So woanya mogya mu nhwehwɛmu amanneɛbɔ pɛn, ahwɛ nsɛmfua a ɛwɔ so no, na woasusuw sɛ, "Dɛn na eyi kyerɛ?" Ebia wo duruyɛfo no kae sɛ, "Wo neutrophils no korɔn kakra" anaasɛ "ɛba fam." Dɛn ankasa ne neutrophils? Mma ɛnhaw wo, ɛyɛ mmerɛw yiye. Wɔyɛ yɛn nipadua no ahobammɔ nhyehyɛe no fã titiriw. Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne saa neutrophils yi?
Wo de susuw ho hwɛ, yɛn nipadua te sɛ ɔman. Asraafo dɔm bi wɔ hɔ a wɔbɛbɔ ɔman yi ho ban. Saa asraafo dɔm no ne yɛn nipadua mu ahoɔden a ɛko tia nyarewa no . Wɔ asraafo ahorow a wɔwɔ saa asraafo yi mu no, ɔsraani a ɔho hia sen biara na odi kan a ɔbɛkɔ ɔko ne neutrophil .
Eyinom yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn mogya mu ankasa. Mogya mu nkwammoaa fitaa a ɛwɔ yɛn mogya mu no mu 50% kosi 75% yɛ saa neutrophil asraafo yi.
Dɛn ne wɔn asɛyɛde titiriw?
Neutrophils wɔ dwumadi atitiriw abien:
1. Nyarewa a yɛbɛko atia: Sɛ mmoawa te sɛ mmoawa, mmoawa, ne fungi hyɛn yɛn nipadua mu a, ade a edi kan a ɛde ahopere kɔ beae hɔ ne neutrophils. Wɔkɔ na wɔkyere saa mmoawa no na "wodi wɔn", sɛe wɔn. Ɛte sɛ nea polisifo akyere owifo.
2. Boa a ɛboa ma akuru sa: Sɛ yepirapira a, saa neutrophils yi nso boa ma ɛsa.
Wɔyɛ saa neutrophils yi wɔ nnompe mu ntini a ɛwɔ yɛn nnompe mu no mu. Nanso wɔn nkwa nna yɛ tiaa koraa, ennu da koro. Enti, ɛsɛ sɛ yɛn nnompe mu ntini no yɛ neutrophils foforo bere nyinaa.
Ɔkwan bɛn so na wɔsusuw neutrophil dodow?
Sɛ wo duruyɛfo susuw sɛ wo neutrophil dodow sua anaasɛ ɛdɔɔso a, ɔbɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu.
- Full Blood Count (FBC/CBC) nhwehwɛmu: Mpɛn pii no, eyi ne nhwehwɛmu a edi kan a wɔyɛ. Ɛtɔ da bi a wɔfrɛ no `CBC with differential`, eyi betumi ahwɛ sɛnea nkwammoaa ahorow biara mu dodow a ɛwɔ wo mogya mu.
- Absolute Neutrophil Count (ANC): Eyi nso yɛ amanneɛbɔ koro no ara a yɛaka ho asɛm wɔ atifi hɔ no fã. Eyi ne nea ɛma yehu neutrophils dodow pɔtee a ɛwɔ wo mogya mu.
Ade a ɛho hia sen biara ne sɛ, nhuruw nkɔ nsɛm a egyina gyinapɛn ahorow a ɛwɔ mogya ho amanneɛbɔ mu so kɛkɛ. Saa gyinapɛn ahorow no betumi ayɛ soronko a egyina nneɛma pii te sɛ mfe a obi adi ne ayaresa mu tebea afoforo so. Enti bere nyinaa wo ne wo duruyɛfo nka ho asɛm na nya afotu a ɛfata.
Mpɛn pii no, ɔpanyin a ɔwɔ apɔwmuden wɔ neutrophils bɛyɛ 2,500 kosi 7,000 wɔ mogya microliter biara mu. Wobu biribiara a ɛboro 7,700 sɛ ɛyɛ nkɔanim (neutrophilia), na wobu biribiara a ɛba fam sen 1,500 sɛ ɛso atew (neutropenia).
