Leukocyte ropa fomura: Decryption vana (romuzvarirwo)

White masero eropa - vane zvinhu zvinokosha munhoroondo ropa revanhu, vanobatsira kuchengetedza pakukuvadza kunoita Micro-zvipenyu uye zvinhu. Vanokwanisa ndisunungure hudyu dzose inoramba vatorwa, vakavharirwa mumuviri. On hwaro ichi, tinogona kutaura kuti chokwadi chokuti maitiro uye mamiriro masero aya zvingaratidza kuva kushoma, ropa zvakakwana kuti achibva huripo zvokurwara mumuviri. Ndokusaka panguva murwere zvokuongorora chete kuziva uwandu ropa masero machena, izvi basa kudzidza chinokosha kuti aongororwe ropa leukocyte fomura. Decoding mune vana nevakuru angava akasiyana chaizvo, saka munhu wose anofanira kuziva chaizvo kuverenga mashoko ongororo. Ivo kuchabatsira kujekesa yezvakaita chirwere, chikonzero uye kudzivisa migumisiro.

WBC: chii inoitwa?

Leukocyte ropa count (inopangidza mune vana nevakuru ane kusiyana kwayo) - ichi haisi mamwe masero eropa, uye nhamba emarudzi, nerimwe riri basa kushanda nehurongwa.

White masero eropa - ndiro masero ropa anokonzera muviri paaizvidzivirira. Chinangwa chavo ndechekuti kusika zvimwe miganhu kuti varege kuyambuka utachiona hunokuvadza, zvine chepfu uye miviri dzavatorwa. Zvakakosha kuwana mutumbi utachiona, ivo chiratidzo kuwedzera ichi vaita, vanogona kuonekwa pabvunzo ropa. masero eropa machena rakakamurwa akawanda mhando: basophils, monocytes, neutrophils, eosinophils uye lymphocytes. Uye vose vanoita imwe basa. Asi chii mabasa basa navo?

Neutrophils vane basa kuchengeteka, vanofanira kuziva utachiona, kuzviviga uiparadze. Vakauya mhando dzakawanda:

• myelocytes uye metamyelocytes - masero aya anowanikwa mune vanhu utano havagoni, havana kuonekwa bedzi nyaya yakaendeswa kudzidza leukocyte ropa wevacheche, mwero akavhunika, uye ropa akanga azviratidza bacteria kukonzera zvakakomba zvokurwara;
• uchibaya kuonekwa, kana muviri ane hunhu munhu noutachiona, nhamba yavo anotanga kukura, kana segmented havagoni ndisunungure hudyu nhengo kukonzera chirwere;
• vari segmented mumuviri iri nhamba mukuru, sezvo ivo kutamba basa kutsigira nhengo.

Eosinophils - rudzi anodzivirira chipingamupinyi pamusoro ose utachiona, uye vanoonekwa kakawanda kana mumuviri womunhu mberi chisimbwa, kenza kana autoimmune zvokurwara.

Lymphocytes vari kubatsira kuti pave antiviral rokuzvidzivirira, nokuti anokwanisa yokugadziridza wake ndangariro maantigen uye dzinoshanda pakugadzira antibodies.

Monocytes ari kuenda akafanana neutrophils, asi zvisingapindirani kuti havana kukwanisa kwete chete kuti andobata nokuparadza utachiona asiwo kupinza masero akafa, saka ivo unonatsa ropa, vachibvumira munyama kuti apore.

Basophils kuoneka mune nguva apo muviri neutachiona kuitika, havaiti kuti mabhakitiriya anokuvadza uye zvinokachidza kubva kupararira.

Leukocyte ropa count (inopangidza vana 2 makore, uye chero mumwe siyanei) kuongorora mamiriro murwere, kudoma kukomba kwechirwere chacho, chii chinoita uye chii chakaita migumisiro angava.

Sei kuziva nzira ropa uye kana kubatwa?

Doctors mune murwere kunyunyuta zvose pakarepo varayire kuongororwa ropa. WBC (inopangidza vana vemazera akasiyana-siyana) zvicharatidza hutachiwana kuzvimba kana yokumwe muviri mumuviri.

Analysis nachiremba izvi zvinhu:

• panguva chokudzivirira ongororo;
• vana kubva pakuzvarwa kusvikira gore rimwe;
• pamberi munhare nezuva majekiseni;
• kana tichironga pamuviri;
• kana kureva zvipatara pamwe vanofungidzirwa zvokurwara;
• imwe exacerbation ane chirwere.

