Wake wathola umbiko wokuhlolwa kwegazi, wabheka amagama akulo, wacabanga, "Kusho ukuthini lokhu?" Mhlawumbe udokotela wakho uthe, "Ama-neutrophil akho aphezulu kancane" noma "aphansi." Ayini ngempela ama-neutrophil? Ungakhathazeki, kulula kakhulu. Ayiyunithi ekhethekile yesistimu yethu yokuzivikela yomzimba. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Kalula nje, ayini lawa ma-neutrophil?
Cabanga nje, umzimba wethu ufana nezwe. Kukhona ibutho lokuvikela leli lizwe. Lelo butho liyisimiso sethu somzimba sokuzivikela . Ezinhlotsheni ezahlukene zamasosha kuleli butho, isosha elibaluleke kakhulu nelokuqala ukuya empini yi -neutrophil .
Empeleni lezi ziwuhlobo lwamaseli amhlophe egazini lethu. Phakathi kuka-50% no-75% wamaseli amhlophe egazini lethu yilawa masosha e-neutrophil.
Uyini umsebenzi wabo oyinhloko?
Ama-neutrophil anemisebenzi emibili eyinhloko:
1. Ukulwa nezifo: Lapho amagciwane anjengamabhaktheriya, amagciwane, kanye nesikhunta engena emizimbeni yethu, into yokuqala eshesha endaweni yawo ama-neutrophils. Ayahamba ayobamba lawo magciwane bese “ewadla”, awabhubhise. Kufana namaphoyisa ebamba isela.
2. Ukusiza ekwelapheni amanxeba: Uma silimala, lawa ma-neutrophil nawo ayasiza enkambisweni yokuphulukiswa.
Lawa ma-neutrophil akhiqizwa emnkantsheni wamathambo ngaphakathi kwamathambo ethu. Kodwa isikhathi sawo sokuphila sifushane kakhulu, singaphansi kosuku. Ngakho-ke, umnkantshe wethu wamathambo kufanele uhlale ukhiqiza ama-neutrophil amasha.
Ilinganiswa kanjani inani lama-neutrophil?
Uma udokotela wakho esola ukuthi inani lakho lama-neutrophil liphansi noma liphezulu, uzoyala ukuhlolwa kwegazi.
- Ukuhlolwa kwe-Full Blood Count (FBC/CBC): Lokhu kuvame ukuba ukuhlolwa kokuqala okwenziwayo. Ngezinye izikhathi kubizwa ngokuthi 'i-CBC ene-differential', lokhu kungahlola ukuthi zingaki izinhlobo zeseli egazini lakho.
- Inani Eliphelele Lama-Neutrophil (ANC): Lokhu kuyingxenye yombiko ofanayo nalowo okukhulunywe ngawo ngenhla. Yilokhu okusenza sazi kahle ukuthi zingaki ama-neutrophil egazini lakho.
Into ebaluleke kakhulu ukuthi, ungasheshi nje ufinyelele eziphethweni ngokusekelwe kumanani asembikweni wegazi. Lawo manani angahluka ngokusekelwe ezintweni eziningi, njengobudala nezinye izimo zezokwelapha. Ngakho-ke khuluma nodokotela wakho ngakho njalo futhi uthole iseluleko esifanele.
Ngokuvamile, umuntu omdala onempilo unama-neutrophil aphakathi kuka-2,500 no-7,000 nge-microliter ngayinye yegazi. Noma yini engaphezu kuka-7,700 ibhekwa njengokwanda (i-neutrophilia), kanti noma yini engaphansi kuka-1,500 ibhekwa njengokwehla (i-neutropenia).
Yiziphi izimbangela zokwanda kwenani lama-neutrophils (i-neutrophilia)?
Ukwanda kwama-neutrophils ngokwezokwelapha kubizwa ngokuthi i-neutrophilia . Kunezimbangela eziningana ezingaba khona zalokhu. Akusona isifo esisodwa, kodwa uphawu lwesinye isimo.
| Isizathu | Incazelo nezibonelo |
|---|---|
| Izifo | Lesi yisona sizathu esivame kakhulu. Uma ukutheleleka ngamagciwane kungena emzimbeni, amasosha ethu omzimba akhiqiza amasosha amaningi (ama-neutrophils) ukuze alwe nakho. Lokhu kungenzeka nakwezinye izifo ezibangelwa yisikhunta kanye nezinambuzane. |
| Ukuvuvukala | Ama-neutrophil anganda kunoma yisiphi isifo esibangela ukuvuvukala, okungukuthi, ukuvuvukala, endaweni ethile emzimbeni. Izibonelo: (Isifo samathambo esibizwa ngokuthi i-Rheumatoid arthritis) , (Isifo sikaGout) , (Isifo sofuba esibangelwa yi-ulcerative colitis) , ukusha, ukuhlinzwa, ukuhlaselwa yinhliziyo. |
| Eminye imithi | Eminye imithi ingabangela ukwanda kwama-neutrophils njengomphumela ongemuhle. Izibonelo zifaka phakathi imithi efana ne- (Lithium) , (Heparin) , kanye ne- (Corticosteroids) . |
| Izinhlobo zomdlavuza | Lesi simo singabonakala nakwezinye izinhlobo zomdlavuza. Izibonelo: Umdlavuza ohlobene negazi njenge- (Hodgkin lymphoma) kanye ne- (Chronic myelocytic leukemia) . |
Izimpawu zokwanda kwama-neutrophils
Azikho izimpawu ezithile zokwanda kwenani lama-neutrophil. Sithola izimpawu zesimo sezokwelapha esiyisisekelo esibangele lokhu.
