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Sele e tšoeu ea mali (WBC) tekong ea setuloana ke eng?

Teko ena e sheba lisele tse tšoeu tsa mali, tse tsejoang hape e le leukocyte, ka setuloaneng sa hau. Lisele tse tšoeu tsa mali ke karolo ea sesole sa 'mele. Li thusa 'mele oa hau ho loants'a mafu le mafu a mang. Haeba u na le leukocyte setulong sa hau, e ka ba sesupo sa tšoaetso ea baktheria e amang tšebetso ea tšilo ea lijo. Tsena li kenyelletsa:

  • Clostridium e fapane (C. diff), tšoaetso e etsahalang hangata haholo kamora hore motho a noe lithibela-mafu. Batho ba bang ba nang le C. diff ba ka ba le ts'oaetso e sokelang bophelo ea mala a maholo. E ama haholo batho ba baholo.
  • Shigellosis, tšoaetso ea lesela la mala. E hasana ka ho kopana ka kotloloho le libaktheria tse ka setulong. Sena se ka etsahala haeba motho ea nang le tšoaetso a sa hlape matsoho kamora ho sebelisa ntloana. Baktheria e ka fetisoa ka lijo kapa metsi ao motho enoa a a sebelisang. E ama haholo bana ba ka tlase ho lilemo tse 5.
  • Salmonella, baktheria eo boholo ba eona e fumanoang ka nama e sa butsoang, likhoho, lebese le lijo tsa leoatleng le ka hare ho mahe. U ka ba le lefu lena haeba u ja lijo tse silafetseng.
  • Campylobacter, baktheria e fumanoang ka khoho e tala kapa e sa butsoang hantle. E ka fumanoa le lebeseng le sa hloekang le metsing a silafetseng. U ka fumana lefu lena ka ho ja kapa ho noa lijo tse silafetseng.

Li-leukocyte tse ka setulong le tsona e ka ba sesupo sa lefu la ho ruruha ha mala (IBD). IBD ke mofuta oa boloetse bo sa foleng bo bakang ho ruruha tsamaisong ea tšilo ea lijo. Mefuta e tloaelehileng ea IBD e kenyelletsa ulcerative colitis le lefu la Crohn.


Bobeli mafu a IBD le a baktheria a tsamaiso ea tšilo ea lijo a ka baka letšollo le matla, bohloko ba mpeng le ho felloa ke metsi 'meleng, boemo boo' mele oa hau o se nang metsi a lekaneng kapa maro a mang ho sebetsa ka mokhoa o tloaelehileng. Maemong a mang, matšoao ana a ka beha bophelo kotsing.

Mabitso a mang: li-leukocyte ka setuloana, setuloana sa WBC, tlhahlobo ea leukocyte ea mantle, FLT

E sebelisetsoa eng?

Sele e tšoeu ea mali tekong ea setuloana hangata e sebelisoa ho fumana sesosa sa letšollo le matla le nkileng matsatsi a fetang a mane.

Hobaneng ha ke hloka sele e tšoeu ea mali tekong ea setuloana?

Mofani oa hao oa tlhokomelo ea bophelo a ka laela sele e tšoeu ea mali tekong ea setulo haeba uena kapa ngoana oa hau le na le matšoao a latelang:

  • Letšollo le metsi makhetlo a mararo kapa ho feta ka letsatsi, le tšoarellang matsatsi a fetang a mane
  • Bohloko ba mpeng
  • Mali le / kapa mamina setulong
  • Feberu
  • Mokhathala
  • Ho fokotsa boima ba 'mele

Ho etsahalang nakong ea sele e tšoeu ea mali tekong ea setuloana?

