Pākuʻi pūnaewele ʻo B a me T

ʻO ka pale ʻo B a me T kahi hōʻike hoʻokolohua e hoʻoholo ai i ka nui o nā hunaola T a me B (lymphocytes) i ke koko.

Pono kahi laʻana koko.

Hiki ke loaʻa ke koko e ka laikini capillary (nā manamana lima a i ʻole kuʻekuʻe wāwae i nā pēpē).

Ma hope o ka huki ʻia ʻana o ke koko, hele ia i ke kaʻina ʻelua mau kapuaʻi. ʻO ka mea mua, hoʻokaʻawale ʻia nā lymphocytes mai nā ʻāpana koko ʻē aʻe. Ke hoʻokaʻawale ʻia nā pūnaewele, hoʻohui ʻia nā mea ʻike e hoʻokaʻawale ma waena o nā pūnaewele T a me B.

E haʻi i kāu mea mālama ola inā loaʻa iā ʻoe kekahi o nā mea aʻe, e hoʻopili ai i ka helu o ka pūnaewele T a me B:

• ʻO Chemotherapy
• HIV / AIDS
• Lapaʻau hoʻomākala
• ʻO ka maʻi i hala iho nei a i ʻole ia
• Pākuʻi steroid
• Kaumaha
• ʻOki kino

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻehaʻeha o ka ʻeha, ʻoiai ka manaʻo o kekahi i kahi prick a i ʻole stinging sensation. Ma hope, aia paha kekahi ʻōkā.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona o kekahi mau maʻi e hoʻonāwaliwali ai ka ʻōnaehana pale. Hiki nō ke hoʻohana ʻia e hoʻokaʻawale ma waena o ka maʻi ʻaʻai a me ka maʻi noncancerous, ʻo ia hoʻi nā maʻi ʻino e pili ana i ke koko a me ka iwi iwi.

Hoʻohana ʻia paha ka hōʻike e hoʻoholo ai i ka maikaʻi o ka mālama ʻana no kekahi mau ʻano.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike nā helu maʻamau T a me B i kahi maʻi hiki. Pono e ho'āʻo hou e hōʻoia i kahi hōʻailona.

ʻO ka helu pūnaewele T hoʻonui ʻia ma muli o:

• Kanesa o keʻokeʻo keena keena i kapaia he lymphoblast (huehue lymphoblastic leukemia)
• Ka maʻi ʻaʻai o nā aʻa koko keʻokeʻo i kapa ʻia he lymphocytes (leukemia lymphocytic mau)
• ʻO kahi maʻi viral i kapa ʻia infectious mononucleosis
• Ka maʻi ʻaʻai koko e hoʻomaka i nā hunaola plasma i ka iwi iwi (myeloma maha)
• ʻO Syphilis, kahi STD
• Toxoplasmosis, kahi maʻi ma muli o ka parasite
• Maʻi puʻu

Hoʻonui ʻia kahi helu pūnaewele B hoʻonui ʻia ma muli o:

• Leukemia lymphocytic mau
• ʻO DiGeorge Syndrome
• Myeloma lehulehu
• Waldenstrom macroglobulinemia

ʻO kahi helu pūnaewele T i hoʻemi ʻia ma muli o:

• ʻO ka maʻi deficit T-cell deficit, e like me Nezelof Syndrome, DiGeorge Syndrome, a i ʻole Wiskott-Aldrich Syndrome
• Loaʻa nā hemahema T-cell ponoʻī, e like me ka maʻi HIV a i ʻole maʻi HTLV-1
• ʻO nā maʻi B cell proliferative, e like me ka leukemia lymphocytic mau a i ʻole Waldenstrom macroglobulinemia

Ua hoʻemi ʻia kahi helu pūnaewele B ma muli o:

• HIV / AIDS
• Leukemia lymphoblastic huikau
• Nā maʻi Immunodeficiency
• Hana me kekahi mau lāʻau

ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

E-hoʻopaʻa ʻana; Nā hoʻāʻo ʻana ʻo T a me B lymphocyte; Nā hoʻāʻo ʻana ʻo B a me T lymphocyte

Liebman HA, Tulpule A. Hematologic manifestations of HIV / AIDS. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 157.

ʻO Riley RS. ʻO ka loiloi Laboratory o ka pūnaewele immune pūnaewele. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 45.