So wo mogya mu nkwammoaa fitaa dodow akɔ soro? (Leukocytosis) Momma yɛnka eyi ho asɛm!

So woanya mogya dodow (CBC) ho amanneɛbɔ a edi mũ nnansa yi? Sɛ ɛka sɛ wo mogya mu nkwammoaa fitaa dodow dɔɔso a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra. "Oh, so mewɔ biribi a anibere wom?" ebia wubesusuw sɛ. Nanso ansa na ehu bɛbɔ wo no, momma yɛnte nea mogya mu nkwammoaa fitaa a ɛdɔɔso, anaa leukocytosis sɛnea nnuruyɛfo frɛ no no tebea yi yɛ ase ankasa.

Dɛn ne leukocytosis? Sɛ yɛbɛka no tiawa a...

Leukocytosis yɛ bere a mogya mu nkwammoaa fitaa dodow a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte daa no. Afei susuw ho te sɛ asraafo nkumaa a wɔwɔ yɛn nipadua mu yi. Wɔn adwuma titiriw ne sɛ wɔbɛko atia mmoawa ne nyarewa a ɛhyɛn yɛn nipadua mu na wɔabɔ yɛn ho ban afi nyarewa ho. Enti, sɛ ɔyare mmoawa anaa ɔfe bi wɔ nipadua no mu baabi a, yɛn nipadua no yɛ mogya mu nkwammoaa fitaa asraafo yi pii ma ɛboa wɔ saa ɔko no mu. Ɛne sɛ, ɛnyɛ bere nyinaa na mogya mu nkwammoaa fitaa a ɛkɔ soro no yɛ nea asiane wom. Mpɛn pii no, ɛkyerɛ sɛ wo nipadua no reko atia ɔyare mmoawa bi. Nanso, ɛntaa mma koraa, ɛtɔ mmere bi a eyi betumi ayɛ yare a emu yɛ den te sɛ mogya mu kokoram ho sɛnkyerɛnne. Ɛno nti na ɛho hia sɛ wohu eyi.

Mogya mu nkwammoaa fitaa ne leukocytosis ahorow bɛn na ɛwɔ hɔ?

Ɛnyɛ mogya mu nkwammoaa fitaa biako pɛ na ɛwɔ yɛn nipadua mu. Sɛnea asraafo akuw ahorow wɔ asraafo dɔm mu no, saa ara na mogya mu nkwammoaa fitaa ahorow atitiriw anum na ɛwɔ hɔ. Enti, wogyina mogya mu nkwammoaa fitaa ko a ɛkɔ soro so na ɛkyekyɛ tebea a wɔfrɛ no leukocytosis no mu.

• Neutrophilia: Eyi ne nea abu so sen biara. Neutrophils ne mogya mu nkwammoaa fitaa a ɛdɔɔso sen biara wɔ yɛn nipadua mu. Wɔn na ɛboa ma wɔko tia nyarewa na wɔsa akuru. Sɛ saa nkwammoaa yi kɔ soro dodo a, wɔfrɛ no neutrophilia.
• Lymphocytosis: Eyi yɛ mogya mu nkwammoaa fitaa bi a wɔfrɛ no lymphocytes a ɛkɔ soro. Wɔbɔ yɛn ntini a ɛma mogya tu no ho ban.
• Monocytosis: Mogya mu nkwammoaa fitaa a wɔfrɛ no monocytes a ɛkɔ soro. Eyinom kanyan yɛn nipadua mu tumi a ɛko tia nyarewa no dwumadi bio.
• Eosinophilia: Nkwammoaa a wɔfrɛ no eosinophils a ɛkɔ soro. Eyinom nso boa ma wɔko tia nyarewa ne tebea horow a ɛma obi ho hyehye no. Wohu wɔn titiriw wɔ akisikuru, ɔyare mmoawa a wɔsɛe nnɔbae, ne nyarewa bi a nipadua no tumi ko tia nyarewa no mu.
• Basophilia: Eyi yɛ leukocytosis a ɛntaa nsi. Nea ɛda nsow ne sɛ nkwammoaa a wɔfrɛ no basophils a ɛkɔ soro. Saa nkwammoaa yi ko tia nyarewa a efi mmoawa a wɔsɛe nnɔbae mu, mma mogya ntumi nkɔ, na wɔde wɔn ho hyɛ nneɛma a ɛma obi ho yɛ no hyew mu.

Afei ebia woate ase, ɛnte saa? Ɛwom mpo sɛ mogya mu nkwammoaa fitaa adɔɔso de, nanso ɛsono afã horow.

