Ðe nèxɔ ʋudodokpɔ ŋuti nyatakaka, lé ŋku ɖe nya siwo le edzi ŋu, eye nèsusu be, "Nukae esia fia?" Ðewohĩ wò ɖɔkta gblɔ be, "Wò neutrophils kɔkɔ vie" alo "bɔbɔ." Nuka tututue nye neutrophils? Mègatsi dzi o, ele bɔbɔe ŋutɔ. Wonye míaƒe ŋutilã ƒe ametakpɔnu ƒe akpa tɔxɛ aɖe. Mina míaƒo nu tso esia ŋu tsitotsito egbea.
Kpuie ko la, nukawoe nye neutrophil siawo?
Bu eŋu kpɔ, míaƒe ŋutilã le abe dukɔ ene. Asrafoha aɖe li be woakpɔ dukɔ sia ta. Aʋakɔ mae nye míaƒe dɔlélenutsiŋutete . Le asrafo ƒomevi vovovo siwo le asrafoha sia me dome la, asrafo vevitɔ kekeake kple gbãtɔ si yi aʋae nye neutrophil .
Le nyateƒe me la, esiawo nye ʋumenugbagbevi ɣi ƒomevi aɖe si le míaƒe ʋu me. Ʋumenugbagbevi ɣi siwo le míaƒe ʋu me ƒe 50% va ɖo 75% nye neutrophil asrafo siawo.
Nukae nye woƒe dɔ vevitɔ?
Dɔ vevi eve le neutrophils ŋu:
1. Avuwɔwɔ kple dɔlékuiwo: Ne dɔlékuiwo abe dɔlékuiwo, dɔlékuiwo, kple fungiwo ene ge ɖe míaƒe ŋutilã me la, nu gbãtɔ si ƒua du yia teƒeae nye neutrophils. Woyi ɖalé dɔlékui mawo eye "woɖua wo" tsɔ tsrɔ̃a wo. Ðeko wòle abe kpovitɔwo lé fiafitɔ ene.
2. Kpekpeɖeŋunana abiwo dada: Ne míexɔ abi la, neutrophils siawo hã kpena ɖe ame ŋu le abiwo dada me.
Wowɔa neutrophil siawo le ƒumeŋuɖui si le míaƒe ƒuwo me la me. Gake woƒe agbenɔƒe le kpuie ŋutɔ, mede ŋkeke ɖeka o. Eyata ele be míaƒe ƒumeŋuɖui nawɔ neutrophil yeyewo ɣesiaɣi.
Aleke wodzidzea neutrophil ƒe xexlẽme?
Ne wò ɖɔkta susui be wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue alo sɔ gbɔ la, abia be woado ʋu kpɔ.
- Ʋu Xexlẽme Blibo (FBC/CBC) dodokpɔ: Zi geɖe la, esiae nye dodokpɔ gbãtɔ si wowɔna. Woyɔa esia ɣeaɖewoɣi be `CBC with differential`, esia ateŋu akpɔ lãmenugbagbevi ƒomevi ɖesiaɖe ƒe agbɔsɔsɔme le wò ʋu me.
- Absolute Neutrophil Count (ANC): Esia hã nye nyatakaka ma ke si míeyɔ ɖe etame la ƒe akpa aɖe. Esiae na míenya neutrophil agbɔsɔsɔme si tututu le wò ʋu me.
Nu vevitɔ kekeakee nye be, mègati kpo ɖe nyataƒoƒo siwo wotu ɖe dzidzenu siwo le ʋu ŋuti nyatakaka aɖe me dzi ko o. Dzidzenu mawo ate ŋu ato vovo le nu geɖe nu, abe ƒexɔxɔ kple atikewɔwɔ ƒe nɔnɔme bubuwo ene. Eyata ƒo nu tso eŋu na wò ɖɔkta ɣesiaɣi eye nàxɔ aɖaŋuɖoɖo nyuitɔ.
Zi geɖe la, ʋumenugbagbevi dzĩ siwo ade 2,500 va ɖo 7,000 nɔa ame tsitsi si le lãmesẽ me le ʋu microlita ɖeka me. Wobua nusianu si wu 7,700 be enye dzidziɖedzi (neutrophilia), eye wobua nusianu si mede 1,500 o be enye dzidziɖedzi (neutropenia).
