Mlembi: Morris Wright
Tsiku La Chilengedwe: 25 Epulo 2021
Sinthani Tsiku: 17 Novembala 2024
Anonim
Monocytosis: ndi chiyani komanso zomwe zimayambitsa - Thanzi
Monocytosis: ndi chiyani komanso zomwe zimayambitsa - Thanzi

Zamkati

Mawu oti monocytosis amatanthauza kuchuluka kwa ma monocyte omwe amayenda m'magazi, ndiye kuti, pomwe ma monocyte opitilira 1000 amadziwika pa µL yamagazi. Momwe ma monocytes amagwiritsidwira ntchito m'magazi amasiyana malinga ndi labotale, komabe kuchuluka kwa monocyte pakati pa 100 ndi 1000 pa µL yamagazi nthawi zambiri kumawoneka ngati kwabwinobwino.

Ma monocyte ndimaselo amwazi omwe amapangidwa m'mafupa ndipo omwe ndi gawo limodzi lama chitetezo amthupi, omwe amateteza chitetezo cha thupi. Chifukwa chake, kuchuluka kwa monocyte m'magazi kumatha kuwonjezeka chifukwa cha njira yotupa komanso yopatsirana, ndipo monocytosis imatha kuwonedwa makamaka ndi chifuwa chachikulu, pochira matenda ndi endocarditis. Dziwani zambiri za monocyte.

Zomwe zimayambitsa Monocytosis

Monocytosis imadziwika pogwiritsa ntchito kuwerengera kwathunthu kwa magazi, ndipo ndikofunikira kusonkhanitsa magazi pang'ono omwe amatumizidwa ku labotale kukafufuza. Chotsatiracho chimatulutsidwa mu gawo lina la chithunzi cha magazi chotchedwa leukogram, momwe zidziwitso zonse zokhudzana ndi maselo omwe amateteza thupi zimapezeka.


Nthawi zambiri, monocytosis imatsagana ndi kusintha kwina kwa kuwerengera magazi ndi mayeso ena omwe adalamulidwa ndi adotolo, kuwonjezera poti wodwalayo amakhala ndi zizindikilo zokhudzana ndi zomwe zasintha. Monocytosis ikachitika payokha komanso popanda zizindikilo, tikulimbikitsidwa kuti mubwereza kuwerengetsa magazi kuti muwone ngati kuchuluka kwa ma monocyte kwakhala kosinthidwa nthawi zonse kapena ngati kufunikira kwina kuli kofunikira.

Zomwe zimayambitsa monocytosis ndi izi:

1. Chifuwa cha TB

TB ndi matenda opatsirana omwe amabwera chifukwa cha Mycobacterium chifuwa chachikulu, yotchuka kwambiri monga Koch's Bacillus, bakiteriya yemwe amatsalira m'mapweya, kuchititsa kuti mapapo atengeke ndikupangitsa kuti zizindikilo zina zizioneka, monga chifuwa chosalekeza, kupweteka pachifuwa, kupuma movutikira, thukuta lausiku ndikupanga sputum wobiriwira kapena wachikaso.

Kuphatikiza pa monocytosis, dokotala amatha kuwona kusintha kwina pakuwerengera kwa magazi komanso kuyesa kwamankhwala amuzolengedwa. Kuphatikiza apo, pakayikilidwe ka chifuwa chachikulu malinga ndi zizindikilo zomwe munthuyo wapereka, mayankho a microbiological a sputum kapena test tuberculin angafunsidwe, omwe amatchedwanso mayeso a PPD, omwe cholinga chake ndikutsimikizira kupezeka kwa mabakiteriya mu thupi. Mvetsetsani chomwe mayeso a PPD ndi momwe amachitira.


Zoyenera kuchita: Pamaso pazizindikiro zilizonse za chifuwa chachikulu, ndikofunikira kupita kwa wodwala, pulmonologist kapena matenda opatsirana kuti mayesero apemphedwe, matendawa amawonetsedwa ndipo mankhwalawo amakhazikitsidwa, omwe amachitika ndi maantibayotiki. Ndikofunika kuti chithandizocho chichitike monga momwe dokotala akulimbikitsira, ngakhale zizindikilo zikuyenda bwino. Izi ndichifukwa choti ngati mankhwala asokonezedwa, ndizotheka kuti mabakiteriya achulukane ndikupezanso mphamvu yake, ndikupangitsa kuti mankhwalawo akhale ovuta komanso amabweretsa zovuta kwa munthuyo.

