Ingabe muva nje uthole 'inani eliphezulu lama-lymphocyte' emiphumeleni yakho yokuhlolwa kwegazi? Noma ukhathazekile kancane ngoba othile ekutshelile ngalokhu? Mhlawumbe awuzange uqonde kahle lapho udokotela esho leli gama. Ungakhathazeki! Namuhla, sizoxoxa ngalesi simo esibizwa ngokuthi i-Lymphocytosis ngendlela elula ongayiqonda.
Ayini ama-lymphocyte? Kungani ebalulekile kithi?
Kulungile, ake siqale sibone ukuthi iyini i-lymphocyte. Kalula nje, i-lymphocyte uhlobo lweseli elimhlophe egazini lethu. Liyingxenye ebaluleke kakhulu yesimiso somzimba wethu sokuzivikela . Njengamasosha avikela izwe lethu, la maseli e-lymphocyte alwa namagciwane, njengegciwane namagciwane, angena emizimbeni yethu futhi asivikele ezifweni.
Cabanga nje, uma imizimba yethu injengenqaba, ama-lymphocyte ayiqembu lamasosha aqeqeshwe ngokukhethekile avikela leyo nqaba.
Ngakho-ke, ama-lymphocyte abalulekile ekuphileni kwethu okunempilo.
Kuyini ngempela i-lymphocytosis?
Manje njengoba usunomqondo omncane ngama-lymphocyte, iyini i-lymphocytosis? Kusho ukuthi unamaseli amaningi e-lymphocyte kunenani elijwayelekile lama-lymphocyte egazini lakho.
Manje ake sibone ukuthi yini ebhekwa 'njengoba iphezulu' kumuntu omdala. Ngokuvamile, uma kune-lymphocyte ezingaphezu kuka-4,000 nge-microliter ngayinye yegazi, siyibheka njengephezulu. Kodwa-ke, leli nani lingahluka kancane kusukela elabhorethri kuya elabhorethri, futhi leli banga elijwayelekile liyahlukahluka nangobudala. Ezinganeni ezincane, inani le-lymphocyte livame ukuba phezulu kancane kunakwabantu abadala.
Esikhathini esiningi, ukwanda kwesikhashana kwenani lama-lymphocyte kusho ukuthi umzimba wakho ulwa nokutheleleka. Lokho kuyinto enhle. Kodwa, akuvamile, kungaba uphawu lwesimo esibucayi kakhulu esingaphansi. Yingakho kubalulekile ukuqaphela.
Kungani inani lama-lymphocyte landa? Ziyini izimbangela?
Ungase uzibuze, "Kungani la ma-lymphocyte anda ngokuzumayo egazini lami?" Kalula nje, la ma-lymphocyte akhiqizwa ngobuningi obukhulu lapho umzimba wakho ulwa nokutheleleka noma esinye isimo sokuvuvukala. Kufana "namasosha" ethu alungiselela impi.
Ake sibone ukuthi yiziphi izizathu eziyinhloko.
Izimbangela ezivame kakhulu: Ukutheleleka
Lena imbangela evame kakhulu ye-lymphocytosis.
- Ukutheleleka Ngegciwane: Lezi yizimbangela eziyinhloko zokwanda kwama-lymphocyte. Isibonelo:
- Umkhuhlane ovamile, umkhuhlane (Influenza)
- I-Mononucleosis - Lesi yisimo esibangelwa igciwane elibizwa ngokuthi i-Epstein-Barr virus, futhi izimpawu zifaka phakathi umphimbo obuhlungu kanye nama-lymph node avuvukele.
- I-Cytomegalovirus (CMV)
- Ukukhwehlela okubi - Nakuba lokhu kuyisifo esibangelwa amagciwane, ngezinye izikhathi kukhombisa ukwanda kwama-lymphocyte.
- I-Adenovirus - Ingabangela ukutheleleka kohlelo lokuphefumula kanye namehlo.
- I-Hepatitis - igciwane elithinta isibindi.
- I-Chickenpox noma i-Shingles
- Isimungumungwane `(Mumps)`, iRubella `(Rubella)`
- Ukutheleleka nge-HIV
Ake sithi unomkhuhlane omubi, ubuhlungu umzimba wonke, kanye nomkhuhlane. Uma uya kudokotela uyohlolwa igazi, kungenzeka ukuthi inani lama-lymphocyte akho liphezulu. Kungani kunjalo? Ngoba 'amasosha' akho, amaseli e-lymphocyte, alwa negciwane lomkhuhlane emzimbeni wakho!
