Ukuqonda iiNeutrophils: Umsebenzi, ukubala, kunye nokunye
Umxholo
- Ubalo lwe-neutrophil ngokupheleleyo (ANC)
- Yintoni onokuyilindela
- Ukuqonda iziphumo
- Yintoni ebangela amanqanaba aphezulu e-neutrophil?
- Yintoni ebangela amanqanaba asezantsi e-neutrophil?
- Imbonakalo
- Imibuzo kugqirha wakho
Ushwankathelo
I-neutrophils luhlobo lweeseli ezimhlophe zegazi. Ngapha koko, uninzi lweeseli ezimhlophe zegazi ezikhokelela ekuphenduleni kwamajoni omzimba zii-neutrophils. Kukho ezinye iintlobo ezine zeeseli ezimhlophe zegazi. I-neutrophils lolona hlobo luninzi, lwenza ama-55 ukuya kuma-70 ekhulwini eeseli zakho ezimhlophe. Iiseli ezimhlophe zegazi, ezibizwa ngokuba zii-leukocyte, ziyinxalenye ephambili yenkqubo yomzimba yokuzikhusela.
Amajoni akho omzimba aquka izicwili, amalungu kunye neeseli. Njengenxalenye yale nkqubo entsonkothileyo, iiseli ezimhlophe zegazi zijikeleza igazi lakho kunye nenkqubo ye-lymphatic.
Xa ugula okanye unokwenzakala okuncinci, izinto ezibonakalayo emzimbeni wakho njengezangaphandle, ezaziwa ngokuba ziiantigen, zibiza amajoni akho omzimba ukuba asebenze.
Imizekelo yeeantigen ibandakanya:
- iintsholongwane
- iintsholongwane
- ngundo
- ityhefu
- iiseli zomhlaza
Iiseli ezimhlophe zegazi zivelisa imichiza elwa neantigen ngokuya kumthombo wosulelo okanye ukudumba.
I-neutrophils ibalulekile kuba, ngokungafaniyo nezinye iiseli ezimhlophe zegazi, azikhawulelwanga kwindawo ethile yokujikeleza. Banokuhamba ngokukhululekileyo kwiindonga zemithambo kunye nakwizicubu zomzimba wakho ukuze bahlasele kwangoko zonke iiantigen.
Ubalo lwe-neutrophil ngokupheleleyo (ANC)
Inani elipheleleyo le-neutrophil (ANC) linokubonelela ugqirha wakho ngezimpawu ezibalulekileyo malunga nempilo yakho. I-ANC iye ya-odolwa njengenxalenye yokubala okupheleleyo kwegazi (CBC) ngokwahluka. I-CBC ilinganisa iiseli ezisegazini lakho.
Ugqirha wakho angayalela i-ANC:
- ukukhusela iimeko ezininzi
- ukunceda ukufumanisa imeko
- ukujonga imeko yakho ukuba unesifo esele sikhona okanye ukuba unyango lwe-chemotherapy
Ukuba i-ANC yakho ayiqhelekanga, ugqirha wakho uya kufuna ukuphinda uvavanyo lwegazi amatyeli aliqela kwithuba leeveki. Ngale ndlela, banokubeka iliso kutshintsho kwinani lakho le-neutrophil.
Yintoni onokuyilindela
Kuvavanyo lwe-ANC, kuyotsalwa intwana yegazi, ihlala ivela emthanjeni engalweni yakho. Oku kuyakwenzeka kwiofisi kagqirha wakho okanye kwilebhu. Igazi liya kuvavanywa elebhu kwaye iziphumo ziya kuthunyelwa kugqirha wakho.
Iimeko ezithile zinokuchaphazela iziphumo zovavanyo lwegazi. Qiniseka ukuba uxelela ugqirha wakho ukuba ukhulelwe, okanye ukuba unayo enye yezi zinto zilandelayo:
- usulelo lwakutsha nje
- ichemotherapy
- unyango lwemitha
- Unyango lwe-corticosteroid
- utyando lwamva nje
- ixhala
- Intsholongwane kaGawulayo
Ukuqonda iziphumo
Kubalulekile ukuba ugqirha wakho achaze iziphumo zakho zovavanyo. Iziphumo zinokwahluka kakhulu kwilebhu ukuya kwelebhu. Bahlukile ngokuxhomekeke ku:
- iminyaka yakho
- isini sakho
- ilifa lakho
- ukuphakama kwakho ngaphezu komphakamo wolwandle uhlala khona
- zeziphi izixhobo ezisetyenzisiweyo kuvavanyo
Qaphela ukuba uluhlu lweereferensi ezidweliswe apha zilinganiswa nge-microliters (mcL), kwaye ziqikelelwa kuphela.
