Kodi muli ndi ma lymphocyte ochepa m'magazi anu? Tiyeni tikambirane za lymphopenia!

Kodi nthawi zambiri mumadwala? Nthawi zina ngakhale chimfine chaching'ono chimatenga nthawi yayitali kuti chikhale bwino, kapena nthawi zonse mumamva kufooka? Chifukwa chimodzi cha zinthuzi chikhoza kukhala kuchepa kwa mtundu wa maselo oyera amagazi otchedwa lymphocytes, omwe ali ngati asilikali m'thupi lanu omwe amalimbana ndi matenda. Madokotala amatcha vutoli 'lymphopenia.' Choncho, tiyeni tikambirane za izi mwatsatanetsatane lero, sichoncho? Si chinthu choti muope, ndikofunikira kudziwa.

Kodi lymphopenia ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, lymphopenia ndi vuto lomwe kuchuluka kwa ma lymphocyte m'magazi anu kumakhala kotsika kuposa kwachibadwa. Tsopano mwina mukudabwa kuti ma lymphocyte amenewa ndi chiyani.

Pali mtundu wa maselo oyera m'magazi mwathu. Maselo oyera amenewo ndi omwe amatiteteza polimbana ndi majeremusi omwe amalowa m'thupi mwathu, kutanthauza mabakiteriya ndi mavairasi omwe amayambitsa matenda. Zili ngati gulu laling'ono la asilikali m'thupi mwathu. Pakati pa 20% ndi 40% ya maselo oyera awa ndi mtundu wapadera wa maselo otchedwa Lymphocytes.

Ntchito zazikulu za maselo a lymph (Lymphocytes) ndi izi:

• Kulimbana ndi majeremusi (mavairasi, mabakiteriya, tizilombo toyambitsa matenda, bowa) omwe amalowa m'thupi.
• Kuwononga maselo osazolowereka, monga maselo a khansa.
• Kuchita ngati gawo lofunika kwambiri la chitetezo cha mthupi lathu.

Pali mitundu itatu ikuluikulu ya ma lymphocyte:

• Ma T-lymphocytes kapena ma T-cell: Izi zimathandiza kuwononga mwachindunji maselo omwe ali ndi kachilombo ndi maselo a khansa.
• Ma B-lymphocyte kapena ma B-cell: Izi ndi zomwe zimapanga ma antibodies. Ma antibodies amenewa amathandiza kuzindikira ndi kuukira majeremusi.
• Maselo Opha Zachilengedwe (NK cells): Izi zimathandizanso kuwononga maselo omwe ali ndi kachilombo komanso maselo a khansa.

Choncho, pamene chiwerengero cha ma lymphocyte chikuchepa, ndiko kuti, pamene vuto lotchedwa lymphopenia lichitika, mphamvu ya thupi lathu yolimbana ndi matenda imachepa. Kenako, matenda amatha kukula mosavuta, ndipo matenda omwe amakula amatha kutenga nthawi yayitali kuti achire.

Lymphopenia imadziwikanso kuti lymphocytopenia ndi lymphocytic leukopenia. Leukopenia imatanthauza kuchepa kwa maselo oyera amagazi nthawi zambiri. Leukopenia ya "Lymphocytic" imatanthauza kuchepa kwa ma lymphocyte makamaka.

Kodi ma lymphocyte angati ayenera kukhalapo nthawi zonse?

Chiwerengero cha maselo a lymph (Lymphocytes) amenewa chimasiyana pakati pa akuluakulu ndi ana.

• Mwa akuluakulu: Kawirikawiri, payenera kukhala maselo a lymph pakati pa 1,000 ndi 4,800 pa microliter iliyonse ya magazi. Lymphopenia imachitika pamene chiwerengerochi chili chochepera 1,000.
• Za ana:Kawirikawiri, pamakhala chiwerengero cha ma lymphocyte pakati pa 3,000 ndi 9,500 pa microliter iliyonse ya magazi. Kuchuluka kochepa kumeneku kumatha kusiyana malinga ndi msinkhu wa mwana. Mwachitsanzo, ngati mwana wosakwana zaka ziwiri ali ndi chiwerengero cha ma lymphocyte osakwana 3,000, amaonedwa kuti ndi lymphopenia.

