Matenda a m'magazi ndi maselo oyera omwe ali ofunika pomenyana ndi matenda. ANC imayang'ana kuwerengera kosavomerezeka, ndipo ziwerengero za neutrophil zikhoza kukhala zochepa kuposa zachibadwa pa zifukwa zingapo, kuphatikizapo matenda ndi mankhwala. Gulu la ANC lingatheke chifukwa cha khansa yokhayokha ya khansa.
Munthu wathanzi ali ndi ANC pakati pa 2,500 ndi 6,000.
Chiwerengero chanu cha neutrophil chikhoza kuwerengedwera pogwiritsa ntchito mayeso omwe amawoneka mwazi omwe amatchedwa magazi athunthu, kapena CBC. CBC imapereka dokotala wanu nambala zonse za maselo ofiira a magazi, maselo oyera a magazi (WBCs) ndi mapuloletsiti - zinthu zing'onozing'ono zamagetsi zomwe zimathandiza kuthetsa magazi. Bungwe la ANC likupezeka pakuwonjezera kuchuluka kwa maselo oyera a magazi mwa magawo omwe ali ndi neutrophils.
Kuwerengera kwachitsanzo:
Ngati nambala yanu yonse ya WBC ndi leukocyte 8,000 ndi 50% ya WBC ndi neutrophils, ndiye ANC yanu ili ndi 4,000 neutrophils, chifukwa 8,000 × 0.50 = 4,000.
Kawirikawiri, ANC idzawerengedwa mofanana ngati gawo la lipoti labu. Ngati sichoncho, mungakhale ndi malo omwe mauthenga a neutrophils amafotokozedwa mu zidebe ziwiri zosiyana: "magulu" ndi "zisumbu." Izi zikhoza kuwonjezedwa palimodzi, ndipo zingakhale ngati ngati kuwonjezera chiwerengero cha ana ndi akulu kuti apeze chiwerengero cha ng'ombe - ndiko kuti, "magulu" ndiwo mawonekedwe a seutrophils kapena segi.
Zambiri pa ANC
N'zotheka kuti chiwerengero chanu cha WBC chikhale chachilendo koma chiwerengero chanu cha neutrophil ndi chochepa. Komabe, popeza ma neutrophils amakhala ndi chida chachikulu kwambiri, mwa maselo oyera amagazi oyera, chiwerengero cha WBC nthawi zambiri chimakhala chotsika pamene chiwerengero cha neutrophil chiri chochepa.
Matenda a Neutrophils ndiwo ma WBC omwe ali ochuluka m'magazi a anthu abwino komanso ofunikira polimbana ndi matenda.
Iwo alidi WBC wofunika kwambiri pakulimbana ndi matenda. Amapanga zoposa 50 peresenti ya WBC yanu yonse mukakhala ndi thanzi labwino. Kukhalapo kwa nthenda zosawerengeka za neutrophils m'magazi ozungulira kumatchedwa neutropenia . Pali madigiri osiyana a neutropenia, malinga ndi momwe aphungu anu akuyendera.
Malingana ndi American Cancer Society, munthu wathanzi ali ndi ANC pakati pa 2,500 ndi 6,000. Pamene ANC ikugwa pansi pa 1,000, pangakhale ngozi yowonjezereka ya matenda, kotero dokotala wanu adzayang'anitsitsa zomwe mukuwerengazo; Muli ndi chiopsezo chachikulu chotenga matenda pamene ANC ili pansi pa 500 .
Nthaŵi zambiri mafupa amachititsa maselo anu a magazi , kuphatikizapo neutrophils. Matenda a kansa yopulumutsa moyo kuphatikizapo chemotherapy ndi ma radiation angapangitse maselo omwe akukula mofulumira ndipo amachititsa kuti asakhale ndi neutrophils. Nthaŵi zina, pamene ANC ikuyenera kukhala yotsika, kapena ngati yayamba kale, antibiotics ndi / kapena kukula kwa mankhwala - mankhwala omwe amathandiza kulimbitsa thupi lanu la neutrophil - akhoza kuperekedwa.