Dɛn na mogya mu nkwammoaa fitaa dodow a ɛkɔ soro no kyerɛ ankasa?

Sɛnea yɛadi kan aka no, mogya mu nkwammoaa fitaa yɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fã a ɛho hia yiye. Wɔyɛ wɔ yɛn nnompe mu ntini mu. Wɔn na wɔbɔ yɛn nipadua ho ban fi nyarewa ne nyarewa ahorow ho. Enti, sɛ mogya mu nkwammoaa fitaa yi dodow kɔ soro dodo a, ɛda adi kɛse sɛ ɛkyerɛ sɛ ɔyare mmoawa anaa ɔfe bi wɔ wo nipadua mu baabi. Susuw ho hwɛ, wowɔ menewam yare, wo honam ani kuru a ayɛ yare, anaa tebea bi te sɛ ahurututu mu yare. Ɛyɛ ade a ɛfata sɛ mogya mu nkwammoaa fitaa bɛdɔɔso wɔ mmere a ɛte sɛɛ mu.

Nanso, ɛntaa mma koraa sɛ mogya mu kokoram ahorow bi anaa tebea horow a ɛfa nnompe mu ntini ho nso betumi ama mogya mu nkwammoaa fitaa dodow akɔ soro.

Mpɛn pii no, sɛ wowɔ mogya mu nkwammoaa fitaa bɛboro 11,000 wɔ mogya microliter biara mu a, wobu no sɛ leukocytosis. Nanso, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu.

So ɛsɛ sɛ wohaw wo ho wɔ mogya mu nkwammoaa fitaa a ɛbɛkɔ soro bere a wonyinsɛn no ho?

Eyi yɛ ɔhaw a ɛnanom pii wɔ. Nokwarem no, ɛyɛ ade a ɛfata sɛ mogya mu nkwammoaa fitaa dodow bɛkɔ soro kakra bere a wɔyem no. Eyi fi adwennwen a ɛba bere a wɔsoa akokoaa wɔ awotwaa mu no. Wo duruyɛfo bɛhwɛ eyi so denam mogya mu nhwehwɛmu a ɔbɛyɛ daa wɔ wo nyinsɛn no nyinaa mu no so, enti ɛnyɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho. Sɛ wohu biribi a ɛyɛ soronko a, wɔbɛma woahu.

So mogya mu kokoram yɛ mogya mu kokoram bere nyinaa?

Dabi, mogya mu nkwammoaa fitaa dodow a ɛkɔ soro ara kwa leukocytosis. Ebetumi anya nneɛma ahorow bi a ɛde ba. Sɛnea yɛadi kan aka ho asɛm no, ɔyare mmoawa na ɛde ba titiriw. Nanso, ɛntaa mma sɛ mogya mu nkwammoaa fitaa betumi akɔ soro sɛ mogya mu kokoram ahorow bi ho sɛnkyerɛnne. Sɛ nhwɛso no, wɔ tebea horow te sɛ acute myeloid leukemia, myelogenous leukemia a enni sabea, ne lymphocytic leukemia a enni sabea mu. Nanso, ɛnyɛ obiara a mogya mu nkwammoaa fitaa a ɛkɔ soro no na ɔwɔ kokoram.

Dɛn ne leukocytosis ho sɛnkyerɛnne ahorow?

Mpɛn pii no, tebea a ɛda adi a ɛrema mogya mu nkwammoaa fitaa dodow akɔ soro no na ɛde sɛnkyerɛnne ahorow no ba. Sɛ nhwɛso no, ɔyare mmoawa betumi ama obi anya atiridiinini ne nipadua mu yaw.

Kɔkɔbɔ nsɛnkyerɛnne a wɔtaa de kyerɛ no bi ne:

• Huraeɛ
• Ɔbrɛ
• Nipadua mu yaw
• Ɔhome a ɛyɛ den
• Ahomegye a ɛyɛ hu
• Fifiri a ɛboro so anadwo (Night Sweats) .
• Mu duru a Wɔtew So a Wɔnhwɛ kwan
• Wora mu akuru, eczema `(Rash)`

Ɛtɔ mmere bi a, akisikuru a ɛnyɛ den betumi ayɛ mogya nkwammoaa a ɛba fam (thrombocytopenia) anaa mogya mu kokoram a emu yɛ den ho sɛnkyerɛnne. Wɔ mogya mu kokoram a emu yɛ den mu no, mogya mu nkwammoaa fitaa a ɛdɔɔso no betumi ama mogya no ayɛ den na asiw mogya no kwan. Wɔfrɛ eyi hyperviscosity syndrome. Eyi betumi de akwahosan ho haw ahorow a emu yɛ den te sɛ akisikuru, mogya a ɛtɔ wɔ nipadua no mu, anaa aniwa a ɛyera aba.

