Leukopenia: mea, lalau mai, lapaau a me ke ano o ka maʻi

Hodgkin ka maʻi, neutropenia, leukopenia, monocytosis - a pau kēia mauʻano na maʻi e hoopaa ana i kekahi wale nō mea - i ka loli pathological i ka pae ana o keʻokeʻo koko keena. Ma keia 'atikala, e kūkākūkā mākou i kekahi wale koho mai i ka papa inoa.

Leukopenia - he pathological ana i ua wehewehe aku ma ka hihia hoʻi hematopoiesis kiʻekiʻe o keʻokeʻo koko keena. Eia naʻe, i loko o nā makahiki o ka prevalence o ka maʻi no ka hana. No ke aha la i keia?

He aha ka leukopenia i loko o nā mākua?

Kēia mau pathological ana, a hoʻohuʻu i ka ho'ēmi i kā koko keʻokeʻo koko aeea helu, i ka wa a ka mea e hina ia ma lalo o ka 3,7H10 ⁹ / ho'āo ai. Kēia kahua Ua olelo mai e emi i ka? Iecaianoaaiiie o keʻokeʻo koko aeee 'ana i loko o ka iwi lolo. Ua hiki e kena ae la ma kekahiʻano o kāna hana a me nā maʻi.

Hoemiia maʻiʻo o leukocytes i loko o ke koko ua pinepine malama ole kekahi mea hōʻemi i loko o ka hoʻomanawanui ka kulana. Ma ka kekahi lima, i ka loli o ka e hoʻonele i loko o kēia maʻi pinepine entails ka hanana o nā infectious ka maʻi. 'Ė aʻe, ole ana mahuahua ka wela, pōniuniu - a pau o kēia mau symptoms hiki ke mahuʻi mua o ia i kaʻike, me leukopenia. Kumu o ia lapaʻau hoailona i kona mau helehelena no ka lōʻihi manawa. Ka hope loaʻike, hiki wale hoʻokūpaʻa i ke koko hoao.

He aha oe e ike e pili ana i ke keʻokeʻo koko aeee?

White koko aeee i noke hua mai la i loko o ka iwi lolo, lymph aka wahi a me spleen. Ka mea, i mau ai hoʻolahaʻia i loko o ke koko nenoaiu. Ka huina helu hiki ke helu hoʻohana 'ana i ka kūikawā Ka Ikepili.

Maʻamau, i ko lakou helu loli aʻe mai ka 4.0 hiki i 8,0H10 ⁹ no hano o ke koko. Ke kiekie pae o kapa leukocytosis. Ka hapanui pinepine i loko o ia ke alanui i ke kino reacts i ka na li nui. Ka mea o ia ka mea, mea a pau keʻokeʻo koko keena pepehi haole keena.

Hoemi i ka helu o ke keʻokeʻo koko aeee ua kapaia leukopenia.

Ke kaumaha ma muli o ka alo ana o aeee loko o lakou iho i ka palaoa kauka kapa mauʻano o nā leucocytes:

1. Granulocytes: eosinophils (i ka 5%), basophils (1%), neutrophils (40-70%).
2. Agranulocytes: lymphocytes (20-45%), monocytes (3-8%).

Simple, haʻi lākou i Hōʻike i granulocytes hoike no ka oi ma mua o ka hapalua o ka huina haku mele 'ana, a me 90% o ka ia - ia Aloha neutrophils.

I ole ia, e kapaia ka mea, phagocytes. Poe akamai i kapa ia ai, no ka mea, e wehewehe aku ma kā lākou mau hana, e pepehi microorganisms.

Penei, kekahi e hoomaopopo kiʻekiʻe keʻokeʻo koko aeea helu a me ka ho'ēmi i kā. Ua ua ua kapaʻia ka la mahope leukopenia.

kumu

Lapaau ana i ka maʻi, ua hiki ole like loa me ke kauka e i ike pono i ka mea a ke kumu nui, a kena ae la leukopenia. I ole ia, ka mea e e hāʻawi ai i ka hewa lapaau, a me ka maʻi mau, e holomua.

