Chirwere chemazuva ose chichena chinogona kusiyana kubva kumunhu kusvika kumunhu
Kudzidza kuti chii, uye chisingaiti, chimiro chemavara chechichena chemuropa (WBC) inokosha kune vanhu vane hutano husingaperi. Nhamba yeWBC ndeyekukosha kwekuti vanachiremba vashandise kunzwisisa zviri nani mukati memuviri munguva yehutano hwemamiriro ezvinhu.
Kune vanhu vane chirwere chinoputika (IBD), iyo yeWBC count inogona kuratidza kuti kuputika kunobatanidza neBD kunowedzera kana kuderera.
Sezvo nhamba yeWBC inokwira kumusoro, zvinogona kureva kuputika kunoitika pane imwe nzvimbo mumuviri. Sezvo kuverenga kweWBC kuchidzika, zvinogona kureva kuputira kugadzirisa.
Mashoko Akatsva NezveWBC Count
- Maso matsvene eropa anoita kuti utachiona uye kuputika mumuviri
- A high WBC count ingaratidza kuti kune utachiona kana kuputika mumuviri
- A normal WBC count haisi nhamba chaiyo asi pane kukosha pane imwe nzvimbo pamusoro peiyo ichataridzirwa yakaderera uye pasi pezvaizoonekwa sepamusoro
- Nzira yekuverenga yeWBC inoshandiswa pamwe chete nemamwe mitsva yekuedza kuti iongorore chiitiko chechirwere kana chirwere
NezveWBC Count Test
Ropa rine mhando dzakasiyana dzemasero. Masero eropa ropa imwe yemhando dzemasero anowanikwa muropa. Aya masero akajeka ndeimwe chikamu chemuviri wemuviri wemuviri.
Masoja matsvuku eropa anoumbwa mukati mefupa remafupa, mhuka dzespongy mukati memapfupa. Pane kuenzanisira kuti chii chinowanzochenesa ropa masero uye izvo zvakakwirira kana kuti zvakanyanya.
A high WBC count chiratidzo chimwe chekuti kune utachiona, chirwere chinoputika, kana chirwere chinoputika chiri kuitika kune imwe nzvimbo mumuviri.
Kune mamiriro akasiyana-siyana akasiyana-siyana anogona kukonzera yakakwirira kudarika yakasarudzwa kana yepamusoro kupfuura yevoruzhinji yeWBC count, asi zvakakosha kuchengeta mupfungwa kuti iyi miedzo haisi yakakwana yakakwana yekuongorora chirwere chipi zvacho.
Mune zvimwe zviitiko, kunyange zvisingaiti nguva dzose, vanhu vane IBD uye vari kutarisana nekuvhiringidzika kwakagadzikana mumatumbo avo vanogona kuwanikwa kuva nepamusoro kupfuura iyo yakawanda yeWBC count. Muviri uri kushandisa masero machena eropa kuti varwe nekuvhiringidza, uye ndizvo zvinokonzera kukwirira kweWBC kuverengwa.
Reference Range (Normal Range) yeWBC Count
Nhamba yeWBC dzimwe nguva inozivikanwa se leukocyte kuverengwa kana kuchena kwechiyero. Inowanzoitwa sechikamu chekunyanya kukuru kwekuongorora ropa kunonzi kuzere ropa rose (CBC) count .
A WBC nhamba ndiyo nhamba yemasero machena nehuwandu hweropa. Ita mazano, zvisinei, kuti hapana kana imwe nhamba inotsanangura "chimiro" kana inowanikwa yeWBC count. Nhamba yacho inogona kuratidzwa mune imwe yemhando dzakasiyana-siyana dzeyuniti nokuti pane kuchinja zvichienderana neiyo imwe yero yekuenzanisira imwe labhi inoshandisa. Kusiyanisa mabhizimisi kuchavewo nechinangwa chavo chekuti chii chiri "kumusoro" kana "pasi" WBC count.
Izvo izvo zvose izvi zvinonyangadza ndezvokuti kunyange zvazvo tafura yeWBC inobata, uye iyo yakakwirira uye yakaderera, inowanikwa pasi apa kuti iongororwe, nhamba idzi muenzaniso weimwe nzira yekuratidza kuti chiverengero chinowanikwa chinogona kutsanangurwa sei. Mukuwedzera, chiitiko cheWBC chekuverengeka chinogonawo kusiyanisa kubva kumunhu kumunhu: shanduro yemunhu mumwechete ye "yakanaka" ingasave yakafanana nemumwe munhu.
