Ese hari ukwiyongera k'ubwoko bw'uturemangingo tw'amaraso twera mu maraso yawe? Reka tuvuge kuri Granulocytosis!

Ugomba kuba waratunguwe gato ubwo wabonaga ko ikizamini cy'amaraso yawe cyagaragaje umubare munini wa granulocytes, ubwoko bw'uturemangingo tw'amaraso twera. Muganga wawe ashobora kuba yarakubwiye. Ese koko iki ni ikintu cyo gutinya? Reka tubiganireho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Granulocytosis ni iki?

Mu magambo make, uturemangingo tw’amaraso twera mu mibiri yacu tumeze nk’abarinzi b’umubiri. Itsinda ryihariye ry’uturemangingo tw’amaraso twera twitwa granulocytes tuboneka mu maraso yacu ndetse rimwe na rimwe no mu ngingo zacu.

Hari ubwoko bwinshi bw'ingenzi bwa granulocytes:

• Neutrophils
• Eosinofili
• Basofili
• Hariho kandi ubwoko bw'ingirabuzimafatizo zitwa mast cells mu ngingo.

Ibi byose bikora hamwe mu kurwanya mikorobe n'ibintu bitera allergie byinjira mu mibiri yacu, no kurwanya ububyimbirwe. Tekereza, iyo mikorobe yinjiye mu mibiri yacu, izi granulocytes ni zo zibanza kujya kuyirwanya.

Rero, iyo umubare wa granulocytes mu maraso uri hejuru kuruta ibisanzwe, byitwa granulocytosis . Ibi akenshi bivuze ko hari ikibazo mu mubiri, cyane cyane ubwandu.

Si ibyo gusa, hari igihe umubare wa granulocytes ushobora kwiyongera bitewe n'indwara ziterwa n'ubwiyongere bw'umubiri (urugero, rubagimpande, ari yo ndwara aho ubudahangarwa bw'umubiri wacu bwibasira uturemangingo twacu) cyangwa indwara z'umusemburo w'amagufwa (urugero, kanseri y'amaraso nka kanseri y'amaraso idakira (CML)).

Ariko ntugahangayike cyane iyo wumvise ko granulocytes zawe ziri hejuru. Hari impamvu nyinshi zishobora kubitera, atari zose zikomeye. Muganga wawe azakubwira byinshi kuri ibi.

Ni irihe tandukaniro riri hagati ya Granulocytosis na Leukocytosis?

Aya magambo abiri ashobora gusa n'aho ateye urujijo. Leukocytosis yerekeza ku kwiyongera k'umubare wose w'uturemangingo tw'amaraso twera mu maraso yacu. Ibi ntibikubiyemo gusa uturemangingo tw'amaraso, ahubwo harimo n'ubundi bwoko bw'uturemangingo tw'amaraso twera twitwa monocytes na lymphocytes.

Ariko granulocytosis ni ukwiyongera gusa mu bwoko bw'uturemangingo twitwa granulocyte (ni ukuvuga neutrophils, eosinophils, na basophils twavuze mbere). Urabyumva?

Ni irihe tandukaniro riri hagati ya Granulocytosis na Agranulocytosis?

Ibi ni urundi ruhande. Granulocytosis ni ukwiyongera kwa granulocytes. Agranulocytosis ni igihe umwongo wacu w'amagufwa udakora ubwoko bwihariye bwa granulocytes buhagije bwitwa neutrophils. Ibi bivuze ko utwo turemangingo tugabanuka. Iki kandi ni ikibazo kigomba kwitabwaho.

Ni ibihe bimenyetso by'iyi ndwara?

Ibimenyetso bya granulocytosis biratandukanye cyane bitewe n'icyabiteye. Uburyo buri muntu yumva bushobora gutandukana. Hari igihe, bishobora kuboneka ku buryo butunguranye mu gihe cyo gupima amaraso ku yindi ndwara, nta bimenyetso na bimwe.

