Ingabe inani lamaseli akho amhlophe egazi likhuphukile? (I-Leukocytosis) Ake sixoxe ngalokhu!

Usanda kuthola umbiko we-complete blood count (CBC)? Uma uthi i-white blood cell yakho iphezulu, kuyinto evamile ukuzizwa ukhathazekile futhi wesaba kancane. "O, ingabe nginokuthile okungathi sína?" ungase ucabange. Kodwa ngaphambi kokuba wethuke, ake siqonde kahle ukuthi siyini lesi simo sama-white blood cell aphezulu, noma i-leukocytosis njengoba odokotela besibiza kanjalo.

Kuyini i-leukocytosis? Kalula nje...

I-Leukocytosis yilapho inani lamaseli amhlophe egazini lakho liphezulu kunokujwayelekile. Manje cabanga ngakho njengala masosha amancane angaphakathi emizimbeni yethu. Umsebenzi wawo oyinhloko ukulwa namagciwane kanye nokutheleleka okungena emizimbeni yethu futhi kusivikele ezifweni. Ngakho-ke, uma kukhona ukutheleleka noma ukuvuvukala endaweni ethile emzimbeni, imizimba yethu ikhiqiza la masosha amaningi amaseli amhlophe egazi ukusiza kuleyo mpi. Lokho kusho ukuthi, ukwanda kwamaseli amhlophe egazi akulona njalo ingozi. Esikhathini esiningi, kusho ukuthi umzimba wakho ulwa nokutheleleka. Kodwa-ke, akuvamile kakhulu, ngezinye izikhathi lokhu kungaba uphawu lwesifo esibi njenge-leukemia. Yingakho kubalulekile ukuqaphela lokhu.

Yiziphi izinhlobo zamaseli amhlophe egazi kanye ne-leukocytosis?

Akukho uhlobo olulodwa nje lweseli elimhlophe emizimbeni yethu. Njengoba nje kunezinhlobo ezahlukene zamaseli amhlophe ebuthweni, kunezinhlobo ezinhlanu eziyinhloko zamaseli amhlophe egazi. Ngakho-ke, isimo esibizwa ngokuthi i-leukocytosis sihlukaniswa ngokusekelwe kuhlobo lweseli elimhlophe legazi elikhuliswayo.

• I-Neutrophilia: Lolu uhlobo oluvame kakhulu. Ama-neutrophil uhlobo oluvame kakhulu lwamaseli amhlophe egazi emzimbeni wethu. Yiwo asiza ekulweni nokutheleleka nokwelapha amanxeba. Uma lawa maseli eba phezulu kakhulu, abizwa ngokuthi i-neutrophilia.
• I-Lymphocytosis: Lokhu ukwanda kohlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-lymphocyte. Avikela uhlelo lwethu lwe-lymphatic.
• I-Monocytosis: Ukwanda kwamangqamuzana amhlophe egazi abizwa ngokuthi ama-monocytes. Lawa akhuthaza kakhulu ukusebenza kwesimiso sethu somzimba sokuzivikela.
• I-Eosinophilia: Ukwanda kwamaseli abizwa ngokuthi ama-eosinophils. Lawa asiza futhi ekulweni nokutheleleka kanye nezimo zokuvuvukala. Abonakala ikakhulukazi ku-allergies, izifo ezibangelwa yizinambuzane, kanye nezinye izifo ezibangelwa ukuzivikela komzimba.
• I-Basophilia: Lolu uhlobo olungavamile lwe-leukocytosis. Lubonakala ngokwanda kwamaseli abizwa ngokuthi ama-basophil. Lawa maseli alwa nokutheleleka kwezinambuzane, avimbela ukujiya kwegazi, futhi ahilelekile ekuphenduleni kwe-allergy.

Manje cishe usuyaqonda, akunjalo? Ngisho noma amangqamuzana amhlophe egazi ekhulile, kunezici ezahlukene kuwo.

