Ðe dzamezã kple dɔléle siwo le abe dzamezã ene dzea dziwò zi geɖea? Alo ɖe nèsena le ɖokuiwò me be ɖeɖi te ye ŋu eye yeƒe lãme gbɔdzɔa? Togbɔ be zi geɖe la, míebua nusiawo be wonye nusiwo sɔ hã la, ɣeaɖewoɣi la, ŋutinya gã aɖe ate ŋu anɔ megbe na wo le míaƒe ŋutilã me. Woyɔa ame vevi siwo le ŋutinya ma me dometɔ ɖeka be ‘Granulocytes’. Na míakpɔ amesiwo nye dzɔla sue siawo le míaƒe ŋutilã me ɖaa?
Nukae nye granulocytes le nya bɔbɔewo me?
Kpuie ko la, granulocytes nye ʋumenugbagbevi ɣi ƒomevi aɖe si le míaƒe ʋu me. Esiawoe nye ʋumenugbagbevi ɣi ƒomevi siwo bɔ wu le míaƒe ŋutilã me. Tsɔe be míaƒe ŋutilã le abe dukɔ ene. Ekema ʋumenugbagbevi ɣi siawoe nye dukɔ ma ƒe aʋakɔ. Granulocytes le abe commando siwo wona hehee etɔxɛe le asrafoha ma me ene.
Nuku suesuesuewo le lãmenugbagbevi siawo me. Atike vovovowo kple enzyme vovovowo le nuku siawo me. Ne dɔlékui aɖe, si nye dɔlékui aɖe, ge ɖe míaƒe ŋutilã me la, granulocyte siawo yia teƒe ma kaba, woɖea asi le granules siwo le wo me ŋu eye wowɔa avu kple dɔlékuia.
Mɔ ɖeka kolia si dzi nàto anya nusi nye wò granulocyte ƒe agbɔsɔsɔ enye be woado ʋu kpɔ .
- Ne granulocyte ƒe xexlẽme sɔ gbɔ: Ate ŋu afia be dɔlékui aɖe ƒomevi le wò ŋutilã me.
- Ne granulocyte ƒe xexlẽme mede o: Ate ŋu anye ƒumeŋuɖui ƒe dɔléle, abe ʋumenugbagbeviɣidɔ alo aplastic anemia ene, ƒe dzesi.
Nukae dzɔna ne granulocytes siwo metsi o le ʋua me?
Zi geɖe la, granulocyte siawo gena ɖe ʋua me ne wotsi bliboe le míaƒe ƒumeŋuɖui me vɔ. Gake ɣeaɖewoɣi la , lãmenugbagbevi siawo siwo metsi o hã nɔa ʋua me . Ne edzɔ alea la, nu geɖe li siwo ate ŋu afia.
Ðekae nye be nane gblẽ le ƒumeŋuɖui ŋu. Alo, ate ŋu anye be ŋutilãa le agbagba dzem be yeawɔ nu kaba ɖe dɔlékui aɖe ŋu ne edze egɔme ko. Zi geɖe la, ɖɔktawo tsia dzi wu ne granulocyte siawo siwo metsi o la wu wò ʋumenugbagbevi ɣiwo katã ƒe 2%.
Gake naneke meli si ŋu woatsi dzi ɖo ne lãmenugbagbevi siawo siwo metsi o le vidada si fɔ fu alo vidzĩ si wodzi yeyee ƒe ʋu me o. Eɖenɛ fiana be woƒe ƒumeŋuɖui le lãmesẽ me eye wòwɔa dɔ nyuie. Eyata enye nɔnɔme si sɔ.
Nukawoe nye granulocyte ƒomevi veviwo kple woƒe dɔwɔwɔ?
