Yintoni leukocytosis?

Umxholo

• Iindidi leukocytosis
• Iimpawu leukocytosis
• Oonobangela leukocytosis
• Leukocytosis xa ukhulelwe
• Ichongwa njani i-leukocytosis
• Unyango lwe-leukocytosis
• Ukuthintela leukocytosis

Ushwankathelo

Ileukocyte lelinye igama leeseli ezimhlophe zegazi (WBC). Ezi ziiseli ezisegazini lakho ezinceda umzimba wakho ukulwa usulelo kunye nezinye izifo.

Xa inani leeseli ezimhlophe egazini lakho liphezulu kunesiqhelo, ibizwa ngokuba yi-leukocytosis. Oku kuhlala kusenzeka kuba uyagula, kodwa ngamanye amaxesha kungumqondiso wokuba umzimba wakho uxinezelekile.

Iindidi leukocytosis

Ileukocytosis ihlelwa ngohlobo lweWBC olonyusiweyo. Ezi ntlobo zintlanu zezi:

• Neutrophilia. Olu konyuka kwii-WBCs ezibizwa ngokuba zii-neutrophils. Luhlobo oluqhelekileyo lwe-WBCs, ukubalwa kwama-40 ukuya kuma-60 eepesenti kwii-WBCs zakho. I-neutrophilia luhlobo lwe-leukocytosis eyenzeka rhoqo.
• NgeLymphocytosis. Malunga neepesenti ezingama-20 ukuya kwezingama-40 zee-WBCs zakho zii-lymphocyte. Inani elonyukayo lezi seli libizwa ngokuba yi-lymphocytosis. Olu hlobo leukocytosis ixhaphake kakhulu.
• Monocytosis. Eli ligama lenani eliphezulu lee monocytes. Olu hlobo lweseli lwenza kuphela iipesenti ezi-2 ukuya kwezi-8 zee-WBCs. I-Monocytosis ayiqhelekanga.
• I-Eosinophilia. Oku kuthetha ukuba kukho inani eliphezulu leeseli ezibizwa ngokuba zii-eosinophils egazini lakho. Ezi seli zenza malunga neepesenti ezi-1 zee-WBCs zakho. I-Eosinophilia ikwayinto engaqhelekanga ye-leukocytosis.
• I-Basophilia. Eli linqanaba eliphezulu lee-WBCs ezibizwa ngokuba zii-basophils. Azikho zininzi kwezi seli egazini lakho - kuphela iipesenti ezi-0 ukuya kwezi-1 zee-WBCs zakho. I-Basophilia inqabile.

Uhlobo ngalunye lwe-leukocytosis ludla ngokunxulunyaniswa neemeko ezimbalwa:

• I-neutrophilia inxulunyaniswa nosulelo kunye nokudumba.
• I-Lymphocytosis inxulunyaniswa nosulelo lwentsholongwane kunye neleukemia.
• I-Monocytosis inxulunyaniswa nosulelo oluthile kunye nomhlaza.
• I-Eosinophilia inxulunyaniswa ne-allergies kunye ne-parasites.
• I-Basophilia inxulunyaniswa neleukemia.

Iimpawu leukocytosis

Leukocytosis ngokwayo kunokubangela iimpawu. Ukuba inani lee-WNC liphezulu, lenza igazi lakho lingqindilili kangangokuba lingakwazi ukuhamba kakuhle. Olu ngxamiseko lonyango olunokubangela:

• icala
• iingxaki ngombono wakho
• iingxaki zokuphefumla
• ukopha kwiindawo ezigutyungelwe yimifinya, njengomlomo wakho, isisu kunye namathumbu

Oku kubizwa ngokuba yi-hyperviscosity syndrome. Kwenzeka ngegazi, kodwa kunqabile.