- Ukutheleleka Kwamagciwane kanye Nokutheleleka Kwamagciwane: Ezinye izifo zamagciwane kanye nezibulala-zinambuzane nazo zingabangela ukwanda kwenani lama-lymphocyte. Isibonelo, lokhu kungabonakala ezimweni ezifana nesifo sofuba.
Umdlavuza
Lokhu kuyinto abantu abaningi abayesabayo. Nakuba kungavamile , ukwanda kwama-lymphocyte kungabonakala njengophawu lokuqala lweminye imidlavuza yegazi noma imidlavuza yesistimu ye-lymphatic.
- Izinhlobo ze-Leukemia:
- I-Chronic Lymphocytic Leukemia (CLL): Lolu uhlobo lwe-leukemia oluvame kakhulu kubantu abadala.
- I-Acute Lymphoblastic Leukemia (YONKE): Lokhu kuvame kakhulu ezinganeni, kodwa kungenzeka nakubantu abadala.
- I-leukemia enkulu ye-granular lymphocytic
- Izinhlobo ze-lymphoma:
- I-Non-Hodgkin Lymphoma
Nokho, kubalulekile ukukhumbula lokhu: Akuwona wonke umuntu onenani elikhulu lama-lymphocyte onomdlavuza. Ezimweni eziningi, imbangela yalokhu ingaba ukutheleleka okulula. Ngakho ungakhathazeki ngokungadingekile. Udokotela uzoba nguyena ozokuhlola futhi akutshele ngqo ukuthi wenzeni.
Ezinye izizathu
Ngaphezu kwalezi zizathu ezimbili eziyinhloko, ezinye izici eziningana zingabangela ukwanda kwenani lama-lymphocyte:
- Ukubhema: Abantu ababhemayo isikhathi eside bangase babe nenani eliphakeme kancane lama-lymphocyte.
- Ukusabela kokungezwani komzimba nomuthi: Kungaba futhi ukusabela komzimba wakho kumuthi omusha.
- Ukucindezeleka okuhlobene nesimo esiphuthumayo sezokwelapha:Cabanga ngomuntu obe sengozini futhi ulethwa esibhedlela. Ukucindezeleka okukhulu ngokomzimba nangokwengqondo okwenzeka ngaleso sikhathi ngezinye izikhathi kungabangela ukwanda kwesikhashana kwenani lama-lymphocyte.
- Ezinye izifo ezibangelwa ukuzivikela komzimba: Lezi yizifo lapho amasosha omzimba ethu ehlasela khona amangqamuzana omzimba wethu. Isibonelo, izimo ezifana ne-rheumatoid arthritis.
- Kulabo abasusiwe udengezi lwabo (i-Asplenia): Udengezi luyisitho esibalulekile ohlelweni lwethu lokuzivikela komzimba. Uma ngesizathu esithile udengezi lususiwe ngokuhlinzwa, izinguquko enanini lama-lymphocyte nazo zingabonakala.
Wazi kanjani ukuthi une-lymphocytosis? Ziyini izimpawu?
Nasi iphuzu elibalulekile: Azikho izimpawu ezithile ze-lymphocytosis. Okusho ukuthi, ngeke uzizwe lutho olukhethekile ngokuba nama-lymphocyte aphezulu egazini lakho.
Ngakho-ke ukuthola kanjani lokhu? Esikhathini esiningi, kutholakala ngengozi uma uhlolwa igazi ngenxa yesinye isifo noma ukuhlolwa okuvamile.
Kodwa-ke, ungase ube nezimpawu ngenxa yembangela eyinhloko yokwanda kwama-lymphocyte. Isibonelo:
- Uma kungenxa yokutheleleka, izimpawu zingase zihlanganise: umkhuhlane, izinhlungu zomzimba, umphimbo obuhlungu, kanye nokuvuvukala kwama-lymph node (izigaxa ezincane ezindaweni ezifana nentamo namakhwapha).
- Uma kuyisimo esibi njengomdlavuza (lokhu akuvamile): Izimpawu zingase zihlanganise ukukhathala okukhulu, ukwehla kwesisindo, kanye nokujuluka ebusuku.
Ngakho-ke, ukwanda kwama-lymphocyte akusona isifo, kodwa kuwuphawu nje lwesimo esiyisisekelo.
Udokotela uhlonza kanjani lokhu?
Uma umbiko wakho wokuhlolwa kwegazi ubonisa ukuthi ama-lymphocyte akho aphezulu, into yokuqala udokotela wakho azokwenza ukuthola ukuthi yini ebangela lokhu.
- Uzobuzwa imibuzo mayelana nomlando wakho wezokwelapha, izimpawu zamanje, uhlu lwemithi, kanye nendlela yokuphila. Isibonelo, ungase ubuzwe ngengozi yakho yokuchayeka ezifweni ezithathelwana ngocansi (ama-STI).