Kusho ukuthini ngempela ukubalwa kwamangqamuzana amhlophe egazini?

Njengoba sishilo ngaphambili, amangqamuzana amhlophe egazi ayingxenye ebaluleke kakhulu yesimiso sethu sokuzivikela komzimba. Akhiqizwa emnkantsheni wethu wamathambo. Yiwona avikela imizimba yethu ezifweni nasezifweni ezahlukahlukene. Ngakho-ke, uma inani lalawa mangqamuzana amhlophe egazi landa kakhulu, cishe kusho ukuthi kukhona ukutheleleka noma ukuvuvukala endaweni ethile emzimbeni wakho. Cabanga ngakho, unesifo somphimbo, isilonda sesikhumba esithelelekile, noma isimo esifana ne-pneumonia. Kuvamile ukuthi amangqamuzana amhlophe egazi ande ngezikhathi ezinjengalezi.

Kodwa-ke, akuvamile kakhulu, ezinye izinhlobo zomdlavuza wegazi noma izimo ezihlobene nomnkantsha wamathambo nazo zingabangela inani eliphezulu lamaseli amhlophe egazi.

Ngokuvamile, uma unamaseli egazi amhlophe angaphezu kuka-11,000 nge-microliter ngayinye yegazi, kubhekwa njenge-leukocytosis. Kodwa-ke, la manani angahluka kancane kuye ngelebhu.

Ingabe kufanele ukhathazeke ngokwanda kwamaseli amhlophe egazi ngesikhathi sokukhulelwa?

Lena inkinga ebhekene nomama abaningi. Eqinisweni, kuvamile ukuthi inani lamaseli amhlophe egazi likhuphuke kancane ngesikhathi sokukhulelwa. Lokhu kungenxa yokucindezeleka okuhambisana nokuthwala umntwana esibelethweni. Udokotela wakho uzokuqapha lokhu ngokwenza ukuhlolwa kwegazi njalo phakathi nokukhulelwa kwakho, ngakho-ke akukho okufanele ukhathazeke ngakho. Bazokwazisa uma bebona noma yini engavamile.

Ingabe i-leukocytosis iwumdlavuza wegazi njalo?

Cha. I-leukocytosis imane nje iwukwanda kwenani lamaseli amhlophe egazi. Ingaba nezimbangela eziningana. Njengoba sixoxile ngaphambili, ukutheleleka kuyimbangela eyinhloko. Kodwa-ke, akuvamile, amaseli amhlophe egazi angakhuphuka njengophawu lwezinhlobo ezithile zomdlavuza wegazi. Isibonelo, ezimweni ezifana ne-acute myeloid leukemia, i-chronic myelogenous leukemia, kanye ne-chronic lymphocytic leukemia. Kodwa-ke, akuwona wonke umuntu onamaseli amhlophe egazi andayo onomdlavuza.

Ziyini izimpawu ze-leukocytosis?

Ngokuvamile, izimpawu zibangelwa yisimo esiyisisekelo esibangela ukwanda kwenani lamaseli amhlophe egazi. Isibonelo, ukutheleleka kungabangela umkhuhlane kanye nobuhlungu bomzimba.

Ezinye izimpawu ezivamile zokuxwayisa zifaka:

• Imfiva
• Ukukhathala
• Ubuhlungu bomzimba
• Ubunzima bokuphefumula
• Ukuphefumula
• Ukujuluka ngokweqile ebusuku (Ukujuluka Kwasebusuku)
• Ukwehlisa Isisindo Okungalindelekile
• Izilonda zesikhumba, i-eczema `(Ukuqubuka)`

Ngezinye izikhathi, ukuklwebheka okulula kungaba uphawu lwama-platelet aphansi (thrombocytopenia) noma i-acute leukemia enzima kakhulu. Ku-acute leukemia enzima kakhulu, inani eliphezulu lamaseli amhlophe egazi lingabangela ukuba igazi lijiye futhi liphazamise ukuhamba kwegazi. Lokhu kubizwa ngokuthi i-hyperviscosity syndrome. Lokhu kungaholela ezinkingeni ezinkulu zempilo ezifana nesifo sohlangothi, ukopha kwangaphakathi, noma ukulahlekelwa umbono.

