Koj cov ntshav puas muaj cov lymphocytes tsawg? Cia peb tham txog lymphopenia!

Koj puas feem ntau mob? Qee zaum txawm tias mob khaub thuas me me kuj siv sijhawm ntev heev kom zoo dua, lossis koj puas ib txwm xav tias tsis muaj zog? Ib qho laj thawj rau tej yam no yuav yog vim muaj ib hom qe ntshav dawb hu ua lymphocytes tsawg zuj zus, uas zoo li cov tub rog hauv koj lub cev uas tawm tsam cov kab mob. Cov kws kho mob hu qhov mob no ua 'lymphopenia.' Yog li, cia peb tham txog qhov no kom meej me ntsis hnub no, puas yog? Nws tsis yog ib yam dab tsi uas yuav tsum ntshai, nws yog ib qho tseem ceeb uas yuav tsum paub.

Lymphopenia yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, lymphopenia yog ib qho mob uas cov lymphocytes hauv koj cov ntshav qis dua li qub. Tam sim no koj yuav xav paub tias cov lymphocytes no yog dab tsi.

Muaj ib hom qe ntshav dawb nyob hauv peb cov ntshav. Cov qe ntshav dawb ntawd yog cov uas tiv thaiv peb los ntawm kev tawm tsam cov kab mob uas nkag mus rau hauv peb lub cev, uas yog, cov kab mob thiab cov kab mob uas ua rau muaj kab mob. Nws zoo li ib pab tub rog me me hauv peb lub cev. Nruab nrab ntawm 20% thiab 40% ntawm cov qe ntshav dawb no yog hom qe tshwj xeeb no hu ua Lymphocytes.

Cov haujlwm tseem ceeb ntawm cov hlwb lymph no (Lymphocytes) yog:

• Tua cov kab mob (cov kab mob, cov kab mob me me, cov kab mob parasitic, cov fungi) uas nkag mus rau hauv lub cev.
• Kev rhuav tshem cov hlwb tsis zoo, xws li cov hlwb mob qog noj ntshav.
• Ua ib feem tseem ceeb ntawm peb lub cev tiv thaiv kab mob.

Muaj peb hom lymphocytes tseem ceeb:

• T-lymphocytes lossis T-cells: Cov no pab ncaj qha tua cov cell uas muaj kab mob thiab cov cell mob qog noj ntshav.
• B-lymphocytes lossis B-cells: Cov no yog cov uas ua cov tshuaj tiv thaiv kab mob. Cov tshuaj tiv thaiv kab mob no pab paub thiab tawm tsam cov kab mob.
• Cov qe ntshav tua neeg ntuj (NK hlwb): Cov no kuj pab txhawb rau kev rhuav tshem cov qe ntshav uas muaj kab mob thiab cov qe ntshav qog noj ntshav.

Yog li, thaum cov lymphocytes txo qis, uas yog, thaum muaj mob hu ua lymphopenia tshwm sim, peb lub cev lub peev xwm los tiv thaiv kab mob txo qis. Tom qab ntawd, cov kab mob tuaj yeem tshwm sim tau yooj yim, thiab cov kab mob uas tshwm sim tuaj yeem siv sijhawm ntev dua los kho.

Lymphopenia kuj tseem hu ua lymphocytopenia thiab lymphocytic leukopenia. Leukopenia txhais tau hais tias cov qe ntshav dawb txo qis feem ntau. "Lymphocytic" leukopenia txhais tau hais tias cov lymphocytes txo qis tshwj xeeb.

Yuav tsum muaj pes tsawg lymphocytes ib txwm muaj?

Tus naj npawb ntawm cov qe ntshav dawb (Lymphocytes) no sib txawv ntawm cov neeg laus thiab cov menyuam yaus.

• Rau cov neeg laus: Feem ntau, yuav tsum muaj ntawm 1,000 thiab 4,800 lub qe ntshav dawb rau ib microliter ntawm cov ntshav. Lymphopenia yog thaum tus lej no tsawg dua 1,000.
• Cov Menyuam:Feem ntau, muaj li ntawm 3,000 thiab 9,500 tus lej lymphocyte rau ib microliter ntawm cov ntshav. Qhov qib qis no tuaj yeem sib txawv nyob ntawm hnub nyoog ntawm tus menyuam. Piv txwv li, yog tias tus menyuam hnub nyoog qis dua 2 xyoos muaj tus lej lymphocyte tsawg dua 3,000, nws suav tias yog lymphopenia.

