Wake wabheka umbiko we-Full Blood Count wazibuza, "Kuyini lokhu?" Phakathi kwalawo magama, kungenzeka ukuthi uke wabona igama elithi "ama-Eosinophil." Ngezinye izikhathi udokotela angase athi, "O... inani lama-eosinophil liphezulu kancane, akunjalo?" Ngakho-ke siyazibuza, "Bangobani lawa ma-eosinophil? Kwenzekani uma lelo nani landa?" Leyo impendulo yalowo mbuzo esizoxoxa ngawo kulesi sihloko namuhla, ngendlela elula kakhulu nangendlela enobungane.
Ngakho-ke, bangobani laba ma-eosinophil? Uyini umsebenzi wabo?
Kalula nje, ama-Eosinophil awuhlobo lwamaseli amhlophe egazi emzimbeni wethu. Cabanga ukuthi umzimba wethu ufana nezwe. Bese kuba nebutho elivikela lelo zwe. Yilokho kanye uhlelo lokuzivikela lomzimba wethu oluyikho. Amaseli amhlophe egazi angamasosha aqeqeshwe ngokukhethekile kulesi simiso sokuzivikela.
Kunezinhlobo ezahlukene zamaseli amhlophe egazi kuleli butho. Okungukuthi, njengebutho, ibutho lasolwandle, kanye nebutho lomoya. Ngokufanayo, amaseli ethu amhlophe egazi ahlukaniswe ngezinhlobo ezintathu eziyinhloko. Lezo yizinhlobo ezibizwa ngokuthi `(granulocytes)`, `(lymphocytes)`, kanye `(monocytes)`. Lapha, amandla akhethekile eqenjini `(granulocytes)` abizwa ngokuthi ama-Eosinophils.
Manje ake sibone ukuthi yimiphi imisebenzi yabo eyinhloko:
- Ukulwa nezimbungulu: Lapho izifo ezibangelwa yizimbungulu ezifana nezibungu zingena emizimbeni yethu, lawa ma-eosinophil yiwo aqala ukuzolwa nawo. Njengebutho elikhethekile lama-commando. Amaseli awo aqukethe izimbungulu ezincane eziqukethe amaprotheni anobuthi. Lapho kufika umhlaseli, lawa ma-granule ayaqhuma futhi abhubhise izimbungulu ngobuthi. Isibonelo, asebenza kakhulu ezifweni ezifana nezimbungulu.
- Ukusebenza kokungezwani komzimba: Ingabe une-allergy othulini, ekudleni, noma empoveni? Lawa ma-eosinophil asebenza kakhulu ngesikhathi sokungezwani komzimba. Umsebenzi wawo uphinde uthinte ukuvuvukala, ukubomvu, kanye nokulunywa kwezingxenye ezahlukene zomzimba ngenxa yokungezwani komzimba.
- Ukuhlasela izinhlobo ezithile zamagciwane: Ezinye izinhlobo zamagciwane zingacasha ngaphakathi kwamangqamuzana emizimba yethu futhi zibangele izifo. Ama-eosinophil nawo asiza ekutholeni nasekubhubhiseni izitha ezinjalo.
Kalula nje, ama-eosinophil angamandla akhethekile ohlelweni lokuzivikela lomzimba wethu olulwa nezifo, ikakhulukazi izimuncagazi kanye nokungezwani komzimba.
Zikuphi lezi Eosinophils emzimbeni wethu? Singazibona kanjani?
Ama-eosinophil akhiqizwa emnkantsheni wamathambo ngaphakathi kwamathambo ethu. Kufana nesikole sokuqeqesha amasosha. Ngemva kokuba esevuthiwe, angena egazini futhi ajikeleze kuwo wonke umzimba. Kodwa ahlala isikhathi esiningi ezicutshini zomzimba wethu.
Izindawo ezivame kakhulu zokuzibona yilezi:
- Igazi
- Umkantsha
- Amaphaphu
- Isikhumba
- Isisu namathumbu
- Izicubu zamafutha
Ungase uzibuze ukuthi zibukeka kanjani. Zincane kakhulu. Zingabonakala kuphela nge-microscope. Ngokuvamile, lawa maseli awanombala. Kodwa uma ufaka udayi okhethekile kuwo elabhorethri, aphenduka umbala omuhle opinki noma onsomi. Akhulu kancane kunamanye amaseli. I-nucleus yawo ikhethekile kakhulu. Ibukeka njengamaconsi amabili amanzi axhunywe ngentambo encane.
Ingakanani inani elijwayelekile lama-eosinophil?
Ama-eosinophil ngokuvamile akha ngaphansi kuka-5% wamaseli amhlophe egazi aphelele egazini lomuntu omdala onempilo. Ngokuphathelene namanani, izinga elijwayelekile liphakathi kwamaseli angu-30 no-350 nge-microliter ngayinye yegazi .
Kodwa khumbula, akukho okufanele ukwesabe uma leli nani liphansi kancane embikweni wegazi owake wawenza. Ngoba amanye amaseli ohlelweni lwethu lokuzivikela komzimba asebenza ukuvala leso sikhala. Kodwa uma leli nani liqhubeka liphansi, kubalulekile ukukhuluma nodokotela ngakho.
