He aha nā neutrophil kiʻekiʻe a haʻahaʻa paha
Anter
ʻO nā Neutrophil kekahi ʻano leukosit a, no laila, kuleana no ka pale ʻana o ka meaola, e hoʻonui ana i ko lākou nui i ke koko ke loaʻa ka maʻi a me ka mumū. ʻO ka neutrophil i loaʻa i ka nui o ka nui o ke kaapuni ʻo ka neutrophil i hoʻokaʻawale ʻia, i kapa ʻia hoʻi ʻo neutrophil makua, ʻo ia ke kuleana no ka hoʻopili ʻana i nā hunaola a i ʻole nā ʻeha ʻeha a laila hoʻopau iā lākou.
ʻO ke kumukūʻai kūmole maʻamau o ka neutrophil segmented e hoʻopuni nei i ke koko hiki ke loli e like me ka keʻena hoʻokolohua, akā, i ka nui ia mai 1600 a i 8000 segment neutrophil ma mm³ o ke koko. No laila, ke kiʻekiʻe nā neutrophil he mea maʻa mau ia e loaʻa i ke kanaka kekahi maʻi bacteria a fungal paha, mai ka hana ʻana o kēia cell e pale ai i ke kino.
I ka hoʻāʻo ʻana o ke koko, he mea hoʻohui i ka hōʻike ʻana i ka nui o nā neutrophil i hoʻokaʻawale ʻia, ua hōʻike pū ʻia ka nui o nā eosinophil, nā basophil a me nā koʻokoʻo a me nā neutrophil, ʻo ia hoʻi nā neutrophil i hana ʻia no ka hakakā ʻana i ka maʻi a me ka hopena o ke kūkulu ʻia ʻana neutrophil i hoʻokaʻawale ʻia.
Hiki ke loiloi i ka nui o nā neutrophil e ka hana ʻana i kahi helu piha o ke koko, kahi e nānā ʻia ai ke kaʻina koko keʻokeʻo holoʻokoʻa. Loiloi ʻia nā leukocytes i kahi ʻāpana kikoʻī o ka helu o ke koko, ka leukocyte e hōʻike ai:
1. Nā neutrophil kiʻekiʻe
ʻO ka hoʻonui ʻana i ka nui o nā neutrophil, i ʻike ʻia he neutrophilia, hiki ke hana ma muli o nā hanana he nui, ʻo nā mea nui:
- Nā maʻi maʻi;
- Nā maʻi hōʻeha;
- Diabetes;
- Uremia;
- Eclampsia i ka hāpai keiki;
- ʻO ka necrosis o ke ake;
- Leukemia myeloid maʻi;
- Post-splenectomy polycythemia;
- Hemolytic anemia;
- Myeloproliferative syndromes;
- Kaheʻe ʻana o ke koko;
- Puhi;
- Pākuʻi uila;
- Kanesa.
Hiki ke hana pū kekahi ʻo Neutrophilia ma muli o ke kūlana physiological, e like me nā keiki hānau hou, i ka wā o ka hānau ʻana, ma hope o nā hanana o ka luaʻi pinepine, ka makaʻu, ke koʻikoʻi, ka hoʻohana ʻana i nā lāʻau me adrenaline, hopohopo a ma hope o ka hoʻonui ʻia o nā hana kino. No laila, inā kiʻekiʻe ka waiwai o nā neutrophil, hiki i ke kauka ke kauoha i nā hoʻokolohua diagnostics e ʻike pono i ke kumu a hoʻomaka i ka lāʻau kūpono. E ʻike hou aʻe e pili ana i ka neutrophilia.
2. Nā neutrophil haʻahaʻa
ʻO ka hōʻemi o ka nui o nā neutrophil, i kapa ʻia hoʻi ʻo neutropenia, hiki ke hana ma muli o:
- Aplastic, megaloblastic a i ʻole ka hemahema hao anemia;
- Leukemia;
- Hypothyroidism;
- Hoʻohana o nā lāʻau;
- Nā maʻi Autoimmune, e like me Systemic Lupus Erythematosus;
- Myelofibrosis;
- Cirrhosis.
Eia hou, aia paha he neutropenia neonatal i ka hihia o ka maʻi nui e nā maʻi ʻino a i ʻole bacteria ma hope o ka hānau ʻana. ʻO nā keiki me Down Syndrome pū kekahi me nā neutrophil haʻahaʻa me ka ʻole o nā pilikia olakino.
Inā neutropenia, hiki i ke kauka ke koi aku e hana i kahi myelogram e nānā ai i ke kumu o ka emi o ka nui o nā neutrophil i hoʻokaʻawale ʻia i ke koko, me ka nānā ʻana inā aia kekahi loli e pili ana i ka hana ʻana o nā neursophil precursor cells i loko o ka iwi iwi. .