Mitengo iyi ingasiyane pang'ono kuchokera ku labu kupita ku labu, kotero ndi bwino kuiyerekeza ndi mitengo yapakati mu lipoti lanu.

Kodi zizindikiro za lymphopenia ndi ziti?

Chabwino kwambiri ndichakuti ngati muli ndi lymphopenia yokha, zomwe zikutanthauza kuti mulibe ma lymphocyte, nthawi zambiri simukhala ndi zizindikiro zilizonse. Komabe, ngati pali matenda ena omwe amayambitsa kuchepa kwa ma lymphocyte, mutha kukhala ndi zizindikiro zokhudzana ndi matendawa. Kapena mutha kukhala ndi matenda opatsirana pafupipafupi.

Zina mwa zizindikiro zomwe zingawonekere ndi izi:

• Malungo
• Chifuwa
• Mphuno yotuluka madzi
• Kutupa pakhungu kapena matenda ena a khungu
• Ma lymph nodes otupa
• Kutupa kwa mafupa
• Zilonda pakamwa
• Kuoneka kwachikasu kwa maso ndi khungu (Jaundice)
• Kutupa kwa ndulu kapena splenomegaly

Ngati muli ndi lymphopenia yoopsa, mutha kutenga matenda pafupipafupi, kapena matenda angatenge nthawi yayitali kuti achire. Komabe, ndi lymphopenia yocheperako, simungakhale ndi zizindikiro zilizonse.

N’chifukwa chiyani kuchuluka kwa ma lymphocyte amenewa kumachepa? Kodi zimayambitsa chiyani?

Pakhoza kukhala zifukwa zosiyanasiyana zomwe mungakhale ndi ma lymphocyte otsika. Nthawi zina mungabadwe ndi vuto lomwe limayambitsa vutoli. Kapena likhoza kukula mtsogolo. Kutengera ndi chomwe chimayambitsa, lymphopenia ikhoza kukhala ya moyo wonse (yanthawi yayitali) kapena imatha kutha yokha (yoopsa).

Zina mwa zifukwa zazikulu zomwe zimayambitsa lymphopenia ndi matenda opatsirana, mankhwala ena, ndi kusowa kwa zakudya m'thupi.

1. Chifukwa cha Matenda

Matenda oyambitsidwa ndi mavairasi, mabakiteriya, tizilombo toyambitsa matenda, ndi bowa angayambitse kuchepa kwa ma lymphocytes. Nazi zitsanzo zingapo:

• 'HIV' ndi 'AIDS'
• Fuluwenza (flu) - ndiko kuti, m'mawu wamba, chimfine.
• `COVID-19`
• Hepatitis - matenda a chiwindi
• Malungo
• Chikuku
• Chibayo
• Chifuwa chachikulu

Matenda otere akachitika, maselo a lymph (Lymphocytes) a m'thupi amatha kuwonongedwa kuti amenyane nawo, kapena kupanga kwawo kungalepheretsedwe kwakanthawi.

2. Chifukwa cha Kusowa kwa Zakudya

Ichi ndi chomwe chimayambitsa matenda a lymphopenia padziko lonse lapansi. Landirani mokwanira kuchokera muzakudya zanu.Kusadya bwino, kapena kusowa kwa mavitamini ndi michere monga vitamini B12, folic acid, kapena zinc, kungakhudze kupanga kwa ma lymphocyte. Chifukwa cha moyo wathu wotanganidwa, nthawi zina sitisamala mokwanira zomwe timadya. Ngati zinthu ngati izi zipitirira, matenda amtundu uwu angachitike.

3. Chifukwa cha Mikhalidwe Yobadwa Nayo

Pali matenda ena osowa a majini omwe amapatsirana kuchokera kwa makolo kupita kwa ana. Matendawa angayambitsenso kuchepa kwa ma lymphocytes. Zitsanzo zina:

• `Ataxia-telangiectasia`
• "Kusowa kwa chitetezo chamthupi chosiyanasiyana"
• Matenda a DiGeorge
• "Matenda Ovuta Kwambiri Okhudzana ndi Kuchepa kwa Chitetezo cha Mthupi (SCID)"
• Matenda a Wiskott-Aldrich

Izi ndi zovuta pang'ono, koma izi ndi zochitika zochepa kwambiri.

