil etholakala ngobukhulu obukhulu obusakazwayo yi-neutrophil ehlukanisiwe, eyaziwa nangokuthi i-neutrophil evuthiwe, ebhekele ukubandakanya amaseli athelelekile noma alimele bese ewaqeda.
Inani elijwayelekile lesethenjwa le-neutrophil ehlukanisiwe egazini lingahluka ngokuya kwelabhorethri, kodwa-ke, lilonke lisukela kuma-neutrophils ahlukaniswe nge-1600 kuye ku-8000 nge-mm³ yegazi ngalinye. Ngakho-ke, lapho ama-neutrophil ephezulu, ngokuvamile kukhombisa ukuthi lowo muntu unegciwane elithile noma ukutheleleka, ngoba leli seli lisebenza ukuvikela umzimba.
Ekuhlolweni kwegazi, ngaphezu kokukhombisa inani lama-neutrophils ahlukanisiwe, kubikwa nenani lama-eosinophil, ama-basophil kanye ne-rod ne-stick neutrophils, angama-neutrophil asanda kukhiqizwa ukuze kulwelwe ukutheleleka futhi aholele ekwakhiweni kokuningi neutrophils ihlukaniswe.
Inani lama-neutrophil lingahlolwa ngokwenza inani eliphelele legazi, lapho kungabhekwa lonke uchungechunge lwegazi elimhlophe. Ama-leukocyte ahlolwa engxenyeni ethile yokubalwa kwegazi, i-leukocyte engakhombisa:
1. Ama-neutrophils amade
Ukwanda kwenani lama-neutrophils, owaziwa nangokuthi i-neutrophilia, kungenzeka ngenxa yezimo eziningana, okuyizona eziyinhloko:
- Izifo;
- Iziyaluyalu zokuvuvukala;
- Isifo sikashukela;
- I-Uremia;
- I-Eclampsia ekukhulelweni;
- Isibindi necrosis;
- I-leukemia engapheli ye-myeloid;
- I-post-splenectomy polycythemia;
- I-hemolytic anemia;
- Ama-syndromes we-Myeloproliferative;
- Ukopha;
- Burn;
- Ukushaqeka ngogesi;
- Umdlavuza.
I-neutrophilia ingenzeka futhi ngenxa yezimo zomzimba, njengezinsana ezisanda kuzalwa, ngesikhathi sokubeletha, ngemuva kweziqephu zokuphalaza okuphindaphindiwe, ukwesaba, ingcindezi, ukusetshenziswa kwezidakamizwa nge-adrenaline, ukukhathazeka nangemva kwemisebenzi eyeqisayo yomzimba. Ngakho-ke, uma inani lama-neutrophils liphezulu, udokotela anga-oda ezinye izivivinyo zokuxilonga ukukhomba kahle imbangela futhi aqale ukwelashwa okufanele. Bona okuningi nge-neutrophilia.
2. Ama-neutrophils aphansi
Ukwehla kwenani lama-neutrophils, abizwa nangokuthi i-neutropenia, kungenzeka ngenxa ye:
- I-aplastic, megaloblastic noma i-iron defence anemia;
- Umdlavuza wegazi;
- I-Hypothyroidism;
- Ukusetshenziswa kwemithi;
- Izifo ezizimele, njengeSystemic Lupus Erythematosus;
- I-Myelofibrosis;
- Isifo sokuqina kwesibindi.
Ngaphezu kwalokho, kungahle kube neonatal neutropenia esimweni sokutheleleka okunzima ngamagciwane noma amabhaktheriya ngemuva kokuzalwa. Izingane ezine-Down syndrome nazo ziba nama-neutrophils aphansi ngaphandle kwezinkinga zempilo.
Uma kwenzeka i-neutropenia, udokotela angancoma ukwenza i-myelogram ukuphenya imbangela yokwehla kwenani lama-neutrophils ahlukaniswe egazini, ngaphezu kokubheka ukuthi ngabe kukhona yini ushintsho oluhlobene nokukhiqizwa kwamaseli wangaphambi kwe-neutrophil emnkantsheni .