Vanachiremba vanogona kuenzanisa nemuongorori wemubhadharo wevanhu kumigumisiro yepfuura yekuongorora ropa, kunyanya kana nhamba ye "baseline" iripo kaviri-chengetedza. Kumbira chiremba chero mibvunzo yakananga pamusoro pehuwandu hweWBC nhamba kana pamusoro pemigumisiro yese yekuedza ropa.
| Muenzaniso Mutsvuku Weropa Rekuyera (WBC) Nhamba Dzakanyorwa Nhamba | |
| Zvishoma Nezvishoma | <4,000 masero eropa eropa pam3 * |
| Inenge Yakatarwa Range Range | 4 500-10,000 masero eropa eropa pam3 |
| Approximate High Range | > 11 000 masero eropa eropa pam3 |
| * mm3 = cubic millimeter | |
Nhamba yeWBC Inoshandiswa Sei
Nhamba yeWBC haina chaizvoizvo chiratidzo chechirwere chero chipi zvacho; haikwanise kuudza chiremba wako kana munhu ane kana asina chimwe chimiro.
Pane kudaro, inoshandiswa sechikamu chinokosha chemashoko iyo chiremba angashandisa kubatsira kutarisa kana kutarisisa nzira yechirwere kana chirwere. Leukocytosis ndeyepamusoro yeWBC count; leukopenia yakaderedza WBC count.
Ipamusoro kupfuura yeWBC count (leukocytosis) inogona kusanganiswa ne:
- Utachiona hwehutachiona
- Zvirwere zvinoputira (arthritis, chirwere chinoputika chirwere)
- Leukemia
- Trauma
- Kushandisa steroids
A lower than typical WBC count (leukopenia) inogona kusanganiswa ne:
- Zvinodhaka zvinodhaka
- Immune system zvinetso zvakadai se lupus
- Low bone marrow basa
- Zvimwe zvinokonzerwa nemakemikrasi kana remishonga inonzi radiation
- Utachiona hwechirwere
Zvimwe Zvinokonzera WBC Isingaenzaniswi Verenga kuBDD
Nhamba yeWBC ingave yakabva kune yakarongeka yakawanda nekuda kwemimwe mishonga inoshandiswa kubata BHD. Kunyanya, corticosteroids yakadai sa prednisone inogona kukonzera kuwedzera mumasero machena eropa. Mamwe mishonga inobata IBD, yakadai se-6-MP uye Imuran , inogona kuita kuti WBC count ive yakaderera kupfuura yakasikwa. A gastroenterologist inogona kubatsira kuisa huwandu hweWBC count pakuona kana madhiragi aya ari kushandiswa kurapa IBD.
Zviratidzo zveNhamba yeWBC Izvo Zviri kunze kweRange
A high WBC count inogona kureva kuti kune kuputika kana utachiona pane imwe nzvimbo mumuviri. Mune zvimwe zviitiko, zvinogona kunge zvakajeka kuti zvakabatana nechirwere chiripo kana mamiriro ezvinhu, mumamiriro ezvinhu akadaro, zviratidzo zvechirwere ichocho zvinogona kuvapo. Mune zvimwe zviitiko, pangave pane zviratidzo zvinosanganiswa nehuwandu hweWBC count. Zviratidzo izvi zvinogona kuva:
- Muviri aches kana kurwadziwa
- Chills
- Fever
- Headache
Shoko Rinobva
Nhamba yeWBC haina kunyatsojekesa chirwere kana chimiro. Zvisinei, munyaya yemumwe munhu ane IBD, yepamusoro yeWBC count inogona kureva kuti IBD inokonzera kuvhiringidza. Zvinogona zvakare kuti imwe mamiriro ezvinhu ari kukonzera kusakanganiswa kweWBC count, ndicho chikonzero dzimwe mimwe miedzo inogona kudiwa kuti ione kuti chii chiri kuitika.
Zvakatorwa zvachose, migumisiro yeWBC count, chero zviratidzo zvepanyama, nemigumisiro yemimwe miedzo ichabatsira chiremba kuti aone zviri kuitika mumuviri. Zvakakosha kurukura mhinduro dzeWBC count nechiremba kuitira kuti unzwisise kuti zvinorevei.
> Sources:
> Vermeire S, Van Assche G, Rutgeerts P. "Bhuku reBarabara muBD: Inobatsira, Muchenjeri, kana Matambo Asingakoshi?" Gut . 2006 Mar; 55: 426-431.
> Wilkins T, Jarvis K, Patel J. "Kuziva uye Kutungamirirwa kwezvirwere zveCrohn." Ndiye Chiremba weNzara. 2011 Dec 15; 84: 1365-1375.