He aha ka Leukositosis?

Anter

• Nā ʻano o ka leukositosis
• Nā ʻōuli o leukositosis
• Nā kumu o ka leukositosis
• Leukositosis i ka hāpai keiki
• Pehea e ʻike ʻia ai ka leukositosis?
• Hoʻomaʻo no ka leukositosis
• Kāohi ʻana i ka leukositosis

Hōʻike Overview

ʻO Leukocyte kekahi inoa no ke keʻokeʻo koko keʻokeʻo (WBC). ʻO kēia nā hunaola i loko o kou koko e kōkua i kou kino e hakakā i nā maʻi a me kekahi mau maʻi.

Ke kiʻekiʻe ka helu o nā hunaola keʻokeʻo i kou koko ma mua o ka maʻamau, ua kapa ʻia ʻo leukositosis. Hana pinepine kēia ma muli o kou maʻi ʻana, akā i kekahi manawa he hōʻailona wale ia e koʻikoʻi ana kou kino.

Nā ʻano o ka leukositosis

Hoʻokaʻawale ʻia ʻo Leukocytosis e ke ʻano o WBC i hoʻonui ʻia. ʻO nā ʻano ʻelima:

• Neutrophilia. Hoʻonui kēia i nā WBC i kapa ʻia he neutrophil. ʻO lākou ka ʻano maʻamau o nā WBC, e helu nei no 40 a 60 pākēneka o kāu WBC. ʻO Neutrophilia ke ʻano o ka leukocytosis e hana pinepine ʻia.
• Lymphocytosis. Ma kahi o 20 a 40 pākēneka o kāu WBCs he lymphocytes. ʻO ka helu i hoʻonui ʻia o kēia mau hunaola ke kapa ʻia ʻo lymphocytosis. ʻO kēia ʻano leukositosis he mea maʻamau.
• Monositosis. ʻO kēia ka inoa no kahi nui o nā monocytes. Hana kēia ʻano ʻāpana ma kahi o 2 a 8 paha pakeneka o kāu mau WBC. ʻAno ʻole ʻo Monocytosis.
• Eosinophilia. ʻO kēia ke kumu he nui nā pūnaewele i kapa ʻia ʻo eosinophil i kou koko. Hana kēia mau pūnaewele i kahi o 1 a 4 pakeneka o kāu WBC. ʻO Eosinophilia kekahi ʻano like ʻole o ka leukositosis.
• Basofilia. ʻO kēia kahi pae kiʻekiʻe o WBC i kapa ʻia he basophils. ʻAʻole nui kēia o nā hunaola i kou koko - 0,1 wale nō i ka 1 pakeneka o kāu mau WBC. Kākaʻikahi ʻo Basophilia.

Hoʻohui ʻia kēlā me kēia ʻano leukositosis me kekahi mau ʻano:

• Pili ʻo Neutrophilia i nā maʻi a me nā mumū.
• Pili ʻo Lymphocytosis i nā maʻi viral a me leukemia.
• Hoʻopili ʻia ka monositosis me kekahi mau maʻi a me ka maʻi ʻaʻai.
• Pili ʻia ʻo Eosinophilia me nā maʻi āpau a me nā parasites.
• Pili ʻia ʻo Basophilia me ka leukemia.

Nā ʻōuli o leukositosis

Hiki i ka Leukositosis ke hana i nā ʻōuli. Inā kiʻekiʻe ka helu o nā WNC, hana ia i kou koko i mānoanoa i hiki ʻole ke kahe pono. He pilikia olakino kēia e hiki ke kumu:

• he hahau
• nā pilikia me kāu hihi
• nā pilikia hanu
• kahe kahe mai nā wahi i uhi ʻia me ka mucosa, e like me kou waha, ʻōpū, a me kou ʻōpū

Kapa ʻia kēia ʻo hyperviscosity Syndrome. Hana ʻia me ka leukemia, akā kākaʻikahi ia.

