Neutropenia - ndichiyani? Zoyambitsa, chithandizo

Neutropenia - ndichiyani? Izi kuchepetsa magazi maselo wapadera magazi okhwima mu m'mafupa. Yafupika mlingo wa neutrophils (polymorphonuclear leukocytes) limasonyeza kusintha zinkachitika mu thupi lathu. Ntchito ina yofunika kwambiri ya maselo oyera ndi kuteteza ndi tizilombo toyambitsa matenda ndi tizilombo tina. Pa chiphaso cha neutrophils mu mtsempha wa magazi a ntchito yawo ndi kuwononga wothandizila yachilendo. Pa wotsikirapo tochepa maselo amenewa thupi lathu wofooka ndipo sangathe kumenyana ndi matenda opatsirana.

Kodi kudziwa chiwerengero cha maselo oyera?

Mlingo wa zinthu izi zimasiyanasiyana mkati osiyanasiyana. Mu anthu athanzi, plasma alipo kuyambira mu 1500 mpaka 7000 neutrophils. The kukula kwa matenda zimadalira chiwerengero cha ANC:

- wofatsa mawonekedwe - m'kati mwa maselo 1500;

- zolimbitsa - 500-1000 maselo / ml ya;

- lolemera - zosakwana 500.

Kuvala zazifupi nthawi ya neutropenia (wotani boma, amanenedwa pachiyambi), makamaka pamene mukumwa mankhwala mavairasi oyambitsa. Pambuyo mankhwala, nambala kwathunthu limzake. Komabe, ngati chikhalidwe ichi zimawonedwa kuposa sabata, ndiye pali kudwala matenda ndi magazi aakulu matenda (zilonda zapakhosi, matenda a dongosolo kupuma). Kumbukirani kuti yaitali zizindikiro za chimfine ayenera kuchenjeza inu ndi kupeza mayesowo. siteji kwambiri chifukwa cha mavuto oopsa.

Neutropenia: zimayambitsa

Imodzi mwa ntchito zomwe chachikulu ndi matenda bakiteriya ndi tizilombo. yofunika kwambiri chitukuko cha kutupa matenda play, Morning, kuperewera kwa mavitamini, mafupa choipa, aplastic magazi m'thupi, ndi kudya yaitali mankhwala. chiwerengero cha maselo oyera amachepetsa chiphunzitso awo ndi chiwonongeko negligible kapena zonse leukocytes mu mtsempha wa magazi.

mitundu ya neutropenia

Mbali A mawonekedwe febrile ndi n'kamodzi ake ndi kupitirira mkati. Tizilombo toyambitsa matenda ozama mu thupi wofooka, anafalikira mofulumira, zikubweretsa mavuto aakulu. Mbali yachiwiri - ndi paucity zizindikiro matenda. Chizindikiro chokha cha matenda akhoza ziwonjezeke kutentha.

Chifukwa mawonekedwe ozungulira wa kudwala madokotala sizinathe sakudziwika. Koma ambiri ngati neutropenia ana ndi okalamba. Mawonekedwe lachitatu amatchedwa "autoimmune" amapezeka chifukwa cha kukonzekera antituberculous ndipo limatanthauza 'Analgin ". Chimasonyeza dermatomyositis, nyamakazi ndi matenda autoimmune.

Aliyense mawonekedwe ali mawonetseredwe zake zofunika powasamalira. Kawirikawiri matenda zimachitika nthawi imodzi lymphocytosis ndi neutropenia - limapezeka pathologies a dongosolo autonomic mantha ndi bronchial mphumu.

mbali Ofunika

Zizindikiro za matenda mulibe chitsanzo osiyana, kotero madokotala kunena za zinthu matenda kugwirizana ndi matenda alipo, amene anaonekera pa maziko a neutropenia. The mwamphamvu ndi chikhalidwe cha matenda zimadalira mawonekedwe a. Febrile mtundu wodwalayo popanda chifukwa akuoneka, malungo (pamwamba 38 ° ^C), limodzi ndi kufooka, kuzizira, hypotension, tachycardia, ndi mongondimvera thukuta. The kusanthula chiwerengero cha maselo oyera a osapitirira 500, kotero gwero la matenda ndi zovuta kudziwa.

