Ingabe kukhona ukwanda kohlobo lweseli elimhlophe egazini lakho? Ake sixoxe nge-Granulocytosis!

Kumelwe ukuba washaqeka kancane lapho ubona ukuthi ukuhlolwa kwegazi lakho kubonise inani eliphezulu lama-granulocyte, uhlobo lweseli elimhlophe legazi. Udokotela wakho kungenzeka ukuthi ukutshelile ngakho. Ingabe lokhu kuyinto okufanele uyesabe ngempela? Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.

Kuyini i-Granulocytosis?

Kalula nje, amangqamuzana amhlophe egazi emizimbeni yethu afana nonogada bomzimba. Iqembu elikhethekile lamangqamuzana amhlophe egazi abizwa ngokuthi ama-granulocyte atholakala egazini lethu futhi ngezinye izikhathi ezicutshini zethu.

Kunezinhlobo eziningana eziyinhloko zama-granulocyte:

• Ama-neutrophil
• Ama-Eosinophil
• Ama-Basophil
• Kukhona nohlobo lweseli olubizwa ngokuthi amaseli e-mast ezicutshini.

Konke lokhu kusebenza ndawonye ukulwa namagciwane kanye nezinto ezibangela ukungezwani komzimba ezingena emizimbeni yethu, kanye nokulawula ukuvuvukala. Cabanga nje, lapho igciwane lingena emizimbeni yethu, lawa ma-granulocyte yiwo okuqala ukulwa nalo.

Ngakho-ke, uma inani lama-granulocyte egazini liphezulu kunejwayelekile, libizwa ngokuthi i-granulocytosis . Lokhu ngokuvamile kusho ukuthi kukhona okungahambi kahle emzimbeni, ikakhulukazi ukutheleleka.

Akukhona lokho kuphela, ngezinye izikhathi inani lama-granulocyte linganda ngenxa yezifo ezizimele (isibonelo, i-rheumatoid arthritis, okuyisifo lapho amasosha omzimba wethu ehlasela khona amangqamuzana ethu) noma izimo zomnkantsha wamathambo (isibonelo, izimo zomdlavuza wegazi njenge-chronic myeloid leukemia (CML)).

Kodwa ungakhathazeki kakhulu uma uzwa ukuthi ama-granulocyte akho aphezulu. Kungaba nezizathu eziningi zalokhu, hhayi zonke ezingathi sína. Udokotela wakho uzokutshela okwengeziwe ngalokhu.

Uyini umehluko phakathi kwe-granulocytosis ne-leukocytosis?

La magama amabili angabonakala edida kancane. I-leukocytosis ibhekisela ekwandeni kwenani eliphelele lamaseli amhlophe egazini lethu. Lokhu akubandakanyi ama-granulocyte kuphela, kodwa nezinye izinhlobo zamaseli amhlophe egazi abizwa ngokuthi ama-monocyte nama-lymphocyte.

Kodwa i-granulocytosis iwukwanda kohlobo lweseli olubizwa ngokuthi i-granulocyte (lokho yi-neutrophils, i-eosinophils, kanye ne-basophils esikhulume ngazo ngaphambilini). Uyaqonda?

Uyini umehluko phakathi kwe-Granulocytosis ne-Agranulocytosis?

Lokhu kungolunye uhlangothi. I-granulocytosis ukwanda kwama-granulocyte. I-Agranulocytosis yilapho umongo wethu wethambo ungakhiqizi ngokwanele uhlobo olukhethekile lwe-granulocyte olubizwa ngokuthi ama-neutrophils. Lokhu kusho ukuthi la maseli ayancipha. Lesi futhi yisimo esidinga ukunakekelwa.

Ziyini izimpawu zalesi simo?

Izimpawu ze-granulocytosis ziyahlukahluka kakhulu kuye ngembangela. Indlela umuntu ngamunye azizwa ngayo nayo ingahluka. Ngezinye izikhathi, ingatholakala ngengozi ngesikhathi sokuhlolwa kwegazi kwesinye isimo, ngaphandle kwezimpawu.

