Wali ofunye lipoota y'okukeberebwa omusaayi, n'otunuulira ebigambo ebigiriko, n'olowooza nti, "Kino kitegeeza ki?" Mpozzi omusawo wo yagamba nti, "Neutrophils zo ziri waggulu katono" oba "wansi." Ddala neutrophils kye ki? Tofaayo, kyangu nnyo. Zino kitundu kya njawulo mu nkola y’omubiri gwaffe ogw’okwekuuma. Katukwogere ku nsonga eno mu bujjuvu leero.
Mu ngeri ennyangu, ebirungo bino ebiyitibwa neutrophils bye biruwa?
Teebereza, omubiri gwaffe gulinga ensi. Waliwo eggye erigenda okukuuma eggwanga lino. Eggye eryo lye baserikale baffe abaserikale b'omubiri . Ku bika by’abajaasi eby’enjawulo mu ggye lino, omujaasi asinga obukulu era asoose okugenda mu lutalo ye neutrophil .
Mu butuufu bino kika kya butoffaali obweru mu musaayi gwaffe. Wakati wa 50% ne 75% ku butoffaali obweru mu musaayi gwaffe be bajaasi bano aba neutrophil.
Omulimu gwabwe omukulu gwe guliwa?
Neutrophils zirina emirimu ebiri emikulu:
1. Okulwanyisa yinfekisoni: Obuwuka nga obuwuka, akawuka, ne ffene bwe buyingira mu mibiri gyaffe, ekintu ekisooka okufubutuka mu kifo kino ye neutrophils. Bagenda ne bakwata obuwuka obwo ne "babulya", ne babusaanyawo. Kiringa poliisi okukwata omubbi.
2. Okuyamba okuwona ebiwundu: Bwe tufuna obuvune, neutrophils zino nazo ziyamba mu kuwona.
Ebirungo bino ebiyitibwa neutrophils bikolebwa mu busimu bw’amagumba obuli munda mu magumba gaffe. Naye obulamu bwazo bumpi nnyo, tebuwera lunaku lumu. N’olwekyo, obusigo bwaffe obw’amagumba bulina okukola buli kiseera obuwuka obupya obuyitibwa neutrophils.
Omuwendo gwa neutrophil gupimibwa gutya?
Singa omusawo ateebereza nti omuwendo gwa neutrophil gwo mutono oba mungi, ajja kulagira okukeberebwa omusaayi.
- Okukebera omusaayi mu bujjuvu (FBC/CBC): Kuno kwe kutera okukeberebwa okusooka okukolebwa. Oluusi eyitibwa `CBC with differential`, kino kiyinza okukebera obungi bwa buli kika ky'obutoffaali obuli mu musaayi gwo.
- Absolute Neutrophil Count (ANC): Kino nakyo kitundu ku lipoota y’emu n’eyo eyogeddwako waggulu. Kino kye kitusobozesa okumanya bulungi ebirungo ebiyitibwa neutrophils bimeka mu musaayi gwo.
Ekisinga obukulu, tomala gabuuka ku nkomerero ng’osinziira ku mpisa eziri mu lipoota y’omusaayi. Empisa ezo ziyinza okwawukana okusinziira ku bintu bingi, gamba ng’emyaka n’embeera endala ez’obujjanjabi. Kale bulijjo yogerako n’omusawo wo ku nsonga eno ofune amagezi amatuufu.
Mu budde obwabulijjo, omuntu omukulu omulamu obulungi alina obuwuka obuyitibwa neutrophils wakati wa 2,500 ne 7,000 buli microliter y’omusaayi. Ekintu kyonna ekisukka mu 7,700 kitwalibwa ng’okweyongera (neutrophilia), ate ekintu kyonna ekiri wansi wa 1,500 kitwalibwa ng’okukendeera (neutropenia).
Biki ebivaako omuwendo gw’obusimu obuyitibwa neutrophil okweyongera (neutrophilia)?
Okweyongera kw'obusimu obuyitibwa neutrophils mu by'obujjanjabi kuyitibwa neutrophilia . Waliwo ebintu ebiwerako ebiyinza okuvaako kino. Si bulwadde bumu, wabula kabonero ka mbeera ndala.
| Ensonga | Ennyonnyola n’ebyokulabirako |
|---|---|
| Yinfekisoni | Eno y’ensonga esinga okubeerawo. Obulwadde bwa bakitiriya bwe buyingira mu mubiri, abaserikale baffe abaserikale bakola abaserikale bangi (neutrophils) okubulwanyisa. Kino era kiyinza okubaawo ku yinfekisoni ezimu eza ffene n’obuwuka obusirikitu. |
| Ekibobe | Neutrophils zisobola okweyongera mu bulwadde bwonna obuleeta okuzimba, kwe kugamba, okuzimba, awalala mu mubiri. Eby’okulabirako: (Obulwadde bw’endwadde z’enkizi) , (Gout) , (Obulwadde bw’olubuto obuyitibwa Ulcerative colitis) , okwokya, okulongoosebwa, okulwala omutima. |
| Eddagala erimu | Eddagala erimu era liyinza okuleeta okweyongera kw’obusimu obuyitibwa neutrophils ng’ekizibu ekivaamu. Eby’okulabirako mulimu eddagala nga (Lithium) , (Heparin) , ne (Corticosteroids) . |
| Ebika bya kookolo | Embeera eno era esobola okulabibwa mu bika bya kookolo ebimu. Eby’okulabirako: Kookolo eyeekuusa ku musaayi nga (Hodgkin lymphoma) ne (Chronic myelocytic leukemia) . |
Obubonero bw’okweyongera kw’obutoffaali obuyitibwa neutrophils
Tewali bubonero bwonna bulaga nti omuwendo gwa neutrophil gweyongera. Tufuna obubonero bw’embeera y’obujjanjabi eyaliwo eyabuleeta.