Kungani la maseli amhlophe egazi ekhula? Ziyini izimbangela?

Ake sibheke izimbangela eziyinhloko zokubalwa kwamangqamuzana amhlophe egazi okuphezulu.

Ngokuvamile kubangelwa yi:

• Ukutheleleka noma ukuvuvukala: Lena imbangela evame kakhulu. Njengokutheleleka kwamagciwane, amagciwane, noma isikhunta.
• Ukucindezeleka okukhulu ngokomzimba noma ngokwengqondo: ngenxa yezinto ezifana nomkhuhlane, ukulimala, noma ukuhlinzwa.
• Ukusha
• Izinkinga zesimiso somzimba sokuzivikela: Izifo ezihlasela umzimba njenge-lupus noma i-rheumatoid arthritis.
• Izinkinga ze-thyroid
• Ukuvuvukala Kwamazinyo
• Eminye imithi: Imithi efana ne-lithium, i-corticosteroids, kanye ne-beta-agonists.
• Ukungezwani komzimba
• Ukuhlinzwa kwe-splenectomy
• Ukubhema
• Ukukhuluphala ngokweqile

Izimbangela ezingavamile:

• I-Leukemia
• I-Lymphoma
• Izifo zomnkantsha wamathambo: njenge-polycythemia vera noma i-myelofibrosis.

I-Leukocytosis itholakala kanjani?

Uma ubona udokotela, uzobuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, bazoyala ukubalwa kwegazi okuphelele (i-CBC) . Lokhu ukuhlolwa kwegazi okuvamile kakhulu. Kulinganisa inani lamaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet egazini lakho. I-CBC ingasiza udokotela wakho ukuthi anqume ukuthi unesifo noma ukutheleleka. Kwezinye izimo, ukuhlolwa komnkantsha kungacelwa ukuqinisekisa ukuxilongwa.

Kuphathwa kanjani lokhu?

Ukwelashwa kwe-leukocytosis kuncike embangela eyinhloko.

Ake sithi amangqamuzana akho amhlophe egazi aphakeme ngenxa yokutheleleka ngamagciwane. Uma kunjalo, udokotela wakho uzokunikeza ama-antibiotic. Uma kungenxa yokungezwani komzimba, unganikezwa ama-antihistamine.

Ezinye izindlela zokwelapha ezivamile:

• Imithi yokunciphisa ukucindezeleka noma ukukhathazeka.
• Imithi yokulwa nokuvuvukala.
• Uma une-asthma, udinga ama-inhaler.
• Ukunikeza usawoti (i-IV fluids) ukuze kuthuthukiswe ukujikeleza kwegazi.
• I-Leukapheresis: Le ndlela inganciphisa ngokushesha inani lamaseli amhlophe egazini.
• Uma kwenzeka umdlavuza, ukwelashwa okufana nokwelashwa ngamakhemikhali, ukwelashwa ngemisebe, noma ukufakelwa amaseli e-stem.

Into ebalulekile ukuthi ngezinye izikhathi, ngaphandle kokwelashwa, uma imbangela eyisisekelo isilaphekile, inani lamaseli amhlophe egazi lingabuyela esimweni esijwayelekile.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Lokhu kuncike nasohlotsheni lokwelashwa okutholayo kanye nembangela ye-leukocytosis. Ezimweni eziningi, ukululama kungenzeka phakathi kwamasonto amabili kuya kwamane. Kodwa-ke, kokuthile okufana nokwelashwa komdlavuza, kungathatha isikhathi eside.

Ingabe zikhona izindlela zokuvimbela i-leukocytosis?

