Chiwerengero choyera cha maselo oyera chikhoza kusiyana pakati pa munthu ndi munthu
Kuphunzira chomwe chiri, ndi chomwe sichiri, chiwerengero choyera cha maselo oyera (WBC) ndi chofunikira kwa anthu omwe ali ndi matenda aakulu. Kuwerengera kwa WBC ndi chiyeso chofunika chomwe madokotala angagwiritse ntchito kuti amvetse bwino chomwe chingachitike mkati mwa thupi nthawi zosiyanasiyana zaumoyo.
Kwa anthu omwe ali ndi matenda opatsirana (IBD), WBC chiwerengero chingasonyeze kuti kutupa kwa IBD kulikulira kapena kuchepa.
Pamene chiwerengero cha WBC chikukwera mmwamba, chikhoza kutanthauza kutupa kukuchitika penapake m'thupi. Monga kuwerengera kwa WBC kumatsika, kungatanthauze kutupa ndiko kuthetsa.
Mfundo Zachidule Zokhudza Kuwerengera kwa WBC
- Maselo oyera amabweretsa matenda ndi kutupa thupi
- Kuwerengera kwakukulu kwa WBC kungasonyeze kuti pali matenda kapena kutupa m'thupi
- Chiwerengero cha WBC chowerengeka si chiwerengero chenicheni koma mmalo mwake chiri chiyero kwinakwake pamwamba pa zomwe zingatengedwe kuti ndizitali ndi pansi pa zomwe zingatengedwe kukhala zapamwamba
- Chotsatira cha WBC chiwerengero chikugwiritsidwa ntchito limodzi ndi zotsatira zina zoyesera kuti muwone momwe matenda alili
About Test Test WBC
Magazi ali ndi mitundu yosiyanasiyana ya maselo. Maselo oyera ndi amodzi mwa maselo omwe amapezeka m'magazi. Maselo apaderawa ndi mbali imodzi ya mthupi.
Maselo oyera amagawidwa mkati mwa fupa la mafupa, minofu ya spongy mkati mwa mafupa. Pali kuyerekezera kuti ndi chiani choyimira maselo oyera a magazi ndi chomwe chiri chapamwamba kapena chochepa kwambiri.
Chiwerengero chachikulu cha WBC ndicho chizindikiro chimodzi kuti pali matenda, matenda opweteka, kapena njira yotupa imene imachitika kwinakwake m'thupi.
Pali zikhalidwe zosiyanasiyana zomwe zingapangitse apamwamba kusiyana ndi kawirikawiri kapena apansi kusiyana ndi kawirikawiri WBC kuwerengera, koma nkofunika kukumbukira kuti mayesowa sali okwanira kuti apeze matenda enaake.
Nthawi zina, ngakhale kuti nthawi zonse, anthu omwe ali ndi IBD komanso omwe akukumana ndi kutupa pamatumbo awo amapezeka kuti ali ndipamwamba kuposa momwe amawerengera WBC. Thupi likugwiritsa ntchito maselo oyera a magazi kuti amenyane ndi kutupa, ndipo ndicho chimene chimayambitsa WBC kuwerengera.
Mtundu Wopezera (Wowonjezera Mtunda) wa WBC Count
Kuwerengera kwa WBC nthawi zina kumatchedwa count leukocyte kapena chiyero choyera. Kawirikawiri imachitika monga mbali ya zovuta zazikulu zowononga magazi zomwe zimatchedwa kuchuluka kwathunthu kwa magazi (CBC) .
Chiwerengero cha WBC ndi chiwerengero cha maselo oyera a magazi pamtundu wa magazi. Akulangizidwe, komabe, palibe nambala imodzi yomwe imatanthauzira "zachizolowezi" kapena zowerengera za WBC. Chiwerengerocho chikhoza kufotokozedwa mu chimodzi mwa mitundu yosiyanasiyana ya mayunitsi chifukwa pali kusiyana kwa malingana ndi chiyeso choyezera labu lapadera. Mabala osiyanasiyana adzakhala ndi malingaliro awo omwe amatanthauza "mkulu" kapena "otsika" WBC count.
Zomwe zonsezi zikuphikira ndi kuti ngakhale tebulo la WBC likuwerengera, ndizomwe zili zapamwamba ndi zochepa, zikuphatikizidwa pansipa kuti zisonyeze, nambalayi ndi chitsanzo cha njira imodzi yokha yosonyezera momwe chiwerengero choyenera chikhoza kufotokozedwa. Kuwonjezera pamenepo, mawonekedwe a WBC angapangidwe mosiyana kuchokera kwa munthu ndi munthu: Zomwe "munthu wamba" sangakhale zosiyana ndi zomwe munthu wina ali nazo.