- Omusujja
- Okukwatibwa yinfekisoni enfunda eziwera
- Ebiwundu bitwala ekiseera okuwona.
- Okuzimba kw’ennyondo n’okulumwa
- Obukoowu bw’omubiri obuyitiridde
Ebivaako omuwendo gw’obutoffaali obutono (Neutropenia) .
Okukendeera kw'obusimu obuyitibwa neutrophils kuyitibwa neutropenia . Wano omuwendo gw’abajaasi mu magye gaffe we gukendeera. Kino kikendeeza ku busobozi bw’okulwanyisa obuwuka. N’olwekyo, obulabe bw’okufuna yinfekisoni bungi nnyo.
| Ensonga | Ennyonnyola n’ebyokulabirako |
|---|---|
| Okujjanjaba kookolo ne kookolo | Kookolo akwata obusigo bw’amagumba, gamba nga leukemia ne lymphoma , asobola okukendeeza ku busimu obuyitibwa neutrophil. Ate era, obujjanjabi bw’eddagala n’obusannyalazo busobola okutta obutoffaali bwa kookolo wamu n’okukola obusimu obuyitibwa neutrophil obulungi. |
| Yinfekisoni ezimu | Yinfekisoni ezimu ez’akawuka nazo zisobola okukendeeza ku muwendo gwa neutrophil okumala akaseera. Eby’okulabirako: Omusujja gw’ensiri , Enkoko , Siriimu , Obulwadde bw’ekibumba . |
| Eddagala erimu | Embeera eno era eyinza okuva ku ddagala erimu eritta obuwuka , eddagala erikonziba, n’eddagala erimu eriwonya obulwadde bw’obwongo. |
| Embeera endala ez’obujjanjabi | (Lupus) , (Obulwadde bwa Crohn) .Neutrophils era zisobola okuba entono olw’obuzibu bw’abaserikale b’omubiri, obutaba na vitamiini B12 ne folate, n’endwadde endala ezikosa obusigo bw’amagumba. |
Obubonero bw’obusimu obuyitibwa neutrophils obutono
Okwongera n’okukendeera kwa neutrophils byombi tebireeta bubonero bwonna obw’enjawulo. Kyokka olw’okuba obuziyiza bw’omubiri gwo butono, kyangu okufuna yinfekisoni. Olwo obubonero bw’obulwadde obwo ne bulabika.
- Omusujja n’obulema
- Okulumwa mu mamiro
- Amabwa mu kamwa
- Embiro
- Okumyuuka, okuzimba, n’obulumi mu kifo awaali obuvune
Omusujja mu muntu alina obuwuka obuyitibwa neutrophils obutono buba bwa mangu mu by’obujjanjabi kubanga omubiri tegusobola kulwanyisa yinfekisoni. Kikulu okunoonya amagezi g’abasawo oba okugenda mu kitongole ky’eddwaaliro eky’abalwadde ab’amangu (ETU) mu bwangu.
Embeera zino zijjanjabwa zitya?
Ekisinga obukulu nti omusawo tajjanjaba muwendo gwa neutrophil, wabula obulwadde obusirikitu obwavaako omuwendo ogwo okukendeera oba okweyongera .
- Neutrophilia: Singa ekivaako kiva ku buwuka, eddagala eritta obuwuka lijja kuweebwa. Singa ekivaako bulwadde bulala, omuwendo gwa neutrophil gujja kudda mu mbeera eya bulijjo ng’obulwadde obwo bujjanjabiddwa.
- Neutropenia: Singa ekivaako ddagala, omusawo ajja kuyimiriza eddagala eryo n’akuwa ery’enjawulo. Bwe kiba yinfekisoni, bajja kukijjanjaba. Singa ekivaako ddagala lya kookolo, bayinza okukuwa ebiragiro eby’enjawulo okwekuuma yinfekisoni era bayinza n’okukuwa essasi okwongera ku butoffaali obweru.
N’olwekyo, bwe wabaawo enkyukakyuka mu muwendo gwa neutrophil mu lipoota yo ey’omusaayi, tosattira, wabula yogerako n’omusawo wo mu lwatu. Ajja kukola ebigezo ebyetaagisa, azuule ekituufu ekivaako, era akuwe obujjanjabi obusinga okusaanira.
Obubaka Obutwala Awaka
- Neutrophils kye kika ky’obutoffaali obukulu mu baserikale baffe abalwanyisa obuwuka.
- Okweyongera oba okukendeera kw’omuwendo gwa neutrophils mu musaayi gwo si bulwadde ku bwabwo. Kiyinza okuba akabonero k’embeera endala ey’obujjanjabi.
- Tokola kuzuula bulwadde nga osinziira ku kukebera omusaayi. Bulijjo yogerako n’omusawo wo ofune amagezi amatuufu.
- Omusawo tajjanjaba muwendo gwa neutrophil, wabula obulwadde obusirikitu obwakireeta.
- Bw’oba olina omuwendo gwa neutrophil omutono (neutropenia), weegendereze nnyo okwekuuma yinfekisoni. Naaba engalo enfunda eziwera, weewale ebifo ebijjudde abantu, era funa amagezi mu bwangu omusawo singa ofuna obubonero ng’omusujja.
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