Kana zviratidzo zvakadai semanyoka, usiku sweats, node raiva pedyo nebundu nedumbu, zvinoderedza uremu, vakashanda kufema, ropa leukocyte anoonekwa payakavakirwa (inopangidza). Lymphocytes akawedzera? Zvadaro unogona pakarepo kusarudza chii akaparirwa zviratidzo. Zvinonzi Dzakamukurudzirawo kuita chidzidzo ichi, kana murwere ane fivha, chills, kutemwa uye muviri pari.

chidobi ongororo

Kuverenga differential ropa rikoshe pamwe zodzera ropa, unofanira kupedza mashoma chaizvo kumonyanisa yakaomeswa, kubatwa dhayi chaiyo, uye funga mashoko nemaikorosikopu. Laboratory inokurukura chete masero iwayo zvinoonekwa pasi maikorosikopu sokuvapo mugumisiro hakurevi kunhonga zana, kana kunyange masero mazana maviri.

Tikaverenga leukocytes anoitisa rabhoritari nemaziso vachishandisa maikorosikopu. masero eropa machena anoparadzirwa vanoiswa pamusoro pemvura zodzera: eosinophils, basophils, uye monocytes kuonekwa pedyo micheto, asi lymphocytes - pakati.

Kuverenga wevanamakanika maviri zvinonyatsozivikanwa-kuziva nzira:

• Schilling nzira iyo anobvumira kuona uwandu muzvikamu 4 a zodzera leukocytes;
• Filipchenko nzira, iyo inosanganisira kupatsanura nevanga migove mitatu uye poocherodnoe mufambiro kuverengwa.

Mune mamwe chimiro calculators dzinoti nhamba masero vakaverengwa uye pashure nomumwe mhando leucocytes voga.

Zvinofanira akati kuti yakadaro sero count - nzira hakusi yakarurama kwazvo, uye zvose nokuda pane vazhinji zvakaoma-kune zvinhu izvo zviri kuita kukanganisa kwavo: kukanganisa panguva mharidzo muunganidzwa, kugadzirira uye kupenda vanhu sitiroko, munhu muviri, vanhu chinhu apo nokududzira zvabuda. Chichiitwa anoverengeka siyana masero anowanikwa zodzera - iri gogonera kuparadzira, zvichiita kuti zviome kuverenga.

Kana uchida kuva zvakarurama mugumisiro, dzemaitirwe rinoitwa leukocyte indices, inomiririra nhamba rakasiyana-siyana leukocytes, uye dzimwe nguva kuongorora inocherechedzwa nyaya uyere ESR.

mhando iyi indekisi anogona kuona kwokuomerwa kudhaka uye tsanangura muviri anogona kuchinja, kuti ndiye, kukwanisa kuchinja migumisiro muchetura uye kubata navo nenzira utano. Mukuwedzera, dzinopa mukana:

• kuwana zvose zvakafanira mashoko ari pamusoro murwere ezvinhu;
• vaongorore kuti zvirwere inoshanda;
• kuona kurwisa kwemuviri;
• kuona pachiyero immunological reactivity.

Norma leukocyte hazvibatsiri ari yevagari akura

Leukocyte ropa yemaitiro, decoding mune vakuru nevacheche chinofanira kuitwa nyanzvi, ane mano pakarepo kuona zvishoma shanduko uye kupa yakakodzera kurapwa yakaoma, rine inokosha parameters. Asi munhu wose achakwanisa enzanisa pachake kuita kwavo mureza pachisara unofanira kuva pfungwa chii unogona kuona kukosha mariri, uye panguva iyoyo Kuchinja yavo pakati mapato:

