Kodi lymphocytosis ndi chiyani, zoyambitsa zazikulu ndi zoyenera kuchita

Zamkati

• Zoyambitsa zazikulu za lymphocytosis
• 1. Mononucleosis
• 2. Chifuwa chachikulu
• 3. Chikuku
• 4. Matenda a chiwindi
• 5. Matenda a m'magazi a Lymphocytic
• 6. Matenda a m'magazi a Lymphocytic
• 7. Lymphoma

Lymphocytosis ndizomwe zimachitika pomwe kuchuluka kwa ma lymphocyte, omwe amatchedwanso maselo oyera amwazi, amakhala pamwamba pamwazi. Kuchuluka kwa ma lymphocyte m'magazi kumawonetsedwa mu gawo lina la kuwerengera magazi, leukogram, kuwonedwa ngati lymphocytosis pomwe ma lymphocyte opitilira 5000 amafufuzidwa pa mamilimita amwazi.

Ndikofunika kukumbukira kuti zotsatirazi zimawerengedwa kuti ndizowerengera kwathunthu, chifukwa zotsatira za mayeso zikawoneka ma lymphocyte opitilira 50% amatchedwa kuwerengera, ndipo izi zimasiyana malinga ndi labotale.

Ma lymphocyte ndimaselo omwe amateteza thupi, choncho akakulitsidwa nthawi zambiri amatanthauza kuti thupi limachita ndi tizilombo tina, monga mabakiteriya, ma virus, koma amathanso kukulitsidwa pakakhala vuto pakupanga izi maselo. Dziwani zambiri za ma lymphocyte.

Zoyambitsa zazikulu za lymphocytosis

Lymphocytosis imatsimikiziridwa pogwiritsa ntchito kuwerengera kwathunthu kwamagazi, makamaka kuwerengera kwama cell oyera, omwe ndi gawo lowerengera magazi lomwe lili ndi chidziwitso chokhudzana ndi maselo oyera amwazi, omwe ndi maselo omwe amateteza thupi, monga monga ma lymphocyte, leukocyte, monocytes, eosinophils ndi basophil.

Kuwunika kwa ma lymphocyte oyenda akuyenera kuwunikidwa ndi hematologist, dokotala wamkulu kapena ndi dokotala yemwe adalamula mayeso. Kuwonjezeka kwa ma lymphocyte kumatha kukhala ndi zifukwa zingapo, zazikulu mwa izi ndi izi:

1. Mononucleosis

Mononucleosis, yomwe imadziwikanso kuti matenda opsompsona, imayambitsidwa ndi kachilombokaEpstein-Barr yomwe imafalikira ndi malovu kupsompsonana, komanso kutsokomola, kuyetsemula kapena kugawana zodulira ndi magalasi. Zizindikiro zazikulu ndi malo ofiira m'thupi, kutentha thupi kwambiri, kupweteka mutu, madzi m'khosi ndi kukhwapa, zilonda zapakhosi, zikwangwani zoyera mkamwa ndi kutopa kwakuthupi.

Momwe ma lymphocyte amatetezera chamoyo, sizachilendo kuti azikhala okwera, komanso ndizotheka kutsimikizira kusintha kwina kwamagazi, monga kupezeka kwa ma lymphocyte atypical ndi monocytes, kuphatikiza pakusintha kwamankhwala amankhwala am'magazi mayeso, makamaka mapuloteni othandizira C, CRP.

Zoyenera kuchita: Nthawi zambiri, matendawa amachotsedwa mwachilengedwe ndimaselo achitetezo amthupi, ndipo amatha milungu 4 mpaka 6. Komabe, dokotala akhoza kulamula kuti mugwiritse ntchito mankhwala ena kuti muchepetse zizindikilo monga zothetsa ululu ndi antipyretics kuti muchepetse malungo ndi anti-inflammatories kuti muchepetse ululu. Pezani momwe mankhwala a mononucleosis amachitikira.

2. Chifuwa chachikulu

TB ndi matenda omwe amakhudza mapapu, amapita kuchokera kwa munthu kupita kwa munthu, ndipo amayamba chifukwa cha bakiteriya wotchedwa Koch bacillus (BK). Nthawi zambiri matendawa amakhala osagwira ntchito, koma akagwira ntchito amayambitsa zizindikiro monga chifuwa chamagazi ndi phlegm, thukuta usiku, malungo, kuonda komanso kudya.

Kuphatikiza pa ma lymphocyte apamwamba, adotolo amathanso kuwona kuwonjezeka kwa ma monocyte, otchedwa monocytosis, kuphatikiza kuwonjezeka kwa ma neutrophil. Ngati munthuyo ali ndi zizindikiro za chifuwa chachikulu komanso kusintha kwa kuchuluka kwa magazi, adokotala atha kupempha kuti apimidwe chifuwa chachikulu, chotchedwa PPD, momwe munthuyo amalandila jakisoni yaying'ono ya protein yomwe ilipo mu mabakiteriya omwe amayambitsa chifuwa chachikulu Zotsatira zimadalira kukula kwa khungu chifukwa cha jakisoni uyu. Onani momwe mungamvetsetse mayeso a PPD.

