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Hyperleukocytosis: ho'ākāka, nā kumu a me nā mālama
Hoʻomaopopo ʻia ʻo Hyperleukocytosis e like me ka hoʻonui ʻana o nā hunaola keʻokeʻo ma luna o 10 mau hunaola no ka microliter o ke koko, i loko o ʻelua mau hoʻokolokolo hope. ʻO ka anomaly pinepine i hālāwai pinepine ʻia, pono e hoʻokaʻawale i waena o ka hyperleukocytosis benign a me ka hyperleukositosis malignant. ʻO ka hope paha ka hōʻailona o kahi maʻi bacteria e like me angina, o kahi maʻi viral e like me mononucleosis a ʻoi aku ka liʻiliʻi o kahi pathology koʻikoʻi e like me leukemia. ʻO nā ʻōuli a me ka mālama ʻana i ka hyperleukocytosis kaukaʻi ʻia i ka pōʻaiapili a me ke kumu.
He aha ka hyperleukositosis?
ʻO nā leukocytes, i kapa ʻia he mau keʻokeʻo koko keʻokeʻo, he kuleana nui i ka pale o ko mākou kino i nā microorganism infectious a me nā mea haole. I mea e pono ai, pono e hoʻomaopopo ʻia kahi helu kūpono o nā hunaola keʻokeʻo o ke alo o ka meaola maʻi a i ʻole nā mea haole. Hele lākou i laila, e luku a ʻeli iā lākou.
- neutrophil;
- nā lymphocytes;
- monositita;
- eosinophil;
- basophil.
ʻO ka maʻamau, hana ke kanaka ma kahi o 100 biliona mau kiko keokeo i kēlā me kēia lā. Helu ʻia kēia mau mea e like me ka helu o nā hunaola keokeo ma kēlā me kēia microliter o ke koko. Aia ka huina helu maʻamau ma waena o 4 a me 000 mau huna ma kēlā me kēia microliter.
ʻO ka Hyperleukocytosis kahi hoʻonui i ka helu o nā hunaola keokeo i ke koko, ma luna o 10 mau hunaola no ka microliter o ke koko. Ua wehewehe ʻia ʻo Hyperleukocytosis ma ke ʻano waena ma waena o 000 a me 10 mau keʻokeʻo koko keʻokeʻo ma kēlā me kēia microliter o ke koko a me frank ma luna o 000 mau keʻokeʻo koko keʻokeʻo ma kēlā me kēia microliter o ke koko.
- polynucleosis ke hiki mai i ka hoʻonui i ka helu o neutrophils, eosinophils a i ʻole basophil;
- lymphocytosis ke hoʻonui ia i ka nui o nā lymphocytes;
- monositosis ke hiki mai i ka hoʻonui ʻana i ka nui o nā monocytes.
Aia paha kekahi hyperleukocytosis e hopena ana mai nā hiʻohiʻona o nā keʻa e hele maʻamau ʻole mai ke koko.
- nā hunaola medullary, ʻo ia hoʻi, nā pūnaewele i hoʻokumu ʻia e ka momona a ʻo ia hoʻi, i nā pae o ke oʻo ʻole, hele i loko o ke koko.
- nā hunaola malignant a i ʻole nā leucoblasts nā hōʻailona o ka leukemia ākea.
He aha nā kumu o ka hyperleukositosis?
Hyperleucositosis
Hiki ke ʻōlelo ʻia ʻo Hyperleukocytosis he physiological, ʻo ia ka mea maʻamau:
- mamuli o ka hooikaika kino;
- ma hope o ke koʻikoʻi koʻikoʻi;
- i ka wā hāpai;
- i ka hoʻouna-hope.
Akā, i ka hapanui o nā hihia, ʻo ka hyperleukocytosis ka pane pale maʻamau a ke kino iā:
- maʻi koʻohune e like me ka bacterial streptococcal angina;
- maʻi maʻi viral (mononucleosis, cytomegalovirus, hepatitis, a pēlā aku);
- maʻi pīpī;
- kahi maʻi āpau (hānō, allergy lāʻau);
- kekahi mau lāʻau e like me corticosteroids.
ʻOi aku ka liʻiliʻi, hiki i ka hyperleukocytosis ke hōʻailona o ka maʻi ʻaʻa pū iwi, e hoʻokuʻu ana i nā hunaola keokeo ʻole a maikaʻi ʻole mai ka iwi iwi i loko o ke koko, e like me:
- maʻi leukemia lymphocytic mau (CLL);
- leukemia myelogenous mau (CML);
- leukemia ākea.
ʻO Polynucléose
E pili ana i neutrophilic polynucleosis, ʻike ʻia ia i kekahi mau ʻano physiological e like me:
- ka hānau ʻana;
- ka hāpai keiki;
- ka wā;
- hoʻoikaika kino ikaika;
a keu hoʻi i nā kūlana pathological e like me:
- kahi maʻi maʻi microbial (abscess a sepsis);
- maʻi hoʻāla;
- nāʻiʻo nekrosis;
- maʻi ʻaʻai a sarcoma paha;
- puhipaka.
ʻO nā kumu nui ʻo Eosinophilic polynucleosis, ma ka ʻaoʻao ʻelua, ʻelua kumu nui: allergy and parasites. Hiki ke hoʻopili ʻia i ka periarteritis nodosa, ka maʻi o Hodgkin a i ʻole ke kanesa.
Kākaʻikahi loa ka Basophilic polynucleosis a ʻike ʻia i ka leukemia myeloid mau.
ʻO Lymphocytose
Hoʻomaopopo ʻia ʻo Hyperlymphocytosis:
- i nā keiki i ka wā o nā maʻi infectious viral a bacterial paha e like me ka kohola whooping;
- i nā mākua a ʻelemakule paha me ka leukemia lymphocytic mau a me ka maʻi o Waldenström.
Monositosis
Hōʻike pinepine ʻo Monocytosis i kahi maʻi maʻi.
- maʻi mononucleosis infectious;
- toxoplasmosis;
- maʻi maʻi cytomegalovirus;
- hepatitis viral;
- brucellosis;
- Maʻi ʻo Osler;
- syphilis lua.
He aha nā hōʻailona o hyperleukositosis?
ʻO nā ʻōuli o ka hyperleukocytosis ka maʻi mai laila mai ia. ʻO kahi laʻana, me kahi maʻi viral, e like me mononucleosis, nā ʻōuli e like me:
- kuni;
- nā pūnana lymph i ka ʻāʻī;
- luhi nui loa.
Pehea e mālama ai i ka hyperleukositosis?
Pili ka hoʻokele i ka pōʻaiapili a me ke kumu o ka hyperleukositosis. No laila ʻokoʻa ia e pili ana inā no ka angina, ka niumonia a me ka leukemia lymphoid mau.
- lapaʻau simtomatik no nā maʻi viral;
- lapaʻau antibiotic no nā maʻi bacteria;
- lapaʻau antihistamine i ka hihia o nā maʻi āpau;
- chemotherapy, a i ʻole kekahi manawa he transplant cell stem, i ka maʻi leukemia;
- ka hemo ʻana o ke kumu i ka hihia o ke koʻikoʻi a puhi paha.