Sesepa sa B le T

Sesebelisoa sa B le T ke tlhahlobo ea laboratori ho fumana hore na lisele tsa T le B (lymphocyte) li maling hakae.

Ho hlokahala sampole ea mali.

Mali a ka fumaneha ka sampole ea capillary (lejoe la letsoho kapa serethe ho masea).

Kamora hore mali a huloe, a feta methati e 'meli. Ntlha ea pele, li-lymphocyte li arohane le likarolo tse ling tsa mali. Hang ha lisele li arohane, ho kenyelletsoa likhetho ho khetholla lipakeng tsa lisele tsa T le B.

Bolella mofani oa tlhokomelo ea bophelo haeba u bile le tse latelang, tse ka amang palo ea lisele tsa T le B:

• Chemotherapy
• HIV / AIDS
• Phekolo ea radiation
• Tšoaetso ea morao-rao kapa ea hajoale
• Phekolo ea steroid
• Khatello ea maikutlo
• Phekolo

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng, ha ba bang ba utloa feela ho hlaba kapa ho hlaba. Kamora moo, ho kanna ha ba le ho tsitsipana.

Mofani oa hau a ka laela tlhahlobo ena haeba o na le matšoao a mafu a itseng a fokolisang sesole sa 'mele. E kanna ea sebelisoa ho khetholla lipakeng tsa mafu a mofets'e le a sa foleng, haholo mofets'e o amang mali le moko oa masapo.

Teko e kanna ea sebelisoa ho fumana hore na kalafo ea maemo a itseng e sebetsa hantle hakae.

Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li leka liteko tse fapaneng. Bua le mofani oa hau ka moelelo oa sephetho sa hau sa liteko.

Lipalo tse sa tloaelehang tsa lisele tsa T le B li fana ka maikutlo a lefu le ka bang teng. Ho hlokahala liteko tse ling ho netefatsa tlhahlobo ea lefu lena.

Palo ea T cell e eketsehang e kanna ea ba ka lebaka la:

• Kankere ea sele e tšoeu ea mali e bitsoang lymphoblast (acute lymphoblastic leukemia)
• Kankere ea lisele tse tšoeu tsa mali tse bitsoang lymphocyte (chronic lymphocytic leukemia)
• Tšoaetso ea vaerase e bitsoang tšoaetso ea mononucleosis
• Kankere ea mali e qalang liseleng tsa plasma tse mokong oa masapo (multiple myeloma)
• Syphilis, STD
• Toxoplasmosis, tšoaetso ka lebaka la likokoana-hloko
• Lefuba

Palo ea B e eketsehang e ka bakoa ke:

• Lefuemia e sa foleng ea lymphocytic
• Lefu la DiGeorge
• Myeloma e mengata
• Waldenstrom macroglobulinemia

Palo ea sele ea T e fokotsehileng e ka ba ka lebaka la:

• Lefu la Congenital T-cell defence, joalo ka Nezelof syndrome, DiGeorge syndrome, kapa Wiskott-Aldrich syndrome
• Ho haelloa ke T-cell ho re, joalo ka ts'oaetso ea HIV kapa tšoaetso ea HTLV-1
• Mathata a ata a seleng ea B, joalo ka lefu le sa foleng la lymphocytic leukemia kapa Waldenstrom macroglobulinemia

Palo ea B e fokotsehileng e ka bakoa ke:

• HIV / AIDS
• Lefu la mali le nang le lymphoblastic leukemia
• Mathata a ho itšireletsa mafung
• Kalafo ka meriana e itseng

Methapo le methapo li fapana ka boholo ho tloha ho motho e mong ho ea ho o mong le ho tloha lehlakoreng le leng la 'mele ho ea ho le leng. Ho fumana sampole ea mali ho batho ba bang ho ka ba thata ho feta ho ba bang.

Likotsi tse ling tse amanang le ho huloa mali li nyane empa li ka kenyelletsa:

• Ho tsoa mali a mangata
• Ho akheha kapa ho ikutloa o le hlooho e boima
• Hematoma (mali a bokellanang ka tlasa letlalo)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)

E-rosetting; Liteko tsa T le B tsa lymphocyte; Liteko tsa B le T tsa lymphocyte

Liebman HA, Tulpule A. Lipontšo tsa Hematologic tsa HIV / AIDS. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 157.

Riley RS. Tlhahlobo ea laboratori ea tsamaiso ea 'mele ea ho itšireletsa mafung. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 45.