Tekereza ko ufite ubwandu bwa bagiteri . Ushobora kugira ibimenyetso nk'ibi:

• Umutwe
• Umuriro
• Umunaniro, kumva ufite intege nke
• Isesemi, kuruka

Cyangwa, niba ufite indwara nka rubagimpande , aho izi granulocytes ziyongera, ushobora guhura n'ibintu nk'ibi:

• Kubabara ingingo (arthritis)
• Kugorama kw'ingingo no kubyimba mu gitondo, nk'aho bigoye kunanura amaguru n'amaboko

Hari igihe bishobora guterwa n'indwara ya kanseri y'amaraso, nka kanseri y'amaraso ya kanseri idakira (CML) . Muri icyo gihe, ushobora kugira ibimenyetso nk'ibi:

• Umunaniro uhoraho
• Kubira ibyuya nijoro
• Kumva uhaze nubwo umaze kurya gato (kumva uhaze vuba)
• Kubyimba cyangwa kubabara mu gice cyo hejuru cy'ibumoso cy'inda (bishobora guterwa n'ubwiyongere bw'umwobo)

Ibi ni bimwe mu bimenyetso by'ingenzi ushobora kubona. Ariko, kugira ibi bimenyetso gusa ntibivuze ko ufite granulocytosis. Niyo mpamvu ari ngombwa kujya kwa muganga kugira ngo umenye neza indwara.

Ni izihe mpamvu zitera Granulocytosis?

Hari impamvu nyinshi zishobora kugira ingaruka kuri iyi ndwara. Zimwe muri zo ni ibibazo by'igihe gito bizakira mu minsi mike. Zimwe muri zo zishobora kuba indwara z'igihe kirekire (zidakira).

Impamvu z'ingenzi zagaragaye ni izi:

• Indwara: Indwara zitandukanye ziterwa na bagiteri, virusi, n'udukoko. Urugero, umusonga, umuriro wa dengue, cyangwa ndetse n'ibicurane bikomeye bishobora gutera ibi.
• Indwara z’ubudahangarwa bw’umubiri: Nkuko twabivuze mbere, indwara nka rubagimpande na Lupus ziterwa n’imikorere mibi y’ubudahangarwa bw’umubiri wacu.
• Ibibyimba bya myeloproliferative:Izi ni kanseri zidasanzwe z'amaraso. Ingero zirimo indwara nka kanseri y'amaraso idakira (CML), kanseri y'amaraso ya polycythemia vera, na kanseri y'amaraso ya essential thrombocythemia.

Izindi mpamvu:

• Sepsis: Indwara ikomeye ikwirakwira mu mubiri wose. Iyi ni indwara isaba ubuvuzi bwihutirwa.
• Indwara y'umutima.
• Kunanirwa kw'impyiko.
• Kanseri ya metastasis: Kanseri yatangiriye ahantu hamwe mu mubiri ikagera ahandi.
• Indwara y'umura ubyimbye: Indwara y'umura ubyimbye (urugero: indwara ya Crohn, indwara y'ibisebe ).
• Ubushye bukabije.
• Kunywa itabi: Abanywi b'itabi nabo bashobora kugira umubare munini w'utu tunyangingo.
• Imihangayiko ikomeye mu byiyumvo cyangwa ku mubiri: Urugero, nyuma yo kubagwa bikomeye cyangwa nyuma yo gukomereka bikomeye.
• Imiti imwe n'imwe: Urugero, imiti nka corticosteroids na lithium nayo ishobora kuyitera.

Ni gute iyi ndwara ya granulocytosis ipimwa?

Muganga azabanza kukubaza amateka y'ubuzima bwawe, ibibazo uhura nabyo, imiti ufata, nibindi. Hanyuma azagusuzuma. Niba afite gushidikanya kuri ibi, azagusaba gukora isuzuma ryuzuye ry'amaraso (CBC) . Iki ni ikizamini gisanzwe cy'amaraso, aho ufatwa icyitegererezo gito cy'amaraso yawe.