ʻO nā ʻōuli ʻē aʻe o ka leukositosis e pili ana i ke ʻano o kāu WBC nui, a i ʻole kekahi manawa ma muli o nā hopena o ke ʻano kikoʻī o ke keʻokeʻo koko keʻokeʻo. Pākuʻi ʻia kēia mau mea:

• ke kuni a me ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe ma ka pūnaewele o kahi maʻi
• fiva, palu maʻalahi, pohō kaumaha, a me ka hou pō me ka leukemia a me nā maʻi ʻino ʻē aʻe
• hives, ʻili ʻili, a me nā huehue mai kahi hopena maʻi ʻili i kou ʻili
• nā pilikia hanu a me ke kani ʻana mai kahi hopena maʻi i loko o kou mau māmā

ʻAʻohe ou mau hōʻailona inā pili kāu leukositosis i ke koʻikoʻi a i ʻole kahi hopena i kahi lāʻau.

Nā kumu o ka leukositosis

ʻO nā kumu o ka leukositosis hiki ke hoʻokaʻawale ʻia e ka ʻano WBC.

Nā kumu o neutrophilia:

• nā maʻi maʻi
• kekahi mea e hoʻonāukiuki i ka wā lōʻihi, e like me nā ʻeha a me nā maʻi kō
• hopena i kekahi lāʻau e like me nā steroid, lithium, a me kekahi mau inhalers
• kekahi ʻano leukemia
• kahi hopena i ka naʻau a me ke koʻikoʻi koʻikoʻi mai nā mea e like me ka hopohopo, ʻoki kino, a me ka hoʻoikaika kino
• i ka hemo ʻana o kou manamana
• puhipaka

Nā kumu o ka lymphocytosis:

• nā maʻi viral
• ʻōpū kohā
• hopena maʻi ʻaʻai
• kekahi ʻano leukemia

Nā kumu o ka eosinophilia:

• nā maʻi āpau a me nā hopena āpau, e like me ka huh hay a me ka hānō
• nā maʻi palū
• kekahi mau maʻi ʻili
• lymphoma (maʻi ʻaʻai e pili ana i ka ʻōnaehana paleʻea)

Nā kumu o ka monositosis:

• nā maʻi mai kekahi mau mea e like me ka Epstein-Barr virus (me mononucleosis), tuberculosis, a me ka fungus
• nā maʻi autoimmune, e like me lupus a me ulcerative colitis
• i ka hemo ʻana o kou manamana

Nā kumu o ka basophilia:

• leukemia a i ʻole ka iwi ʻaʻai o ka iwi (pinepine pinepine)
• i kekahi manawa nā maʻi ʻino (i kekahi manawa)

Leukositosis i ka hāpai keiki

Loaʻa i nā wahine hāpai i nā kiʻekiʻe WBC kiʻekiʻe ma mua o ka maʻamau. Hoʻonui mālie kēia mau pae, a ma nā mahina ʻekolu i hala o ka hāpai ʻana ka helu WBC ma waena o 5,800 a me 13,200 no ka microliter o ke koko.

Hiki i ke koʻikoʻi o ka hana a me ka lawe ʻana ke hoʻonui i nā WBC. Noho iki ia ma luna o ka maʻamau (ma kahi o 12,700 ma ka microliter o ke koko) no kekahi manawa ma hope o ka hānau ʻana o ka pēpē.

Pehea e ʻike ʻia ai ka leukositosis?

ʻO ka maʻamau aia iā ʻoe ma waena o 4,000 a me 11,000 WBC no microliter o ke koko inā ʻaʻole ʻoe hāpai. ʻO nā mea kiʻekiʻe aʻe i manaʻo ʻia he leukositosis.

Helu ka WBC ma waena o 50,000 a me 100,000 ma kēlā me kēia microliter ʻo ia hoʻi ka maʻi nui loa a i ʻole ke kanesa ma kahi o ke kino.

ʻO ka helu WBC ma kahi o 100,000 e ʻike pinepine ʻia me ka leukemia a i ʻole ke koko a me ka maʻi ʻaʻa pū iwi.

ʻEkolu mau hoʻokolohua e hoʻohana ai kāu kauka e kōkua ai e hoʻoholo i ke kumu o ke kiʻekiʻe o kāu WBC ma mua o ka maʻamau:

