He aha ka lymphocytosis, nā kumu nui a me ka mea e hana ai

Anter

• Nā kumu nui o ka lymphocytosis
• 1. Mononucleosis
• 2. Puʻukū
• 3. Nā ana
• 4. Hepatitis
• 5. Leukemia Lymphocytic huʻi
• 6. Leukemia Lymphocytic maʻi mau
• 7. Lymphoma

ʻO Lymphocytosis kahi hanana i kū i ka nui o nā lymphocytes, i kapa ʻia he mau keʻokeʻo koko keʻokeʻo, ma luna o ka maʻamau o ke koko. Hōʻike ʻia ka nui o nā lymphocytes i loko o ke koko i kahi ʻāpana kikoʻī o ka helu o ke koko, ka leukogram, i manaʻo ʻia he lymphocytosis ke nānā ʻia ma mua o 5000 mau lymphocytes ma ka mm³ o ke koko.

He mea nui e hoʻomanaʻo i ka hopena o kēia hopena ma ke ʻano he helu piha, no ka mea ke ʻike ʻia nā hopena o ka hoʻokolohua ma luna o 50% ua kapa ʻia ia he helu pili, a ʻokoʻa paha kēia mau waiwai e pili ana i ka hale hana.

ʻO Lymphocytes nā hunaola kuleana no ka pale ʻana i ke kino, no laila ke hoʻonui ʻia ia ka mea maʻamau ke hana nei ke kino i kekahi microorganism, e like me nā bacteria, nā virus, akā hiki ke hoʻonui ʻia ke loaʻa ka pilikia i ka hana ʻana o kēia mau mea. nā pūnaewele. E aʻo hou aʻe e pili ana i nā lymphocytes.

Nā kumu nui o ka lymphocytosis

Hōʻoia ʻia ka Lymphocytosis e ka helu piha o ke koko, ʻoi aku ke kikoʻī i ka helu o ke koko keʻokeʻo, ʻo ia ka ʻāpana o ka helu o ke koko e loaʻa ana ka ʻike e pili ana i nā hunaola keokeo, nā aʻa ke kuleana no ka pale o ke kino, e like me e like me nā lymphocytes, leukocytes, monocytes, eosinophils a me nā basophils.

Pono e loiloi i ka loiloi o ka nui o nā lymphocytes e kahe ana e ka hematologist, ka mea hana maʻamau a i ʻole ke kauka nāna i kauoha i ka hōʻike. Hiki i ka hoʻonui ʻana i ka helu o nā lymphocytes ke loaʻa i kekahi mau kumu, ʻo nā mea nui:

1. Mononucleosis

ʻO Mononucleosis, ka mea i ʻike ʻia he maʻi honi, ke kumu o ka maʻiʻO Epstein-Barr lawe ʻia e ka lawaiʻa ma o ka honi ʻana, akā me ka ʻūlū ʻana, ka ʻū ʻana a i ʻole kaʻana like ʻana i nā mea ʻoki a me nā aniani. ʻO nā ʻōuli nui he mau ʻulaʻula ma ke kino, wela wela, ʻeha ke poʻo, wai i ka ʻāʻī a me nā ʻāpana lima, ʻeha ka puʻu, papala keʻokeʻo i ka waha a me ka luhi o ke kino.

E like me ka lymphocytes hana i ka pale o ka meaola, he mea maʻamau no lākou ke kiʻekiʻe, a he hiki nō hoʻi ke hōʻoia i nā loli ʻē aʻe i ka helu o ke koko, e like me ke kū ʻana o nā lymphocytes atypical a me nā monocytes, me ka hoʻololi o ka biokimia. nā hoʻāʻo, ʻo ka protein C-reactive pū kekahi, CRP.

He aha e hana ai: ʻO ka maʻamau, hoʻopau maʻamau ʻia kēia maʻi e nā pale pale o ke kino ponoʻī, a hiki ke hala ma 4 a 6 mau pule. Eia nō naʻe, hiki i ka mea lapaʻau maʻamau ke kuhikuhi i ka hoʻohana ʻana i kekahi lāʻau e hōʻalo ai i nā ʻōuli e like me nā mea ʻeha a me nā antipyretics e hoʻohaʻahaʻa ai i ka fiva a me nā anti-inflammatories e hoʻēmi ai i ka ʻeha. E ʻike pehea e mālama ʻia ai ka mālama ʻana no mononucleosis.

