Kua whiwhi koe i tētahi pūrongo whakamātautau toto, kua tirohia ngā kupu kei runga, ā, kua whakaaro koe, "He aha te tikanga o tēnei?" Tērā pea i kī mai tō tākuta, "He paku teitei ō neutrophils" he "iti" rānei. He aha rawa ngā neutrophils? Kaua e manukanuka, he tino māmā noa iho. He wāhanga motuhake rātou o te pūnaha ārai o tō tātou tinana. Me kōrero taipitopito tātou mō tēnei i tēnei rā.
Hei whakarāpopototanga, he aha ēnei neutrophils?
Whakaarohia, he rite tō tātou tinana ki tētahi whenua. He ope taua hei tiaki i tēnei whenua. Ko taua ope taua ko tō tātou pūnaha ārai mate . O ngā momo hōia rerekē o tēnei ope, ko te hōia tino nui, ko te hōia tuatahi hoki, ka haere ki te pakanga, ko te neutrophil .
He momo toto mā ēnei i roto i ō tātou toto. I waenga i te 50% me te 75% o ngā toto mā i roto i ō tātou toto he hōia neutrophil ēnei.
He aha tā rātou mahi matua?
E rua ngā mahi matua a ngā neutrophil:
1. Te whawhai ki ngā mate urutā: Ina uru mai ngā iroriki pēnei i te huakita, te huaketo, me te harore ki roto i ō tātou tinana, ko ngā neutrophils te mea tuatahi e tere atu ana ki te wāhi. Ka haere rātou ki te hopu i aua iroriki ka "kai" i a rātou, ka whakangaro i a rātou. He rite ki te pirihimana e hopu ana i te tahae.
2. Āwhina ki te whakaora i ngā patunga: Ina whara tātou, ka āwhina hoki ēnei neutrophils i te tukanga whakaora.
Ka hangaia ēnei neutrophils i roto i te hinu wheua i roto i ō tātou wheua. Engari he poto rawa te roa o tō rātou oranga, iti iho i te kotahi rā. Nō reira, me whakaputa tonu e tō tātou hinu wheua he neutrophils hou.
Me pēhea te ine i te maha o ngā neutrophils?
Mena kei te whakapae tō tākuta he iti, he nui rānei tō tau neutrophil, ka tonoa e ia he whakamātautau toto.
- Whakamātautau Tatau Toto Katoa (FBC/CBC): Koinei te whakamātautau tuatahi ka mahia. I ētahi wā ka kiia he `CBC me te rerekētanga`, ka taea e tēnei te tirotiro i te maha o ia momo pūtau kei roto i tō toto.
- Te Tatau Pūmua o ngā Neutrophil (ANC): Kei roto hoki tēnei i te pūrongo kotahi i whakahuatia i runga ake nei. Mā tēnei ka taea e tātou te mōhio tika ki te maha o ngā neutrophil kei roto i ō toto.
Ko te mea nui, kaua e whakatau noa i runga i ngā uara o te pūrongo toto. Ka rerekē pea aua uara i runga i ngā āhuatanga maha, pērā i te tau me ētahi atu āhuatanga hauora. Nō reira , me kōrero tonu ki tō tākuta mō tēnei mea, kia whiwhi ai koe i ngā tohutohu tika.
I te nuinga o te wā, kei waenganui i te 2,500 me te 7,000 ngā neutrophils i roto i te maikirorita toto o te tangata hauora. Mēnā he nui ake i te 7,700 ka kiia he pikinga (neutrophilia), ā, mēnā he iti iho i te 1,500 ka kiia he hekenga (neutropenia).
He aha ngā take o te pikinga o te maha o ngā neutrophils (neutrophilia)?
Ko te pikinga o ngā neutrophils e kiia ana i roto i te rongoā ko te neutrophilia . He maha ngā take pea mō tēnei. Ehara i te mate kotahi, engari he tohu o tētahi atu mate.
| Take | Whakaahuatanga me ngā tauira |
|---|---|
| Ngā mate urutā | Koinei te take tino noa. Ina uru mai he mate huakita ki te tinana, ka nui ake ngā hōia (neutrophils) ka puta mai i tō tātou pūnaha ārai mate hei whawhai ki a ia. Ka pā anō hoki tēnei ki ētahi mate harore me ngā mate pirinoa. |
| mumura | Ka taea e ngā neutrophil te piki ake i roto i tētahi mate e puta ai te mumura, arā, te mumura, i tētahi wāhi o te tinana. Hei tauira: (Rheumatoid arthritis) , (Gout) , (Ulcerative colitis) , ngā wera, ngā pokanga, ngā whakaekenga ngākau. |
| Ētahi rongoā | Ka taea hoki e ētahi rongoā te whakapiki i te nui o ngā neutrophils hei pānga taha. Hei tauira, ko ngā rongoā pēnei i te (Lithium) , te (Heparin) , me te (Corticosteroids) . |
| Ngā momo mate pukupuku | Ka kitea anō hoki tēnei āhuatanga i roto i ētahi momo mate pukupuku. Hei tauira: Ngā mate pukupuku e pā ana ki te toto pērā i te (Hodgkin lymphoma) me te (Chronic myelocytic leukemia) . |
Ngā tohu o te pikinga o ngā neutrophils
Kāore he tohu motuhake mō te pikinga o te maha o ngā neutrophils. Ka pāngia mātou e ngā tohu o te mate hauora i puta ai.