• Helu piha ke koko (CBC) me ka ʻokoʻa. ʻAneʻane pau kēia hōʻike ʻana ke kiʻekiʻe aʻe kāu helu WBC ma mua o ka maʻamau no nā kumu ʻike ʻole. No kēia hoʻāʻo, holo ʻia ke koko mai kou aʻa i loko o kahi mīkini e hōʻike ana i ka pākēneka o kēlā me kēia ʻano WBC. ʻO ka ʻike ʻana i nā ʻano i ʻoi aku ke kiʻekiʻe ma mua o nā pākēneka maʻamau hiki ke kōkua i kāu kauka e hoʻoliʻiliʻi i nā kumu kūpono o kāu helu WBC kiʻekiʻe.
• Poni i ke koko peripheral. Hana ʻia kēia hōʻike ke loaʻa ka neutrophilia a i ʻole lymphocytosis no ka mea hiki i kāu kauka ke ʻike inā he nui loa nā ʻano like ʻole o nā leukocytes. No kēia hoʻāʻo, hamo ʻia kahi ʻāpana lahilahi o kāu hāpana koko ma kahi pāheʻe. Hoʻohana ʻia kahi microscope e nānā i nā hunaola.
• Biopsy iwi ʻōiwi. Hana ʻia kāu WBC i loko o kou iwi iwi a hoʻokuʻu ʻia i loko o kou koko. Ke loaʻa i kahi helu kiʻekiʻe o kekahi ʻano neutrophil ma kāu smear peripheral, hiki i kāu kauka ke hana i kēia hōʻike. Lawe ʻia nā laʻana o kou iwi iwi mai waenakonu o ka iwi, ʻo ka maʻamau kou pūhaka, me kahi nila lōʻihi a nānā ʻia ma lalo o kahi microscope. Hiki i kēia hoʻāʻo ke haʻi i kāu kauka inā loaʻa nā pūnaewele ʻokoʻa a i ʻole kahi pilikia me ka hana a hoʻokuʻu ʻia paha o nā hunaola mai kou iwi iwi.

Hoʻomaʻo no ka leukositosis

Hoʻokumu ʻia ka mālama ʻana i ka leukositosis ma muli o ke kumu o ia:

• antibiotics no ka maʻi
• ka mālama ʻana i nā kūlana e hoʻāpā ai
• antihistamines a me nā mea inhalers no nā hopena maʻi
• chemotherapy, radiation, a i kekahi manawa he transplant cell stem no ka leukemia
• loli ka lāʻau (inā hiki) inā he hopena lāʻau ke kumu
• ka mālama ʻana i nā kumu o ke koʻikoʻi a me ka hopohopo inā aia lākou

ʻO ka maʻi maʻi ʻo Hyperviscosity kahi lāʻau olakino lapaʻau i mālama ʻia me nā wai kahe, nā lāʻau lapaʻau, a me nā ʻano hana ʻē aʻe o ka lawe koke ʻana i ka WBC i ka helu ʻana. Hana ʻia kēia e hōʻemi loa i ke koko no laila kahe maʻamau hou ia.

Kāohi ʻana i ka leukositosis

ʻO ke ala ʻoi loa e pale aku ai i ka leukositosis e hōʻalo a hōʻemi paha i ka makaʻu o nā mea ke kumu. Pākuʻi ʻia kēia:

• mālama i kahi nohona olakino, me ka holoi lima maikaʻi ʻana e hōʻalo ai i kahi maʻi
• ke noho nei i kahi mea āu e ʻike ai e hoʻāla i kahi hopena maʻi
• haʻalele i ka puhipaka e hōʻalo i ka leukositosis pili i ka puhihihi, a hoʻohaʻahaʻa i kou makaʻi o ka maʻi ʻaʻai
• ke lawe nei i ka lāʻau e like me ke kuhikuhi inā mālama ʻia ʻoe no kahi ʻano e kumu ai ka hoʻā
• ke hoʻāʻo nei e hoʻohaʻahaʻa i ka nui o ke koʻikoʻi i kou ola, a me ka mālama ʻana no ka hopohopo nui a i ʻole nā ​​pilikia ʻano

ʻO ka leukositosis ka mea maʻamau i kahi maʻi a i ʻole ka mumū, no laila ʻaʻole ia he kumu no ka pīhoihoi. Eia nō naʻe, hiki ke kumu ʻia i nā maʻi nui e like me ka leukemia a me nā maʻi ʻē aʻe, no laila he mea nui e ʻike kāu kauka i ke kumu o ka hoʻonui ʻia o WBC ke loaʻa. Leukositosis pili i ka hāpai keiki a i ʻole i ka pane ʻana i ka hoʻoikaika kino maʻamau a ʻaʻohe mea e hopohopo.