Zizindikiro ndi zizindikiro za matenda
Kukhala ndi chiwerengero chochepa cha maselo oyera kapena chochepa chochepa chowerengera cha neutrophil sikuti chimabweretsa zizindikiro zirizonse zooneka.
Ndicho chifukwa chake ndikofunikira kwambiri kukhala tcheru kuti zitha kuwonetsa zizindikiro za matenda pamene ma neutrophils anu atha. Mwamwayi, pamene ANC ikuchepetsedwa, zizindikiro zambirizi sizingakhale zovuta pamene matenda ayamba.
Nazi zina mwa zizindikiro za matenda omwe mungathe kukhala osamala:
- Fever
- Chills
- Kukuda
- Kuvutika kupuma
- Kutsekula m'mimba
- Ululu
Ngati pali chipangizo choyambira chokhala ndi phokoso (pakati pa mzere kapena piritsi), fufuzani za kufiira, kutupa, kupweteka kapena kupuma pa malo, kumene chubu imalowa m'thupi. Munthu yemwe ali ndi ziphuphu za ANC sangakhale ndi ubweya wofiira kapena pus, koma akhoza kukhala ndi kachilombo ka HIV.
Ngati aphungu anu apita ku 1000 kapena apansi ndipo muli ndi malungo, madokotala ambiri amatenga chikhulupiriro kuti pali matenda, ndipo mankhwala opatsirana pogwiritsa ntchito maantibayotiki amayamba nthawi yomweyo, nthawi zambiri chisanafike.
Kenaka zimakhala zochepetseratu zovuta zomwe zimakhalapo pakati pa tizilombo ta matenda opatsirana pogwiritsa ntchito mankhwala opatsirana. Malingaliro ena atulukira, madokotala angathe kudziwa malo enieni ndi chifukwa cha matenda ndi zomwe tizilombo toyambitsa matenda tingachite. Mwa njirayi, amatha kusankha chithandizo chimene chingathe kugwira ntchito - ndipo izi zikutanthauza kuti mankhwala omwe anapatsidwa poyamba adzasinthidwa ku chinthu chomwe chimapangidwira kwambiri chifukwa cha matendawa.
Mawu Ochokera
Kusokonezeka maganizo kwa WBCs, kuphatikizapo ma neutrophils, ndizoopsa za mankhwala osiyanasiyana oletsa khansa. Mgulu wotsika wa ANC ukhozanso kukhazikitsidwa kapena chizindikiro cha matenda oopsa, monga momwe ziliri ndi mitundu ina ya khansa ya magazi.
Kuwonjezera apo, gulu laling'ono la ANC likhoza kuchitika pochiza matenda ena osiyanasiyana, monga matenda a chitetezo cha mthupi monga nyamakazi ya nyamakazi. Mwachitsanzo, imodzi mwa mankhwala odwala matenda a rheumatoid, tocilizumab, imateteza chizindikiro cha selo la IL-6 ndipo imagwirizanitsa kuchepetsa zaka za ANC, ngakhale kuchepa kwa chiwerengero cha neutrophil kwa odwala omwe amapita kucilizumab samawoneka kuti ali ndi matenda aakulu atayesedwa ndi ndondomeko zotengedwa kuti athetse chiopsezo cha matenda.
Pomaliza, kawirikawiri, n'zotheka kuti anthu athe kukhala ndi chinachake chotchedwa neutropenia. Matendawa sadziwika bwino, koma ali ndi amayi ambiri, ndipo zikuwoneka kuti ngakhale kuti ali aang'ono a ANC, matenda aakulu ndi osowa, ndipo odwala ali ndi zotsatira zabwino.
> Zotsatira:
> American Cancer Society. Kumvetsa Lab Lab Zotsatira.
> Moots RJ, Sebba A, Rigby W, et al. Zotsatira za tocilizumab pa neutrophils kwa odwala achikulire omwe ali ndi nyamakazi ya nyamakazi: yowonongeka deta kuchokera ku mayesero 3 ndi 4. Rheumatology (Oxford, England) . 2017; 56 (4): 541-549.
> National Comprehensive Cancer Network (NCCN). Zinthu zolimbitsa thupi.