Ese ufite lymphocytes nke mu maraso yawe? Reka tuvuge kuri lymphopenia!

Ese ukunze kurwara? Hari igihe n'ibicurane bito bitwara igihe kirekire kugira ngo bikire, cyangwa uhora wumva ufite intege nke? Impamvu imwe y'ibi bintu ishobora kuba igabanuka ry'ubwoko bw'uturemangingo tw'amaraso tw'umweru twitwa lymphocytes, tumeze nk'abasirikare mu mubiri wawe barwanya indwara. Abaganga bita iyi ndwara 'lymphopenia.' None se, reka tubiganireho mu buryo burambuye uyu munsi, si byo se? Si ikintu cyo gutinya, ni ngombwa kubimenya.

Lymphopenia ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Muri make, lymphopenia ni indwara aho umubare wa lymphocytes mu maraso yawe uba uri hasi ugereranije n'ibisanzwe. Ubu ushobora kuba wibaza ibyo lymphocytes ari byo.

Hari ubwoko bw'uturemangingo tw'amaraso twera mu maraso yacu. Utwo turemangingo tw'amaraso twera ni two tuturinda turwanya mikorobe zinjira mu mibiri yacu, ni ukuvuga bagiteri na virusi zitera indwara. Ni nk'ingabo nto mu mibiri yacu. Hagati ya 20% na 40% by'utu turemangingo tw'amaraso twera ni two turemangingo twihariye twitwa Lymphocytes.

Imirimo y'ingenzi y'izi selile z'amaraso (Lymphocytes) ni iyi:

• Kurwanya mikorobe (virusi, bagiteri, udukoko, ibihumyo) byinjira mu mubiri.
• Gusenya uturemangingo tudasanzwe, nk'uturemangingo twa kanseri.
• Gukora nk'igice cy'ingenzi cy'ubudahangarwa bw'umubiri wacu.

Hari ubwoko butatu bw'ingenzi bwa lymphocytes:

• T-lymphocytes cyangwa T-cells: Izi zifasha mu buryo butaziguye gusenya uturemangingo twanduye n'uturemangingo twa kanseri.
• B-lymphocytes cyangwa B-cells: Izi ni zo zikora antibody. Izi antibody zifasha kumenya no kwibasira mikorobe.
• Uturemangingo tw’umwicanyi karemano (NK cells): Tugira uruhare mu kwangiza uturemangingo twanduye virusi n’uturemangingo twa kanseri.

Rero, iyo umubare wa lymphocytes ugabanutse, ni ukuvuga iyo indwara yitwa lymphopenia ibaye, ubushobozi bw'umubiri wacu bwo kurwanya indwara buragabanuka. Icyo gihe, indwara zishobora kwiyongera byoroshye, kandi indwara ziyongera zishobora gufata igihe kirekire kugira ngo zikire.

Lymphopenia izwi kandi nka lymphocytopenia na lymphocytic leukopenia. Leukopenia yerekeza ku kugabanuka kw'uturemangingo tw'amaraso tw'umweru muri rusange. "Lymphocytic" leukopenia yerekeza ku kugabanuka kw'uturemangingo tw'amaraso by'umwihariko.

Hakwiye kubaho limfosite zingahe ubusanzwe?

Umubare w'izi selile z'amaraso (Lymphocytes) uratandukanye hagati y'abantu bakuru n'abana.

• Ku bantu bakuru: Ubusanzwe, hagomba kuba hari uturemangingo tw’amaraso turi hagati ya 1.000 na 4.800 kuri mikorolitero imwe y’amaraso. Lymphopenia ni iyo uyu mubare uri munsi ya 1.000.
• Iy'abana:Ubusanzwe, haba hari umubare uri hagati ya 3.000 na 9.500 wa litiro imwe y'amaraso. Iki gipimo gito gishobora gutandukana bitewe n'imyaka y'umwana. Urugero, niba umwana uri munsi y'imyaka 2 afite umubare wa litiro uri munsi ya 3.000, bifatwa nk'iry'amaraso.