Míegblɔ be amesiawo le abe commando ene. Dɔ vovovowo wɔwɔ ŋuti nunyala bibiwo hã le commando-ha sia si. Nenema ke granulocyte ƒomevi vevi geɖewo li. Dɔ vovovo ɖesiaɖe ƒomevi ɖesiaɖe wɔa dɔ.
| Lãmenugbagbevi Ƒomevi | Dɔ vevitɔ kple numeɖeɖe bɔbɔe |
|---|---|
| Neutrophils ƒe dɔwɔwɔ | Esiawoe nye ametakpɔla vevitɔwo eye wosɔ gbɔ wu le míaƒe ŋutilã me. Woawoe nye míaƒe ʋumenugbagbevi ɣiwo ƒe akpa eve le etɔ̃ me lɔƒo. Woƒe dɔ vevitɔe nye be woawɔ avu kple dɔlékuiwo. |
| Eosinophils ƒe lãwo | Lãmenugbagbevi siawo wɔa dɔ wu le nulɔdɔwo me . Tsɔ kpe ɖe eŋu la, wokpena ɖe ame ŋu wòwɔa avu kple dɔlékuiwo. |
| Basophils ƒe lãwo | Nusiawo koŋue kpɔa gome le nulɔdɔwo me. Woawoe ɖea nusiwo le abe histamine ene doa goe eye wokpena ɖe ame ŋu wòɖea nusiwo nana ŋutilãa mewɔa nuvevi ame o ɖa. |
| Mast cells ƒe lãmenugbagbeviwo | Esiawo sɔ kple basophils. Vovototoae nye be womezɔa mɔ le ʋu me o, ke boŋ wonɔa lãkusiwo abe míaƒe ŋutigbalẽ kple lãkusi ene me. Woawoe nye ame gbãtɔ siwo wɔa dɔ ne dɔlékui aɖe dze ame dzi. |
Nɔnɔme kawoe dona tso granulocyte ƒe xexlẽme si bɔbɔ alo esi sɔ gbɔ gbɔ?
Lãmenugbagbevi siawo ƒe xexlẽme si sɔ me léle ɖe asi le vevie ŋutɔ na míaƒe lãmesẽ. Ne woƒe xexlẽme dzi ɖe kpɔtɔ alo dzi ɖe edzi la, ate ŋu anye atikewɔwɔ ƒe nɔnɔme vovovowo ƒe dzesi.
- Granulocytosis: Esia nye granulocyte ƒe xexlẽme ƒe dzidziɖedzi .Esia ate ŋu atso dɔlékui, kansa, alo dɔléle si dɔlékuiwo ƒe dɔlélenutsiŋutete wɔna gbɔ.
- Neutropenia: Esia nye neutrophils ƒe xexlẽme dzi ɖeɖe kpɔtɔ . Zi geɖe la, ʋu alo ƒumeŋuɖui ƒe dɔléle (e.g. ʋumenugbagbeviɣidɔ) ate ŋu atso esia gbɔ.
- Eosinophilia: Eosinophil ƒe xexlẽme dzina ɖe edzi . Woate ŋu akpɔ nɔnɔme sia le amesiwo ŋu asrã alo nulɔdɔ le ŋu.
- Basophilia: Basophils ƒe dzidziɖedzi . Esia ate ŋu atso dɔlékuiwo, dɔléle siwo dɔlélenutsiŋutete wɔna, alo nɔnɔmewo abe ʋumenugbagbeviɣidɔ ene hã gbɔ.
Dzesi siwo bɔ le nɔnɔme sia me
Granulocyte ƒe agbɔsɔsɔ si mesɔ o ate ŋu ahe dzesi vovovowo vɛ, gake dzesi siwo bɔ dometɔ aɖewoe nye esi:
- Ðeɖiteameŋu kple ɖeɖiteameŋu ƒe seselelãme ɣesiaɣi
- Asrã si nɔa ame ŋu enuenu
- Dɔléle kaba ŋutɔ (Dɔlékuiwo xɔxɔ enuenu) .
- Aɖuɖɔtoedɔléle
- Nu me ƒe abiwo
- Ƒunukpeƒewo ƒe vevesese
- Aɖuɖɔtoe kple ʋuʋudedi
- Ŋutilã ƒe ʋuʋudedi
- Lãmetsiŋusẽ ƒe ʋuka siwo vuvu
Aleke mawɔ anya nusi tututu nye granulocyte ƒe agbɔsɔsɔ?