Dɛn ne nea ɛde neutrophil dodow a ɛkɔ soro (neutrophilia) ba?
Wɔfrɛ neutrophils a ɛkɔ soro wɔ aduruyɛ mu no neutrophilia . Nneɛma pii wɔ hɔ a ebetumi de eyi aba. Ɛnyɛ yare biako pɛ, na mmom ɛyɛ tebea foforo ho sɛnkyerɛnne.
| Sɛnti | Nkyerɛkyerɛmu ne nhwɛso ahorow |
|---|---|
| Nyarewa a wɔde nyarewa ba | Eyi ne ade a ɛtaa ba. Sɛ ɔyare mmoawa bi hyɛn nipadua no mu a, yɛn nipadua mu tumi a ɛko tia nyarewa no ma asraafo (neutrophils) pii ko tia. Eyi betumi aba nso wɔ fungal ne parasitic yare bi ho. |
| Ahonhono | Neutrophils betumi akɔ soro wɔ yare biara a ɛde ɔfe, kyerɛ sɛ, ɔfe, ba nipadua no mu baabi. Nhwɛso ahorow: (Rheumatoid arthritis) , (Gout) , (Ulcerative colitis) , ɔhyew, oprehyɛn, komayare. |
| Nnuru bi | Nnuru bi nso betumi ama neutrophils akɔ soro sɛ nea efi mu ba. Nhwɛso ahorow bi ne nnuru te sɛ (Lithium) , (Heparin) , ne (Corticosteroids) . |
| Kokoram ahorow | Wobetumi ahu saa tebea yi nso wɔ kokoram ahorow bi mu. Nhwɛso ahorow: Kokoram a efi mogya mu ba te sɛ (Hodgkin lymphoma) ne (Chronic myelocytic leukemia) . |
Nsɛnkyerɛnne a ɛkyerɛ sɛ neutrophils akɔ soro
Nsɛnkyerɛnne pɔtee biara nni hɔ a ɛkyerɛ sɛ neutrophil dodow akɔ soro. Yehu aduruyɛ tebea a ɛda adi a ɛde bae no ho sɛnkyerɛnne.
- Huraeɛ
- Nyarewa a wɔtaa nya
- Akuru gye bere ansa na ayɛ yiye.
- Nkwaa a ɛho ahonhon ne ɛyaw
- Nipadua mu ɔbrɛ a ɛboro so
Nea ɛde neutrophil dodow a ɛba fam ba (Neutropenia) .
Wɔfrɛ neutrophils a ɛso tew no neutropenia . Eyi ne bere a asraafo dodow a wɔwɔ yɛn asraafo mu no so tew. Eyi ma tumi a obi tumi ko tia mmoawa no so tew. Enti, asiane a ɛwɔ hɔ sɛ obi benya nyarewa no dɔɔso yiye.
| Sɛnti | Nkyerɛkyerɛmu ne nhwɛso ahorow |
|---|---|
| Kokoram ne kokoram ayaresa | Kokoram a ɛka nnompe mu ntini te sɛ mogya mu kokoram ne lymphoma , betumi atew neutrophil a ɛba no so. Afei nso, nnuru a wɔde sa yare ne mframa a wɔde sa yare betumi akum kokoram nkwammoaa aka neutrophil a ɛyɛ apɔwmuden a wɔyɛ ho. |
| Nyarewa bi a wɔde nyarewa ba | Mmoawa bi nso betumi ama neutrophil dodow so atew bere tiaa bi. Nhwɛso ahorow: Akisikuru , Akokɔsrade , HIV/AIDS , Hepatitis . |
| Nnuru bi | Saa tebea yi nso betumi afi nnuru bi a ekum ɔyare mmoawa , nnuru a wɔde sa akisikuru, ne nnuru bi a wɔde sa adwenemyare. |
| Ayaresa mu tebea afoforo | (Lupus) , (Crohn yareɛ) .Nyarewa a nipadua no tumi ko tia nyarewa, vitamin B12 ne folate a enni nipadua mu, ne nyarewa afoforo a ɛka nnompe mu ntini nso betumi ama neutrophils a ɛba fam aba. |
Nsɛnkyerɛnne a ɛkyerɛ sɛ neutrophils sua
Neutrophils a ɛkɔ soro ne nea ɛso tew nyinaa mma yare no ho sɛnkyerɛnne pɔtee biara mma. Nanso, esiane sɛ wo nipadua no ahobammɔ sua nti, ɛnyɛ den sɛ wubenya ɔyare mmoawa. Afei saa nyarewa no ho sɛnkyerɛnne da adi.
