So woanya mogya dodow a edi mũ (FBC) nnansa yi? Ebia wo ho popoe kakra bere a wuhui sɛ dodow a ɛwɔ ‘Lymphocytes’ bo a ɛwɔ saa amanneɛbɔ no so no anim no akɔ soro kakra no. Nnipa pii susuw sɛ, "Oh me, so eyi yɛ aniberesɛm?" Nanso nokwarem no, mpɛn pii no eyi kyerɛ sɛ wo nipadua no reko atia ɔyare mmoawa bi. Ɛkyerɛ sɛ wo nipadua mu tumi a ɛko tia nyarewa no reyɛ adwuma yiye! Enti a yɛrenka ho asɛm bio no, momma yɛnte nea lymphocytes a ɛkɔ soro yi, anaa sɛnea wɔfrɛ no wɔ aduruyɛ mu no, ‘Lymphocytosis’, yɛ ase ankasa.
Sɛ yɛbɛka no tiawa a, dɛn ne Lymphocytosis?
Okay, di kan ma yɛnhwɛ wɔn a wɔyɛ saa lymphocytes yi. Fa no sɛ wo nipadua te sɛ ɔman. Afei mogya mu nkwammoaa fitaa a ɛwɔ wo mogya mu no yɛ saa ɔman no asraafo. Asraafo dɔm yi nkorabata ahorow wɔ hɔ. Nkorabata titiriw a ɛte saa no biako ne lymphocytes . Wɔn adwuma titiriw ne sɛ wɔbɛhwehwɛ atamfo te sɛ mmoawa ne mmoawa a wɔhyɛn yɛn nipadua mu, ko tia wɔn, na wɔbɔ yɛn ho ban fi nyarewa ho.
Enti, Lymphocytosis yɛ bere a saa "asraafo" a wɔfrɛ wɔn lymphocytes no wɔ wo mogya mu wɔ dodow a ɛkɔ soro sen sɛnea ɛte daa no. Mpɛn pii no, sɛ ɔpanyin bi wɔ mogya mu nkwammoaa bɛboro 4,000 wɔ mogya microliter biara mu a, yɛfrɛ saa tebea no Lymphocytosis.
Mpɛn pii no, eyi yɛ bere tiaa mu de. Ɛte sɛ nea wowɔ asraafo dɔm foforo a wɔde bɛko atia ɔyare mmoawa bi a wahyɛn wo nipadua mu. Sɛ ɔko no ba awiei, kyerɛ sɛ, sɛ wɔsa yare no a, saa dodow yi san kɔ sɛnea na ɛte kan no.
Dɛn ne nneɛma a ebetumi ama lymphocytes akɔ soro?
Ɛnyɛ ade biako nti na lymphocytes kɔ soro, ebetumi ama nneɛma pii aba. Nanso ade titiriw nti a yɛtaa hu ne ɔyare mmoawa. Nanso ɛno akyi no, nneɛma afoforo nso betumi aka no. Momma yɛnhwɛ pon a ɛwɔ ase ha no na yɛnte eyinom ase yiye.
| Ntease kuw | Nhwɛso ne nkyerɛkyerɛmu |
|---|---|
| Nea ɛtaa de ba: Nyarewa | Eyi na ɛde nsɛm no mu 90% ba. Lymphocytes kɔ soro, titiriw bere a ɔyare mmoawa anya ɔyare mmoawa no.
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| Nea ɛntaa nsi: Kokoram | Eyi yɛ biribi a nnipa pii suro. Nanso ɛntaa nsi koraa. Lymphocytes betumi ayɛ nea kokoram a ɛfa mogya anaa lymphatic system ho no dɔɔso wɔ ɔkwan a ɛnteɛ so. |
| Nneɛma Afoforo a Ɛde Ba |
Dɛn ne eyi ho sɛnkyerɛnne?