U tla hloka ho fana ka mohlala oa setuloana sa hau. Mofani oa hau kapa mofani oa ngoana oa hau o tla u fa litaelo tse tobileng tsa hore na u ka bokella joang le ho romella sampole ea hau. Litaelo tsa hau li ka kenyelletsa tse latelang:


  • Apara para ea litlelafo kapa latex.
  • Bokella le ho boloka setuloana ka setshelong se khethehileng seo u se filoeng ke mofani oa tlhokomelo ea bophelo kapa laboraka. U ka fumana sesebelisoa kapa sesebelisoa ho u thusa ho bokella sampole.
  • Etsa bonnete ba hore ha ho na moroto, metsi a ntloaneng, kapa pampiri ea ntloaneng e sa kopaneng le sampole.
  • Tšoaea 'me u tšoaee setshelo.
  • Tlosa liatlana, 'me u hlatsoe matsoho.
  • Khutlisetsa setshelo ho mofani oa tlhokomelo ea bophelo kapa lab ka poso kapa ka seqo.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Meriana e meng le lijo li ka ama litholoana. Botsa mofani oa hau kapa mofani oa ngoana oa hau hore na ho na le lintho tse ikhethang tseo u lokelang ho li qoba pele ho tlhahlobo.

Na ho na le likotsi tsa tlhahlobo?

Ha ho na kotsi ea ho ba le sele e tšoeu ea mali tekong ea setuloana.

Liphetho li bolelang?

Phello e mpe e bolela hore ha ho lisele tse tšoeu tsa mali (li-leukocyte) tse fumanoeng sampoleng. Haeba uena kapa liphetho tsa ngoana oa hau li ne li le mpe, matšoao mohlomong ha a bakoe ke tšoaetso.


Sephetho se setle se bolela lisele tse tšoeu tsa mali (leukocyte) li fumanoe sampoleng ea hau ea setuloana. Haeba uena kapa liphetho tsa ngoana oa hau li bontša li-leukocyte ka setuloana, ho bolela hore ho na le mofuta o itseng oa ho ruruha tseleng ea tšilo ea lijo. Ha li-leukocyte tse ngata li fumanoa, ho na le monyetla o moholo oa hore uena kapa ngoana oa hau o na le tšoaetso ea baktheria.

Haeba mofani oa hau a nahana hore o na le ts'oaetso, a ka laela setso sa setuloana. Tloaelo ea setuloana e ka thusa ho fumana hore na ke libaktheria life tse u bakelang bokuli. Haeba u fumanoa u na le tšoaetso ea baktheria, mofani oa hau o tla u fa lithibela-mafu ho phekola boemo ba hau.

Haeba mofani oa hau a belaella C. diff, o ka bolelloa pele hore o khaotse ho noa lithibela-mafu tseo u li sebelisang hajoale. Mofani oa hau a ka fana ka mofuta o fapaneng oa lithibela-mafu, o shebileng libaktheria tsa C tse fapaneng. Mofani oa hau a ka boela a khothaletsa mofuta oa tlatsetso o bitsoang li-probiotic ho thusa boemo ba hau. Li-probiotic li nkuoa e le "libaktheria tse ntle." Li thusa tsamaiso ea hau ea lijo.

Haeba mofani oa hau a nahana hore o na le lefu la ho ruruha ha mala (IBD), a ka laela liteko tse ling ho netefatsa hore o fumanoe. Haeba u fumanoa u na le IBD, mofani oa hau a ka khothaletsa liphetoho tsa phepo le mokhoa oa bophelo le / kapa meriana ho thusa ho kokobetsa matšoao a hau.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka sele e tšoeu ea mali tekong ea setuloana?

Haeba matšoao a hau kapa a ngoana oa hau a se matla haholo, mofani oa hau a ka phekola matšoao ntle le ho etsa tlhahlobo e hlakileng. Kalafo hangata e kenyelletsa ho noa metsi a mangata le ho thibela lijo ho ja lijo tse fokolang matsatsi a 'maloa.