Ni ikihe gipimo gikwiye n'uburemere bwa granulocyte?

Ubusanzwe, umuntu muzima agomba kugira hagati ya granulocytes 1.500 na 8.500 kuri mikorolitero imwe y'amaraso. Ikintu cyose kiri hejuru y'uyu mubare cyitwa granulocytes.

Kugira ngo bisobanuke neza, dore ingano isanzwe ya buri bwoko bwa granulocyte mu maraso:

• Neutrophils: Uturemangingo 1.800-7.800 kuri mikorolitero imwe y'amaraso.
• Eosinofili: uturemangingo 0-450 kuri mikorolitero imwe y'amaraso.
• Basophil: uturemangingo 0-200 kuri mikorolitero imwe y'amaraso.

Imibare iri kuri izi raporo za laboratwari rimwe na rimwe irashobora kugorana kuyumva, sibyo? Niba rero ufite ikibazo ku biri kuri raporo yawe, vugana na muganga wawe umusobanurire. Azagusobanurira icyo iyo mibare isobanura kuri wewe.

Ibi bivurwa bite?

Uburyo bwo kuvura ibi biterwa n'impamvu nyamukuru ya granulocytosis.Biterwa n'icyo ari cyo. Mu magambo make, iyo icyateye kivuwe, akenshi izi selile zisubira ku rugero rusanzwe.

Reka turebe ingero zimwe na zimwe:

• Iyo biterwa n'indwara: Antibiyotike zishobora gutangwa ku ndwara za bagiteri. Ku ndwara za virusi, akenshi nta muti wihariye uhari, uretse kuruhuka no kunywa amazi.
• Iyo biterwa n'indwara ziterwa n'ubwiyongere bw'umubiri: Imiti igabanya ubukana bw'umubiri (urugero: corticosteroids) ishobora gutangwa.
• Niba biterwa na kanseri (urugero: CML): Bitewe n'ubwoko n'urwego kanseri ifite, ushobora gukenera kuvurwa nka chemotherapy, ubuvuzi bushingiye ku mirasire, ubuvuzi bugamije (iyi ni imiti mishya igira ingaruka ku turemangingo twa kanseri gusa), cyangwa se guterwa umwongo w'amagufwa.

Uko impamvu ituma granulocyte yawe iba nyinshi yaba iri kose, muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura. Ikintu cy'ingenzi ni ukuvura indwara iri inyuma neza. Hanyuma granulocyte nayo igomba kugabanuka.

Ese hari uburyo bwo gukumira iki kibazo?

Granulocytosis ikunze guterwa n'indi ndwara cyangwa indi ndwara. Kubera ko tudashobora gukumira izi ndwara zose, biragoye kuvuga ko iyi ndwara ishobora kwirindwa burundu. Urugero, zimwe mu mpamvu zishobora kugabanuka bitewe n'ibintu nko kugira isuku mu rwego rwo kwirinda indwara zandura, kurya indyo yuzuye no kwirinda kunywa itabi.

Niba uhuye n'iki kibazo, ntugatinye. Muganga wawe azashakisha icyabiteye kandi aguhe inama yo kuvura neza.

Niba mfite granulocytosis, ni iki nkwiye kwitega?

Niba umubare wuzuye w'amaraso yawe (CBC) ugaragaje granulocytosis, muganga wawe azagukurikiraho kureba indwara zishobora kuba zibitera. Ashobora kandi gutegeka ko hakorwa ibindi bipimo.

Hanyuma, niba ukeneye kuvurwa, ushobora kubiganiraho. Hari igihe, bitewe n'impamvu, ubuvuzi bw'igihe kirekire bushobora gukenerwa kugira ngo hagenzurwe ikibazo no kugarura urugero rwa granulocyte ku buryo busanzwe. Ariko hari aho, urugero, iyo ibi byatewe n'ubwandu buke, iyo ubwandu burushijeho koroha, indwara izagenda neza ubwayo, nta buvuzi bwihariye, kandi urugero rwa granulocyte rukagabanuka.