Esikhathini esiningi, ukugxila kwethu kukwandisa inani lama-eosinophil. Lokhu sikubiza ngokuthi ``(Eosinophilia)``. Kunezigaba ezintathu zalokhu.
| Izinga le-Eosinophilia (Ubunzima) | Inani lamaseli nge-microliter ngayinye yegazi |
|---|---|
| Okuncane | Amaseli aphakathi kuka-500 no-1,500 |
| Okumaphakathi | Amaseli aphakathi kuka-1,500 no-5,000 |
| Izinga eliphezulu kakhulu (Elibi kakhulu) | Amaseli angaphezu kuka-5,000 |
Yiziphi izimo zezokwelapha ezingabangela ushintsho ekubalweni kwama-eosinophil?
Kunezizathu eziningana zokuthi kungani inani lama-eosinophil lingahlukahluka kusuka emazingeni ajwayelekile. Ake sibheke ukuthi ziyini.
Ukwehla kwenani lama-eosinophil (i-Eosinopenia)
Lesi yisimo esingavamile kakhulu. Inani eliphansi kunelijwayelekile lama-eosinophil libizwa ngokuthi "i-Eosinopenia". Kunezizathu ezimbili eziyinhloko zalokhu:
- I-Cushing's syndrome: Isimo esibangelwa ukukhiqizwa ngokweqile kwe-hormone i-cortisol emzimbeni. Uma le hormone yanda, inani lama-eosinophil lingancipha.
- I-Sepsis: Isimo esibi lapho ukutheleleka kubangela ukuvuvukala okukhulu kanye nokujiya kwegazi emzimbeni wonke.
Kodwa njengoba kushiwo ngaphambili, ukwehla kwesikhashana kwenani lama-eosinophil akuyona ingozi enkulu empilweni.
Ukwanda kwenani lama-eosinophil (i-Eosinophilia)
Lesi yisimo esisibonayo nesikhuluma ngaso ngaso sonke isikhathi. Kunezizathu eziningi zokuthi kungani inani lama-eosinophil linganda. Ngezinye izikhathi la maseli e-eosinophil andayo angaqongelela ezingxenyeni ezahlukene zomzimba futhi abangele izinkinga.
- Izinkinga Zesisu Ezingaphefumuli (EGID): Lesi yisimo esivame kakhulu. Okwenzeka lapha ukuthi inani elikhulu lamaseli e-eosinophil anamathela odongeni lomgudu wokugaya ukudla (umphimbo, isisu, amathumbu) futhi abangele ukuthi avuvuke. Isibonelo, uma lokhu kwenzeka emhubheni, kubizwa ngokuthi `(eosinophilic esophagitis)`. Lokhu kungabangela izimpawu ezifana nobunzima bokugwinya kanye nobuhlungu besisu.
- Izinkinga Zamaphaphu Ezingafihli Kakhulu: Amaseli e-Eosinophil aqoqana emaphashini futhi abangele ukuvuvukala. Lokhu kufana ne-asthma enzima. Izimpawu ezifana nokuphelelwa umoya nokukhwehlela zingase zibe khona.
- Izinkinga Zegazi Nezicubu Ezingafihli: Ngezinye izikhathi lawa maseli angalimaza izicubu ezingaphansi kwesikhumba, imithambo yegazi, kanye nezitho ezibalulekile njengenhliziyo nezinso.
Yiziphi izimpawu ezibonisa ushintsho ekubalweni kwama-eosinophil?
Izimpawu zezifo ezihlobene ne-eosinophil zivame ukuvela maqondana nendawo lapho amaseli eqoqana khona futhi abangele umonakalo. Kodwa-ke, kunezimpawu eziningana ezivamile ezingabonakala.
- Ukukhwehlela nobunzima bokuphefumula
- Ubuhlungu besisu
- Ukukhathala
- Ukuqubuka kwesikhumba kanye nezilonda (ukuqubuka)
- Ama-blister agcwele ubomvu esikhumbeni
- Ukuvuvukala emzimbeni
Yini ebangela lezi zimo?
Nazi ezinye zezizathu eziyinhloko zokuthi kungani inani lama-eosinophil likhuphuka:
- Ukungezwani komzimba: Ukungezwani komzimba nothuli, impova, kanye nokudla okuthile.
- Ukutheleleka ngamagciwane: ikakhulukazi ukutheleleka kwezibungu.
- Izifo zesikhumba: Izimo ezifana ne-eczema kanye nokuqubuka.
- I-asthma: Inani lama-eosinophil lingase likhuphuke ezigulini ezine-asthma.
- Ukusabela kweminye imithi.
- Ezinye izinhlobo zomdlavuza: Kodwa lokhu akuvamile kakhulu.
Yiziphi izivivinyo ezenziwayo ukuze kutholakale lezi?
Uma udokotela wakho esola ukuthi inani lama-eosinophil alijwayelekile, into yokuqala abazoyenza ukubala igazi eligcwele (i-FBC) . Lokhu kuzohlola inani lamaseli amhlophe egazi kanye nephesenti lama-eosinophil.