Into yokuqala okufanele uyikhumbule ukuthi i-leukocytosis iyimpendulo evamile yomzimba emizimbeni yethu. Lokho kusho ukuthi akuyona into okufanele siyigweme njalo. Isibonelo, lapho umzimba wakho ulwa nokutheleleka, kuyinto enhle ukuba nokwanda kwamangqamuzana amhlophe egazi.

Kodwa-ke, kunezinto esingazenza ukuze sigcine amazinga ethu amhlophe egazi esezingeni elifanele:

• Geza izandla zakho njalo: Nciphisa ingozi yokutheleleka.
• Gwema izinto ezibangela ukungezwani komzimba .
• Gwema ukubhema.
• Gcina impilo yomlomo iphilile. Vakashela udokotela wamazinyo okungenani njalo ezinyangeni eziyisithupha.
• Sebenzisa imithi enikezwe udokotela wakho njengoba nje kuyalelwe.
• Thola izindlela zokunciphisa ukucindezeleka: Zijwayeze ukuqaphela noma ukuzindla.
• Uma unezimo ezinjengokukhathazeka noma ukucindezeleka, funa ukwelashwa kwazo.

Kwenzekani ngokulandelayo uma ngine-leukocytosis?

Uma kutholakale ukuthi une-leukocytosis, udokotela wakho uzokwenza ezinye izivivinyo ukuze athole imbangela. Uma imbangela eyisisekelo isitholakele, bazoncoma ukwelashwa okufanele. Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela wakho futhi ungesabi.

Kufanele ngimbone nini udokotela?

Kuwukuhlakanipha ukubona udokotela uma ubona noma yini engavamile noma ehlukile. Ikakhulukazi uma unezinye zezimpawu ezilandelayo, qiniseka ukuthi ufuna iseluleko sezokwelapha:

• Imfiva
• Ukudumba okulula
• Ukopha ngokweqile (isib., ukuphuma kwegazi ekhaleni, izinsini)
• Isicanucanu nokuhlanza
• Ukukhathala okukhulu, ukulala njalo
• Ukwehlisa isisindo ngaphandle kwesizathu
• Isifiso sokudla
• Ukujuluka ngokweqile njalo ebusuku (kangangokuthi amashidi ombhede abe manzi)

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma kuvela noma yiziphi izimpawu ezilandelayo, shayela u-911 ngokushesha noma uye ekamelweni eliphuthumayo eliseduze:

• Izimpawu zesifo sohlangothi: ukudideka, isiyezi, ukugoba kolunye uhlangothi lobuso.
• Ubuhlungu besifuba
• Ubunzima obukhulu bokuphefumula
• Ukuqaqamba ezandleni, ezinyaweni, noma esiswini
• Ubuhlungu bomhlane obungazelelwe
• Ukopha okungenakunqandeka

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke kulokho esikuxoxile, ngithemba ukuthi usuthole ukuqonda okungcono nge-leukocytosis, noma ukwanda kwamaseli amhlophe egazi.

Khumbula, isikhathi esiningi, ukwanda kwamangqamuzana amhlophe egazi kuyindlela evamile yokuzivikela emzimbeni wethu. Kungaba ngenxa yokutheleleka, ukuvuvukala, ukucindezeleka, noma ngisho nokukhulelwa.

Kodwa-ke, ngezinye izikhathi lokhu kungaba uphawu lokugula okukhulu, ngakho-ke kubalulekile ukuthola imbangela eqondile bese ucela ukwelashwa uma kudingeka. Ngakho-ke, uma inani lamaseli akho amhlophe egazi liphakeme ekuhlolweni kwegazi lakho, ungesabi futhi uthintane nodokotela. Uzokunikeza isiqondiso esidingekayo. Hlala uphilile!

Amaseli amhlophe egazi, i-leukocytosis, ukuhlolwa kwegazi, izifo, amasosha omzimba, izimpawu, ukwelashwa