Izi ndangagaciro zishobora gutandukana gato bitewe na laboratwari, bityo ni byiza kuzigereranya n'agaciro mpuzandengo kari muri raporo yawe.

Ni ibihe bimenyetso bya lymphopenia?

Igishimishije ni uko iyo ufite lymphopenia yonyine, bivuze ko nta lymphocytes zihari, akenshi nta bimenyetso uba ufite. Ariko, niba hari indwara yihishe inyuma ituma umubare muto w’uturemangingo tw’amaraso ugabanuka, ushobora kugira ibimenyetso bijyanye n’iyo ndwara. Cyangwa ushobora kuba ufite indwara nyinshi.

Bimwe mu bimenyetso bishobora kugaragara ni ibi bikurikira:

• Umuriro
• Inkorora
• Izuru riva
• Uduheri ku ruhu cyangwa izindi aleriji z'uruhu
• Utudomo tw'imitsi tubyimbye
• Kubyimba ingingo
• Ibisebe byo mu kanwa
• Ibara ry'umuhondo mu maso no ku ruhu (Jaundice)
• Uduheri twagutse cyangwa splenomegali

Iyo ufite lymphopenia ikomeye, ushobora kwandura indwara kenshi, cyangwa indwara zishobora gufata igihe kirekire kugira ngo zikire. Ariko, iyo ufite lymphopenia yoroheje, ushobora kutagira ibimenyetso na bimwe.

Kuki umubare w'uturemangingo tw'amaraso ugabanuka? Ni izihe mpamvu?

Hari impamvu zitandukanye zishobora gutuma ugira lymphocytes nkeya. Hari igihe ushobora kuvukana ikibazo gitera iyi ndwara. Cyangwa gishobora no kugaragara nyuma y’ubuzima bwawe. Bitewe n’impamvu, lymphopenia ishobora kubaho ubuzima bwose (idakira) cyangwa igahita ikira (ihita ikira).

Zimwe mu mpamvu nyamukuru zitera lymphopenia ni indwara zandura, imiti imwe n'imwe, ndetse n'ibura ry'indyo.

1. Bitewe n'ubwandu

Indwara ziterwa na virusi, bagiteri, udukoko, n'ibihumyo zishobora gutuma lymphocytes zigabanuka. Dore ingero nke:

• `VIH` na `SIDA`
• Grippe (grippe) - ni ukuvuga, mu mvugo isanzwe, grippe.
• `COVID-19`
• Hepatite - indwara y'umwijima
• Malariya
• Indwara y'iseru
• Umusonga
• Igituntu

Iyo indwara nk'iyo ibayeho, uturemangingo tw'umubiri (Lymphocytes) dushobora gusenyuka kugira ngo turwanye natwo, cyangwa umusaruro watwo ugahagarara by'agateganyo.

2. Bitewe n'ibura ry'imirire

Iyi ni yo mpamvu ikomeye itera lymphopenia ku isi. Ishimire ibyo urya.Imirire mibi, cyangwa kubura vitamine n'imyunyu ngugu nka vitamine B12, aside folike, cyangwa zinc, bishobora kugira ingaruka ku ikorwa rya lymphocytes. Kubera ubuzima bwacu buhugiye, rimwe na rimwe ntitwita ku byo turya bihagije. Ibintu nk'ibi nibikomeza, bene ibi bishobora kubaho.

3. Bitewe n'imiterere y'umurage

Hariho indwara zimwe na zimwe zidasanzwe zikomoka ku ngirabuzimafatizo zihererekanywa ku babyeyi zijya ku bana. Izi ndwara zishobora no gutuma umubare w'uturemangingo tw'amaraso mu mubiri ugabanuka. Ingero zimwe na zimwe:

• `Ataxia-telangiectasia`
• "Ubukene bw'umubiri busanzwe buhinduka"
• `DiGeorge syndrome`
• "Indwara yo kudakomeza ubwirinzi bw'umubiri ikabije (SCID)"
• `Indwara ya Wiskott-Aldrich`

Ibi biragoye gato, ariko ibi ni ibihe bidasanzwe.

