Koj puas paub tias thaum ib tug kab mob nkag mus rau hauv peb lub cev, peb lub cev muaj ib pab tub rog los tawm tsam nws? Ib hom tub rog tshwj xeeb tshaj plaws hauv pab tub rog no hu ua Neutrophil. Tab sis qee zaum, vim muaj ntau yam laj thawj, tus naj npawb ntawm cov tub rog no hauv peb lub cev txo qis. Thaum ntawd txawm tias yog ib qho mob me me los ua mob hnyav thiab kev kis kab mob pib tshwm sim ntau zaus. Niaj hnub no peb tab tom tham txog qhov mob no hu ua 'Neutropenia', uas lub cev tiv thaiv cov tub rog txo qis.
Hauv lwm lo lus, Neutropenia yog dab tsi?
Neutropenia (hais tias: neutro-pe-nia) yog ib qho mob uas tus naj npawb ntawm cov neutrophils, ib hom qe ntshav dawb, hauv koj cov ntshav qis dua li qub. Cov neutrophils no feem ntau yog tsim tawm hauv peb cov pob txha. Lawv txoj haujlwm tseem ceeb yog nrhiav thiab rhuav tshem cov kab mob, xws li cov kab mob thiab cov kab mob, uas nkag mus rau hauv peb lub cev.
Yog li xav txog seb yuav muaj dab tsi tshwm sim thaum cov neutrophils no qis. Zoo li cov tub rog uas tiv thaiv lub tebchaws tsis muaj zog. Peb lub cev lub peev xwm los tawm tsam cov kab mob tau txo qis heev. Hauv cov xwm txheej hnyav, txawm tias cov kab mob ib txwm muaj nyob hauv peb lub qhov ncauj thiab txoj hnyuv, uas tsis ua rau tus neeg noj qab haus huv raug mob, tuaj yeem ua rau muaj kev kis kab mob hnyav.
Cov theem neutrophil raug cais ua pawg li cas?
Tus kws kho mob yuav txiav txim qhov no los ntawm kev saib koj cov txiaj ntsig ntawm kev kuaj ntshav. Feem ntau, ib tus neeg laus uas noj qab nyob zoo yuav tsum muaj ntau dua 1,500 neutrophils ib microliter ntawm cov ntshav. Neutropenia muab faib ua peb theem nyob ntawm seb tus lej no qis npaum li cas.
| Qib ntawm cov qe ntshav dawb tsis txaus (neutropenia) | Tus naj npawb ntawm cov neutrophils hauv ib microliter ntawm cov ntshav |
|---|---|
| Neutropenia me ntsis | Nruab nrab ntawm 1,000 - 1,500 |
| Neutropenia nruab nrab | Nruab nrab ntawm 500 - 1,000 |
| Neutropenia hnyav heev | Tsawg dua 500 |
Tus mob no yuav yog mob luv luv (mob hnyav heev) lossis mob ntev (mob ntev). Nws kuj tseem yuav yog mob txij thaum yug los lossis mob tau los.
Cov ua rau muaj neutropenia yog dab tsi?
Muaj ntau yam ua rau cov neutrophils txo qis. Yog cov pob txha tsis tsim cov neutrophils txaus, lossis cov neutrophils uas tsim tawm raug rhuav tshem sai dhau.
Nov yog qee qhov laj thawj tseem ceeb:
- Mob qog noj ntshav thiab nws cov kev kho mob: Qhov no yog ib qho ua rau ntau. Kev kho mob chemotherapy thiab kev kho mob hluav taws xob, tshwj xeeb tshaj yog rau mob qog noj ntshav, kuj tuaj yeem ua rau cov hlwb noj qab haus huv hu ua neutrophils, uas tab tom faib cov hlwb sai sai, thaum lawv raug rhuav tshem. Nws kuj tseem tuaj yeem tshwm sim los ntawm cov mob qog ntshav xws li leukemia.
- Kev kis kab mob: Qee cov kab mob kis los ntawm cov kab mob viral, bacterial, thiab parasitic tuaj yeem ua rau cov neutrophil qis ib ntus. Piv txwv li, HIV, Hepatitis, Tuberculosis, thiab sepsis, uas yog ib qho kev kis kab mob hnyav.
- Qee cov tshuaj: Ntxiv rau cov tshuaj kho mob qog noj ntshav, qee cov tshuaj noj rau lwm yam kab mob kuj tuaj yeem ua rau cov neutrophils txo qis ua ib qho kev phiv.