- Kuzohlolwa umzimba: Kuhlolwe umkhuhlane kanye nama-lymph node avuvukele.
- Ukuhlolwa kwegazi: Ukuhlolwa okubaluleke kakhulu yi -Complete Blood Count (CBC) . Lokhu kubala izinhlobo ezahlukene zamaseli egazini (amaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet). Ukubala okuhlukile kulinganisa nenani lama-lymphocyte phakathi kwamaseli amhlophe egazi.
- Ukuhlola kabusha:Uma inani lama-lymphocyte liphezulu, udokotela wakho cishe uzophinde enze ukuhlolwa ezinsukwini noma emavikini ambalwa ukuze abone ukuthi lokhu kungokwesikhashana noma kuyaqhubeka. Ezifweni eziningi, inani lama-lymphocyte libuyela esimweni esijwayelekile uma ukutheleleka sekuphelile.
- Ukuhlolwa okwengeziwe: Uma inani lama-lymphocyte lihlala liphezulu futhi imbangela ingacacile, udokotela wakho angase acele ukuhlolwa okukhethekile okwengeziwe:
- Ukuhlolwa kwe-Flow cytometry: Lokhu kuhlola ukubona ukuthi ama-lymphocyte egazini awajwayelekile noma ukuthi awohlobo olufanayo (i-clonal), njengakumdlavuza. Lokhu kusiza kakhulu ekuxilongeni izimo ezifana ne-leukemia.
- Ukuhlolwa komnkantsha wethambo: Ngezinye izikhathi, kungase kudingeke kuthathwe isampula encane yomnkantsha wethambo, lapho kukhiqizwa khona ama-lymphocyte, ukuze kuhlolwe. Lokhu kungasiza ekutholeni imbangela eqondile ye-lymphocytosis.
- Ukudluliselwa kuchwepheshe: Uma kudingeka, udokotela wakho angakudlulisela kudokotela wegazi.
Kuphathwa kanjani lokhu? (Ukwelashwa)
Ukwelapha i-lymphocytosis kusho ukwelapha isifo esiyisisekelo, okuyimbangela yokwanda kwama-lymphocyte.
- Cabanga ngakho, uma umzimba wakho ukhulise la maseli ukuze ulwe negciwane, cishe awudingi ukwelashwa okukhethekile. Isibonelo, uma kungukutheleleka ngegciwane, uma unikeza umzimba wakho ukuphumula, uphuza amanzi amaningi, futhi uthatha imithi yokunciphisa umkhuhlane uma kudingeka, amasosha omzimba wakho azowuxazulula ngokuhamba kwesikhathi. Khona-ke inani lama-lymphocyte lizobuyela esimweni esijwayelekile.
- Uma kuyisifo esibangelwa amagciwane, udokotela angase anikeze ama-antibiotic.
- Uma imbangela eyisisekelo kuyisimo esibucayi njengomdlavuza (futhi, lokhu akuvamile), udokotela wakho uzoxoxa nawe ngezindlela zokwelapha ezifanele (isib. i-chemotherapy, ukwelashwa ngemisebe).
Into ebalulekile ukuthi uma imbangela eyisisekelo iphathwa kahle, inani lama-lymphocyte libuyela esimweni esijwayelekile.
Ingabe i-lymphocytosis ingabangela izinkinga?
Kwezinye izimo, ikakhulukazi uma kungelashwa noma isimo esiyisisekelo sibi kakhulu, i-lymphocytosis ingaba uphawu lwenkinga.
Isibonelo, njengoba kushiwo ngaphambili, kungaba uphawu lokuqala lomdlavuza wegazi njenge-Chronic Lymphocytic Leukemia (CLL). Kodwa-ke, lokhu akusho ukuthi wonke umuntu one-lymphocyte ephezulu unomdlavuza. Kungenzeka kakhulu ukuthi ubangelwe ukutheleleka. Ukuhlolwa okwengeziwe kuyadingeka nakanjani ukuze kwenziwe ukuxilongwa okunembile nokususa ezinye izimo.
Ingabe lesi simo singavinjelwa ukuthi singenzeki? (Ukuvimbela)
Ayikho indlela ethile yokuvimbela i-lymphocytosis ngokwayo. Ngoba akusona isifo, kodwa uphawu. Kodwa-ke, singathatha izinyathelo zokunciphisa ingozi yokutheleleka, okuyimbangela eyinhloko yalokhu. Ngemuva kwalokho, singanciphisa amathuba okwanda okungadingekile kwama-lymphocyte.
- Nakekela ukuhlanzeka:
- Gwema ukusondelana nomuntu onesifo esithathelwanayo ngangokunokwenzeka.
