Lymphocytes yog cov ntsiab lus ntawm cov cellular uas yog ib feem ntawm tib neeg lub cev tiv thaiv kab mob, uas tau tsim nyob rau hauv cov pob txha pob txha thiab faib rau hauv cov ntaub so ntswg ntawm hom lymphoid. Lawv lub luag haujlwm tseem ceeb yog txhawm rau txheeb xyuas cov kab mob txawv teb chaws thiab muab cov tshuaj tiv thaiv kab mob hauv lub cev rau cov kev hem thawj uas tau tshwm sim. Feem ntau, cov kev ntsuam xyuas qhia pom qhov nce hauv qib ntawm lymphocytes hauv cov ntshav sau. Qhov no tej zaum yuav tshwm sim los ntawm ib co physiological los yog pathogenic mob uas yuav tshwm sim los ntawm ntau yam ua rau.
Norm of lymphocytes hauv tus neeg laus
Hauv cov tshuaj, muaj cov cai rau qib tso cai ntawm lymphocytes hauv cov ntshav. Kev sib txawv ntawm cov qauv no hauv ib qho kev taw qhia lossis lwm qhov yog vim li cas rau kev kuaj mob ntxiv txhawm rau txhawm rau nrhiav qhov ua txhaum cai.
Tus txheeb ze tus qauv ntawm cov ntsiab lus ntawm lymphocytes hauv cov ntshav ntawm tus neeg laus yog nyob rau hauv thaj tsam ntawm 20-30%. Hauv cov ntsiab lus tseeb, tus lej ntawm lymphocytes yuav tsum tsis pub dhau 1-4.5x109/liter.
Txais nyiaj rau menyuam yaus
Kev sib txawv ntawm cov ntsiab lus ntawm lymphocytes hauv cov ntshav ntawm tus menyuam ncaj qha nyob ntawm nws lub hnub nyoog, yog li qhov kev txwv ntawm ntau yam yog qhov dav heev.
Cov qauv hauv qab no feem ntau lees txais:
- rau tus menyuam hnub nyoog qis dua 1 xyoos - 55-75% lossis 4-10, 5 x 10 9/liter;
- ntawm 1 xyoos txog 4 xyoos - 45-65% lossis 2-8 x 10 9/liter;
- 4 txog 6 xyoo - 35-55% lossis 1.5-7 x 109/litre;
- 6 txog 10 xyoo - 30-50% lossis 1, 5-6, 5 x 109/liter;
- ntawm 10 xyoo txog 21 xyoos - 30-45% lossis 1-4, 8 x 10 9/liter.
Yog li, nws tuaj yeem pom tias qhov ntsuas tseeb thiab txheeb ze ntawm cov lymphocytes hauv cov menyuam yaus cov ntshav maj mam txo qis thaum tus menyuam loj hlob.
Ntawm cov kws kho mob, cov lymphocytes siab feem ntau hu ua lymphocytosis. Cov xwm txheej zoo li no tsis suav tias yog kab mob, vim tias nws tshwm sim los ntawm kev tiv thaiv kev tiv thaiv ntawm lub cev thiab yog qhov qhia tau tias txhua yam txheej txheem pathological pib tsim hauv tib neeg lub cev. Thaum kuaj ntshav, ob qho tib si txheeb ze thiab cov ntsuas qhov tseeb yuav tsum tau kawm, vim tias ob leeg ua lub luag haujlwm tseem ceeb hauv kev txheeb xyuas tus neeg mob. Tom qab tau txais nws cov txiaj ntsig thiab, yog tias tsim nyog, ua cov kev tshawb fawb ntxiv, tus kws kho mob yuav tuaj yeem txiav txim siab seb cov lymphocytes siab npaum li cas hais txog.
nce qib ntawm lymphocytes
Tsis yog cov kab mob nkaus xwb, tab sis kuj muaj cov yam ntxwv ntawm lub cev tuaj yeem ua rau nce qib ntawm lymphocytes - piv txwv li,Piv txwv li, ib tug poj niam kuaj ntshav thaum lub sij hawm cev xeeb tub ua rau muaj teeb meem heev. Tsis tas li ntawd, nyob rau hauv cov neeg uas nws lub cev tiv thaiv kab mob yog hom reactive, tej yam malfunction nyob rau hauv lub cev ua hauj lwm (txawm yog tus mob khaub thuas) feem ntau qhia tau hais tias ib tug nce qib ntawm concentration ntawm cov hlwb.
Ua rau kev loj hlob ntawm lymphocytes hauv tus neeg laus
Raws li tau hais los saum toj no, tuaj yeem muaj ntau yam ua rau muaj lymphocytes ntau ntxiv hauv cov neeg laus, thiab lawv txhua tus muaj qhov sib txawv. Nov yog qee qhov ntawm lawv:
- Kev noj zaub mov ntev raws li kev tsis lees paub tag nrho.
- kab mob viral ntawm daim siab uas ua rau nws loj, nrog rau cov teeb meem zoo sib xws nrog tus po.
