Ukuqonda ama-Neutrophils: Umsebenzi, ukubalwa, nokuningi
-Delile
- Isibalo se-neutrophil ngokuphelele (ANC)
- Yini ongayilindela
- Ukuqonda imiphumela
- Yini ebangela amazinga aphezulu we-neutrophil?
- Yini ebangela amazinga aphansi we-neutrophil?
- Umbono
- Imibuzo kadokotela wakho
Ukubuka konke
Ama-neutrophils awuhlobo lweseli elimhlophe. Eqinisweni, amangqamuzana amaningi amhlophe egazi aholela ekuphenduleni kwamasosha omzimba angama-neutrophil. Kunezinhlobo ezine zamaseli amhlophe egazi. Ama-neutrophils awuhlobo oluningi kakhulu, akha amaphesenti angama-55 kuye kwangama-70 wamaseli akho amhlophe egazi. Amaseli egazi amhlophe, abizwa nangokuthi ama-leukocyte, ayingxenye ebalulekile yohlelo lwakho lokuzivikela komzimba.
Amasosha akho omzimba akhiwa izicubu, izitho, namaseli. Njengengxenye yalolu hlelo oluyinkimbinkimbi, amangqamuzana amhlophe egazi aqapha indlela yakho yegazi neye-lymphatic.
Uma ugula noma unokulimala okuncane, izinto umzimba wakho ozibona zingaphandle, ezaziwa njengama-antigen, zibiza amasosha omzimba wakho ukuthi asebenze.
Izibonelo zama-antigen zifaka:
- amagciwane
- amagciwane
- isikhunta
- ubuthi
- amangqamuzana omdlavuza
Amaseli egazi amhlophe akhiqiza amakhemikhali alwa nama-antigen ngokuya emthonjeni wokutheleleka noma ukuvuvukala.
Ama-neutrophils abalulekile ngoba, ngokungafani namanye amaseli amhlophe egazi, awagcini endaweni ethile yokujikeleza kwegazi. Bangakwazi ukuhamba ngokukhululeka phakathi kwezindonga zemithambo kanye nezicubu zomzimba wakho ukuze bahlasele ngokushesha wonke ama-antigen.
Isibalo se-neutrophil ngokuphelele (ANC)
Isibalo se-neutrophil ngokuphelele (i-ANC) singanikeza udokotela wakho imikhondo ebalulekile ngempilo yakho. I-ANC ijwayele uku-oda njengengxenye yokubalwa kwegazi okuphelele (CBC) ngokuhluka. I-CBC ilinganisa amaseli asegazini lakho.
Udokotela wakho angayalela i-ANC:
- ukubhekela izimo eziningana
- ukusiza ukuxilonga isimo
- ukuqapha isimo sakho uma unesifo esivele sikhona noma uma welashwa ngamakhemikhali
Uma i-ANC yakho ingajwayelekile, udokotela wakho kungenzeka afune ukuphinda ukuhlolwa kwegazi kaningi esikhathini esingamasonto. Ngale ndlela, bangaqapha izinguquko kusibalo sakho se-neutrophil.
Yini ongayilindela
Okokuhlolwa kwe-ANC, kuzodonswa inani elincane legazi, imvamisa kusuka emthanjeni osengalweni yakho. Lokhu kuzokwenzeka ehhovisi likadokotela wakho noma ebhodini. Igazi lizohlolwa elebhu bese imiphumela ithunyelwa kudokotela wakho.
Izimo ezithile zingathinta imiphumela yokuhlolwa kwegazi lakho. Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe, noma ngabe uke waba nokulandelayo:
- ukutheleleka kwakamuva
- ukwelashwa ngamakhemikhali
- ukwelashwa ngemisebe
- ukwelashwa kwe-corticosteroid
- ukuhlinzwa kwakamuva
- ukukhathazeka
- I-HIV
Ukuqonda imiphumela
Kubalulekile ukuthi udokotela wakho achaze imiphumela yakho yokuhlolwa. Imiphumela ingahluka kakhulu kusuka kubhu kuya kubhu. Futhi zehlukile ngokuya nge:
- iminyaka yakho
- ubulili bakho
- ifa lakho
- uphakeme kangakanani ngaphezu kogu lolwandle ohlala kulo
- yiziphi izinsimbi ezisetshenzisiwe ngesikhathi sokuhlolwa
Qaphela ukuthi amabanga wesethenjwa akleliswe lapha alinganiswa ngama-microliters (mcL), futhi ayalinganiselwa kuphela.
