Txhawm rau nthuav tawm cov duab tiav ntawm lub xeev ntawm lub cev thaum muaj mob, kev kuaj ntshav kom ntxaws nrog cov mis leukocyte tau sau tseg. Ib qho ntawm cov cim tseem ceeb uas tau tshuaj xyuas thaum lub sijhawm txheej txheem no yog neutrophils. Lawv qhov txo qis yuav qhia tau tias mob khaub thuas lossis qhia txog kev loj hlob ntawm cov kab mob hnyav dua uas yuav tsum tau kho tam sim. Yuav ua li cas yog tias neutrophils hauv cov ntshav txo qis, thiab cov tsos mob dab tsi nrog tus mob no, peb yuav xav txog hauv kab lus.
Definition
Neutrophils yog cov qe ntshav dawb uas koom nrog hauv lub cev tiv thaiv kab mob. Lawv yog pawg loj tshaj plaws ntawm leukocytes. Thaum cov neeg sawv cev txawv teb chaws nkag mus rau hauv lub cev, lawv yog ib qho ntawm thawj zaug kom maj mus tua lawv. Thaum noj cov kab mob, neutrophils tuag.
Los ntawm tus naj npawb ntawm neutrophil leukocytes hauv cov ntshav, ib tus tuaj yeem txiav txim siabqhov ua rau ntawm tus kab mob thiab theem ntawm nws txoj kev loj hlob. Txhawm rau txiav txim siab lub xeev ntawm lub cev, qhov feem pua ntawm neutrophils txheeb ze rau leukocytes yog xam. Yog tias neutrophils raug txo qis, qhov no yuav qhia tau tias tsis muaj kev tiv thaiv kab mob thiab lub cev tiv thaiv kab mob rau ntau yam kab mob thiab kab mob.
Views
Cov kws tshaj lij paub qhov txawv ntawm ob hom neutrophils hauv tib neeg cov ntshav:
- Stab cells, uas yog cov hlwb hluas tshaj plaws. Cov tsos mob no feem ntau nce siab hauv cov menyuam mos.
- Segmented. Cov no yog tsim cov hlwb laus, cov nucleus uas muaj cov ntu.
Norms
Cov qauv ntawm cov neutrophils hauv cov ntshav tsis txawv ntawm poj niam txiv neej, tab sis txawv raws hnub nyoog.
| hnub nyoog | Stab (tus nqi nruab nrab), % cuam tshuam rau leukocytes | Segmented (tus nqi nruab nrab), % cuam tshuam rau leukocytes |
| Cov me nyuam lub hli 1 lub neej | 1–5 | 27–55 |
| Cov menyuam yaus hnub nyoog qis dua 5 xyoos | 1–5 | 20–55 |
| Cov menyuam yaus hnub nyoog qis dua 15 xyoos | 1–4 | 40–60 |
| Tus neeg laus | tag nrho cov ntsiab lus ntawm 45–70 | tag nrho cov ntsiab lus ntawm 45–70 |
Feem ntau, cov me nyuam yaus muaj kev noj qab haus huv neutropenia (txo qis hauv neutrophils). Thaum lub sij hawm loj hlob, cov ntshav suav rov qab mus rau qhov qub. Yuav tsum tswj tau.
Mechanism rau txo neutrophils
Qee cov neutrophils ncig hauv cov ntshav, thaum lwm tus yog "nyob rau hauv cia", txuas rauphab ntsa ntawm cov hlab ntsha. Lawv yog thawj zaug ua rau cov tsos ntawm cov hlwb txawv teb chaws. Absorbing lawv, neutrophils tuag.
Yog tias tus kab mob no mus ntev, qhov kev tshuaj ntsuam qhia tau tias cov segmented tiv thaiv cov hlwb raug txo. Hauv qhov no, koj yuav tsum tau them sai sai rau cov naj npawb ntawm cov stab neutrophils, uas lub cev tiv thaiv kab mob xa mus los hloov cov hlwb tuag. Ib qho kev nce ntxiv qhia tau hais tias kev txhim kho ntawm cov txheej txheem pathological loj. Yog hais tias qib ntawm cov tub ntxhais hluas neutrophils tsis txo qis rau cov qauv, qhov no qhia txog kev sib txuas ntawm cov hlwb tiv thaiv. Nrog kev kho kom zoo, lawv cov ntsiab lus hauv cov ntshav yuav rov qab los. Ib qho xwm txheej uas cov tub ntxhais hluas neutrophils tsis txaus yuav tsum tau kuaj xyuas kom zoo.