Ngaphezu kwalokho, kungenziwa izivivinyo ezengeziwe ukuthola imbangela eqondile.
- Inani Eliphelele Lama-Eosinophil: Lokhu futhi ukuhlolwa kwegazi. Kodwa-ke, akukwazi ukubona kuphela iphesenti lama-eosinophil, kodwa futhi nenani langempela lamaseli e-eosinophil egazini.
- Ukuhlolwa Kwe-Bone Marrow Biopsy: Lena akuyona inqubo evamile. Uma inani le-eosinophil liphezulu kakhulu noma uma kusolwa esinye isimo esibi, kuthathwa isampula encane yomongo bese ihlolwa.
- Ezinye izivivinyo: Kuye ngezimpawu zakho, kungenziwa isampula yendle (ukuhlola amaqanda ezikelemu), i-X-ray yesifuba, noma i-biopsy yezicubu.
Ingabe ukwanda kwenani lama-eosinophil kungaba uphawu lomdlavuza?
Lona umbuzo abantu abaningi abawesabayo. Eqinisweni, akuvamile kakhulu, inani eliphakeme lama-eosinophil lingaba uphawu lwezinhlobo ezithile zomdlavuza. Isibonelo, lesi simo singabonakala kumdlavuza wegazi njenge-Hodgkin lymphoma, noma umdlavuza webele, wesibeletho, noma umdlavuza wamathumbu amakhulu.
Kodwa okufanele ukukhumbule lapha ukuthi akuwona wonke umuntu onenani eliphezulu lama-eosinophil onomdlavuza. 99% wesikhathi, imbangela iyinto elula njengokungezwani komzimba noma ukutheleleka yizibungu. Ngakho-ke, ungesabi bese ucabanga ukuthi unesifo uma ubona inani eliphezulu lama-eosinophil embikweni wakho wegazi. Uma udokotela wakho enokungabaza, uzokwenza izivivinyo ezidingekayo ukuze athole futhi akuchazele kahle.
Yiziphi izindlela zokwelapha lezi zimo?
Ukwelashwa kuncike embangela eyisisekelo yokushintsha kwenani lama-eosinophil.
Ukwelashwa kwenani eliphezulu le-eosinophil
- Ukwelapha Imbangela: Uma imbangela iwukungenwa yizibungu, inani lama-eosinophil lizobuyela esimweni esijwayelekile ngemva kokukhipha izibungu. Uma imbangela iwukungezwani komzimba, lokhu kungalawulwa ngokugwema i-allergen (isib. ukudla, uthuli) nokusebenzisa imithi yokungezwani komzimba.
- Imithi yokulwa nokuvuvukala:Uma amangqamuzana e-eosinophil ebanga ukulimala kwezicubu, lesi simo silawulwa ngokunikeza imithi efana nama-steroid.
Ukwelashwa kwenani eliphansi le-eosinophil
Ngokuvamile, lokhu akudingi ukwelashwa okukhethekile. Umzimba uzolungisa lesi simo ngokwawo. Uma imbangela iwukusebenzisa utshwala, kubalulekile ukuyeka lowo mkhuba.
Siwagcina kanjani amaseli ethu e-Eosinophil ephilile?
Izinto ezifanayo esizenzayo ukugcina wonke amasosha omzimba wethu ephilile nazo zizuzisa impilo yamaseli e-eosinophil.
- Nakekela ukuhlanzeka: Ukugeza izandla njalo, amanzi ahlanzekile, nokudla ukudla okuhlanzekile kungasiza ekuvimbeleni izifo ezibangelwa amagciwane.
- Yidla ukudla okunempilo: Ukudla ukudla okunempilo kuqinisa amasosha omzimba. Kubalulekile futhi ukupheka ukudla kwakho kahle.
- Gwema izinto ezingalungile kuwe: Gwema ukudla, iziphuzo, noma ezinye izinto ezikwenza uzwele.
- Nciphisa ukusetshenziswa kotshwala.
Umlayezo Wokuya Nawe Ekhaya
- Ama-eosinophil awuhlobo olubalulekile lweseli ekuzivikeleni kwemizimba yethu, ikakhulukazi lawo alwa nezinambuzane kanye nokungezwani komzimba.
- Uma ukuhlolwa kwegazi lakho kubonisa inani eliphakeme le-eosinophil (`eosinophilia`), ungakhathazeki. Kungase kube ngenxa yesimo esilula njenge-asthma, i-allergies, noma ukutheleleka yizibungu.
- Inani eliphakeme lama-eosinophil liwuphawu lomdlavuza ezimweni ezingavamile kakhulu, ngakho-ke ungasheshi ufinyelele esiphethweni ngokwakho.
- Uma unemibuzo mayelana nemiphumela yokuhlolwa kwegazi lakho noma yiziphi izimpawu ozizwayo, umuntu ongcono kakhulu nofaneleke kakhulu ongakhuluma naye udokotela wakho. Mbuze futhi usule ukungabaza kwakho.
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