Momma yensua pii fa ‘eosinophil’ nkwammoaa a ɛwɔ wo nipadua mu no ho.

So woate asɛmfua ‘Eosinophil’ pɛn? Ebia oduruyɛfo bi aka ho asɛm akyerɛ wo bere a wahwɛ wo mogya mu nhwehwɛmu aba awie no, anaasɛ ebia saa din yi yɛ foforo ma wo. Nanso, saa eosinophils yi yɛ asraafo a wɔho hia yiye wɔ yɛn nipadua mu. Wɔyɛ adwuma kɛse de ma yɛn nipadua nya apɔwmuden. Enti, ɛnnɛ yɛbɛka nkwammoaa a wɔfrɛ no eosinophil yi ho asɛm kɔ akyiri, nea wɔyɛ, ne nea ɛba sɛ ɛba fam dodo a.

Hena ne saa eosinophil yi?

Sɛ yɛbɛka no tiawa a, eosinophil yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn mogya mu. Sɛnea wunim no, mogya mu nkwammoaa fitaa (leukocytes) ne yɛn nipadua mu tumi a ɛko tia nyarewa, nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho no asraafo titiriw. Saa mogya mu nkwammoaa fitaa yi ahorow ahorow wɔ hɔ. Sɛnea asraafo dɔm ahorow wɔ asraafo dɔm mu no.

Mogya mu nkwammoaa fitaa ahorow atitiriw abiɛsa na ɛwɔ hɔ:

1. Nkwammoaa a wɔfrɛ no granulocytes

2. Nkwammoaa a ɛma mogya tu

3. Nkwammoaa a wɔfrɛ no Monocytes

Yɛn asɛmti no mu nipa, eosinophil, yɛ kuw a wɔfrɛ no `granulocytes` no muni. Wonyaa edin `granulocytes` no fi nokwasɛm a ɛyɛ sɛ saa nkwammoaa yi wɔ granules nketewa wɔ wɔn mu. Wɔ eosinophils akyi no, granulocytes ahorow abien foforo nso wɔ hɔ a wɔfrɛ no `neutrophils` ne `basophils`. Nkwammoaa yi nyinaa bom ko tia atamfo a wɔhyɛn yɛn nipadua mu no.

Dwuma a eosinophils di titiriw ne sɛ ebesiw ahɔho mmoawa, titiriw mmoawa a wɔsɛe nnɔbae, a wɔde wɔn ho sie yɛn nkwammoaa mu na wɔyare no nyin .

Dɛn na saa eosinophil nkwammoaa yi yɛ?

Fa no sɛ, sɛ biribi a ɛyɛ ananafo te sɛ ɔyare mmoawa anaa ade a ɛma yɛn ho yɛ den hyɛn yɛn nipadua mu a, yɛn mogya mu nkwammoaa fitaa no fifi yɛ adwuma ntɛm ara. Te sɛ asraafo a wɔatete wɔn titiriw no, wɔhwehwɛ ntuafo no na wɔsɛe no ansa na atumi apira yɛn nkwammoaa afoforo no.

Saa ara na wɔatete eosinophil nkwammoaa ma afi yɛn nnompe mu ntini mu na akɔ yɛn ntini mu ma ayɛ ahobammɔ. Anhwea nketenkete a yɛadi kan aka ho asɛm no wɔ nkwammoaa yi mu. Protein bi a awuduru wom wɔ saa granules yi mu . Sɛ ɔtowhyɛfo bi ba a, saa granules yi yi saa protein a awuduru wom no fi hɔ, sɛe ɔtowhyɛfo no, na wodi no.