Makaʻu aʻela i ke kūpono 'ana o ka maʻi, poe akamai i kapa heʻano nui. Eia naʻe, oi pinepine ia mea he 'aʻe' ana o functioning iwi ka lolo, ka mea o ka hoʻololi kemikala ua ike ma muli o ka inhibition o neutrophil:

• Hai waiū i ionizing pāhawewe (X-Ray pinepine a me ka lōʻihi study, ka pāhawewe maʻi);
• infectious maʻi (HIV, septic maʻi, herpetic nā mea palahēhē);
• lōʻihi? eaia kekahi pūʻulu o ai '(antibiotics, nonsteroidal Anati-hoʻoʻino konohiki, sulfonamides);
• kaʻapu kōheoheo toxins a me ko ka hale ona hoomake iho no hoi;
• Ka hui wikamina deficiency a me kekahi kumumea oihana mua;
• dysplastic a neoplastic lesions o ka iwi lolo ia iho, i mea hoi i leukopenia maʻi (leukemia, metastatic lesions a me ka 'ole. d.).

E like me ka poe akamai, i ka kokololio ka make ana o ka ai-kapaia granulocytes ua malama i ka hopena o ka:

1. Autoimmune luku keʻano o ka hanaʻana i loko o ke kino.
2. chemotherapy hoʻohana.
3. Hoʻopaneʻe 'ia ana leukocytes ma ka nakeke ma ke kāʻei kua o ka hemodialysis.

lapaʻau hoike ana

Ma ka loiloi mua ke kahua o ka ulu i ka maʻi, ua akaka na hoailona o ka leukopenia ua aneane manawa ma kahi e. Ke hoomanawanui i ikea headache, nawaliwali, pōniuniu. Nō kāu, i kēia mau lepa i ole kekahi uku hoolohe mai, akā, no ka lapaʻau kiʻi i keia manawa mau e hoʻololi hikiwawe loa. E kū'ē i ka backdrop o ka nāwaliwali, meaola pinepine o kona maʻiʻaʻai, i ua pu ma:

• migraines;
• kuni;
• ole;
• kokololio ka lāʻau ikiʻai.

Muli o kona kulana pinepine ka gastrointestinal mucosa lesions hou i mau ulcers a me erosions, koko nā mea palahēhē, hoʻoʻino keʻano o ka hanaʻana i loko o ku una ha i ka lua.

Noonoo E e uku a me ka papa o ka mea maʻi. All infectious keʻano o ka hanaʻana i loko o ke kino lawe wahi kekahi mau manawa kaumaha. No ka laʻana, he uuku loa ma luna o kaʻili ke alakai i ka cellulitis. Loa pinepine ike ma hope o chemotherapy spleen poino, ake a me ka intestinal keena. Kekahi maʻiʻaʻai ma keia hihia, e lilo ia i mea no ka hoʻomanawanui i ka ola. Mahalo i ka Ikepili o ke koko, e like me ka rula, uaʻaʻole i loaʻa wale leukopenia. Thrombocytopenia, no ka laʻana, kokoke mau inevitably e hoʻomōhala ana i ma luna o ke kāʻei kua suppression o platelet? Iecaianoaaiiuo.

Ka oi pilikia loa i ka maʻi?

Paakiki leukopenia, e like me na kumu ao, e alakai ana i ua hoʻemi e hoʻonele a me kekahi i ka wā hoʻokahi mea ulu i loko o ka pā lonoaʻili i na mea he nui nā mea palahēhē a me ka maʻi 'aʻai illnesses, a pinepine entails make. Loa hoike ana mai o ka maʻi i ke kēia: agranulocytosis, neutropenia a me ka aleukia. Ma keia hihia, ke kino Ua kokoke loa ekolu pohaku e paka i kekahi mauʻano o leukocytes.

Mea Maluna

Muli o kona kulana pinepine, hookuu iho no keʻokeʻo koko aeee i? Aiaiiuie wale. E like me ua ikeia, ke kumu leukopenia makua pinepine moe i loko o ka lawe ana i kekahi mau lapaʻauʻia ( 'o ia hoʻi "Biseptolum", "Analgin"). Ma hope o ua noho mai o nā kumumeaʻino wale i nā mea a pau symptoms nalo. Eia mākou i kuhikuhi kamailio e pili ana i ka ai-kapaia transient leukopenia. Ua ua loaʻa i loko o ka oaeouee koko ho'āʻo a me ka mea ole i kekahi mea ola hopena.

