Kumvetsetsa Neutrophils: Ntchito, Kuwerengera, ndi Zambiri
Zamkati
- Kuwerengera kwathunthu kwa neutrophil (ANC)
- Zomwe muyenera kuyembekezera
- Kumvetsetsa zotsatira
- Nchiyani chimayambitsa milingo yayikulu ya neutrophil?
- Nchiyani chimayambitsa magulu otsika a neutrophil?
- Chiwonetsero
- Mafunso kwa dokotala wanu
Chidule
Ma neutrophils ndi mtundu wa khungu loyera lamagazi. M'malo mwake, ambiri mwa maselo oyera am'magazi omwe amatsogolera momwe chitetezo cha mthupi chimayankhira ndi ma neutrophil. Pali mitundu inayi ina yamaselo oyera. Ma neutrophil ndiwo mtundu wochuluka kwambiri, womwe umapanga 55 mpaka 70 peresenti yamaselo anu oyera amwazi. Maselo oyera amagazi, omwe amatchedwanso ma leukocyte, ndi gawo lofunikira m'thupi lanu.
Chitetezo chanu chamthupi chimapangidwa ndimatenda, ziwalo, ndi maselo. Monga gawo la dongosolo lovuta lino, maselo oyera amagazi amayenda m'magazi mwanu komanso ma lymphatic system.
Mukamadwala kapena kuvulala pang'ono, zinthu zomwe thupi lanu limaziwona ngati zakunja, zotchedwa ma antigen, zimayitanitsa chitetezo chamthupi chanu kuti muchitepo kanthu.
Zitsanzo za ma antigen ndi awa:
- mabakiteriya
- mavairasi
- bowa
- ziphe
- maselo a khansa
Maselo oyera amatulutsa mankhwala omwe amalimbana ndi ma antigen popita ku gwero la matenda kapena kutupa.
Ma neutrophils ndiofunikira chifukwa, mosiyana ndi maselo ena oyera amwazi, samangokhala gawo lokhalo loyenda. Amatha kuyenda momasuka pamakoma amitsempha ndikulowa m'matupi amthupi lanu kuti amenyane ndi ma antigen onse nthawi yomweyo.
Kuwerengera kwathunthu kwa neutrophil (ANC)
Kuwerengera kwathunthu kwa neutrophil (ANC) kumatha kupatsa dokotala chidziwitso chofunikira chokhudza thanzi lanu. ANC imalamulidwa kuti ikhale gawo limodzi lamawerengero amwazi (CBC) osiyanasiyana. CBC imayesa maselo omwe ali m'magazi anu.
Dokotala wanu atha kuyitanitsa ANC:
- kuwunika pazinthu zingapo
- Kuthandiza kuzindikira matenda
- kuwunika momwe mulili ngati muli ndi matenda omwe alipo kapena ngati mukuchita chemotherapy
Ngati ANC yanu siili yachilendo, dokotala wanu angafune kubwereza kuyesa magazi kangapo kwa milungu ingapo. Mwanjira imeneyi, amatha kuwunika pakusintha kwa kuchuluka kwanu kwa neutrophil.
Zomwe muyenera kuyembekezera
Poyeserera ANC, magazi ochepa amatengedwa, nthawi zambiri kuchokera pamitsempha m'manja mwanu. Izi zidzachitika kuofesi ya dokotala kapena ku labu. Magaziwo adzawayesa mu labotale ndipo zotsatira zake zidzatumizidwa kwa dokotala wanu.
Zinthu zina zingakhudze zotsatira za kuyesa kwanu magazi. Onetsetsani kuti muuze dokotala ngati muli ndi pakati, kapena ngati mwakhala ndi izi:
- matenda aposachedwa
- chemotherapy
- mankhwala a radiation
- mankhwala a corticosteroid
- opaleshoni yaposachedwa
- nkhawa
- HIV
Kumvetsetsa zotsatira
Ndikofunika kuti dokotala wanu akufotokozere zotsatira za mayeso. Zotsatira zimatha kusiyanasiyana kuyambira lab mpaka lab. Amakhalanso osiyana kutengera:
- zaka zanu
- jenda yako
- cholowa chako
- kukwera kumtunda kwa nyanja mumakhala bwanji
- zida ziti zomwe zinagwiritsidwa ntchito poyesa
Dziwani kuti magawo omwe afotokozedwera pano amayesedwa ndi microliters (mcL), ndipo amangofanana.