Eyi ne ade a ɛho hia sen biara. Nsɛnkyerɛnne biara nni hɔ a ɛfa tebea a wɔfrɛ no lymphocytosis ho pɔtee.
Fa no sɛ ɔkorɔmfo bi bubuu wo fie na ahobammɔ alarm no bɔ. Alarm a ɛrebɔ no nyɛ yareɛ, ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi asɛe wɔ fie hɔ ara kwa. Ɛnyɛ alarm no nnyigyei na ɛhaw wo, na mmom ɔkorɔmfo no.
Lymphocytosis te sɛ saa alarm no. Ɛka kyerɛ wo sɛ biribi asɛe wɔ wo nipadua mu (mpɛn pii no, ɔyare mmoawa). Enti worenya yare no ho sɛnkyerɛnne ahorow esiane saa ade titiriw a ɛde ba no nti.
Nhwɛsoɔ:
- Sɛ atiridii na ɛde ba a, ebia wubenya sɛnkyerɛnne ahorow te sɛ atiridiinini, nipadua mu yaw, ɔfe, ne hwene a ɛretu .
- Sɛ nea ɛde ba ne Mononucleosis a, woEbia ne menewa mu yaw, ɔbrɛ a emu yɛ den, ne kɔn mu ahohoro.
Mpɛn pii no, nkurɔfo hu eyi ho asɛm wɔ akwanhyia mu bere a wɔyɛ wɔn mogya mu nhwehwɛmu esiane biribi foforo nti no.
Ɔkwan bɛn so na oduruyɛfo no hu eyi na osi so dua?
Sɛ wo FBC amanneɛbɔ no kyerɛ sɛ lymphocytes dɔɔso a, wo duruyɛfo no bɛyɛ nneɛma pii de ahu nea ɛde ba.
1. Wobebisa wo wo ho nsɛm: Nea edi kan no, wobebisa wo nsɛm. Nneɛma te sɛ, "So woanya atiridii nnansa yi?", "So woafi ase renom nnuru foforo?", "So wonom sigaret?", "So worenom nnuru foforo biara?"
2. Nipadua mu nhwehwɛmu: Afei, wɔbɛhwehwɛ wo mu. Nneɛma te sɛ wo menewa, wo moma so, ne sɛ ebia wo sẽ ahonhon a wobɛhwɛ no betumi aboa ma woahu nea ɛde ba.
3. Mogya mu nhwehwɛmu no a wobɛsan ayɛ: Mpɛn pii no, oduruyɛfo no bɛka sɛ, "Mma ɛnhaw wo, yɛbɛyɛ FBC foforo wɔ dapɛn biako anaa abien mu." Efisɛ, sɛ ɛyɛ ɔyare mmoawa a ɛnyɛ den a, lymphocyte dodow no bɛsan akɔ sɛnea na ɛte kan bere a ɛreyɛ yiye no.
4. Wɔde wo kɔ oduruyɛfo titiriw nkyɛn: Sɛ bo no kɔ so yɛ kɛse, anaasɛ sɛ sɛnkyerɛnne afoforo a ɛyɛ adwenem naayɛ wɔ hɔ a, wobetumi de wo akɔ oduruyɛfo a ne ho akokwaw wɔ nyarewa a efi mogya mu, mogya ho ɔbenfo nkyɛn .
5. Sɔhwɛ afoforo: Sɛ ɛho hia a, oduruyɛfo titiriw no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde ba ankasa. Sɛ nhwɛso no, Flow Cytometry sɔhwɛ, a ɛhwehwɛ mogya mu nkwammoaa ko ne ne su mu kɔ akyiri, anaasɛ Bone Marrow Biopsy. Nanso, wɔyɛ eyinom wɔ nsɛm a ɛho hia kɛse mu nkutoo.
Ɔkwan bɛn so na wɔsa eyi?
