Ua loaʻa anei iā ʻoe kahi helu koko piha (FBC) i hala koke aku nei? Ua hopohopo iki paha ʻoe i kou ʻike ʻana ua piʻi iki ka helu ma mua o ka waiwai 'Lymphocytes' ma kēlā hōʻike. Manaʻo ka poʻe he nui, "Auē, he mea koʻikoʻi anei kēia?" Akā ʻo ka ʻoiaʻiʻo, ʻo ka hapa nui o ka manawa ʻo ia hoʻi ke kaua nei kou kino i kahi maʻi. ʻO ia hoʻi, ke hana pono nei kāu ʻōnaehana pale! No laila, me ka ʻole o ka hoʻopaneʻe hou ʻana, e hoʻomaopopo pono kākou i ke ʻano o kēia hoʻonui ʻana o nā lymphocytes, a i ʻole e like me ka mea i kapa ʻia ma ke ʻano lapaʻau, 'Lymphocytosis'.
I ka ʻōlelo maʻalahi, he aha ka Lymphocytosis?
ʻAe, e nānā mua kākou i kēia mau lymphocytes. E noʻonoʻo ʻoe ua like kou kino me kahi ʻāina. A laila ʻo nā hunaola koko keʻokeʻo i loko o kou koko ka pūʻali koa o ia ʻāina. Aia nā lālā like ʻole o kēia pūʻali koa. ʻO kekahi lālā kūikawā ʻo ia nā lymphocytes . ʻO kā lākou hana nui ka loaʻa ʻana o nā ʻenemi e like me nā virus a me nā bacteria e komo i loko o ko kākou kino, e kaua aku iā lākou, a pale iā kākou mai nā maʻi.
No laila, ʻo Lymphocytosis ka wā e loaʻa ai kēlā mau "koa" i kapa ʻia he lymphocytes i loko o kou koko ma kahi helu kiʻekiʻe ma mua o ka maʻamau. ʻO ka maʻamau, ke loaʻa i kahi pākeke ma mua o 4,000 mau lymphocytes i kēlā me kēia microliter o ke koko, kapa mākou i kēlā ʻano Lymphocytosis.
ʻO ka hapa nui o ka manawa, he manawa pōkole kēia. Ua like ia me ka loaʻa ʻana o kahi pūʻali koa keu e hakakā i kahi huakino i komo i loko o kou kino. A pau ke kaua, ʻo ia hoʻi, ke hoʻōla ʻia ka maʻi, e hoʻi hou kēia mau helu i ka maʻamau.
He aha nā kumu e hiki ai ke hoʻonui i ke kiʻekiʻe o nā lymphocytes?
ʻAʻohe kumu hoʻokahi no ka hoʻonui ʻia ʻana o nā lymphocytes, hiki ke nui nā kumu. Akā ʻo ke kumu nui a mākou e ʻike pinepine ai, ʻo ia ka maʻi. Akā ma waho aʻe o kēlā, hiki i nā kumu ʻē aʻe ke hoʻopilikia iā ia. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono i kēia mau mea.
| Māhele kumu | Nā laʻana a me ka wehewehe ʻana |
|---|---|
| ʻO ke kumu maʻamau: Nā maʻi | ʻO kēia ke kumu o 90% o nā hihia. Hoʻonui ʻia nā lymphocytes, ʻoiai i ka wā o nā maʻi viral.
|
| Kumu laha ʻole: Ka maʻi ʻaʻai | He mea kēia a ka poʻe he nui e makaʻu nei. Akā, he mea kākaʻikahi loa ia. Hiki i nā lymphocytes ke kiʻekiʻe loa i nā maʻi ʻaʻai e pili ana i ke koko a i ʻole ka ʻōnaehana lymphatic. |
| Nā Kumu ʻē aʻe |
He aha nā hōʻailona o kēia?
ʻO kēia ka mea nui loa. ʻAʻohe hōʻailona e pili pono ana i ke kūlana i kapa ʻia ʻo lymphocytosis.
E noʻonoʻo e komo hewa ana kekahi ʻaihue i loko o kou hale a kani ka leo hoʻāla palekana. ʻAʻole maʻi ka leo hoʻāla e kani ana, he hōʻailona wale nō ia ua hewa kekahi mea me ka hale. ʻAʻole ʻoe i hoʻopilikia ʻia e ke kani o ka leo hoʻāla, akā, e ka ʻaihue.
Ua like ka Lymphocytosis me kēlā mea hoʻāla. Hōʻike ia iā ʻoe aia kekahi mea hewa me kou kino (ʻo ka maʻi maʻamau). No laila ke ʻike nei ʻoe i nā hōʻailona ma muli o kēlā kumu.
ʻo kahi laʻana:
- Inā he anu ke kumu, loaʻa paha iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha kino, ke kuni, a me ka ihu wai .
- Inā ʻo Mononucleosis ke kumu,Hiki ke loaʻa ka ʻāʻī ʻeha, ka luhi nui, a me ka pehu ʻana o ka ʻāʻī.
ʻO ka hapa nui o ka manawa, ʻike ka poʻe e pili ana i kēia ma ka ulia pōpilikia ke loaʻa iā lākou kahi hoʻāʻo koko no kekahi kumu ʻē aʻe.
Pehea e ʻike ai ke kauka a hōʻoia i kēia?
Inā hōʻike kāu hōʻike FBC i nā lymphocytes kiʻekiʻe, e hana kāu kauka i kekahi mau hana e ʻimi ai i ke kumu.