Dɛn nti na mogya mu nkwammoaa fitaa yi dɔɔso? Dɛn na ɛde ba?

Momma yɛnhwɛ nneɛma atitiriw a ɛde mogya mu nkwammoaa fitaa dodow a ɛkɔ soro ba.

Mpɛn pii no, nea ɛde ba:

• Nyarewa anaa ɔfe: Eyi ne nea ɛtaa de ba. Te sɛ ɔyare mmoawa, mmoawa, anaa fungal yare mmoawa.
• Honam fam anaa adwene mu nhyɛso a ɛboro so: esiane nneɛma te sɛ atiridiinini, opira, anaa oprehyɛn nti.
• Ɔhyew a ɛyɛ hyew
• Nkwammoaa a ɛko tia nyarewa: Nyarewa a nipadua no tumi ko tia nyarewa te sɛ lupus anaa ntini mu yare.
• Thyroid ho haw ahorow
• Nsõ a Ɛyɛ Fɛ
• Nnuru bi: Nnuru te sɛ lithium, corticosteroids, ne beta-agonists.
• Nneɛma a ɛma obi ho yɛ no hyew
• Splenectomy a wɔtwa
• Sigaretnom
• Obolo

Nneɛma a ɛntaa nsi:

• Leukemia a ɛma mogya tu
• Lymphoma a ɛma mogya tu
• Nnompe mu ntini mu nyarewa: te sɛ polycythemia vera anaa myelofibrosis.

Ɔkwan bɛn so na wohu sɛ obi anya Leukocytosis?

Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Afei, wɔbɛyɛ nipadua mu nhwehwɛmu. Nea ɛka ho no, wɔbɛkra sɛ wɔnkan mogya a edi mũ (CBC) . Eyi yɛ mogya mu nhwehwɛmu a wɔtaa yɛ. Ɛkyerɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa a ɛwɔ wo mogya mu dodow. CBC no betumi aboa wo duruyɛfo ma wahu sɛ wowɔ ayaresa tebea anaa ɔyare mmoawa bi anaa. Wɔ tebea horow bi mu no, wobetumi ahyɛ sɛ wɔnyɛ nnompe mu ntini mu nhwehwɛmu na ama wɔahu sɛ obi anya yare no.

Ɔkwan bɛn so na wɔsa eyi?

Ayaresa a wɔde sa leukocytosis no gyina nea ɛde ba no so.

Fa no sɛ wo mogya mu nkwammoaa fitaa no akɔ soro esiane ɔyare mmoawa bi nti. Sɛ ɛba saa a, wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa ama wo. Sɛ efi allergy a, wobetumi ama wo nnuru a ekum histamine.

Ayaresa afoforo a wɔtaa yɛ:

• Nnuru a wɔde bɛtew adwennwen anaa dadwen so.
• Nnuru a wɔde ko tia ɔyare mmoawa.
• Sɛ wowɔ ayamtu a, wuhia nnuru a wɔde home.
• Nkyene (IV nsu) a wɔde ma na ama mogya no akɔ so yiye.
• Leukapheresis: Saa kwan yi betumi atew mogya mu nkwammoaa fitaa a ɛwɔ mogya no mu no so ntɛm ara.
• Wɔ kokoram fam no, ayaresa te sɛ nnuru a wɔde sa yare, mframa a wɔde sa yare, anaa ntini mu nkwammoaa a wɔde si ananmu.

Nea ɛho hia ne sɛ ɛtɔ mmere bi a, sɛ wɔansa aduru biara a, sɛ wɔsa nea ɛde ba no a, mogya mu nkwammoaa fitaa dodow no betumi asan ayɛ nea ɛfata.

Bere tenten ahe na egye ansa na asa?

Eyi nso gyina ayaresa ko a woregye ne nea ɛde leukocytosis no ba so. Mpɛn pii no, ne ho betumi atɔ no wɔ adapɛn abien kosi anan ntam. Nanso, wɔ biribi te sɛ kokoram ayaresa ho no, ebetumi agye bere tenten.

So akwan bi wɔ hɔ a wobetumi afa so asiw leukocytosis ano?