Ezinye iimpawu ze-leukocytosis zinxulumene nemeko ebangela inani lakho eliphezulu le-WBCs, okanye ngamanye amaxesha ngenxa yeziphumo zohlobo oluthile lweeseli ezimhlophe zegazi. Oku kunokubandakanya:

• umkhuhlane kunye nentlungu okanye ezinye iimpawu kwindawo yosulelo
• umkhuhlane, ukugruzuka ngokulula, ukwehla kobunzima, kunye nokubila ebusuku kunye neleukemia kunye neminye imihlaza
• urticaria, urhawuzelela ulusu, kunye nerhashalala evela kulusu lwakho
• iingxaki zokuphefumla kunye nokuphefumla okuvela kukungalungeli kwimiphunga yakho

Awunakuba nazimpawu ukuba i-leukocytosis yakho inxulumene noxinzelelo okanye impendulo kwichiza.

Oonobangela leukocytosis

Oonobangela leukocytosis zinokuhlelwa ngohlobo lweWBC.

Oonobangela neutrophilia:

• usulelo
• Nantoni na ebangela ukudumba kwexesha elide, kubandakanya ukwenzakala kunye nesifo samathambo
• ukuphendula kwichiza elithile njenge-steroids, i-lithium, kunye nezinye i-inhalers
• ezinye iintlobo zegazi
• impendulo koxinzelelo lweemvakalelo okanye lomzimba kwizinto ezinje ngexhala, utyando, kunye nokuzilolonga
• kususwe udakada
• ukutshaya

Oonobangela be-lymphocytosis:

• usulelo lwentsholongwane
• umkhuhlane ohambayo
• negazi lakho
• ezinye iintlobo zegazi

Oonobangela be-eosinophilia:

• i-allergies kunye ne-allergies, kubandakanya i-hay fever kunye ne-asthma
• usulelo lwesifunxi-gazi
• ezinye izifo zolusu
• i-lymphoma (umhlaza ohambelana ne-immune system)

Oonobangela monocytosis:

• Usulelo olusuka kwizinto ezithile ezinjenge-Epstein-Barr virus (kubandakanya i-mononucleosis), isifo sephepha kunye nefungus
• izifo ezizimele, njenge-lupus kunye ne-ulcerative colitis
• kususwe udakada

Oonobangela besophilia:

• i-leukemia okanye umhlaza womongo wethambo (amaxesha amaninzi)
• ngamanye amaxesha uxabane (ngamanye amaxesha)

Leukocytosis xa ukhulelwe

Abafazi abakhulelweyo bahlala benamanqanaba aphezulu kune-WBC aphezulu. La manqanaba anda ngokuthe chu, kwaye kwiinyanga ezintathu zokugqibela zokukhulelwa ubalo lwe-WBC luhlala luphakathi kwama-5 800 nama-13,200 nge-microlita yegazi nganye.

Uxinzelelo lomsebenzi kunye nokuhanjiswa kungonyusa ii-WBCs. Ihlala kancinci ngaphezulu kwesiqhelo (malunga ne-12,700 nge-microliter yegazi) okwethutyana emva kokuba umntwana ezelwe.

Ichongwa njani i-leukocytosis

Ngokwesiqhelo uphakathi kwe-4,000 kunye ne-11,000 ye-WBCs nge-microliter yegazi ukuba awukhulelwe. Nantoni na ephezulu ithathwa njengeleukocytosis.

Ukubalwa kwe-WBC phakathi kwama-50 000 ukuya ku-100,000 nge-microliter nganye kuthetha usulelo olomeleleyo okanye umhlaza naphi na emzimbeni.

Inani le-WBC ngaphezulu kwe-100,000 lihlala lisenzeka nge-leukemia okanye elinye igazi kunye nomhlaza womongo wethambo.