Yuav txo qis
Hauv feem ntau ntawm cov neeg mob, qhov txo qis hauv cov neutrophils hauv cov ntshav tau pom vim yog kev txhim kho ntawm cov txheej txheem inflammatory. Cov feem ntau tshwm sim rau neutropenia yog:
- Nyob rau hauv cov txheej txheem inflammatory hauv lub cev.
- Kev mob siab.
- kab mob sib kis.
- kab mob fungal.
- tshuaj kho mob.
- Qee tshuaj. Piv txwv li, tshuaj tua kab mob lossis tshuaj tiv thaiv kab mob, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob.
- Anemia.
- Nyob hauv ib puag ncig tsis zoo.
- Tus kab mob kis hnyav.
- kab mob kab mob.
- Kev muaj kab mob hauv lub cev.
- Radioactive exposure.
- Kev tsis haum.
- Kab mob plab hnyuv.
- kab mob autoimmune.
- Txoj kev muaj tshuaj lom.
- Tumor processes.
- kab mob sib kis.
- Necrotic txheej txheem hauv lub cev.
- kab mob ntshav.
Symptomatics
Cov tsos mob uas qhia tias txo qis hauv neutrophils yog raws li hauv qab no:
- mob qa.
- Stomatitis.
- Kub nce.
- Cov quav quav, raws li tus nqi qis tuaj yeem ua rau cov hnyuv ua haujlwm tsis zoo.
- pob khaus.
- Npaj qhov txhab kho.
- kiv taub hau.
- Bleeding.
- Txhob plaub hau, tawv nqaij, hniav.
Nws tsim nyog sau cia tias cov cim saum toj no yuav tshwm sim ntawm lwm yam kab mob. Yog li ntawd, yog tias koj tsis xis nyob, nws raug nquahu kom pub ntshav sai li sai tau txhawm rau txhawm rau txheeb xyuas qhov txawv txav.
Transcript of results
Kev txiav txim siab qhov kev tshuaj ntsuam yuav tsum ua los ntawm tus kws tshaj lij, vim tias txhawm rau txiav txim lub xeev ntawm lub cev, nws tsis txaus kom paub txog qib ntawm neutrophils ib leeg. Cov ntsiab lus ntawm lwm cov ntshav Cheebtsam yuav tsum raug coj mus rau hauv tus account.
Qhov piv ntawm lymphocytes thiab neutrophils yog qhov zoo tshaj plaws kuaj mob. Xav txog qhov kev hloov pauv tau:
- Nrog rau qhov txo qis hauv neutrophils, nce lymphocytes. Feem ntau, tus mob no qhia txog kev cuam tshuam ntawm tus kab mob, nrog rau kev ua haujlwm ntawm lub cev tiv thaiv kab mob. Yog ibKev hloov pauv hauv cov ntsuas tsis tseem ceeb, ces lub cev yog nyob rau theem ntawm kev rov qab los. Kev sib txawv loj los ntawm tus qauv qhia tau hais tias muaj theem mob ntawm tus kab mob. Cov txiaj ntsig no kuj tseem tuaj yeem qhia txog kev txhim kho cov kab mob txaus ntshai xws li HIV, tuberculosis thiab oncology. Yuav tsum tau kuaj ntxiv. Yog hais tias tom qab ib hlis cov kev ntsuam xyuas rov qab mus rau qhov qub, ces lub cev tiv nrog qhov ua rau ntawm pathological txawv txav. Ib qho xwm txheej uas cov neutrophils raug txo qis thiab lymphocytes tau nce ntxiv hauv tus menyuam yam tsis muaj cov tsos mob ntxiv ntawm tus kab mob yuav qhia tau tias muaj kab mob latent lossis muaj cov kab mob ntev.
