Isibalo esivamile esimhlophe segazi segazi singahluka kusuka komuntu kuya komuntu
Ukufunda ukuthi yikuphi, futhi okungenjalo, inani elivamile elimhlophe legazi (WBC) libalulekile kubantu abanempilo engapheli. Ukubalwa kwe-WBC kuyisilinganiso esibalulekile odokotela abazoyisebenzisa ukuze baqonde kangcono lokho okungenzeka kwenzeke ngaphakathi komzimba phakathi kwezimo ezihlukahlukene zezempilo.
Kubantu abanesifo sofuba (IBD), isibalo se-WBC singabonisa ukuthi ukuvuvukala okuhambisana ne-IBD kungakhula noma kunciphise.
Njengoba inani le-WBC likhuphuka, lingasho ukuvuvukala okwenzeka endaweni ethile emzimbeni. Njengoba inani le-WBC lihla, lingasho ukuvuvukala kuxazululwa.
Amaqiniso Okusheshayo Mayelana Nokubalwa Kwe-WBC
- Amangqamuzana egazi amhlophe abangela ukutheleleka nokuvuvukala emzimbeni
- Inani eliphezulu le-WBC lingabonisa ukuthi kukhona ukutheleleka noma ukuvuvukala emzimbeni
- Ukubalwa kwe-WBC evamile akuyona inombolo eqondile kodwa kunalokho kunenani endaweni engaphezu kwalokho okuzocatshangwa ukuthi kukhona okuphansi futhi ngaphansi kwalokho okuzocatshangwa ukuthi kuphakeme
- Umphumela wokubala we-WBC usetshenziswa kanye neminye imiphumela yokuhlola ukuqapha isimo sesifo noma isimo
Mayelana nokuhlolwa kwe-WBC Count
Igazi linezinhlobo eziningi zamaseli. Amangqamuzana egazi amhlophe angenye yezinhlobo zamaseli ezitholakala egazini. Lawa maseli akhethekile ayingxenye yempendulo yomzimba yomzimba.
Amangqamuzana egazi elimhlophe adalwe ngaphakathi emnothweni wamathambo, izicubu ze-spongy ngaphakathi kwamathambo. Kukhona isilinganiso sokuthi yiliphi inani le-white white cell count nokuthi yini ephezulu kakhulu noma ephansi kakhulu.
Inani eliphezulu le-WBC linye uphawu lokuthi kukhona ukutheleleka, isifo sokuvuvukala, noma inqubo yokuvuvukala eyenzeka endaweni ethile emzimbeni.
Kunezimo eziningana ezehlukene ezingabangela ukuphakama okuvamile kunalokho okuvamile noma okujwayelekile kune-WBC count, kodwa kubalulekile ukukhumbula ukuthi lokhu kuhlola akukona okwanele ukuxilonga noma yisiphi isifo esithile.
Kwezinye izimo, nakuba kungenjalo ngaso sonke isikhathi, abantu abane-IBD futhi abathola ukuvuvukala okuhambisana emathunjini abo bangatholakala ukuthi banezinga eliphezulu kune-WBC. Umzimba usebenzisa amangqamuzana amhlophe egazi ukulwa nokuvuvukala, futhi yilokho okubangela inani eliphezulu le-WBC.
I-Reference Range (Range Normal) ye-WBC Count
Isibalo se-WBC ngezinye izikhathi siyaziwa njenge-leukocyte count noma isibalo esimhlophe. Kuvame ukuqhutshwa njengengxenye yochungechunge olukhulu lokuhlolwa kwegazi elibizwa ngokuthi inani eliphelele legazi legazi (CBC) .
Inani le-WBC liyinombolo yamaseli amhlophe egazi ngevolumu yegazi. Qaphela, kodwa, ukuthi ayikho inamba eyodwa echaza ukuthi "evamile" noma i-WBC count ejwayelekile. Ukubala kungabonakaliswa kunye yezinhlobo eziningana ezahlukene zezinyunithi ngoba kunehlukahluka kuye ngokuthi yiyiphi i-unit yokukala ithuluzi elithile elisebenzisayo. Amalabhu ahlukene azophinde abe nencazelo yawo yalokho okusho "ukuphakama" noma "okuphansi" kwe-WBC count.
Lokho konke okuphefumula ukuthi yilapho itafula le-WBC libala, kanye namanani aphakeme aphansi, afakwe ngezansi ukuze kubhekiswe, izinombolo ziyisibonelo sendlela eyodwa kuphela yokubonisa ukuthi inani elivamile lingachazwa kanjani. Ngaphezu kwalokho, ukubalwa kwe-WBC okujwayelekile kungashintsha kusuka komunye nomuntu: Inguqulo yomuntu oyedwa "yejwayelekile" kungenzeka ukuthi ayifani nokujwayelekile komunye umuntu.