- Imfiva
- Ukutheleleka okuvamile
- Amanxeba athatha isikhathi ukuphola.
- Ukuvuvukala nobuhlungu bamalunga
- Ukukhathala okukhulu komzimba
Izimbangela zenani eliphansi le-neutrophil (i-Neutropenia)
Ukwehla kwama-neutrophil kubizwa ngokuthi i-neutropenia . Yilapho inani lamasosha ebuthweni lethu lehla khona. Lokhu kunciphisa ikhono lokulwa namagciwane. Ngakho-ke, ingozi yokuthola izifo iphezulu kakhulu.
| Isizathu | Incazelo nezibonelo |
|---|---|
| Ukwelashwa komdlavuza nomdlavuza | Umdlavuza othinta umongo wamathambo, njenge -leukemia kanye ne-lymphoma , unganciphisa ukukhiqizwa kwe-neutrophil. Futhi, ukwelashwa ngamakhemikhali kanye nemisebe kungabulala amangqamuzana omdlavuza kanye nokukhiqizwa kwe-neutrophil okunempilo. |
| Ezinye izifo | Ezinye izifo ezibangelwa amagciwane nazo zinganciphisa okwesikhashana inani lama-neutrophil. Izibonelo: Isimungumungwane , i-Chickenpox , i-HIV/AIDS , i-Hepatitis . |
| Eminye imithi | Lesi simo singabangelwa nayimithi ethile yokulwa namagciwane , imithi yokuxhuzula, kanye neminye imithi yokugula ngengqondo. |
| Ezinye izimo zezokwelapha | (Lupus) , (isifo sikaCrohn)Izinkinga zokuzivikela komzimba, ukuntuleka kwevithamini B12 kanye ne-folate, kanye nezinye izifo ezithinta umongo wamathambo nazo zingabangela ama-neutrophil aphansi. |
Izimpawu zama-neutrophil aphansi
Kokubili ukwanda nokwehla kwama-neutrophil akubangeli zimpawu ezithile. Kodwa-ke, ngenxa yokuthi izivikelo zomzimba wakho ziphansi, ungathola kalula izifo. Ngemuva kwalokho kuvela izimpawu zalezo zifo.
- Umkhuhlane kanye nokungakhululeki
- Umphimbo obuhlungu
- Izilonda zomlomo
- Uhudo
- Ubomvu, ukuvuvukala, kanye nobuhlungu endaweni yokulimala
Umkhuhlane kumuntu one-neutrophils ephansi uyisimo esiphuthumayo sezokwelapha ngoba umzimba awukwazi ukulwa nokutheleleka. Kubalulekile ukufuna iseluleko sezokwelapha noma ukuya emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha.
Ziphathwa kanjani lezi zimo?
Into ebaluleke kakhulu ukuthi udokotela akelaphi inani lama-neutrophil, kodwa isifo esiyisisekelo esibangele ukwehla noma ukwanda kwalelo nani .
- I-Neutrophilia: Uma imbangela kuyigciwane elibangelwa amagciwane, kuzonikezwa ama-antibiotic. Uma imbangela kuyisifo esithile, inani lama-neutrophil lizobuyela esimweni esijwayelekile uma leso sifo selashwa.
- I-Neutropenia: Uma imbangela kuyimithi, udokotela uzoyimisa leyo mithi bese ekunika omunye. Uma kuyisifo, bazoyelapha. Uma imbangela iwukwelashwa komdlavuza, bangakunikeza imiyalelo ekhethekile yokuzivikela ezifweni futhi bangakunikeza nomgomo wokwandisa amaseli akho amhlophe egazi.
Ngakho-ke, uma kukhona ushintsho ekubalweni kwama-neutrophil embikweni wakho wegazi, ungesabi, kodwa khuluma nodokotela wakho ngakho obala. Uzokwenza izivivinyo ezidingekayo, athole imbangela eqondile, futhi akunikeze ukwelashwa okufanele kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ama-neutrophil ayizinhlobo eziyinhloko zamaseli ohlelweni lwethu lokuzivikela komzimba alwa namagciwane.
- Ukwanda noma ukwehla kwenani lama-neutrophil egazini lakho akusona isifo ngokwaso. Kungaba uphawu lwesinye isimo sezokwelapha.
- Ungalokothi wenze ukuxilongwa ngokusekelwe ekuhlolweni kwegazi. Khuluma njalo nodokotela wakho futhi uthole iseluleko esifanele.
- Udokotela akelaphi inani lama-neutrophil, kodwa isifo esiyisisekelo esibangele lokhu.
- Uma unenani eliphansi le-neutrophil (i-neutropenia), qaphela ngokukhethekile ukuze uzivikele ezifweni. Geza izandla zakho njalo, gwema izindawo ezinabantu abaningi, futhi ufune iseluleko sezokwelapha ngokushesha uma uba nezimpawu ezifana nomkhuhlane.
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