Neutropenia - ntoni na? Kubanga, unyango

Neutropenia - ntoni na? Lo ukuncipha egazini iiseli ezikhethekileyo egazini liyakhula wamathambo. inqanaba Ukuncipha neutrophils (polymorphonuclear leukocytes) ibonisa utshintsho olwenzeka emzimbeni wethu. Omnye umsebenzi obalulekileyo iiseli ezimhlophe zegazi kukukhusela nxamnye kwiintsholongwane izifo. Zakuba zifikile neutrophils igazi kumsinga umsebenzi yabo kukuba ukutshabalalisa arhente zasemzini. Xa imali nokuphungulwa ezi iiseli zomzimba yethu buthathaka kwaye ungakwazi ukulwa nezifo ezosulelayo.

Indlela yokubona inani leeseli ezimhlophe?

Inqanaba le miba yahluka ngaphakathi uluhlu olubanzi. Kubantu abasempilweni, plasma ekhoyo ukususela 1500 ukuya 7000 neutrophils. Ubungqongqo sifo ixhomekeke kwinani elipheleleyo ANC:

- ifomu enomoya - kwisithuba 1500 iiseli;

- eliphakathi - 500-1000 cells / ml;

- heavy - ngaphantsi kwama-500.

Ngaba ukunxiba ixesha elifutshane neutropenia (olunjani karhulumente, waye echazwe ekuqaleni), ingakumbi xa uthatha amachiza antiviral. Emva unyango, inani IbuyiselweName ngokupheleleyo. Noko ke, ukuba le meko wabona ngaphezu kweveki, ngoko kukho ingozi yokuba nesifo kunye negazi izifo ezingapheliyo (tonsils, izifo isixokelelwano sokuphefumla). Khumbula ukuba neempawu ezifana nomkhuhlane elide kufuneka tufwile kwaye ufumane ekuhlolweni. Isigaba ezimandundu yobunzima eziyingozi.

Neutropenia: ezibangela

Omnye unobangela ezi kwezifo kunye wentsholongwane egazini. indima engundoqo ekuphuhlisweni komtshiso yokudlala sifo, ichemotherapy novithamini izivuka, ithambo ngumongo kukwenzakala, igazi aplastic, kwaye ukufakwa elide iziyobisi. Inani iiseli ezimhlophe kunciphisa ekuqulunqeni kwabo okungenamsebenzi okanye rhoqo ukutshatyalaliswa leukocytes umsinga igazi.

iintlobo neutropenia

Uphawu kwefom febrile nto ngephanyazo wayo kunye phambili. Magciwane zingene emzimbeni buthathaka, zanwenwa ngokukhawuleza, lwafumana imiphumo emibi. Olona phawu yesibini - le paucity yeempawu zonyango. Uphawu kuphela usulelo angandiswa lobushushu.

Isizathu sokuba uhlobo elibujikele koogqirha ngezifo okwangoku ezichongiweyo. Kodwa neutropenia okunjalo kakhulu kubantwana abancinane kunye nabantu abadala. Ifom yesithathu ubizwa ngokuba "samathambo" kwenzeka ngenxa ngamalungiselelo antituberculous kwaye lithetha "Analgin". Iqatshelwe dermatomyositis, isifo samathambo kunye nezifo sokuhlasela.

ifomu nganye obubonakala kangangokuba zolingo ukuhlawula ingqalelo. Amaxesha amaninzi uxilongo kwenzeka ngaxeshanye lymphocytosis kunye neutropenia - libonakala ezimbi kwenkqubo yawo Wayesoyika asthma inyumoniya.

iimpawu eziphambili

Iimpawu izifo abanayo indlela eyodwa, ngoko oogqirha bathi malunga neempawu lwezonyango ezinxulumene kusulelo osele lukhona, owayebonakele kwisiqalo of neutropenia. Nobuzaza kunye nohlobo sifo zixhomekeka imilo. uhlobo Febrile xa isigulane ngaphandle kwesizathu, ifiva (ngasentla-38 ° ^C), kunye ubuthathaka, kuthibaza, hypotension, tachycardia, kunye nokubila ngamanzi. Umhlaba wokuhlahlelwa inani leeseli ezimhlophe elingekho ngaphezu kwama-500, ngoko ke umthombo losulelo kunzima ukubona.

