Ntshav txawv txav

Kev kuaj ntshav sib txawv ntsuas qhov feem pua ​​ntawm txhua hom qe ntshav dawb (WBC) uas koj muaj hauv koj cov ntshav. Nws kuj qhia tawm yog tias muaj qee lub hlwb tsis txawv txav lossis tsis txawj tuag.

Xav tau cov ntshav ntxiv.

Cov neeg kuaj ntshav kuaj ntshav yuav tso ntshav tawm ntawm koj cov hnoos qeev thiab coj nws mus rau lub laub iav. Cov pleev no pleev xim nrog cov zas xim tshwj xeeb, uas pab qhia qhov sib txawv ntawm ntau hom ntshav dawb.

Tsib tsib cov qe ntshav dawb, tseem hu ua leukocytes, feem ntau tshwm sim hauv cov ntshav:

• Neutrophils
• Lymphocytes (B hlwb thiab T cell)
• Monocytes
• Eosinophils
• Cov Pob Tsuas

Lub tshuab tshwj xeeb lossis cov kws kho mob suav cov lej ntawm txhua hom cell. Kev ntsuam xyuas qhia tau yog tias muaj pes tsawg tus hlwb muaj feem sib luag nrog ib leeg, thiab yog tias muaj ntau dua lossis tsawg dua ntawm ib hom cell.

Tsis muaj kev npaj tshwj xeeb yog tsim nyog.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov duav lossis pob me me. Tsis ntev no ploj mus.

Kuaj ntshav no yog tsim los kuaj ntsuas tus kab mob, ntshav tawm, lossis roj ntsha daj. Nws kuj tseem siv tau los saib xyuas ib qho ntawm cov xwm txheej no, lossis tshuaj saib seb puas ua haujlwm.

Qhov sib txawv ntawm cov qe ntshav dawb tau muab raws feem pua:

• Neutrophils: 40% txog 60%
• Lymphocytes: 20% rau 40%
• Monocytes: 2% rau 8%
• Eosinophils: 1% rau 4%
• Cov Zaub Mov Pob: 0,5% mus rau 1%
• Band (cov hluas neutrophil): 0% mus rau 3%

Ib qho kev kis mob lossis mob hnyav ntxiv rau koj cov qe ntshav dawb. Cov qe ntshav dawb nyob rau lub cev yuav yog vim tus mob o, tiv thaiv kab mob hauv lub cev, lossis ntshav muaj mob xws li mob leukemia.

Nws yog ib qho tseem ceeb kom paub tias muaj qhov txawv txav ntawm ib hom ntshav dawb tuaj yeem ua rau txo qis hauv feem pua ​​ntawm lwm cov qe ntshav dawb.

Feem pua ​​ntawm neutrophils nce vim yog:

• Mob yooj yim
• Mob ntxhov siab
• Eclampsia (qaug dab peg lossis coma rau tus poj niam cev xeeb tub)
• Gout (hom mob caj dab vim yog uric acid ua rau cov ntshav)
• Mob hnyav lossis mob ntshav hlab ntsha
• Myeloproliferative kab mob
• Kev mob caj dab
• Rheumatic fever (kab mob vim kev kis mob los ntawm pawg A kab mob streptococcus)
• Thyroiditis (mob qog)
• Kev poob plig
• Ua luam yeeb

Qhov feem pua ​​tsawg ntawm neutrophils yuav yog vim:

• Aplastic anemia
• Kws khomob
• Influenza (khaub thuas)
• Kev siv hluav taws xob los yog tawg
• Tus kab mob kis
• Muaj ntau yam kab mob kis tau yooj yim

Qhov feem pua ​​ntawm cov lymphocytes ntau ntxiv tuaj yeem yog vim:

• Tus kab mob sib kis tau ntev
• Kab mob siab (Kab mob siab thiab o los ntawm cov kab mob lossis kab mob)
• Kab mob mononucleosis, lossis mono (kis kab mob uas ua rau kub ib ce, mob caj pas, thiab cov qog o)
• Lymphocytic leukemia (ib hom mob ntshav)
• Ntau myeloma (ib hom mob ntshav)
• Tus kab mob kis (xws li mob qog lossis qhua pias)

Qhov feem pua ​​qis ntawm lymphocytes tej zaum yuav yog vim:

• Kws khomob
• Kab mob HIV / AIDS
• Mob ntshav siab
• Kev siv hluav taws xob los yog tawg
• Sepsis (mob hnyav, teb rau cov kab mob los yog lwm cov kab mob)
• Kev siv steroid

Qhov feem pua ​​ntau ntawm monocytes tej zaum yuav yog vim:

• Tus mob voos
• Mob ntshav siab
• Kab mob cab
• Tuberculosis, lossis TB (kab mob uas kis mob rau lub ntsws)
• Tus mob viral (piv txwv li, kis mob mononucleosis, mob qog, tus mob qhua pias)

Qhov feem pua ​​nce ntawm eosinophils yuav yog vim:

• Kab mob Addison (cov qog adrenal tsis tsim cov tshuaj hormones txaus)
• Kev fab tshuaj tiv thaiv
• Mob Cancer
• Mob myelogenous mob ntshav dawb
• Collagen vascular kab mob
• Cov tshuaj tiv thaiv hypereosinophilic
• Kab mob cab

Qhov feem pua ​​ntawm feem pua ​​ntawm cov mob raws li yuav yog vim:

• Tom qab splenectomy
• Kev fab tshuaj tiv thaiv
• Mob myelogenous mob ntshav dawb (hom mob hlwb pob txha)
• Collagen vascular kab mob
• Myeloproliferative kab mob (pawg mob pob txha mob)
• Qhua qaib

Qhov feem pua ​​tsawg ntawm cov neeg quav ntsej yuav yog vim:

• Mob yooj yim
• Mob Cancer
• Raug mob hnyav

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm tus, thiab los ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Ntau cov punctures los nrhiav cov leeg ntshav
• Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Plawg; Txawv; Ntshav dawb cov ntshav sib txawv

• Basophil (ze-up)
• Tsim cov ntsiab ntawm cov ntshav

Chernecky CC, Berger BJ. Plawv leukocyte suav (sib txawv) - peripheral ntshav. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 440-446.

Lub Tebchaws Hutchison RE, Schexneider KI. Leukocytic kev ntshawv siab. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: cha 33.