Kev Ntsuas Ntshav Hauv Qhov Ncauj (PBS) yog dab tsi? Cia peb kawm txog koj qhov kev kuaj ntshav hauv txoj kev yooj yim!

Txawm koj mob khaub thuas lossis lwm yam mob, koj tus kws kho mob feem ntau yuav hais kom koj kuaj ntshav, puas yog? Feem ntau peb ua qhov suav ntshav tag nrho (FBC). Qhov no muab lub tswv yim zoo ntawm tus lej ntawm cov cell hauv koj cov ntshav. Tab sis qee zaum, koj tus kws kho mob yuav xav saib koj cov cell ntshav kom ze dua, zoo li tus kws tshawb nrhiav hauv qab lub tshuab microscope, kom pom tseeb tias cov duab, qhov loj me, thiab xim ntawm cov cell ntawd zoo li cas. Yog vim li cas peb thiaj hu qhov kev kuaj tshwj xeeb rau qhov ntawd Peripheral Blood Smear (PBS) lossis "kev kuaj ntshav zaj duab xis."

Hais yooj yim xwb, qhov kev kuaj ntshav no (PBS) yog dab tsi?

Kev Ntsuas Ntshav Ntawm Ib Sab (PBS) yog ib qho kev kuaj uas muaj kev ntsuas ib tee ntawm koj cov ntshav, nthuav nws ua ib daim nyias nyias rau ntawm daim iav, siv cov xim tshwj xeeb los pleev xim rau nws, thiab saib nws hauv qab lub tshuab microscope.

Qhov tshwj xeeb txog qhov no yog tias es tsis txhob siv lub tshuab uas muab daim ntawv qhia zoo li qee qhov kev kuaj ntshav, qhov no raug kuaj los ntawm tus kws kho mob hauv chaw kuaj mob (MLT) lossis tus kws kho mob uas tau kawm tiav. Qhov no txhais tau tias txhua qhov me me ntawm koj cov qe ntshav raug kuaj nrog lub qhov muag tib neeg . Txawm tias qhov kev hloov me me thiab cov duab txawv txawv ntawm cov qe ntshav uas lub tshuab tsis tuaj yeem pom tau yooj yim los ntawm lub qhov muag txawj ntse.

Vim li cas tus kws kho mob thiaj hais kom koj ua qhov kev kuaj PBS no?

Tej zaum yuav muaj ntau yam ua rau koj xav xeem qhov kev xeem no.

Xav txog tias koj daim ntawv qhia txog kev suav cov ntshav tag nrho (FBC) qhia tias koj cov qe ntshav liab, cov qe ntshav dawb, lossis cov qe ntshav dawb qis dua lossis siab dua li qub. Koj tus kws kho mob yuav xav paub, "Vim li cas qhov no thiaj tshwm sim?"

Tsis tas li ntawd xwb, tej zaum koj yuav raug hais kom ua qhov kev xeem no vim muaj ntau yam laj thawj ntxiv:

• Cov tsos mob tsis paub meej: Yog tias koj muaj cov tsos mob xws li qaug zog tas li, kub taub hau ntau zaus, thiab mob nqaij tsis paub meej, qhov kev kuaj no tuaj yeem pab nrhiav qhov ua rau.
• Tshawb xyuas seb kev kho mob puas ua tiav: Yog tias koj tab tom kho mob rau cov kab mob ntsig txog ntshav, yuav muaj kev kuaj PBS kom pom tias kev kho mob puas ua tiav thiab koj cov qe ntshav puas rov qab zoo li qub.
• Ua ntej hloov pob txha:Nws kuj tseem siv los kawm paub ntxiv txog qhov xwm txheej ntawm koj cov qe ntshav thiab pob txha ua ntej qee yam zoo li kev hloov noob hlwb.

Qhov kev kuaj no qhia tau dab tsi txog peb cov ntshav?

Yuav kom nkag siab txog qhov kev xeem PBS nrhiav dab tsi, cia peb xub nco ntsoov peb tus cwj pwm tseem ceeb hauv peb cov ntshav.

Hauv kev kuaj PBS, lub tshuab microscope kuaj xyuas tag nrho peb hom cell kom meej. Lawv tsom mus rau:

• Kev hloov pauv ntawm qhov loj thiab cov duab ntawm cov qe ntshav: Piv txwv li, cov duab ntawm cov qe ntshav liab tuaj yeem hloov pauv tau, xws li seb lawv puas zoo li lub sickle lossis zoo li lub hom phiaj. Cov kev hloov pauv no tuaj yeem muab cov lus qhia txog ntau yam kab mob ntshav.
• Kev Hloov Pauv ntawm cov cell suav: Ib yam li FBC, qhov no kuj saib cov cell suav. Tib lub sijhawm, nws saib seb cov cell puas zoo li "noj qab nyob zoo" lossis "txawv txawv".
• Qhov sib txawv ntawm cov hom qe ntshav dawb: Muaj 5 hom qe ntshav dawb. Qhov loj ntawm txhua hom raug kuaj xyuas tshwj xeeb, seb puas muaj qhov txawv txav ntawm lawv cov tsos, thiab seb puas muaj cov qe ntshav tsis tau loj hlob (blasts).
• Cov kab mob hauv cov ntshav:Qee zaum, cov kab mob uas ua rau muaj kab mob xws li mob malaria tuaj yeem pom hauv cov qe ntshav liab. Kev kuaj PBS yog ib qho kev kuaj tseem ceeb heev los kuaj mob malaria.

Kev kuaj PBS pab txheeb xyuas cov kab mob twg?