Cov nqi no yuav txawv me ntsis ntawm ib qho chaw kuaj mob mus rau lwm qhov chaw kuaj mob, yog li nws yog qhov zoo tshaj plaws los piv rau cov nqi nruab nrab hauv koj daim ntawv qhia.

Cov tsos mob ntawm lymphopenia yog dab tsi?

Qhov zoo tshaj plaws yog tias yog koj muaj lymphopenia xwb, uas txhais tau tias tsis muaj lymphocytes, koj feem ntau tsis muaj tsos mob dab tsi. Txawm li cas los xij, yog tias muaj ib yam kab mob hauv qab uas ua rau muaj cov lymphocyte qis, koj yuav muaj cov tsos mob cuam tshuam nrog tus kab mob ntawd. Lossis koj yuav muaj kev kis kab mob ntau zaus.

Qee cov tsos mob uas yuav tshwm sim yog:

• Ua npaws
• Hnoos
• Qhov ntswg ntws
• Mob pob khaus ntawm daim tawv nqaij lossis lwm yam kev ua xua rau daim tawv nqaij
• Cov qog ntshav o
• Pob qij txha o
• Mob qhov ncauj
• Qhov muag thiab daim tawv nqaij daj (Jaundice)
• Tus po loj dua los yog tus splenomegaly

Yog tias koj muaj mob lymphopenia hnyav heev, koj yuav kis tau kab mob ntau zaus dua, lossis cov kab mob yuav siv sijhawm ntev kom kho tau. Txawm li cas los xij, nrog rau mob lymphopenia me me, koj yuav tsis muaj tsos mob dab tsi.

Vim li cas cov lymphocyte no thiaj li txo qis? Dab tsi yog cov ua rau?

Muaj ntau yam ua rau koj cov lymphocytes qis. Tej zaum koj yuav yug los nrog ib yam mob uas ua rau muaj mob no. Los yog nws yuav tshwm sim tom qab hauv lub neej. Nyob ntawm seb ua li cas, lymphopenia yuav kav ntev mus ib txhis (mob ntev) lossis nws yuav ploj mus yam tsis tau npaj tseg (mob hnyav).

Qee qhov ua rau mob lymphopenia yog kev kis kab mob, qee yam tshuaj, thiab kev tsis txaus noj haus.

1. Vim muaj kab mob sib kis

Cov kab mob uas los ntawm cov kab mob virus, bacteria, parasite, thiab fungi tuaj yeem ua rau cov lymphocytes txo qis. Nov yog ob peb yam piv txwv:

• Kab mob HIV thiab kab mob AIDS
• Kab mob khaub thuas (mob khaub thuas) - uas yog, hauv lus feem ntau, mob khaub thuas.
• COVID-19
• Hepatitis - ib qho kab mob siab
• Kab mob npaws
• Kab mob qhua pias
• Mob ntsws o
• Kab mob ntsws

Thaum muaj kev kis kab mob zoo li no, cov qe ntshav dawb hauv lub cev (Lymphocytes) yuav raug rhuav tshem kom tawm tsam lawv, lossis lawv cov khoom tsim tawm yuav raug txwv ib ntus.

2. Vim yog Kev Tsis Txaus Noj Haus

Qhov no yog qhov ua rau muaj lymphopenia thoob ntiaj teb. Noj kom txaus los ntawm koj cov zaub mov noj.Kev tsis noj zaub mov zoo, lossis tsis muaj cov vitamins thiab minerals xws li vitamin B12, folic acid, lossis zinc, tuaj yeem cuam tshuam rau kev tsim cov lymphocytes. Nrog peb txoj kev ua neej nyob tsis khoom, qee zaum peb tsis tau them sai sai rau yam peb noj. Yog tias tej yam zoo li no txuas ntxiv mus, cov mob no tuaj yeem tshwm sim.

3. Vim yog tej yam mob uas tau txais los ntawm noob caj noob ces

Muaj qee cov kab mob caj ces tsis tshua muaj uas kis tau los ntawm niam txiv mus rau menyuam yaus. Cov kab mob no kuj tseem tuaj yeem ua rau cov lymphocytes txo qis. Piv txwv li:

• `Ataxia-telangiectasia`
• "Kev tiv thaiv kab mob tsis zoo uas sib txawv ntau yam"
• DiGeorge syndrome
• "Kab mob sib xyaw ua ke ntawm cov kab mob tiv thaiv kab mob tsis zoo (SCID)"
• Kab mob Wiskott-Aldrich

Cov no nyuaj me ntsis, tab sis cov no yog cov xwm txheej tsis tshua muaj.

