Leucopénie

Leucopénie

Dab tsi yog nws?

Leukopenia yog tus cwj pwm los ntawm qhov tsis muaj peev xwm ntawm ib hom kab mob ntshav hu ua leukocytes. Yog li nws yog hu ua hematological pathology. Cov hlwb no yog ib feem ntawm cov qe ntshav dawb. (1)

Cov qe ntshav dawb no yog cov khoom siv tiv thaiv kab mob hauv tib neeg thiab muaj ntau hom:

- neutrophils: uas tso cai rau lub cev tiv thaiv nws tus kheej tiv thaiv kab mob thiab kab mob fungal.

- lymphocytes: uas yog cov tsim tawm ntawm cov tshuaj tiv thaiv ua rau nws muaj peev xwm tawm tsam cov khoom txawv teb chaws hauv tib neeg lub cev.

- monocytes: uas kuj pab tsim cov tshuaj tiv thaiv.

- eosinophils: uas tso cai rau lub cev tawm tsam cov kab mob ntawm cov kab mob parasite.

- basophils: uas teb rau allergenic ntsiab.

Leukopenia tuaj yeem yog qhov tshwm sim ntawm qhov txawv txav rau txhua yam ntawm tes.

Hauv kev nkag siab tias muaj qhov tsis txaus ntawm cov leukocytes hauv lub cev, tus neeg mob lub cev tiv thaiv kab mob cuam tshuam thiab yog li ua rau muaj kev pheej hmoo ntau dua ntawm kev kis kab mob. (2)

Qib "ib txwm" ntawm leukocytes hauv cov ntshav feem ntau yuav tsum tsis pub tsawg dua 3,5 * 10 (9) ib liter ntawm cov ntshav. Qhov qis dua feem ntau yog tshwm sim ntawm leukopenia. (4)

Leukopenia feem ntau tsis meej pem nrog neutropenia. Tsis ncaj ncees lawm, vim neutropenia yog tus cwj pwm los ntawm kev txo qis hauv cov qe ntshav dawb los ntawm kev nce hauv lawv cov kev siv los ntawm lub cev thaum noj tshuaj, qog nqaij hlav, thiab lwm yam. (1)

Cov tsos mob

Cov tsos mob txuam nrog leukopenia txawv nyob ntawm seb hom leukocytes uas pom tias tsis muaj peev xwm. (2)

Anemia tseem yog cov tsos mob feem ntau txuam nrog leukopenia. Cov kab mob anemic hnov ​​​​mob qaug zog, lub plawv dhia, ua tsis taus pa thaum ua kev tawm dag zog, nyuaj siab, tawv nqaij daj ntseg, mob leeg lossis txawm tias pw tsaug zog. (3)

Menorrhagia nyob rau hauv cov poj niam, sib xws rau ib qho txawv txav ntawm cov ntshav thaum cev xeeb tub. Kev coj khaub ncaws ntev dua. Nyob rau hauv cov ntaub ntawv ntawm menorrhagia, nws yog advisable kom tus poj niam mus ntsib kws kho mob sai li sai tau. Tseeb tiag, qhov no kuj tuaj yeem yog qhov cim ntawm kev kis mob hnyav, txawm tias mob qog noj ntshav. (3)

Lwm cov tsos mob, xws li qaug zog hnyav, chim siab, mob taub hau, thiab migraines yog tus yam ntxwv ntawm leukopenia.

Tsis tas li ntawd, lub cev tsis muaj zog tiv thaiv kab mob, tus neeg mob raug mob los ntawm leukopenia yog qhov muaj feem yuav kis tau qee yam kab mob. Cov kab mob no tuaj yeem yog kab mob, kab mob, kab mob los yog tshwm sim los ntawm kev loj hlob ntawm fungi.