2. Puʻukū

ʻO ka tuberculosis kahi maʻi e hoʻopili i nā akemāmā, hele aʻe mai kēlā me kēia kanaka, a ua hoʻokumu ʻia e kahi maʻi bacteria i kapa ʻia ʻo Koch bacillus (BK). ʻO ka manawa pinepine ka maʻi maʻi ʻole, akā ke hana ia ke kumu o nā ʻōuli e like me ke kahe koko a me ka phlegm, ka hou o ka pō, ka wela, ka pohō a me ka makemake nui.

Ma waho aʻe o nā lymphocytes kiʻekiʻe, ʻike paha ke kauka i ka hoʻonui ʻana o nā monocytes, i kapa ʻia he monocytosis, me ka hoʻonui ʻana i nā neutrophil. Inā loaʻa nā ʻōuli o ke kanaka a me nā loli manaʻo i ka helu o ke koko, hiki i ke kauka ke noi i kahi hoʻokolohua kikoʻī no ka tuberculosis, i kapa ʻia ʻo PPD, kahi e loaʻa ai i kahi kanaka kahi kī liʻiliʻi o ka protein i loko o nā bacteria i kumu ʻia ai ka maʻi kō a me ka The pili ka hopena i ka nui o ka hopena o ka ʻili i hoʻokumu ʻia e kēia injection. E ʻike pehea e maopopo ai i ka hōʻike PPD.

He aha e hana ai: Pono e hoʻokumu i ka lapaʻau e ka pulmonologist a i ʻole ka maʻi infectious, a pono e nānā mau ʻia ke kanaka. Lōʻihi ka mālama ʻana no ka maʻi pehu ma kahi o 6 mau mahina a hana ʻia me nā lāʻau ʻaloʻalo e pono ke lawe ʻia inā nalowale nā ​​ʻōuli. Ma muli o ka loaʻa ʻole o nā ʻōuli, hiki ke loaʻa i nā koʻohune a inā keʻoki ʻia ka lāʻau, hiki ke hoʻonui hou a lawe i nā hopena i ke kanaka.

ʻO ka nānā ʻana o ka mea maʻi me ka tuberculosis e pono e hana ʻia i kēlā me kēia manawa i mea e nānā ai inā aia kekahi Koch bacilli, pono no kēlā kanaka e loaʻa i ka sputum exam, ke noi ʻia nei e hōʻiliʻili i 2 mau laʻana.

3. Nā ana

ʻO ka maʻi maʻi maʻi maʻi maʻi i hoʻokumu ʻia e ka maʻi maʻi e hoʻopili nui i nā keiki a hiki i ka 1 makahiki. Manaʻo ʻia kēia maʻi he maʻi lele loa ia, ʻoiai hiki ke lawe maʻalahi ʻia mai kekahi kanaka a i kekahi kanaka ma o nā droplets i hoʻokuʻu ʻia mai ke kaʻe ʻana a me ka mimiki ʻana. He maʻi ia e hoʻouka i ka ʻōnaehana hanu, akā hiki ke pālahalaha i ke kino holoʻokoʻa e hana ana i nā ʻōuli e like me nā ʻulaʻula ma ka ʻili a me ka ʻāʻī, nā maka ʻulaʻula, a me ke kuni. ʻIke pehea e ʻike ai i nā ʻōpio.

Ma waho o nā lymphocytes kiʻekiʻe, hiki i ka loio maʻamau a pediatrician paha ke nānā i nā loli ʻē aʻe i ka helu o ke koko a me nā hoʻokolohua immunological a me biochemical, e like me CRP hoʻonui ʻia, e hōʻike ana i ka hanana o kahi kaʻina infectious.