Litšupiso

  1. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Tlhahisoleseling ea tšoaetso ea Clostridium difficile bakeng sa bakuli; [e nchafalitsoeng 2015 Feb 24; e qotsitsoeng ka la 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cdc.gov/hai/organisms/cdiff/cdiff-patient.html
  2. CHOC Bana [Inthanete]. Orange (CA): CHOC Bana; c2018. Lenaneo la ho Ruruha ha Bolwetse ba Boea (IBD); [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.choc.org/programs-services/gastroenterology/infigueatory-bowel-disease-ibd-program
  3. CHOC Bana [Inthanete]. Orange (CA): CHOC Bana; c2018. Liteko tsa setuloana; [e qotsitsoeng ka 2018 Dec 27]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.choc.org/programs-services/gastroenterology/digestive-disorder-diagnostics/stool-tests
  4. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Clostridium difficile le C. difficile Teko ea Chefo; [e ntlafalitsoeng 2018 Dec 21; e qotsitsoeng ka la 2018 Dec 27]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/clostridium-difficile-and-c-difficile-toxin-testing
  5. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Letšollo; [e ntlafalitsoeng ka la 2018 Mmesa 20; e qotsitsoeng ka la 2018 Dec 27]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/diarrhea
  6. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Boloetse ba meroho; [e ntlafalitsoeng 2017 Nov 28; e qotsitsoeng ka la 2018 Dec 27]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/infigueatory-bowel-disease
  7. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Tšoaetso ea difficile: Matšoao le lisosa; 2016 Jun 18 [e qotsitsoeng ka 2018 Phato 27]; [li-skrini tse ka bang 3].E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/c-difficile/symptoms-causes/syc-20351691
  8. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Ho hloka metsi 'meleng: Matšoao le lisosa; 2018 Feb 15 [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/dehydration/symptoms-causes/syc-20354086
  9. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Chefo ea lijo: Matšoao le lisosa; 2017 Jul 15 [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/food-poisoning/symptoms-causes/syc-20356230
  10. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Matšoao a tšoaetso ea mala (IBD): Matšoao le lisosa; 2017 Nov 18 [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/infigueatory-bowel-disease/symptoms-causes/syc-20353315
  11. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Tšoaetso ea Salmonella: Matšoao le lisosa; 2018 Sep 7 [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/ Psalmonella/symptoms-causes/syc-20355329
  12. Mayo Clinic: Mayo Medical Laboratories [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1995–2018. ID ea Teko: LEU: Leukocyte e Fecal: Clinical and Interpretative; [e qotsitsoeng ka 2018 Dec 27]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8046
  13. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; c2018. Letšollo ho Batho ba baholo; [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/digestive-disorders/symptoms-of-digestive-disorders/diarrhea-in-adults
  14. Mokhatlo oa Naha oa Kankere [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Bukana ea Tlhatlhobo ea Kankere ea NCI: leukocyte; [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/leukocyte
  15. Setsi sa Naha sa Bophelo bo Tlatsetsang le bo Ikopantseng [Marang-rang]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lithibela-mafu; [e ntlafalitsoeng 2017 Sep 24; e qotsitsoeng ka la 2018 Dec 27]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://nccih.nih.gov/health/probiotics
  16. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Tlhahlobo ea Letšollo; 2016 Nov [e qotsitsoeng ka 2018 Phato 27]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/diagnosis
  17. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Mafu a bakoang ke ho ja lijo; 2014 Jun [e qotsitsoeng ka 2018 Phato 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/digestive-diseases/foodborne-illnesses
  18. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Kalafo bakeng sa Letšollo; 2016 Nov [e qotsitsoeng ka 2018 Phato 27]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/treatment
  19. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Shigellosis: Kakaretso; [e ntlafalitsoeng 2020 Jul 19; e qotsitsoeng ka 2020 Phupu 19]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/shigellosis
  20. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2018. Health Encyclopedia: Seli e Tšoeu ea Mali (Mantle); [e qotsitsoeng ka 2018 Dec 27]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=stool_wbc
  21. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Litšebeletso tsa bophelo bo botle ba 'mele: Tleliniki ea maloetse a nang le mefuta e mengata ea ho ruruha; [e ntlafalitsoeng 2018 Dec 5; e qotsitsoeng ka la 2018 Dec 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/digestive/infigueatory-bowel-disease/10761

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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