Ingabe uvame ukuba nomkhuhlane nomkhuhlane ? Noma uvame ukuba nezilonda emlonyeni nomphimbo obuhlungu ? Mhlawumbe uphathwa i-chemotherapy . Ngesikhathi esinjengalesi , uma udokotela wakho ehlola igazi bese ethi, “Unenani eliphansi lamaseli amhlophe egazini,” ungase uzibuze ukuthi kusho ukuthini lokho. Ungakhathazeki. Namuhla sikhuluma ngesimo esibizwa ngokuthi ‘ i-Neutropenia ’ esingathinta abantu abaningi, kodwa singalawulwa uma siqondwa kahle.
Kalula nje, iyini i-Neutropenia?
Cabanga nje ukuthi umzimba wethu uyizwe. Sinebutho elinamandla lokulwa nezitha ( amagciwane , amabhaktheriya ) ezingena kuleli zwe zivela ngaphandle. Amasosha akhethekile kakhulu kuleli butho abizwa ngokuthi ama-Neutrophils . Empeleni lawa uhlobo oluyinhloko lwamaseli amhlophe egazini lethu. Uma igciwane lingena emizimbeni yethu, la masosha ama-Neutrophil aya lapho abhubhise lelo gciwane futhi asivikele ezifweni .
Uyaqonda manje? I-Neutropenia ukwehla okungavamile kwenani lala masosha okuthiwa ama-neutrophil egazini. Lapho la masosha ehla, amasosha omzimba wethu ayaba buthaka. Khona-ke ngisho negciwane elincane lingangena kalula emzimbeni futhi libangele ukutheleleka. Lawa ma-neutrophil akhiqizwa emnkantsheni wamathambo ngaphakathi kwamathambo ethu.
Ingabe zikhona izinhlobo eziyinhloko ze-neutropenia?
Yebo, i-neutropenia ingahlukaniswa ngezinhlobo eziningana eziyinhloko kuye ngokuthi yenzeka kanjani. Ezinye ziba ngcono ngesikhathi esifushane (ezibukhali), kanti ezinye zihlala isikhathi eside (ezingapheli).
| Uhlobo lwe-neutropenia | Incazelo elula |
|---|---|
| I-Neutropenia yokuzalwa | Lesi yisimo sokuzalwa. Sivame kakhulu ezinsaneni nasezinganeni ezincane. Sibangelwa inkinga yokukhiqizwa kwama-neutrophils emnkantsheni wethambo. |
| I-Neutropenia ye-Idiopathic | Idiopathic isho ukuthi “akukho sizathu esingatholakala.” Lolu hlobo lungathinta kokubili izingane kanye nabantu abadala. |
| I-Cyclic Neutropenia | Lolu hlobo luqondile kakhulu. Ngokuvamile luvela cishe kanye emavikini ama-3 futhi luhlala cishe izinsuku ezi-3-6. Luvela emjikelezweni lapho inani lama-neutrophil lehla khona bese libuyela esimweni esijwayelekile. |
| I-Autoimmune Neutropenia | Okwenzekayo lapha ukuthi uhlelo lwethu lokuzivikela, amangqamuzana ethu e-Neutrophil, ayabhujiswa. Kufana nebutho lethu lihlasela amasosha ethu. Lokhu kuvamile ezinganeni ezincane. |
| I-Febrile Neutropenia | Lesi yisimo esibi kakhulu esingaba khona kubantu abathola ukwelashwa ngamakhemikhali ngenxa yomdlavuza. Umkhuhlane onamazinga aphansi e-neutrophil ungaba uphawu lokutheleleka okukhulu. Lokhu kubhekwa njengesimo esiphuthumayo sezokwelapha. |
Wazi kanjani ukuthi une-neutropenia? Ziyini izimpawu?
I-neutropenia ivame ukungabi nazimpawu. Abanye abantu bathola ngakho kuphela uma behlolwa igazi ngesinye isizathu. Kodwa-ke, izimpawu zokutheleleka okubangelwa ama-neutrophil aphansi zingavela.
Into ebaluleke kakhulu ukuthi umuntu one-neutropenia abe nomkhuhlane. Umkhuhlane uhlala uyisibonakaliso okufanele sithathwe ngokungathi sína, njengoba kungasho ukuthi ukutheleleka okuyingozi kusakazeka emzimbeni.
Ezinye izimpawu ezingase zibangelwe ukutheleleka zifaka:
- Umphimbo obuhlungu njalo
- Izilonda emlonyeni noma ezindebeni
- Ama-lymph node avuvukele
- Ukusha lapho uchama kanye nesidingo sokuchama njalo
- Uhudo
- Amathumba
- Ukuphuza ukuphulukiswa kwamanxeba
- Ukuzizwa ukhathele kakhulu kunokujwayelekile (Ukukhathala)
Kungani lokhu kwenzeka nge-Neutropenia? Ziyini izimbangela?
I-neutropenia ingaba nezimbangela eziningana. Izimbangela eziyinhloko zingahlukaniswa ngezigaba ezimbili: kungaba ukwehla kokukhiqizwa kwama-neutrophil ngomnkantsha wamathambo, noma ukubhujiswa okusheshayo kwama-neutrophil akhiqizwayo.
