Kodi munalandirapo lipoti la kuyezetsa magazi, kuyang'ana mawu omwe ali pamenepo, ndipo munaganiza kuti, "Kodi izi zikutanthauza chiyani?" Mwina dokotala wanu anati, "Ma neutrophils anu ndi okwera pang'ono" kapena "otsika." Kodi ma neutrophils ndi chiyani kwenikweni? Musadandaule, ndi osavuta kwambiri. Ndi gawo lapadera la chitetezo cha thupi lathu. Tiyeni tikambirane za izi mwatsatanetsatane lero.
Mwachidule, kodi ma neutrophils awa ndi chiyani?
Tangoganizani, thupi lathu lili ngati dziko. Pali gulu lankhondo loteteza dziko lino. Gulu lankhondo limenelo ndi chitetezo chathu chamthupi . Mwa mitundu yosiyanasiyana ya asilikali m'gululi, msilikali wofunika kwambiri komanso woyamba kupita kunkhondo ndi neutrophil .
Awa kwenikweni ndi mtundu wa maselo oyera m'magazi mwathu. Pakati pa 50% ndi 75% ya maselo oyera m'magazi mwathu ndi asilikali a neutrophil.
Kodi ntchito yawo yaikulu ndi yotani?
Ma neutrophils ali ndi ntchito ziwiri zazikulu:
1. Kulimbana ndi matenda: Tizilombo toyambitsa matenda monga mabakiteriya, mavairasi, ndi bowa tikalowa m'thupi mwathu, chinthu choyamba chomwe chimathamangira pamalopo ndi ma neutrophils. Amapita kukagwira tizilombo toyambitsa matendawo n'kuwadya, n'kuwawononga. Zili ngati apolisi akugwira wakuba.
2. Kuthandiza kuchiritsa mabala: Tikavulala, ma neutrophils amenewa amathandizanso pakuchira.
Ma neutrophils amenewa amapangidwa mu mafupa mkati mwa mafupa athu. Koma moyo wawo ndi waufupi kwambiri, osakwana tsiku limodzi. Chifukwa chake, mafupa athu ayenera kupanga ma neutrophils atsopano nthawi zonse.
Kodi kuchuluka kwa ma neutrophil kumayesedwa bwanji?
Ngati dokotala wanu akukayikira kuti kuchuluka kwa ma neutrophil anu ndi kotsika kapena kokwera, adzalamula kuti muyesedwe magazi.
- Kuyesa kwa Full Blood Count (FBC/CBC): Iyi nthawi zambiri imakhala mayeso oyamba ochitidwa. Nthawi zina amatchedwa `CBC yokhala ndi differential`, izi zimatha kuwona kuchuluka kwa maselo amtundu uliwonse omwe ali m'magazi mwanu.
- Chiwerengero Chonse cha Ma Neutrophil (ANC): Ichi ndi gawo la lipoti lomweli monga lomwe latchulidwa pamwambapa. Izi ndi zomwe zimatithandiza kudziwa kuchuluka kwa ma neutrophil omwe ali m'magazi mwanu.
Chofunika kwambiri ndichakuti, musamangoganiza mozama potengera zomwe zili mu lipoti la magazi. Zomwezo zimatha kusiyana malinga ndi zinthu zambiri, monga zaka ndi matenda ena. Choncho nthawi zonse lankhulani ndi dokotala wanu za izi ndikupeza upangiri woyenera.
Kawirikawiri, munthu wathanzi amakhala ndi ma neutrophils pakati pa 2,500 ndi 7,000 pa microliter iliyonse ya magazi. Chilichonse choposa 7,700 chimaonedwa ngati kuwonjezeka (neutrophilia), ndipo chilichonse chochepera 1,500 chimaonedwa ngati kuchepa (neutropenia).
Kodi ndi zifukwa ziti zomwe zimayambitsa kuchuluka kwa ma neutrophils (neutrophilia)?
Kuwonjezeka kwa ma neutrophils m'madokotala kumatchedwa neutrophilia . Pali zifukwa zingapo zomwe zingayambitse izi. Si matenda amodzi okha, koma chizindikiro cha matenda ena.
| Chifukwa | Kufotokozera ndi zitsanzo |
|---|---|
| Matenda | Ichi ndi chifukwa chofala kwambiri. Matenda a bakiteriya akalowa m'thupi, chitetezo chathu cha mthupi chimapanga asilikali ambiri (neutrophils) kuti amenyane nawo. Izi zitha kuchitikanso ndi matenda ena a bowa ndi tizilombo toyambitsa matenda. |
| Kutupa | Ma neutrophils amatha kuchuluka mu matenda aliwonse omwe amayambitsa kutupa, kutanthauza kutupa, kwinakwake m'thupi. Zitsanzo: (Nyamakazi ya mafupa) , (Gout) , (Ulcerative colitis) , kutentha, opaleshoni, matenda a mtima. |
| Mankhwala ena | Mankhwala ena angayambitsenso kuchuluka kwa ma neutrophils ngati zotsatira zoyipa. Zitsanzo zimaphatikizapo mankhwala monga (Lithium) , (Heparin) , ndi (Corticosteroids) . |
| Mitundu ya khansa | Matendawa amathanso kuwoneka m'mitundu ina ya khansa. Zitsanzo: Khansa zokhudzana ndi magazi monga (Hodgkin lymphoma) ndi (Chronic myelocytic leukemia) . |
Zizindikiro za kuchuluka kwa ma neutrophils m'magazi
Palibe zizindikiro zenizeni za kuchuluka kwa ma neutrophil m'magazi. Timamva zizindikiro za matenda omwe adayambitsa matendawa.
