Ua pūʻiwa iki paha ʻoe i kou ʻike ʻana ua hōʻike kāu hoʻāʻo koko i kahi helu kiʻekiʻe o nā granulocytes, kahi ʻano o ke koko keʻokeʻo. Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i ia mea. He mea maoli anei kēia e makaʻu ai? E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Granulocytosis?
I ka ʻōlelo maʻalahi, ua like nā hunaola koko keʻokeʻo i loko o ko kākou kino me nā kiaʻi palekana o ke kino. Loaʻa kahi hui kūikawā o nā hunaola koko keʻokeʻo i kapa ʻia ʻo granulocytes i loko o ko kākou koko a i kekahi manawa i loko o ko kākou mau ʻiʻo.
Aia kekahi mau ʻano nui o nā granulocytes:
- Nā Neutrophils
- Nā Eosinophils
- Nā Basophil
- Aia kekahi ʻano kelepona i kapa ʻia he mast cell i loko o nā ʻiʻo.
Hana pū kēia mau mea a pau e hakakā i nā germs a me nā allergens e komo i loko o ko kākou kino, a e kāohi i ka mumū. E noʻonoʻo, i ka wā e komo ai kahi germ i loko o ko kākou kino, ʻo kēia mau granulocytes ka mea mua e hele a hakakā iā ia.
No laila, ke kiʻekiʻe aʻe ka helu o nā granulocytes i loko o ke koko ma mua o ka maʻamau, ua kapa ʻia ʻo ia he granulocytosis . ʻO ke ʻano maʻamau kēia he hewa kekahi mea me ke kino, ʻoi aku hoʻi kahi maʻi.
ʻAʻole wale ia, i kekahi manawa hiki ke hoʻonui ʻia ka helu o nā granulocytes ma muli o nā maʻi autoimmune (no ka laʻana, ka rheumatoid arthritis, kahi maʻi e hoʻouka ai ka ʻōnaehana pale o ko mākou kino i kā mākou mau cell ponoʻī) a i ʻole nā maʻi iwi iwi (no ka laʻana, nā maʻi kanesa koko e like me ka leukemia myeloid maʻi (CML)).
Akā, mai hopohopo nui ʻoe ke lohe ʻoe ua kiʻekiʻe kāu mau granulocytes. Nui nā kumu no kēia, ʻaʻole koʻikoʻi nā mea a pau. E haʻi hou aku kāu kauka iā ʻoe e pili ana i kēia.
He aha ka ʻokoʻa ma waena o ka granulocytosis a me ka leukocytosis?
Hiki i kēia mau huaʻōlelo ʻelua ke ʻano huikau iki. ʻO ka Leukocytosis e pili ana i ka hoʻonui ʻia o ka nui o nā hunaola koko keʻokeʻo i loko o ko kākou koko. ʻAʻole wale kēia me nā granulocytes, akā, ʻo nā ʻano hunaola koko keʻokeʻo ʻē aʻe i kapa ʻia he monocytes a me lymphocytes.
Akā, ʻo ka granulocytosis he hoʻonui wale nō ia o kahi ʻano o ke kelepona i kapa ʻia ʻo granulocyte (ʻo ia hoʻi nā neutrophils, eosinophils, a me nā basophils a mākou i kamaʻilio ai ma mua). Maopopo iā ʻoe?
He aha ka ʻokoʻa ma waena o ka Granulocytosis a me ka Agranulocytosis?
ʻO kēia kekahi ʻaoʻao. ʻO ka Granulocytosis ka hoʻonui ʻia ʻana o nā granulocytes. ʻO ka Agranulocytosis ka wā ʻaʻole hana ko kākou iwi iwi i ka lawa ʻana o kahi ʻano kūikawā o ka granulocyte i kapa ʻia he neutrophils. ʻO ke ʻano kēia e emi ana kēia mau cell. He kūlana kēia e pono e mālama ʻia.
He aha nā hōʻailona o kēia maʻi?
ʻOkoʻa loa nā hōʻailona o ka granulocytosis ma muli o ke kumu. Hiki ke ʻokoʻa ke ʻano o ka manaʻo o kēlā me kēia kanaka. I kekahi manawa, hiki ke loaʻa ma ka ulia pōpilikia i ka wā o ka hoʻāʻo koko no kekahi maʻi ʻē aʻe, me ka ʻole o nā hōʻailona.
