Inani eliqhelekileyo lemhlophe yegazi lingahluka ukusuka kumntu kumntu
Ukufunda oko kukuthi, kwaye oko kungenjalo, inani eliqhelekileyo legazi le-white (WBC) libaluleka kubantu abaneempilo zengxaki. Inani le-WBC lilinganiso ebalulekileyo oogqirha abaya kuyisebenzisa ukuqonda kangcono into enokuthi iyenze ngaphakathi emzimbeni ngexesha leemeko zempilo ezahlukahlukeneyo.
Kubantu abanesifo sokugaya izifo (IBD), inani le-WBC lingabonisa ukuba ukuvutha okuhambisana ne-IBD kukunyuka okanye kunciphise.
Njengoko i-WBC count iya phezulu, kunokuthi ukuvuvukala kwenzeke kwindawo ethile emzimbeni. Njengoko i-WBC count iyahla, kunokuthetha ukuvuvukala kusombulula.
Iinkcukacha ezifutshane malunga ne-WBC Count
- Amaseli egazini amhlophe abangela ukusuleleka kunye nokuvuvukala emzimbeni
- Inani eliphezulu le-WBC lingabonisa ukuba kukho isifo okanye ukuvuvukala emzimbeni
- Inani eliqhelekileyo le-WBC alikho inani elichanekileyo kodwa kunoko lixabiso ngenye indawo ngaphaya kokuya kuthathwa njengento ephantsi kwaye ngaphantsi koko kuya kuthathwa njengento ephakamileyo
- Isiphumo se-WBC isibalo sisetyenziswa kunye nezinye iziphumo zokuvavanya ukujonga imeko yesifo okanye imeko
Malunga novavanyo lwe-WBC Count
Igazi liqulethe iintlobo ezahlukeneyo zeeseli. Iiseli zegazi ezimhlophe zingenye yeentlobo zeeseli ezitholakala egazini. Ezi iiseli ezikhethekileyo ziyingxenye yempendulo yomzimba yomzimba.
Amaseli egazini egazini adalwa ngaphakathi komnatha wethambo, izicubu ze-spongy ngaphakathi kwamathambo. Kukho uqikelelo malunga nokuba yiyiphi i-white white cell count and what is high or low.
Inani eliphezulu le-WBC linye uphawu lokuba kukho isifo, isifo sokuvuvukala, okanye inkqubo yokuvuvukala eyenzeka kwenye indawo emzimbeni.
Kukho iimeko ezininzi ezahlukahlukeneyo ezinokubangela ukuphakama ngaphezu kwesigqirha okanye ubuncinane ngaphezu kohlobo oluqhelekileyo lwe-WBC, kodwa kubalulekile ukugcina engqondweni ukuba olu vavanyo alunelanga ngokwaneleyo ukuxilonga nasiphi na isifo esithile.
Kwezinye iimeko, nangona kungekho rhoqo, abantu abane-IBD kunye ne-inflammation echaphazelekayo emathunjini abo banokufumaneka ukuba banomlinganiselo ophezulu kune-WBC count. Umzimba usebenzisa amangqamuzana amhlophe egazi ukulwa nokuvuvukala, kwaye yilokho ebangela ukubalwa kwe-WBC.
Uhlobo lokuBhekisela (uMgangatho oqhelekileyo) we-WBC Count
Inani le-WBC ngamanye amaxesha libizwa ngokuba yi-leukocyte count or count white. Ngokuqhelekileyo kwenziwa njengenxalenye yesisindo esikhulu seemvavanyo zegazi esibizwa ngokuba yi- cell cell count (CBC) .
Inani le-WBC linani leeseli ezimhlophe zegazi ngelizwi legazi. Cetyiswa, nangona kunjalo, akukho nombolo enye echaza "isiqhelo" okanye i-WBC count. Inani lingabonakaliswa kwelinye leendidi ezahlukeneyo zeeyunithi kuba kukho ukuhluka kuye kuxhomekeke kwiyunithi yokulinganisa ibhile ethile isebenzisa. AmaLbs ahlukeneyo aya kuba nencazelo yawo yinto ethi "phezulu" okanye "i-low" ye-WBC count.
Oko oko konke okubilisa kuwo kukuba ngelixa i-table ye-WBC ibalwa, kunye namaxabiso aphakamileyo aphantsi, afakwe apha ngezantsi ukubhekisela, amanani ngumzekelo wendlela enye yokubonisa ukuba inani eliqhelekileyo linokuchazwa njani. Ukongezelela, i-WBC count efana nayo ingahluka ukusuka kumntu kumntu: inguqu yomntu omnye "yesiqhelo" ayinakufana neyomntu oqhelekileyo.
