Koj puas tau txais daim ntawv qhia txog kev kuaj ntshav, saib cov lus nyob rau ntawd, thiab xav tias, "Qhov no txhais li cas?" Tej zaum koj tus kws kho mob hais tias, "Koj cov neutrophils siab me ntsis" lossis "qis." Neutrophils yog dab tsi tiag? Tsis txhob txhawj, nws yooj yim heev. Lawv yog ib chav tshwj xeeb ntawm peb lub cev tiv thaiv kab mob. Cia peb tham txog qhov no kom meej hnub no.
Hauv lus yooj yim, cov neutrophils no yog dab tsi?
Xav txog seb, peb lub cev zoo li ib lub tebchaws. Muaj ib pab tub rog los tiv thaiv lub tebchaws no. Pab tub rog ntawd yog peb lub cev tiv thaiv kab mob . Ntawm ntau hom tub rog hauv pab tub rog no, tus tub rog tseem ceeb tshaj plaws thiab thawj zaug mus ua rog yog neutrophil .
Cov no yog ib hom qe ntshav dawb hauv peb cov ntshav. Nruab nrab ntawm 50% thiab 75% ntawm cov qe ntshav dawb hauv peb cov ntshav yog cov tub rog neutrophil no.
Lawv lub luag haujlwm tseem ceeb yog dab tsi?
Neutrophils muaj ob lub luag haujlwm tseem ceeb:
1. Tiv thaiv kev kis kab mob: Thaum cov kab mob xws li cov kab mob bacteria, cov kab mob virus, thiab cov pwm nkag mus rau hauv peb lub cev, thawj qhov uas maj nrawm mus rau qhov chaw yog neutrophils. Lawv mus ntes cov kab mob ntawd thiab "noj lawv," rhuav tshem lawv. Nws zoo li tub ceev xwm ntes tus tub sab.
2. Pab kho cov qhov txhab: Thaum peb raug mob, cov neutrophils no kuj pab kho cov txheej txheem.
Cov neutrophils no yog tsim tawm hauv cov pob txha hauv peb cov pob txha. Tab sis lawv lub neej luv heev, tsawg dua ib hnub. Yog li ntawd, peb cov pob txha yuav tsum tsim cov neutrophils tshiab tas li.
Yuav ntsuas tus lej neutrophil li cas?
Yog koj tus kws kho mob xav tias koj cov neutrophil tsawg lossis siab, nws yuav xaj kom kuaj ntshav.
- Kev kuaj ntshav tag nrho (FBC/CBC): Qhov no feem ntau yog thawj zaug kuaj. Qee zaum hu ua 'CBC nrog qhov sib txawv', qhov no tuaj yeem xyuas seb muaj pes tsawg hom cell nyob hauv koj cov ntshav.
- Tus lej Neutrophil Tag Nrho (ANC): Qhov no kuj yog ib feem ntawm daim ntawv qhia tib yam li qhov tau hais los saum toj no. Qhov no yog qhov uas ua rau peb paub tseeb tias muaj pes tsawg tus neutrophils nyob hauv koj cov ntshav.
Qhov tseem ceeb tshaj plaws yog, tsis txhob cia li dhia mus rau qhov xaus lus raws li cov nqi hauv daim ntawv qhia ntshav. Cov nqi ntawd tuaj yeem sib txawv raws li ntau yam, xws li hnub nyoog thiab lwm yam mob. Yog li ntawd, ib txwm tham nrog koj tus kws kho mob txog nws thiab tau txais cov lus qhia zoo.
Feem ntau, ib tug neeg laus uas noj qab nyob zoo muaj li ntawm 2,500 thiab 7,000 neutrophils ib microliter ntawm cov ntshav. Yog tias ntau tshaj 7,700 ces suav tias yog nce (neutrophilia), thiab yog tias qis dua 1,500 ces suav tias yog txo (neutropenia).
Dab tsi yog cov ua rau muaj cov neutrophils ntau ntxiv (neutrophilia)?
Kev nce ntxiv ntawm cov neutrophils yog hu ua neutrophilia . Muaj ntau yam ua rau qhov no. Nws tsis yog ib yam kab mob xwb, tab sis yog ib qho tsos mob ntawm lwm yam mob.
| Vim li cas | Kev piav qhia thiab piv txwv |
|---|---|
| Kev kis kab mob | Qhov no yog qhov laj thawj feem ntau. Thaum muaj kab mob bacterial nkag mus rau hauv lub cev, peb lub cev tiv thaiv kab mob tsim ntau cov tub rog (neutrophils) los tawm tsam nws. Qhov no kuj tuaj yeem tshwm sim nrog qee qhov kev kis kab mob fungal thiab parasitic. |
| Kev o | Cov neutrophils tuaj yeem nce ntxiv rau txhua yam kab mob uas ua rau o, uas yog, o, qhov twg hauv lub cev. Piv txwv li: (Rheumatoid arthritis) , (Gout) , (Ulcerative colitis) , kub hnyiab, phais, mob plawv. |
| Qee cov tshuaj | Qee cov tshuaj kuj tuaj yeem ua rau cov neutrophils nce ntxiv ua ib qho kev phiv. Piv txwv li suav nrog cov tshuaj xws li (Lithium) , (Heparin) , thiab (Corticosteroids) . |
| Hom mob qog noj ntshav | Tus mob no kuj pom tau hauv qee hom mob qog noj ntshav. Piv txwv li: Mob qog noj ntshav ntsig txog ntshav xws li (Hodgkin lymphoma) thiab (Chronic myelocytic leukemia) . |
Cov tsos mob ntawm cov neutrophils nce ntxiv
Tsis muaj cov tsos mob tshwj xeeb ntawm kev nce tus lej neutrophil. Peb muaj cov tsos mob ntawm tus mob uas ua rau muaj qhov no.