Muganga wawe azagusobanurira neza icyo ugomba kwitega, akurikije uko wabibonye, ​​bityo ntutinye kubaza ikibazo icyo ari cyo cyose ushobora kuba ufite.

Granulocytosis imara igihe kingana iki?

Ibi kandi biterwa n'impamvu nyamukuru. Granulocytosis ikunze kurangira iyo impamvu nyamukuru imaze kuvurwa, cyangwa imiti yayiteye ihagaritswe (ibi bishobora kubaho nk'ingaruka mbi z'imiti imwe n'imwe). Ibi bishobora gufata iminsi mike cyangwa ibyumweru, bitewe n'uko urwaye. Mu ndwara zimwe na zimwe z'igihe kirekire, granulocytes zishobora gukomeza kwiyongera kugeza igihe indwara igenzuwe.

Ni ryari ngomba kujya kwa muganga?

Niba wumva ikintu kidasanzwe cyangwa kidashimishije mu mubiri wawe, cyangwa niba ubonye ibimenyetso utari ufite mbere, nko kugira umuriro, kubabara umubiri, umunaniro ukabije, cyangwa kubabara ingingo, ni byiza kujya kwa muganga igihe icyo ari cyo cyose. Kubera ko ibimenyetso bya granulocytosis bishobora gusa n'iby'izindi ndwara nyinshi, ni ngombwa kujya kwa muganga kugira ngo umenye neza ikibazo kirimo.

Niba usanzwe uvurwa indwara ijyanye na granulocytosis, kandi ukaba wumva ibimenyetso byawe birushaho kwiyongera cyangwa niba ugaragaje ibimenyetso bishya, vugana na muganga wawe ako kanya. Ashobora kugufasha guhangana n'ibimenyetso byawe.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Gusobanukirwa neza ibyavuye mu gupima amaraso yawe n'uko umeze bizagufasha gufata ibyemezo bifatika ku buzima bwawe. Niba ufite granulocytosis, ushobora kubaza muganga wawe ibi bibazo:

• Umubare w'uturemangingo twanjye uri hejuru gute? Bisobanura iki?
• Ni ibihe bibazo ukeka? Ni ibihe bizamini bikenewe kugira ngo byemezwe?
• Ni ubuhe buryo bwo kuvura ibi? Ni iki wakwitega muri ubwo buryo bwo kuvura?
• Ese ngomba guhindura imibereho yanjye?
• Iyi ndwara izamara igihe kingana iki? Ese ishobora kongera kubaho?

Amaherezo, ibintu byo kwibuka

Granulocytes ni abasirikare b'ingenzi cyane mu buvuzi bwacu bw'umubiri. Izi selile zifasha mu kurinda umubiri wacu indwara zitandukanye.

Ariko, umubare munini w’uturemangingo tw’amaraso mu maraso ushobora kugaragaza ikibazo cy’ubuzima. Niba ufite uturemangingo tw’amaraso, muganga wawe azakora iperereza ku mpamvu yabyo. Iyo impamvu imaze kuboneka, azategura gahunda y’ubuvuzi ikubereye.

Igikuru ni ukudatinya, gukurikiza amabwiriza ya muganga wawe, no kwipimisha no kuvurwa ukeneye. Niba indwara yawe ari ikibazo gikomeye nka kanseri, hari uburyo bwinshi bwo kwitabaza kugira ngo ubone amakuru arambuye n'ubufasha. Baza muganga wawe nabyo. Ntabwo uri wenyine, kandi hari abantu benshi, barimo n'abaganga, bashobora kugufasha muri uru rugendo.

Granulocytosis , uturemangingo tw'amaraso, ibizamini by'amaraso, indwara zandura, ubudahangarwa bw'umubiri, ibimenyetso, impamvu