Eosinophils titiriw bɔ yɛn nipadua ho ban fi:

• Nyarewa a efi mmoawa mu: Sɛ nhwɛso no, nneɛma te sɛ strongyloidiasis, pinworms.
• Efi abɔde a nkwa wom a enyin wɔ yɛn nkwammoaa mu: Mmoawa ahorow bi (intracellular bacteria) de wɔn ho sie yɛn nkwammoaa mu na ɛde nyarewa ba. Eosinophils nso boa ma wɔko tia wɔn.
• Saa nkwammoaa yi nso boa ma wodi nkate a ɛboro so ( allergens ) a ɛba ntɛm ara a efi nneɛma a ɛma obi ho yɛ no yaw mu ba no so .

Ɛhe na wohu eosinophil nkwammoaa pii?

Eosinophils yɛ mogya mu nkwammoaa fitaa bi a ɛtra yɛn nipadua mu ntini mu. Wɔtaa hu wɔn wɔ:

• Wɔ mogya no mu
• Wɔ nnompe mu ntini mu
• Wɔ srade ntini mu (mmeae a srade sie yɛn nipadua mu) .
• Wɔ ahurututu mu
• Wɔ honam ani
• Wɔ yafunu mu

Eosinophil nkwammoaa no te dɛn?

Saa eosinophil nkwammoaa yi sua koraa, na wobetumi ahu wɔ afiri a wɔde hwɛ nneɛma nketenkete mu nkutoo. Wɔyɛ kurukuruwa. Mpɛn pii no, wɔ yɛn nipadua mu no, wonni kɔla, a ɛkyerɛ sɛ wonni kɔla biara. Nanso sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ a, sɛ wɔde aduru soronko bi (acidic dye) ka ho a, nkwammoaa yi kɔla sesa, na ɛma ɛyɛ mmerɛw sɛ wɔbɛhwehwɛ mu. Saa aduru yi ma nkwammoaa no dan kɔla a ɛyɛ pink a ɛyɛ kɔkɔɔ.

Eosinophils yɛ akɛse kakra sen nkwammoaa afoforo. Nneɛma a ɛyɛ mmerɛw sɛ wobehu wɔn no mu biako ne wɔn nucleus . Ɛte sɛ nsu a ɛtɔ abien a wɔde hama abɔ mu, a nhwiren abien wom. Wunim, nuklea no mu na nkwammoaa no DNA wɔ. Ne nyinaa fa nneɛma a ɛho hia ho. Saa nucleus yi sensɛn protein a ɛte sɛ anhwea (granules a yɛaka ho asɛm) mu.

Eosinophils dodow ahe na ɛwɔ yɛn nipadua mu?

Eosinophils yɛ mogya mu nkwammoaa fitaa bi. Mogya mu nkwammoaa fitaa yɛ bɛyɛ 1% wɔ nkwammoaa dodow a ɛwɔ yɛn nipadua mu nyinaa mu. Wɔ mogya mu nkwammoaa fitaa a ɛkyinkyini wɔ ɔpanyin a ɔwɔ apɔwmuden nipadua mu no, eosinophils no nnu 5% . Ɛno kyerɛ sɛ ɛwom sɛ wɔyɛ nnipa kakraa bi pɛ de, nanso ɔsom a wɔde ma no nyɛ nea ɛho nhia.

Ɛhe na wɔyɛ eosinophils?

Wɔyɛ nkwammoaa a ɛho hia yi wɔ ntini a ɛyɛ mmerɛw a ɛwɔ yɛn nnompe mu a wɔfrɛ no nnompe mu ntini . Bere a eosinophils nyin wɔ nnompe mu akyi no, tu kwan kɔ yɛn nipadua mu srade te sɛ yafunu mu.

Dɛn ne tebea horow a ɛtaa ka eosinophils?

Tebea horow a ɛka eosinophils ho yɛ na koraa. Tebea atitiriw abien wɔ hɔ a ɛka eosinophil dodow a ɛba fam ne nea ɛkɔ soro nyinaa.