Zoyenera kuchita: Mankhwalawa ayenera kukhazikitsidwa ndi pulmonologist kapena matenda opatsirana, ndipo munthuyo amayenera kuyang'aniridwa pafupipafupi. Chithandizo cha chifuwa chachikulu chimatenga pafupifupi miyezi isanu ndi umodzi ndipo chimachitika ndi maantibayotiki omwe amayenera kumwa ngakhale zizindikiro zitatha. Chifukwa ngakhale pakalibe zizindikiritso, mabakiteriya amatha kukhalapobe ndipo ngati mankhwalawo atasokonezedwa, atha kuberekanso ndipo zimabweretsa mavuto kwa munthuyo.

Kuwunika kwa wodwala chifuwa chachikulu kuyenera kuchitidwa pafupipafupi kuti muwone ngati pali Koch bacilli, ndikofunikira kuti munthuyo akayezedwe ndi sputum, ndikulimbikitsidwa kuti atenge zitsanzo zosachepera 2.

3. Chikuku

Mezles ndi matenda opatsirana omwe amabwera chifukwa cha kachilombo komwe kamakhudza kwambiri ana mpaka chaka chimodzi. Amati matendawa ndi opatsirana kwambiri, chifukwa amatha kufalikira mosavuta kuchokera kwa munthu wina kudzera m'madontho omwe amatuluka chifukwa cha kutsokomola ndi kuyetsemula. Ndi matenda omwe amalimbana ndi kupuma, koma amatha kufalikira mthupi lonse ndikupangitsa zizindikilo monga mawanga ofiira pakhungu ndi kukhosi, maso ofiira, chifuwa ndi malungo. Dziwani momwe mungazindikire matenda a chikuku.

Kuphatikiza pa ma lymphocyte apamwamba, dokotala kapena dokotala wa ana atha kuwunika kusintha kwina pamwazi wamagazi komanso mayeso am'magazi ndi zamankhwala am'magazi, monga kuchuluka kwa CRP, komwe kumawonetsa kupezeka kwa matenda.

Zoyenera kuchita: Muyenera kukaonana ndi dokotala wanu kapena dokotala wa ana akangowonekera, chifukwa ngakhale atakhala kuti alibe mankhwala achikuku, adokotala amalangiza mankhwala kuti athetse vutoli. Katemera ndi njira yabwino yopewera chikuku ndipo akuwonetsa kwa ana ndi akulu ndipo katemerayu amapezeka kwaulere m'malo azachipatala.

4. Matenda a chiwindi

Hepatitis ndikutupa m'chiwindi komwe kumayambitsidwa ndi mitundu yosiyanasiyana ya ma virus kapena ngakhale chifukwa chogwiritsa ntchito mankhwala, mankhwala osokoneza bongo kapena kumeza poizoni. Zizindikiro zazikulu za matenda a chiwindi ndi khungu lachikaso ndi maso, kuchepa thupi ndi njala, kutupa mbali yakumanja yamimba, mkodzo wamdima ndi malungo. Matenda a chiwindi amatha kufalikiranso kudzera pakugawana singano zonyansa, kugonana kosadziteteza, madzi ndi chakudya chodetsedwa ndi ndowe komanso kukhudzana ndi magazi a munthu yemwe ali ndi kachilomboka.

Popeza matenda a chiwindi amayamba chifukwa cha mavairasi, kupezeka kwake mthupi kumalimbikitsa magwiridwe antchito amthupi, ndikuwonjezera kuchuluka kwa ma lymphocyte. Kuphatikiza pa kusintha kwa WBC ndi kuchuluka kwa magazi, komwe kumawonetsa kuchepa kwa magazi, adotolo amayeneranso kuyesa momwe chiwindi chimagwirira ntchito kudzera mumayeso monga TGO, TGP ndi bilirubin, kuphatikiza pamayeso a serological kuti adziwe kachilombo ka hepatitis.

Zoyenera kuchita: Chithandizo cha matenda a chiwindi chimachitika molingana ndi chifukwa chake, komabe ngati chikuyambitsidwa ndi kachilomboka, kugwiritsa ntchito maantivirals, kupumula komanso kuchuluka kwamadzimadzi kungalimbikitsidwe ndi wodwala matendawa, hepatologist kapena dokotala wamba. Pankhani ya matenda a chiwindi, dokotala yemwe amachititsa kuti mankhwalawa awonongeke kapena ayimitsidwe ayenera kuwalimbikitsa ndi dokotala.Dziwani chithandizo cha mtundu uliwonse wa matenda a chiwindi.