Ake sithi unesifo esibangelwa amagciwane . Ungase ube nezimpawu ezifana nalezi:

• Ikhanda elibuhlungu
• Imfiva
• Ukukhathala, umuzwa wobuthakathaka
• Isicanucanu, ukuhlanza

Noma, uma unesimo esifana ne -rheumatoid arthritis , lapho lawa ma-granulocyte anda khona, ungase ubhekane nezinto ezifana nalezi:

• Ubuhlungu bamalunga (i-arthritis)
• Ukuqina kwamalunga nokuvuvukala ekuseni, njengokungathi kunzima ukwelula izitho

Ngezinye izikhathi, kungabangelwa yisimo somdlavuza wegazi, njenge- Chronic Myeloid Leukemia (CML) . Kuleso simo, ungase ube nezimpawu ezifana nalezi:

• Ukukhathala okuqhubekayo
• Ukujuluka ebusuku
• Ukuzizwa usuthi ngisho nangemva kokudla kancane (ukuzizwa sengathi usuthi ngokushesha)
• Ukuvuvukala noma ukungakhululeki ohlangothini olungaphezulu kwesobunxele lwesisu (kungase kube ngenxa yokwanda kwe-spleen)

Lezi ezinye zezimpawu eziyinhloko ongase uzibone. Kodwa-ke, ukuba nalezi zimpawu akusho ukuthi une-granulocytosis. Yingakho kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okunembile.

Yiziphi izimbangela ze-granulocytosis?

Kunezizathu eziningi ezingathinta lesi simo. Ezinye zazo ziyizinkinga zesikhashana ezizolulama ezinsukwini ezimbalwa. Ezinye zazo zingaba izifo zesikhathi eside (ezingapheli).

Izizathu eziyinhloko ezibonwayo yilezi:

• Ukutheleleka: Ukutheleleka okuhlukahlukene okubangelwa amagciwane, amagciwane, kanye nezinambuzane. Isibonelo, i-pneumonia, umkhuhlane we-dengue, noma ngisho nomkhuhlane omkhulu kungabangela lokhu.
• Izifo ezithinta amasosha omzimba: Njengoba sesixoxile ngaphambili, izifo ezifana ne-Rheumatoid Arthritis kanye ne-Lupus zibangelwa ukungasebenzi kahle kwesimiso somzimba wethu sokuzivikela.
• Ama-neoplasm e-myeloproliferative:Lezi yizinhlobo ezingavamile zomdlavuza wegazi. Izibonelo zifaka phakathi izimo ezifana ne-chronic myeloid leukemia (CML), i-polycythemia vera, kanye ne-essential thrombocythemia.

Ezinye izizathu:

• I-Sepsis: Ukutheleleka okukhulu okusakazeka emzimbeni wonke. Lesi yisimo esidinga ukwelashwa okuphuthumayo.
• Isifo senhliziyo.
• Ukwehluleka kwezinso.
• Umdlavuza we-Metastatic: Umdlavuza oqale endaweni eyodwa emzimbeni wabe ususakazekela kwezinye izindawo.
• Isifo samathumbu esivuvukalayo: Isifo samathumbu esivuvukalayo (isib. isifo sikaCrohn, i-ulcerative colitis).
• Ukusha okukhulu.
• Ukubhema: Ababhemayo bangaba nenani elandayo lala maseli.
• Ukucindezeleka okukhulu ngokomzwelo noma ngokomzimba: Njengangemva kokuhlinzwa okukhulu noma ngemva kokuhlukumezeka okukhulu.
• Eminye imithi: Isibonelo, imithi efana ne-corticosteroids kanye ne-lithium nayo ingayibangela.

Lesi simo se-granulocytosis sitholakala kanjani?

Udokotela uzoqala akubuze ngomlando wakho wezokwelapha, ukuthi yiziphi izinkinga obhekene nazo, ukuthi imiphi imithi oyiphuzayo, njll. Ngemuva kwalokho uzokuhlola. Uma enokungabaza ngalokhu, uzokucela ukuthi wenze ukuhlolwa kwegazi okuphelele (i-CBC) . Lokhu ukuhlolwa kwegazi okuvamile, lapho kuthathwa khona isampula encane yegazi lakho.