• Chizenga - ndiwo puroteni chaiyo chinowanikwa ropa masero matsvuku basa rokutakura okisijeni kuburikidza nhumbi ropa. Normal Men - 130-160 g / L, nokomukadzi mutumbi 120-140 g / l. Kuwedzera Chizenga pamwero angabvuma, mumwoyo matambudziko, chirwere cheshuga kana hosha yacho hematopoietic ezvinhu, asi kana ari pamwero yakaderera, ipapo zvingaratidza kupererwa neropa uye neleukemia.
• masero matsvuku eropa kutakura okisijeni uye carbon dioxide. Norma ropa ravo sezvinotevera: Varume - 4,0-5,0 × 1012 / L vakadzi - 3,6-4,6 × 1012 / L. Kuwedzera pamwe sinusitis, bronchitis, uye zvimwe zvirwere kufema, uye pasi pamwero inoratidza utachiona uye utachiona.
• Hematocrit - nechiidzo sei kurondedzera vhoriyamu masero matsvuku eropa kune zvachose Vhoriyamu plasma. The zvazvingava vanhurume 42-50%, vakadzi - 34-47%. Kurera zvinodiwa munogona cheshuga, kupera muviri, matambudziko mwoyo uye kufema zvomukati, uye vakaderera - ne kupererwa neropa kana itsvo kukundikana.
• Masero ropa dzinoshanda dziviriro yezvirwere mumuviri. Ndivo chikuru, kana kuongorora ropa leukocyte fomura. wokuyera vakuru - 4,0-9,0 × 109 / L. Kana vari yakakwirira, inoratidza imwe purulent kuzvimba, neleukemia, rikwanise rheumatism uye kenza.

Sezvambotaurwa, chena ropa masero muropa kuongorora dzinoturwa munzira dzakawanda.

• Neutrophils vari: segmented kana uchibaya ichi ndicho chinonyanya vakawanda mhando foni kuti rine ropa leukocyte fomura. Tsanangudzo segmented neutrophils chaiye vakura iri kuwanda 50-70%, uye uchibaya - 1-3%. uwandu hwavo kungava kupfuura dzose munyika oncology, kuzvimba zvomukati uye Kukundikana metabolic kwendangariro. Asi kuderera kwavo uwandu hurukuro pamusoro chirwere, ropa zvokurwara uye thyrotoxicosis.
• Eosinophils - chena muropa masero kuti vanorwa masero kenza, vanobatsira vanatse muviri kutapukirwa uye muchetura. Blood wokuyera nedzevakuru 1-5%. Dzakakwirira siyana anoratidza kwavo chirwere, namamota, zvirwere ropa, uye kuderera rinoratidza kudhaka kana purulent pezvakaitwa.
• Monocytes - mumwe pakukura kukura mhando ropa masero machena kuti vazive yokumwe zvinhu mumuviri. count Leukocyte ropa (inopangidza nedzevakuru) Anoti kuti monocytes anowanzoita kuva 3-9%. The nekumwisa ndozvakajairwa kunoratidza kuvapo nemavhairasi kana fungal utachiona, uye kuderera kwemitambo aplastic kupererwa neropa kana septic potalogiyah.
• Basophils zvinobatanidzwa pakugadzirwa anogumbura zvinoitwa kunonoka mhando. zvazvingava ravo 0.0-0.5%. Kwazvo izvozvo zvingaratidza pamberi neutachiona, thyroid pathologies, myeloid neleukemia, chibhokisi, hemolytic kupererwa neropa.
• Lymphocytes - mufananidzo masero machena eropa kuti vanobatanidzwa munyaya cellular uye humoral kutapata nokuda antibodies. Norma navo paropa vakuru - 20-40%.

Kubva apa zviri pachena sei chakaipa mumatunhu anopa count leukocyte ropa (inopangidza nedzevakuru). wokuyera vana zvishoma yakasiyana uye kuziva chii zvinoratidza.

Chii kuudza vana ropa count

Zvakasiyana yekudyidzana kubva vakuru. Saka, kubva 1 gore 3 makore segmented reshiyo kunofanira mukati 32-50%, uye uchibaya kwete kupfuura 1%, uyewo basophils. Eosinophils vanofanira kuva pakati 1 uye 4%, uye lymphocytes - 38-58%, monocytes - 10-12%.

Leukocyte ropa yemaitiro, decoding kuvana 5 makore haachinji, parameters zvose kuramba chete. Musiyano uripo badzi segmented neutrophils kuwedzera kubva 36 kusvika 52% uye kuderera pamusoro lymphocytes kusvika 33-50 muzana.

mitemo chaiwo kushandura bvunzo ropa chena masero eropa vasingadaro. Kana zvakasiyana siyana pathologies chazvo chinogona siyana zvakafanana, asi kana mumwe chirwere chinogona zvakasiyana-siyana pakati varwere, uye hwakabatana pamwe chete nomumwe zvechadenga muviri.

Yakakwirira chena ropa masero zvokuti vanogona?