E noʻonoʻo he maʻi bacteria kou. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:
- ʻEha poʻo
- kuni
- Luhi, manaʻo nāwaliwali
- Ka luaʻi, ka luaʻi
A i ʻole, inā loaʻa iā ʻoe kahi ʻano e like me ka rheumatoid arthritis , kahi i hoʻonui ʻia ai kēia mau granulocytes, hiki iā ʻoe ke ʻike i nā mea e like me:
- ʻEha hui (arthritis)
- ʻO ka paʻakikī o nā hui a me ka pehu ʻana i ke kakahiaka, me he mea lā he paʻakikī ke hoʻolōʻihi i nā lālā
I kekahi manawa, hiki ke hana ʻia e kahi maʻi kanesa koko, e like me ka Chronic Myeloid Leukemia (CML) . I kēlā hihia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Luhi mau
- Nā hou o ka pō
- Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana (manaʻo e like me ʻoe e piha koke ana)
- ʻO ka pehu ʻana a i ʻole ka ʻoluʻolu ʻole ma ka ʻaoʻao hema o luna o ka ʻōpū (hiki paha ma muli o ka nui o ka spleen)
Eia kekahi o nā hōʻailona nui āu e ʻike ai. Eia naʻe, ʻo ka loaʻa ʻana o kēia mau hōʻailona ʻaʻole ia he manaʻo he granulocytosis kou. ʻO ia ke kumu he mea nui e ʻike i ke kauka e loaʻa ai kahi hōʻailona pololei.
He aha nā kumu o ka granulocytosis?
Nui nā kumu e hiki ke hoʻopilikia i kēia kūlana. ʻO kekahi o lākou he mau pilikia pōkole e hoʻomaikaʻi ʻia i loko o kekahi mau lā. ʻO kekahi o lākou he mau maʻi lōʻihi (mau).
ʻO nā kumu nui i ʻike ʻia:
- Nā maʻi: Nā maʻi like ʻole i hoʻokumu ʻia e nā bacteria, nā virus, a me nā parasites. No ka laʻana, ʻo ka pneumonia, ka dengue fever, a i ʻole ke anu nui paha ke kumu o kēia.
- Nā maʻi Autoimmune: E like me kā mākou i kūkākūkā ai ma mua, ʻo nā maʻi e like me ka Rheumatoid Arthritis a me Lupus ke kumu o kahi hana hewa i loko o ka ʻōnaehana pale ponoʻī o ko mākou kino.
- Nā neoplasms myeloproliferative:He mau ʻano maʻi koko kakaikahi kēia. ʻO nā hiʻohiʻona e komo pū me nā kūlana e like me ka leukemia myeloid maʻi (CML), polycythemia vera, a me ka thrombocythemia koʻikoʻi.
Nā kumu ʻē aʻe:
- Sepsis: He maʻi koʻikoʻi e laha ana ma ke kino holoʻokoʻa. He kūlana kēia e pono ai ka mālama ʻana i ka pilikia.
- Maʻi hohola.
- Ka hāʻule ʻana o nā puʻupaʻa.
- Ka maʻi ʻaʻai metastatic: Ke kanesa i hoʻomaka ma kekahi wahi o ke kino a laha i nā wahi ʻē aʻe.
- ʻO ka maʻi ʻōpū mumū: ʻO ka maʻi ʻōpū mumū (e.g., ka maʻi Crohn, ka colitis ulcerative ).
- Nā kuni nui.
- Puhipaka: Hiki i ka poʻe puhipaka ke loaʻa i ka nui o kēia mau cell.
- ʻO ke kaumaha koʻikoʻi o ka naʻau a i ʻole ke kaumaha kino: E like me ma hope o ke ʻoki kino nui a ma hope paha o kahi trauma nui.
- ʻO kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i nā lāʻau lapaʻau e like me corticosteroids a me ka lithium ke hana iā ia.
Pehea e ʻike ʻia ai kēia ʻano granulocytosis?
E nīnau mua ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino, nā pilikia āu e ʻike nei, nā lāʻau lapaʻau āu e lawe nei, a pēlā aku. A laila e nānā ʻo ia iā ʻoe. Inā he kānalua kona e pili ana i kēia, e noi ʻo ia iā ʻoe e hana i kahi helu koko piha (CBC) . He hoʻāʻo koko maʻamau kēia, kahi e lawe ʻia ai kahi hāpana liʻiliʻi o kou koko.
He aha ka nui kūpono a me ke koʻikoʻi o ka granulocytosis?
