Palo ea WBC

Palo ea WBC ke teko ea mali ho lekanya palo ea lisele tse tšoeu tsa mali (WBCs) maling.

Li-WBC li boetse li bitsoa leukocyte. Li thusa ho loants'a mafu. Ho na le mefuta e mehlano e meholo ea lisele tse tšoeu tsa mali:

• Basophils
• Li-Eosinophil
• Li-lymphocyte (lisele tsa T, lisele tsa B le lisele tsa Natural Killer)
• Li-monocyte
• Li-neutrophils

Ho hlokahala sampole ea mali.

Boholo ba nako, ha o hloke ho nka mehato e khethehileng pele ho tlhahlobo ena. Bolella mofani oa tlhokomelo ea bophelo ba hau meriana eo u e sebelisang, ho kenyelletsa le e se nang lengolo la ngaka. Lithethefatsi tse ling li ka fetola sephetho sa liteko.

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng. Ba bang ba ikutloa feela ho hlaba kapa ho hlaba. Kamora moo, ho kanna ha ba le ho longoa kapa ho longoa hanyenyane. Haufinyane sena sea fela.

U tla ba le teko ena ho fumana hore na u na le li-WBC tse kae. Mofani oa hau a ka laela tlhahlobo ena ho thusa ho fumana maemo a kang:

• Tšoaetso
• Allergic reaction
• Ho ruruha
• Kankere ea mali e kang leukemia kapa lymphoma

Palo e tloaelehileng ea li-WBC maling ke 4,500 ho isa ho 11,000 WBCs ka microliter (4.5 ho isa ho 11.0 × 10⁹/ L).

Mekhahlelo ea boleng bo tloaelehileng e ka fapana hanyane ho li-lab tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li ka leka mefuta e fapaneng. Bua le mofani oa hau ka liphetho tsa hau tsa liteko.

TLAS'A WBC COUNT

Palo e tlase ea li-WBC e bitsoa leukopenia. Palo e ka tlase ho lisele tse 4 500 ka microliter (4.5 × 10⁹/ L) e ka tlase ho e tloaelehileng.

Li-neutrophils ke mofuta o le mong oa WBC. Li bohlokoa ho loants'eng mafu.

Palo e tlase ho feta e tloaelehileng ea WBC e ka bakoa ke:

• Ho haella ha moko oa masapo kapa ho hloleha (ka mohlala, ka lebaka la ts'oaetso, hlahala, kapa lesela le sa tloaelehang)
• Kankere e phekola lithethefatsi, kapa meriana e meng (bona lenane le ka tlase)
• Mathata a mang a autoimmune a kang lupus (SLE)
• Boloetse ba sebete kapa spleen
• Kalafo ya radiation bakeng sa mofetshe
• Maloetse a mang a vaerase, a kang mononucleosis (mono)
• Kankere e senyang moko oa masapo
• Matšoao a matla haholo a baktheria
• Ho imeloa kelellong le maikutlong (joalo ka ho tsoa kotsi kapa ho buuoa)

LIEKETSENG WBC HIGH

Palo e phahameng ho feta e tloaelehileng ea WBC e bitsoa leukocytosis. E kanna ea ba ka lebaka la:

• Lithethefatsi kapa meriana e itseng (sheba lenane le ka tlase)
• Ho tsuba koae
• Kamora ho buuoa ka spleen
• Matšoao, hangata a bakoang ke baktheria
• Lefu la ho ruruha (joalo ka ramatiki ea ramatiki kapa ho kula)
• Leukemia kapa Hodgkin lefu
• Tšenyo ea lisele (mohlala, ho chesa)

Ho kanna ha ba le mabaka a sa tloaelehang a lipalo tse sa tloaelehang tsa WBC.

Lithethefatsi tse ka fokotsang palo ea hau ea WBC li kenyelletsa:

• Lithibela-mafu
• Li-anticonvulsants
• Lithethefatsi tsa Antithyroid
• Li-arsenicals
• Captopril
• Lithethefatsi tsa Chemotherapy
• Chlorpromazine
• Clozapine
• Diuretics (lipilisi tsa metsi)
• Li-blockers tsa Histamine-2
• Sulfonamides
• Quinidine
• Terbinafine
• Ticlopidine

Lithethefatsi tse ka eketsang palo ea WBC li kenyelletsa:

• Beta adrenergic agonists (mohlala, albuterol)
• Corticosteroids
• Epinephrine
• Ntho e susumetsang ea kolone ea Granulocyte
• Heparin
• Lithium

Ha ho na kotsi e kholo ea ho nkuoa mali a hau. 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
• Li-punctures tse ngata ho fumana methapo
• Hematoma (mali a bokellanang ka tlasa letlalo)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)

Palo ea leukocyte; Palo ea lisele tse tšoeu tsa mali; Phapang ea lisele tse tšoeu tsa mali; Phapang ea WBC; Tšoaetso - palo ea WBC; Kankere - palo ea WBC

• Basophil (haufi-ufi)
• Likarolo tse entsoeng tsa mali
• Palo ea lisele tse tšoeu tsa mali - letoto

CC ea Chernecky, Berger BJ. Differential count ya leukocyte (Diff) - pheriferale mali. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 441-450.

Vajpayee N, Graham SS, Bem S. Tlhahlobo ea mantlha ea mali le moko oa masapo. 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 30.