4. Chifukwa cha Matenda a Autoimmune

Matenda a autoimmune ndi pamene chitetezo chathu chamthupi, chomwe chimatiteteza ku matenda, chimaukira maselo athu athanzi molakwika. Tangoganizirani, chitetezo chamthupi lanu chimasokonekera ndipo chimayamba kumenyana ndi maselo ake abwino. Ndicho chifukwa chake zonsezi zimachitika. Ma Lymphocyte akhoza kukhala m'gulu la maselo omwe amaukira.

Matenda ena otere:

• Lupus
• Sarcoidosis
• Myasthenia gravis
• Matenda a nyamakazi - izi zikutanthauza kutupa kwa mafupa

5. Chifukwa cha Matenda a Magazi ndi Khansa

Monga maselo ena m'magazi, ma lymphocyte amapangidwa mu fupa la mafupa. Chifukwa chake, matenda am'magazi ndi khansa zomwe zimakhudza fupa la mafupa zimatha kusokoneza kupanga ma lymphocyte.

• Kuchepa kwa magazi m'thupi (Aplastic anemia) - vuto lomwe mafuta am'mafupa amapanga maselo ochepa
• Lymphoma - khansa ya dongosolo la lymphatic
• Khansa ya m'magazi - khansa ya m'magazi
• Matenda a Myelodysplastic

6. Zotsatirapo za Mankhwala ndi Mankhwala

Ma lymphocyte amatha kuchepa, makamaka chifukwa cha mankhwala a khansa ndi mankhwala ena a matenda odziteteza ku matenda a autoimmune.

• Kusamutsa mafuta a m'mafupa
• Mankhwala a Chemotherapy
• Chithandizo cha radiation
• Mankhwala oletsa chitetezo chamthupi - mwachitsanzo, corticosteroids.

7. Chifukwa cha Poizoni wa Mowa

Kumwa mowa mopitirira muyeso (monga mowa, vinyo, ndi zakumwa zoledzeretsa) kungakhudzenso ma lymphocytes, kuchepetsa chiwerengero chawo.

Kodi mungadziwe bwanji ngati muli ndi lymphopenia?

Ngati mukuganiza kuti muli ndi lymphopenia, ndi bwino kuonana ndi dokotala ndikukambirana za vutoli. Dokotalayo adzakufunsani za mbiri yanu yachipatala, zizindikiro zomwe muli nazo panopa, komanso moyo wanu. Kenako angakuyezeni zina.

Kufufuza ndi kufunsa mafunso kwa dokotala

• Mbiri ya zachipatala: Dokotala wanu adzakufunsani za mbiri yanu yakale ya zachipatala, mankhwala omwe mukumwa, ndi chithandizo. Mwachitsanzo, ngati mwakhala ndi COVID-19 posachedwapa, dokotala wanu angaganize kuti kachilombo ka HIV kachititsa kuti chiwerengero cha ma lymphocyte anu chichepe. Ngati mukumwa mankhwala monga corticosteroids, chimenecho chingakhale chifukwa chake.
• Kuyezetsa thupi: Dokotala adzakufunsani za zizindikiro zanu ndikuwona zinthu monga malungo, kutupa kwa ma lymph nodes, ndi ndulu yokulirapo.
• Mafunso okhudza moyo wanu: Mungafunsidwe za zakudya zanu kuti muwone ngati muli ndi vuto lililonse la zakudya. Mungafunsidwenso za moyo wanu wogonana (monga ngati mumagwiritsa ntchito njira zotetezeka) kuti mupewe matenda monga HIV.

Ndi mayeso ati omwe amachitidwa?

Pali mayeso angapo omwe amafufuza maselo a magazi ndi mafupa.