- Cov mob autoimmune: Qhov no yog thaum peb lub cev lub cev tiv thaiv kab mob tawm tsam peb cov hlwb neutrophil noj qab haus huv tsis raug, xav tias lawv yog tus yeeb ncuab. Piv txwv li suav nrog cov mob xws li lupus thiab rheumatoid arthritis.
- Kev Tsis Txaus Noj Haus: Qhov mob no kuj tseem tuaj yeem tshwm sim yog tias lub cev tsis muaj cov as-ham xws li vitamin B12, folate, lossis tooj liab.
- Cov ua rau muaj mob caj ces: Ib txhia neeg tau txais tus mob no txij thaum yug los.
Qee zaum, tsis muaj laj thawj dab tsi. Cov kws kho mob hu cov rooj plaub no ua 'Chronic idiopathic neutropenia'. Qhov ntawd txhais tau tias "kev txo qis ntawm cov neutrophils mus sij hawm ntev yam tsis muaj laj thawj tseeb."
Cov tsos mob ntawm cov qe ntshav dawb tsis muaj zog (neutropenia) yog dab tsi?
Qhov tseem ceeb ntawm no yog tias Neutropenia nws tus kheej tsis muaj tsos mob dab tsi. Txawm li cas los xij, vim yog cov neutrophils qis, koj yuav muaj ntau yam tsos mob vim yog cov kab mob uas koj yooj yim kis tau. Yog tias koj mob ntau zaus, nws yuav yog ib qho cim ntawm Neutropenia.
Thaum muaj kev kis kab mob, koj yuav pom cov tsos mob xws li:
- Kub taub hau (ntau tshaj 38 Celsius lossis 100.4 Fahrenheit)
- Xav tias nkees heev thiab tsis muaj sia nyob
- Mob caj pas
- Kev o ntawm cov pob qij txha ntawm lub cev
- Mob qhov ncauj los yog qhov quav
- Mob raws plab
- Kub hnyiab thiab mob thaum tso zis
- Kab mob ntawm daim tawv nqaij (liab, o, mob)
Yog tias koj cov neutropenia tsis hnyav heev, tej zaum koj tseem muaj cov neutrophils txaus hauv koj lub cev kom tawm tsam cov kab mob. Tej zaum koj yuav tsis muaj tsos mob dab tsi rau lub sijhawm no.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb ua rau koj cov neutrophil qis npaum li cas thiab nws hnyav npaum li cas. Qee qhov mob me me yuav tsis tas yuav kho mob dab tsi.
Nov yog qee txoj kev kho mob tseem ceeb:
- Cov Tshuaj Tua Kab Mob: Yog tias koj muaj cov qe ntshav dawb (neutropenia) nrog rau qhov kub taub hau (hu ua 'febrile neutropenia'), nws yuav yog ib qho cim qhia txog kev kis kab mob loj heev. Yog li ntawd, koj tus kws kho mob yuav xa koj mus rau tsev kho mob thiab muab cov tshuaj tua kab mob muaj zog rau koj los ntawm cov leeg ntshav (los ntawm ib txoj kab).
- Corticosteroids: Yog tias koj cov neutropenia yog los ntawm tus kab mob autoimmune, cov tshuaj no yog muab los tswj kev ua haujlwm ntawm lub cev tiv thaiv kab mob.
- G-CSF (Granulocyte colony-stimulating factor): Cov no yog ib hom tshuaj txhaj tshwj xeeb uas ua rau cov pob txha ua haujlwm zoo thiab ua rau cov qe ntshav dawb ntau ntxiv (tshwj xeeb tshaj yog cov neutrophils). Cov no feem ntau yog muab rau cov neeg uas tab tom kho mob chemotherapy.
- Hloov cov tshuaj: Yog tias koj tus mob yog los ntawm cov tshuaj, koj tus kws kho mob yuav tsum tsis txhob noj cov tshuaj lossis hloov qhov ntau npaum li cas.
Kuv yuav tsum ua li cas los tiv thaiv kuv tus kheej ntawm kev kis kab mob?
Yog koj paub tias koj muaj tus kab mob neutropenia, qhov tseem ceeb tshaj plaws uas koj ua tau yog tiv thaiv koj tus kheej kom tsis txhob muaj kab mob. Vim tias koj lub cev tiv thaiv kab mob tsis muaj zog, koj yuav tsum ceev faj ntxiv.
- Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej tsis tu ncua. Siv cov tshuaj ntxuav tes uas muaj cawv thaum tsis muaj dej.
- Nyob deb ntawm cov neeg mob thiab cov chaw muaj neeg coob coob li ntau tau.
- Tau txais tag nrho koj cov tshuaj tiv thaiv kab mob uas koj xav tau , xws li tshuaj tiv thaiv kab mob khaub thuas, raws sijhawm. Nug koj tus kws kho mob kom tau lus qhia txog qhov no.
- Tsis txhob muab tej qhov txhab thiab tej qhov khawb. Ntxuav thiab kho txawm tias tej qhov txhab me me tam sim ntawd.
- Ua tib zoo saib xyuas kev tu cev ntawm cov khoom noj. Ntxuav cov zaub thiab txiv hmab txiv ntoo kom huv si ua ntej noj. Ua kom nqaij, ntses, thiab qe siav ua ntej noj.
- Tsis txhob siv lwm tus neeg cov tais diav, khob, diav, rab chais, phuam da dej, thiab txhuam hniav.
- Yog koj ua haujlwm hauv lub vaj, hnav hnab looj tes.
- Thaum tshem tawm cov quav tsiaj lossis hloov cov ntaub so ntswg rau cov menyuam yaus, nco ntsoov hnav hnab looj tes thiab ntxuav koj txhais tes kom huv si tom qab koj ua tiav.
- Tsis txhob ua luam dej hauv cov dej uas tsis huv, xws li cov pas dej, cov dej ntws, thiab cov pas dej me.
Thaum twg kuv yuav tsum mus ntsib kws kho mob sai li sai tau?
Yog tias koj tab tom kho mob chemotherapy lossis muaj lwm yam mob uas ua rau neutropenia, tsis txhob ncua sijhawm yog tias koj muaj cov tsos mob hauv qab no. Hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
| Cov tsos mob ceeb toom | Kev piav qhia |
|---|---|
| Ua npaws | Lub cev kub txog 38 degrees Celsius (100.4 Fahrenheit) lossis siab dua. |
| Hnov txias thiab tshee hnyo | Hnov txias heev, tshee hnyo, lossis tawm hws. |
| Ua pa nyuaj | Hnoos tshiab los yog hnoos hnyav zuj zus, ua tsis taus pa, mob hauv siab. |
| Mob caj pas | Mob caj pas hnyav lossis mob caj dab. |
| Teeb meem ntawm lub plab zom mov | Mob plab heev, raws plab, lossis ntuav. |
| Lwm yam nta | Kev kis kab mob ntawm txoj hlab zis, liab/o qhov twg ntawm lub cev, kiv taub hau, lossis xav tias tsis xis nyob dua li niaj zaus. |
Kab mob Neutropenia tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog nws thiab ceev faj. Yog tias koj ua raws li koj tus kws kho mob cov lus qhia kom zoo thiab ua cov kauj ruam tsim nyog los tiv thaiv koj tus kheej ntawm kev kis kab mob, koj tuaj yeem tswj hwm qhov mob no zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Neutropenia yog qhov txo qis ntawm cov neutrophils, ib hom qe ntshav dawb hauv cov ntshav. Cov no yog cov qe ntshav tseem ceeb uas tiv thaiv peb lub cev ntawm kev kis kab mob.
- Tus mob no feem ntau yog los ntawm kev kho mob qog noj ntshav (chemotherapy), qee yam kab mob, thiab qee yam tshuaj.
- Neutropenia nws tus kheej tsis muaj cov tsos mob tshwj xeeb, tab sis cov kab mob uas ua rau nws tuaj yeem ua rau kub taub hau, mob caj pas, thiab qaug zog heev.
- Yog koj muaj cov qe ntshav dawb tsis muaj zog (neutropenia), nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj tus kheej kom tsis txhob muaj kab mob. Nco ntsoov ua kom huv si, xws li ntxuav koj txhais tes ntau zaus, nyob deb ntawm cov neeg mob, thiab xyaum ua kom zaub mov muaj kev nyab xeeb.
- Yog koj muaj cov tsos mob hnyav xws li kub taub hau, mob khaub thuas, lossis ua pa nyuaj, qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau tsev kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus