I-neutrophils yimizimba yamhlophe yamhlophe ebalulekileyo ekukhuseleni ukusuleleka. I-ANC imele i-neutrophil count, kwaye inani le-neutrophil lingaphantsi kuneqhelekileyo ukuba liphi na inani lezizathu, kubandakanywa zombini izifo kunye nonyango. Ukuwa kwe-ANC kungenzeka ngenxa yecrotherapy chemotherapy, umzekelo.
Umntu onempilweni une-ANC phakathi kwama-2 500 no-6,000.
Inani lakho le-neutrophil elipheleleyo lingabalwa ngokusebenzisa uvavanyo lwegazi oluqhelekileyo olubizwa ngokuba lilonke legazi, okanye iCBC. I-CBC inikeza ugqirha wakho onke amanani akho abomvu, amaseli egazi ezimhlophe (i-WBCs) kunye neeplatelet - izinto ezincinci zezinto eziphathekayo eziza kunceda ukulawula ukuphuma kwegazi. I-ANC ifumaneka ngokuphindaphinda inani elipheleleyo lamhlophe yegazi ngamaphesenti anama-neutrophils.
Umzekelo wokubala:
Ukuba inani lakho le-WBC li-8,000 leukocytes kunye neepesenti ezingama-50 ze-WBC zi-neutrophils, ngoko i-ANC yakho i-neutrophils engama-4,000, kuba i-8,000 × 0.50 = 4,000.
Ngokuqhelekileyo, i-ANC iya kubalwa ngokuzenzekelayo njengenxalenye yengxelo yebhu. Ukuba akunjalo, unokuba nemizekelo apho i-neutrophils ibikwa kwiibhakethi ezimbini ezihlukeneyo: "amaqela" kunye "nezikhwama." Ezi ziza kudibaniswa kunye, kwaye kuya kuba nomnene njengokungeza kunye nenani lamathole kunye nabantu abadala ukuba bafumane intloko yeenkomo - oko kukuthi, "iinqununu" ziyiyo ifomu engapheliyo ye-neutrophils okanye iigwegwe.
Eminye kwi-ANC
Kungenzeka ukuba inani lakho le-WBC liqhelekileyo kodwa inani lakho le-neutrophil liphantsi. Nangona kunjalo, ekubeni i-neutrophils ngokuqhelekileyo ibe neqhekeza elikhulu lee-pie, ngokubhekiselele kwiiseli zamhlophe zegazi ezimhlophe, inani le-WBC lihlala liphantsi xa inani le-neutrophil liphantsi.
I-neutrophils yi-WBCs ezininzi egazini labantu abanempilo kwaye kubalulekile ukulwa nosulelo.
Eyona ngokwenene iWBC ebaluleke kakhulu ekulwa nokusuleleka. Ngokuqhelekileyo zakha ngaphezulu kwama-50 ekhulwini kwi-WBC yakho yonke xa usempilweni. Ubukho beenombolo ezincinane ze-neutrophils kwigazi elijikelezayo libizwa ngokuba yi- neutropenia . Kukho amaqondo ahlukeneyo e-neutropenia, ngokuxhomekeke kwindlela i-ANC yakho ephantsi ngayo.
Ngokwe-American Cancer Society, umntu onempilo une-ANC phakathi kwama-2 500 no-6,000. Xa i-ANC iyancipha ngaphantsi kwe-1 000, kunokubakho ubuncipheko obuninzi bokusuleleka, ngoko ugqirha uya kugcina iso lakho ngokubaluleka kakhulu; unomngcipheko omkhulu wokusuleleka xa i-ANC ingaphantsi kwama-500 .
Ngokuqhelekileyo umongo wethambo wenza amangqamuzana egazi lakho , kuquka neutrophils. Iimpawu zonyango zokulondoloza ubomi ezibandakanya i-chemotherapy kunye ne-radiation inokujolisa kwiiseli ezikhulayo ngokukhawuleza kwaye zichaphazele kakubi ukuveliswa kwe-neutrophils-kwaye ngoko ke ukuwa kwe-ANC ngamanye amaxesha kulindeleke ukuba kuthinteke. Kwezinye iimeko, xa i-ANC ilindeleke ukuba iphantsi, okanye xa sele isezantsi, i-antibiotics kunye / okanye izinto zokukhula - amayeza anokunceda ukukhulisa i-neutrophil yakho-ingalawulwa.