Ɛha nso, ɛsɛ sɛ yɛkae alarm no ho nhwɛso. Ɛnyɛ alarm no na yɛresa, na mmom owifo no. Afei nso, ɛnyɛ lymphocyte dodow no na yɛresa, na mmom yare tebea a ɛda adi a ɛde bae no.
- Sɛ nea ɛde ba ne ɔyare mmoawa a wɔde ba a: Mpɛn pii no, ɛho nhia sɛ wɔde sa yare titiriw biara. Gye w’ahome pii na nom nsu pii (nsu, akutu, soup). Wo nipadua mu tumi a ɛko tia nyarewa no bɛhwɛ so.
- Sɛ nea ɛde ba ne ɔyare mmoawa a: Oduruyɛfo no bɛkyerɛw nnuru a ɛfata a ekum ɔyare mmoawa.
- Sɛ nea ɛde ba no yɛ tebea a emu yɛ den te sɛ kokoram a: Eyi bɛyɛ ayaresa pɔtee bi a egyina kokoram ko a ɛka ho so. W’aduruyɛfo kuw no bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.
Sɛ wɔsa nea ɛde ba no wie a, nkakrankakra lymphocyte dodow san kɔ sɛnea na ɛte kan no.
Asɛmmisa a obiara suro: So mogya mu nkwammoaa a ɛkɔ soro no betumi ayɛ mogya mu kokoram?
Eyi yɛ ehu kɛse wɔ nnipa pii adwene mu. Nanso nokwarem no, lymphocytosis a ɔyare mmoawa a wɔtaa de ba no nsakra nkɔ mogya mu kokoram.
Nanso, ɛtɔ da bi aTebea bi wɔ hɔ a wɔfrɛ no Monoclonal B-cell lymphocytosis (MBL). Eyi ne bere a nkwammoaa soronko bi a wɔfrɛ no B-lymphocyte fi ase yɛ n’ade wɔ ɔkwan a ɛnteɛ kakra so. Nnipa a wɔwɔ saa tebea yi mu kakraa bi (bɛyɛ 1% afe biara) betumi anya mogya mu kokoram a wɔfrɛ no Chronic Lymphocytic Leukemia (CLL) bere a bere kɔ so no.
Enti sɛ wuhu lymphocytes kakraa bi a ɛkɔ soro wɔ w’amanneɛbɔ no mu a, mma wo ho nnyɛ wo hu. 99% wɔ bere no mu no, ɛyɛ ɔyare mmoawa a ɛnyɛ den. Sɛ ɛsa wie a, biribiara bɛsan akɔ sɛnea na ɛte kan no. Fa wo ho to wo duruyɛfo so bere nyinaa na di n’afotu akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Lymphocytosis yɛ mogya mu nkwammoaa fitaa a wɔfrɛ no lymphocytes dodow a ɛkɔ soro wɔ mogya no mu.
- Mpɛn pii no, eyi yɛ sɛnkyerɛnne pa ara a ɛkyerɛ sɛ nipadua no reko atia ɔyare mmoawa (titiriw mmoawa) na ɛnyɛ biribi a ɛsɛ sɛ wosuro.
- Enni n’ankasa sɛnkyerɛnne ahorow; sɛnkyerɛnne ahorow no fi tebea a ɛwɔ ase a ɛde bae (e.g., atiridiinini, ɔfe).
- Sɛ w’adwene mu yɛ wo naa wɔ nea efii wo mogya mu nhwehwɛmu mu bae no ho a, mma wo ho nnpopo na wo ne wo duruyɛfo nkasa . Kwati sɛ wubegyina nsɛm a ɛwɔ intanɛt so so ahwehwɛ wo ho.
- Wɔ tebea horow a ɛntaa nsi mu no, eyi betumi ayɛ tebea bi a emu yɛ den te sɛ kokoram ho sɛnkyerɛnne, enti ɛho hia sɛ wohwehwɛ aduruyɛ mu afotu na sɛ ɛho hia a, wɔyɛ nhwehwɛmu foforo.
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