Hou muli o kilo kaua nō e māheleʻia i loko o ka kēia mau 'ano:

• huʻi (i hiki i na malama ekolu);
• maʻi (oi aku mamua o na malama ekolu).

Oia na kumu nui i hoʻohuoiʻia o ka agranulocytosis a me ka manawa e noi mai ana oi piha ninaninau.

Nō hoʻi, leukopenia maʻi ua maheleia i:

• iniiaiie palapala (neutrophil kupu mai ka hoʻololi kemikala kāna hana);
• haumāna palapala (e hōʻike 'kumumea i uhi hemopoiesis mau).

Ma muli o ka degere o ka ho'ēmiʻana i loko o ka helu ana o leukocytes i loko o kaʻike, hiki e haawiia ekolu koho:

• mehana - 1,5x10 ⁹ / H (piha wa e kaawale aku o complications);
• Medium - 0.5 i 1,0H10 ⁹ / L (ka mea, he pilikia o ka maʻiʻaʻai);
• Kaumaha - 0,5H10 i ⁹ / H (agranulocytosis me ka loa hoikeana).

He no ka mea hope Mea Maluna ua loa pinepine puunaueia leukopenia. Ke degere o? Acaeoey o ka maʻi moku'āina hilinaʻi wale nō ma luna o ka pahiki o ka hui ana i ka maʻiʻaʻai.

lapaʻau '

E hoʻokūpaʻa i ka maʻi, ke kauka prescribes ka hoʻomanawanui CBC. E like me nā hualoaʻa hiki e hookolokoloia mai ai au mai ka alo mai o ka maʻi. A laila, e like me ka rula, hoonoho e kūkā me kekahi mau practitioner paha hoi he hematologist. Kona kauka mai nei ia mea he maʻi leukopenia, na kumu o ka maʻi moku'āina. He nui ka e hoailona oukou ia ina e ike pono i kumumea kāhea i ke kūpono 'ana o ka maʻi he hoʻomalu, ma laila i e pilikia me ka manao ikaika o ka Inc a me kona mahope hana.

lapaʻau Nā Kūlana

Ke hoomanawanui mua Ua waiho ia ma ka kaʻawale keena. Kauka a me ka 'ē aʻe ola hana compulsorily ia me ka antiseptic lima, hoʻohana gauze bandages, a kapa komo i loko o sterile gowns. Ma ka loa, i ka hoʻomaʻemaʻe House ua lawe mai ka hoʻohana 'ana disinfectants, germicidal kukui i hoʻohana.

Pehea e hana leukopenia? I Ina o lōpū maʻiʻano e ia na kēia mau ai ': "leucogen", "Batilol", "Pentoxyl". Ma ka hanana o ka mea koʻohune complications, ka wā e hōʻike 'ia ma luna o ka ili pōʻino, mai ke kakahiaka nui lā paipai palahalaha pae antibiotics (' o ia hoʻi "Tseporin", "ampicillin", "Gentamycin").

Leukopenia ma hope o chemotherapy ia me ai 'loaa ma aaiaoe' enekinia, (ai ' "Lenograstim", "Sargramostin", "filgrastim").

He nui e hoailona oukou ia ia, e lawe i ka lōʻihi manawa e eia ka mea hope eo i kēia maʻi, leukopenia. Nā kumu o ka maʻi, i kaulana ma luna, e pinepine uhukiia ma deficiency o kekahi nā wikamina a kumumea hehee wale. I mea no ke aha la i loko o ka papa o ka iapaau ana ia mea e pono ke uku nānā 'ana i kūponoʻai.

Pono ia ma ka maturation o hou keena, a hemoglobin hoʻololi kemikala huahana waiwai folic a me ka ascorbicʻakika. Kela la i keiaʻai e pono komo i keʻano o nā hua a me ka lau, hou lau nahele a me nā hua. ? Aeiiaiaiaaia e ai porridge i mai ka laiki, buckwheat a me nā kiliala.

E like me 'oe ke ike, i kaʻai mea ole loa austerity, akā nō i, e haawi aku i kekahi mauʻai. Kēia pūʻulu nā momoma ai, mea inu, e hoʻokēʻai ai.