- Ungasebenzisi izinto zabantu abagulayo (njengamathawula, izinkomishi, izinto zokubilisa).
- Geza izandla zakho kahle ngensipho namanzi kaningi, ikakhulukazi ngaphambi kokudla, ngemva kokusebenzisa indlu yangasese, nangemva kokuphuma endlini yangasese.
- Hlanza izindawo ezisetshenziswa njalo (izibambo zeminyango, izindawo zetafula) ngesibulali-magciwane.
- Indlela yokuphila enempilo: Yidla ukudla okunempilo, ulale ngokwanele, futhi uvivinye umzimba. Lezi zinto zizoqinisa amasosha omzimba wakho.
Kunini lapho kufanele sikhathazeke kakhulu ngama-lymphocyte?
Uma ukuhlolwa kwegazi lakho kubonisa ukuthi ama-lymphocyte akho aphezulu, ungesabi ekuqaleni. Kodwa-ke, kuwukuhlakanipha ukubona udokotela ukuze akunike iseluleko kulezi zimo:
- Uma unegciwane eliqhubekayo (isib. ukushisa njalo, ukululama kancane).
- Uma uzizwa sengathi izimpawu zakho ezingamahlalakhona ziya ziba zimbi kakhulu (isib. ukukhathala okuqhubekayo, ukwehla kwesisindo okungachazeki, ukujuluka kakhulu ebusuku, noma amaqhubu emzimbeni wakho).
- Uma wazi ukuthi inani lama-lymphocyte akho liphezulu, bese ulihlola futhi ngemva kwesikhashana, inani alikanciphi noma likhuphuke kakhulu.
Ngesikhathi esinjengalesi, udokotela uzokuxilonga, enze ezinye izivivinyo uma kudingeka, futhi akusize uthole imbangela.
Ingabe i-lymphocytosis ingaholela ku-leukemia?
Lona umbuzo abantu abaningi abawubuzayo, futhi uyesabeka. Impendulo emfushane ithi, yebo, kungenzeka ngezinye izikhathi, kodwa akuvamile kakhulu .
Kukhona isimo esibizwa ngokuthi i-monoclonal B-cell lymphocytosis (MBL). Kulesi simo, kunezinhlobo eziningi kakhulu ze-B-cell (zonke lezi ziwuhlobo olufanayo lwe-lymphocytes, i-clonal, okusho ukuthi zakhiwe kusuka kuseli elilodwa lomzali) egazini. Kodwa aziningi njenge-leukemia. Ngezinye izikhathi, ngemva kweminyaka eminingi, lesi simo se-MBL singakhula sibe yi-chronic lymphocytic leukemia (CLL). Akuwona wonke ama-MBL aba yi-CLL.
Ngakho-ke, ungesabi uma uthola ukuthi inani lama-lymphocyte akho liphezulu. Nakuba kungenzeka ukuthi isimo esibi njengomdlavuza sibangele ukwanda kwama-lymphocyte, kungenzeka kakhulu ukuthi sibangelwa ukutheleleka.
Uma isimiso sakho somzimba sokuzivikela sesiphelile ukutheleleka, amazinga akho e-lymphocyte cishe azobuyela esimweni esijwayelekile. Uma amazinga akho e-lymphocyte ehlala ephezulu, udokotela wakho uzoncoma ukuhlolwa nokwelashwa ukuze kutholakale imbangela.
Umlayezo Wokuya Nawe Ekhaya
Kulungile, ngithemba ukuthi unombono omuhle nge-Lymphocytosis kulokho esikuxoxile. Okokugcina, nazi izinto ezibalulekile okufanele uzikhumbule:
- I-Lymphocytosis ukwanda kwenani lama-lymphocyte, uhlobo lweseli elimhlophe legazi, egazini.
- Lokhu kuvame ukuba ngenxa yokuthi umzimba ulwa nokutheleleka. Kuyinto yesikhashana futhi akukho okufanele ukhathazeke ngakho.
- Akuvamile, kungaba uphawu lwesimo esibucayi kakhulu, njengomdlavuza.
- I-lymphocytosis ngokwayo ayinazo izimpawu ezithile . Izimpawu zincike embangela eyinhloko.
- Lokhu kutholwa ngokuhlolwa kwegazi (i-Complete Blood Count - CBC) .
- Ukwelashwa kuqondiswe embangela eyinhloko yokwanda kwama-lymphocyte.
- Uma ukuhlolwa kwegazi lakho kubonisa ama-lymphocyte aphezulu , ungesabi . Kodwa-ke, uma lesi simo siqhubeka, noma uma unezinye izimpawu ezingavamile, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!
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