Ka hoʻomaopopo ʻana i nā Neutrophil: Hana, Heluhelu, a me nā mea hou aku

Anter

• Helu helu neutrophil loa (ANC)
• He aha e manaʻo ai
• Ka hoʻomaopopo ʻana i nā hopena
• He aha ke kumu o nā pae neutrophil kiʻekiʻe?
• He aha ke kumu o nā pae neutrophil haʻahaʻa?
• Outlook
• Nā nīnau no kāu kauka

Hōʻike Overview

ʻO Neutrophils kahi ʻano o ke keʻokeʻo koko keʻokeʻo. ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o nā hunaola keʻokeʻo e alakaʻi i ka pane o ka ʻōnaehana pale pale neutrophils. ʻEhā mau ʻano ʻē aʻe o nā hunaola keokeo. ʻO nā Neutrophil ka nui o ka nui o nā ʻano, e hoʻonui ana i 55 a 70 pākēneka o kou mau keʻokeʻo koko keʻokeʻo. ʻO nā hunaola keʻokeʻo, i kapa ʻia hoʻi ʻo nā leukocytes, kahi ʻāpana nui o kāu ʻōnaehana pale.

Hana ʻia kāu ʻōnaehana pale nahenahe, nā ʻola, a me nā hunaola. Ma ke ʻano he ʻāpana o kēia ʻōnaehana paʻakikī, mākaʻikaʻi nā hunaola koko keʻokeʻo i kou kahe koko a me ka ʻōnaehana lymphatic.

Ke maʻi ʻoe a i ʻole ʻeha iki, nā mea a kou kino e ʻike ai he haole, i ʻike ʻia he antigens, kāhea i kāu ʻōnaehana pale kino i ka hana.

ʻO nā laʻana o nā antigens me:

• koʻohune
• nā mea hoʻomaʻi
• fungi
• mea ʻawaʻawa
• nā hunaola maʻi ʻaʻai

Hana nā hunaola keʻokeʻo i nā kemika e hakakā i nā antigens ma ka hele ʻana i ke kumu o ka maʻi a i ʻole ka puhū.

He mea nui nā Neutrophil no ka mea, ʻaʻole like me kekahi o nā hunaola keʻokeʻo ʻē aʻe, ʻaʻole kaupalena ʻia lākou i kahi kikoʻī o ka holo. Hiki iā lākou ke neʻe manuahi ma o nā paia o nā uaua a i nā aʻa o kou kino e hoʻouka koke i nā antigens āpau.

Helu helu neutrophil loa (ANC)

Hiki i kahi helu neutrophil loa (ANC) ke hāʻawi i kāu kauka me nā hōʻailona koʻikoʻi e pili ana i kou olakino. Kauoha pinepine ʻia kahi ANC ma ke ʻano he ʻāpana o ka helu piha o ke koko (CBC) me ka ʻokoʻa. Ana ʻo CBC i nā hunaola i loko o kou koko.

E kauoha paha kāu kauka i kahi ANC:

• e paku no kekahi mau ʻano
• e kōkua diagnose i kahi kūlana
• e nānā i kāu kūlana inā loaʻa ʻoe i kahi maʻi e kū nei a i ʻole ke hele ʻana i ka chemotherapy

Inā kūpono ʻole kāu ANC, makemake paha kāu kauka e hana hou i ka hoʻāʻo ʻana i ke koko i nā manawa he nui ma kahi o nā pule. ʻO kēia ala, hiki iā lākou ke nānā no nā loli i kāu helu neutrophil.

He aha e manaʻo ai

No ka hōʻike ANC, e huki ʻia kahi liʻiliʻi o ke koko, maʻamau mai kahi aa i kou lima. E hana kēia i ke keʻena o kāu kauka a i kahi lab. E loiloi ʻia ke koko i loko o kahi keʻena hoʻokolohua a e hoʻouna ʻia nā hopena i kāu kauka.

Hiki i kekahi mau kūlana ke hoʻopili i nā hopena o kāu hōʻoia koko. E ʻike pono i kāu kauka inā hāpai ʻoe, a inā i loaʻa iā ʻoe kekahi o kēia mau mea:

• he maʻi hou
• chemotherapy
• lāʻau pāhawewe
• hoʻōla kino
• ʻoki kino hou
• hopohopo
• HIV

Ka hoʻomaopopo ʻana i nā hopena

He mea nui i kāu kauka e wehewehe i kāu hopena hopena. Hiki ke loli ākea nā hopena mai kahi lab a lab. ʻOkoʻa nō lākou kaukaʻi ʻia:

• kou mau makahiki
• kou kāne kāne
• kou hoʻoilina
• pehea ke kiʻekiʻe ma luna o ka ʻilikai āu e noho nei
• he aha nā mea hana i hoʻohana ʻia i ka wā o ka hoʻāʻo ʻana

Hoʻomaopopo e ana ʻia nā pae kuhikuhi i helu ʻia ma aneʻi i nā microliters (mcL), a he ʻaneʻane wale nō.

He aha ke kumu o nā pae neutrophil kiʻekiʻe?

Loaʻa i kahi pākēneka kiʻekiʻe o nā neutrophil i kou koko i kapa ʻia neutrophilia. He hōʻailona kēia i ka loaʻa ʻana o ka maʻi i kou kino. Hiki i ka Neutrophilia ke kuhikuhi i kekahi mau kumu kumu a me nā kumu, e like me:

• maʻi ʻaʻai, maʻi koʻohune paha
• pehu noninfectious
• ʻeha
• ʻoki kino
• puhipaka, a puhi baka paha
• pae kiʻekiʻe kiʻekiʻe
• hoʻoikaika kino nui loa
• hoʻohana steroid
• hōʻeha puʻuwai
• leukemia myeloid mau

He aha ke kumu o nā pae neutrophil haʻahaʻa?

ʻO Neutropenia ka manawa no nā pae neutrophil haʻahaʻa. Hoʻohui pinepine ʻia nā helu neutrophil haʻahaʻa me nā lāʻau lapaʻau akā hiki iā lākou ke hōʻailona o nā kumu ʻē aʻe a i ʻole nā ​​maʻi, e like me:

• kekahi mau lāʻau, me nā mea i hoʻohana ʻia i ka chemotherapy
• kāohi ʻōnaehana pale pale
• holo pono ʻole iwi iwi
• anemia aplastic
• neutropenia febrile, ʻo ia kahi pilikia olakino
• nā maʻi hānau, e like me ka maʻi Kostmann a me ka neutropenia cyclic
• hepatitis A, B, a i ʻole C
• HIV / AIDS
• sepsis
• nā maʻi autoimmune, me ka rheumatoid arthritis
• maʻi leukemia
• myelodysplastic syndrome

Aia ʻoe i kahi makaʻu nui loa i ka maʻi inā e helele kāu helu neutrophil ma lalo o 1,500 neutrophil ma ka microliter. Hiki i nā helu neutrophil haʻahaʻa loa ke alakaʻi i nā maʻi hoʻoweliweli i ke ola.

Outlook

Inā kiʻekiʻe kāu helu neutrophil, hiki iā ia ke manaʻo he maʻi ʻoe a i ʻole ma lalo o ke koʻikoʻi nui. Hiki iā ia ke lilo i hōʻailona o nā kūlana koʻikoʻi hou aʻe.

ʻO Neutropenia, a i ʻole helu neutrophil haʻahaʻa, hiki ke mau no kekahi mau pule a i ʻole hiki ke hoʻomau. Hiki iā ia ke lilo i hōʻailona o nā ʻano a me nā maʻi ʻē aʻe, a waiho iā ʻoe i ka makaʻu nui aʻe no ka loaʻa ʻana o nā maʻi ʻoi loa.

Inā pili nā helu neutrophil abnormal ma muli o kahi ʻano paʻa, e hoʻoholo ʻia kāu kuana a me ka mālama ʻana e kēlā ʻano.

Nā nīnau no kāu kauka

Inā kauoha kāu kauka i kahi CBC me ka ʻokoʻa a i ʻole ka pale ANC, ʻike paha ʻoe he mea pono e nīnau i nā nīnau aʻe.

• No ke aha ʻoe e kauoha nei i kēia hōʻike?
• Ke hoʻāʻo nei ʻoe e hōʻoia a hoʻopau paha i kahi kūlana kikoʻī?
• Aia kekahi mea kūikawā e pono ai wau e hana no ka hoʻomākaukau ʻana?
• Pehea koke wau e loaʻa ai nā hopena?
• E hāʻawi anei ʻoe, a i ʻole i kekahi mea ʻē iaʻu i nā hopena a wehewehe iā lākou iaʻu?
• Inā maʻamau nā hopena hōʻike, he aha nā ʻanuʻu aʻe?
• Inā kūpono ʻole nā ​​hopena hōʻike, he aha nā ʻanuʻu aʻe?
• He aha nā kaʻina mālama pono ponoʻī e pono ai iaʻu e kali ana i nā hopena?