Hyperleukocytosis yog txhais tau tias yog qhov nce hauv cov qe ntshav dawb siab dua 10 lub hlwb ib microliter ntawm cov ntshav, hauv ob qhov kev ntsuam xyuas ua tiav. Feem ntau ntsib anomaly, yuav tsum muaj qhov sib txawv ntawm benign hyperleukocytosis thiab malignant hyperleukocytosis. Cov tom kawg tuaj yeem yog cov cim ntawm cov kab mob xws li angina, ntawm tus kab mob viral xws li mononucleosis thiab tsis tshua muaj kab mob loj xws li leukemia. Cov tsos mob thiab kev tswj ntawm hyperleukocytosis nyob ntawm seb cov ntsiab lus thiab nws qhov ua rau.

Leukocytes, tseem hu ua cov qe ntshav dawb, ua lub luag haujlwm tseem ceeb hauv peb lub cev tiv thaiv cov kab mob sib kis thiab cov khoom txawv teb chaws. Yuav kom ua tau zoo, cov qe ntshav dawb txaus yuav tsum paub txog qhov muaj cov kab mob sib kis los yog cov khoom txawv teb chaws. Lawv mam li mus rau qhov chaw uas lawv nyob, rhuav tshem thiab zom lawv.

• neutrophils;
• lymphocytes;
• monocytes;
• eosinophils;
• basophils.

Feem ntau, ib tug neeg tsim tawm ib ncig ntawm 100 billion cov qe ntshav dawb ib hnub. Cov no suav nrog cov qe ntshav dawb ib microliter ntawm cov ntshav. Tag nrho cov naj npawb ib txwm yog nyob nruab nrab ntawm 4 thiab 000 hlwb ib microliter.

Hyperleukocytosis yog ib qho kev nce ntawm cov qe ntshav dawb hauv cov ntshav, siab dua 10 hlwb ib microliter ntawm cov ntshav. Hyperleukocytosis yog piav raws li nruab nrab ntawm 000 thiab 10 cov qe ntshav dawb ib microliter ntawm cov ntshav thiab frank saum 000 cov qe ntshav dawb ib microliter ntawm cov ntshav.

• polynucleosis thaum nws los txog rau qhov nce ntawm cov neutrophils, eosinophils lossis basophils;
• lymphocytosis thaum nws yog ib qho kev nce hauv cov lymphocytes;
• monocytosis thaum nws los txog rau qhov nce ntawm cov monocytes.

Tej zaum kuj yuav muaj hyperleukocytosis uas tshwm sim los ntawm cov tsos ntawm cov hlwb feem ntau tsis tuaj ntawm cov ntshav:

• medullary hlwb, uas yog, hlwb tsim los ntawm cov pob txha thiab uas, nyob rau hauv cov theem ntawm immaturity, kis mus rau hauv cov ntshav;
• malignant hlwb los yog leucoblasts uas yog cov cim ntawm mob leukemia.

Hyperleucocytose

Hyperleukocytosis tuaj yeem hais tias yog physiological, uas yog hais li qub:

• tom qab kev tawm dag zog lub cev;
• tom qab kev ntxhov siab loj;
• thaum cev xeeb tub;
• hauv kev xa khoom tom qab.

Tab sis, feem ntau, hyperleukocytosis yog lub cev tiv thaiv ib txwm teb rau:

• kab mob xws li kab mob streptococcal angina;
• kis kab mob (mononucleosis, cytomegalovirus, kab mob siab, thiab lwm yam);
• cov kab mob cab;
• kev tsis haum tshuaj (asthma, tshuaj tsis haum tshuaj);
• Qee cov tshuaj xws li corticosteroids.

Tsis tshua muaj, hyperleukocytosis tuaj yeem yog ib qho cim ntawm cov pob txha mob qog noj ntshav, ua rau kev tso tawm ntawm cov qe ntshav dawb tsis paub tab lossis txawv txav ntawm cov pob txha mus rau hauv cov ntshav, xws li:

• chronic lymphocytic leukemia (CLL);
• chronic myelogenous leukemia (CML);
• mob leukemia.

Polynucléose

Hais txog neutrophil polynucleosis, nws tau pom nyob rau hauv qee lub xeev physiological xws li:

• yug;
• cev xeeb tub;
• lub sijhawm;
• kev ua nruj ua tsiv;

Thiab tshwj xeeb tshaj yog thaum lub sij hawm pathological xws li:

• kab mob microbial (abscess lossis sepsis);
• o kab mob;
• ntaub so ntswg necrosis;
• mob qog noj ntshav los yog sarcoma;
• haus luam yeeb.

Eosinophilic polynucleosis, ntawm qhov tod tes, muaj ob qho laj thawj tseem ceeb: kev ua xua thiab kab mob cab. Nws tuaj yeem txuas rau periarteritis nodosa, Hodgkin's kab mob lossis mob qog noj ntshav.

Basophilic polynucleosis yog qhov tsawg heev thiab pom nyob rau hauv mob myeloid leukemia.

Lymphocytose

Hyperlymphocytosis tau lees paub:

• hauv cov menyuam yaus thaum kis kab mob los yog kab mob xws li hnoos hawb pob;
• Hauv cov neeg laus lossis cov neeg laus uas muaj kab mob lymphocytic leukemia thiab Waldenström tus kab mob.

Monocytose

Monocytosis feem ntau qhia txog kab mob sib kis:

• kab mob mononucleosis;
• toxoplasmosis;
• kab mob cytomegalovirus;
• kab mob siab;
• kev mob pob tsuas;
• Osler tus kab mob;
• Secondary syphilis.

Cov tsos mob ntawm hyperleukocytosis yuav yog cov kab mob uas nws tshwm sim. Piv txwv li, nrog tus kab mob kis, xws li mononucleosis, cov tsos mob muaj xws li:

• ua npaws ;
• lymph nodes nyob rau hauv lub caj dab;
• qaug zog heev.

Kev tswj hwm yog nyob ntawm cov ntsiab lus thiab qhov ua rau hyperleukocytosis. Yog li ntawd nws txawv nyob ntawm seb nws yog vim angina, pneumonia lossis mob lymphoid leukemia.

• kev kho mob rau cov kab mob viral;
• tshuaj tua kab mob rau cov kab mob;
• kev kho mob antihistamine thaum muaj kev fab tshuaj;
• chemotherapy, los yog qee zaum hloov cov qia cell, nyob rau hauv cov ntaub ntawv ntawm leukemia;
• tshem tawm qhov ua rau muaj kev ntxhov siab lossis haus luam yeeb.