- Malungo
- Matenda opatsirana pafupipafupi
- Mabala amatenga nthawi kuti achire.
- Kutupa ndi kupweteka kwa mafupa
- Kutopa kwambiri kwa thupi
Zifukwa za kuchepa kwa chiwerengero cha neutrophil (Neutropenia)
Kuchepa kwa ma neutrophils kumatchedwa neutropenia . Apa ndi pamene chiwerengero cha asilikali m'gulu lathu lankhondo chimachepa. Izi zimachepetsa mphamvu yolimbana ndi majeremusi. Chifukwa chake, chiopsezo chotenga matenda chimakhala chachikulu kwambiri.
| Chifukwa | Kufotokozera ndi zitsanzo |
|---|---|
| Chithandizo cha khansa ndi khansa | Khansa zomwe zimakhudza mafupa, monga khansa ya m'magazi ndi lymphoma , zimatha kuchepetsa kupanga ma neutrophil. Komanso, mankhwala a chemotherapy ndi radiation amatha kupha maselo a khansa pamodzi ndi kupanga ma neutrophil abwino. |
| Matenda ena | Matenda ena a mavairasi amathanso kuchepetsa kwakanthawi kuchuluka kwa ma neutrophils. Zitsanzo: Chikuku , Kansa , HIV/AIDS , Hepatitis . |
| Mankhwala ena | Vutoli likhozanso kuchitika chifukwa cha maantibayotiki ena, mankhwala a khunyu, ndi mankhwala ena a matenda amisala. |
| Matenda ena | (Lupus) , (matenda a Crohn)Matenda a autoimmune, kusowa kwa vitamini B12 ndi folate, ndi matenda ena omwe amakhudza mafupa amathanso kuyambitsa kuchepa kwa ma neutrophils. |
Zizindikiro za kuchepa kwa ma neutrophils
Kuwonjezeka ndi kuchepa kwa ma neutrophils sikutanthauza zizindikiro zinazake. Komabe, chifukwa chitetezo cha thupi lanu chili chochepa, mutha kutenga matenda mosavuta. Kenako zizindikiro za matendawa zimawonekera.
- Malungo ndi malaise
- Chikhure
- Zilonda pakamwa
- Kutsegula m'mimba
- Kufiira, kutupa, ndi ululu pamalo ovulalawo
Malungo mwa munthu amene ali ndi ma neutrophils ochepa ndi vuto lachipatala chifukwa thupi silingathe kulimbana ndi matenda. Ndikofunikira kufunafuna upangiri wa dokotala kapena kupita ku dipatimenti yadzidzidzi ya chipatala (ETU) nthawi yomweyo.
Kodi matenda amenewa amachiritsidwa bwanji?
Chofunika kwambiri ndichakuti dokotala asachiritse kuchuluka kwa ma neutrophils, koma matenda omwe amayambitsa kuchepa kapena kuwonjezeka kwa kuchulukako .
- Neutrophilia: Ngati chifukwa chake ndi matenda a bakiteriya, maantibayotiki adzaperekedwa. Ngati chifukwa chake ndi matenda ena, chiwerengero cha neutrophil chidzabwerera mwakale matendawa akachiritsidwa.
- Neutropenia: Ngati chifukwa chake ndi mankhwala, dokotala adzasiya mankhwalawo ndikukupatsani ena. Ngati ndi matenda, adzawachiza. Ngati chifukwa chake ndi chithandizo cha khansa, angakupatseni malangizo apadera kuti mudziteteze ku matenda ndipo angakupatseni jakisoni wowonjezera maselo oyera amagazi anu.
Choncho, ngati pali kusintha kwa chiwerengero cha ma neutrophil mu lipoti lanu la magazi, musachite mantha, koma lankhulani ndi dokotala wanu za izi momasuka. Iye adzachita mayeso ofunikira, kupeza chomwe chimayambitsa matendawa, ndikukupatsani chithandizo choyenera.
Uthenga Wopita Nawo Kunyumba
- Ma neutrophils ndi mtundu waukulu wa maselo m'thupi lathu omwe amalimbana ndi majeremusi.
- Kuwonjezeka kapena kuchepa kwa chiwerengero cha ma neutrophils m'magazi mwanu si matenda okha. Kungakhale chizindikiro cha matenda ena.
- Musamapeze matenda potengera magazi. Nthawi zonse lankhulani ndi dokotala wanu ndipo mupeze upangiri woyenera.
- Dokotala sachiza kuchuluka kwa ma neutrophils, koma matenda omwe amayambitsa matendawa.
- Ngati muli ndi chiwerengero chochepa cha neutrophil (neutropenia), samalani kwambiri kuti mudziteteze ku matenda. Sambani m'manja nthawi zambiri, pewani malo odzaza anthu, ndipo funsani upangiri wa dokotala nthawi yomweyo ngati mukuyamba zizindikiro monga malungo.
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