Neutropenia: ihe ọ bụ na isi na-akpata

Ndinaya

• Ihe na-akpata neutropenia
• Necropenia nke cyclic
• Nnukwu mmiri

Neutropenia kwekọrọ na mbelata nke ego neutrophils, nke bụ mkpụrụ ndụ ọbara na-ebu agha maka ịlụ ọgụ. Dika odi, onu ogugu nkpuru nkpuru kwesiri di netiti 1500 na 8000 / mm³, ka osi di, n'ihi mgbanwe nke okpukpu okpukpu ma obu na ntozu oke nke sel ndia, onu ego ndi na ekesara ya nwere ike wedata, nke na akowa neropronia.

Dabere na ego nke neutrophils achọtara, neutropenia nwere ike nkewa dị ka ogo ya n'ime:

• Obere neutropenia, ebe neutrophils dị n'etiti 1000 na 1500 / µL;
• Neutropenia na-edozi ahụ, nke neutrophils dị n'etiti 500 na 1000 / µL;
• Nnukwu neutropenia, nke neutrophils na-erughị 500 / µL, nke nwere ike ịkwalite mmụba nke ero na nje na-adị ndụ na ahụ, na-ebute ọrịa;

Obere ihe nke na - ekesa neutrophils, ọ ga - eme ka onye ahụ nwee ike ibute ọrịa. Ọ dị mkpa na a na-eji nlezianya enyocha neutropenia, n'ihi na nsonaazụ nwere ike imetụta nsogbu n'oge nchịkọta, nchekwa nchekwa ma ọ bụ mgbanwe na akụrụngwa nke a na-eme nyocha ahụ, dịka ọmụmaatụ. Ya mere, ọ na-atụ aro ka ngụkọta neutrophil ọnụ ga-enyocha iji hụ ma, n’ezie, e nwere neutropenia.

Na mgbakwunye, mgbe ọnụ ọgụgụ mkpụrụ ndụ ọbara uhie na platelet dị nkịtị na ọnụọgụ nke ndị na-egbochi obere ọbara, ọ na-atụ aro ka a gụghachi ọbara ugboro ugboro iji kwado neutropenia.

Ihe na-akpata neutropenia

Mbelata nke ego nke neutrophils nwere ike ịbụ n'ihi nrụpụta ezughi oke ma ọ bụ mgbanwe na usoro ntozu oke nke neutrophils na ụmị ọkpụkpụ ma ọ bụ n'ihi oke ọnụọgụ nke mbibi nke neutrophils n'ime ọbara. Yabụ, isi ihe na - akpata neutropenia bụ:

• Megaloblastic anaemia;
• Ọrịa Aplastic;
• Ọrịa leukemia;
• Na-ebuwanye ibu.
• Ọrịa cirrhosis;
• Usoro lupus erythematosus;
• Paroxysmal nocturnal haemoglobinuria;
• Ọrịa nje virus, karịsịa site na nje Epstein-Barr na nje ịba ọcha n'anya;
• Ọrịa nje, karịsịa mgbe ụkwara nta na septicemia.

Na mgbakwunye, neutropenia nwere ike ime n'ihi ọgwụgwọ na ụfọdụ ọgwụ, dịka Aminopyrine, Propiltiouracil na Penicillin, dịka ọmụmaatụ, ma ọ bụ n'ihi ụkọ vitamin B12 ma ọ bụ folic acid, dịka ọmụmaatụ.

Mụtakwuo maka neutrophils.

Necropenia nke cyclic

Cyclic neutropenia kwekọrọ na mkpụrụ ndụ mkpụrụ ndụ nke mkpụrụedemede autosomal nke a na-ahụkarị site na mgbada nke neutrophils na usoro okirikiri, ya bụ, ụbọchị iri abụọ na otu ọ bụla, oge ka ukwuu, enwere mbelata ego nke ikesa neutrophils.

Ọrịa a dị obere ma na - eme n'ihi ngbanwe dị na mkpụrụ ndụ ihe nketa nke dị na chromosome 19 nke na - ahụ maka mmepụta nke enzyme, elastase, na neutrophils. Na enweghị enzyme a, a na-ebibi neutrophils ugboro ugboro.

Nnukwu mmiri

Nsogbu a na-ahụkarị na-adị mgbe enwere obere neutrophils, nke na-adịkarị ihe na-erughị 500 / µL, na-akwado omume nke ịrịa ọrịa ma na-ebute mmụba nke okpomọkụ ahụ, na-adịkarị karịa 38ºC.

Ya mere, ọgwụgwọ maka febrile neutropenia gụnyere ị takingụ ọgwụ na-agbada ahụ ọkụ, ọgwụ nje mee ihe n'ọnụ ma ọ bụ site na akwara, dịka ihe dọkịta gwara gị ka ị chịkwaa ọrịa na injections na ihe ndị na-akpata neutropenia, iji lụ ọgụ ọgụ. Na mgbakwunye, ọ nwekwara ike ịdị mkpa iji tinye antimicrobial nke abụọ na ọgwụgwọ ahụ ma ọ bụrụ na onye ọrịa ahụ na-aga n'ihu na-enwe ahụ ọkụ mgbe ụbọchị 5 bidoro ọgwụgwọ.