- Izizathu zokwehla kokukhiqizwa kwe-neutrophil:
- Ukwelashwa komdlavuza: Ukwelashwa ngamakhemikhali kanye nemisebe yizona zimbangela eziyinhloko.
- Umdlavuza othinta umongo wamathambo, njenge -leukemia .
- Izinkinga zomnkantsha wamathambo ozalwe nawo.
- Ezinye izifo ezibangelwa amagciwane.
- Izimbangela zokwanda kokubhujiswa kwama-neutrophil:
- Izifo ezizenzakalelayo: Isibonelo, izifo ezifana ne-Lupus kanye ne-Rheumatoid arthritis.
- Ezinye izifo: Umkhuhlane we-Dengue, i-Tuberculosis, i-HIV, kanye namagciwane afana ne-Hepatitis.
- Ezinye izinhlobo zemithi:
- I-neutropenia ingabangelwa nangama-antibiotic athile, imithi yenhliziyo, imithi yokuwa, kanye neminye imithi yengqondo. Uma usola ukuthi umuthi owuthathayo ubangela lesi simo, ungalokothi uyeke ukuwuthatha ngaphandle kokubuza udokotela wakho kuqala.
Lesi simo sitholakala kanjani futhi selashwa kanjani?
Ukuhlolwa okuyinhloko kokuxilonga i-neutropenia ukuhlolwa kwegazi okulula okubizwa ngokuthi i-Complete Blood Count (i-CBC ene-differential) . Lokhu kungalinganisa ngokunembile inani lama-neutrophil. Uma imbangela ingacacile, udokotela wakho angase futhi ancome i-bone marrow biopsy .
Izinketho zokwelapha zincike ebunzimeni besimo se-neutropenia kanye nembangela yaso.
- Ama-antibiotic: Uma kukhona umkhuhlane noma ukutheleleka, ama-antibiotic aqalwa ngokushesha.
- Imijovo ye-Granulocyte Colony-Stimulating Factor (G-CSF): Lokhu kuvuselela umongo wethambo futhi kusize ukukhiqiza amangqamuzana egazi amhlophe engeziwe. Lokhu kuyindlela yokwelapha esindisa impilo, ikakhulukazi i-neutropenia ebangelwa yi-chemotherapy.
- Ukushintsha imithi: Uma lesi simo sibangelwa umuthi, udokotela angase awushintshe umuthi.
- Ama-Corticosteroids: Lolu hlobo lomuthi lusetshenziselwa izimo zokuzivikela komzimba.
- Ukufakelwa kwamaseli e-stem: Lokhu kwelashwa kungasetshenziswa ezinkingeni ezinkulu kakhulu zomnkantsha wamathambo.
Yini okufanele siyenze ukuze sizivikele ezifweni?
Into ebaluleke kakhulu kumuntu one-neutropenia ukuzivikela ezifweni. Kubaluleke kakhulu ukulandela lezi zinyathelo ezilula.
- Ukuhlanzeka: Geza izandla zakho kahle ngensipho namanzi njalo. Nakekela amazinyo akho kanye nempilo yomlomo wakho.
- Hlala kude nabantu abagulayo: Gwema ukuthintana nabantu abanomkhuhlane noma umkhuhlane. Nciphisa ukuvakashela kwakho ezindaweni ezinabantu abaningi.
- Ukuphepha kokudla: Yidla ukudla okuphekwe kahle kuphela. Geza futhi uhlanze kahle imifino nezithelo ezingaphekiwe. Gwema ubisi olungaphekiwe kanye nenyama eluhlaza, inhlanzi namaqanda.
- Ukulimala kwesikhumba: Hlanza noma yikuphi ukusikeka okuncane noma ukuklwebheka kahle bese ufaka iplasta. Ungahambi ngaphandle ungenazicathulo.
- Izinto zomuntu siqu: Ungabelani ngezinto ezifana nezinsingo, amabhulashi amazinyo, namathawula nabanye.
- Amanzi: Gwema ukubhukuda emachibini, emifuleni, nasema-hot tub.
Umlayezo Wokuya Nawe Ekhaya
- I-Neutropenia yisimo esinciphisa ikhono lomzimba wakho lokulwa nezifo, kodwa singalawulwa.
- Uma une-neutropenia, umkhuhlane uwuphawu olubi kakhulu. Uma uqala umkhuhlane, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Landela imiyalelo kadokotela wakho kanye nokwelashwa kwakhe ngqo. Thatha imithi yakho ngesikhathi.
- Into ebaluleke kakhulu ukuzivikela ezifweni. Hlala unakekela inhlanzeko.
- Ungakhathazeki ngempilo yakho. Ngolwazi olufanele kanye neseluleko sezokwelapha, ungahlala uphilile.
i-neutropenia, amangqamuzana amhlophe egazi, ama-neutrophils, amangqamuzana amhlophe egazi aphansi, ukutheleleka, umdlavuza, i-chemotherapy, i-Sri Lanka, i-Sinhala, ukungatheleleki, umongo wamathambo
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