Ade a edi kan a ɛsɛ sɛ yɛkae ne sɛ leukocytosis yɛ nipadua mu ahoɔden a ɛko tia nyarewa a ɛfata. Ɛno kyerɛ sɛ ɛnyɛ biribi a ɛsɛ sɛ yɛkwati bere nyinaa. Sɛ nhwɛso no, sɛ wo nipadua reko atia ɔyare mmoawa bi a, ɛyɛ ade pa sɛ mogya mu nkwammoaa fitaa bɛdɔɔso.

Nanso, nneɛma bi wɔ hɔ a yebetumi ayɛ na ama yɛn mogya mu nkwammoaa fitaa dodow akɔ so ayɛ nea ɛfata:

• Hohoro wo nsa mpɛn pii: Tew asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so.
• Twe wo ho fi nneɛma a ɛde akisikuru ba ho .
• Kwati sigaretnom.
• Kura w’ano akwahosan pa mu. Anyɛ yiye koraa no, kɔ ntini ho oduruyɛfo nkyɛn pɛnkoro wɔ asram asia biara mu.
• Fa nnuru a wo duruyɛfo akyerɛw ama wo no di dwuma sɛnea wɔakyerɛ wo no pɛpɛɛpɛ.
• Hwehwɛ akwan a wobɛfa so atew adwennwen so: Fa w’adwene anaa nsusuwii susuw nneɛma ho di dwuma.
• Sɛ wowɔ tebea horow te sɛ dadwen anaa adwenemhaw a, hwehwɛ ayaresa ma.

Sɛ mewɔ leukocytosis a, dɛn na ɛba akyi?

Sɛ wohu sɛ wowɔ leukocytosis a, wo duruyɛfo bɛyɛ nhwehwɛmu foforo de ahu nea ɛde ba. Sɛ wohu nea ɛde ba no wie a, wɔbɛkamfo ayaresa a ɛfata akyerɛ. Enti, ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi na wommɔ hu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn sɛ wuhu biribi a ɛyɛ soronko anaa soronko a. Titiriw sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu:

• Huraeɛ
• Ɛnyɛ den sɛ wobɛbɔ akuru
• Mogya a ɛtɔ dodo (sɛ nhwɛso no, hwene mu mogya, anom) .
• Akisikuru ne ɔfe
• Ɔbrɛ a ɛtra so, nna a ɔda bere nyinaa
• Mu duru a wɔtew so a ntease biara nnim
• Akɔnnɔ
• Fifiri a ɛtaa tɔ dodo anadwo (araa ma mpa so ntama yɛ nsu) .

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ sɛnkyerɛnne ahorow a edidi so yi mu biara ba a, frɛ 911 ntɛm ara anaa kɔ baabi a ɛbɛn hɔ a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu:

• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase: adwene a ɛyɛ basaa, adwenemhaw, anim fã biako a ɛkɔ fam.
• Koko mu yaw
• Ɔhome a ɛyɛ den kɛse
• Nsa, nan, anaa yafunu mu a ɛyɛ mmerɛw
• Akyi yaw a ɛba mpofirim
• Mogya a ɛtɔ a wontumi nsiw ano

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti efi nea yɛaka ho asɛm no mu no, mewɔ anidaso sɛ woanya ntease pa wɔ leukocytosis, anaa mogya mu nkwammoaa fitaa a ɛkɔ soro no ho.

Kae sɛ mpɛn pii no, mogya mu nkwammoaa fitaa a ɛkɔ soro no yɛ nipadua mu ahoɔden a ɛko tia nyarewa a ɛfata. Ebetumi afi ɔyare mmoawa, ɔfe, adwennwen, anaa nyinsɛn mpo.

Nanso, ɛtɔ mmere bi a eyi betumi ayɛ yare a emu yɛ den ho sɛnkyerɛnne, enti ɛho hia sɛ wohwehwɛ nea ɛde ba ankasa na sɛ ɛho hia a, wohwehwɛ ayaresa. Enti, sɛ wo mogya mu nkwammoaa fitaa dodow kɔ soro wɔ wo mogya mu nhwehwɛmu mu a, mma wo ho nnpopo na kɔ oduruyɛfo nkyɛn. Ɔbɛma wo akwankyerɛ a ɛho hia. Kɔ so nya apɔwmuden!

` Mogya mu nkwammoaa fitaa, leukocytosis, mogya mu nhwehwɛmu, ɔyare mmoawa, nipadua mu ahoɔden a ɛko tia nyarewa, sɛnkyerɛnne, ayaresa