Tse ka Hare
Hyperleukocytosis: tlhaloso, lisosa le kalafo
Hyperleukocytosis e hlalosoa e le keketseho ea lisele tse tšoeu tsa mali ka holimo ho lisele tse 10 ka microliter ea mali, litlhahlobong tse peli tse latellanang. Khafetsa ho kopana le anomaty, phapang e lokela ho etsoa pakeng tsa benign hyperleukocytosis le malignant hyperleukocytosis. Ea ho qetela e ka 'na ea e-ba pontšo ea tšoaetso ea baktheria e kang angina, ea tšoaetso ea kokoana-hloko e kang mononucleosis le ho feta ka seoelo ea mafu a tebileng a kang leukemia. Matšoao le tsamaiso ea hyperleukocytosis e itšetlehile ka moelelo le sesosa sa eona.
Hyperleukocytosis ke eng?
Li-leukocyte, tseo hape li bitsoang lisele tse tšoeu tsa mali, li phetha karolo ea bohlokoa tšireletsong ea 'mele ea rona khahlanong le likokoana-hloko tse tšoaetsanoang le lintho tse tsoang linaheng tse ling. E le hore e atlehe, palo e lekaneng ea lisele tse tšoeu tsa mali e lokela ho hlokomeloa ka boteng ba ntho e tšoaetsanoang kapa ntho e tsoang linaheng tse ling. Joale li ea moo li leng teng, ho li senya le ho li sila.
- li-neutrophils;
- li-lymphocyte;
- li-monocyte;
- li-eosinophils;
- li-basophils.
Ka tloaelo, motho o hlahisa lisele tse tšoeu tsa mali tse ka bang limilione tse likete tse 100 ka letsatsi. Tsena li baloa e le palo ea lisele tse tšoeu tsa mali ho microliter ea mali. Palo eohle e tloaelehileng e pakeng tsa lisele tse 4 le 000 ka microliter.
Hyperleukocytosis ke keketseho ea palo ea lisele tse tšoeu tsa mali maling, ka holimo ho lisele tse 10 ka microliter ea mali. Hyperleukocytosis e hlalosoa e le e leka-lekaneng pakeng tsa 000 le 10 lisele tse tšoeu tsa mali ka microliter ea mali le frank ka holimo ho 000 lisele tse tšoeu tsa mali ka microliter ea mali.
- polynucleosis ha ho tluoa tabeng ea ho eketseha ha palo ea li-neutrophils, eosinophils kapa basophils;
- lymphocytosis ha e le keketseho ea palo ea lymphocyte;
- monocytosis ha ho tluoa tabeng ea ho eketseha ha palo ea monocyte.
Ho ka 'na ha e-ba le hyperleukocytosis e bakoang ke ponahalo ea lisele tse atisang ho ba sieo maling:
- lisele tsa medulla, ke hore, lisele tse entsoeng ke moko, tseo, ka mekhahlelo ea ho se hōle, li fetela maling;
- lisele tse kotsi kapa leucoblasts e leng matšoao a acute leukemia.
Lisosa tsa hyperleukocytosis ke eng?
Hyperleucocytose
Hyperleukocytosis e ka boleloa e le ea 'mele, ke hore e tloaelehile:
- ka mor'a ho sebetsa ka thata 'meleng;
- ka mor'a khatello ea kelello e kholo;
- nakong ea bokhachane;
- ka mor'a ho pepa.
Empa, maemong a mangata, hyperleukocytosis ke karabelo e tloaelehileng ea 'mele ho:
- tšoaetso ea baktheria joalo ka baktheria streptococcal angina;
- tšoaetso ea kokoana-hloko (mononucleosis, cytomegalovirus, hepatitis, joalo-joalo);
- tšoaetso ea likokoana-hloko;
- allergy (asthma, allergy ea lithethefatsi);
- meriana e itseng e kang corticosteroids.
Hangata, hyperleukocytosis e ka ba letšoao la kankere ea masapo, e bakang ho lokolloa ha lisele tse tšoeu tsa mali tse sa pheleng kapa tse sa tloaelehang ho tloha mokong oa masapo ho ea maling, joalo ka:
- leukemia e sa foleng ea lymphocytic (CLL);
- myelogenous leukemia e sa foleng (CML);
- kankere e matla haholo.
Polynucleose
Mabapi le neutrophilic polynucleosis, e bonoa maemong a itseng a fisioloji joalo ka:
- tsoalo ;
- ho ima ;
- nako;
- boikoetliso bo mabifi;
haholo-holo nakong ea mafu a kang:
- tšoaetso ea likokoana-hloko (abscess kapa sepsis);
- lefu la ho ruruha;
- necrosis ea lisele;
- kankere kapa sarcoma;
- ho tsuba.
Eosinophilic polynucleosis, ka lehlakoreng le leng, e na le lisosa tse peli tse kholo: ho kula le likokoana-hloko. E ka boela ea amahanngoa le periarteritis nodosa, lefu la Hodgkin kapa kankere.
Basophilic polynucleosis ke ntho e sa tloaelehang haholo 'me e bonoa ho chronic myeloid leukemia.
Lymphocytose
Hyperlymphocytosis e tsejoa:
- ho bana nakong ea mafu a tšoaetsanoang a kokoana-hloko kapa a baktheria a kang ho khohlela;
- ho batho ba baholo kapa maqheku a nang le leukemia e sa foleng ea lymphocytic le lefu la Waldenström.
Monocytose
Hangata monocytosis e senola lefu le tšoaetsanoang:
- tšoaetso ea mononucleosis;
- toxoplasmosis;
- tšoaetso ea cytomegalovirus;
- hepatitis ea kokoana-hloko;
- brucellosis;
- lefu la Osler;
- syphilis ea bobeli.
Matšoao a hyperleukocytosis ke afe?
Matšoao a hyperleukocytosis e tla ba a lefu lena leo le hlahang ho lona. Ka mohlala, ka tšoaetso ea kokoana-hloko, joalo ka mononucleosis, matšoao a kenyelletsa:
- feberu ;
- lymph nodes molaleng;
- mokgathala o moholo.
Mokhoa oa ho phekola hyperleukocytosis?
Tsamaiso e itšetlehile ka moelelo le sesosa sa hyperleukocytosis. Ka hona e fapana ho itšetlehile ka hore na ke ka lebaka la angina, pneumonia kapa leukemia e sa foleng ea lymphoid.
- phekolo ea matšoao bakeng sa tšoaetso ea kokoana-hloko;
- phekolo ea lithibela-mafu bakeng sa tšoaetso ea baktheria;
- phekolo ea antihistamine tabeng ea ho kula;
- phekolo ea lik'hemik'hale, kapa ka linako tse ling ho fetisetsa lisele tsa stem, haeba ho na le leukemia;
- ho tloswa hoa sesosa tabeng ya khatello kapa ho tsuba.