- Atiridii ne atiridiinini
- Menemkuro
- Ano mu akuru
- Ayamtuo
- Kɔkɔɔ, ɛho ahonhon, ne ɛyaw wɔ baabi a wɔapirapira no
Atiridii a ɛba obi a neutrophils sua mu no yɛ aduruyɛ mu asɛm a egye ntɛmpɛ efisɛ nipadua no ntumi nko ntia ɔyare mmoawa bi. Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu anaa wokɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara.
Ɔkwan bɛn so na wɔsa tebea horow yi?
Ade a ɛho hia sen biara ne sɛ oduruyɛfo no nsa neutrophil dodow no yare, na mmom ɔyare a ɛde ba a ɛmaa saa dodow no so tew anaasɛ ɛkɔɔ soro no .
- Neutrophilia: Sɛ ɔyare mmoawa na ɛde ba a, wɔbɛma wɔn nnuru a ekum ɔyare mmoawa. Sɛ nea ɛde ba no yɛ yare foforo a, neutrophil dodow no bɛsan ayɛ sɛnea na ɛte bere a wɔasa saa yare no.
- Neutropenia: Sɛ nea ɛde ba no yɛ aduru bi a, oduruyɛfo no begyae saa aduru no na wama wo foforo. Sɛ ɛyɛ ɔyare mmoawa a, wɔbɛsa. Sɛ nea ɛde ba ne kokoram ayaresa a, ebia wɔbɛma wo akwankyerɛ titiriw a wode bɛbɔ wo ho ban afi nyarewa ho na ebia wɔama wo tuo mpo a ɛbɛma wo mogya mu nkwammoaa fitaa akɔ soro.
Enti, sɛ nsakrae ba neutrophil dodow mu wɔ wo mogya ho amanneɛbɔ mu a, mma wo ho nnyɛ wo hu, na mmom wo ne wo duruyɛfo nka ho asɛm pefee. Ɔbɛyɛ nhwehwɛmu a ɛho hia, ahwehwɛ nea ɛde ba ankasa, na wama wo ayaresa a ɛfata sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- Neutrophils ne nkwammoaa titiriw a ɛwɔ yɛn nipadua mu ahoɔden a ɛko tia nyarewa mu a ɛko tia mmoawa.
- Neutrophils dodow a ɛkɔ soro anaa ɛso tew wɔ wo mogya mu no nyɛ yare ankasa. Ebetumi ayɛ aduruyɛ mu tebea foforo ho sɛnkyerɛnne.
- Mfa mogya mu nhwehwɛmu nnyɛ nhwehwɛmu da. Wo ne wo duruyɛfo nkasa bere nyinaa na nya afotu a ɛfata.
- Oduruyɛfo no nsa neutrophil dodow no, na mmom ɔyare a ɛda adi a ɛde bae no.
- Sɛ wo neutrophil dodow sua (neutropenia) a, hwɛ yiye titiriw na woabɔ wo ho ban afi ɔyare mmoawa ho. Hohoro wo nsa mpɛn pii, kwati mmeae a nnipa ahyɛ hɔ ma, na sɛ wunya sɛnkyerɛnne te sɛ atiridiinini a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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