Masero eImumunyore Ega Mutemo seSekutanga-Line Vanopindura Kuwana
Neutrophils, inozivikanwawo seyeurocytes, inoratidziro yeropa rega rega iro rinonyanya kushandiswa mumuviri wedu. Sezvimwe chikamu chekuchengetedzwa kwekudzivirirwa kwemajaine, neutrophils vanoita sevashandisi vekutanga vanotarisana nehutachiona, kurwisa mabhakitiriya, mavairusi, uye mamwe majekiseni.
Neutrophils inogonawo kutumidzwa se phagocytes ( phago- kureva kudya uye -kureva sero) sezvavanodzivirira muviri kuburikidza nekugadzira zvipenyu zvinopinda.
Iyo inobudiswa mumapfupa emafuta uye nhoroondo yepamapakati makumi mashanu kusvika kuzana makumi manomwe emazana emasero ako ese eropa.
Zvinorevei Neutrophils
Sekudzivirira immune cell, neutrophils ine high motility (zvinoreva kukwanisa kufamba zvishoma nezvishoma) uye inokwanisa kukomberedza dambudziko rekudzivirira kuuraya. Kuwedzera pakugadzira pathogen, neutrophils inogona kusunungura cytotoxic (cell-killing) zvinhu izvo zvinonyatsoponesa mhuka.
Neutrophils anokwanisa kuwana mhuka dzavo kuburikidza neitiro inonzi chemotaxis umo vanoziva makemikari akabudiswa necheka kana kumira uye anotamira kune "chinonhuwira" ichocho pakarepo.
Izvi zvakasiyana nechechipiri-line adaptive immunity inobudisa masero akakodzera kuuraya iyo pathogen uye iyo pathogen yega. Innate immunity, zvakasiyana, inouraya kwete-kunyanya, kurwisa chero chinhu chisinga "kunhuwa" zvakanaka.
Neutrophils inopindura zvirwere mukati memuviri uye pamusoro peganda.
Pus , imwe yezvinyorwa zvehutachiona hweganda, inowanzobatwa neutrophil yakafa, mabhakitiriya, nemasero eganda.
Zvinorevei Neutrophil Kutitaurira
Neutrophils inonzi sechikamu chekuzara kwechiyero chekuverenga ropa (CBC) . Chimwe chiedzo, chinonzi WBC kusiyana , chinotsanangura chiyero chemarudzi ose emasero machena mumuenzaniso weropa, kusanganisira neutrophils, lymphocytes, monocytes, basophils, uye eosinophils.
Zvichakadaro, nhamba ye absolute neutrophil (ANC) inotitaurira kuti mangani emasero aya ari muropa ne "kazhinji" mararamiro akaenzana ari pakati pe1800 ne 7800 masero per microliter (mL).
Nhamba yepamusoro ye-neutrophil, inonzi neutrophilia , inogona kukonzerwa nehutachiona chero chipi zvacho, kushungurudzika, kana kuvhiringidzika kunoita kuti maitiro ezvirwere zvemuviri zvirwe. Neutrophilia inowanzobatwa ne-appendicitis, kupisa kwakakomba, mamwe marudzi eukemia, uye chero mamiriro ezvinhu anokonzera kuvhiringidza kwakanyanya (zvakadai sekurwadziwa kwepfungwa).
Kusiyana neizvi, kuverenga kwakaderera, inozivikanwa seveutropenia , kunogona kukonzerwa ne- sepsis , chemotherapy, kurapwa kwemaawa, uye zvimwe zvinokonzerwa nemagetsi. Mune vamwe vanhu, neutropenia inogona kuva isingagumi (inopfuurira uye inoramba ichiripo) asi dzimwe dzichave dzisingachaperi (kazhinji mukupindura chirwere kana kushandiswa kwezvinodhaka).
Kuongorora Neutrophils muCcercer Treatment
Munguva yekurapa kwekenza , nhamba yakakwana yeutrophil inowanzoongororwa kuti ione kuti maitiro ezvirwere zvemuviri anopindura sei kumanikidzirwa kwemazuva kana chemotherapy. Neutropenia haina kufanana mumamiriro ezvinhu aya uye inogona kusarudzwa se:
- Dild neutropenia (ANC iri pasi pe1500 masero / mL) inotakura ngozi yakawanda yehutachiona.
- Moderate neutropenia (ANC iri pakati pe1000 ne500 masero / mL) inokonzera ngozi yakaenzana yehutachiona.
- Yakakura neutropenia (ANC iri pasi pe 500 masero / mL) iyo inoisa njodzi yakawanda yehutachiona.
Kana iyo yeAIDS inodonha pasi peanenge mazana masero mazana mashanu / mL, chiremba wako angangodaro anopa mishonga kuti iwedzere kumira mazinga eutrophil uye inogona kupawo maitiro emishonga inorwisa maitiro ekudzivirira hutachiona hwakakomba.
> Kwakabva:
> Vatengesi, L .; Hiemstra, I .; Kuijsper, T .; et al. "Neurophils mukenza." Immunol Rev. 2016; 3273 (1): 312-28.