- Kirika
- Ngā mate pāwera auau
- He roa te wā e ora ai ngā patunga.
- Te pupuhi me te mamae o ngā hononga
- Te ngenge nui o te tinana
Ngā take o te iti o te maha o ngā neutrophils (Neutropenia)
Ko te hekenga o ngā neutrophils e kiia ana ko te neutropenia . Koinei te wā e heke ai te tokomaha o ngā hōia i roto i tā tātou ope taua. Ka whakaitihia e tēnei te kaha ki te whawhai ki ngā iroriki. Nō reira, he tino teitei te mōrearea o te pangia e ngā mate.
| Take | Whakaahuatanga me ngā tauira |
|---|---|
| Te mate pukupuku me te maimoatanga mate pukupuku | Ka taea e ngā mate pukupuku e pā ana ki te hinu wheua, pērā i te leukemia me te lymphoma , te whakaiti i te hanga neutrophil. Waihoki, ka taea e te chemotherapy me ngā maimoatanga radiation te patu i ngā pūtau mate pukupuku me te hanga neutrophil hauora. |
| Ētahi mate urutā | Ka taea hoki e ētahi mate huaketo te whakaiti i te maha o ngā neutrophils mō te wā poto. Hei tauira: Te rewharewha , te rewharewha , te HIV/AIDS , te Hepatitis . |
| Ētahi rongoā | Ka taea hoki tēnei āhuatanga te hua mai i ētahi paturopi , ngā rongoā haurangi, me ētahi rongoā mō te mate hinengaro. |
| Ētahi atu āhuatanga hauora | (Lupus) , (te mate a Crohn)Ka iti hoki ngā neutrophils i roto i ngā mate pūnaha ārai mate, te korenga o te huaora B12 me te folate, me ētahi atu mate e pā ana ki te hinu wheua. |
Ngā tohu o te iti o ngā neutrophils
Kāore he tohu motuhake e puta mai i te pikinga me te hekenga o ngā neutrophils. Heoi, nā te iti o ngā parepare o tō tinana, ka ngāwari te pangia e ngā mate. Kātahi ka puta ngā tohu o aua mate.
- Te kirika me te mate pāwera
- Korokoro mamae
- Ngā mate waha
- Korere
- Te whero, te pupuhi, me te mamae i te wāhi i whara ai
He āhuatanga ohorere hauora te kirika o te tangata he iti te nui o ngā neutrophils nā te mea kāore e taea e te tinana te whawhai ki te mate. He mea nui kia rapu tohutohu hauora, kia haere rānei ki te tari ohorere o te hōhipera (ETU) tonu.
Me pēhea te rongoā i ēnei āhuatanga?
Ko te mea nui, kaua te tākuta e rongoā i te maha o ngā neutrophils, engari ko te mate pūtake i piki ai, i heke ai rānei te maha .
- Neutrophilia: Mena he mate huakita te take, ka hoatu he paturopi. Mena he mate kē atu te take, ka hoki te maha o ngā neutrophil ki te āhua noa ina rongoatia taua mate.
- Neutropenia: Mena he rongoā te take, ka mutu te tākuta i taua rongoā ka hoatu he rongoā rerekē ki a koe. Mena he mate pāwera, ka rongoāhia e rātou. Mena he maimoatanga mate pukupuku te take, ka hoatu pea e rātou he tohutohu motuhake ki a koe hei tiaki i a koe mai i ngā mate pāwera, ā, ka hoatu pea he werohanga ki a koe hei whakanui ake i ō toto toto mā.
Nō reira, ki te kitea he panonitanga o te maha o ngā neutrophil i roto i tō pūrongo toto, kaua e mataku, engari me kōrero noa ki tō tākuta. Māna e whakahaere ngā whakamātautau e tika ana, e kimi te take tika, ā, ka hoatu ki a koe te maimoatanga tino tika.
Karere Tangohia ki te Kāinga
- Ko ngā neutrophil te momo pūtau matua o tō tātou pūnaha ārai mate e whawhai ana ki ngā iroriki.
- Ehara i te mate te pikinga, te hekenga rānei o te maha o ngā neutrophils i roto i tō toto. He tohu pea nō tētahi atu mate hauora.
- Kaua rawa e whakatakoto i tētahi tātaritanga i runga i te whakamātautau toto. Me kōrero tonu ki tō tākuta, me te tiki tohutohu tika.
- Kāore te tākuta e rongoā i te maha o ngā neutrophils, engari ko te mate taketake i puta ai.
- Mena he iti ō neutrophil (neutropenia), kia tino tupato ki te tiaki i a koe mai i ngā mate. Horoia ō ringaringa i ngā wā katoa, karohia ngā wāhi e kī ana te tangata, ā, rapu tohutohu hauora tonu mēnā ka puta he tohu pēnei i te kirika.
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