4. Biterwa n'indwara z'ubudahangarwa bw'umubiri

Indwara z’ubudahangarwa bw’umubiri ni igihe ubudahangarwa bw’umubiri bwacu, ari bwo buryo buturinda indwara, bwibasira uturemangingo twacu tuzima. Tekereza, ubwirinzi bw’umubiri wawe bugenda bucika intege bugatangira kurwanya uturemangingo twabwo twiza. Ibyo ni byo byose. Lymphocytes zishobora kuba zimwe mu turemangingo twibasira.

Zimwe muri izo ndwara:

• Lupus
• Sarcoidosis
• Myasthenia gravis
• Rumatizime - bivuze kubyimba ingingo

5. Bitewe n'indwara z'amaraso na kanseri

Kimwe n'izindi selile mu maraso, limfozeti zikorerwa mu musokoro w'amagufwa. Bityo, indwara z'amaraso na kanseri zigira ingaruka ku musokoro w'amagufwa zishobora kwangiza ikorwa rya limfozeti.

• Aplastic anemia - indwara ituma umwongo w'amagufwa ukora uturemangingo duke
• Lymphoma - kanseri y'urusobe rw'imitsi
• Leukemia - kanseri y'amaraso
• Indwara ya Myelodysplastic

6. Ingaruka mbi z'imiti n'uburyo bwo kuvura

Lymphocytes zishobora kugabanuka, cyane cyane bitewe n'imiti ivura kanseri n'imiti imwe n'imwe ivura indwara ziterwa n'ubwiyongere bw'umubiri.

• Gutera umwongo w'amagufwa
• Ubuvuzi bwa Chimiotherapie
• Ubuvuzi bushingiye ku mirasire
• Imiti igabanya ubudahangarwa bw'umubiri - urugero, imiti ya kortikosteroide.

7. Bitewe n'uburozi bw'inzoga

Kunywa inzoga nyinshi (nk'inzoga, divayi, n'inzoga) nabyo bishobora kugira ingaruka mbi ku mikorobe, bikagabanya umubare wazo.

Wamenya ute ko ufite lymphopenia?

Niba ukeka ko ufite lymphopenia, ni byiza kujya kwa muganga ukaganira kuri byo. Muganga azabaza amateka y'ubuzima bwawe, ibimenyetso by'ubu, n'imibereho yawe. Hanyuma bashobora gukora ibizamini bimwe na bimwe.

Gusuzumwa no kubazwa kwa muganga

• Amateka y'ubuvuzi: Muganga wawe azabaza amateka yawe y'ubuvuzi, imiti ukoresha ubu, n'uburyo uvurwa. Urugero, niba uherutse kugira COVID-19, muganga wawe ashobora gutekereza ko indwara ya virusi yatumye umubare w'uturemangingo tw'amaraso mu mubiri wawe ugabanuka. Niba ufata imiti nka corticosteroids, iyo nayo ishobora kuba impamvu.
• Isuzuma ry'umubiri: Muganga azabaza ibimenyetso byawe kandi arebe ibintu nk'umuriro, imitsi ya lymph yabyimbye, n'umwobo wagutse.
• Ibibazo by'ubuzima: Ushobora kubazwa ibijyanye n'imirire yawe kugira ngo harebwe niba ufite ikibazo cy'imirire mibi. Ushobora kandi kubazwa ibijyanye n'ubuzima bwawe bw'imibonano mpuzabitsina (nk'uko ukoresha uburyo bwizewe) kugira ngo umenye niba nta ndwara nka virusi itera SIDA ufite.

Ni ibihe bizamini bikorwa?

Hari ibizamini byinshi bisuzuma uturemangingo tw'amaraso n'umusemburo w'amagufwa.