4. Vim yog cov kab mob autoimmune

Cov kab mob autoimmune yog thaum peb lub cev tiv thaiv kab mob, lub cev uas tiv thaiv peb ntawm kab mob, ua yuam kev tawm tsam peb cov hlwb noj qab haus huv. Xav txog, koj lub cev tiv thaiv kab mob mus tsis zoo thiab pib tawm tsam nws cov hlwb zoo. Qhov ntawd yog qhov no yog hais txog. Lymphocytes tuaj yeem yog ib qho ntawm cov hlwb uas tawm tsam.

Qee cov kab mob xws li:

• Lupus
• Kab mob Sarcoidosis
• Myasthenia gravis
• Mob pob qij txha rheumatoid - uas txhais tau tias mob pob qij txha

5. Vim muaj teeb meem ntshav thiab mob qog noj ntshav

Ib yam li lwm cov qe ntshav hauv cov ntshav, cov lymphocytes raug tsim tawm hauv cov pob txha. Yog li, cov kab mob ntshav thiab cov mob qog nqaij hlav uas cuam tshuam rau cov pob txha tuaj yeem ua rau tsis muaj peev xwm tsim cov lymphocytes.

• Aplastic anemia - ib qho mob uas cov pob txha pob txha tsim cov qe ntshav tsawg dua
• Lymphoma - ib qho mob qog nqaij hlav ntawm lub cev lymphatic
• Leukemia - ib qho mob qog ntshav
• Cov tsos mob ntawm Myelodysplastic

6. Ua Cov Kev Mob Tshwm Sim Los Ntawm Cov Tshuaj thiab Kev Kho Mob

Cov lymphocytes tuaj yeem raug txo qis, tshwj xeeb tshaj yog vim kev kho mob qog noj ntshav thiab qee cov tshuaj rau cov kab mob autoimmune.

• Kev hloov pob txha
• Kev kho mob qog noj ntshav
• Kev kho mob hluav taws xob
• Cov tshuaj tiv thaiv kab mob - piv txwv li, corticosteroids.

7. Vim yog haus dej cawv ntau dhau

Kev haus dej cawv ntau dhau (xws li npias, cawv txiv hmab, thiab cawv) kuj tuaj yeem cuam tshuam tsis zoo rau cov lymphocytes, txo lawv cov lej.

Yuav ua li cas koj thiaj paub tias koj muaj lymphopenia?

Yog koj xav tias koj muaj mob lymphopenia, zoo dua mus ntsib kws kho mob thiab tham txog qhov ntawd. Tus kws kho mob yuav nug txog koj keeb kwm kev kho mob, cov tsos mob tam sim no, thiab kev ua neej. Tom qab ntawd lawv yuav ua qee qhov kev kuaj mob.

Kev kuaj mob thiab kev nug lus ntawm tus kws kho mob

• Keeb kwm kev kho mob: Koj tus kws kho mob yuav nug txog koj keeb kwm kev kho mob yav dhau los, cov tshuaj tam sim no, thiab kev kho mob. Piv txwv li, yog tias koj nyuam qhuav muaj COVID-19, koj tus kws kho mob yuav xav tias kev kis kab mob ua rau koj cov lymphocyte suav poob qis. Yog tias koj noj cov tshuaj xws li corticosteroids, qhov ntawd kuj tuaj yeem yog ib qho ua rau.
• Kev kuaj lub cev: Tus kws kho mob yuav nug txog koj cov tsos mob thiab kuaj seb puas muaj tej yam xws li kub taub hau, cov qog ntshav o, thiab tus po loj.
• Cov Lus Nug Txog Kev Ua Neej: Tej zaum yuav muaj lus nug txog koj cov zaub mov kom paub seb koj puas muaj teeb meem kev noj haus tsis txaus. Tej zaum yuav muaj lus nug txog koj lub neej kev sib deev (xws li seb koj puas siv cov kev nyab xeeb) los txiav txim seb puas muaj kab mob xws li HIV.

Yuav ua cov kev ntsuam xyuas twg?

Muaj ntau qhov kev kuaj mob uas kuaj xyuas cov qe ntshav thiab cov pob txha.