Mɔ nyuitɔ si dzi nàto anyae nye be nàxɔ Ʋu Xexlẽme Blibo (CBC) ƒe nyatakaka . Le Sri Lanka la, míeyɔa esia hã be "Ʋu Xexlẽme Blibo" ƒe nyatakaka. Esia nye ʋudodokpɔ si bɔ.
Di nya siawo le wò CBC nyatakaka me:
- `Neutrophil` alo "neut".
- `Eosinophil` alo "eosin".
- `Basophil` alo "baso".
Ðewohĩ ède dzesii be "abs" aɖe le nya siawo megbe. Ema tsi tre ɖi na "nu blibo." Efia lãmenugbagbevi agbɔsɔsɔme si tututu le ʋua me. Ne ɖikeke aɖe le mewò le dzidzenu siwo le wò nyatakakaa me ŋu la, anyo wu be nàƒo nu tso eŋu na wò ɖɔkta.
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ nɔ te ɖe nusi gbɔ wò granulocyte ƒe agbɔsɔsɔ si mesɔ o tso dzi.
Dɔdamɔnu si wozãna le mɔ gbadza nu
- Dɔlékuiwutikewo - na dɔlékuiwo ƒe nɔnɔmewo
- Corticosteroids ƒe atikewo
- Dɔlélenutsiŋutete ƒe atikewo
- Ƒumeŋuɖui dodo - na dɔléle sesẽwo
- G-CSF injections - be woado ŋusẽ granulocytes ƒe tsitsi
Ne kansa aɖe li
Ne kansae gbɔ wòtso la, ke atike vovovowo li na ema.
- Atikewo zazã
- Kekeli ƒe atikewɔwɔ
- Atikewɔwɔ si ŋu woɖo taɖodzinu ɖo
- Amekoko
Ne nye granulocyte ƒe xexlẽme mesɔ o la, nukae wòle be mawɔ?
Ne granulocyte ƒe xexlẽme le sue alo sɔ gbɔ la, anɔ eme be dɔlékuiwo axɔ wò. Eyata ele vevie ŋutɔ be nàkpɔ ɖokuiwò ta tso dɔlékuiwo me.
- Klɔ asi enuenu: Klɔ asi nyuie kple adzalẽ, vevietɔ hafi nàɖu nu kple nugododeƒe zazã vɔ megbe.
- Ƒo asa na asikaka wò mo, ŋku, kple ŋɔti ŋu: Mègaka asi teƒe siawo ŋu ne mèklɔ asi o.
- Na atike siwo hiã: Na atike siwo wò ɖɔkta kafu na wò la ɖe game dzi.
- Lé be na wò nu me ƒe lãmesẽ: Klɔ aɖuwo gbesiagbe. Yi edzi nànɔ aɖudɔdala gbɔ kpɔm.
Ƒo wo katã ta la, ele vevie be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Aɖo aɖaŋu na wò le atikewɔwɔ kple mɔxexeɖedɔlélea nu ƒe mɔnu nyuitɔwo ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Granulocytes nye ʋumenugbagbevi ɣi ƒomevi aɖe si le vevie na míaƒe ŋutilã eye wòwɔa avu kple dɔlékuiwo.
- Woƒe xexlẽme dzi ɖeɖe kpɔtɔ alo dzidziɖedzi ate ŋu anye nusianu ƒe dzesi tso dɔlékui bɔbɔe aɖe dzi va ɖo nɔnɔme sesẽ aɖe abe ʋumenugbagbeviɣidɔ ene dzi.
- Àte ŋu anya wò granulocyte ƒe agbɔsɔsɔ bɔbɔe to ʋudodokpɔ bɔbɔe (CBC) dzi.
- Ne èle dɔ lém atraɖii alo mèle lãmesẽ me o la, mègaŋe aɖaba ƒu dzesi siawo dzi o. Kpɔ wò ɖɔkta enumake.
- Ele vevie ŋutɔ be nàdi atike eye nàkpɔ ɖokuiwò ta tso dɔlékuiwo me.
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