Munyori: Roger Morrison
Zuva Rekusika: 20 Gunyana 2021
Gadziridza Zuva: 16 Mbudzi 2024
Anonim
Chii chinonzi lymphocytosis, zvikonzero zvikuru uye zvekuita - Utano
Chii chinonzi lymphocytosis, zvikonzero zvikuru uye zvekuita - Utano

Zvemukati

Lymphocytosis mamiriro ezvinhu anoitika kana huwandu hwema lymphocyte, anonziwo machena masero eropa, ari pamusoro peyakajairika muropa. Huwandu hwema lymphocyte muropa hunoratidzwa mune chimwe chikamu chehuwandu hweropa, iyo leukogram, ichifungidzirwa kuti lymphocytosis apo anopfuura ma5000 lymphocyte anoongororwa pamamiriyoni eropa.

Izvo zvakakosha kuti urangarire kuti mhedzisiro iyi inorondedzerwa seyakazara kuverenga, nekuti kana mhedzisiro yebvunzo ichioneka lymphocyte pamusoro pe50% inonzi inoverengeka kuverenga, uye izvi zvimiro zvinogona kusiyana zvichienderana nerabhoritari.

MaLymphocyte ndiwo masero ane chekuita nekudzivirira muviri, saka kana akawedzerwa zvinowanzoreva kuti muviri uri kuita kune mamwe ma microorganism, akadai sebhakitiriya, mavairasi, asi anogona zvakare kuwedzerwa kana paine dambudziko mukugadzirwa kweaya masero. Dzidza zvakawanda nezve lymphocyte.

Zvinonyanya kukonzera lymphocytosis

Lymphocytosis inosimbiswa kuburikidza nehuwandu hweropa hwakazara, kunyanya muiyo chena yeropa masero, inova chikamu chekuverenga kweropa chine ruzivo rwakanangana nemasero machena eropa, anova iwo maseru anokonzera kuchengetedzwa kwemuviri, akadai sema lymphocyte, leukocyte, monocytes, eosinophils uye basophils.


Kuongororwa kwehuwandu hwekupararira kwema-lymphocyte kunofanirwa kuongororwa nehematologist, general general kana nachiremba akaraira bvunzo. Kuwedzera kwenhamba yema lymphocyte kunogona kuve nezvikonzero zvinoverengeka, zvikonzero zvikuru zviri:

1. Mononucleosis

Mononucleosis, inozivikanwawo seye kutsvoda chirwere, inokonzerwa nehutachionaEpstein-Barr iyo inopfuudzwa nemate kuburikidza nekutsvoda, asi zvakare nekukosora, kuhotsira kana nekugovana cutlery nemagirazi. Zviratidzo zvikuru mabara matsvuku pamuviri, kupisa kwakanyanya, kutemwa nemusoro, mvura mumutsipa uye muhapwa, huro, maronda machena mumuromo uye kuneta kwemuviri.

Sezvo maLymphocyte anoita mukudzivirira kweiyo muviri, zvakajairika kuti ivo vakwire, uye zvakare zvinokwanisika kuongorora kumwe kuchinjika muhuwandu hweropa, sekuvapo kweatypical lymphocyte uye monocytes, kuwedzera kune shanduko mune biochemical bvunzo, kunyanya C-inoshanda mapuroteni, CRP.

Zvekuita: Kazhinji, chirwere ichi chinobviswa zvakasikwa nemaseru ekudzivirira emuviri pachawo, uye anogona kutora kubva pamasvondo mana kusvika matanhatu. Nekudaro, chiremba wezvese anogona kuraira kushandiswa kweimwe mishonga kudzikamisa zviratidzo zvakadai sekurwadziwa uye antipyretics kudzikisa fever uye anti-inflammatories kudzikisa marwadzo. Tsvaga kuti kurapwa kwe mononucleosis kunoitwa sei.


2. Tibhii

Tuberculosis chirwere chinokanganisa mapapu, chinopfuura kubva pamunhu kuenda pamunhu, uye chinokonzerwa nebhakitiriya rinozivikanwa seKoch bacillus (BK). Kazhinji chirwere chinoramba chisingashande, asi kana chakashanda chinokonzeresa zviratidzo sekukosora kweropa uye phlegm, ziya dikita usiku, kupisa muviri, kuonda uye kuda kudya.

Mukuwedzera kune lymphocyte yakakwirira, chiremba anogonawo kuona kuwedzera kwema monocyte, anonzi monocytosis, mukuwedzera kune kuwedzera kwe neutrophils. Kana munhu wacho aine zviratidzo zvetibhii uye shanduko inoratidzira mukuverengwa kweropa, chiremba anogona kukumbira kuongororwa kwakanangana netubhii, inonzi PPD, umo munhu wacho anogamuchira jekiseni diki repuroteni irimo muhutachiona hunokonzera tibhii mhedzisiro inoenderana nesaizi yekuita kweganda kunokonzerwa neiyi jekiseni. Ona maitiro ekunzwisisa bvunzo dzePPD.