Eosinophils a ɛso tew: Eosinopenia

Eosinopenia yɛ bere a yɛwɔ eosinophil nkwammoaa kakraa bi sen sɛnea ɛte daa wɔ yɛn nipadua mu. Tebea horow pii wɔ hɔ a ebetumi de eyi aba:

• Cushing yare: Eyi ba bere a nipadua no yɛ hormone cortisol pii dodo na eosinophil nkwammoaa nnɔɔso no. Cortisol yɛ hormone a ɛhwɛ asikre dodow a ɛwɔ yɛn mogya mu so na ɛdan aduan ma ɛbɛyɛ ahoɔden.
• Sepsis: Sepsis yɛ aduruyɛ mu tebea a emu yɛ den yiye a ɛma ɔfe na mogya tu wɔ nipadua no nyinaa mu. Mpɛn pii no, efi ɔyare mmoawa, fungal, mmoawa a wɔsɛe nnɔbae, anaa mmoawa a wɔde nyarewa ba.

Nea ɛho hia: Ɛtɔ mmere bi a, sɛ wo eosinophil dodow sua pɛnkoro wɔ bere ne bere mu mpo a, ebia ɛrenyɛ akwahosan ho asiane kɛse. Nea enti a ɛte saa ne sɛ nkwammoaa afoforo a ɛwɔ yɛn nipadua mu tumi a ɛko tia nyarewa no mu boa ma yɛtua eosinophil a enni hɔ yi ho ka. Nanso, sɛ obi nya eosinophil dodow a ɛba fam bere tenten a, asiane wom. Ɛhwehwɛ sɛ wonya ayaresa ntɛm ara.

Eosinophils a ɛkɔ soro: Eosinophilia

Eosinophilia yɛ bere a yɛwɔ eosinophil nkwammoaa pii wɔ yɛn mogya mu sen sɛnea ɛte daa no. Oduruyɛfo bi begyina baabi a wohu eosinophils no so ahu tebea yi:

• Eosinophilic gastrointestinal disorders (EGID): Eyinom yɛ tebea horow a ɛka yɛn aduan mu nhyehyɛe. Wɔ eyi mu no, eosinophil nkwammoaa akuwakuw bi hyiam wɔ beae a ɔyare no ayɛ no, na ɛde ɔfe ba. Eyi ne tebea a ɛtaa ba a ɛbata eosinophils ho. Saa tebea horow yi (EGID) betumi aka dwensɔtwaa kɛse (eosinophilic colitis), ɛwo dwensɔtwaa (eosinophilic esophagitis), yafunu (eosinophilic gastritis), yafunu ne dwensɔtwaa ketewa (eosinophilic gastroenteritis), ne akisikuru (eosinophilic cystitis).
• Eosinophilic ahurututu mu yare: Nea ɛka eyi ho ne eosinophilic ayamtu, ahurututu mu yare, ne ahurututu mu yare. Ɛyɛ tebea a ɛte sɛ ayamtu a emu yɛ den, ahurututu mu yare, ne ahurututu mu yare. Wɔ saa tebea yi mu no, nkwammoaa a ahonhon ahyɛ ahurututu no ma na ayɛ ma. Eyi ma ɛyɛ den yiye sɛ wobɛhome.
• Eosinophilic mogya ne ntini mu yare: Eyinom ka ntini a ɛka yɛn honam ani (eosinophilic fasciitis), honam ani (eosinophilic pustular folliculitis), ne nkwammoaa a ɛwɔ yɛn mogya, mogya ntini, ne akwaa a ɛho hia te sɛ koma ne asaabo mu (eosinophilic granulomatosis with polyangiitis, a kan no na wɔfrɛ no Churg-Strauss syndrome). Saa tebea horow yi ba bere a eosinophils pii kɔ mogya ntini mu na ɛsɛe no. Sɛ wɔansa eyi a, ebetumi ama mogya anyɛ yiye wɔ nipadua no nyinaa mu.

Dɛn ne sɛnkyerɛnne ahorow a ɛtaa ba wɔ tebea horow a ɛfa eosinophil ho ho?