Oogqirha banokuqhathanisa iziphumo zokuhlolwa kwegazi lomntu kwimiphumo yokuhlolwa kwegazi langaphambilini, ngokukodwa ukuba inombolo "isiseko" ikhona ukuba ihlolwe kabini. Buza udokotela nayiphi na imibuzo ethile malunga neenombolo ze-WBC okanye malunga nayiphi na iziphumo zokuhlolwa kwegazi.
| Umzekelo we-White White Cell (WBC) IiRang Reference Ranges | |
| Umlinganiselo ophantsi | <4,000 amaseli egazi ezimhlophe nge mm3 * |
| Uhlobo oluqhelekileyo | 4,500-10,000 amaseli egazi ezimhlophe nge mm3 |
| Umlinganiselo ophezulu | > Ii-11,000 zeeseli zegazi ezimhlophe nge mm3 |
| * mm3 = i-cubic millimeter | |
Yiyiphi inani leWBC elisetyenziselwa
Inani le-WBC alilona lisibonisi siphi na isifo esithile; akukwazi ukuxelela ugqirha wakho ukuba umntu unayo okanye akanalo imeko ethile.
Kunoko, isetyenziswe njengengcaciso ebalulekileyo ukuba ugqirha angasebenzisa ukunceda okanye ukuvavanya inkqubo yesifo okanye imeko. I-leukocytosis yi-WBC count ephezulu; i-leukopenia yimalini ye-WBC count.
Inani eliphezulu kune-WBC count (leukocytosis) linokudityaniswa ne:
- Usulelo lwebhaktheriya
- Izifo ezivuthayo (isifo se-arthritis, isifo sengqondo sesisu)
- Leukemia
- I ngxaki
- Ukusetyenziswa kwe-steroids
Inani eliphantsi kune-WBC count (i-leukopenia) linokudityaniswa ne:
- Ukusetyenziswa kwezidakamizwa
- Izifo zokhuseleko lwe-immune ezifana ne-lupus
- Umnxeba ophantsi wethambo
- Imiphumo emibi yekhemotherapy okanye unyango lwe-radiation
- Usulelo lwentsholongwane
Ezinye izizathu ze-WBC Count engavumelekanga kwi-IBD
Inani le-WBC lingabikho kwibala eliqhelekileyo ngenxa yamachiza athile asetyenziswa ukuphatha i-IBD. Ngokukodwa, i-corticosteroids ezifana ne-prednisone ingabangela ukwanda kweeseli zegazi ezimhlophe. Amanye amayeza aphatha i-IBD, njengama-MP-6 kunye ne- Imuran , angenza ukuba inani le-WBC libe ngaphantsi kuneqhelekileyo. I-gastroenterologist inokukunceda ukubeka inani eliphantsi le-WBC ngendlela ebonakalayo xa ezi zonyango zisetyenziselwa ukuphatha i-IBD.
Iimpawu ze-WBC Count ephumayo
Inani eliphezulu le-WBC lithetha ukuba kukho ukutshaya okanye isifo kwindawo ethile emzimbeni. Kwezinye iimeko, kunokucaca ukuba kuhambelana nesifo okanye isimo esele sikhona, apho kwenzeka khona, iimpawu zesifo eso zikhona. Kwezinye iimeko, kukho iimpawu ezinxulumene nokubalwa kwe-WBC. Ezi zimpawu zi nokuba:
- Iqhwala okanye inhlungu
- IChills
- Fever
- Intloko
ILizwi
Inani le-WBC alikho ngqo ekuhloleni isifo okanye imeko. Nangona kunjalo, kwimeko yomntu one-IBD, inani eliphezulu le-WBC lithetha ukuba i-IBD ibangela ukuvuvukala. Kwakhona kunokwenzeka ukuba imeko ehlukileyo ibangela ukubalwa kwe-WBC engaqhelekanga, kungakho ezinye iimvavanyo zingafuneka ukuba zenziwe ukuze zichane oko kwenzekayo.
Kuthatyathwe ngokupheleleyo, iziphumo ze-WBC count, naziphi na iimpawu zomzimba, kwaye iziphumo zenye iimvavanyo ziya kunceda ugqirha ukuba anqume oko kwenzekayo emzimbeni. Kubalulekile ukuxoxa ngeziphumo ze-WBC count kunye nodokotela ukuze uqonde oko kunokuthetha.
> Imithombo:
> I-Vermeire S, uVan Assche G, uRutgeerts P. "Iimpawu zeBhanki kwi-IBD: Usetyenzisayo, uMicilisi okanye iiYotshi ezingadingekile?" Gut . 2006 uMar; 55: 426-431.
> UWilkins T, uJarvis K, uPatel J. "Ukuxilongwa nokuLawula izifo zeCrohn." I-Phys Physician. NgoDisemba 15; 84: 1365-1375.