• Kev suav cov ntshav tag nrho (CBC): Qhov no suav tus naj npawb ntawm txhua hom qe ntshav hauv koj cov ntshav (suav nrog cov qe ntshav dawb).
• Kev suav cov ntshav tag nrho nrog rau qhov sib txawv (CBC nrog rau qhov sib txawv): Qhov no suav tus lej ntawm txhua hom qe ntshav dawb (xws li cov platelets) sib cais.
• Kev ntsuas cov kua dej ntws (flow cytometry): Qhov no yog ib qho kev xeem tshwj xeeb. Nws tuaj yeem ntsuas cov hom lymphocytes sib cais, xws li cov qe ntshav B, cov qe ntshav T, thiab cov qe ntshav NK.
• Kev kuaj qib immunoglobulin: Qhov no ntsuas qhov ntau ntawm cov protein hu ua antibodies hauv koj cov ntshav. Nws tuaj yeem pab kuaj mob ntau yam mob uas cuam tshuam nrog lymphopenia, xws li kev kis kab mob, cov kab mob autoimmune, thiab mob qog noj ntshav.
• Kev tshuaj xyuas cov pob txha: Qhov no tsis yog ua rau txhua tus, tab sis koj tus kws kho mob yuav pom zoo kom ua qhov kev kuaj no yog tias muaj kev xav tias muaj teeb meem loj nrog kev tsim cov lymphocytes.

Ntxiv rau, lwm yam kev kuaj mob yuav raug ua los xyuas cov kab mob tshwj xeeb uas yuav ua rau muaj lymphopenia (xws li kev kuaj HIV, kev kuaj mob ntsws, kev kuaj mob khaub thuas, lossis kev kuaj COVID-19).

Cov kev kho mob rau lymphopenia yog dab tsi?

Feem ntau , cov lymphopenia me ntsis, tshwj xeeb tshaj yog tias tsis muaj tsos mob, tsis tas yuav kho mob tshwj xeeb. Yog tias nws yog los ntawm ib yam dab tsi zoo li kev kis kab mob, tus lej ntawm cov lymphocytes yuav rov qab mus rau qhov qub thaum lub cev rov zoo los ntawm kev kis kab mob.

Qhov tseem ceeb tshaj plaws yog tias lymphopenia raug kho los ntawm kev kho qhov ua rau hauv qab.

Tom qab koj nrhiav tau qhov ua rau koj cov lymphocytes qis, koj tus kws kho mob yuav sau ntawv kho kom zoo.

Puas kho tau Lymphopenia tag nrho?

Yog tias koj yug los muaj ib yam mob caj ces uas ua rau koj tsim cov lymphocytes tsis tau zoo, kev kho mob hu ua hematopoietic stem cell transplant tej zaum yuav kho tau. Qhov no suav nrog kev tshem tawm cov stem cell uas tsim cov ntshav uas puas lawm lossis tsis zoo thiab hloov lawv nrog cov stem cell noj qab nyob zoo. Cov cell tshiab no mam li tsim cov lymphocytes, nrog rau lwm cov cell ntshav.

Txawm li cas los xij, qhov no yog ib qho kev kho mob nyuaj me ntsis, thiab muaj kev pheej hmoo. Tsis yog txhua tus neeg tuaj yeem ua qhov no. Koj tus kws kho mob yuav qhia rau koj seb qhov no puas haum rau koj lossis tsis haum.

Cov tshuaj siv rau kev kho mob

Yog tias koj muaj mob lymphopenia hnyav, uas txhais tau tias koj feem ntau kis kab mob, koj tus kws kho mob yuav muab tshuaj immunoglobulin (IG) rau koj. Cov tshuaj no ua rau koj lub cev tiv thaiv kab mob muaj zog thiab pab koj tawm tsam kab mob. Koj kuj tseem yuav raug qhia kom txuas ntxiv txhaj tshuaj IG no kom tiv thaiv kev kis kab mob ntau zaus.

Puas tiv thaiv tau lymphopenia?

Kev mob Lymphopenia uas tshwm sim los ntawm cov caj ces tsis tuaj yeem tiv thaiv tau. Txawm li cas los xij, muaj qee yam uas koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo ntawm kev mob lymphopenia los ntawm lwm yam ua rau:

• Tiv thaiv koj tus kheej ntawm cov kab mob: Ua txhua yam uas ua tau los tiv thaiv koj tus kheej ntawm cov kab mob uas ua rau muaj kab mob.
• Kev coj ua kev sib deev muaj kev nyab xeeb: Ua raws li cov txheej txheem muaj kev nyab xeeb kom tsis txhob muaj kab mob sib kis los ntawm kev sib deev (STIs) xws li HIV.
• Kev Tswj Cawv: Yog tias koj haus cawv, txo nws kom tsawg. Zoo tshaj plaws yog tsis txhob haus ntau tshaj ib lub qhov npias, ib khob cawv txiv hmab, lossis ib khob cawv ib hnub.