Nukawoe nana neutrophil ƒe xexlẽme dzina ɖe edzi (neutrophilia)?
Woyɔa neutrophils ƒe dzidziɖedzi le atikewɔwɔ me be neutrophilia . Nu geɖe li siwo ate ŋu ahe esia vɛ. Menye dɔléle ɖeka koe wònye o, ke boŋ enye nɔnɔme bubu ƒe dzesi.
| Susu | Numeɖeɖe kple kpɔɖeŋuwo |
|---|---|
| Dɔlékuiwo | Esiae nye susu si bɔ wu. Ne dɔlékui aɖe ge ɖe ŋutilãa me la, míaƒe dɔlélenutsiŋutete wɔa asrafo (neutrophils) geɖe wu tsɔ wɔa avu kplii. Esia ate ŋu adzɔ le fungi kple parasitic dɔlékui aɖewo hã gome. |
| Nutete | Neutrophils ate ŋu adzi ɖe edzi le dɔléle ɖesiaɖe si hea abi, si fia, abi, le ŋutilã ƒe akpa aɖe me. Kpɔɖeŋuwo: (Rheumatoid arthritis) , (Gout) , (Ulcerative colitis) , dzobibi, amekoko, dzidɔ. |
| Atike aɖewo | Atike aɖewo hã ate ŋu ana neutrophils nadzi ɖe edzi abe eƒe nugbegblẽ le ame ŋu ene. Kpɔɖeŋu aɖewoe nye atikewo abe (Lithium) , (Heparin) , kple (Corticosteroids) ene. |
| Kansa ƒomeviwo | Woate ŋu akpɔ nɔnɔme sia le kansa ƒomevi aɖewo hã me. Kpɔɖeŋuwo: Kansa siwo do ƒome kple ʋu abe (Hodgkin lymphoma) kple (Chronic myelocytic leukemia) ene . |
Neutrophils ƒe dzidziɖedzi ƒe dzesiwo
Dzesi aɖeke koŋ meli si fia be neutrophil ƒe xexlẽme dzi ɖe edzi o. Míekpɔa atikewɔwɔ ƒe nɔnɔme si gbɔ wòtso ƒe dzesiwo.
- Asrã
- Dɔlékuiwo xɔxɔ enuenu
- Abi xɔa ɣeyiɣi hafi wohaya.
- Ƒunukpeƒewo ƒe vuvu kple vevesese
- Ðeɖiteameŋu si gbɔ eme le ŋutilã me
Nusiwo hea neutrophil ƒe xexlẽme dzi ɖeɖe kpɔtɔ vɛ (Neutropenia) .
Woyɔa neutrophils ƒe dzidziɖedzi be neutropenia . Esiae nye esime asrafo siwo le míaƒe asrafoha me dzi ɖe kpɔtɔ. Esia ɖea ŋutete si le ame si be wòawɔ avu kple dɔlékuiwo dzi kpɔtɔna. Eyata afɔku si le dɔlékuiwo xɔxɔ me lolo ŋutɔ.
| Susu | Numeɖeɖe kple kpɔɖeŋuwo |
|---|---|
| Kansa kple kansa dada | Kansa siwo gblẽa nu le ƒumeŋuɖui ŋu, abe ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ ene, ate ŋu aɖe neutrophil ƒe wɔwɔ dzi akpɔtɔ. Azɔ hã, atikewɔmɔnu kple keklẽŋusẽ zazã ate ŋu awu kansa lãmenugbagbeviwo tsɔ kpe ɖe neutrophil siwo le lãmesẽ me ƒe wɔwɔme ŋu. |
| Dɔlékui aɖewo | Dɔlékui aɖewo hã ate ŋu aɖe neutrophil ƒe xexlẽme dzi akpɔtɔ hena ɣeyiɣi aɖe. Kpɔɖeŋuwo: Aɖitsi , Koklozi , HIV/AIDS , Aklãdɔ . |
| Atike aɖewo | Dɔlékuiwutike aɖewo , alɔ̃madɔmadɔtikewo, kple tagbɔdɔléle ƒe atike aɖewo hã ate ŋu ahe nɔnɔme sia vɛ. |
| Atikewɔwɔ ƒe nɔnɔme bubuwo | (Lupus) , (Crohn ƒe dɔléle) .Dɔlélenutsiŋutete ƒe dɔlélewo, vitamin B12 kple folate ƒe anyimanɔmanɔ, kple dɔléle bubu siwo gblẽa nu le ƒumeŋuɖui ŋu hã ate ŋu ana neutrophils naɖiɖi. |
Dzesi siwo fia be neutrophils mesɔ gbɔ o
Neutrophils ƒe dzidziɖedzi kple edziɖeɖe siaa mehea dzesi aɖeke koŋ vɛ o. Gake esi wò ŋutilã ƒe ametakpɔnuwo mebɔ o ta la, dɔlékuiwo ate ŋu axɔ wò bɔbɔe. Emegbe dɔlékui mawo ƒe dzesiwo dzena.