Kana chiremba anokurudzira kuongororwa ropa, ipapo zvose leukocyte ropa count ichakurukurwa. Decoding mune vana nevakuru zvingaratidza nokuwedzera kwenhamba neutrophils, mu mushonga anonzi neutrophils, uye anoratidza inflated nhamba iri:

• kuvapo chirwere, izvo zviri kukonzerwa utachiona, notumwe tupukanana vamwe nemavhairasi kana majemusi;
• kutanga kuzvimba Somuenzaniso, kungava rheumatism, pfungwa nomuviri zvemwana asati, peritonitis, dermatitis uye vamwe;
• chimiro namamota muna rimwe mitumbi;
• chepfu kubudikidza rinorema simbi;
• endogenous kudhaka;
• ischemic necrosis kuti munyama;
• kutora zvimwe zvinodhaka kuti anogona kuchinja Zvinoumba Ropa;
• kuvapo kushushikana mupfungwa murwere upenyu kana utano kushushikana, akadai ezvinhu rinowanzoberekera pashure kuvhiyiwa.

The nhamba yakawedzera kubva lymphocytes - lymphocytosis, anogona kunongedzera:

• kunzwisisa siyana zvinotapuriranwa, kusanganisira HIV, mononucleosis, chenjera chaikonzerwa noutachiona, whooping chikosoro, hepatitis;
• zvokurwara, maererano hematopoietic hurongwa: chisingaperi lymphocytic neleukemia, chirwere Franklin raMwari, lymphosarcoma;
• chepfu muchetura uye inorema simbi.

Yakakwirira kwevari eosinophils - eozinofeliya zvingaratidza:

• kupinda mukati mumuviri tupukanana;
• chirwere wakatsamwisa nokuvapo majemusi;
• chisimbwa, iyo runoratidzwa muchimiro eczema, asima, nouswa kana chinokosha vamwe kusashivirirana inogadzirwa;
• myocardial infarction.

Zvakakura ndiyo uwandu monocytes kana monocytic neleukemia chiratidzo pulmonary tibhii.

nhamba yakawedzera kubva basophils izvo zvinoumba zviduku mugove leukocytes, anogona kuratidza chirwere maronda colitis kana kuumba achimhanya zvirwere ropa.

Sezvo zviri pachena kubva apa, ropa leukocyte wevacheche, decoding vana uye vakuru, zvinokosha zvikuru, nokuti rutendo kwaari, unogona kukurumidza kuona zvinetso zvoutano uye kutanga kurapwa.

Akaderedza ropa Masero panguva iyoyo?

Akaderedza neutrophil count zvingaratidza pamberi abnormalities akadaro murwere:

• dzihwa, huku pox, hepatitis, rubella;
• fivha uye brucellosis;
• typhus uye marariya;
• simba rokuzvidzivirira vakwegura;
• zvirwere ropa: neleukemia, simbi kushaikwa kupererwa neropa, uye vamwe;
• kugamuchira zvinodhaka anticancer;
• anaphylactic kugwinha;
• vachiberekwa neutropenia.

Kana leukocyte ropa payakavakirwa rukasimbiswa nokuda (zita), lymphocytes pazasi ndozvakajairwa nemabasa ahwo, unogona kunongedzera zvirwere zvakadai:

• chenjera chimiro chirwere;
• immunodeficiency;
• miliary tiibhii;
• aplastic kupererwa neropa;
• lupus erythematosus;
• itsvo zvokurwara.

Rutapudzo pamusoro eosinophils mitemo rwakavapo zvisingawanzoitiki zviitiko, zvingaratidza:

• anoshungurudza ezvinhu kana kuvhunduka;
• mavambo kuzvimba;
• purulent chirwere chakakomba.

ropa fomura mu vacheche

Leukocyte ropa yemaitiro, decoding vana azvarwa siyanei uye zvinoenderana nezera. In yokutanga mwedzi azvarwa vana Kuumbwa WBC, zvichava ichengetwe kusvika munenge rimwe gore zera. Zviratidzi vari vacheche dzinotsauka, vanogona zvakasimba kwakakanganiswa zvirwere zvinokonzerwa nemamiriro okunze uye kufunganya. Kwemakore matanhatu neutrophils uye lymphocytes yova huru, uye makore 15 nzira zvikuru sevaya vakuru.