Odokotela bangaqhathanisa imiphumela yokuhlolwa kwegazi lomuntu kumiphumela yangaphambilini yokuhlolwa kwegazi, ikakhulukazi uma inombolo "eyisisekelo" ikhona ngokuhlola okuphindwe kabili. Buza udokotela noma yimiphi imibuzo ethile mayelana nezinombolo ze-WBC noma mayelana nanoma yimiphi imiphumela yokuhlolwa kwegazi.
| Isibonelo se-White White Cell (WBC) Izinombolo Zokubheka Izinombolo | |
| Umkhawulo ophansi | <4,000 amaseli egazi amhlophe nge mm3 * |
| Uhlobo olungavamile | 4,500-10,000 amangqamuzana egazi amhlophe nge mm3 |
| Umkhawulo ophezulu | > 11,000 amaseli egazi amhlophe nge mm3 |
| * mm3 = i-cubic millimeter | |
Yeka ukuthi inani le-WBC lisetshenziselwa kanjani
Ukubalwa kwe-WBC akuyona inkomba yesifo esithile; ngeke ukwazi ukutshela udokotela wakho uma umuntu enayo noma engenayo isimo esithile.
Kunalokho, lisetshenziswe njengengxenye ebalulekile yolwazi udokotela angasebenzisa ukusiza ukuqapha noma ukuhlola inkinga yesifo noma isimo. I-Leukocytosis yi-count ye-WBC ephakeme; i-leukopenia yilala ye-WBC count.
Inani eliphakeme kunaleyo le-WBC count (leukocytosis) lingase lihlotshaniswe ne:
- Ukutheleleka kwebhaktheriya
- Izifo ezivuthayo (i-arthritis, isifo sofuba esibhubhisayo)
- I-leukemia
- I-Trauma
- Ukusetshenziswa kwe-steroids
Inani eliphansi kune-WBC count (i-leukopenia) lingalinganiswa nalokhu:
- Drug drugergy
- Izifo zamasosha omzimba njenge-lupus
- Umsebenzi omncane we-bone lomnti
- Imiphumela emibi ye-chemotherapy noma ukwelashwa kwamafutha
- Ukutheleleka ngegciwane
Ezinye izimbangela ze-WBC Count ezingavamile ku-IBD
Ukubalwa kwe-WBC kungase kungangeni ebangeni elijwayelekile ngenxa yemithi ethile esetshenziselwa ukuphatha i-IBD. Ngokuyinhloko, i-corticosteroids njenge-prednisone ingabangela ukwanda kwamaseli amhlophe egazi. Amanye imithi ephathekayo ye-IBD, njenge-6-MP kanye ne- Imuran , ingabangela ukuthi inani le-WBC libe ngaphansi kunejwayelekile. I-gastroenterologist ingasiza ukubeka inani elincane le-WBC njengombono uma lezi zidakamizwa zisetshenziselwa ukuphatha i-IBD.
Izimpawu zenani le-WBC elingaphandle kwebanga
Inani eliphezulu le-WBC lingasho ukuthi kukhona ukuvuvukala noma ukutheleleka endaweni ethile emzimbeni. Kwezinye izimo, kungase kube sobala ukuthi kuhlobene nesifo noma isimo esivele sikhona, noma kunjalo, izimpawu zalesi sifo zingase zibe khona. Kwezinye izimo, kungase kube nezimpawu ezihlotshaniswa nesilinganiso se-WBC esincane. Lezi zimpawu zingase zibe:
- Ama-body aches noma izinhlungu
- Ama-Chills
- Fever
- Izinwele
Izwi elivela
Ukubalwa kwe-WBC akucaci ekuhloleni isifo noma isimo. Noma kunjalo, esimweni somuntu one-IBD, inani eliphezulu le-WBC lingasho ukuthi i-IBD ibangela ukuvuvukala. Kungenzeka nokuthi isimo esihlukile senza isibalo esingavamile se-WBC, yingakho ezinye izivivinyo kungadingeka kwenziwe ukuze kunqume ukuthi kwenzekani.
Kuthathwa ngokuphelele, imiphumela ye-WBC count, noma yiziphi izimpawu zomzimba, nemiphumela yezinye izivivinyo kuzosiza udokotela ukuthi anqume ukuthi kwenzekani emzimbeni. Kubalulekile ukuxoxa ngemiphumela yokubalwa kwe-WBC nodokotela ukuze uqonde ukuthi ungasho ukuthini.
> Imithombo:
> Vermeire S, Van Assche G, Rutgeerts P. "Izimakethe zeBrazil ku-IBD: Ziwusizo, Ziwumlingo, noma Zidingi Zingadingekile?" Gut . 2006 Mar; 55: 426-431.
> UWilkins T, uJarvis K, uPatel J. "Ukuxilongwa Nokuphathwa Kwezifo ZaseCrohn." Am Fam Physician. 2011 Dec 15; 84: 1365-1375.