Saa sɛnkyerɛnne ahorow yi taa da adi wɔ baabi a opira no wɔ ho. Nsɛnkyerɛnne a ɛtaa ba no bi ni:

• Ɔbrɛ, ɔbrɛ
• Honam ani akuru, akisikuru
• Akisikuru a akisikuru ahyɛ mu ma wɔ honam ani
• Ɔhome a ɛyɛ den, ahome a ɛyɛ tiaa
• Yafunu ne yafunu mu yaw
• Ahonhono

Dɛn ne nneɛma a ɛde eosinophilia ba?

Nneɛma pii wɔ hɔ a ɛka eosinophils dodow a ɛwɔ yɛn mogya mu:

• Nsã a wɔnom
• Nneɛma a ɛma obi ho yɛ no hyew
• Yafunu mu nyarewa
• Leukemia (mogya mu kokoram bi) .
• Hormone cortisol a wɔyɛ no dodo
• Nyarewa a efi mmoawa a wɔsɛe nnɔbae mu

So eosinophilia fi ɔyare mmoawa bi mu?

Eosinophils (eosinophilia) a ɛkɔ soro no betumi afi ɔyare mmoawa bi mu aba, nanso ɛnyɛ bere nyinaa na ɛno na ɛde ba titiriw . Nwansena betumi ama eosinophils akɔ soro. Saa mmoawa yi betumi afi onipa biako so akɔ foforo so anaasɛ afi aboa mu akɔ onipa foforo mu, titiriw afi akraman mu akɔ mpataa mu. Wo duruyɛfo bɛsɔ wo ahwɛ sɛ wowɔ ɔyare mmoawa bi a ɛma wohu ɔyare mmoawa anaa. Sɛ saa a, mpɛn pii no, sɛ wosa a, ɛbɛma wo eosinophil dodow asan akɔ sɛnea na ɛte kan no.

Dɛn ne nhwehwɛmu ahorow a wɔtaa yɛ a ɛhwɛ sɛnea wo eosinophil nkwammoaa no te?

Wofi ase hu tebea horow a ɛfa eosinophil ho denam mogya a wɔkan koraa (CBC) so . Nea ɛka eyi ho ne sɛ wobɛfa wo mogya no bi na woakan nkwammoaa dodow a ɛwɔ mu, titiriw mogya mu nkwammoaa fitaa, de ahwɛ sɛ ɛba fam dodo anaasɛ ɛdɔɔso dodo. Nea ɛka ho no, sɔhwɛ afoforo wɔ hɔ:

• Eosinophil dodow a edi mũ: Eyi nso yɛ mogya mu nhwehwɛmu. Ɛte sɛ mogya a wɔkan koraa. Ɛsusuw eosinophils dodow a ɛwɔ wo mogya bi mu no pɔtee. Oduruyɛfo no yi mogya kakraa bi fi ntini bi mu na ɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ nhwɛsode no. Wɔde aduru bi ka ho na ama nkwammoaa no ada adi yiye, na oduruyɛfo no kan eosinophils dodow a ɛwɔ nkwammoaa 100 mu. Wɔnam saa ɔha biara mu nkyem no a wɔde wo mogya mu nkwammoaa fitaa dodow nyinaa dɔɔso so na ebu eosinophil dodow a edi mũ no.
• Bone marrow biopsy: Wɔ sɔhwɛ yi mu no, oduruyɛfo de ade bi di dwuma de fa wo nnompe mu ntini ketewaa bi. Afei wɔsɔ hwɛ de hu nkwammoaa a ɛwɔ wo nipadua mu no dodow, sɛnea ɛte, ne faako a ɛwɔ.

Nea ɛbɛyɛ na oduruyɛfo no ahu beae pɔtee a eosinophilia no wɔ no, obetumi ayɛ nhwehwɛmu titiriw bi:

• Koko so X-ray a wɔyɛ
• Mmɛn dwumadi ho nhwehwɛmu
• Nsuo mu nhwɛsoɔ sɔhwɛ
• Ntini mu nkwaadɔm mu nhwehwɛmu
• Nsu mu nhwehwɛmu

Dɛn ne eosinophil dodow a ɛfata?