ʻO ka maʻamau, pono i ke kanaka olakino ke loaʻa ma waena o 1,500 a me 8,500 granulocytes no kēlā me kēia microliter o ke koko. ʻO kēlā me kēia mea ma luna o kēia helu ua kapa ʻia ʻo granulocytosis.
No ka ho'ākāka hou aku, eia nā nui maʻamau o kēlā me kēia ʻano granulocyte i loko o ke koko:
- Nā Neutrophils: 1,800-7,800 mau pūnaewele no kēlā me kēia microliter o ke koko.
- Nā Eosinophil: 0-450 mau pūnaewele no kēlā me kēia microliter o ke koko.
- Nā Basophil: 0-200 mau pūnaewele no kēlā me kēia microliter o ke koko.
Hiki ke paʻakikī ke hoʻomaopopo i nā helu ma kēia mau hōʻike lab i kekahi manawa, ʻeā? No laila, inā he mau nīnau kāu e pili ana i ka mea ma kāu hōʻike, e kamaʻilio pono me kāu kauka a wehewehe. E wehewehe ʻo ia i ke ʻano o kēlā mau helu iā ʻoe.
Pehea e mālama ʻia ai kēia?
ʻO ke ʻano o ka mālama ʻana no kēia mea e pili ana i ke kumu kumu o ka granulocytosis.Aia nō ia i ke ʻano o ia mea. I ka ʻōlelo maʻalahi, ke mālama ʻia ke kumu, ʻo ka hapa nui o ka manawa e hoʻi kēia mau cell i nā pae maʻamau.
E nānā kākou i kekahi mau laʻana:
- Inā ma muli o nā maʻi: Hiki ke hāʻawi ʻia nā antibiotics no nā maʻi bacteria. No nā maʻi viral, ʻaʻohe pinepine lāʻau lapaʻau kikoʻī, hoʻomaha wale nō a me nā wai.
- Inā ma muli o nā kūlana autoimmune: Hiki ke hāʻawi ʻia nā immunosuppressants (e.g. corticosteroids).
- Inā ma muli o ke kanesa (e.g. CML): Ma muli o ke ʻano a me ke kahua o ke kanesa, pono paha ʻoe e hana i ka lāʻau lapaʻau e like me ka chemotherapy, radiation therapy, targeted therapy (ʻo kēia nā lāʻau lapaʻau hou e hoʻopilikia wale i nā cell kanesa), a i ʻole he hoʻoili iwi iwi paha.
Me ka nānā ʻole i ke kumu o kou helu granulocyte kiʻekiʻe, na kāu kauka e hoʻoholo i ka lāʻau kūpono loa nāu. ʻO ka mea nui loa, ʻo ia ka mālama pono ʻana i ke kūlana kumu. A laila pono e emi iho ka helu granulocyte.
Aia kekahi ala e pale aku ai i kēia kūlana?
Hoʻokumu pinepine ʻia ka Granulocytosis e kekahi maʻi a maʻi ʻē aʻe paha. No laila, ʻoiai ʻaʻole hiki iā mākou ke pale aku i kēia mau maʻi āpau, he mea paʻakikī ke ʻōlelo aku e hiki ke pale loa ʻia kēia maʻi. No ka laʻana, hiki ke hoʻēmi ʻia kekahi mau kumu e nā mea e like me ka noho maʻemaʻe e pale aku i nā maʻi, ka ʻai ʻana i ka meaʻai kaulike, a me ka pale ʻana i ka puhipaka.
Inā loaʻa iā ʻoe kēia ʻano maʻi, mai hopohopo. E ʻike kāu kauka i ke kumu a e paipai i ka lāʻau lapaʻau maikaʻi loa.
Inā loaʻa iaʻu ka granulocytosis, he aha kaʻu e manaʻo ai?
Inā hōʻike kāu helu koko piha (CBC) i ka granulocytosis, e nānā hou kāu kauka i nā kūlana e hiki ke kumu. Hiki iā ia ke kauoha i nā hoʻokolohua hou aʻe.
A laila, inā pono ʻoe i ka lāʻau lapaʻau, hiki iā ʻoe ke kamaʻilio e pili ana i ia mea. I kekahi manawa, ma muli o ke kumu, pono paha ka lāʻau lapaʻau lōʻihi e kāohi i ke kūlana a hoʻihoʻi i ka pae granulocyte i ka maʻamau. Akā aia kekahi mau hihia, no ka laʻana, inā ua hana ʻia kēia e kahi maʻi liʻiliʻi, i ka wā e hoʻomaikaʻi ai ka maʻi, e hoʻomaikaʻi ke kūlana iā ia iho, me ka ʻole o kekahi lāʻau lapaʻau kūikawā, a e emi ana ka pae granulocyte.