Zvekuita: Iyo yekurapa inofanirwa kusimbiswa neyemapapuologist kana chirwere chinotapukira, uye munhu anofanira kuongororwa nguva dzese. Kurapa kweTB kunotora kwemwedzi mitanhatu uye kunoitwa nemishonga inorwisa mabhakitiriya inofanirwa kutorwa kunyangwe zviratidzo zvikanyangarika. Nekuti kunyangwe mukushaikwa kwezviratidzo, mabhakitiriya anogona kunge aripo uye kana kurapwa kukakanganiswa, kunogona kuwedzera zvakare uye kuunza mhedzisiro kumunhu.


Kuongororwa kwemurwere ane tibhii kunofanirwa kuitwa nguva nenguva kuitira kuti uone kana kuchine bacch yeKoch, zvichidikanwa kuti munhu wacho aongorore sputum, zvichikurudzirwa kuunganidzwa kwemasampuli maviri.

3. Measles

Masturu chirwere chinotapukira chinokonzerwa nehutachiona hunonyanya kubata vana vanosvika gore rimwe chete. Chirwere ichi chinonzi chinotapukira zvikuru, nekuti chinogona kutapurirana kubva kumunhu kuenda kumunhu kuburikidza nemadonhwe akaburitswa mukukosora nekuhotsira. Ichi chirwere chinorwisa mweya wekufema, asi chinogona kupararira kumuviri wese zvichikonzera zviratidzo zvakaita semavara matsvuku paganda nehuro, maziso matsvuku, chikosoro nefivha. Ziva maitiro ekuziva gwirikwiti zviratidzo.

Pamusoro peakakwira ma lymphocyte, chiremba wezvese kana chiremba wevana anogona kutarisa kumwe kuchinjika muhuwandu hweropa uye mukuyedzwa kwemaunological uye biochemical, senge yakawedzera CRP, iyo inoratidza kuitika kwechirwere chinotapukira.

Zvekuita: Iwe unofanirwa kubvunza chiremba wako wezvechiremba kana chiremba wevana nekukurumidza apo zviratidzo zvinowoneka, nekuti kunyangwe kana pasina kurapwa chaiko kwegwirikwiti, chiremba achakurudzira mishonga yekudzora zviratidzo. Kubaya nhomba ndiyo nzira yakanakisa yekudzivirira gwirikwiti uye kunoratidzwa kuvana nevakuru uye jekiseni rinowanikwa pachena kunzvimbo dzehutano.

4. Hepatitis

Hepatitis iko kuzvimba muchiropa kunokonzerwa nemhando dzakasiyana dzehutachiona kana kutokonzereswa nekushandisa kwemimwe mishonga, madhiragi kana kunwa chepfu. Zviratidzo zvikuru zvehepatitis iganda jena uye maziso, kuonda uye kuda kudya, kuzvimba kworudyi kwedumbu, weti yakasviba nefivha. Hepatitis inogona kutapuriranwa kuburikidza nekugovana tsono dzakasvibiswa, bonde risina kuzvidzivirira, mvura uye chikafu chakasvibiswa netsvina uye kusangana neropa remunhu ane hutachiona.

Sezvo hepatitis inokonzerwa nemavhairasi, kuvapo kwayo mumuviri kunosimudzira mashandiro ezvirwere zvemuviri, pamwe nekuwedzera kwenhamba yema lymphocyte. Pamusoro pekushandurwa muWBC uye kuwanda kweropa, izvo zvinowanzo kuratidza kupererwa neropa, chiremba anofanira zvakare kuongorora mashandiro eropa kuburikidza nemiedzo yakadai seTGO, TGP uye bilirubin, mukuwedzera kune bvunzo dze serological kuti uone hutachiona hwehepatitis.

Zvekuita: Kurapa kwehepatitis kunoitwa zvinoenderana nechakakonzera, zvisinei kana kukonzerwa nehutachiona, kushandiswa kwemishonga inorwisa mabhakitiriya, kuzorora uye kuwedzerwa kwemvura kunwiwa kunogona kukurudzirwa nahutachiona, hepatologist kana general general. Panyaya yehurapi hepatitis, chiremba anoona nezvekutsiva kana kumiswa kwemushonga unokanganisa kukuvadza kwechiropa kunofanirwa kukurudzirwa nachiremba.Ziva kurapwa kwemhando yega yega yehepatitis.

