Leukopenia e tšoauoa ka khaello boemong ba mofuta oa sele ea mali e potolohang e bitsoang leukocyte. Ka hona e bitsoa hematological pathology. Lisele tsena ka ho khetheha ke karolo ea lisele tse tšoeu tsa mali. (1)

Lisele tsena tse tšoeu tsa mali ke likarolo tsa sesole sa 'mele ho batho 'me ke tsa mefuta e mengata:

- li-neutrophils: tse lumellang 'mele ho itšireletsa khahlanong le libaktheria le mafu a fungal.

- li-lymphocyte: tse hlahisang li-antibodies tse etsang hore ho khonehe ho loana le likarolo tse ling 'meleng oa motho.

- li-monocyte: tse thusang hape tlhahisong ea li-antibodies.

- li-eosinophils: tse lumellang 'mele ho loantša likokoana-hloko tsa mofuta oa likokoana-hloko.

- li-basophils: tse arabelang ho likarolo tsa allergenic.

Leukopenia e ka ba phello ea boemo bo sa tloaelehang bakeng sa e 'ngoe le e' ngoe ea lihlopha tsena tsa lisele.

Ka kutloisiso ea hore ho na le khaello ea palo ea leukocyte 'meleng, tsamaiso ea' mele ea ho itšireletsa mafung e ameha 'me ka hona e na le kotsi e kholo ea tšoaetso. (2)

Boemo bo "tloaelehileng" ba leukocyte maling ka kakaretso ha boa lokela ho ba ka tlase ho 3,5 * 10 (9) ka litha e le nngwe ea mali. Sekhahla se tlase hangata se bakoa ke leukopenia. (4)

Leukopenia hangata e ferekanngoa le neutropenia. Ka phoso, kaha neutropenia e tšoauoa ka ho fokotseha ha tlhahiso ea lisele tse tšoeu tsa mali ka ho eketseha ha tšebeliso ea 'mele ha li noa lithethefatsi, hlahala e kotsi, joalo-joalo (1)

Matšoao a amanang le leukopenia a fapana ho itšetlehile ka mofuta oa leukocyte tse fumanoang li haella. (2)

Khaello ea mali e lula e le letšoao le amanang le leukopenia. Motho ea nang le khaello ea mali o utloa mokhathala o matla, ho otla ha pelo, ho hema ka thata ha a ikoetlisa, bothata ba ho tsepamisa mohopolo, letlalo le lesehla, mesifa ea mesifa kapa esita le ho hlobaela. (3)

Menorrhagia ho basali, e lumellanang le phallo e sa tloaelehang ea mali nakong ea ho ilela khoeli. Linako tsa ho ilela khoeli li ba telele. Tabeng ea menorrhagia, ho eletsoa hore mosali a buisane le ngaka kapele kamoo ho ka khonehang. Ka sebele, sena e ka boela ea e-ba letšoao la tšoaetso e tebileng, esita le kankere. (3)

Matšoao a mang, a kang mokhathala o matla, maikutlo a tenehileng, hlooho e opang le migraine ke litšobotsi tsa leukopenia.

Ho phaella moo, tsamaiso ea 'mele ea ho itšireletsa mafung e fokolang, mokuli ea nang le leukopenia o kotsing e kholo ea ho ba le tšoaetso e itseng. Tšoaetso ena e ka ba ea baktheria, kokoana-hloko, likokoana-hloko kapa tse bakoang ke ho ata ha li-fungus.

Ho ruruha ha mpa, mala, joalo-joalo e ka boela ea e-ba matšoao a leukopenia. (3)

Maemong a matla le ho feta a leukopenia, motho a ka boela a bona feberu, ho ruruha litšoelesa, pneumonia, thrombocytopenia (tekanyo e sa tloaelehang ea liplatelete tsa mali), kapa makhopho a sebete. (2)

Leukopenia e ka bakoa ke lintlha tse ngata. (2)

E ka ba lefu, ho tsoaloa kapa ho fumanoa, ho ama moko oa masapo. Ha masapo a ntse a ameha, lisele tsa stem tse hlahisoang moo (li-hematopoietic stem cell), tseo e leng mohloli oa tlhahiso ea lisele tsa mali, ka hona li ke ke tsa hlola li hlahisoa. Ka kutloisiso ena, e baka khaello tlhahisong ea lisele tsa mali tabeng e amehang 'me e ka baka liphello tse tebileng.

Tse ling tsa mafu ana ke tšobotsi ea nts'etsopele ea leukopenia, joalo ka:

- lefu la myelodisplastic;

Kostmann's syndrome (neutropenia e matla ea liphatsa tsa lefutso);

hyperplasia (tlhahiso e kholo e sa tloaelehang ea lisele tse etsang lesela kapa setho.);

- mafu a tsamaiso ea 'mele ea ho itšireletsa mafung, e tloaelehileng ka ho fetisisa ke Acquired Immunodeficiency Syndrome (AIDS);

- tšoaetso e amang moko oa masapo;

- ho hloleha ha sebete kapa spleen.

Leukopenia e ka boela ea bakoa ke ho noa meriana e itseng. Har’a tsena hangata ke liphekolo tsa mofetše (haholo-holo tse sebelisoang khahlanong le leukemia). Ho phaella moo, re ka qotsa meriana e thibelang ho imeloa kelellong, lithibela-mafu tse itseng, li-antiepileptics, immunosuppressants, corticosteroids kapa esita le li-antipsychotics.

Lintlha tse ling li ka boela tsa baka khaello ea leukocyte. Tsena ke khaello ea livithamini le / kapa liminerale, khaello ea phepo e nepahetseng kapa khatello ea maikutlo.

Mabaka a kotsi a ho ba le lefu la mofuta ona ke mafu a boletsoeng ka holimo, haholo-holo a amang moko oa masapo kapa sebete le spleen.

Lintlha tse ling tsa bophelo ba letsatsi le leng le le leng li ka bakoa ke khaello ea leukocyte, joalo ka bophelo ba ho lula fatše, lijo tse sa leka-lekaneng kapa esita le khaello ea phepo e nepahetseng, joalo-joalo.

Tlhahlobo ea leukopenia e ka etsoa ka tlhahlobo e bonolo ea 'mele, ka ho se tloaelehe ha spleen le / kapa lymph nodes (libaka tseo leukocyte li hlahisoang ho tsona).

Empa hape ka lebaka la palo ea mali, aspiration ea masapo kapa lymph node biopsy (2)

Kalafo ea leukopenia hangata e etsoa ka ho susumetsa tlhahiso ea lisele tse tšoeu tsa mali. Kapa, ​​ka ho susumetsa moko oa masapo. Li-steroids (li-hormone tse hlahisoang ke litšoelesa tsa endocrine) hangata li sebelisoa ho susumetsa tlhahiso ea mofuta ona oa sele. (3)

Ho noa vithamine (vithamine B) ho ka boela ha eletsoa tabeng ea leukopenia. Lebaka ke hobane livithamine tsena li amana haufi-ufi le tlhahiso ea lisele tsa moko oa masapo.

Kapa liphekolo tse thehiloeng ho li-cytokine, protheine e laolang tšebetso ea lisele. (2)

Ho phaella ho ts'ebetsong ena ea moko oa masapo, mokuli ea nang le leukopenia o tlameha ho latela phekolo e mo lumellang ho loantša mafu a tšoaetsanoang (lithibela-mafu, chemotherapy). Mofuta ona oa phekolo hangata o kopantsoe le ho susumetsa sesole sa 'mele. (3)