Kodi leukocytosis ndi chiyani?

Zamkati

• Mitundu ya leukocytosis
• Zizindikiro za leukocytosis
• Zimayambitsa leukocytosis
• Leukocytosis pa mimba
• Momwe leukocytosis imadziwira
• Chithandizo cha leukocytosis
• Kupewa leukocytosis

Chidule

Leukocyte ndi dzina lina loyera magazi oyera (WBC). Awa ndi ma cell amwazi wanu omwe amathandiza thupi lanu kulimbana ndi matenda ndi matenda ena.

Pamene kuchuluka kwa maselo oyera m'magazi mwanu kukuchuluka kuposa nthawi zonse, amatchedwa leukocytosis. Izi zimachitika kawirikawiri chifukwa chakuti mukudwala, koma nthawi zina zimangokhala chizindikiro kuti thupi lanu likupanikizika.

Mitundu ya leukocytosis

Leukocytosis imagawidwa ndi mtundu wa WBC yomwe yawonjezeka. Mitundu isanu ndi iyi:

• Neutrophilia. Uku ndikukula kwa ma WBC otchedwa neutrophils. Ndiwo mtundu wofala kwambiri wa ma WBC, amawerengera 40 mpaka 60 peresenti ya ma WBC anu. Neutrophilia ndi mtundu wa leukocytosis womwe umapezeka nthawi zambiri.
• Matenda a Lymphocytosis. Pafupifupi 20 mpaka 40 peresenti ya ma WBC anu ndi ma lymphocyte. Kuchuluka kwamaselowa amatchedwa lymphocytosis. Mtundu wa leukocytosis ndiofala kwambiri.
• Monocytosis. Ili ndi dzina lamanambala ambiri. Selo ili limangokhala ma 2 mpaka 8% a ma WBC anu. Monocytosis siachilendo.
• Eosinophilia. Izi zikutanthauza kuti pali kuchuluka kwama cell otchedwa eosinophil m'magazi anu. Maselowa amapanga pafupifupi 1 mpaka 4 peresenti ya ma WBC anu. Eosinophilia ndi mtundu wamba wa leukocytosis.
• Basophilia. Awa ndi mulingo wokwanira wama WBC otchedwa basophil. Palibe maselo ambiriwa m'magazi anu - ndi 0,1 mpaka 1 peresenti ya ma WBC anu. Basophilia ndi osowa.

Mtundu uliwonse wa leukocytosis umakonda kugwirizanitsidwa ndi zinthu zingapo:

• Neutrophilia imalumikizidwa ndi matenda ndi kutupa.
• Lymphocytosis imalumikizidwa ndi matenda opatsirana ndi khansa ya m'magazi.
• Monocytosis imalumikizidwa ndi matenda ena ndi khansa.
• Eosinophilia imalumikizidwa ndi chifuwa ndi tiziromboti.
• Basophilia imalumikizidwa ndi khansa ya m'magazi.

Zizindikiro za leukocytosis

Leukocytosis palokha imatha kuyambitsa zizindikilo. Ngati kuchuluka kwa ma WNC ndikokwera, zimapangitsa magazi anu kukhala ochuluka kwambiri kuti sangathe kuyenda bwino. Izi ndizadzidzidzi zachipatala zomwe zingayambitse:

• sitiroko
• mavuto ndi masomphenya anu
• mavuto opuma
• Kutuluka magazi m'malo okhala ndi mucosa, monga pakamwa panu, m'mimba, ndi m'matumbo

Izi zimatchedwa matenda a hyperviscosity. Zimachitika ndi khansa ya m'magazi, koma ndizochepa.

Zizindikiro zina za leukocytosis zimakhudzana ndi zomwe zimayambitsa kuchuluka kwanu kwa ma WBC, kapena nthawi zina chifukwa cha mtundu wina wama cell oyera. Izi zingaphatikizepo:

• malungo ndi ululu kapena zisonyezo zina pamalo pomwe pali matenda
• malungo, mabala osavuta, kuwonda, ndi thukuta usiku ndi khansa ya m'magazi ndi khansa zina
• ming'oma, khungu loyabwa, ndi zotupa zomwe zimachitika pakhungu lanu
• mavuto ampweya ndi kupuma chifukwa cha zomwe zimachitika m'mapapu anu

Simungakhale ndi zisonyezo ngati leukocytosis yanu ikukhudzana ndi kupsinjika kapena kuyankha mankhwala.

Zimayambitsa leukocytosis

Zomwe zimayambitsa leukocytosis zitha kugawidwa ndi mtundu wa WBC.

Zimayambitsa neutrophilia:

• matenda
• chilichonse chomwe chimayambitsa kutupa kwanthawi yayitali, kuphatikiza kuvulala ndi nyamakazi
• zimachitikira mankhwala ena monga steroids, lithiamu, ndi ma inhalers ena
• mitundu ina ya khansa ya m'magazi
• zomwe zimachitika mukapanikizika m'maganizo kapena mthupi kuchokera kuzinthu monga nkhawa, opaleshoni, komanso masewera olimbitsa thupi
• atachotsa ndulu yanu
• kusuta

Zimayambitsa lymphocytosis:

• matenda opatsirana
• chifuwa chachikulu
• thupi lawo siligwirizana
• mitundu ina ya khansa ya m'magazi

Zomwe zimayambitsa eosinophilia:

• chifuwa ndi ziwengo, kuphatikizapo chigwagwa ndi mphumu
• Matenda a tiziromboti
• matenda ena akhungu
• lymphoma (khansa yokhudzana ndi chitetezo cha mthupi)

Zimayambitsa monocytosis:

• Matenda ochokera kuzinthu zina monga Epstein-Barr virus (kuphatikiza mononucleosis), chifuwa chachikulu, ndi fungus
• Matenda osokoneza bongo, monga lupus ndi ulcerative colitis
• atachotsa ndulu yanu

Zifukwa za basophilia:

• khansa ya m'magazi kapena khansa ya m'mafupa (nthawi zambiri)
• nthawi zina zovuta zina (nthawi zina)

Leukocytosis pa mimba

Amayi oyembekezera nthawi zambiri amakhala ndi ma WBC opitilira muyeso. Maguluwa amakula pang'onopang'ono, ndipo m'miyezi itatu yapitayo yoyembekezera kuchuluka kwa WBC kumakhala pakati pa 5,800 ndi 13,200 pa microliter yamagazi.

