Neutropenia hauv cov menyuam yaus

Neutropenia los yog agranulocytosis yog ib hom kab mob ntshav uas nyob rau theem ntawm neutrophilic leukocytes txo qis. Ib qho me me ntawm neutrophils nyob rau hauv cov ntshav ua rau poob rau hauv kev tiv thaiv thiab nce raug rau cov kab mob pathogenic, viruses, pathogenic microflora, thiab lwm yam. Qhov nquag ua cov leucocyte suav hauv cov ntshav yog 1500/1 μl. Nyob ntawm theem ntawm neutrophil tsis muaj peev xwm, peb qhov degrees ntawm qhov muaj tus kab mob zoo li no: me, nruab nrab thiab loj heev.

Neutropenia hauv cov menyuam yaus mus txog rau ib xyoos yog ob hom: mob qog (thaum muaj tus kab mob sai sai, sai sai) thiab muaj mob ntev ntev (tsim muaj rau lub hlis los yog ntau xyoo).

Neutropenia hauv cov menyuam yaus: ua rau

Neutropenia hauv cov menyuam yaus tuaj yeem tshwm sim los ntawm ntau yam kabmob ntawm cov ntshav, lossis tsim tau qhov txawv txav. Feem ntau, cov kab mob neutropenia vim yog siv cov tshuaj siv ntev mus - antimetabolites, anticonvulsants, penicillin, antitumor drugs, etc. Hauv qee zaum, tus kab mob no yog kwv yees (qhov no yog, nws yog ib qho ua rau sab nraud), hauv lwm tus nws tsis nyob ntawm qhov kev npaj, noj tshuaj thiab sijhawm ntawm kev nkag.

Congenital neutropenia yog ib qho tsis tshua pom muaj tsawg. Tsis muaj peev xwm nyob rau hauv kev tsim tawm ntawm neutrophilic leukocytes tuaj yeem tshwm sim los ntawm qhov kev xeeb tub ntawm tus kab mob, tus kab mob pancreatic, HIV lossis lub raum tsis ua hauj lwm. Ntawm qhov ua rau tus kab mob tseem muaj mob cancer, pob txha hlwb pob txha, B13 avitaminosis thiab folic acid.

Neutropenia hauv cov menyuam yaus: Cov tsos mob

Qee cov tsos mob ntawm neutropenia tsis muaj nyob. Clinical manifestations ntawm tus kab mob nyob ntawm seb tus kab mob uas tsim tawm tsam nws keeb kwm yav dhau. Cov hnyav hauv daim ntawv ntawm neutropenia hauv cov menyuam yaus, qhov ntau cov kab mob kis tau. Tom qab ua txhaum txoj haujlwm ntawm kev tiv thaiv ua rau txo kev tiv thaiv, lub cev ua tau yooj yim thiab qaug zog. Yog li, feem ntau ntawm neutropenia tshwm sim nrog ib qho ntse nce siab ntawm kub, tsis muaj zog, pom qhov mob ntawm qhov mob thiab qhov txhab nyob rau hauv cov hnoos qog, kev txhim kho mob ntsws. Tsis tas li ntawd, feem ntau pom cov qoob loo, arrhythmia, tachycardia, ntau tawm hws, ua daus no. Thaum mob hnyav, thaum tsis muaj kev saib xyuas kev kho mob, neutropenia tuaj yeem ua kom muaj kev phom sij.

Neutropenia hauv cov menyuam: kev kho mob

Qhov txawv ntawm kev kho cov neutropenia nyob ntawm seb nws ua li cas. Tab sis txhua lub case, ib qho ntawm cov hom phiaj tseem ceeb tshaj yog ntxiv dag zog rau tus neeg mob cov kev tiv thaiv thiab tiv thaiv nws ntawm kev kis mob. Nyob ntawm daim ntawv thiab mob hnyav ntawm tus kab mob, kev kho mob yuav yog hauv tsev, thiab nyob ruaj ruaj. Tab sis nyob rau hauv txhua rooj plaub, nyob rau hauv lub slightest deterioration ntawm kev noj qab nyob, thiab txawm ntau li ntawd thaum thaum lub ntsuas kub nceb, tus neeg mob yuav tsum tau tam sim ntawd sab laj ib tus kws kho mob. Rau cov kev kho mob ntawm qhov txhab mucosal, yaug nrog saline kua, chlorhexidine ntsiab los yog hydrogen peroxide.

Muab cov pawg nram qab no tso: vitamins, antibiotics thiab glucocorticoids, ntxiv nrog, ntau cov tshuaj tuaj yeem kho (dua, raws li daim ntawv thiab ua rau muaj tus kab mob). Hauv cov mob hnyav, cov neeg mob tau muab tso rau hauv cov mob uas tsis huv los tiv thaiv lawv ntawm kev kis kab mob.