Kukho iimvavanyo ezintathu ugqirha anokuzisebenzisa ukukunceda ubone ukuba kutheni iWBC yakho ingaphezulu kwesiqhelo:

• Gcwalisa ubalo lwegazi (CBC) ngokwahluka. Olu vavanyo luhlala lusenziwa xa ubalo lwakho lwe-WBC luphezulu kunesiqhelo ngezizathu ezingaziwayo. Kolu vavanyo, igazi elitsalwe kwimithambo yakho liqhutywa ngomatshini ochaza ipesenti yohlobo ngalunye lwe-WBC. Ukwazi ukuba zeziphi iintlobo eziphezulu kuneepesenti eziqhelekileyo kunokunceda ugqirha wakho anciphise izizathu ezinokubangela ukubalwa kwe-WBC ephezulu.
• Umda wegazi smear. Olu vavanyo lwenziwa xa i-neutrophilia okanye i-lymphocytosis ifunyenwe kuba ugqirha wakho angabona ukuba zininzi kakhulu iintlobo ezahlukeneyo zeeleukocyte. Kolu vavanyo, umaleko omncinci wesampulu yegazi lakho uthanjisiwe kwisilayidi. I-microscope isetyenziselwa ukujonga iiseli.
• Umongo wethambo. Ii-WBCs zakho zenziwe kumongo wethambo lakho emva koko zikhutshelwe egazini lakho. Xa inani eliphezulu leentlobo ezithile ze-neutrophils zifunyenwe kwipheripheral smear yakho, ugqirha wakho angenza olu vavanyo. Iisampulu zomongo wethambo lakho ziyasuswa embindini wethambo, ngesiqhelo inyonga yakho, ngenaliti ende kwaye ihlolwe phantsi kwemicroscope. Olu vavanyo lunokuxelela ugqirha wakho ukuba kukho iiseli ezingaqhelekanga okanye ingxaki kwimveliso okanye ukukhutshwa kweeseli kumongo wethambo lakho.

Unyango lwe-leukocytosis

Unyango lwe-leukocytosis lusekwe kwinto ebangela oko:

• Iintsholongwane zentsholongwane
• Unyango lweemeko ezibangela ukudumba
• i-antihistamines kunye ne-inhalers yokuphendula komzimba
• i-chemotherapy, i-radiation, kwaye ngamanye amaxesha ukufakelwa kweseli ye-stem ye-leukemia
• utshintsho kunyango (ukuba kunokwenzeka) ukuba unobangela kukusabela kweziyobisi
• Unyango lwezinto ezibangela uxinzelelo kunye noxinzelelo ukuba zikhona

Isifo sehyperviscosity syndrome yonyango olungxamisekileyo olunyangwa ngamanzi afakwa ngaphakathi, amayeza, kunye nezinye iindlela zokufumana ngokukhawuleza ukubala kweWBC. Oku kwenzelwa ukwenza igazi lingabi shushu kangako ngoko lihamba ngesiqhelo kwakhona.

Ukuthintela leukocytosis

Eyona ndlela yokuthintela i-leukocytosis kukuphepha okanye ukunciphisa umngcipheko wezinto ezibangela oko. Oku kubandakanya:

• ukugcina indlela yokuphila esempilweni, kubandakanya ukuhlamba izandla kakuhle ukuthintela usulelo
• ukuhlala kude kuyo nantoni na oyaziyo enokubangela ukuba uxabane
• ukuyeka ukutshaya ukuphepha i-leukocytosis enxulumene nokutshaya, kunye nokunciphisa umngcipheko womhlaza
• ukuthatha amayeza njengoko kuyalelwe ukuba unyangwa imeko ebangela ukudumba
• ukuzama ukunciphisa ubungakanani boxinzelelo ebomini bakho, kunye nokunyangwa ngoxinzelelo olukhulu okanye iingxaki zemvakalelo

Ileukocytosis ihlala iyimpendulo yosulelo okanye ukudumba, ngenxa yoko ayisosizathu sokuhlaba umkhosi. Nangona kunjalo, inokubangelwa zizifo ezinzulu ezinjenge-leukemia kunye neminye imihlaza, ke kubalulekile ukuba ugqirha wakho afumanise unobangela wokunyuka kwe-WBC xa ifunyenwe. Ileukocytosis enxulunyaniswa nokukhulelwa okanye ekuphenduleni umthambo yinto eqhelekileyo kwaye akukho nto inokukhathazeka ngayo.