• Umubare wuzuye w'amaraso (CBC): Ibi bibara umubare w'ubwoko bwose bw'uturemangingo mu maraso yawe (harimo n'uturemangingo tw'umweru).
• Umubare wuzuye w'amaraso ufite itandukaniro (CBC ifite itandukaniro): Ibi bibara umubare wa buri bwoko bw'uturemangingo tw'amaraso twera (harimo na platelets) ukwatwo.
• Isuzuma ry’imiyoboro y’amaraso: Iki ni ikizamini cyihariye. Gishobora gupima ubwoko butandukanye bwa lymphocytes, nka B cells, T cells, na NK cells.
• Ikizamini cy’urwego rwa immunoglobulin: Iki gipimo cy’ingano ya poroteyine zitwa antibodiste mu maraso yawe. Gishobora gufasha mu gusuzuma indwara nyinshi zifitanye isano na lymphopenia, nk'indwara zandurira mu maraso, indwara ziterwa n'ubwiyongere bw'umubiri, na kanseri.
• Isesengura ry'umusemburo w'amagufwa: Ibi ntibikorerwa buri wese, ariko muganga wawe ashobora kukugira inama yo kubisuzuma niba hari ukeka ko hari ikibazo gikomeye mu ikorwa rya lymphocytes.

Byongeye kandi, hari ibindi bizamini bishobora gukorwa kugira ngo harebwe indwara runaka zishobora gutera lymphopenia (nk'ikizamini cya SIDA, ikizamini cy'igituntu, ikizamini cy'ibicurane, cyangwa ikizamini cya COVID-19).

Ni ubuhe buryo bwo kuvura lymphopenia?

Kenshi na kenshi , lymphopenia yoroheje, cyane cyane iyo nta bimenyetso igaragara, ntabwo isaba ubuvuzi bwihariye. Iyo itewe n'ikintu nk'ubwandu, umubare wa lymphocytes uzasubira ku murongo igihe umubiri uzaba umaze gukira ubwandu.

Igikuru ni uko lymphopenia ivurwa hakoreshejwe uburyo bwo kuvura impamvu nyamukuru.

Nyuma yo kumenya icyateye lymphocytes nkeya mu mubiri wawe, muganga wawe azaguha uburyo bukwiye bwo kuvura.

Ese Lymphopenia ishobora gukira burundu?

Niba waravutse ufite ikibazo cy’uturemangingo kikubuza gukora neza lymphocytes, uburyo bwo kuvura bwitwa hematopoietic stem cell transplant rimwe na rimwe bushobora kuba umuti. Ibi bikubiyemo gukuraho uturemangingo tw’amaraso twangiritse cyangwa dufite inenge hanyuma tukabisimbuza uturemangingo tw’amaraso tuzima. Utwo turemangingo dushya hanyuma tugakora lymphocytes, ndetse n’utundi turemangingo tw’amaraso.

Ariko, ubu buryo ni uburyo bugoye bwo kuvura, kandi hari ingaruka mbi zishobora kubaho. Si buri wese ushobora kubikora. Muganga wawe azakubwira niba ibi bikubereye cyangwa bitakubereye.

Imiti ikoreshwa mu kuvura

Niba ufite lymphopenia ikomeye, bivuze ko ukunda kwandura indwara, muganga wawe ashobora kuguha inshinge za immunoglobulin (IG) . Izi nshinge zikomeza ubudahangarwa bw'umubiri wawe kandi zikagufasha kurwanya indwara. Ushobora kandi kugirwa inama yo gukomeza gufata izi nshinge za IG kugira ngo wirinde kwandura indwara kenshi.

Ese lymphopenia ishobora kwirindwa?

Lymphopenia iterwa n'impamvu za genetiki ntishobora kwirindwa. Ariko hari ibintu bimwe na bimwe ushobora gukora kugira ngo ugabanye ibyago byo kurwara lymphopenia iterwa n'izindi mpamvu:

• Irinde mikorobe: Fata intambwe zose zishoboka kugira ngo wirinde mikorobe zitera indwara.
• Imibonano mpuzabitsina itekanye: Kurikiza uburyo bwizewe kugira ngo wirinde indwara zandurira mu mibonano mpuzabitsina (STIs) nka virusi itera SIDA.
• Kugenzura inzoga: Niba unywa inzoga, gabanya. Ni byiza kutagira icupa rirenze rimwe rya byeri, ikirahuri kimwe cya divayi, cyangwa akadomo kamwe k'inzoga ku munsi.