- Neutrophils thiab lymphocytes raug txo. Qhov no qhia tau hais tias muaj tus kab mob ntev los yog lub cev ntawm tus kab mob. Hauv qhov xwm txheej no, cov txheej txheem inflammatory nquag tuaj yeem pom.
- Yog tias leukocytes thiab neutrophils raug txo qis, qhov no tuaj yeem yog cov tsos mob ntawm cov kab mob txaus ntshai thiab cuam tshuam ntawm kev tiv thaiv kab mob. Nyob rau tib lub sijhawm, nws nyuaj rau lub cev los tawm tsam cov txheej txheem inflammatory. Nws yog ib qho tseem ceeb heev los txheeb xyuas qhov ua rau tus mob no sai li sai tau.
- Neutrophils raug txo, monocytes tau nce. Qhov no tuaj yeem pab txhawb los ntawm ntau tus kab mob, uas, feem ntau, muaj qhov sib kis. Cov xwm txheej no qhia txog kev tiv thaiv kab mob ntawm lub cev. Xav tau kev kuaj ntxiv.
Txo cov neutrophils hauv cov ntshav ntawm tus menyuam
Kev hloov pauv ntawm tus menyuam cov ntshav suav ib txwm ceeb rau niam txiv. Kev txo qis neutrophils tsis muaj qhov zam. Ib qho kev hloov hauv qib ntawm cov hlwb hauv tus menyuam lub cev tuaj yeem ua tauyog txuam nrog ob qho tib si nrog cov txheej txheem pathological tshwm sim hauv nws, thiab nrog rau cov physiological - qhov no, los ntawm ob lossis peb xyoos, qib ntawm neutrophils rov qab mus rau qhov qub. Nws tshwm sim tias neutropenia yog congenital. Cov mob no yuav tsum tau kho sai li sai tau, vim tias muaj kev pheej hmoo siab ntawm kev tsim kab mob txaus ntshai vim qhov txo qis hauv lub cev tiv thaiv. Kev txo qis ntawm cov neutrophils hauv cov menyuam yaus tuaj yeem tshwm sim los ntawm kev kis tus menyuam yaus, uas suav nrog qhua pias, kab mob qhua pias, thiab rubella. Tsis tas li ntawd, tus mob no tau pom nrog kev xav ntau dhau, tom qab txhaj tshuaj tiv thaiv thiab thaum lub sij hawm teething. Hauv cov xwm txheej no, cov txiaj ntsig ntawm kev kuaj ntshav rov kuaj xyuas qhov normalization ntawm qib ntawm neutrophils.
Diagnosis
Cov ntsiab lus ntawm qib ntawm neutrophils tau kuaj pom los ntawm kev kuaj ntshav dav dav nrog cov mis leukocyte. Txij li thaum cov ntsuas tau cuam tshuam los ntawm ntau yam, kom muaj txiaj ntsig ntau dua, nws yog qhov yuav tsum tau ua raws li qee qhov kev cai.
- ntshav pub rau sawv ntxov ntawm lub plab khoob.
- Nws tsis pom zoo kom haus kas fes, tshuaj yej muaj zog thiab cov khoom muaj suab thaj 4-5 teev ua ntej kev soj ntsuam. Kev haus luam yeeb kuj tuaj yeem cuam tshuam qhov tseeb ntawm kev tshuaj ntsuam.
- Nyob ib hnub, txhob haus cawv thiab rog, noj ntsim.
- Siv tshuaj hauv 1-2 hnub. Yog tias qhov no ua tsis tau, tus kws kuaj sim yuav tsum tau ceeb toom ua ntej pub ntshav.
- Ua ntej kev tshuaj ntsuam, sim tsis txhob ntshai thiab tsis koom nrog kev ua lub cev.
Kev kho mob
Neutropenia tsis yog kab mob ywj pheej. Nws yog ib txwm ib tug kos npe rau ntawm lwm yam pathological mob tshwm sim nyob rau hauv lub cev. Tsis muaj kev kho ncaj qha rau normalize qib ntawm neutrophils hauv cov ntshav. Ua ntej tshaj plaws, nws yog ib qho tsim nyog los txheeb xyuas lub hauv paus ua rau tus mob no.
- daim ntawv me, uas feem ntau yog lub cev, tsis tas yuav kho. Hauv qhov no, nws tsim nyog xav txog qhov xwm txheej ntawm lub cev.
