Neutropenia - chii? Zvinokonzera, mabatiro

Neutropenia - chii? Izvi zvinoderedza ropa chaiyo masero eropa vachikura mu mumwongo. Kwakaderedza pamwero neutrophils (polymorphonuclear leukocytes) inoratidza kuchinja kuitika mumuviri wedu. Rimwe basa rinokosha ropa Masero ari kudzivirira pamusoro pathogenic utachiona uye utachiona. Pamusoro okutambirwa neutrophils muropa karwizi basa ravo kuparadza dzimwe nevamiririri. At kwakaderedza rakawanda masero aya muviri wedu simba uye haagoni kurwisa zvirwere.

How kuziva nhamba masero machena?

The pamwero zvinhu izvi zvinosiyana mukati-siyana. In vanhu utano, yeplasma aripo kubvira 1500 kusvika 7000 neutrophils. The kwokuomerwa hosha anoenderana uwandu ANC:

- munyoro chimiro - mukati 1500 masero;

- mwero - 500-1000 masero / Rine mamiririta;

- rinorema - asingasviki 500.

Anogona kupfeka nguva pfupi kuti neutropenia (kuti mamiriro mhando, akarondedzerwa pakutanga), kunyanya kana kushandisa zvinodhaka antiviral. Mushure kurapwa, nhamba iri rukaporeswa. Zvisinei, kana ichi ari kuchengetwa kupfuura pavhiki, saka pane pangozi yokuita chirwere uye ropa utachiona (tonsillitis, zvirwere kufema hurongwa). Yeuka kuti kwenguva refu dzihwa-kufanana Zviratidzo vanofanira kuona iwe uye kuwana zvichipfuura kuongorora. Zvakakomba Danho yematambudziko ngozi.

Neutropenia: zvinokonzera

Mumwe kukonzera vane utachiona uye kutapukirwa noutachiona. Key muchinangwa kukura chirwere kutamba kuzvimba, mishonga, vhitamini kushaikwa, mwongo kukuvara, aplastic kupererwa neropa, uye kwenguva refu yaunodya zvinodhaka. Kuwanda masero machena zvinoderedza Pfungwa dzavo kunyora nezvavo kana kuramba kuparadzwa leukocytes muropa murukova.

siyana neutropenia

A chiri febrile chimiro raro pakarepo uye kufambira mberi mukati. Utachiona rakapinza muruoko simba muviri, vakapararira nokukurumidza, zvichiita kuti zvakakomba. Chechipiri chine - the paucity kunotoda kurapwa zviratidzo. The chiratidzo chete chirwere chinogona ngazviwedzerwe tembiricha.

Chikonzero kuti cyclic chimiro zvokurwara vanachiremba vasati kuzivikanwa. Asi zvinozivikanwa zvakadai neutropenia mune vana uye vakwegura. Wechitatu chimiro unonzi "autoimmune" rinooneka somugumisiro gadziriro antituberculous uye rinoreva "Analgin". Kuchengetwa dermatomyositis, dzinonzi rheumatoid arthritis uye autoimmune zvirwere.

Mumwe chimiro ine kuonekwa kuti munokosha kuriteerera. Kazhinji nechirwere rikauya panguva lymphocytosis uye neutropenia - anooneka pathologies ari autonomic tsinga uye Árbol asima.

Key zvinhu

Zviratidzo chirwere handina akasiyana muenzaniso, saka vanachiremba vanoti pamusoro kurapwa zvinhu chokuita kumbova utachiona, yakabuda pamusoro pakanyorwa neutropenia. The kwokuomerwa uye zvakaita chirwere kuvimba chimiro. Febrile mhando mune murwere asina chikonzero chakajeka, fivha (pamusoro 38 ° ^C), achiperekedzwa utera, chills, hypotension, tachycardia, uye Munonyorovesa ziya. The kuongorora uwandu masero machena kwete kupfuura 500, saka anokonzera chirwere chinonetsa kuona.