Mayeso | Kuchuluka kwamaselo wamba | Masamba akuluakulu (masiyanidwe) | Magulu otsika (leukopenia ndi neutropenia) | Mulingo wapamwamba (leukocytosis ndi neutrophilia) |
maselo oyera oyera (WBC) | 4,300-10,000 (4.3-10.0) maselo oyera a magazi / mcL | 1% yathunthu yamagazi | <Maselo oyera a magazi 4,000 / mcL | > Maselo oyera 12,000 / mcL |
ma neutrophils (ANC) | 1,500-8,000 (1.5-8.0) neutrophils / mcL | 45-75% yama cell oyera oyera | wofatsa: 1,000-1,500 neutrophils / mcL zolimbitsa thupi: 500-1,000 neutrophils / mcL kwambiri:<500 neutrophils / mcL | > 8,000 neutrophils / mcL |
Nchiyani chimayambitsa milingo yayikulu ya neutrophil?
Kukhala ndi ma neutrophil ambiri m'magazi anu kumatchedwa neutrophilia. Ichi ndi chisonyezo chakuti thupi lanu lili ndi matenda. Neutrophilia ikhoza kuloza pazifukwa zingapo, kuphatikizapo:
- matenda, makamaka bakiteriya
- kutupa kosafalikira
- kuvulaza
- opaleshoni
- kusuta ndudu kapena kusuta fodya
- mkulu nkhawa
- kuchita masewera olimbitsa thupi mopitirira muyeso
- kugwiritsa ntchito steroid
- matenda a mtima
- matenda aakulu a khansa ya m'magazi
Nchiyani chimayambitsa magulu otsika a neutrophil?
Neutropenia ndilo liwu laling'ono la neutrophil. Kuwerengera kochepa kwa neutrophil nthawi zambiri kumalumikizidwa ndi mankhwala komanso kumatha kukhala chizindikiro cha zinthu zina kapena matenda, kuphatikiza:
- mankhwala ena, kuphatikizapo omwe amagwiritsidwa ntchito mu chemotherapy
- kupondereza chitetezo cha mthupi
- kulephera kwa mafupa
- kuchepa kwa magazi m'thupi
- febrile neutropenia, yomwe ndi vuto lachipatala
- Matenda obadwa nawo, monga matenda a Kostmann ndi cyclic neutropenia
- chiwindi A, B, kapena C
- HIV / Edzi
- sepsis
- Matenda osokoneza bongo, kuphatikizapo nyamakazi ya nyamakazi
- khansa ya m'magazi
- myelodysplastic syndromes
Muli pachiwopsezo chachikulu chotenga matenda ngati kuchuluka kwanu kwa neutrophil kutsika pansi pa ma neutrophil 1,500 pa microliter. Kuchuluka kwambiri kwa neutrophil kumatha kubweretsa matenda owopsa.
Chiwonetsero
Ngati kuchuluka kwanu kwa neutrophil kuli kwakukulu, kungatanthauze kuti muli ndi matenda kapena muli ndi nkhawa zambiri. Ikhozanso kukhala chizindikiro cha zovuta zazikulu.
Neutropenia, kapena kuchuluka kochepa kwa neutrophil, kumatha milungu ingapo kapena kumatha kukhala kwanthawi yayitali. Ikhozanso kukhala chizindikiritso cha matenda ena, ndipo imakuyika pachiwopsezo chachikulu chotenga matenda owopsa.
Ngati kuchuluka kwa neutrophil kumachitika chifukwa cha zomwe zikuchitika, malingaliro anu ndi chithandizo chanu zitsimikiziridwa ndi vutoli.
Mafunso kwa dokotala wanu
Ngati adokotala akulamula CBC yosiyanitsa kapena mawonekedwe a ANC, mutha kuwona kuti ndiwothandiza kufunsa mafunso otsatirawa.
- Chifukwa chiyani mukuyitanitsa mayesowa?
- Kodi mukuyesera kutsimikizira kapena kuthetsa vuto linalake?
- Kodi pali chilichonse chapadera chomwe ndiyenera kukonzekera mayeso?
- Kodi ndipeza bwanji posachedwa?
- Kodi inu, kapena wina, mudzandipatsa zotsatira zake ndikundifotokozera?
- Ngati zotsatira za mayeso ndi zachilendo, masitepe otsatirawa adzakhala otani?
- Ngati zotsatira za mayeso sizachilendo, masitepe otsatirawa adzakhala otani?
- Ndi njira ziti zodzisamalirira zomwe ndiyenera kuchita ndikudikirira zotsatira?