Uvavanyo | Ukubala kwabantu abadala okuqhelekileyo | Uluhlu lwabantu abadala oluqhelekileyo (umahluko) | Amanqanaba asezantsi (leukopenia kunye neutropenia) | Amanqanaba aphezulu (leukocytosis kunye neutrophilia) |
iiseli ezimhlophe zegazi (WBC) | 4,300-10,000 (4.3-10.0) iiseli ezimhlophe zegazi / mcL | 1% yevoluyonke yegazi | <4,000 iiseli ezimhlophe zegazi / mcL | > I-12,000 yeeseli ezimhlophe zegazi / mcL |
ii-neutrophils (ANC) | I-1,500-8,000 (1.5-8.0) neutrophils / mcL | I-45-75% yeeseli ezimhlophe zegazi zizonke | ithambile: I-1,000-1,500 neutrophils / mcL ngcathu: I-500-1,000 neutrophils / mcL kakhulu:<500 i-neutrophils / mcL | > I-8,000 neutrophils / mcL |
Yintoni ebangela amanqanaba aphezulu e-neutrophil?
Ukuba neepesenti eziphezulu ze-neutrophils egazini lakho kuthiwa yi-neutrophilia. Olu luphawu lokuba umzimba wakho unesifo. I-neutrophilia inokukhomba kwinani leemeko kunye nezinto, kubandakanya:
- usulelo, kunokwenzeka ukuba ibacteria
- ukudumba okungosuleliyo
- ukwenzakala
- utyando
- ukutshaya icuba okanye ukutshaya icuba
- inqanaba loxinzelelo oluphezulu
- umthambo ogqithisileyo
- Ukusetyenziswa kwe-steroid
- isifo sentliziyo
- wegazi myeloid ezingapheliyo
Yintoni ebangela amanqanaba asezantsi e-neutrophil?
I-Neutropenia ligama elinamanqanaba asezantsi e-neutrophil. Amanani e-neutrophil asezantsi ahlala enxulunyaniswa namayeza kodwa anokuba luphawu lwezinye izinto okanye ukugula, kubandakanya:
- ezinye iziyobisi, kubandakanya nezo zisetyenziswa kwi-chemotherapy
- uxinzelelo lomzimba
- ukusilela komongo wethambo
- iaplastic anemia
- febrile neutropenia, engxamisekileyo kwezonyango
- ukuphazamiseka kokuzalwa, njenge-Kostmann syndrome kunye ne-cyclic neutropenia
- hepatitis A, B, okanye uC
- Intsholongwane kaGawulayo / uGawulayo
- ispsis
- izifo ezizimeleyo, kuquka i-rheumatoid arthritis
- Ileukemia
- Iimpawu ze-myelodysplastic syndromes
Usemngciphekweni omkhulu wosulelo ukuba inani lakho le-neutrophil lehla ngaphantsi kwe-1,500 neutrophils nge-microliter nganye. Amanani aphantsi kakhulu e-neutrophil angakhokelela kwizifo ezisongela ubomi.
Imbonakalo
Ukuba ubalo lwakho lwe-neutrophil luphezulu, oko kunokuthetha ukuba unosulelo okanye uphantsi koxinzelelo olukhulu. Isenokuba luphawu lweemeko ezinzima kakhulu.
I-Neutropenia, okanye inani eliphantsi le-neutrophil, linokuhlala iiveki ezimbalwa okanye linganyangeki. Ikwanokuba luphawu lwezinye iimeko kunye nezifo, kwaye ikubeka emngciphekweni omkhulu wokufumana usulelo olubi kakhulu.
Ukuba ukubala okungaqhelekanga kwe-neutrophil kubangelwa yimeko engaphantsi, umbono wakho kunye nonyango luya kugqitywa yile meko.
Imibuzo kugqirha wakho
Ukuba ugqirha wakho uyalela i-CBC ngumahluko okanye ngescreen se-ANC, unokukufumanisa kuluncedo ukubuza le mibuzo ilandelayo.
- Kutheni u-odola olu vavanyo?
- Ngaba uzama ukuqinisekisa okanye ukuphelisa imeko ethile?
- Ngaba ikhona into ekhethekileyo ekufuneka ndiyenzile ukulungiselela uvavanyo?
- Ndiza kufumana iziphumo kungekudala?
- Ngaba wena, okanye omnye umntu, uya kundinika iziphumo kwaye undicacisele?
- Ukuba iziphumo zovavanyo ziqhelekile, ayakuba ngawaphi amanyathelo alandelayo?
- Ukuba iziphumo zovavanyo aziqhelekanga, aya kuba yintoni amanyathelo alandelayo?
- Ngawaphi amanyathelo okuzikhathalela ekufuneka ndiwathathe ngelixa ndilinde iziphumo?