5. Matenda a m'magazi a Lymphocytic

Acute lymphocytic leukemia (ALL) ndi mtundu wa khansa yomwe imapezeka m'mafupa, omwe ndi omwe amachititsa kupanga maselo amwazi. Mtundu wa khansa ya m'magazi umatchedwa pachimake chifukwa ma lymphocyte omwe apangidwa posachedwa m'mafupa amapezeka akuziyenda m'magazi, osakhala ndi gawo lokhwima, chifukwa chake amatchedwa ma lymphocyte osakhwima.

Popeza ma lymphocyte oyenda sangathe kugwira ntchito yawo moyenera, pamakhala kupanga ma lymphocyte ambiri m'mafupa poyesera kubwezera kusowa uku, komwe kumabweretsa lymphocytosis, kuphatikiza pakusintha kwina kwamagazi, monga thrombocytopenia , komwe ndikuchepa kwama platelet count.

Ndi khansa yotchuka kwambiri muubwana, yokhala ndi mwayi wambiri wokhoza kuchiritsidwa, koma imathanso kuchitika mwa akulu. Zizindikiro zonse ndi khungu lotumbululuka, kutuluka magazi m'mphuno, mikwingwirima kuchokera mmanja, miyendo ndi maso, madzi ochokera m'khosi, kubuula ndi m'khwapa, kupweteka kwa mafupa, malungo, kupuma movutikira komanso kufooka.

Zoyenera kuchita: Ndikofunika kukaonana ndi dokotala wa ana kapena wothandizira akangowona zisonyezo zoyambirira za khansa ya m'magazi ziwonekere, kuti munthuyo atumizidwe nthawi yomweyo kwa a hematologist kuti mayesero ena achidziwikire azitsimikiziridwa. Nthawi zambiri, chithandizo cha ZONSE chimachitika ndi chemotherapy ndi radiotherapy ndipo, nthawi zina, kulowetsedwa m'mafupa kumalimbikitsa. Onani momwe kusamutsa mafupa kumachitikira.

6. Matenda a m'magazi a Lymphocytic

Matenda a lymphocytic leukemia (LLC) ndi mtundu wa matenda oopsa, kapena khansa, yomwe imayamba m'mafupa. Amatchedwa kuti aakulu chifukwa amatha kuwoneka m'magazi a ma lymphocyte okhwima komanso osakhwima. Matendawa amakula pang'onopang'ono, ndipo zizindikilozo zimakhala zovuta kuzizindikira.

Nthawi zambiri LLC siyimayambitsa zizindikiro, koma imatha kuchitika nthawi zina, monga kukhwapa, kubuula kapena kutupa kwa khosi, thukuta usiku, kupweteka kumanzere kwa mimba chifukwa cha nthenda yotentha ndi malungo. Ndi matenda omwe amakhudza kwambiri okalamba ndi amayi azaka zopitilira 70.

Zoyenera kuchita: Kuwunika kwa dokotala ndi kofunikira ndipo ngati matendawa atsimikiziridwa, kutumizidwa kwa dokotala wamagazi kumafunika. The hematologist adzatsimikizira matenda kudzera mayesero ena, kuphatikizapo m`mafupa biopsy. Pankhani yotsimikizira a LLC, dokotalayo akuwonetsa kuyamba kwa mankhwala, omwe nthawi zambiri amakhala ndi chemotherapy komanso kupatsira mafuta m'mafupa.

7. Lymphoma

Lymphoma ndi mtundu wa khansa womwe umachokera ku ma lymphocyte omwe ali ndi matenda ndipo umatha kukhudza gawo lililonse la mitsempha yamitsempha, koma nthawi zambiri imakhudza nthenda, thymus, matumbo ndi malilime. Pali mitundu yoposa 40 yamankhwala am'mimba, koma omwe amapezeka kwambiri ndi Hodgkin's and non-Hodgkin's lymphoma, zomwe zimafanana kwambiri ngati zotupa m'khosi, kubuula, clavicle, m'mimba ndi m'khwapa, kuphatikiza malungo, thukuta usiku , kuonda popanda chifukwa, kupuma movutikira komanso chifuwa.

Zoyenera kuchita: Ndi kuyamba kwa zizindikiro ndikulimbikitsidwa kuti mupeze dokotala yemwe angakutumizireni kwa oncologist kapena hematologist yemwe angayitanitse mayeso ena, kuphatikiza kuwerengera kwa magazi, kuti atsimikizire matendawa. Chithandizochi chidzawonetsedwa pokhapokha dokotala atafotokoza kukula kwa matendawa, koma chemotherapy, radiation radiation komanso kupatsira mafuta m'mafupa.