Kupsinjika kwa ntchito ndikubereka kungakulitsenso ma WBC. Imakhalabe pamwambapa (pafupifupi 12,700 pa microliter yamagazi) kwakanthawi mwana atabadwa.

Momwe leukocytosis imadziwira

Nthawi zambiri mumakhala pakati pa 4,000 ndi 11,000 WBCs pa microliter yamagazi ngati mulibe pakati. Chilichonse chapamwamba chimawerengedwa kuti leukocytosis.

Kuwerengera kwa WBC pakati pa 50,000 ndi 100,000 pa microliter nthawi zambiri kumatanthauza matenda oopsa kwambiri kapena khansa kwinakwake mthupi.

Kuwerengera kwa WBC kupitilira 100,000 nthawi zambiri kumachitika ndi khansa ya m'magazi kapena khansa ina yamagazi ndi mafupa.

Pali mayeso atatu omwe dokotala angagwiritse ntchito kuti akuthandizeni kudziwa chifukwa chake WBC yanu ndiyokwera kuposa yachibadwa:

• Kuwerengera kwathunthu kwamagazi (CBC) mosiyanasiyana. Kuyesaku kumachitika nthawi zambiri kuwerengera kwanu kwa WBC ndikokwera kuposa kwachilendo pazifukwa zosadziwika. Pakuyesaku, magazi ochokera mumitsempha yanu amayendetsedwa pamakina omwe amadziwika kuti ndi mtundu wanji wa WBC. Kudziwa kuti ndi mitundu iti yomwe ili yochuluka kuposa magawo abwinobwino kungathandize dokotala wanu kuchepetsa zomwe zingayambitse kuchuluka kwanu kwa WBC.
• Zotumphukira magazi chopaka. Kuyesaku kumachitika ngati neutrophilia kapena lymphocytosis ipezeka chifukwa adotolo amatha kuwona ngati pali mitundu yambiri yama leukocyte. Pakuyesaku, magazi anu amayesedwa pang'ono. Kenako amagwiritsa ntchito microscope kuyang'ana m'maselo.
• Kutupa kwa mafupa. Ma WBC anu amapangidwa m'mafupa anu kenako amatulutsidwa m'magazi anu. Ngati mitundu yambiri ya ma neutrophil amapezeka pagazi lanu, dokotala wanu akhoza kuyesa izi. Zitsanzo za mafupa anu zimachotsedwa pakatikati pa fupa, nthawi zambiri mchiuno mwanu, ndi singano yayitali ndikuyesedwa pansi pa microscope. Kuyesaku kumatha kuuza dokotala ngati pali maselo osazolowereka kapena vuto pakupanga kapena kutulutsa maselo m'mafupa anu.

Chithandizo cha leukocytosis

Chithandizo cha leukocytosis chimachokera pazomwe zikuyambitsa:

• maantibayotiki opatsirana
• chithandizo cha zinthu zomwe zimayambitsa kutupa
• antihistamines ndi inhalers chifukwa cha thupi lawo siligwirizana
• chemotherapy, radiation, ndipo nthawi zina kupatsira ma cell a stem kwa leukemia
• mankhwala amasintha (ngati zingatheke) ngati chifukwa chake ndichotsatira mankhwala
• chithandizo chazomwe zimayambitsa kupsinjika ndi nkhawa ngati alipo

Matenda a Hyperviscosity ndi achipatala omwe amathandizidwa ndimadzi am'mitsempha, mankhwala, ndi njira zina zochepetsera WBC kuwerengera. Izi zimachitika kuti magazi azikhala ochepa motero kuti aziyendanso bwino.

Kupewa leukocytosis

Njira yabwino yopewera leukocytosis ndikupewa kapena kuchepetsa ngozi zomwe zimayambitsa. Izi zikuphatikiza:

• kukhala ndi moyo wathanzi, kuphatikizapo kusamba m'manja bwino kuti mupewe matenda
• kukhala kutali ndi chilichonse chomwe mukudziwa chomwe chingayambitse vuto lanu
• kusiya kusuta kuti mupewe leukocytosis yokhudzana ndi kusuta, ndikuchepetsa chiopsezo cha khansa
• kumwa mankhwala monga mwauzidwa ngati mukuchiritsidwa ndi vuto lomwe limayambitsa kutupa
• Kuyesera kuchepetsa kuchuluka kwa kupsinjika pamoyo wanu, ndikupatsidwa chithandizo cha nkhawa zazikulu kapena mavuto am'maganizo

Leukocytosis nthawi zambiri imayankha matenda kapena kutupa, chifukwa chake sichimayambitsa mantha. Komabe, zimatha kuyambitsidwa ndi matenda akulu monga leukemia ndi khansa zina, chifukwa chake ndikofunikira kuti dokotala wanu azindikire chifukwa cha WBC yowonjezereka ikapezeka. Leukocytosis yokhudzana ndi pakati kapena poyankha zolimbitsa thupi ndichabwinobwino ndipo palibe chodetsa nkhawa.