Yog tias koj muaj mob lymphopenia, koj yuav tiv thaiv koj tus kheej li cas ntawm kev kis kab mob?

Yog tias koj cov lymphocyte suav qis, nws yog ib qho tseem ceeb uas yuav tsum tiv thaiv koj tus kheej ntawm kev kis kab mob. Nov yog qee yam uas tuaj yeem pab tau:

• Mus txhaj tshuaj tiv thaiv kab mob: Mus txhaj tshuaj tiv thaiv kab mob khaub thuas thiab COVID-19. Nug koj tus kws kho mob txog lwm yam tshuaj tiv thaiv kab mob.
• Tsis txhob mus rau qhov chaw uas muaj feem yuav kis tau kab mob ntau: Nyob deb ntawm cov neeg uas muaj mob lossis cov neeg uas tej zaum yuav muaj mob. Tsis txhob mus rau qhov chaw uas muaj neeg coob coob thiab tsis muaj cua nkag hauv tsev.
• Ntxuav koj txhais tes ntau zaus: Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej, lossis siv cov tshuaj ntxuav tes uas muaj cawv.
• Hnav lub npog ntsej muag: Hnav lub npog ntsej muag thaum mus rau qhov chaw uas muaj cov kab mob hauv huab cua.
• Kev Nyab Xeeb Khoom Noj: Ua kom cov khoom noj siav. Ntxuav cov txiv hmab txiv ntoo thiab zaub kom huv si ua ntej noj.
• Tsis txhob raug mob: Cov qhov txhab xws li cov qhov txiav thiab cov qhov khawb tuaj yeem ua rau cov kab mob nkag mus rau hauv lub cev, yog li ceev faj txog cov xwm txheej zoo li no.

Ntxiv rau qhov no, nug koj tus kws kho mob yog tias muaj tej yam uas koj yuav tsum tau ceev faj tshwj xeeb txog.

Cov neeg uas muaj lymphopenia muaj mob zoo li cas? (Kev kwv yees/Kev kwv yees)

Qhov no nyob ntawm seb ua li cas koj cov lymphocytes qis. Feem ntau, yog tias qhov txo qis yog vim muaj kev kis kab mob, cov lymphocyte suav yuav rov qab mus rau qhov qub thaum tus kab mob kho tau zoo. Txawm li cas los xij, yog tias nws yog vim muaj qhov ua rau loj dua, cov txheej txheem kho mob yuav siv sijhawm ntev dua thiab nyuaj dua.

Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?

Yog koj muaj tej yam cim qhia tias koj muaj kab mob (xws li kub taub hau, hnoos, mob lub cev), mus ntsib kws kho mob tam sim ntawd. Yog koj muaj ib yam mob uas ua rau koj muaj feem yuav kis tau kab mob ntau zaus (xws li lymphopenia), nug koj tus kws kho mob ua ntej seb koj yuav tsum nrhiav kev pab kho mob rau cov tsos mob twg.

Puas yog lymphopenia yog mob qog noj ntshav?

Tsis yog, lymphopenia tsis yog mob qog noj ntshav. Txawm li cas los xij, qee hom mob qog noj ntshav (piv txwv li leukemia, lymphoma) tuaj yeem cuam tshuam rau kev tsim cov lymphocytes, ua rau lymphopenia. Tsis tas li ntawd, qee qhov kev kho mob qog noj ntshav (xws li chemotherapy) tuaj yeem txo qis cov lymphocytes ib ntus.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, yog li tam sim no koj nkag siab zoo dua txog yam peb tau tham txog hnub no, Lymphopenia. Nco ntsoov:

• Lymphopenia yog qhov txo qis ntawm cov lymphocytes, ib hom cell tiv thaiv kab mob hauv cov ntshav.
• Qhov no tsis yog lwm yam xwb, nws feem ntau cuam tshuam nrog kev kis kab mob, kev tsis txaus zaub mov, kev phiv tshuaj, lossis lwm yam mob.
• Feem ntau, cov mob me me tsis muaj tsos mob.
• Yog koj mob tas li, lossis muaj kev tsis ntseeg txog qhov no, qhov zoo tshaj plaws yog mus ntsib kws kho mob thiab nrhiav kev qhia.
• Yog tias pom qhov ua rau thiab kho kom zoo, feem ntau qhov mob no tuaj yeem tswj tau.

Yog li ntawd, saib xyuas koj txoj kev noj qab haus huv. Tsis txhob ntshai tham nrog koj tus kws kho mob yog tias koj muaj lus nug. Nyob kom noj qab nyob zoo!

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