Hōʻike ʻokoʻa koko

ʻO ke hoʻokolohua hoʻokaʻawale koko e ana i ka pākēneka o kēlā me kēia ʻano o ke keʻokeʻo koko keʻokeʻo (WBC) i loaʻa iā ʻoe i kou koko. Hōʻike pū kekahi inā aia kekahi o nā keena ʻino a makua ʻole paha.

Pono kahi laʻana koko.

Lawe kahi loea loea i kahi kulu o ke koko mai kāu hāpana a hamo iā ia i kahi kiʻi kīʻaha. Hoʻopili ʻia ka pāheona me kahi kala kūikawā, i mea e kōkua ai i ka ʻokoʻa ma waena o nā ʻano kiko keʻokeʻo keʻokeʻo.

ʻElima ʻano o nā hunaola keokeo, i kapa ʻia hoʻi ʻo nā leukocytes, e ʻike mau ʻia i ke koko.

• Nā Neutrophil
• Nā Lymphocytes (nā pūnaewele B a me nā pūnaewele T)
• Nā Monositita
• Nā ʻEosinopila
• Nā basophil

Helu kahi mīkini kūikawā a mea lawelawe mālama ola paha i ka helu o kēlā me kēia ʻano o ke kolamu. Hōʻike ka hōʻike inā aia ka helu o nā hunaola i ka helu kaulike kekahi me kekahi, a inā he nui a ʻoi aku paha o hoʻokahi o nā ʻano pūnaewele.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

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.

Hana ʻia kēia hōʻike e kuhikuhi i kahi maʻi, anemia, a i ʻole leukemia. Hoʻohana ʻia paha ia e nānā i kekahi o kēia mau ʻano, a i ʻole e ʻike inā e holo ana ka lāʻau.

Hāʻawi ʻia nā ʻano ʻokoʻa o nā hunaola keokeo ma ke ʻano he pākēneka:

• Nā Neutrophils: 40% a 60%
• Nā Lymphocytes: 20% a 40%
• Monositita: 2% a 8%
• ʻO Eosinophils: 1% a 4%
• Nā Basophils: 0.5% a 1%
• Band (neutrophil ʻōpio): 0% a 3%

ʻO kēlā me kēia maʻi a i ʻole ke koʻikoʻi koʻikoʻi e hoʻonui i kāu helu o nā hunaola keʻokeʻo. ʻO nā helu o ke koko kiʻekiʻe keʻokeʻo ma muli o ka mumū, kahi pane pale, a i ʻole nā ​​maʻi koko e like me leukemia.

He mea nui ia e ʻike i ka hoʻonui ʻia ʻana o hoʻokahi ʻano keokeo keokeo i hiki ke hōʻemi i ka pākēneka o nā ʻano ʻē aʻe o nā hunaola keokeo.

ʻO ka hoʻonui ʻia o ka pākēneka o nā neutrophil ma muli o:

• Maʻi ʻaʻai
• Kaha koʻikoʻi
• Eclampsia (ka hopu a i ʻole koma i ka wahine hāpai)
• ʻO Gout (ʻano o ka arthritis ma muli o ke kūkulu ʻia o ka uric acid i ke koko)
• Huehue a mau paha o ka leukemia
• Nā maʻi Myeloproliferative
• Rheumatoid arthritis
• Rheumatic fever (maʻi ma muli o ka maʻi maʻi me ka hui A streptococcus koʻohune)
• Thyroiditis (kahi maʻi thyroid)
• Trauma
• Puhi paka

Hiki ke hoʻemi ʻia ka pākēneka o nā neutrophil i:

• Anemia anplastic
• ʻO Chemotherapy
• Influenza (flu)
• ʻO ka radiation radiation a hōʻike paha
• Maʻi maʻi Viral
• Hoʻolahalaha nui i nā maʻi bacteria

ʻO ka hoʻonui ʻia o ka pākēneka o nā lymphocytes ma muli o:

• Maʻi maʻi koʻohune maʻi
• ʻO ka maʻi hepatitis
• ʻO ka mononucleosis maʻi, a mono paha (maʻi maʻi viral e kumu ai ke kuni, ʻeha ka ʻāʻī, a me nā ʻōhū lymph pehu)
• Lymphocytic leukemia (kahi ʻano o ke koko maʻi ʻaʻai)
• Myeloma maha (kahi ʻano maʻi ʻaʻai koko)
• Virus maʻiʻaʻai (e like me ka mumps a me ka maʻi ʻula)

Hiki ke hoʻemi ʻia ka pākēneka o nā lymphocytes i:

• ʻO Chemotherapy
• Maʻi maʻi HIV / AIDS
• Leukemia
• ʻO ka radiation radiation a hōʻike paha
• Sepsis (koʻikoʻi, hoʻonāukiuki pane i nā bacteria a i ʻole nā ​​g germ)
• Hoʻohana Steroid

ʻO ka hoʻonui ʻia o ka pākēneka o nā monocytes ma muli o:

• Maʻi maʻi kūpilikiʻi
• Leukemia
• Maʻi maʻi Parasitic
• Tuberculosis, a i ʻole TB (maʻi koʻohune e pili ana i nā akemāmā)
• ʻO ka maʻi Viral (ʻo kahi laʻana, mononucleosis infectious, mumps, measles)

Hoʻonui ʻia paha ka pākēneka o nā eosinophil ma muli o:

• Addison maʻi (adrenal glands e ole paka lawa hormones)
• Ka hopena hoʻowali
• Kanesa
• Leukemia myelogenous mau
• ʻO ka maʻi maʻi collagen
• Nā syndrome Hypereosinophilic
• Maʻi maʻi Parasitic

Hoʻonui ʻia paha ka pākēneka o nā basophil ma muli o:

• Ma hope o splenectomy
• Ka hopena hoʻowali
• Leukemia myelogenous mau (kahi ʻano o ka maʻi ʻaʻa pū iwi)
• ʻO ka maʻi maʻi collagen
• Nā maʻi Myeloproliferative (ka hui o nā maʻi pū iwi)
• Maʻi puʻupuʻu

Hiki ke hoʻemi ʻia kahi pākēneka o nā basophil ma muli o:

• Maʻi ʻaʻai
• Kanesa
• ʻEha hōʻeha

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 lawe ʻana i ke 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)

Mea ʻokoʻa; Diff; Helu helu ʻokoʻa ke keʻokeʻo koko

• Basophil (pani)
• Nā mea i hana ʻia o ke koko

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: 440-446.

ʻO Hutchison RE, Schexneider KI. Nā maʻi Leukocytic. 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 33.