Ma ka hihia o ka maʻiʻaʻai ia Inc iloko olailaʻano nui o ka ai 'ole ka heluna o ka iwi lolo iho. He OAXA e pili nā wikamina, immunomodulators, platelet transfusions a me leukocyte nuipa a. I loa hoopii, ua hele aku io na kumu ao, e wehe i ka spleen. ʻoki lāʻau lapaʻau 'uao ua häʻawi mai ai i ka hihia i ua ai kona kūlana i loko o ka make ana o ke keʻokeʻo koko keena.

ka hiki hopena

Hoikehonua, lapaau distinguishesʻano o ka leukopenia, a me keia Mea Maluna mea kuhikuhi kalele iho ma luna o nā kumumea ka hoʻopukaʻana i kaʻoi emi ma ka helu ana i keʻokeʻo koko keena. Naʻe, ka nānā 'ana i ke' ano o ka maʻi, e ike koke lawe a pau e pono ana, e hana me ia. Inā manawa e ole e haawiia lapaau, i ka pahiki o complications, a me ka pilikia no ka hoʻomanawanui i ka ola.

Many, ka ike ana i ke koko hoao, mai i ike i ke ano maoli Hoʻoweliweli 'leukopenia. Ka nui manaoio i ka hopena maikaʻi 'ole hiki i ka poʻe maʻi, a ua hoʻonāukiuki aku i ka pahikakiwi oi emi i loko o keʻokeʻo koko keena wale. I mea, ua manao ka hewa. Leukopenia hoʻonāwaliwali ka aiiay oihana o ke kino. I ka wa e kaawale aku o ka maikai e hoʻonele pinepine hiki aku ai i ka mea ana i ke alo o ka loa banal mea koʻohune maʻiʻaʻai i loko o ke kino e lilo i ka ulia pōpilikia kulana. A, me ka leukopenia Ua kokoke alua kiekie ae kamepiula, e loaʻa iāʻeho maʻi. Nō hoʻi, i ka hiki hopena o ka maʻi moku'āina a me nā agranulocytosis aleukia (iwi lolo).

Kāohiʻana a me ka prognosis

Loa pinepine ma hope o ka maʻi 'aʻai e hoʻomōhala ana i leukopenia. Ma hope o ka chemotherapy lapaau a me Kāohiʻana o ka maʻi i loko o ka wahi mua ua manaoia e kekahi kūlike loa koho o ka dosing regimen. He nui e hoailona oukou i ka mea hilinaʻi nui ole wale ma luna o ka hana o ka poe kumu, akā, no hoi ma o ka 'auhau o ka hana kūikawā naehana. I mea no ke aha la i mea e like me ka hiki i ka hopena o ka pale umauma hoʻokahi hoʻohana no ka pāhawewe Inc. Ka make ana i loko o ka hihia o ka leukopenia i ka maʻi 'aʻai e hoomanawanui i ka emi o 30% o na hihia a pau.

Mau noonoo ana ua uku ai i ke kanaka kokoke loa i kahi mea nui i loko o ka iapaau ana o nā mea maʻi i loko o ka haukapilaʻo. Ma ka hookohu ana o kekahi mau 'ole ai' ke kahuna lapaau e pono lawe i loko no o ka alo o ka intolerance i kekahi eiiiiiaiou, hoʻokaulike konohiki, concomitant illnesses. Eia ke kūlana kūikawā e pili ana i ka pakiko-lapaau a me ka hahai ana i ka'ōlelo aʻo o nā hoa a me ka hanauna. Kekahi Inc ai e haawiia mai ma hope o ka lapaʻau 'ana a me ka ninaninau kūkā me ka hoʻomalu wale.

Ma keia 'atikala, ua ho'ākāka' ia ma ka piha i hiki e pili ana i ka mea leukopenia. paha e loa okoa nā kumu o kēia maʻi, HEN, mai ka nele ana o kekahi mau nā wikamina a pau me ka loa lesions o ka iwi lolo. Ma kekahi hihia, wale he kupono Inc ke kōkua ma ke kaua ana i keia maʻi. E hoʻokaʻaʻike ola!