Kuye kwaphawulwa ukuba olu hlobo kudla kubonakala kubantu abanesifo somhlaza. ifomu Zijika kuboniswa likakade. Isigulane ikhalazela of yintloko, ifiva, umqala obuhlungu, kunye samathambo. Ngamanye amaxesha kukho izilonda phezu isifo le kwisisu ngomlomo. Xa engekho unyango iphuhlisa tartar leyo kamva kukhokelela kwamazinyo. neutropenia komzimba amathuba omdala yeengxaki ezinkulu. Kule fomu kukho ukunxila kakhulu, rhoqo imingxunya kwezifo, ifiva, sisilonda esidumbileyoesingaphakathi mucosal.

Ziintoni iimpawu neutropenia ebantwaneni?

iintsana ezisanda kuzalwa kunye nesifo ibele kunzima ukuthwala, njengoko zabo amajoni omzimba okwangoku aphuhliswe ngokwaneleyo. Abasafunda ukuhamba nokubandezeleka kulo sifo, kusenokubakho inyumoniya, stomatitis kunye gingivitis. Oku kuvela neutropenia ngokuzenzekelayo ukuba ingozi, oluba kunyaka wokuqala nowesibini yobomi.

Idla ngokuba nazimpawu, ngaphandle ebangela ukuphazamiseka. agranulocytosis Heavy okanye omzimba ichaphazela abantwana abadala. Kubonisa icesina, Ukugodola kunye nomkhuhlane. Kunzima ukunika ngayo kunyango. Xa unyango mbilini abane kakuhle.

ekuxilongweni

Lokufunyaniswa kwesifo ngamanqaku amabini iquka:

- Ukuhanjiswa igazi nomchamo uvavanyo. Maxa wambi kufuna biopsy (isiziba kwithishyu) kunye iimvavanyo lomongo wethambo wosulelo lwe-HIV.

- uhlolo Visual ze isigulane - Ngokucofa esisu kunye zamanzi.

iindlela zonyango

Amaxesha amaninzi (ingakumbi kakhulu) neutropenia sinyangwa esibhedlele. Yintoni na le meko, masikhumbule. Le ukuhla ezingaqhelekanga iiseli ezimhlophe (leukocytes) emzimbeni (buthathaka amajoni omzimba, ukuphuhlisa usulelo kakhulu). Nceda ukumelana nesi sifo antibiotics kuphela. Bona emisiweyo phambi ukusekwa kwasendaweni ngqo kuqhambuka izifo. Uphawu soku amaqondo obushushu aphezulu.

Ngamanye amaxesha, ukwenzela ukuthintela ukwehlisa izinto ezimhlophe ukukhula iseli zisetyenziselwa ukukhuthaza ekuveliseni iiseli ezimhlophe zegazi. Ukuba isifo lu dityanisiwe indlela samathambo okanye nawo, koko wamisa iihomoni. Kwimeko ugqirha eyandisiweyo udakada usenokubhenela ukususwa kwaso ukuze kwandiswe inani neutrophils.

Immunosuppressants njalo kuba nemiphumo emihle kwezonyango igazi aplastic. Isisombululo kuphela lomongo wethambo abohlukeneyo. Lo ngumsebenzi noko ezintsonkothileyo, efuna kwimo ende phantsi kweliso elibukhali leengcaphephe. Kakade ke, oko zinezibonelelo zalo kunye neziphumo ebezingalindelekanga.

Indlela ukunciphisa ingozi sifo?

Ukuthintela uphuhliso inkqubo zophendlo lwezifo xa uthatha iziyobisi antiviral, ukuba uyigcine le mithetho ilandelayo:

- kwenza shot (ngamaxesha athile) umkhuhlane;

- lingaphantsi kwiindawo kunye zoqhaphelo olukhulu yabantu;

- iliso ngococeko ngesandla kunye nezindlu;

- sidle thermally ukuqhubekekiswa inyama, amaqanda, intlanzi.

Khumbula, le yinkqubo entsonkothileyo kufuneka ukuba baphathwe kuphela phantsi kweliso kugqirha. Kunyanzelekile kusoloko ukuxhasa amajoni omzimba, ukuze neutropenia hayi yonakale (ntoni na nendlela ukunyanga esi sifo, jonga ngentla).

Indlela yokulawula esi sifo?

ixesha ngalinye emva kokuba HTP (unyango antiviral) kuyimfuneko ukuba athathe uvavanyo igazi ukwenzela inqanaba kunye nenani leukocytes ANC. Namhlanje, amaziko onyango ukubala idata kusetyenziswa ubuchule bezi mini ngokukhawuleza ukufumana iziphumo.