• Kuchuluka kwa Magazi Okwanira (CBC): Izi zimawerengera mitundu yonse ya maselo m'magazi anu (kuphatikizapo maselo oyera amagazi).
• Kuwerengera magazi kwathunthu ndi kusiyana (CBC ndi kusiyana): Izi zimawerengera kuchuluka kwa mtundu uliwonse wa maselo oyera a magazi (kuphatikizapo ma platelet) padera.
• Kuyeza kwa kayendedwe ka magazi: Iyi ndi njira yapadera yoyezera. Imatha kuyeza mitundu yosiyanasiyana ya ma lymphocyte, monga maselo a B, maselo a T, ndi maselo a NK padera.
• Kuyesa kwa Immunoglobulin: Izi zimayesa kuchuluka kwa mapuloteni otchedwa ma antibodies m'magazi mwanu. Zingathandize kuzindikira matenda ambiri okhudzana ndi lymphopenia, monga matenda opatsirana, matenda odziteteza ku matenda, ndi khansa.
• Kusanthula kwa mafupa: Izi sizichitika kwa aliyense, koma dokotala wanu angakulangizeni mayesowa ngati pali kukayikira kuti pali vuto lalikulu pakupanga ma lymphocytes.

Kuphatikiza apo, mayeso ena angachitike kuti aone matenda enaake omwe angayambitse lymphopenia (monga kuyezetsa HIV, kuyezetsa chifuwa chachikulu, kuyezetsa chimfine, kapena kuyezetsa COVID-19).

Kodi chithandizo cha lymphopenia ndi chiyani?

Nthawi zambiri , lymphopenia yofatsa, makamaka ngati palibe zizindikiro, siifuna chithandizo chapadera. Ngati yayamba chifukwa cha matenda enaake, chiwerengero cha ma lymphocyte chidzabwerera mwakale thupi likachira ku matendawa.

Chofunika kwambiri ndichakuti lymphopenia ithandizidwe pochiza chomwe chimayambitsa vutoli.

Dokotala wanu akapeza chomwe chimayambitsa kuchepa kwa ma lymphocyte m'magazi anu, adzakupatsani chithandizo choyenera.

Kodi Lymphopenia ingachiritsidwe kwathunthu?

Ngati munabadwa ndi vuto la majini lomwe limakulepheretsani kupanga ma lymphocyte bwino, chithandizo chotchedwa hematopoietic stem cell transplant nthawi zina chingakhale mankhwala. Izi zimaphatikizapo kuchotsa maselo oyambira omwe awonongeka kapena olakwika ndikupanga magazi ndikuyika m'malo mwake ndi maselo oyambira athanzi. Maselo atsopanowa amapanga ma lymphocyte, komanso maselo ena amagazi.

Komabe, chithandizochi ndi chovuta pang'ono, ndipo pali zoopsa zina. Si aliyense amene angachite izi. Dokotala wanu adzakuuzani ngati ichi chili choyenera kwa inu kapena ayi.

Mankhwala ogwiritsidwa ntchito pochiza

Ngati muli ndi vuto lalikulu la lymphopenia, zomwe zikutanthauza kuti mumadwala matenda nthawi zambiri, dokotala wanu angakupatseni jakisoni wa immunoglobulin (IG) . Jakisoniyu amalimbitsa chitetezo chanu cha mthupi ndikukuthandizani kulimbana ndi matenda. Mungalangizidwenso kuti mupitirize kumwa jakisoni wa IG kuti mupewe matenda obwera pafupipafupi.

Kodi lymphopenia ingapewedwe?

Kutupa kwa mitsempha yamagazi komwe kumachitika chifukwa cha majini sikungatheke kupewedwa. Komabe, pali zinthu zina zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi matenda a mitsempha yamagazi chifukwa cha zifukwa zina:

• Dzitetezeni ku majeremusi: Chitani zonse zomwe mungathe kuti mudziteteze ku majeremusi omwe amayambitsa matenda.
• Njira zodzitetezera pogonana: Tsatirani njira zodzitetezera kuti mupewe matenda opatsirana pogonana monga HIV.
• Kuletsa kumwa mowa: Ngati mukumwa mowa, chepetsani mowa. Ndi bwino kumwa mowa wosapitirira chitini chimodzi cha mowa, galasi limodzi la vinyo, kapena kapisozi kamodzi patsiku.

