Okusiiga omusaayi ogw’okumpi (PBS) kye ki? Ka tuyige ku kukebera kwo okusiiga omusaayi mu ngeri ennyangu!

Oba olina omusujja oba obulwadde obulala, omusawo ajja kutera okukusaba okebere omusaayi, nedda? Tutera okukola okubala omusaayi mu bujjuvu (FBC). Kino kiwa endowooza ennungi ku muwendo gw’obutoffaali mu musaayi gwo. Naye oluusi, omusawo wo ayinza okwagala okutunuulira obutoffaali bwo mu musaayi obulungi katono, ng’omumbega ali wansi wa microscope, okulaba ddala enkula, obunene, ne langi y’obutoffaali obwo bwe biri. Eno y'ensonga lwaki okukebera okw'enjawulo okw'ekyo tukiyita Peripheral Blood Smear (PBS) oba "okukebera firimu y'omusaayi."

Mu ngeri ennyangu, kino ekikebera firimu y’omusaayi (PBS) kye ki?

Peripheral Blood Smear (PBS) kwe kukebera okuzingiramu okuggya ettondo ly’omusaayi gwo, n’ogusaasaanya ng’akawundo akagonvu ku slayidi y’endabirwamu, n’ogusiiga langi ng’okozesa langi ez’enjawulo, n’ogutunuulira mu microscope.

Eky’enjawulo ku kino kiri nti mu kifo ky’ekyuma okuwa lipoota ng’omusaayi ogumu, eno ekeberebwa omukugu mu by’obujjanjabi (MLT) oba Pathologist omutendeke. Kino kitegeeza nti buli katono akakwata ku butoffaali bwo mu musaayi kakeberebwa n'eriiso ly'omuntu . Ne bwe kiba nti enkyukakyuka entonotono n’enkula z’obutoffaali ezitali za bulijjo ekyuma kye kitasobola kulonda, kyangu okuzitegeera eriiso ery’obukugu.

Lwaki omusawo yandikugambye okukola okukebera kuno okwa PBS?

Wayinza okubaawo ensonga eziwerako lwaki oyinza okwagala okukola ekigezo kino.

Teebereza nti lipoota yo ey’omuwendo gw’omusaayi gwonna (FBC) eraga nti omuwendo gw’obutoffaali obumyufu, obutoffaali obweru oba obutoffaali obukola omusaayi (platelets) guli wansi nnyo oba guli waggulu nnyo okusinga ogwa bulijjo. Omusawo wo ajja kwagala okumanya nti, "Lwaki kino kigenda mu maaso?"

Ate era, oyinza okusabibwa okukola okukebera kuno olw’ensonga endala eziwerako:

• Obubonero obutannyonnyolwa: Bw’oba ​​olina obubonero ng’okukoowa buli kiseera, omusujja ogutera, n’okukubwa ebiwundu ebitannyonnyolwa, okukebera kuno kuyinza okuyamba okuzuula ekivaako.
• Kebera obuwanguzi bw’obujjanjabi: Bw’oba ​​ogenda mu bujjanjabi bw’obulwadde obuva ku musaayi, kujja kukolebwa okukeberebwa PBS okulaba oba obujjanjabi buno butuuse bulungi era oba obutoffaali bwo budda mu mbeera eya bulijjo.
• Nga tonnasimbibwa busimu bwa magumba:Era ekozesebwa okumanya ebisingawo ku mbeera y’obutoffaali bwo n’obusimu bw’amagumba nga tonnaba kukyusa kintu ng’okusimbuliza obutoffaali obusibuka.

Okukebera kuno kuyinza kutubuulira ki ku musaayi gwaffe?

Okusobola okutegeera ekigezo kya PBS kye kinoonya, ka tusooke tumale kwejjukiza abantu abasatu abakulu abali mu musaayi gwaffe.

Mu kukebera kwa PBS, microscope yeetegereza ebika by’obutoffaali byonna ebisatu mu bujjuvu. Essira basinga kulissa ku:

• Enkyukakyuka mu bunene n’enkula y’obutoffaali: Ng’ekyokulabirako, enkula y’obutoffaali obumyufu esobola okukyusibwa, gamba nga oba buba bwa sickle oba target. Enkyukakyuka zino zisobola okuwa obubonero ku ndwadde ez’enjawulo ez’omusaayi.
• Enkyukakyuka mu muwendo gw’obutoffaali: Nga bwe kiri ku FBC, kino nakyo kitunuulira omuwendo gw’obutoffaali. Mu kiseera kye kimu, etunuulira oba obutoffaali bulabika "nga bulamu" oba "obutali bwa bulijjo".
• Enjawulo mu bika by’obutoffaali obweru: Obutoffaali obweru buli mu bika 5. Enkula ya buli kika ekeberebwa mu ngeri ey’enjawulo, oba waliwo obutali bwa bulijjo mu ndabika yaakyo, era oba waliwo obutoffaali obutakuze (blasts).
• Ebiwuka ebiwunya mu musaayi:Oluusi, obuwuka obuleeta endwadde ng’omusujja osobola okubiraba munda mu butoffaali obumyufu. Ekigezo kya PBS kikulu nnyo okuzuula omusujja.