Ɛsɛ sɛ obi a ɔwɔ apɔwmuden nya eosinophil nkwammoaa 30 kosi 350 wɔ mogya microliter biara mu. Sɛ nkwammoaa bɛboro 500 na ɛwɔ mogya microliter biara mu a, ɛyɛ nea ɛsom bo kɛse. Sɛ nkwammoaa a ɛwɔ hɔ no nnu 30 a, ɛyɛ bo a ɛba fam.

Kae sɛ ebia eosinophil dodow a ɛso tew pɛnkoro, sɛ ɛyɛ nea ɛso tew kɛkɛ mpo a, ɛrenyɛ asiane kɛse. Mogya mu nkwammoaa fitaa afoforo a ɛwɔ wo nipadua mu ahoɔden a ɛko tia nyarewa no mu no boa ma wosiesie nea ɛho hia no.

Dɛn ne eosinophil dodow a ɛkɔ soro?

Wo duruyɛfo no bɛkyekyɛ sɛnea eosinophilia mu yɛ den no mu, a egyina nea efi eosinophil dodow a edi mũ no mu ba so:

• Ɛnyɛ den: Eosinophil nkwammoaa 500 kosi 1,500 wɔ mogya microliter biara mu.
• Ɛkɔ fam: Eosinophils 1,500 kosi 5,000 na ɛwɔ mogya microliter biara mu.
• Nea emu yɛ den: Eosinophils bɛboro 5,000 wɔ mogya microliter biara mu.

So eosinophil dodow a ɛkɔ soro no yɛ kokoram ho sɛnkyerɛnne?

Ɛwom sɛ eyi ntaa nsi de, nanso ebia eosinophil dodow a ɛkɔ soro bere nyinaa no bɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ wowɔ kokoram . Ebia eosinophil dodow a ɛkɔ soro no ne kokoram ahorow pii wɔ abusuabɔ:

• Nufu mu kokoram
• Kokoram a ɛwɔ akyi berɛmo mu
• Awotwaa mu kokoram
• Hodgkin a ɛma mogya tu
• Kokoram a ɛwɔ awotwaa mu
• Prostate kokoram

Sɛ wo duruyɛfo susuw sɛ kokoram a, wɔbɛyɛ nhwehwɛmu foforo te sɛ nipadua mu nhwehwɛmu, mogya mu nhwehwɛmu foforo, anaa mfoninitwa nhwehwɛmu de ahu yare no na wɔafi ase sa yare.

Dɛn ne ayaresa a wɔtaa de sa eosinophil dodow a ɛkɔ soro?

Ɛsono sɛnea wɔsa tebea horow a eosinophil dɔɔso wom a egyina beae a yare no wɔ ne sɛnea emu yɛ den so. Ayaresa a wɔde tew eosinophil dodow a ɛkɔ soro so no bi ne:

• Sɛ wowɔ esophagitis a, kwati nnuan bi (nnuan a srade wom, nnuhwam wom, acid wom).
• Sɛ wowɔ aduru bi a ɛyɛ adwuma wɔ aduru bi ho a, gyae aduru no nom anaa sesa dodow a wode ma no.
• Nnuru a wɔde ko tia ɔyare mmoawa a wɔnom.

Tebea horow a eosinophil dodow kɔ soro yiye no yɛ nea enni sabea , a ɛkyerɛ sɛ ɛhwehwɛ sɛ wɔsa no bere tenten na wɔhwɛ so.

Dɛn ne ayaresa a wɔtaa de sa eosinophil dodow a ɛba fam?

Ayaresa a wɔde sa tebea horow a eosinophil dodow sua no bi ne:

• Corticosteroids a wɔnom.
• Nsã a wɔnom so tew.