Iimpawu kunye neziMpawu zoGawulayo
Ukubalwa nje kwe-white count count cell okanye nokuba yi-neutrophil count ephantsi ayibonakali nayiphi na impawu.
Yingakho kubalulekile ukuba uqaphele ukuba kungenzeka ukuba iimpawu zentsholongwane xa i-neutrophils yakho iphela. Ngelishwa, njengoko i-ANC iyancipha, ezininzi zezi zibonakalisi zingabonakali xa usulelo luqala.
Nazi ezinye zeempawu kunye neempawu zentsholongwane onokuyilumkisa malunga:
- Fever
- IChills
- Isiqhamo
- Ukuphefumla
- Uhudo
- Ubuhlungu
Ukuba kukho i-central central access point (i-central central or port), khangela ukuba ubomvu, ukuvuvukala, intlungu okanye ukuqhuma kwisayithi, apho ityhubhu ingena emzimbeni. Umntu oneminyaka engaphantsi kwe-ANC akanakho ukuba obomvu okanye u-pus, kodwa unokusenako ukusuleleka.
Ukuba i-ANC yakho iya kwi-1 000 okanye iphantsi kwaye unesifo somkhuhlane, ezininzi iikliniki zithatha ukunyuka kokholo ukuba kukho intsholongwane, kwaye unyango lwe-antibiotics luqalwa ngokukhawuleza, ngokuqhelekileyo ngaphambi kokufunyanwa ngumthombo wesifo.
Emva koko kuba yinkqubo yokunciphisa abantu abasenokukrokra phakathi kwezifo ezinokutheleleka ezithintekayo xa beqhubeka nokunyanga kunye neengxaki zonyango ezibandakanya kakhulu. Njengoko iziphumo ezithile zivela, oogqirha banokwazi ukufumana indawo echanekileyo kunye nesisifo sobuthakathaka kunye nokuba ziphi izifo ezinokuthi zibandakanyeke. Ngale ndlela, banokukhetha ukonyango okunokwenzeka ukuba kusebenze-kwaye oku kuthetha ukuba i-antibiotiki eyanikwa kuqala iya kutshintshwa kwenye into eyenziweyo eyenziwe yinkqubo ekhuselweyo ye-bug (s).
ILizwi
Ukudakumba kwama-WBCs, kubandakanywa ngokuthe ngqo i-neutrophils, yinto enobungozi beendlela ezininzi zokulwa nomhlaza. I-ANC engaphantsi nayo ingabonakalisa okanye isibonakaliso sesifo esiyintloko, njengoko kunjalo kwimiba ethile yomhlaza wegazi.
Ukongezelela, i-ANC ephantsi inokuthi yenze unyango lwezinye izifo ezingapheliyo, ezifana nezifo zokuzikhusela nge-auto ezifana ne-rheumatoid arthritis. Ngokomzekelo, enye yezonyango kwi-rheumatoid arthritis, tocilizumab, ikhusela isalathisi seseli ebizwa ngokuba yi-IL-6 kwaye idibaniswe nama-ANC angaphantsi, nangona iyancipha kwiibalo ze-neutrophil kwizigulane ezithatha i -cilizumab azibonakali zihambelana nezifo ezinzulu kwaye lijongene namanyathelo athatyathwe ukunciphisa umngcipheko wokusuleleka.
Ekugqibeleni, kunqabile, kunokwenzeka ukuba abantu banakho into ebizwa ngokuba yi-neutropenia ephambili. Le ngxaki ayiqondakali kakuhle, kodwa ibonakala ibhinqa, kwaye kubonakala ukuba nangona i-ANC ephantsi, izifo ezinqabileyo ziyabonakala, kwaye izigulane zineempembelelo ezilungileyo.
> Imithombo:
> I-American Cancer Society. Ukuqonda iziphumo zakho zeBhodi.
> Moots RJ, Sebba A, Rigby W, et al. Impembelelo ye -cilizumab kwi-neutrophils kwizigulane zabantu abadala abane-arthritis ye-rheumatoid: uhlalutyo oluqokelelweyo lweenkcukacha ezivela kwisigaba sesi-3 kunye no-4. I-Rheumatology (iOxford, eNgilani) . 2017; 56 (4): 541-549.
> I-National Comprehensive Cancer Network (NCCN). Izinto zokukhula zeMyeloid.