2. Bakiteriya endocarditis

Bakiteriya endocarditis ndimomwe zimapangidwira mkati mwa mtima ndi mabakiteriya, omwe amafikira chiwalo ichi kudzera m'magazi, zomwe zimayambitsa kuwonekera kwa zizindikilo monga kutentha thupi kwambiri, kupweteka pachifuwa, kupuma pang'ono ndi chifuwa, mwachitsanzo .

Mtundu wa endocarditis ndiofala kwambiri kwa anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo, chifukwa mabakiteriya omwe amapezeka pakhungu amatha kulowa m'magazi mwachindunji pomwe mankhwalawa agwiritsidwa ntchito.


Kuphatikiza pa kusintha kwa kuchuluka kwa magazi, adokotala amathanso kuwunika kusintha kwa ma labotore ena, mayeso a microbiological komanso mtima, monga ultrasound ya mtima ndi echogram. Dziwani mayesero ena omwe amayesa mtima.

Zoyenera kuchita: Pakadali pano, ndikofunikira kulabadira mawonekedwe azizindikiro zosonyeza endocarditis ndikupita kuchipatala akangowonekera, chifukwa mabakiteriya omwe amachititsa matendawa amatha kufalikira mwachangu ndikufikira ziwalo zina kupatula pamtima, ndikupangitsa kuti Matenda a wodwala.

3. Kuchira matenda

Zimakhala zachizolowezi kuti munthawi yoti matenda atuluke pamakhala kuwonjezeka kwa monocyte, chifukwa izi zikuwonetsa kuti thupi limalimbana ndi wothandizirayo ndikupititsa patsogolo chitetezo, kuchititsa kuti kuchotsedwa kwachangu komanso kothandiza tizilombo.

Kuphatikiza pa kuchuluka kwa ma monocyte, ndizothekanso kuwona kuchuluka kwa ma lymphocyte ndi neutrophils.

Zoyenera kuchita: Ngati munthu wapezeka kuti ali ndi matenda, kuchuluka kwa ma monocyte nthawi zambiri kumangoyimira kuchira kwa wodwalayo komanso chitetezo chamthupi. Pakadali pano, palibe malingaliro ena omwe ali ofunikira, ndipo adotolo angangopempha kuwerengetsa magazi patadutsa milungu ingapo kuti awone ngati zakhala zikudziwika ngati kuchuluka kwa monocyte.

4. Nyamakazi

Matenda a nyamakazi ndi matenda omwe atha kukhala monocytosis, chifukwa ndimatenda amthupi okha, ndiye kuti, maselo amthupi amateteza ma cell ena mthupi. Chifukwa chake, nthawi zonse pamakhala maselo amthupi, kuphatikiza ma monocyte.

Matendawa amadziwika ndi kutengapo gawo kwamagulu, omwe ndi opweteka, otupa komanso owuma, kukhala ndi vuto lowasuntha kwa ola limodzi mutadzuka.

Zoyenera kuchita: Chithandizo cha nyamakazi chimachitidwa makamaka ndi mankhwala kuti athe kukonzanso cholumikizira, kupewa zovuta ndikuthana ndi ululu. Kuphatikiza apo, a rheumatologists atha kulimbikitsa kugwiritsa ntchito mankhwala ndi chakudya chokwanira, chomwe chiyenera kuchitidwa motsogozedwa ndi katswiri wazakudya. Mvetsetsani momwe chithandizo cha nyamakazi chimachitikira.

5. Hematological kusintha

Monocitosis amathanso kupezeka pamavuto amwazi, monga kuchepa magazi, ma lymphomas ndi leukemia. Popeza monocytosis imatha kukhala yokhudzana ndi zovuta komanso zovuta, ndikofunikira kuti kuwunika kwa zotsatirazi kuchitike ndi dokotala limodzi ndi kusanthula magawo ena owerengera magazi kwathunthu, kuphatikiza pazowerenga.

Zoyenera kuchita: Monocitosis yokhudzana ndi mavuto amwazi nthawi zambiri imayambitsa kuwonekera kwa zizindikiro kutengera chifukwa. Chifukwa chake, tikulimbikitsidwa kuti dotolo wamkulu kapena hematologist adziwitse za chizindikiro chilichonse kapena chizindikiro chilichonse, chifukwa izi zimaganiziridwa pofufuza kuchuluka kwa magazi. Malinga ndi kuyesa kwa dokotala, ndizotheka kupanga matenda ndikuyamba chithandizo choyenera.

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