Niba ufite lymphopenia, ni gute wakwirinda kwandura indwara?

Niba umubare w'uturemangingo tw'amaraso mu mubiri wawe uri hasi, ni ngombwa kwirinda indwara. Dore bimwe mu bintu bishobora gufasha:

• Fata urukingo: Fata urukingo rw'ibicurane na COVID-19. Baza muganga wawe izindi nkingo.
• Irinde ahantu hashobora kwandura indwara nyinshi: Irinde abantu barwaye cyangwa bashobora kuba barwaye. Gabanya ahantu hahurira abantu benshi kandi hatarimo umwuka mwiza mu nzu.
• Karaba intoki zawe kenshi: Karaba intoki zawe neza n'isabune n'amazi, cyangwa ukoreshe umuti wica intoki urimo alukolo.
• Ambara agapfukamunwa: Ambara agapfukamunwa iyo ugiye ahantu hashobora kuba hari virusi zituruka mu kirere.
• Isuku y'ibiribwa: Teka ibiryo neza. Karaba imbuto n'imboga neza mbere yo kubirya.
• Irinde imvune: Ibikomere nk'ibikomere n'ibisebe bishobora kwinjiza mikorobe mu mubiri, bityo rero itondere impanuka nk'izo.

Uretse ibi, baza muganga wawe niba hari ibintu ugomba kwitondera cyane.

Ubuzima bw'abantu bafite lymphopenia buhagaze gute? (Icyitonderwa/Isuzuma)

Ibi biterwa gusa n'impamvu ituma lymphocytes zawe ziba nke. Ubusanzwe, iyo igabanuka ryatewe n'ubwandu, umubare wa lymphocytes usubira kumera neza iyo ubwandu bumaze gukira. Ariko, iyo biterwa n'impamvu ikomeye kurushaho, inzira yo kuvura ishobora kuba ndende kandi ikagorana.

Ni ibihe bihe byiza byo kujya kwa muganga?

Niba ufite ibimenyetso by'ubwandu (nk'umuriro, inkorora, ububabare bw'umubiri), hita ubonana na muganga. Niba ufite ikibazo kigushyira mu kaga ko kwandura indwara kenshi (nk'indwara ya lymphopenia), baza muganga wawe hakiri kare ibimenyetso ukwiye gusaba inama kwa muganga.

Ese lymphopenia ni kanseri?

Oya, lymphopenia si kanseri. Ariko, ubwoko bumwe na bumwe bwa kanseri (urugero: leukemia, lymphoma) bushobora kubangamira ikorwa rya lymphocytes, bigatera lymphopenia. Nanone, bumwe mu buryo bwo kuvura kanseri (nk'imiti ivura kanseri) bushobora kugabanya by'agateganyo urugero rwa lymphocytes.

Ubutumwa bwo kujyana mu rugo

Sawa, noneho ubu usobanukiwe neza icyo twavuze uyu munsi, Lymphopenia. Wibuke:

• Lymphopenia ni ukugabanuka k'umubare wa lymphocytes, ubwoko bw'uturemangingo turwanya indwara mu maraso.
• Ibi si ikindi kintu gusa, akenshi bifitanye isano n'ubwandu, kubura intungamubiri, ingaruka mbi z'imiti, cyangwa indi ndwara.
• Kenshi na kenshi, indwara zoroheje ntizigaragaza ibimenyetso.
• Niba ukunze kurwara, cyangwa ufite gushidikanya kuri ibi, ikintu cyiza wakora ni ukujya kwa muganga no gusaba inama.
• Iyo impamvu ibonetse kandi ikavurwa neza, iyi ndwara irashobora gukemurwa.

Rero, fata neza ubuzima bwawe. Ntutinye kuvugana na muganga wawe niba ufite ikibazo. Komeza ubuzima bwiza!

Lymphopenia , uturemangingo tw'amaraso, limfositike, uturemangingo tw'amaraso umweru, ubudahangarwa bw'umubiri, indwara zandura, ibimenyetso