Teko ea phapang ea mali

Teko ea phapang ea mali e lekanya liperesente tsa mofuta o mong le o mong oa sele e tšoeu ea mali (WBC) eo u nang le eona maling a hau. E senola hape haeba ho na le lisele tse sa tloaelehang kapa tse sa butsoang.

Ho hlokahala sampole ea mali.

Setsebi sa laboratori se nka lerotholi la mali sampoleng ea hau ebe le a tšela ka selaeteng sa khalase. Smear e silafalitsoe ka dae e khethehileng, e thusang ho tseba phapang lipakeng tsa mefuta e fapaneng ea lisele tse tšoeu tsa mali.

Mefuta e mehlano ea lisele tse tšoeu tsa mali, eo hape e bitsoang leukocyte, hangata e hlaha maling:

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

Mochini o khethehileng kapa mofani oa tlhokomelo ea bophelo o bala palo ea mofuta o mong le o mong oa sele. Teko e bonts'a hore na palo ea lisele e lekana hantle le e 'ngoe, le hore na ho na le mofuta o le mong kapa o fokolang oa sele.

Ha ho litokisetso tse khethehileng tse hlokahalang.

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.

Teko ena e etsoa ho fumana ts'oaetso, phokolo ea mali, kapa kankere ea mali. E kanna ea sebelisoa ho lekola e 'ngoe ea maemo ana, kapa ho bona hore na kalafo ea sebetsa.

Mefuta e fapaneng ea lisele tse tšoeu tsa mali e fanoa ka liperesente:

• Li-neutrophils: 40% ho ea ho 60%
• Li-lymphocyte: 20% ho ea ho 40%
• Li-monocyte: 2% ho ea ho 8%
• Li -ososophil: 1% ho isa ho 4%
• Basophils: 0.5% ho 1%
• Sehlopha (neutrophil e nyane): 0% ho 3%

Ts'oaetso efe kapa efe kapa khatello ea maikutlo e matla e eketsa palo ea lisele tse tšoeu tsa mali. Lisele tse tšoeu tsa mali tse phahameng li ka bakoa ke ho ruruha, karabelo ea 'mele ea ho itšireletsa mafung kapa mafu a mali a kang leukemia

Ho bohlokoa ho hlokomela hore keketseho e sa tloaelehang ea mofuta o le mong oa sele e tšoeu ea mali e ka baka phokotso ea liperesente tsa mefuta e meng ea lisele tse tšoeu tsa mali.

Karolo e eketsehileng ea li-neutrophil e kanna ea ba ka lebaka la:

• Tšoaetso e matla
• Khatello ea maikutlo e matla
• Eclampsia (ho oa kapa ho akheha ha mokhachane)
• Gout (mofuta oa ramatiki ka lebaka la uric acid buildup maling)
• Mefuta e matla kapa e sa foleng ea kankere ea mali
• Maloetse a Myeloproliferative
• Ramatiki ea ramatiki
• Rheumatic fever (lefu le bakoang ke tšoaetso le sehlopha sa libaktheria tsa streptococcus)
• Thyroiditis (lefu la qoqotho)
• Tsietsi
• Ho tsuba koae

Peresente e fokotsehileng ea li-neutrophil e kanna ea ba ka lebaka la:

• Phokolo ea mali ea aplastic
• Chemotherapy
• Mokakallane (ntaramane)
• Phekolo ea radiation kapa ho pepeseha
• Tšoaetso ea vaerase
• Ho ata ha tšoaetso e matla ea baktheria

Palo e eketsehang ea li-lymphocyte e ka bakoa ke:

• Tšoaetso e sa foleng ea baktheria
• Hepatitis e tšoaetsanoang (ho ruruha ha sebete le ho ruruha ho tsoa ho libaktheria kapa livaerase)
• Mononucleosis e tšoaetsanoang, kapa mono (tšoaetso ea vaerase e bakang feberu, 'metso le maqhubu a lymph a ruruhileng)
• Lefuemia ea lymphocytic (mofuta oa kankere ea mali)
• Multiple myeloma (mofuta oa mofets'e oa mali)
• Tšoaetso ea vaerase (joalo ka mumps kapa mmaselese)

Palo e fokotsehileng ea li-lymphocyte e ka bakoa ke:

• Chemotherapy
• Tšoaetso ea HIV / AIDS
• Lefuemia
• Phekolo ea radiation kapa ho pepeseha
• Sepsis (karabelo e matla, ea ho ruruha ho libaktheria kapa likokoana-hloko tse ling)
• Tšebeliso ea li-steroid

Palo e eketsehileng ea li-monocyte e ka bakoa ke:

• Lefu le sa foleng la ho ruruha
• Lefuemia
• Tšoaetso ea likokoana-hloko
• Lefuba, kapa lefuba (tšoaetso ea baktheria e amanang le matšoafo)
• Tšoaetso ea vaerase (mohlala, mononucleosis e tšoaetsanoang, mumps, mmasele)

Palo e eketsehang ea li-eosinophil e kanna ea ba ka lebaka la:

• Lefu la Addison (litšoelesa tsa adrenal ha li hlahise lihomone tse lekaneng)
• Allergic reaction
• Kankere
• Leukemia e sa foleng ea myelogenous
• Collagen vascular lefu
• Li-syndromes tsa Hypereosinophilic
• Tšoaetso ea likokoana-hloko

Palo e eketsehang ea basophil e kanna ea ba ka lebaka la:

• Kamora splenectomy
• Allergic reaction
• Leukemia e sa foleng ea myelogenous (mofuta oa mofetše oa masapo)
• Collagen vascular lefu
• Maloetse a myeloproliferative (sehlopha sa mafu a moko oa masapo)
• Lefu la lekhopho le letenya

Peresente e fokotsehileng ea basophil e kanna ea ba ka lebaka la:

• Tšoaetso e matla
• Kankere
• Kotsi e mpe

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 nka 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)

Phapang; Ho fapana; Palo ea phapang ea lisele tse tšoeu tsa mali

• Basophil (haufi-ufi)
• Likarolo tse entsoeng tsa mali

CC ea Chernecky, Berger BJ. Phapang e fapaneng ea leukocyte count (e fapaneng) - pheriferale mali. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 440-446.

Hutchison RE, Schexneider KI. Mathata a leukocytic. 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 33.