Zinaonetsa kuti mtundu uwu zambiri amapezeka mu anthu ndi khansara. mawonekedwe ozungulira akuwonetseredwa ndi musabise. Wodwala anadandaula kwa mutu, kutentha thupi, zilonda zapakhosi, ndi nyamakazi. Nthawi zina pali ulceration pa mucosa wa M'mimbamo m'kamwa. Popeza mankhwala akufotokozera tartar amene kenako kumabweretsa imfa dzino. Autoimmune neutropenia mu chiopsezo mavuto aakulu wamkulu. Mu njira imeneyi pali kuledzera kwambiri, kawirikawiri mafangasi ndi matenda bakiteriya, malungo, mucosal chotupa.

ndi zizindikiro za neutropenia ana chiyani?

makanda ndi matenda chifuwa zovuta kunyamula, monga chitetezo ndi sizinathe anayamba zokwanira. Ana amene akudwala matenda, pangakhale chibayo, stomatitis ndi gingivitis. Vutolo limachitika zokha chosaopsa neutropenia, amene imagwera pa chaka loyamba ndi lachiwiri la moyo.

Nthawi zambiri asymptomatic, popanda kuchititsa mavuto. Katundu kapena m'thupi agranulocytosis amakhudza ana okulirapo. Kumaonetsa malungo, kuzizira ndi malungo. N'zovuta kupereka mankhwala. Pa mankhwala yosayembekezereka ya madokotala ananena zawo osauka.

diagnostics

Matenda a matenda ndi mfundo ziwiri limapangidwa:

- Kutumiza MAGAZI ndi mkodzo. Nthawi zina pamafunika ndi biopsy (a chidutswa cha minofu) ndi fupa mayesero mafuta matenda HIV.

- zithunzi anayendera wodwala - palpation wa pamimba ndi lymph mfundo.

njira mankhwala

Nthawi zambiri (makamaka chaukali) neutropenia mankhwala kuchipatala. Kodi vuto limeneli, tiyeni tikumbukire. Izi kuchepa nthenda maselo oyera a m'magazi (leukocytes) m'thupi (imachepetsa chitetezo cha m'thupi, kukulitsa matenda akulu). Thandizani kupirira matenda opha yekha. Iwo amaikidwa pamaso pa kukhazikitsidwa kwa kutanthauzira yeniyeni ya mliri matenda. Ndipo chizindikiro ichi ndi mkulu kutentha.

Nthawi zina, pofuna kupewa kutsitsa woyera zinthu kukula selo ntchito kuyambitsa yopanga maselo oyera. Ngati matenda amagwirizana ndi autoimmune kapena matupi awo sagwirizana anachita, ndiye akusankhidwa ndi mahomoni. Pankhani ya zikuluzikulu ndulu dokotala angayambe kuchotsa zake kuti kuonjezera chiwerengero cha neutrophils.

Immunosuppressants si nthawi zonse ndi zabwino achire zotsatira ndi magazi m'thupi aplastic. Yankho ndi mafupa kupatsidwa zina. Iyi ndi ntchito mwachilungamo zovuta, napempha konzanso yaitali kuyang'aniridwa okhwima akatswiri. Inde, ali ndi ubwino ndi mavuto.

Zochepetsera chiopsezo cha matenda?

Pofuna kupewa chitukuko cha ndondomeko pathological pamene mukumwa mankhwala mavairasi oyambitsa, ayenera kusunga Malamulo awa:

- wodzipangitsa (nyengo) chimfine mpirawo;

- ndi zochepa m'madera woipa lalikulu la anthu;

- kuwayang'anira ukhondo dzanja ndi nyumba;

- kudya thermally kukonzedwa nyama, mazira, nsomba.

Kumbukirani, izi ndi ndondomeko zovuta kuti apatsidwe thandizo yekha kuyang'aniridwa ndi katswiri oyenerera. Kodi nthawi zonse kuthandiza chitetezo cha m'thupi, kuti sakuyenda neutropenia (icho chiri ndi mmene tiyenera kuchitira matenda, onani pamwamba).

Kodi kulamulira matenda?

Nthawi iliyonse pambuyo HTP (mavairasi oyambitsa mankhwala) m'pofunika kutenga magazi kuti mlingo ndi chiwerengero cha leukocytes ANC. Lero, madera zachipatala kuwerengera deta ntchito njira zamakono mofulumira zotsatira.