Zvave zvichinzi kuti ichi mhando kazhinji rinowanikwa mune vanhu vane kenza. Cyclic chimiro kunoratidzwa zvazvo. Murwere anonyunyuta kuti musoro, nefivhiri, kwazvo huro, uye chearthritis. Dzimwe nguva pane ulceration pamusoro mucosa ari nomumukanwa mhango. Pasina mishonga hwapedyo tartar vakazochinja kunounza mavende. Autoimmune neutropenia mu akura mukana zvakakomba yematambudziko. In fomu ichi pane kwakakomba kudhaka, kakawanda fungal uye zvirwere zvinokonzerwa noutachiona, fivha, mucosal lesion.

Ndezvipi zviratidzo neutropenia muvana?

Vana vacheche uye zamu chirwere zvakaoma kutakura, sezvo avo rokuzvidzivirira iri haisati yakatanga zvakakwana. Nendumure vanotambura nezvirwere izvi, pangava nemabayo, stomatitis uye gingivitis. It unovapo nomuzvarirwo benign neutropenia, iro rikawira pasi rokutanga uye rechipiri gore upenyu.

Kazhinji zviri asymptomatic, pasina anokonzera kuzvuzvungudza. Heavy kana zvirwere agranulocytosis kunokanganisa vana vakura. Kunoratidza nefivha, chills uye fivha. Zvakaoma kupa mu kurapa. At kukurumidza kurapwa varombo fungidziro.

Diagnostics

Chirwere chirwere vaviri pfungwa unotora:

- Delivery ropa uye weti nemiedzo. Dzimwe nguva inoda biopsy (nhindi zvinyama) uye mwongo nemiedzo kuti neHIV.

- Visual rokuongorora murwere - palpation of mudumbu uye node nodes.

kurapa nzira

Kazhinji (kunyanya kuoma) neutropenia ari kurapwa muchipatara. Chii ichi ezvinhu, ngatirangarirei. Izvi kuderera kanganisika chena masero eropa (leukocytes) mumuviri (simba rokuzvidzivirira, kutanga utachiona yakanyanya). Batsirai kutsungirira chirwere chete nemishonga. Ivo vanogadzwa pamberi pokugadzwa chaiyo localization chirwere yatanga. The mureza uyu ndiye mukuru tembiricha.

Dzimwe nguva, kuti kudzivirira richikwidibira chena sero kukura zvinhu zvinoshandiswa zvinowedzera kugadzirwa kweropa masero machena. Kana maperembudzi chokuita autoimmune kana sema maitiro, vakagadzwa mahormone. Kana rakawedzerwa chirwatata chiremba angada ayo kubviswa kuti vawanze uwandu neutrophils.

Immunosuppressants hamuneni nguva dzose zvakanaka kuchirapa kwakabatsira pamwe aplastic kupererwa neropa. The chete anogadzirisa mwongo transplantation. Uyu zvakanaka kunzwisisa mashandiro, rinoda refu vapore pasi kuzviomesera pokudzora unyanzvi. Chokwadi, ine mikana uye marwadzo.

How yekuzvidzivirira zvirwere?

Kudzivirira kukura pathological muitiro kana kutora zvinodhaka antiviral, vanofanira kuchengeta mitemo zvinotevera:

- kuita (pamwaka) besa pena;

- zviri zvishoma munzvimbo yakakura kuwanda vanhu;

- kuti akuteerere ruoko utsanana uye dzimba;

- kudya thermally kupatsanurwa nyama, mazai, hove.

Rangarirai, ichi chinhu chisinganzwisisiki muitiro kuti inofanira kubatwa chete pasi pokudzora anokwanisa kwenyanzvi. Pachagara kuti kutsigira zvirwere, saka sezvo asina dzakaderera neutropenia (chii uye sei kurapa chirwere, ona pamusoro).

How kudzora chirwere?

Pose mushure htp (antiviral kurapa) zvakafanira kuti bvunzo kuti sandara uye uwandu leukocytes ANC ropa. Nhasi, zvokurapa nzvimbo kuverenga mashoko anoshandiswa mitoo ano nokukurumidza kuwana mhinduro.