Madokotala akhoza kuyerekeza zotsatira za mayeso a magazi kwa zotsatira za mayeso a m'mbuyomu, makamaka ngati chiwerengero "choyambirira" chilipo kawiri kawiri. Funsani dokotala mafunso ena enieni okhudza nambala ya WBC kapena za zotsatira zowunika magazi.
| Chitsanzo Chamoyo Choyera cha Magazi (WBC) Mapazi Owerengetsera Kumtundu | |
| Pafupi Pakati Pakati | |
| Mtundu Wowirikiza Wowirikiza | 4,500-10,000 maselo oyera oyera pa mm3 |
| Pafupi ndi Mtunda Wapamwamba | > Maselo oyera okwana 11,000 pa mm3 |
| * mm3 = cubic millimeter | |
Kodi WBC Chiwerengero Chakugwiritsidwa Ntchito Bwanji
Kuwerengera kwa WBC sikuli chizindikiro cha matenda enaake; Sangathe kuuza dokotala wanu ngati munthu ali ndi vuto lake kapena alibe.
M'malo mwake, imagwiritsidwa ntchito monga chidziwitso chofunikira chomwe dokotala angachigwiritse ntchito kuthandizira kuyang'anira kapena kufufuza nthawi ya matenda kapena chikhalidwe. Leukocytosis ndi kuchuluka kwa WBC count; leukopenia ndi kuchepa kwa WBC kuwerengera.
Wopambana kuposa WBC count (leukocytosis) akhoza kugwirizanitsidwa ndi:
- Matenda a bakiteriya
- Matenda opweteka (nyamakazi, matenda opweteka matumbo)
- Khansa ya m'magazi
- Zovuta
- Kugwiritsa ntchito steroids
Ochepa kuposa WBC count (leukopenia) akhoza kugwirizanitsidwa ndi:
- Mankhwala osokoneza bongo
- Matenda a chitetezo cha mthupi monga lupus
- Ntchito yapafupa yapafupi
- Zotsatira za mankhwala a chemotherapy kapena mankhwala a radiation
- Matenda a kachilombo
Zifukwa Zina za WBC Wosalongosoka Kuwerengera mu IBD
Chiwerengero cha WBC chikhoza kukhala chosiyana chifukwa cha mankhwala omwe amagwiritsidwa ntchito pochiza IBD. Makamaka, corticosteroids monga prednisone ingachititse kuwonjezeka kwa maselo oyera a magazi. Mankhwala ena omwe amachititsa IBD, monga 6-MP ndi Imuran , amachititsa kuti WBC chiwerengedwe chocheperapo. Gastroenterologist ikhoza kuthandizira kuwerengera kwa WBC kuchepa ngati mankhwalawa akugwiritsidwa ntchito pochiza IBD.
Zizindikiro za kuwerengera kwa WBC zomwe ziri kunja kwa chiwerengero
Kuwerengera kwakukulu kwa WBC kungatanthauze kuti pali kutupa kapena matenda m'malo mwake. Nthawi zina, zimakhala zoonekeratu kuti zokhudzana ndi matenda omwe alipo, ngati zili choncho, zizindikiro za matendawa zikhoza kukhalapo. Nthawi zina, pakhoza kukhala zizindikiro zogwirizana ndi chiwerengero cha WBC chochepa. Zizindikirozi zingakhale:
- Thupi limapweteka kapena ululu
- Chills
- Fever
- Mutu
Mawu Ochokera
Chiwerengero cha WBC sichidziwika bwino pozindikira matenda kapena chikhalidwe. Komabe, pa nkhani ya wina yemwe ali ndi IBD, mkulu WBC kuwerengera angatanthauze kuti IBD ikuyambitsa kutupa. N'zotheka kuti vuto linalake likuyambitsa WBC yowerengeka, chifukwa chake mayesero ena angafunikire kuchitidwa kuti adziwe zomwe zikuchitika.
Zotsatira zonse, zotsatira za kuwerengera kwa WBC, zizindikilo za thupi, ndi zotsatira za mayesero ena zidzathandiza dokotala kudziwa zomwe zikuchitika m'thupi. Ndikofunika kukambirana zotsatira za chiwerengero cha WBC ndi dokotala kuti mumvetse zomwe zingatanthauze.
> Zotsatira:
> Vermeire S, Van Assche G, Rutgeerts P. "Zolemba Zamakono mu IBD: Zothandiza, Zamatsenga, Kapena Zosowa Zosafunika?" Gut . 2006 Mar; 55: 426-431.
> Wilkins T, Jarvis K, Patel J. "Kuzindikira ndi Kusamalira Matenda a Crohn." Am Phys Physician. 2011 Dec 15; 84: 1365-1375.