- Muaj ib tus neeg mob tuberculosis, hom yuav txawv, txawm tias asymptomatic.
- Kev kis kab mob ntau yam kab mob, suav nrog syphilis thiab brucellosis.
- pib ntawm kev loj hlob ntawm kab mob mononucleosis.
- Qhov tshwm sim ntawm ntau yam kev tsis haum tshuaj.
- Hypertrophy ntawm thyroid function.
- tus cwj pwm phem, tshwj xeeb, haus cawv thiab haus luam yeeb, ua ke nrog kev ntxhov siab tas li.
- Txhim kho cov txheej txheem kab mob autoimmune (rheumatoid-type arthritis, systemic lupus erythematosus, scleroderma, dermatomyositis, thiab lwm yam).
- Benign chronic lymphocytic leukemia.
- Lymphosarcoma nyob rau theem ntawm kev loj hlob.
- Cov tshuaj lom ncaj qha nrog cov tshuaj phem xws li arsenic, chlorine thiab lead.
- Crohn's disease.
- Ntau hommyeloma.
- Kab mob ntsig txog endocrine system.
- Cov kev mob tshwm sim thiab kev cuam tshuam rau ntau yam tshuaj.
- Broad spectrum neurasthenia.
- Moment of transition in acute disease from mob mus rau zoo thiab nyob rau hauv cov kab mob ntev los ntawm relapse mus rau remission.
Symptomatics in laus
Ntau cov lymphocytes hauv cov neeg laus yuav tsis ua rau tsis muaj tsos mob thiab ua rau hauv daim ntawv latent. Xws li lymphocytosis raug kuaj pom los ntawm lub sijhawm, thaum kuaj ntshav, uas tuaj yeem npaj los yog nqa tawm raws li kev tshawb nrhiav kev kuaj mob rau txhua yam kabmob. Txawm li cas los xij, lawv tuaj yeem ua rau muaj ntau yam tsos mob. Cov tsos mob ntawm lymphocytosis hauv cov neeg laus:
- txo qis lossis tsis qab los noj mov, vim li ntawd - poob ceeb thawj;
- nquag kiv taub hau;
- raws plab lossis cem quav tshwm sim tsis tu ncua lossis hloov pauv;
- daim tawv nqaij integuments tig daj ntseg thiab qhuav;
- kab mob tawv nqaij tshwm sim;
- hyperhidrosis tsim, uas yog, tawm hws nce;
- tus neeg feem ntau xav tias txias;
- lub cev kub nyob ntawm 37-38 ° C;
- kev noj qab haus huv ntau zuj zus: tus neeg qaug zog, tawg, tsaug zog, ua haujlwm poob qis;
- plaub hau pib poob los yog tawg;
- cov tonsils, cov qog ntshav nce ntxiv, lawv mob, o thiab tig liab;
- qhov pom ntawm tus po thiab daim siab nce.
Tus menyuam yaus tau nce lymphocytes. Hais txog dab tsipuas yog?
Ntawm cov xwm txheej hauv qhov no yog cov hauv qab no:
- kab mob ntshav qab zib raws li qhov tsis txaus vitamin B12.
- Kev txhim kho cov kab mob sib kis: rubella, qhua pias, encephalitis, kab mob qhua pias, hnoos hawb pob, kab mob qog noj ntshav, malaria.
- Tsim cov qog nqaij hlav malignant thiab oncopathology.
- Kab mob lymphocytosis, tseem hu ua Smith's disease.
- Muaj mob hawb pob lossis lwm yam mob ntsws.
- Teeb meem cuam tshuam nrog endocrine system.
- Kev txhim kho ntawm lub cev lymphocytosis hauv tus menyuam hnub nyoog qis dua 4 xyoos, thaum tsis pom muaj lwm yam kabmob thiab kev noj qab haus huv txaus.
Cov no yog yam tseem ceeb cuam tshuam rau kev nce hauv lymphocytes hauv tus menyuam
Cov tsos mob ntawm lymphocytosis hauv menyuam yaus
Raws li nyob rau hauv ib tug neeg laus, nce lymphocytes nyob rau hauv tus me nyuam lub cev yuav tsis ua mob. Txawm li cas los xij, yog tias lawv tshwm sim, lawv zoo li no:
- menyuam yaus qaug zog thiab tsis xis nyob txhua lub sijhawm;
- nws kiv taub hau, qee zaum mob;
- nws mob lossis ntuav;
- cem quav yog hloov los ntawm cov quav xoob;
- tus me nyuam ua tsis taus pa;
- muaj qhov nthuav dav ntawm cov qog ntshav qab zib, spleen, thiab siab;
- daim tawv npog tag nrho lub cev npog nrog pob me me;
- nce qhov loj ntawm tonsils;
- tus me nyuam feem ntau muaj kab mob ua pa (txias, mob khaub thuas);
- lub cev kub tas li nce mus txog 38°C.
ntsuas ntsuas
Txhawm rau txiav txim siab seb cov lymphocytes hauv cov ntshav qis lossis siab hauv ob tus menyuam yaus thiab cov neeg laus, koj tuaj yeem siv cov ntshav kuaj.