Mpɛn pii no, wo nipadua no behu sɛ eosinophils nni mu na wo nipadua no mu tumi a ɛko tia nyarewa a aka no bɛboa ma woasiesie sintɔ no. Nanso, sɛ wo eosinophil dodow no nsan nkɔ sɛnea na ɛte kan no esiane akwahosan tebea bi a ɛwɔ ase nti a, ebia ɛho behia sɛ wosa no bere tenten.

Mɛyɛ dɛn ama me eosinophil nkwammoaa no anya apɔwmuden?

Nneɛma bi a wubetumi ayɛ na ama wo eosinophil nkwammoaa no anya apɔwmuden ni:

• Kwati nneɛma a ɛma obi ho yɛ no hyew.
• Di aduan a ɛkari pɛ. Noa aduan no yiye na fa yɛ hyew ma emu hyew a ɛfata ansa na woadi.
• To nsa a wonom ano hye.
• Di ahotew ho nhyehyɛe a ɛfata te sɛ wo nsa a wobɛhohoro mpɛn pii akyi.

Dɛn ne Acidophils?

Acidophils yɛ din foforo a wɔde frɛ eosinophils, nanso ɛntaa nsi. Edin "acidophil" no fi asɛmfua "acidophilic," a ɛkyerɛ "a ɔdɔ acid." Edin no fi ɔkwan a granules a ɛwɔ eosinophil nkwammoaa so no sesa kɔla wɔ microscope ase bere a wɔde acidic stain dye ayɛ no fĩ no. Saa aduru yi ma nkwammoaa no dan pintinn anaa kɔkɔɔ, na ɛma ɛyɛ mmerɛw sɛ wobehu.

Enti, eosinophils yɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fã a ɛho hia yiye. Wodi dwuma kɛse wɔ yɛn nipadua a yɛbɛbɔ yɛn ho ban afi ahɔho ntuafo ho no mu. Sɛ wo duruyɛfo susuw sɛ wo eosinophil dodow no boro nea ɛfata so a, wɔbɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛnea wo nkwammoaa no te. Mpɛn pii no, eosinophil dodow a ɛba fam no nyɛ asɛm kɛse, efisɛ nkwammoaa afoforo boa ma wosiesie nea ɛho hia no na wo nipadua no kɔ so yɛ adwuma.

Momma yɛnkae nneɛma a ɛho hia sen biara (Take-Home Message) .

Okay, enti momma yɛmmɔ nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae no mua mfi nea yɛaka ho asɛm no mu.

• Eosinophils yɛ mogya mu nkwammoaa fitaa bi. Wɔyɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fã.
• Wɔko tia nyarewa a efi mmoawa a wɔsɛe nnɔbae, mmoawa a wonyin wɔ nkwammoaa mu, ne nneɛma a ɛma obi ho yɛ no hyew titiriw .
• Eosinophils dodow a ɛso tew (eosinopenia) anaasɛ eosinophils dodow a ɛkɔ soro (eosinophilia) betumi afi aduruyɛ mu tebea horow mu aba.
• Wobetumi ayɛ mogya mu nhwehwɛmu de ahu wo eosinophil dodow.
• Mpɛn pii no, obi a ɔwɔ apɔwmuden wɔ eosinophil nkwammoaa 30 kosi 350 wɔ mogya microliter biara mu.
• Sɛ wuhu sɛ nsakrae aba wo eosinophil dodow mu a, ɛbɛyɛ papa sɛ woremmɔ hu na worekɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu.

Mewɔ anidaso sɛ wowɔ eosinophils ho ntease pa. Nneɛma a ɛte sɛɛ a yebehu no boa kɛse wɔ yɛn akwahosan a yɛbɛhwɛ so no mu.

` Eosinophil, mogya mu nkwammoaa fitaa, nipadua mu ahoɔden a ɛko tia nyarewa, akisikuru, ɔyare mmoawa a wɔde nyarewa ba, eosinophilia, eosinopenia, mogya mu nhwehwɛmu