Kev mob plab, plab hnyuv, thiab lwm yam tuaj yeem yog cov tsos mob ntawm leukopenia. (3)

Hauv cov mob hnyav dua ntawm leukopenia, ib tus tuaj yeem pom ua npaws, o hauv qog, mob ntsws, thrombocytopenia (qhov txawv txav ntawm cov ntshav platelets), lossis daim siab abscesses. (2)

Lub hauv paus pib ntawm tus kab mob

Leukopenia tuaj yeem tshwm sim los ntawm ntau yam. (2)

Nws tuaj yeem yog kab mob, congenital lossis kis tau, cuam tshuam rau pob txha pob txha. Raws li cov pob txha pob txha raug cuam tshuam, cov qia hlwb tsim muaj (hematopoietic qia hlwb), uas yog lub hauv paus ntawm kev tsim cov qe ntshav, yog li tsis tuaj yeem tsim tawm. Hauv qhov kev nkag siab no, nws tsim qhov tsis txaus ntawm cov qe ntshav hauv cov ntsiab lus cuam tshuam thiab tuaj yeem ua rau muaj qhov tshwm sim loj.

Qee yam ntawm cov kab mob no yog cov yam ntxwv ntawm kev loj hlob ntawm leukopenia, xws li:

- myelodisplastic syndrome;

- Kostmann's syndrome (mob neutropenia ntawm keeb kwm caj ces);

- hyperplasia (hloov loj heev ntawm cov hlwb uas tsim cov ntaub so ntswg los yog lub cev.);

- kab mob ntawm lub cev tiv thaiv kab mob, feem ntau ntawm cov uas yog Acquired Immunodeficiency Syndrome (AIDS);

- kab mob cuam tshuam rau cov pob txha;

- daim siab lossis tus po tsis ua haujlwm.

Leukopenia tuaj yeem tshwm sim los ntawm kev noj qee yam tshuaj. Ntawm cov no feem ntau yog kev kho mob qog noj ntshav (feem ntau yog siv los tiv thaiv leukemia). Tsis tas li ntawd, peb tuaj yeem hais cov tshuaj tiv thaiv kev nyuaj siab, qee yam tshuaj tua kab mob, tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob, corticosteroids lossis txawm tias tshuaj tua kab mob.

Lwm yam tseem tuaj yeem ua rau leukocyte deficiency. Cov no yog cov vitamin thiab / lossis mineral deficiency, undernourishment lossis txawm tias kev ntxhov siab.

Risk yam tseem ceeb

Cov kev pheej hmoo ntawm kev tsim cov kab mob no yog cov kab mob uas tau hais los saum no, feem ntau cuam tshuam rau cov pob txha pob txha lossis daim siab thiab tus po.

Lwm yam ntawm lub neej niaj hnub tuaj yeem tshwm sim los ntawm qhov tsis muaj leukocyte, xws li lub neej nyob tsis muaj zog, noj zaub mov tsis zoo lossis txawm tias tsis muaj zaub mov noj, thiab lwm yam.

Kev tiv thaiv thiab kho mob

Kev kuaj mob ntawm leukopenia tuaj yeem tsim los ntawm kev kuaj lub cev yooj yim, los ntawm qhov txawv txav ntawm tus po thiab / lossis cov qog ntshav qog ntshav (qhov chaw uas cov leukocytes tsim).

Tab sis kuj ua tsaug rau cov ntshav suav, pob txha pob txha aspiration lossis lymph node biopsy (2)

Kev kho mob ntawm leukopenia feem ntau yog ua los ntawm kev tsim cov qe ntshav dawb. Los yog, los ntawm stimulation ntawm cov pob txha pob txha. Cov tshuaj steroids (hormones secreted los ntawm cov qog endocrine) feem ntau yog siv los txhawb kev tsim cov hom cell. (3)

Kev noj cov tshuaj vitamin (vitamin B) kuj yuav qhia tau rau hauv cov ntaub ntawv ntawm leukopenia. Qhov no yog vim hais tias cov vitamins no zoo sib xws rau kev tsim cov pob txha hlwb.

Los yog kev kho mob raws li cytokines, cov protein uas tswj cov kev ua ntawm tes. (2)

Ntxiv rau qhov kev txhawb nqa ntawm pob txha pob txha, tus neeg mob uas mob leukopenia yuav tsum ua raws li kev kho mob uas tso cai rau nws tawm tsam cov kab mob sib kis (tshuaj tua kab mob, tshuaj tua kab mob). Hom kev kho no feem ntau ua ke nrog stimulation ntawm lub cev tiv thaiv kab mob. (3)

Sau ntawv cia Ncua