Endwadde ki ezikeberebwa PBS ze ziyinza okuyamba okuzuula?

Okukebera kuno kya maanyi nnyo ekikozesebwa okuzuula endwadde nnyingi ezeekuusa ku musaayi.

Leukemia - Kookolo w’omusaayi

Obusigo bwaffe obw’amagumba ye ‘kkolero lyaffe erikola omusaayi’. Omuwendo omunene ogw’obutoffaali obweru obutali bwa bulijjo bwe butandika okutondebwa munda mu kkolero lino, buziba obutoffaali obulamu. Obutoffaali buno obwa kookolo obutali bwa bulijjo, obutakuze (blasts) busobola okulabibwa obulungi mu kukebera kwa PBS.

Okukendeera kw’omusaayi

Okukendeera kw’omusaayi kwe kuba nti omubiri tegulina butoffaali bumyufu bumala. Kino kiyinza okubaawo olw’ensonga nnyingi. Mu mbeera ng’obutaba na kyuma, obutaba na vitamiini B12, oba thalassemia, enkula n’obunene bw’obutoffaali obumyufu bikyuka. Enkyukakyuka zino zisobola bulungi okuzuulibwa n’ekirungo kya PBS era zisobola okuwa obulagirizi ku kuzuula ekivaako okukendeera kw’omusaayi.

Obulwadde bwa Myelodysplastic Syndrome

Ono era kookolo w’obusigo bw’amagumba. Mu mbeera eno, obusigo bw’amagumba tebusobola kukola butoffaali bwa musaayi bulamu, obukuze (obumyufu, obweru oba obusimu obuyitibwa platelets). Obutoffaali buno obutali bwa bulijjo, obutali bulungi bulabibwa mu PBS.

Lymphoma - kookolo w’ennywanto

Ono kookolo akula mu nkola yaffe ey’amazzi. Oluusi n’obutoffaali bwa kookolo buno busobola okuyingira mu musaayi. Singa ekyo kibaawo, obutoffaali obwo obutali bwa bulijjo obwa lymphoma busobola okuzuulibwa n’okukeberebwa kwa PBS.

Yinfekisoni n’endwadde z’abaserikale b’omubiri

Bwe wabaawo ekintu mu mubiri ng’obulwadde bwa bakitiriya, ekika ky’obutoffaali obweru (neutrophils) obubulwanyisa kyeyongera, era osobola okulaba enkyukakyuka mu ndabika yaabwo (enkyukakyuka z’obutwa). Mu ngeri y’emu, mu yinfekisoni z’akawuka nga dengue, osobola okulaba enkyukakyuka mu bika ebimu eby’obutoffaali obweru (lymphocytes). Mu ndwadde z’abaserikale b’omubiri (endwadde nga enkola y’omubiri gwaffe elumba omubiri gwaffe), osobola n’okulaba okukendeera kw’omuwendo gw’obutoffaali obweru oba enkyukakyuka endala.

Omusujja gw’ensiri

Omusujja guva ku kiwuka ekiyingira mu musaayi gwaffe nga kiva mu nsiri. Ekiwuka kino kibeera munda mu butoffaali bwaffe obumyufu. Bwe tulabibwa wansi wa microscope mu kukebera kwa PBS, obuwuka buno busobola okulabibwa obulungi munda mu butoffaali obumyufu. N’olwekyo, kino kigezo kyetaagisa nnyo mu kuzuula omusujja.

Okugezesebwa kuno kukolebwa kutya? Kiruma?

Tewali kintu kyonna kya kutya ku nsonga eno. Kyangu nnyo.

1. Okufaananako n’okukebera omusaayi okwa bulijjo, omusaayi omutono guggyibwa mu musuwa oguli mu mukono gwo.

2. Oluvannyuma, ettondo ly’omusaayi liteekebwa ku slayidi y’endabirwamu, era ne bakozesa slayidi endala okugisaasaanya nga firimu ennyimpi.

3. Oluvannyuma lw’okukala, bagisiiga langi ez’enjawulo ne bagikeberebwa mu microscope.

Ojja kuwulira okulumwa okutono kwokka okuva mu mpiso. Ng’oggyeeko ekyo, tewali buzibu bulala oba bulumi bukwatagana n’okukeberebwa kuno.

Kiki kye tusaanidde okutegeera okusinziira ku mawulire agali mu lipoota?

Kino kye kintu ekisinga obukulu. Bw’ofuna lipoota yo eya PBS, totya bigambo ebigiriko. Lipoota ya Peripheral Blood Smear si y’okuzuula ekisembayo.

Lipoota ya PBS eyamba omusawo okwongera okulowooza, okukakasa by’ateebereza, oba okusalawo ebigezo by’alina okuddako okukola.

N’olwekyo, totya ku Google ebigambo ebiri mu lipoota olabe ekijja . Ekigambo kye kimu kiyinza okuba n’amakulu ag’enjawulo mu ndwadde nnyingi. Omusawo akujjanjaba yekka y’amanyi engeri gye kikwataganamu n’embeera yo. Kale twala lipoota, sisinkana omusawo wo mwogereko. Ajja kukunnyonnyola buli kimu mu ngeri entegeerekeka era ennyangu.