- Ua npaws
- Kev kis kab mob ntau zaus
- Cov qhov txhab siv sijhawm los kho.
- Kev o thiab mob ntawm cov pob qij txha
- Kev qaug zog ntawm lub cev ntau dhau
Ua rau cov lej neutrophil qis (Neutropenia)
Kev txo qis ntawm cov neutrophils hu ua neutropenia . Qhov no yog thaum tus naj npawb ntawm cov tub rog hauv peb pab tub rog txo qis. Qhov no txo lub peev xwm los tawm tsam cov kab mob. Yog li ntawd, qhov kev pheej hmoo ntawm kev kis tus kab mob yog siab heev.
| Vim li cas | Kev piav qhia thiab piv txwv |
|---|---|
| Kev kho mob qog noj ntshav thiab kev kho mob qog noj ntshav | Cov mob qog nqaij hlav uas cuam tshuam rau cov pob txha, xws li leukemia thiab lymphoma , tuaj yeem txo cov neutrophil tsim tawm. Tsis tas li ntawd, kev kho mob chemotherapy thiab kev kho mob hluav taws xob tuaj yeem tua cov hlwb qog nqaij hlav nrog rau kev tsim cov neutrophil zoo. |
| Qee qhov kev kis kab mob | Qee cov kab mob viral kuj tseem tuaj yeem txo cov neutrophils ib ntus. Piv txwv li: Measles , Chickenpox , HIV/AIDS , Hepatitis . |
| Qee cov tshuaj | Tus mob no kuj tseem tuaj yeem tshwm sim los ntawm qee cov tshuaj tua kab mob , tshuaj qaug dab peg, thiab qee cov tshuaj rau kev mob hlwb. |
| Lwm yam mob nkeeg | (Lupus) , (Kab mob Crohn)Cov kab mob autoimmune, vitamin B12 thiab folate tsis txaus, thiab lwm yam kab mob uas cuam tshuam rau cov pob txha kuj tuaj yeem ua rau cov neutrophils qis. |
Cov tsos mob ntawm cov neutrophils qis
Ob qho tib si nce thiab txo qis ntawm cov neutrophils tsis ua rau muaj cov tsos mob tshwj xeeb. Txawm li cas los xij, vim tias koj lub cev tiv thaiv kab mob qis, koj tuaj yeem yooj yim kis tau kab mob. Tom qab ntawd cov tsos mob ntawm cov kab mob ntawd tshwm sim.
- Kub taub hau thiab mob plab
- Mob caj pas
- Mob qhov ncauj
- Mob raws plab
- Liab, o, thiab mob ntawm qhov chaw raug mob
Ib tug neeg uas muaj cov neutrophils qis ua npaws yog ib qho xwm txheej ceev hauv kev kho mob vim tias lub cev tsis muaj peev xwm tiv thaiv kev kis kab mob. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob lossis mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd.
Yuav kho cov mob no li cas?
Qhov tseem ceeb tshaj plaws yog tus kws kho mob tsis kho tus lej neutrophil, tab sis kho tus kab mob uas ua rau tus lej ntawd txo qis lossis nce ntxiv .
- Neutrophilia: Yog tias qhov ua rau yog kab mob bacterial, yuav muab tshuaj tua kab mob. Yog tias qhov ua rau yog lwm yam kab mob, tus lej neutrophil yuav rov qab mus rau qhov qub thaum kho tus kab mob ntawd.
- Neutropenia: Yog tias qhov ua rau yog tshuaj, tus kws kho mob yuav tsum tsis txhob noj tshuaj ntawd thiab muab lwm yam rau koj. Yog tias nws yog kev kis kab mob, lawv yuav kho nws. Yog tias qhov ua rau yog kev kho mob qog noj ntshav, lawv yuav muab cov lus qhia tshwj xeeb rau koj los tiv thaiv koj tus kheej ntawm kev kis kab mob thiab tej zaum yuav muab tshuaj rau koj kom koj cov qe ntshav dawb ntau ntxiv.
Yog li ntawd, yog tias muaj kev hloov pauv ntawm tus lej neutrophil hauv koj daim ntawv qhia ntshav, tsis txhob ntshai, tab sis tham nrog koj tus kws kho mob txog qhov ntawd. Nws yuav ua qhov kev kuaj mob tsim nyog, nrhiav qhov ua rau tseeb, thiab muab kev kho mob zoo tshaj plaws rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov neutrophils yog cov hom hlwb tseem ceeb hauv peb lub cev tiv thaiv kab mob uas tawm tsam cov kab mob.
- Qhov nce lossis txo tus naj npawb ntawm cov neutrophils hauv koj cov ntshav tsis yog ib yam kab mob. Nws tuaj yeem yog ib qho tsos mob ntawm lwm yam mob.
- Tsis txhob kuaj mob los ntawm kev kuaj ntshav xwb. Ib txwm nrog koj tus kws kho mob tham thiab nrhiav cov lus qhia kom raug.
- Tus kws kho mob tsis kho tus lej neutrophil, tab sis kho tus kab mob uas ua rau nws.
- Yog koj cov neutrophil suav qis (neutropenia), ceev faj tshwj xeeb los tiv thaiv koj tus kheej kom tsis txhob muaj kab mob. Ntxuav koj txhais tes ntau zaus, tsis txhob mus rau qhov chaw muaj neeg coob coob, thiab nrhiav kev kho mob tam sim ntawd yog tias koj muaj cov tsos mob xws li kub taub hau.
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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