He aha e hana ai: Pono ʻoe e nīnau i kāu kauka laula a pediatrician paha i ka wā e ʻike ʻia ai nā ʻōuli, no ka mea inā ʻaʻohe lapaʻau kūikawā no ka maʻi ʻula, e paipai ka kauka i nā lāʻau e hōʻoluʻolu i nā ʻōuli. ʻO ke kanikau ke ala maikaʻi loa e pale aku ai i ka maʻi ʻula a kuhikuhi ʻia no nā keiki a me nā mākua a loaʻa ka lāʻau āpau me ka uku ʻole ʻia ma nā keʻena olakino.

4. Hepatitis

ʻO ka Hepatitis kahi mumū i ke akepaʻa i hoʻokumu ʻia e nā ʻano maʻi ʻokoʻa a i ʻole i kumu ʻia e ka hoʻohana ʻana i kekahi mau lāʻau, nā lāʻau a i ʻole ke ʻai ʻana i nā toxins. ʻO nā ʻōuli nui o ka hepatitis ka ʻili melemele a me nā maka, ka pohō a me ka makemake nui, ka pehu ʻana o ka ʻaoʻao ʻākau o ka ʻōpū, ka mimi ʻeleʻele a me ke kuni. Hiki ke hoʻoili ʻia ka Hepatitis ma o ke kaʻana like ʻana i nā nila kele, haumia pale ʻole ʻia, ka wai a me nā meaʻai i hoʻoweliweli ʻia me nā feces a hui pū me ke koko o kahi mea maʻi.

ʻOiai ʻo ka maʻi hepatitis ka mea i hoʻokumu ʻia e nā virus, ke kū nei ke kino i ka hana o ka ʻōnaehana pale, me ka hoʻonui ʻana i ka nui o nā lymphocytes. Ma waho o nā loli i ka WBC a me ka helu o ke koko, ka mea e hōʻike pinepine ai i ka anemia, pono pū ke kauka i ka hana ate ma o nā hoʻokolohua e like me TGO, TGP a me bilirubin, a me nā hoʻokolohua serological e ʻike ai i ka maʻi hepatitis.

He aha e hana ai: Hana ʻia ka lāʻau no ka maʻi hepatitis e like me ke kumu, akā inā ua hopena ʻia i kahi maʻi, ka hoʻohana ʻana i nā antivirals, hoʻomaha a hoʻonui ʻia ka loaʻa ʻana o ka wai e koi ʻia e ka infectologist, hepatologist a i ʻole ka mea hana maʻamau. I ke kumu o ka maʻi hepitis, ʻo ke kauka no ke pani a kāpae ʻia paha o ka lāʻau e koi ʻia e ka kauka.ʻIke i ka lāʻau no kēlā me kēia ʻano hepatitis.

5. Leukemia Lymphocytic huʻi

ʻO ka leukemia lymphocytic huikau (ALL) kahi ʻano o ka maʻi ʻaʻai e kū aʻe i loko o ka iwi iwi, ʻo ia ka mea kuleana no ka hana ʻana o nā hunaola koko. Kapa ʻia kēia ʻano leukemia ʻoiaʻiʻo no ka mea ʻo nā lymphocytes i hana hou ʻia i loko o ka iwi o ka iwi i loaʻa i ka holo ʻana i loko o ke koko, me ka ʻole o ke kaʻina o ka oʻo ʻana, no laila ua kapa ʻia nā lymphocytes makua ʻole.

E like me ka hiki ʻole i nā lymphocytes ke kahe nei ke hana pololei i kā lākou hana, aia kahi hana ʻoi aku ka nui o nā lymphocytes e ka iwi o ka iwi i ka hoʻāʻo ʻana e uku no kēia hemahema, nā hopena i ka lymphocytosis, me nā hoʻololi ʻē aʻe i ka helu o ke koko, e like me thrombositopenia , ʻo ia ka hōʻemi ʻana i ka helu platelet.

ʻO ia ka ʻano maʻamau o ka maʻi ʻaʻai i ka wā kamaliʻi, me nā manawa he nui o ka hoʻōla, akā hiki ke hana ʻia i nā mākua. ʻO nā ʻōuli a pau he ʻili ʻulaʻula, e kahe ana ka ihu, nā ʻūlū mai nā lima, nā wāwae a me nā maka, ka wai mai ka ʻāʻī, ʻūhā a me nā ʻāpana lima, ʻeha ka iwi, fiva, ka hanu a me ka nāwaliwali.

He aha e hana ai: He mea nui ia e ʻike i ka pediatrician a i ʻole ka mea hana maʻamau ke ʻike ʻia nā ʻōuli a me nā ʻōuli mua o ka leukemia, i hiki ai i ke kanaka ke hāʻawi koke ʻia i ka hematologist i hiki ke hoʻokō ʻia nā hoʻokolohua kikoʻī a hōʻoia ʻia ke kuhi. I ka hapanui o nā hihia, mālama ʻia ka mālama ʻana no KATOA me ka chemotherapy a me ka radiotherapy a, i kekahi mau manawa, paipai ʻia ka hoʻoneʻe iwi iwi. E ʻike pehea e hana ʻia ai ka hoʻoneʻe iwi.

6. Leukemia Lymphocytic maʻi mau

ʻO ka leukemia lymphocytic mau (LLC) kahi ʻano maʻi maʻi kolohe, a maʻi ʻaʻai paha, e ulu ana i ka iwi iwi. Kapa ʻia ia maʻi mau no ka mea hiki ke ʻike ʻia ke kaapuni ʻana i loko o ke koko nā lymphocytes oʻo a oʻo ʻole. Hoʻonui mālie kēia maʻi, a ʻoi aku ka paʻakikī o nā ʻōuli ke ʻike ʻia.

ʻAʻole pinepine ka LLC i nā ʻōuli, akā hiki iā lākou ke ala aʻe i kekahi mau hihia, e like me ka armpit, ka ʻū a me ka ʻāʻī o ka ʻū ʻana, ka sweating o ka pō, ka ʻeha ma ka ʻaoʻao hema o ka ʻōpū i hoʻokumu ʻia e ka spleen a me ka wela. He maʻi ia e hoʻopili nui i ka ʻelemakule a me nā wahine ma mua o 70 mau makahiki.

He aha e hana ai: Pono ka loiloi e kahi loea ākea a ma nā hihia kahi e hōʻoia ʻia ai ka maʻi, pono e hāʻawi i kahi hematologist. E hōʻoia ka hematologist i ka maʻi ma o nā hoʻokolohua ʻē aʻe, e like me ka biopsy iwi pū iwi. I ke kumu o ka hōʻoia o ka LLC, hōʻike ke kauka i ka hoʻomaka ʻana o ka lapaʻau, ʻo ia hoʻi ʻo chemotherapy a me ka iwi iwi kuʻi.

7. Lymphoma

ʻO Lymphoma kekahi ʻano o ka maʻi ʻaʻai e kū aʻe mai nā lymphocytes maʻi a hiki ke hoʻopili i kekahi ʻāpana o ka ʻōnaehana lymphatic, akā pili pinepine ia i ka pala, timima, nā tonsil a me nā alelo. Aia ma mua o 40 mau ʻano lymphomas, akā ʻo ka maʻamau ʻo Hodgkin's a me non-Hodgkin's lymphoma, ua like like nā ʻōuli ma waena o lākou me nā puʻupuʻu ma ka ʻāʻī, ʻūhā, clavicle, ʻōpū a me ka armpit, me ka wela, ka hou i ka pō , ka hōʻemi kaumaha me ke kumu ʻole, ka hanu a me ke kaʻe.

He aha e hana ai: Me ka hoʻomaka ʻana o nā ʻōuli e koi ʻia e ʻimi i kahi loea laulā nāna e kuhikuhi iā ʻoe i kahi oncologist a i ʻole hematologist nāna e kauoha i nā hoʻokolohua ʻē aʻe, i ka hoʻohui ʻana i ka helu o ke koko, e hōʻoia i ka maʻi. E hōʻike wale ʻia ka lapaʻau ʻana ma hope o ka wehewehe ʻana o ke kauka i ke kiʻekiʻe o ka maʻi, akā hana ʻia ka chemotherapy, radiation radiation a me ka hoʻoneʻe iwi iwi.