Ingakanani inani elifanele kanye nobukhali be-granulocytosis?

Ngokuvamile, umuntu ophilile kufanele abe nama-granulocyte aphakathi kuka -1,500 no-8,500 nge-microliter ngayinye yegazi. Noma yini engaphezu kwaleli nani ibizwa ngokuthi i-granulocytosis.

Ukuze sichaze kabanzi, nansi inani elijwayelekile lohlobo ngalunye lwe-granulocyte egazini:

• Ama-neutrophil: amaseli angu-1,800-7,800 nge-microliter ngayinye yegazi.
• Ama-eosinophil: amaseli angu-0-450 nge-microliter ngayinye yegazi.
• Ama-Basophil: amaseli angu-0-200 nge-microliter ngayinye yegazi.

Izinombolo ezikule mibiko yelebhu zingaba nzima ukuziqonda ngezinye izikhathi, akunjalo? Ngakho-ke uma unemibuzo mayelana nokuthi yini esembikweni wakho, khuluma nodokotela wakho umchazele. Uzochaza ukuthi lezo zinombolo zisho ukuthini kuwe.

Kuphathwa kanjani lokhu?

Ukwelashwa kwalokhu kuncike embangela eyisisekelo ye-granulocytosis.Kuya ngokuthi kuyini. Kalula nje, uma imbangela yelashwa, isikhathi esiningi la maseli abuyela emazingeni ajwayelekile.

Ake sibheke ezinye izibonelo:

• Uma kungenxa yokutheleleka: Ama-antibiotic anganikezwa ukutheleleka ngamagciwane. Ukutheleleka ngamagciwane, ngokuvamile awekho umuthi othize, ukuphumula kanye noketshezi kuphela.
• Uma kungenxa yezimo zokuzivikela komzimba: Ama-immunosuppressants (isib. ama-corticosteroids) anganikezwa.
• Uma kungenxa yomdlavuza (isb. i-CML): Kuye ngohlobo kanye nesigaba somdlavuza, kungadingeka ukuthi welashwe njengokwelashwa ngamakhemikhali, ukwelashwa ngemisebe, ukwelashwa okuqondisiwe (lena imithi emisha ethinta kuphela amangqamuzana omdlavuza), noma mhlawumbe ukufakelwa umnkantsha wamathambo.

Kungakhathaliseki ukuthi kungani inani lakho lama-granulocyte liphezulu, udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe. Into ebaluleke kakhulu ukwelapha isimo esiyisisekelo ngendlela efanele. Khona-ke inani lama-granulocyte kufanele lehle.

Ingabe ikhona indlela yokuvimbela lesi simo?

I-granulocytosis ivame ukubangelwa esinye isifo noma isimo. Ngakho-ke, njengoba singenakukwazi ukuvimbela zonke lezi zifo, kunzima ukusho ukuthi lesi simo singavinjelwa ngokuphelele. Isibonelo, ezinye izimbangela zingancishiswa ngezinto ezifana nokuhlala uhlanzekile ukuze uvikele ezifweni, ukudla ukudla okulinganiselayo, nokugwema ukubhema.

Uma uhlangabezana nalesi simo, ungesabi. Udokotela wakho uzophenya imbangela futhi ancome ukwelashwa okungcono kakhulu.

Uma ngine-granulocytosis, yini okufanele ngiyilindele?

Uma inani lakho eliphelele legazi (i-CBC) libonisa i-granulocytosis, udokotela wakho uzobheka izimo ezingase ziyibangele. Angase futhi acele ukuhlolwa okwengeziwe.

Ngemuva kwalokho, uma udinga ukwelashwa, ungakhuluma ngakho. Ngezinye izikhathi, kuye ngokuthi imbangela ikuphi, ukwelashwa kwesikhathi eside kungadingeka ukulawula isimo nokubuyisela izinga le-granulocyte esimweni esijwayelekile. Kodwa kunezinye izimo, isibonelo, uma lokhu kubangelwa ukutheleleka okuncane, lapho ukutheleleka kuba ngcono, isimo sizoba ngcono ngokwaso, ngaphandle kokwelashwa okukhethekile, futhi izinga le-granulocyte lizoncipha.