Isivivinyo | Ukubalwa kweseli okujwayelekile kwabantu abadala | Ibanga elijwayelekile labadala (umehluko) | Amazinga aphansi (leukopenia ne-neutropenia) | Amazinga aphezulu (leukocytosis kanye ne-neutrophilia) |
amaseli egazi amhlophe (WBC) | 4,300-10,000 (4.3-10.0) amangqamuzana amhlophe egazi / mcL | 1% wevolumu yegazi isiyonke | <4,000 amangqamuzana amhlophe egazi / mcL | > Amaseli egazi amhlophe / mcL ayi-12,000 |
ama-neutrophils (ANC) | 1,500-8,000 (1.5-8.0) neutrophils / mcL | U-45-75% wamaseli egazi amhlophe esewonke | mnene: I-1,000-1,500 neutrophils / mcL ngokulinganisela: I-500-1,000 neutrophils / mcL okunzima:<500 i-neutrophils / mcL | > 8,000 neutrophils / mcL |
Yini ebangela amazinga aphezulu we-neutrophil?
Ukuba nephesenti eliphezulu lama-neutrophils egazini lakho kubizwa nge-neutrophilia. Lokhu kuwuphawu lokuthi umzimba wakho unesifo. I-neutrophilia ingakhomba ezimeni ezithile nezici ezithile, kufaka phakathi:
- ukutheleleka, cishe ibhaktheriya
- ukuvuvukala okungenasifo
- ukulimala
- ukuhlinzwa
- ukubhema osikilidi noma ukuhogela ugwayi
- ukucindezeleka okuphezulu
- ukuzivocavoca ngokweqile
- ukusetshenziswa kwe-steroid
- isifo senhliziyo
- i-myeloid leukemia engapheli
Yini ebangela amazinga aphansi we-neutrophil?
I-Neutropenia yigama lamazinga aphansi we-neutrophil. Izibalo eziphansi ze-neutrophil zivame ukuhlotshaniswa nemithi kodwa futhi zingaba uphawu lwezinye izici noma ukugula, kufaka phakathi:
- ezinye izidakamizwa, kufaka phakathi lezo ezisetshenziselwa ukwelashwa ngamakhemikhali
- amasosha omzimba acindezelwe
- ukwehluleka komnkantsha
- i-aplastic anemia
- i-febrile neutropenia, okuyisimo esiphuthumayo sezokwelapha
- ukuphazamiseka kokuzalwa, njenge-Kostmann syndrome kanye ne-cyclic neutropenia
- isifo sokusha kwesibindi kohlobo A, B, noma uC
- I-HIV / AIDS
- sepsis
- izifo ezizimele, kufaka phakathi isifo samathambo
- i-leukemia
- ama-syndromes we-myelodysplastic
Usengozini enkulu yokutheleleka uma isibalo sakho se-neutrophil sehla ngaphansi kwe-1,500 neutrophil nge-microliter ngayinye. Izibalo eziphansi kakhulu ze-neutrophil zingaholela ezifweni ezisongela impilo.
Umbono
Uma izibalo zakho ze-neutrophil ziphakeme, kungasho ukuthi unesifo noma ungaphansi kwengcindezi enkulu. Kungaba futhi uphawu lwezimo ezibucayi kakhulu.
I-Neutropenia, noma isibalo esiphansi se-neutrophil, ingahlala amasonto ambalwa noma ingahlala isikhathi eside. Kungaba futhi uphawu lwezinye izimo nezifo, futhi kukubeka engcupheni enkulu yokuthola ukutheleleka okungathi sína.
Uma ukubalwa okungavamile kwe-neutrophil kungenxa yesimo esingaphansi, umbono wakho nokwelashwa kwakho kuzonqunywa yileso simo.
Imibuzo kadokotela wakho
Uma udokotela wakho eyalela i-CBC enomehluko noma isikrini se-ANC, ungakuthola kuwusizo ukubuza le mibuzo elandelayo.
- Kungani uyala lokhu kuhlolwa?
- Ngabe uzama ukuqinisekisa noma ukuqeda isimo esithile?
- Ngabe kukhona okuthile okukhethekile okufanele ngikwenze ukulungiselela isivivinyo?
- Ngisheshe ngithole imiphumela?
- Ngabe wena, noma omunye umuntu, uzonginikeza imiphumela bese ungichazela yona?
- Uma imiphumela yokuhlolwa ijwayelekile, zizoba yini izinyathelo ezilandelayo?
- Uma imiphumela yokuhlolwa ingavamile, zizoba yini izinyathelo ezilandelayo?
- Yiziphi izinyathelo zokuzinakekela okufanele ngizithathe ngenkathi ngilinde imiphumela?