Saka, sezvo mwana inokura, ake ropa leukocyte fomura. Decoding muvana 6 makore akatsiga zvikuru uye haachinji zvikuru Zvinyamusi sezvinoitwa vana. Neonates neutrophils vari kuwanda 51-71%, pamazuva okutanga pashure pokuberekwa ichiwedzera uye, pashure zvishoma nezvishoma shoma. Kuwanda lymphocytes kuri kusagadzikana uye 15-35%, uye masikati 14 upenyu pamwero kunosvika 55%, asi kana mwana ari vhiki vatana makakombama pakati lymphocytes uye neutrophils wekuita kufanana mharadzano zvokurapa rinonzi wokutanga muchinjikwa, asi zvakawanda pamusoro paikoko .

Panyaya basophils, ivo neonates kwete, monocytes muropa riri 6,5-11%, uye vhiki yakatevera nhamba yavo yakawedzera kusvika 14.1%, rezasi panogumira - 8.4%. Minimum uwandu yeplasma masero - 6,4-11,2%. In vacheche kubva pazuva rokutanga kusvikira kune rechinomwe pane zvinoonekwa kuchinja kuti kusiiwa Schilling, izvo yakaiswa panoperera vhiki yokutanga.

Mumwedzi yeupenyu achangoberekwa wavhomorwa pachena ropa leukocyte wevacheche, decoding mune vana pasi rimwe gore kunosiyana-siyana pamusoro-siyana, asi 6 makore ari nzira unoiswa uye asingauyi kusvetukira kuchangotanga mupfungwa.

kusuduruka fomura

Nemhaka yazvino, nhasi otomatiki analyzers ropa kubvumira tichitsanya chaizvo, uye Chikurukuru zvakarurama kuverenga leukocyte chimiro, izvo yekudyidzana aivabatsira nechirwere uye kugadzwa kuongororwa zvakarurama. Panguva Decryption kuti ongororo anotora kuchinja nhamba vakura uye saibva neutrophils Kufunga, sezvo iri nzira ropa chipo dzakasiyana siyana uye akanyorwa kuti kubvira vaduku kukura, kuverengwa iri kuruboshwe.

Wevanamakanika anogona kugadzirisa marudzi inoverengeka yokuchinja kuti anoratidza pathologies siyana.

Kana paiva iya kuruboshwe, ropa chipo myelocytes uye metamyelocytes. Kuchinja kwakadaro kungaratidza pezvakaitwa dzakadaro:

• chenjera anogumbura prostatitis, orchitis;
• purulent chirwere;
• chenjera ropa;
• acidosis;
• Kusvibisa ne tsvina;
• dzakakwirira zvinorema.

Kana count leukocyte ropa (inopangidza nedzevakuru) kwave riitike, ndozvakajairwa muchiitiko ichi yaputswa, anoratidza kuruboshwe kuchinja pamwe rejuvenation, ipapo ichi zvingaratidza pamberi pathologies dzakadaro:

• neleukemia;
• erythroleukemia;
• kupararira metastasis;
• myelofibrosis;
• pakoma.

Perekrestov leukocyte

Mashoko aya anooneka apo vaiona yemaitiro leukocyte ropa, mwero vana 3 nemakore kana mumwe zera. Muchiitiko chino, zviri kugadzikana. Kana munhu mukuru, chero zvachinja kuongorora inoratidza zvokurwara kana kuvapo zvinokuvadza zvipenyu, ipapo vana kuchinja izvi anogona chokuita paumbwe kutapata. Fani iyi haina vaiona pathological uye kuipa, asi zvakakosha, kuchinja kwakadaro havasi kusuwa chirwere.

First takayambuka kunoitika mumazuva 7 upenyu chokutanga kana yokuenzanisa uwandu neutrophils uye lymphocytes anotevera lymphocyte kugutsikana kunowedzera, uye neutrophils, Ukuwo, kunoderedza. kuchinja kwakadaro kunowanika muvanhu uye kwete nechikonzero chokunetseka.

Kuyambuka wechipiri anodiwa kwemakore 5-6, uye zviratidzo chete 10 anogona kuuya pedyo ndeipi ndozvakajairwa nedzevakuru.

Blood ongororo - iri chakakomba zvikuru pachisara kuti havafaniri kungosiyiwa. Chete magiramu shoma ropa - uye rose mufananidzo wakajeka. Unogona kuona kuchinja chero kuti zvichaita kuongorora utano murwere, uye kuona kunyange vaya zvirwere zvisati rakazviratidza muchimiro zviratidzo.