- Asrã kple lãmetutudɔ
- Vemexɔabi
- Nu me ƒe abiwo
- Dɔmetɔtrɔ
- Dzobibi, vuvu, kple vevesese le afisi abi la le
Asrã si le amesi ƒe neutrophils mesɔ gbɔ o me nye atikewɔwɔ kpata elabena ŋutilãa mete ŋu wɔa avu kple dɔlékui o. Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo alo ayi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake.
Aleke wokpɔa nɔnɔme siawo gbɔe?
Nu vevitɔe nye be ɖɔktaa medaa neutrophil ƒe xexlẽme o, ke boŋ dɔléle si gbɔ wòtso si na xexlẽme ma dzi ɖe kpɔtɔ alo dzi ɖe edzi .
- Neutrophilia: Ne dɔlékuiwo gbɔe wòtso la, woana dɔlékuiwutikewo. Ne dɔléle bubue gbɔe wòtso la, neutrophil ƒe xexlẽme atrɔ ava nɔ abe alesi wònɔ tsã ene ne woda dɔléle ma.
- Neutropenia: Ne atike aɖe gbɔe wòtso la, ɖɔktaa adzudzɔ atike ma zazã eye wòana bubu wò. Ne dɔlékui aɖee wònye la, woadae. Ne kansa dadae nye nusi gbɔ wòtso la, woate ŋu ana mɔfiame tɔxɛwo wò be nàkpɔ ɖokuiwò ta tso dɔlékuiwo me eye woate ŋu ana atike gɔ̃ hã wò be wò ʋumenugbagbevi ɣiwo nadzi ɖe edzi.
Eyata ne tɔtrɔ aɖe va le ʋumenugbagbevi dzĩwo ƒe xexlẽme me le wò ʋu ŋuti nyatakaka me la, mègatsi dzodzodzoe o, ke boŋ ƒo nu tso eŋu na wò ɖɔkta gaglãa. Awɔ dodokpɔ siwo hiã, adi nusi tututu gbɔ wòtso, eye wòana atike si sɔ wu wò.
Gbedasi si Wotsɔ Yi Aƒeme
- Neutrophils ye nye lãmenugbagbevi ƒomevi vevitɔ le míaƒe dɔlélenutsiŋutete me siwo wɔa avu kple dɔlékuiwo.
- Neutrophils ƒe dzidziɖedzi alo edzi ɖeɖe kpɔtɔ le wò ʋu me menye dɔléle le eɖokui si o. Ate ŋu anye atikewɔwɔ me nɔnɔme bubu aɖe ƒe dzesi.
- Mèganɔ te ɖe ʋudodokpɔ dzi akpɔ dɔlélea gbeɖe o. Ƒo nu kple wò ɖɔkta ɣesiaɣi eye nàxɔ aɖaŋuɖoɖo nyuitɔ.
- Ðɔktaa medaa neutrophil ƒe xexlẽme o, ke boŋ dɔléle si gbɔ wòtso si hee vɛ.
- Ne neutrophil ƒe agbɔsɔsɔ si mede ame dzi o (neutropenia) le ŋuwò la, kpɔ nyuie etɔxɛe be nàkpɔ ɖokuiwò ta tso dɔlékuiwo me. Klɔ asi enuenu, ƒo asa na teƒe siwo amewo sɔ gbɔ ɖo, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesiwo abe asrã ene dze ŋuwò.
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