Leukopenie

Leukopenie

Chii ?

Leukopenia inoratidzwa nekushaikwa kwechikamu cherudzi rweropa rinotenderera rinonzi leukocytes. Saka inonzi hematological pathology. Masero aya ndiwo ari kunyanya chikamu chemasero machena eropa. (1)

Aya masero machena eropa anoumba immune system muvanhu uye ndeye akati wandei:

- neutrophils: iyo inobvumira muviri kuzvidzivirira kubva kubhakitiriya uye fungal zvirwere.

- lymphocytes: idzo dzinogadzira masoja ekudzivirira chirwere anoita kuti zvikwanise kurwisa zvinhu zvekunze zviri mumuviri wemunhu.

- monocytes: iyo inobatsirawo mukugadzirwa kwemasoja ekudzivirira chirwere.

- eosinophils: iyo inobvumira muviri kurwisa hutachiona hwemhando yeparasite.

- basophils: iyo inopindura kune allergenic zvinhu.

Leukopenia inogona kuva mhedzisiro yezinga risiri iro kune rimwe nerimwe remapoka aya maseru.

Mupfungwa yekuti pane kushomeka kwehuwandu hweleukocytes mumuviri, immune system yenyaya inobatwa uye saka inotakura njodzi huru yehutachiona. (2)

Iyo "yakajairika" nhanho yeleukocytes muropa kazhinji haifanirwe kunge iri pasi pe3,5 * 10 (9) parita yeropa. Chiyero chakaderera chinowanzova chikonzero cheleukopenia. (4)

Leukopenia inowanzovhiringidzika neutropenia. Zvisizvo, sezvo neutropenia inoratidzwa nekuderera kwekugadzirwa kwemasero machena eropa nekuwedzera kwekushandiswa kwavo nemuviri pakutora zvinodhaka, bundu rakaipa, nezvimwewo (1)

zviratidzo

Zviratidzo zvine chekuita neleukopenia zvinosiyana zvichienderana nerudzi rweleukocytes dzinowanikwa dzisina kukwana. (2)

Anemia inoramba iri chiratidzo chinowanzobatanidzwa ne leukopenia. Musoro weanemic unonzwa kuneta kwakanyanya, kurova kwemoyo, kutadza kufema paunenge uchiita maekisesaizi, kutadza kuisa pfungwa pachinhu chimwe, ganda rakachenuruka, kurwadza kwetsandanyama kana kushaya hope. (3)

Menorrhagia muvakadzi, inofananidzwa nekuyerera kweropa kusinganzwisisiki panguva yekuenda kumwedzi. Kuenda kumwedzi kunorebesa. Munyaya ye menorrhagia, zvinokurudzirwa kuti mukadzi abvunze chiremba nokukurumidza. Zvechokwadi, izvi zvinogonawo kuva chiratidzo chetachiona chakakomba, kunyange kenza. (3)

Zvimwe zviratidzo, zvakadai sokuneta zvakanyanya, kushatirwa, kutemwa nemusoro, uye migraines hunhu hweleukopenia.

Mukuwedzera, simba rekudzivirira muviri, murwere anotambura neukopenia ari pangozi yekuwedzera mamwe zvirwere. Zvirwere izvi zvinogona kuva zvebhakitiriya, hutachiona, hutachiona kana hunokonzerwa nekuwanda kwefungi.

Kuzvimba kwemudumbu, ura, nezvimwewo zvinogonawo kuva zviratidzo zve leukopenia. (3)

Muzviitiko zvakakomba zve leukopenia, munhu anogonawo kuona fivha, kuzvimba mumatumbu, mabayo, thrombocytopenia (zvisina kujairika zvemaplatelet eropa), kana maabscesses echiropa. (2)

Kwakatangira chirwere

Leukopenia inogona kukonzerwa nezvinhu zvakawanda. (2)

Inogona kuva chirwere, chekuberekwa kana kuwanikwa, chinokanganisa mapfupa emapfupa. Sezvo mwongo wepfupa uchikanganiswa, stem masero anogadzirwa ipapo (hematopoietic stem masero), ayo ari tsime rekugadzirwa kwemasero eropa, saka haagone kugadzirwa. Nenzira iyi, inogadzira kushomeka mukugadzirwa kwemasero eropa mune yakakanganisika nyaya uye inogona kukonzera yakakomba mhedzisiro.

Zvimwe zvezvirwere izvi zvinoratidzira kukura kwe leukopenia, zvakadai se:

- myelodisplastic syndrome;

- Kostmann's syndrome (yakanyanya neutropenia ye genetic mavambo);

- hyperplasia (yakakura zvisingaite kugadzirwa kwemasero anoumba tishu kana nhengo.);

- zvirwere zvekudzivirira zvirwere, iyo inowanzozivikanwa iyo inonzi Acquired Immunodeficiency Syndrome (AIDS);

- zvirwere zvinokanganisa mapfupa emapfupa;

– kutadza kwechiropa kana spleen.

Leukopenia inogonawo kukonzerwa nekutora mimwe mishonga. Pakati peizvi kazhinji kurapwa kwegomarara (kunyanya kunoshandiswa kurwisa leukemia). Mukuwedzera, tinogona kutaura antidepressants, mamwe ma antibiotics, antiepileptics, immunosuppressants, corticosteroids kana kunyange antipsychotics.

Zvimwe zvinhu zvinogona kukonzera kushomeka kweleukocyte. Aya mavhitamini uye / kana mamineral kushomeka, kushaya chikafu kana kushushikana.

Zvinhu zvinotyisa

Zvikonzero zvinokonzeresa kukura kwechirwere cherudzi urwu ndezvirwere zvataurwa pamusoro apa, kunyanya zvinobata mwongo kana chiropa uye spleen.

Zvimwe zvinhu zvehupenyu hwezuva nezuva zvinogona kubva mukushaikwa kweleukocyte, senge hupenyu hwekugara, chikafu chisina kugadzikana kana kusakwana, nezvimwe.

Kudzivirira uye kurapwa

Kuongororwa kwe leukopenia kunogona kuitwa kubva pakuongorora kwakapfava kwemuviri, kuburikidza nekusagadzikana muspleen uye / kana lymph nodes (nzvimbo dzinogadzirwa leukocyte).

Asi zvakare nekuda kwehuwandu hweropa, bone marrow aspiration kana lymph node biopsy (2)

Kurapa kwe leukopenia kunowanzoitwa nekukurudzira kugadzirwa kwemasero machena eropa. Kana, nekukurudzira kwebhonzo. Steroids (mahomoni akadzivirirwa ne endocrine glands) anowanzoshandiswa kukurudzira kugadzirwa kwemhando iyi yesero. (3)

Kudya kwevhitamini (vitamini B) kunogonawo kurairwa munyaya yeleukopenia. Izvi zvinodaro nekuti mavhitamini aya akabatana zvakanyanya nekugadzirwa kwemwongo masero.

Kana marapirwo akavakirwa pama cytokines, puroteni inoronga kuita kwesero. (2)

Kuwedzerwa kune iyi kukurudzira kwemapfupa emapfupa, murwere anorwara neukopenia anofanira kutevera kurapwa kunomubvumira kurwisana nezvirwere zvinotapukira (mishonga inorwisa mabhakitiriya, chemotherapy). Mhando iyi yekurapa inowanzosanganiswa nekukurudzira immune system. (3)

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