1. E nīnau ʻia ʻoe e pili ana i kāu mau ʻike: ʻO ka mea mua, e nīnau ʻia ʻoe i nā nīnau. Nā mea e like me, "Ua loaʻa anei iā ʻoe ke kuni i hala koke aku nei?", "Ua hoʻomaka anei ʻoe i kekahi mau lāʻau lapaʻau hou?", "Ke puhi paka nei ʻoe?", "Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau ʻē aʻe?"
2. Hoʻokolokolo kino: A laila, e hoʻokolokolo ʻia ʻoe. ʻO nā mea e like me ka nānā ʻana i kou puʻu, ka umauma, a inā paha ua pehu kou ʻāʻī e kōkua i ka hoʻoholo ʻana i ke kumu.
3. Ke hana hou ʻana i ka hoʻāʻo koko: ʻO ka hapa nui o ka manawa, e ʻōlelo ke kauka, "Mai hopohopo, e hana hou mākou i kahi FBC i hoʻokahi a ʻelua paha pule." No ka mea, inā he maʻi maʻalahi ia, e hoʻi ka helu lymphocyte i ka maʻamau i ka wā e hoʻomaikaʻi ai.
4. Kuhikuhi i kahi loea: Inā mau ke kiʻekiʻe o ka waiwai, a inā he mau hōʻailona kānalua ʻē aʻe, hiki ke kuhikuhi ʻia ʻoe i kahi kauka loea i nā maʻi pili koko, he hematologist .
5. Nā hoʻokolohua hou aʻe: Inā pono, hiki i ke kauka loea ke kauoha i nā hoʻokolohua hou aʻe e ʻike i ke kumu pololei. No ka laʻana, kahi hoʻokolohua Flow Cytometry , kahi e aʻo hohonu ai i ke ʻano a me ke ʻano o nā hunaola koko, a i ʻole kahi Bone Marrow Biopsy. Eia naʻe, hana wale ʻia kēia mau mea i nā hihia o ka pono nui loa.
Pehea e mālama ʻia ai kēia?
Eia hou, pono kākou e hoʻomanaʻo i ka laʻana o ka pūkuniahi. ʻAʻole mākou e mālama nei i ka pūkuniahi, akā, i ka ʻaihue. Eia kekahi, ʻaʻole mākou e mālama nei i ka helu lymphocyte, akā, i ke kūlana maʻi i hoʻokumu ai.
- Inā he maʻi viral ke kumu: I ka hapanui o nā hihia, ʻaʻohe pono o kahi lāʻau kūikawā. E hoʻomaha nui a inu i nā wai he nui (wai, porridge, sopa). Na ka ʻōnaehana pale o kou kino e mālama ia.
- Inā he maʻi bacteria ke kumu: E kuhikuhi ke kauka i nā lāʻau antibiotic kūpono.
- Inā he maʻi koʻikoʻi ke kumu e like me ke kanesa: He lāʻau lapaʻau kūikawā kēia ma muli o ke ʻano o ke kanesa i pili. E wehewehe kāu hui lapaʻau i kēia iā ʻoe me nā kikoʻī.
Ke mālama ʻia ke kumu kumu, hoʻi mālie nā pae lymphocyte i ka maʻamau.
ʻO ka nīnau a nā mea a pau e makaʻu nei: Hiki i ka piʻi ʻana o nā lymphocytes ke lilo i leukemia?
He makaʻu nui kēia i ka manaʻo o nā kānaka he nui. Akā ʻo ka ʻoiaʻiʻo, ʻo ka lymphocytosis i hoʻokumu ʻia e kahi maʻi maʻamau ʻaʻole ia e lilo i leukemia.
Akā, i kekahi manawaAia kekahi kūlana i kapa ʻia ʻo Monoclonal B-cell lymphocytosis (MBL). ʻO kēia ka manawa e hoʻomaka ai kahi ʻano kūikawā o ke kelepona i kapa ʻia ʻo B-lymphocyte e hana ma ke ʻano ʻē iki. Hiki i kahi pakeneka liʻiliʻi o ka poʻe me kēia kūlana (ma kahi o 1% i kēlā me kēia makahiki) ke loaʻa i kahi leukemia i kapa ʻia ʻo Chronic Lymphocytic Leukemia (CLL) i ka hala ʻana o ka manawa.
No laila, mai hopohopo inā ʻike ʻoe i kekahi mau lymphocytes kiʻekiʻe i kāu hōʻike. 99% o ka manawa, he maʻi maʻalahi ia. Ke ho'ōla ʻia, e hoʻi nā mea āpau i ka maʻamau. E hilinaʻi mau i kāu kauka a e hahai i kāna ʻōlelo aʻo.
Leka Lawe-Home
- ʻO ka Lymphocytosis ka hoʻonui ʻia ʻana o ka nui o nā hunaola koko keʻokeʻo i kapa ʻia he lymphocytes i loko o ke koko.
- ʻO ka hapa nui o ka manawa, he hōʻailona maikaʻi loa kēia e hōʻike ana ke kino e hakakā nei i kahi maʻi (ʻoi aku hoʻi kahi virus) a ʻaʻole ia he mea e makaʻu ai.
- ʻAʻohe ona hōʻailona ponoʻī; hoʻokumu ʻia nā hōʻailona e ke kūlana kumu i hoʻokumu ai (e.g., kuni, ʻū).
- Inā he kānalua kou e pili ana i nā hopena o kāu hoʻāʻo koko, mai hopohopo a kamaʻilio me kāu kauka . E pale i ka nānā ponoʻī ʻana ma muli o ka ʻike ma ka pūnaewele.
- I nā hihia kakaikahi, hiki i kēia ke hōʻailona o kahi maʻi koʻikoʻi e like me ke kanesa, no laila he mea nui e ʻimi i ke aʻo lapaʻau a loaʻa nā hoʻokolohua hou aʻe inā pono.











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