Ngati muli ndi lymphopenia, mungadziteteze bwanji ku matenda?

Ngati kuchuluka kwa ma lymphocyte anu kuli kochepa, ndikofunikira kudziteteza ku matenda. Nazi zinthu zina zomwe zingakuthandizeni:

• Katemerani: Katemerani chimfine ndi COVID-19. Funsani dokotala wanu za katemera wina.
• Pewani malo omwe chiopsezo cha matenda ndi chachikulu: Pewani anthu odwala kapena omwe angakhale odwala. Chepetsani kukhala m'malo odzaza anthu komanso opanda mpweya wabwino m'nyumba.
• Sambani m'manja nthawi zambiri: Sambani m'manja bwino ndi sopo ndi madzi, kapena gwiritsani ntchito mankhwala oyeretsera m'manja okhala ndi mowa.
• Valani chigoba: Valani chigoba mukamapita kumalo komwe mavairasi obwera chifukwa cha mpweya angakhalepo.
• Chitetezo cha chakudya: Phikani chakudya bwino. Tsukani zipatso ndi ndiwo zamasamba bwino musanadye.
• Pewani kuvulala: Mabala monga mabala ndi mikwingwirima angayambitse majeremusi m'thupi, choncho samalani ndi ngozi zotere.

Kuwonjezera pa izi, funsani dokotala wanu ngati pali zinthu zina zomwe muyenera kusamala nazo kwambiri.

Kodi thanzi la anthu omwe ali ndi lymphopenia ndi lotani? (Maganizo/Zotsatira)

Izi zimadalira kwathunthu chifukwa cha kuchepa kwa ma lymphocyte anu. Nthawi zambiri, ngati kuchepako kumachitika chifukwa cha matenda, kuchuluka kwa ma lymphocyte kumabwerera mwakale matendawa akachira. Komabe, ngati kumachitika chifukwa cha vuto lalikulu, njira yochizira ikhoza kukhala yayitali komanso yovuta.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati muli ndi zizindikiro zilizonse za matenda (monga kutentha thupi, chifuwa, kupweteka kwa thupi), pitani kwa dokotala nthawi yomweyo. Ngati muli ndi vuto lomwe limakuika pachiwopsezo cha matenda opatsirana pafupipafupi (monga lymphopenia), funsani dokotala pasadakhale zizindikiro zomwe muyenera kufunsa upangiri wa dokotala.

Kodi lymphopenia ndi khansa?

Ayi, lymphopenia si khansa. Komabe, mitundu ina ya khansa (monga khansa ya m'magazi, lymphoma) ingasokoneze kupanga ma lymphocyte, zomwe zimayambitsa lymphopenia. Komanso, mankhwala ena a khansa (monga chemotherapy) amatha kuchepetsa kuchuluka kwa ma lymphocyte kwakanthawi.

Uthenga Wopita Nawo Kunyumba

Chabwino, tsopano mwamvetsa bwino zomwe takambirana lero, Lymphopenia. Kumbukirani:

• Lymphopenia ndi kuchepa kwa kuchuluka kwa ma lymphocyte, mtundu wa selo lolimbana ndi matenda m'magazi.
• Izi si nkhani ina chabe, nthawi zambiri zimakhudzana ndi matenda, kusowa zakudya m'thupi, zotsatira zoyipa za mankhwala, kapena matenda ena.
• Nthawi zambiri, matenda ofatsa sasonyeza zizindikiro.
• Ngati mumadwala pafupipafupi, kapena muli ndi kukayikira kulikonse pa izi, chinthu chabwino kuchita ndikuwona dokotala ndikupempha upangiri.
• Ngati chifukwa chapezeka ndikuchiritsidwa bwino, vutoli nthawi zambiri limatha kuthetsedwa.

Choncho, samalirani thanzi lanu. Musaope kulankhula ndi dokotala wanu ngati muli ndi mafunso aliwonse. Khalani ndi thanzi labwino!

Lymphopenia , maselo a lymph, ma lymphocyte, maselo oyera a magazi, chitetezo chamthupi, matenda, zizindikiro