- Antihistamines raug sau rau kev ua xua.
- Yog cov kab mob ua rau txo qis, siv tshuaj tua kab mob.
- Yog hais tias muaj kab mob hauv lub cev, cov tshuaj tua kab mob tau muab tshuaj.
- Yog tshuaj yog qhov ua tau, yuav tsum tau hloov.
- Nco ntsoov sau tshuaj kom tswj lub cev tiv thaiv kab mob.
- Nws pom zoo kom mus kawm cov tshuaj vitamin.
- Yog vim li cas rau qhov txo qis ntawm cov neutrophils hauv cov ntshav yog cov kab mob uas cov pob txha pob txha tsis tuaj yeem tsim cov hlwb tiv thaiv, tus kws kho mob yuav txiav txim siab txog qhov xav tau kev phais txoj kev kho mob - kev hloov pob txha pob txha.
- Neutropenia hnyav tuaj yeem xav tau kev kho mob hauv tsev kho mob.
Nws yog ib qho tseem ceeb kom nco ntsoov tias koj tsis tuaj yeem kho tus kheej. Kev kho mob yuav tsum tau muab los ntawm kws kho mob, vim tias tsuas yog ib tus kws kho mob uas tsim nyog yuav tuaj yeem txhais cov kev kuaj ntshav kom raug thiab txheeb xyuas qhov teeb meem. Raws li cov txiaj ntsig tau txais, kev kho tau zoo tau raug sau tseg hauv txhua kis tshwj xeeb.
Nyob rau hauv kev kho tus menyuam, tshwj xeeb yog them rau nws lub hnub nyoog, muaj mob thiabkab mob keeb kwm. Yog tias pom qhov txo qis hauv neutrophils tawm tsam keeb kwm yav dhau los ntawm qib ib txwm muaj ntawm lwm cov ntsuas, tsis tas yuav kho. Nws yog ib qho tsim nyog los tswj tus mob hauv qhov kev kuaj ntshav.
kev kho neeg zoo
txhawm rau txhim kho lub cev tiv thaiv kab mob thiab ua kom cov qib ntawm neutrophils hauv cov ntshav, cov tshuaj ib txwm siv, uas tau ua pov thawj nws tus kheej li kev kho mob ntxiv. Xav txog qee cov zaub mov txawv:
- A decoction ntawm oatmeal.
- Mugwort tincture.
- YRoyal Jelly.
Yuav tsum nco ntsoov tias kev siv tshuaj ntsuab yuav tsum tau pom zoo nrog tus kws kho mob tuaj koom.
ntsuas kev tiv thaiv
Cov neeg uas nquag mus rau theem qis neutrophil yuav tsum paub txog qhov muaj kev pheej hmoo ntau ntxiv rau cov kab mob sib kis. Kev ua raws li kev tiv thaiv kev tiv thaiv yuav txo qhov kev pheej hmoo ntawm lawv txoj kev loj hlob. Txhawm rau ua qhov no, koj yuav tsum ua raws qee cov cai:
- ntxuav tes kom huv.
- Tsis txhob tiv tauj nrog cov neeg mob.
- Khawb kev noj qab nyob zoo.
- Tsis txhob muaj kev ntxhov siab.
- Tsis txhob txias.
- Ua qoj ib ce.
- Txhim tiv thaiv kab mob.
- Mus ntsib kws kho mob raws sijhawm thiab kho txhua yam kab mob mus txog qhov kawg, tsis suav nrog lawv txoj kev hloov mus rau theem mob.
Zoo kawg
Yog tias kev kuaj ntshav pom tias txo qis hauv neutrophils, tsis txhob ntshai tam sim ntawd. Qee zaum, tus mob no tsis qhia tias mob hnyavCov teeb meem kev noj qab haus huv thiab, raws li qee cov lus pom zoo, sai sai rov zoo li qub. Yog tias qhov kev tshuaj ntsuam tau qhia qhov sib txawv ntawm qib ntawm lwm cov ntshav tsis, nws tsim nyog txheeb xyuas qhov ua rau ntawm cov kab mob no thiab pib kho kom tsim nyog.