E wehewehe pono ana kāu kauka iā ʻoe i ka mea e manaʻo ai, ma muli o kāu hōʻailona, no laila mai makaʻu e nīnau i kekahi mau nīnau āu e loaʻa ai.
Pehea ka lōʻihi o ka hoʻomau ʻana o ka granulocytosis?
Aia nō hoʻi kēia i ke kumu kumu. ʻO ka maʻamau, nalowale ka Granulocytosis ke mālama ʻia ke kumu kumu, a i ʻole e hoʻōki ʻia ka lāʻau lapaʻau nāna i hoʻokumu (hiki ke hana ʻia kēia ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau). Hiki i kēia ke hala i kekahi mau lā a i ʻole nā pule, ma muli o kou kūlana. I kekahi mau kūlana lōʻihi, hiki i nā granulocytes ke noho kiʻekiʻe a hiki i ka wā e kāohi ʻia ai ke kūlana.
Āhea wau e ʻike ai i ke kauka?
Inā manaʻo ʻoe i kahi mea ʻē a ʻoluʻolu ʻole paha i loko o kou kino, a inā paha e ʻike ʻoe i nā hōʻailona āu i loaʻa ʻole ai ma mua, e like me ke kuni, ka ʻeha o ke kino, ka luhi nui, a i ʻole ka ʻeha o nā hono, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka i kēlā me kēia manawa. No ka mea, hiki ke like nā hōʻailona o ka granulocytosis me nā maʻi ʻē aʻe he nui, he mea nui e ʻike i ke kauka e ʻike pono i ka mea i pilikia.
Inā ke mālama ʻia nei ʻoe no kahi maʻi e pili ana i ka granulocytosis, a ke manaʻo nei ʻoe e ʻoi aku ka ʻino o kāu mau hōʻailona a inā paha e loaʻa iā ʻoe nā hōʻailona hou, e kamaʻilio koke me kāu kauka. Hiki iā ia ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
ʻO ka loaʻa ʻana o ka hoʻomaopopo maikaʻi ʻana i nā hopena o kāu hoʻāʻo koko a me kou kūlana e kōkua iā ʻoe e hoʻoholo i nā hoʻoholo naʻauao e pili ana i kou olakino. Inā loaʻa iā ʻoe ka granulocytosis, hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:
- Pehea ke kiʻekiʻe o kaʻu helu granulocyte? He aha ke ʻano o ia mea?
- He aha nā kūlana āu e kānalua nei? He aha nā hoʻokolohua e pono ai e hōʻoia iā lākou?
- He aha nā lāʻau lapaʻau no kēia? He aha kāu e manaʻo ai mai ka lāʻau lapaʻau?
- Pono anei iaʻu e hana i kekahi mau hoʻololi i koʻu nohona?
- Pehea ka lōʻihi o kēia kūlana? Hiki iā ia ke hana hou?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
He mau koa koʻikoʻi nā Granulocytes i loko o kā mākou ʻōnaehana pale. Kōkua kēia mau pūnaewele i ka pale ʻana i ko mākou kino mai nā maʻi like ʻole.
Eia nō naʻe, ʻo ka nui o nā granulocytes i loko o ke koko e hōʻike i kahi pilikia olakino. Inā loaʻa iā ʻoe ka granulocytosis, e noiʻi kāu kauka i ke kumu. Ke loaʻa ke kumu, e hoʻomohala ʻo ia i kahi hoʻolālā lapaʻau kūpono iā ʻoe.
ʻO ka mea nui loa, ʻaʻole ʻoe e hopohopo, e hahai i nā ʻōlelo a kāu kauka, a e loaʻa nā hoʻokolohua a me ka lāʻau lapaʻau āu e pono ai. Inā he mea koʻikoʻi kāu hōʻailona e like me ke kanesa, nui nā kumuwaiwai a me nā hui hiki iā ʻoe ke huli no ka ʻike hou aku a me ke kākoʻo. E nīnau i kāu kauka e pili ana i kēlā. ʻAʻole ʻoe hoʻokahi, a he nui nā kānaka, me nā kauka, hiki ke kōkua iā ʻoe ma kēia huakaʻi.
ʻO Granulocytosis, nā hunaola koko keʻokeʻo, nā hoʻāʻo koko, nā maʻi, ka pale ʻana, nā hōʻailona, nā kumu











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo