Ua loaʻa anei iā ʻoe kahi hōʻike hoʻāʻo koko, nānā i nā huaʻōlelo ma luna, a noʻonoʻo, "He aha ke ʻano o kēia?" Malia paha ua ʻōlelo kāu kauka, "Ua kiʻekiʻe iki kāu mau neutrophils" a "haʻahaʻa paha." He aha nā neutrophils? Mai hopohopo, he maʻalahi loa ia. He ʻāpana kūikawā lākou o ka ʻōnaehana pale o ko mākou kino. E kamaʻilio kākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha kēia mau neutrophils?
E noʻonoʻo, ua like ko kākou kino me kahi ʻāina. Aia kekahi pūʻali koa e pale aku i kēia ʻāina. ʻO kēlā pūʻali koa ko kākou ʻōnaehana pale kino . ʻO nā ʻano koa like ʻole o kēia pūʻali koa, ʻo ka neutrophil ka mea nui loa a ʻo ke koa mua e hele i ke kaua.
He ʻano koko keʻokeʻo kēia i loko o ko kākou koko. Ma waena o 50% a me 75% o nā koko keʻokeʻo i loko o ko kākou koko he mau koa neutrophil kēia.
He aha kā lākou kuleana nui?
ʻElua mau hana nui a nā neutrophils:
1. Ke kaua ʻana i nā maʻi: Ke komo nā germs e like me ka bacteria, nā virus, a me nā fungi i loko o ko kākou kino, ʻo ka mea mua e holo wikiwiki i ka pūnaewele ʻo ia nā neutrophils. Hele lākou a hopu i kēlā mau germs a "ʻai iā lākou" a luku iā lākou. Ua like ia me ka hopu ʻana o nā mākaʻi i kahi ʻaihue.
2. Kōkua i ka ho'ōla ʻana i nā ʻeha: Ke hōʻeha ʻia mākou, kōkua pū kēia mau neutrophils i ke kaʻina hana ho'ōla.
Hoʻopuka ʻia kēia mau neutrophils i loko o ka iwi iwi i loko o ko kākou mau iwi. Akā, he pōkole loa ko lākou ola, ʻaʻole i hoʻokahi lā. No laila, pono i ko kākou iwi iwi ke hana mau i nā neutrophils hou.
Pehea e ana ʻia ai ka helu o nā neutrophils?
Inā manaʻo kāu kauka he haʻahaʻa a kiʻekiʻe paha kāu helu neutrophil, e kauoha ʻo ia i kahi hoʻāʻo koko.
- Hoʻāʻo Helu Koko Piha (FBC/CBC): ʻO kēia ka hoʻāʻo mua i hana ʻia. I kekahi manawa i kapa ʻia ʻo `CBC me ka ʻokoʻa`, hiki i kēia ke nānā i ka nui o kēlā me kēia ʻano cell i loko o kou koko.
- Ka Helu Neutrophil Kūpono (ANC): ʻO kēia kekahi ʻāpana o ka hōʻike like me ka mea i ʻōlelo ʻia ma luna. ʻO kēia ka mea e hiki ai iā mākou ke ʻike pono i ka nui o nā neutrophils i loko o kou koko.
ʻO ka mea nui loa, mai lele wale i nā hopena ma muli o nā waiwai i loko o kahi hōʻike koko. Hiki ke ʻokoʻa kēlā mau waiwai ma muli o nā kumu he nui, e like me ka makahiki a me nā kūlana olakino ʻē aʻe. No laila e kamaʻilio mau me kāu kauka e pili ana i ia mea a loaʻa i ka ʻōlelo aʻoaʻo kūpono.
ʻO ka maʻamau, he 2,500 a 7,000 neutrophils ka nui o ke koko o kahi kanaka makua olakino. ʻO kēlā me kēia mea ma luna o 7,700 ua manaʻo ʻia he piʻi (neutrophilia), a ʻo kēlā me kēia mea ma lalo o 1,500 ua manaʻo ʻia he emi (neutropenia).
He aha nā kumu o ka hoʻonui ʻia ʻana o ka helu neutrophil (neutrophilia)?
ʻO ka hoʻonui ʻia ʻana o nā neutrophils i ka lāʻau lapaʻau ua kapa ʻia ʻo neutrophilia . Nui nā kumu hiki ke kumu o kēia. ʻAʻole ia he maʻi hoʻokahi, akā he hōʻailona o kekahi maʻi ʻē aʻe.
| Kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Nā maʻi | ʻO kēia ke kumu maʻamau. Ke komo kahi maʻi bacteria i loko o ke kino, hoʻopuka kā mākou ʻōnaehana pale i nā koa hou aʻe (neutrophils) e hakakā iā ia. Hiki nō hoʻi kēia ke hana me kekahi mau maʻi fungal a me nā parasitic. |
| Ka mumū | Hiki i nā neutrophils ke hoʻonui i kekahi maʻi e hoʻoulu ai i ka mumū, ʻo ia hoʻi, ka mumū, ma kekahi wahi o ke kino. Nā laʻana: (Rheumatoid arthritis) , (Gout) , (Ulcerative colitis) , nā kuni, ke ʻoki kino, nā hōʻeha puʻuwai. |
| Kekahi mau lāʻau lapaʻau | Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i nā neutrophils ma ke ʻano he hopena ʻaoʻao. ʻO nā laʻana e komo pū me nā lāʻau lapaʻau e like me (Lithium) , (Heparin) , a me (Corticosteroids) . |
| Nā ʻano maʻi ʻaʻai | Hiki ke ʻike ʻia kēia ʻano maʻi kanesa. Nā Laʻana: Nā maʻi kanesa e pili ana i ke koko e like me (Hodgkin lymphoma) a me (Chronic myelocytic leukemia) . |
Nā hōʻailona o ka hoʻonui ʻia o nā neutrophils
ʻAʻohe hōʻailona kikoʻī o ka piʻi ʻana o ka helu neutrophil. Loaʻa iā mākou nā hōʻailona o ke kūlana olakino kumu i hoʻokumu ai.
- kuni
- Nā maʻi pinepine
- He manawa ka manawa e ho'ōla ai i nā ʻeha.
- ʻO ka pehu a me ka ʻeha o nā hono
- Luhi nui o ke kino
Nā kumu o ka helu neutrophil haʻahaʻa (Neutropenia)
ʻO ka emi ʻana o nā neutrophils ua kapa ʻia ʻo neutropenia . ʻO kēia ka manawa e emi ai ka nui o nā koa o kā mākou pūʻali koa. Hoʻemi kēia i ka hiki ke hakakā i nā germs. No laila, kiʻekiʻe loa ka pilikia o ka loaʻa ʻana o nā maʻi.
| Kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Ka maʻi ʻaʻai a me ka mālama ʻana i ka maʻi ʻaʻai | ʻO nā maʻi kanesa e hoʻopilikia ana i ka iwi iwi, e like me ka leukemia a me ka lymphoma , hiki ke hōʻemi i ka hana neutrophil. Eia kekahi, hiki i ka chemotherapy a me nā lāʻau lapaʻau radiation ke pepehi i nā hunaola kanesa me ka hana neutrophil olakino. |
| Kekahi mau maʻi | Hiki i kekahi mau maʻi viral ke hoʻohaʻahaʻa i ka helu neutrophil no kekahi manawa. Nā laʻana: Measles , Chickenpox , HIV/AIDS , Hepatitis . |
| Kekahi mau lāʻau lapaʻau | Hiki ke hana ʻia kēia ʻano e kekahi mau antibiotics , nā lāʻau hopu, a me kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo. |
| Nā kūlana olakino ʻē aʻe | (Lupus) , (ka maʻi Crohn)ʻO nā maʻi Autoimmune, ka nele o ka huaora B12 a me ka folate, a me nā maʻi ʻē aʻe e hoʻopilikia ai i ka iwi iwi hiki ke hana i nā neutrophils haʻahaʻa. |
Nā hōʻailona o nā neutrophils haʻahaʻa
ʻAʻole hoʻoulu ka piʻi ʻana a me ka emi ʻana o nā neutrophils i kekahi mau hōʻailona kikoʻī. Eia nō naʻe, no ka mea ua haʻahaʻa nā pale o kou kino, hiki iā ʻoe ke loaʻa maʻalahi i nā maʻi. A laila ʻike ʻia nā hōʻailona o kēlā mau maʻi.
- Kuni a me ka malaise
- ʻeha ka ʻāʻī
- ʻEha waha
- Ka maʻi pākī
- ʻUlaʻula, pehu, a me ka ʻeha ma kahi o ka ʻeha
He pilikia olakino ka wela i loko o kekahi kanaka me nā neutrophils haʻahaʻa no ka mea ʻaʻole hiki i ke kino ke pale aku i kahi maʻi. He mea nui e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau a i ʻole e hele i ka keʻena pilikia o ka haukapila (ETU) .
Pehea e mālama ʻia ai kēia mau kūlana?
ʻO ka mea nui loa, ʻaʻole mālama ke kauka i ka helu neutrophil, akā, i ka maʻi kumu i hoʻoulu ai i ka emi ʻana a i ʻole ka piʻi ʻana o kēlā helu .
- Neutrophilia: Inā he maʻi bacteria ke kumu, e hāʻawi ʻia nā antibiotics. Inā he maʻi ʻē aʻe ke kumu, e hoʻi ka helu neutrophil i ka maʻamau ke mālama ʻia kēlā maʻi.
- Neutropenia: Inā he lāʻau lapaʻau ke kumu, e hoʻōki ke kauka i kēlā lāʻau lapaʻau a hāʻawi iā ʻoe i kahi lāʻau ʻokoʻa. Inā he maʻi ia, e mālama lākou ia mea. Inā he lāʻau lapaʻau maʻi kanesa ke kumu, hāʻawi paha lākou iā ʻoe i nā ʻōlelo aʻoaʻo kūikawā e pale aku iā ʻoe iho mai nā maʻi a hāʻawi paha iā ʻoe i kahi pana e hoʻonui i kāu mau hunaola koko keʻokeʻo.
No laila, inā he loli i ka helu neutrophil i kāu hōʻike koko, mai hopohopo, akā e kamaʻilio me kāu kauka e pili ana i ia mea me ka ākea. E hana ʻo ia i nā hoʻokolohua e pono ai, e ʻimi i ke kumu pololei, a hāʻawi iā ʻoe i ka lāʻau kūpono loa.
Leka Lawe-Home
- ʻO nā neutrophils ke ʻano nui o nā pūnaewele i loko o kā mākou ʻōnaehana pale e hakakā ana i nā germs.
- ʻAʻole he maʻi ka hoʻonui ʻia a i ʻole ka emi ʻana o ka helu o nā neutrophils i loko o kou koko. Hiki iā ia ke lilo i hōʻailona o kekahi maʻi ʻē aʻe.
- Mai hana i kahi hōʻailona ma muli o kahi hoʻāʻo koko. E kamaʻilio mau me kāu kauka a loaʻa i ka ʻōlelo aʻoaʻo kūpono.
- ʻAʻole mālama ke kauka i ka helu neutrophil, akā, ʻo ka maʻi kumu i hoʻokumu ai.
- Inā he haʻahaʻa kou helu neutrophil (neutropenia), e mālama pono iā ʻoe iho mai nā maʻi. E holoi pinepine i kou mau lima, e pale i nā wahi i piha ai ka poʻe, a e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni.
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