Udokotela wakho uzochaza kahle ukuthi yini okufanele uyilindele, ngokusekelwe ekuxilongweni kwakho, ngakho ungesabi ukubuza noma yimiphi imibuzo ongase ube nayo.

I-granulocytosis ihlala isikhathi esingakanani?

Lokhu kuncike futhi embangela eyisisekelo. I-granulocytosis ivame ukuphela uma imbangela eyisisekelo seyelashwe, noma imithi eyibangele imisiwe (lokhu kungenzeka njengomphumela oseceleni wemithi ethile). Lokhu kungathatha izinsuku ezimbalwa noma amasonto, kuye ngesimo sakho. Kwezinye izimo zesikhathi eside, ama-granulocyte angase ahlale ephakeme kuze kube yilapho isimo silawulwa.

Kufanele ngimbone nini udokotela?

Uma uzizwa into engavamile noma engakhululekile emzimbeni wakho, noma uma uzwa izimpawu ongazange ube nazo ngaphambili, njengomkhuhlane, izinhlungu zomzimba, ukukhathala okukhulu, noma ubuhlungu bamalunga, kungcono ukubona udokotela nganoma yisiphi isikhathi. Ngenxa yokuthi izimpawu ze-granulocytosis zingafana nezezinye izifo eziningi, kubalulekile ukubona udokotela ukuze uthole ukuthi yini ngempela engalungile.

Uma usuvele welashwa ngesimo esihlobene ne-granulocytosis, futhi uzizwa izimpawu zakho ziba zimbi kakhulu noma uma uba nezimpawu ezintsha, khuluma nodokotela wakho ngokushesha. Angakusiza ukuthi uphathe izimpawu zakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ukuqonda kahle imiphumela yokuhlolwa kwegazi lakho kanye nesimo sakho kuzokusiza ukuthi wenze izinqumo ezinolwazi mayelana nempilo yakho. Uma une-granulocytosis, ungabuza udokotela wakho le mibuzo:

• Ingakanani inani lama-granulocyte ami? Kusho ukuthini?
• Yiziphi izimo osola ukuthi zikhona? Yiziphi izivivinyo ezidingekayo ukuze ziqinisekiswe?
• Yiziphi izindlela zokwelapha lokhu? Yini ongayilindela ekwelashweni?
• Ingabe kudingeka ngenze izinguquko endleleni yami yokuphila?
• Lesi simo sizohlala isikhathi esingakanani? Ingabe singaphinde sivele?

Okokugcina, izinto okufanele uzikhumbule

Ama-granulocyte angamasosha abaluleke kakhulu ohlelweni lwethu lokuzivikela komzimba. Lawa maseli asiza ekuvikeleni imizimba yethu ezifweni ezahlukahlukene.

Kodwa-ke, inani elikhulu lama-granulocyte egazini lingabonisa inkinga yezempilo eyisisekelo. Uma une-granulocytosis, udokotela wakho uzophenya imbangela. Uma imbangela isitholakele, uzokwakha uhlelo lokwelashwa olufanele wena.

Into ebaluleke kakhulu ukungesabi, ukulandela imiyalelo kadokotela wakho, nokuthola izivivinyo nokwelashwa okudingayo. Uma ukuxilongwa kwakho kuyinto engathi sína njengomdlavuza, kunezinsiza eziningi namaqembu ongaphendukela kuwo ukuze uthole ulwazi olwengeziwe kanye nokusekelwa. Buza udokotela wakho ngalokho futhi. Awuwedwa, futhi kunabantu abaningi, okuhlanganisa nodokotela, abangakusiza kulolu hambo.

I- granulocytosis, amaseli amhlophe egazi, ukuhlolwa kwegazi, izifo, amasosha omzimba, izimpawu, izimbangela