Heluhelu WBC

ʻO kahi helu WBC kahi hōʻike koko e ana i ka helu o nā hunaola keʻokeʻo (WBC) i loko o ke koko.

Kapa ʻia ʻo WBC he leukocytes. Kōkua lākou i ka hakakā ʻana i nā maʻi. ʻElima ʻano nui o nā hunaola keokeo:

• Nā basophil
• Nā ʻEosinopila
• Nā Lymphocytes (nā hunaola T, nā hunaola B, a me nā keaka Killer Kūlohelohe)
• Nā Monositita
• Nā Neutrophil

Pono kahi laʻana koko.

ʻO ka hapa nui o ka manawa, ʻaʻole pono ʻoe e hana i nā hana kūikawā ma mua o kēia hōʻike. E haʻi i kāu mea mālama ola i nā lāʻau āu e lawe nei, e like me nā mea me ka ʻole o ka lāʻau. Hoʻololi kekahi mau lāʻau i nā hopena hōʻike.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

E loaʻa iā ʻoe kēia hōʻike e ʻike ai i ka nui o kāu mau WBC. E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo e kōkua i ke kuhi ʻana i nā kūlana e like me:

• He maʻi maʻi
• Ka hopena hoʻowali
• Hoʻonā
• Ka maʻi ʻaʻa koko e like me leukemia a i ʻole lymphoma

ʻO ka helu maʻamau o WBC i ke koko he 4,500 a 11,000 WBCs no microliter (4.5 a 11.0 × 10⁹/ L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā labs. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i kāu mau hopena hōʻike.

LOW WBC COUNT

ʻO kahi helu haʻahaʻa o WBC i kapa ʻia ʻo leukopenia. Ka helu i emi iho ma mua o 4,500 mau pūnaewele i kēlā me kēia microliter (4.5 × 10⁹/ L) ma lalo o ka maʻamau.

ʻO nā Neutrophil kekahi ʻano WBC. He mea nui lākou no ka hakakā ʻana i nā maʻi.

ʻO kahi haʻahaʻa ma mua o ka helu WBC maʻamau ma muli o:

• Ka hemahema o ka iwi o ka iwi a launa ʻole (e laʻa me ka maʻi, ka maʻi tumo, a i ʻole nā ​​scarring maʻamau)
• Ka lāʻau ʻana i ka lāʻau ʻaʻai, a i ʻole nā ​​lāʻau ʻē aʻe (e nānā i ka papa inoa ma lalo)
• ʻO kekahi mau maʻi autoimmune e like me lupus (SLE)
• ʻO ka maʻi o ke ake a i ʻole ka palu
• Lapaʻau hoʻomālama no ka maʻi ʻaʻai
• ʻO kekahi mau maʻi viral, e like me mononucleosis (mono)
• Nā maʻi ʻino e hōʻino ai i ka momona o ka iwi
• Nā maʻi koʻohune ʻino loa
• Kaumaha nui a me ke kaumaha o ke kino (e like me ka ʻeha a ʻoki kino paha)

KA HELU WBC kiʻekiʻe

ʻO kahi kiʻekiʻe ma mua o ka helu WBC maʻamau i kapa ʻia ʻo leukositosis. Pili paha ia i:

• Nā lāʻau a i ʻole nā ​​lāʻau (e nānā i ka papa inoa ma lalo)
• Puhi paka
• Ma hope o ka hemo ʻana o ka spleen
• Nā maʻi āpau, ʻo ka mea pinepine i hoʻokumu ʻia e ka bacteria
• ʻO ka maʻi hōʻeha (e like me ka rheumatoid arthritis a i ʻole ka maʻi āpau)
• Leukemia a i ʻole Hodgkin maʻi
• Poino o kaʻaʻaʻa (e laʻa me ke ahi)

Nui aʻe paha nā kumu maʻamau no nā helu WBC kūpono ʻole.

ʻO nā lāʻau e hoʻohaʻahaʻa ai i kāu helu WBC:

• Nā Antibiotics
• Nā Anticonvulsants
• Nā lāʻau Antithyroid
• ʻO Arsenicals
• ʻO C Laptopril
• Nā lāʻau Chemotherapy
• ʻO Chlorpromazine
• ʻO Clozapine
• Diuretics (wai huaale)
• Nā poloka o Histamine-2
• Sulfonamides
• Quinidine
• Terbinafine
• ʻO Ticlopidine

ʻO nā lāʻau i hiki ke hoʻonui i ka helu WBC:

• Nā beta agonists adrenergic (ʻo kahi laʻana, albuterol)
• Corticosteroids
• Epinephrine
• ʻO ke kolone Granulocyte stimulate factor
• Heparin
• Likiuma

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. 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
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Helu Leukocyte; Helu keʻokeʻo koko keʻokeʻo; ʻOkoʻa keʻokeʻo koko ʻokoʻa; ʻOkoʻa WBC; Maʻi kīnā - helu WBC; Ka maʻi ʻaʻai - Helu WBC

• Basophil (pani)
• Nā mea i hana ʻia o ke koko
• Helu keʻokeʻo koko keʻokeʻo - series

Chernecky CC, Berger BJ. Helu leukocyte ʻokoʻa (Diff) - ke koko ākea. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 441-450.

ʻO Vajpayee N, Graham SS, Bem S. Nānā maʻamau o ke koko a me ka iwi iwi. 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 30.