Qhov kev kuaj no yog ib qho cuab yeej muaj zog heev uas siv los kuaj mob ntau yam kab mob ntsig txog ntshav.

Kab mob ntshav dawb - Mob qog ntshav

Peb cov pob txha yog peb lub 'chaw tsim ntshav'. Thaum muaj ntau cov qe ntshav dawb txawv txawv pib tsim hauv lub chaw no, lawv yuav ua rau cov qe ntshav zoo tsis muaj zog. Cov qe ntshav qog no uas tsis txawv txawv, tsis tau loj hlob zoo (blasts) tuaj yeem pom tseeb hauv kev kuaj PBS.

Kab mob ntshav tsis txaus

Kab mob ntshav tsis txaus yog thaum lub cev tsis muaj cov qe ntshav liab txaus. Qhov no tuaj yeem tshwm sim rau ntau yam. Hauv cov mob xws li tsis muaj hlau txaus, tsis muaj vitamin B12 txaus, lossis thalassemia, cov duab thiab qhov loj ntawm cov qe ntshav liab hloov pauv. Cov kev hloov pauv no tuaj yeem txheeb xyuas tau yooj yim nrog PBS thiab tuaj yeem muab cov lus qhia txog kev nrhiav qhov ua rau muaj kab mob ntshav tsis txaus.

Myelodysplastic Syndrome

Qhov no kuj yog mob qog noj ntshav ntawm cov pob txha. Hauv qhov no, cov pob txha tsis tuaj yeem tsim cov qe ntshav zoo, loj hlob (liab, dawb, lossis platelets). Cov qe ntshav uas tsis zoo li qub, tsis zoo li qub no pom muaj nyob rau hauv PBS.

Lymphoma - mob qog nqaij hlav ntawm cov qog ntshav

Qhov no yog ib hom mob qog noj ntshav uas tshwm sim hauv peb lub cev lymphatic. Qee zaum cov qog noj ntshav no kuj tuaj yeem nkag mus rau hauv cov ntshav. Yog tias qhov ntawd tshwm sim, cov qog lymphoma uas tsis zoo li qub tuaj yeem txheeb xyuas tau los ntawm kev kuaj PBS.

Cov Kab Mob thiab Cov Kab Mob Autoimmune

Thaum muaj ib yam dab tsi nyob hauv lub cev xws li kev kis kab mob bacterial, ib hom qe ntshav dawb (neutrophils) uas tawm tsam nws nce ntxiv, thiab koj tuaj yeem pom kev hloov pauv ntawm lawv cov tsos (kev hloov pauv lom). Ib yam li ntawd, hauv cov kab mob viral xws li dengue, koj tuaj yeem pom kev hloov pauv ntawm qee hom qe ntshav dawb (lymphocytes). Hauv cov kab mob autoimmune (cov kab mob uas peb lub cev tiv thaiv kab mob tawm tsam peb lub cev), koj kuj tuaj yeem pom kev txo qis ntawm cov qe ntshav dawb lossis lwm yam kev hloov pauv.

Kab mob npaws

Kab mob malaria yog tshwm sim los ntawm ib tug kab mob uas nkag mus rau hauv peb cov ntshav los ntawm ib tug yoov tshaj cum. Tus kab mob no nyob hauv peb cov qe ntshav liab. Thaum saib hauv qab lub tshuab microscope hauv qhov kev xeem PBS, cov kab mob no tuaj yeem pom tseeb hauv cov qe ntshav liab. Yog li ntawd, qhov no yog ib qho kev xeem tseem ceeb hauv kev kuaj mob malaria.

Qhov kev kuaj no ua li cas? Puas mob?

Tsis muaj dab tsi yuav ntshai txog qhov no. Nws yooj yim heev.

1. Ib yam li kev kuaj ntshav ib txwm muaj, yuav muab ib qho ntshav me me los ntawm cov leeg ntshav hauv koj txhais caj npab.

2. Tom qab ntawd, muab ib tee ntshav tso rau ntawm daim iav, thiab siv lwm daim iav los nthuav nws ua ib daim nyias nyias.

3. Tom qab nws qhuav lawm, nws raug pleev xim nrog cov xim tshwj xeeb thiab kuaj xyuas hauv qab lub tshuab microscope.

Koj tsuas yuav hnov ​​me ntsis mob los ntawm koob xwb. Dua li ntawm qhov ntawd, tsis muaj lwm yam kev tsis xis nyob lossis mob uas cuam tshuam nrog qhov kev kuaj no.

Peb yuav tsum nkag siab li cas los ntawm cov ntaub ntawv hauv daim ntawv qhia?

Qhov no yog qhov tseem ceeb tshaj plaws. Thaum koj tau txais koj daim ntawv qhia PBS, tsis txhob ntshai cov lus nyob rau ntawd. Daim ntawv qhia Peripheral Blood Smear tsis yog qhov kev kuaj mob zaum kawg.

Daim ntawv qhia PBS pab tus kws kho mob xav ntxiv, lees paub nws qhov kev xav, lossis txiav txim siab seb yuav ua qhov kev ntsuam xyuas twg tom ntej.

Yog li ntawd, tsis txhob ntshai mus nrhiav cov lus hauv daim ntawv qhia hauv Google thiab saib seb muaj dab tsi tshwm sim . Lo lus tib yam tuaj yeem muaj lub ntsiab lus sib txawv hauv ntau yam kab mob. Tsuas yog tus kws kho mob uas kho koj thiaj paub tias nws haum rau koj tus mob li cas. Yog li ntawd, coj daim ntawv qhia, ntsib koj tus kws kho mob thiab tham txog nws. Nws yuav piav qhia txhua yam rau koj kom meej thiab yooj yim.