5. Acute Lymphocytic Leukemia

Acute lymphocytic leukemia (ZVA) rudzi rwekenza inomuka mumwongo wemapfupa, inova nhengo inoitisa kugadzirwa kwemasero eropa. Rudzi rweleukemia urwu runodaidzwa kuti rwakanyanya nekuti maLymphocyte akagadzirwa munguva pfupi yapfuura mumongo wemapfupa anowanikwa achitenderera muropa, pasina kuita chirongwa chekusakura, nekudaro achinzi ma "lymphocyte" asina kusimba.

Sezvo iwo maLymphocyte anotenderera asingakwanise kuita basa rawo nemazvo, pane kugadzirwa kukuru kwema lymphocyte nemongo wemapfupa mukuyedza kubhadhara kushomeka uku, uko kunoguma ne lymphocytosis, kuwedzera kune kumwe kuchinjika muhuwandu hweropa, senge thrombocytopenia , ndiko kuderera kweplatelet kuverenga.

Iyo ndiyo yakajairika mhando yekenza muhucheche, iine mikana yakawanda yekurapa, asi inogona zvakare kuitika kune vakuru. ZVIRATIDZO zvese iganda rakachenuruka, kubuda ropa kubva mumhino, mavanga kubva mumaoko, makumbo uye maziso, mvura kubva mumutsipa, kugomera uye muhapwa, kurwadziwa kwepfupa, fivhiri, kufema uye kushaya simba.

Zvekuita: Izvo zvakakosha kuti uone chiremba wevana kana chiremba wepamoyo nekukurumidza apo zviratidzo zvekutanga uye zviratidzo zveleukemia zvioneke, kuitira kuti munhu wacho agone kuendeswa ipapo kunanahematologist kuitira kuti kumwe kuongororwa kwakanyanya kuitwe uye kuongororwa kwacho kugone kusimbiswa. Muzviitiko zvakawanda, kurapwa kweZVO zvese kunoitwa nekemotherapy uye radiotherapy uye, mune dzimwe nguva, kupora kwemongo wefupa kunokurudzirwa. Ona maitirwo emongo wemapfupa.

6. Chirwere cheLymphocytic Leukemia

Chisingaperi lymphocytic leukemia (LLC) imhando yechirwere chakaipa, kana kenza, inokura mumongo wemapfupa. Inodaidzwa kuti isingaperi nekuti inogona kucherechedzwa ichitenderera muropa ese marefu uye asina kusimba ma lymphocyte. Ichi chirwere chinowanzo kukura zvishoma nezvishoma, uye zviratidzo zvinonyanya kuoma kucherechedzwa.

Kazhinji iyo LLC haikonzeri zviratidzo, asi zvinogona kumuka mune dzimwe nguva, senge muhapwa, kugomera kana kuzvimba kwemutsipa, kudikitira usiku, kurwadziwa kuruboshwe rwedumbu kunokonzerwa neakakura spleen nefivha. Icho chirwere chinonyanya kubata vakwegura uye vakadzi vanopfuura makore makumi manomwe ekuberekwa.

Zvekuita: Kuongororwa nevezvechiremba kwakakosha uye mumamiriro ezvinhu apo chirwere chinosimbiswa, kuendeswa kunaanahemologist kunenge kuchidikanwa. Iyo hematologist inosimbisa chirwere ichi kuburikidza nedzimwe bvunzo, kusanganisira bone marrow biopsy. Muchiitiko chekusimbiswa kweiyo LLC, chiremba anoratidza kutanga kwekurapa, iyo inowanzo kuve neyemotherapy uye yemapfupa kuisirwa.

7. Lymphoma

Lymphoma irwo rudzi rwekenza inomuka kubva kuma lymphocyte ane chirwere uye inogona kukanganisa chero chikamu cheiyo lymphatic system, asi inowanzo bata spleen, thymus, tonsils nendimi. Kune anopfuura makumi mana emhando dzema lymphomas, asi akanyanya kuzivikanwa ndeye Hodgkin's uye asiri Hodgkin's lymphoma, zviratidzo zvacho zvakafanana pakati pavo semapundu ari mumutsipa, kugomera, clavicle, dumbu nehapwa, kuwedzera kune fivhiri, ziya usiku , kurasikirwa uremu pasina chikonzero chiri pachena, kufema nekukosora.

Zvekuita: Nekutanga kwezviratidzo zvinokurudzirwa kutsvaga chiremba wezvese anozokuendesa kuna oncologist kana hematologist anozoraira kumwe kuyedzwa, kuwedzera kuwanda kweropa, kuti usimbise chirwere. Kurapa kuchazongoratidzwa chete mushure mekunge chiremba atsanangura huwandu hwechirwere, asi chemotherapy, radiation radiation uye kupora kwemongo wemapfupa zvinowanzoitwa.

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