Yog tias, ntxiv rau cov tsos mob ntawm lymphocytosis, lwm yam tsos mob tau pom, tus kws kho mob tshwj xeeb yuav raug xa mus rau kev kuaj mob ntxiv txhawm rau txhawm rau tshem tawm tam sim ntawm qhov kev kuaj mob yuam kev. Ntawm lawv yog cov hauv qab no:
- kuaj xyuas lub peritoneum;
- x-ray;
- histological thiab cytological kev tshawb fawb ntawm cov pob txha pob txha;
- CT scan.
txheej txheem kho
Vim tias cov lymphocytes siab tsis yog kab mob, tsis muaj kev kho tshwj xeeb tuaj yeem muab tau raws li nws tsis muaj. Nyob rau hauv rooj plaub uas tsis muaj cov tsos mob pom tseeb ntawm ib tus kab mob tshwj xeeb, ntxiv rau kev kuaj sim, tus kws kho mob tshwj xeeb qhia tus neeg mob mus rau cov kev kuaj mob saum toj no.
Cov menyuam yaus thiab cov neeg laus tau txais kev kho tshwj xeeb rau kev nce lymphocytes tsuas yog tom qab tau txais kev kuaj pom tseeb. Feem ntau ntawm cov xwm txheej suav nrog kev teem sijhawm ntawm cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tiv thaiv kev ua xua thiab tshuaj tiv thaiv kab mob. Qee zaum, corticosteroids, chemotherapy (nyob rau hauv cov ntaub ntawv ntawm kev kho mob myeloma), kev hloov cov pob txha pob txha (hauv leukemia) thiab lwm yam kev ntsuas uas tsim los ntawm tus kheej rau txhua tus neeg mob yuav raug sau tseg.coj mus rau hauv tus account nws tus mob tam sim no, qhov hnyav ntawm tus kab mob thiab lwm yam ntsuas.
Kev kho rau cov lymphocytes siab, ua ntej ntawm tag nrho cov, tshem tawm qhov ua rau tus neeg mob tus mob. Thaum pom muaj qib lymphocytes ntau ntxiv hauv ib tus neeg, nws yog ib qho tsim nyog yuav tsum tau coj mus rau kev kho mob tsis txhob txo lawv cov naj npawb, tab sis tshem tawm cov hauv paus hauv paus ntawm nws txoj kev loj hlob.
Kev kho mob lymphocytosis tuaj yeem siv sijhawm ob peb hnub lossis hli. Lub sijhawm ntawm kev kho yog nyob ntawm tus kab mob uas ua rau tus neeg mob tus mob no. Txawm li cas los xij, tom qab kev kho mob, qib lymphocytes hauv tus neeg mob cov ntshav yuav nyob ruaj khov.
Muaj Teeb Meem
Ntau zaus, kev kho mob ntawm lymphocytosis xaus nrog kev rov ua tiav thiab kev kho mob raws sijhawm yuav tiv thaiv kev txhim kho ntawm cov teeb meem.
Yog tias kev kho mob lymphocytosis tsis ua tiav lossis ua tsis tau zoo, tus neeg mob tus mob yuav hnyav dua. Tus neeg mob uas muaj qib lymphocytes nyob rau hauv cov ntshav siab tuaj yeem pib muaj cov ntshav hauv lub cev, uas tuaj yeem ua rau tus neeg mob tuag. Tsis tas li ntawd, kev txhim kho cov kab mob tiv thaiv kab mob xws li HIV lossis AIDS tuaj yeem ua tau. Lwm qhov teeb meem ntawm lymphocytosis tuaj yeem yog qhov txo qis ntawm cov ntshav txhaws, qhov twg txawm tias qhov raug mob me tuaj yeem ua rau los ntshav hnyav.
Nws yuav tsum nco ntsoov tias tsuas yog ib tus kws kho mob nkaus xwb thiaj li ua rau nce lossis txo qis hauv cov ntshav lymphocytes, thiab kev siv tshuaj rau tus kheej tuaj yeem ua rau muaj teeb meem loj.
ntsuas kev tiv thaiv
Raws li kev tiv thaiv kom tsis txhob muaj kev nce ntxivtheem ntawm lymphocytes hauv cov ntshav, yog:
- tsis tu ncua hardening;
- ua cov tshuaj tiv thaiv niaj hnub;
- ua raws li cov cai ntawm kev tu tus kheej;
- taug qab koj cov zaub mov thiab kev ua neej;
- ua kev tawm dag zog nruab nrab;
- tuav lub xeev ntawm kev xav ruaj khov, zam kev ntxhov siab ntau dhau thiab kev ntxhov siab ntawm lub paj hlwb.
Txhua qhov kev ntsuas saum toj no yuav pab tswj cov qib lymphocytes hauv qhov qub.
