I-necrolic neutropenia yimeko ezuze ilifa apho isibalo se-neutrophil (i-white white cell) ehlaselwa kakhulu (ngokuqhelekileyo ngaphantsi kwama-cell cell / mL) kumjikelezo malunga malunga neentsuku ezingama-21. Ngokuqhelekileyo kubonisa ngonyaka wokuqala wokuphila. Imijikelezo iyancipha kunye nobudala kwaye inokutshabalalisa kwezinye izigulane zabantu abadala.
Ziziphi Iimpawu?
Xa inani le-neutrophil liqhelekile, akukho zibonakaliso.
Iimpawu zivame ukulahla emva kwe- neutropenia ( inani eliphantsi le-neutrophil) elithetha ukuba inani le-neutrophil sele liphantsi kakhulu kwiintsuku ezimbalwa ngaphambi kokuphuhliswa kweempawu. Uchasene nezinye iifomitalital ze-neutropenia (i-neutropenia ebomvu , i- Shwachman Diamond Syndrome , njl.), Iziphoso zokuzalwa azibonwanga. Iimpawu ziquka:
- I-Aphthous ulcers (izilonda emlonyeni)
- Ukuqhaqhaqhayisa (pharyngitis)
- Gum ukuvuvukala (gingivitis)
- Izifo zesikhumba
- Fever
Ngubani Osemngciphekweni?
I-cyclic neutropenia inentsingiselo yesifo sokuzalwa komntu ozalelwa kwimeko. Kugqitywa kwiintsapho kwi-autosomal fashion fashion ebonisa ukuba umzali omnye unokuchaphazeleka ukuba adlulisele kubantwana babo. Akunjalo onke amalungu osapho anokuchaphazeleka ngokufanayo kwaye abanye banokuthi bangabikho naziphi iimpawu.
Kuchongwa njani?
I-necrolic neutropenia ingaba ngumngeni ekufumaneni ukuba i-neutropenia enamandla iphela iintsuku ezi-3 ukuya kwezi-6 kwimijikelezo nganye.
Phakathi kwale mijikelezo, inani le-neutrophil liqhelekile. Izifo zomlomo eziphindaphindiweyo kunye nomkhuhlane zonke iintsuku ezingama-21 ukuya kwezingama-28 kufuneka ziphakame ukusola kwi-neutropenia ye-cyclic. Ukuze ubambe umjikelo we-neutropenia, uhla lwegazi elipheleleyo (CBC) lwenziwa 2 ukuya kweyesithathu ngeveki kwiiveki ezi-6 ukuya kwezi-8.
Ukongezelela kwi-neutropenia enamandla, kunokuhla kwe-red cells cell (i-reticulocytopenia) kunye / okanye iiplatelet (thrombocytopenia).
Inani le- monocyte (olunye uhlobo lweseli elimhlophe legazi) ludla ngokunyuka ngexesha le-neutropenia enzima.
Ukuba i-cyclic neutropenia ikhunjulwa ngokusekelwe kwiibalo zegazi, ukuhlolwa kofuzo kufuneka kuthunyelwe ukujonga utshintsho kwi-ELANE gene (kwi-chromosome 19). I-90 - 100% yezigulane ezine-neutropenia ye-cyclic ine-ELANE mutation. Utshintsho olwenziwe kwi-ELANE gene lidibene ne-cyclic neutropenia kunye ne-neutropenia ebunzima. Ukunikezelwa kwenkcazo yeklinikhi kunye nokuhlolwa kofuzo oluqinisekisiweyo, umongo we- bone umthamo awunyanzelwanga kodwa udlalwa rhoqo ngexesha lomsebenzi we-neutropenia.
Ziziphi iindlela zokwelapha?
Nangona i-neutropenia ye-cyclic ibhekwa njengesimo esibuhlungu, ukufa okubini kwintsholongwane ekhuselekileyo kwenzeke. Unyango lujoliswe ekukhuseleni kunye / okanye kunyanga ukusuleleka.
- I-Granulocyte iColony-stimulating Factor (G-CSF, ebizwa ngokuba yi-filgrastim): I-G-CSF ikhuthaza umongo we-bone ukuvelisa i-neutrophils engaphezulu. Isetyenziswe ukukhusela inani le-neutrophil ukusuka ekuhlahleni ngaphantsi kweeseli ezili-500 / mL. I-G-CSF iboniswe ukunciphisa ubunzima be-neutropenia kwaye iyancipha inani lezonyango. I-G-CSF ilawulwa ngaphantsi (nje ngaphantsi kwesikhumba) yonke imihla 1 - 2. Ezinye izigulane ziyakwazi ukuyeka iG-CSF njengomntu omdala kuba ngamanye amaxesha i-neutropenia ifumana ubunzima obudala.
- Ukunyamekelwa kwamazinyo okukhusela: Ngenxa yokuba ezininzi iintsholongwane zenzeka emlonyeni, kubalulekile ukugcina ucoceko lomlomo. I-antibacterial mouthwashes inganconywa.
- Ukuvavanya komkhuhlane: Ngenxa yokuba izigulane ezine-neutropenia ezihamba nge-cyclic zingaba nezifo ezinobungozi obukhulu be-bacteria, kubalulekile ukuba iziqulatho zomkhuhlane zihlolisiswe ngenyameko. Ngamanye amaxesha, ii-episodes ziza kufuna ukulaliswa esibhedlele kunye ne-intraveous (IV) antibiotics de kube yinto ekhuselekileyo.