Neutropenia mwa ana

Neutropenia kapena agranulocytosis ndi matenda a magazi omwe mlingo wa leutrophilic leukocyte umachepetsedwa kwambiri. Kachilombo ka neutrophils m'magazi kumapangitsa kuchepetsa chitetezo chokwanira komanso kuwonjezeka kwa mabakiteriya, tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, ndi zina zotero. Kawirikawiri leutrophilic leukocyte kuwerengedwa m'magazi ndi 1500/1 μl. Malinga ndi msinkhu wa kusowa kwa neutrophil, katatu katatu a matendawa ndi osiyana: ali ofatsa, ochepa komanso ovuta.

Neutropenia kwa ana mpaka chaka chingakhale ndi mitundu iŵiri: yovuta (pamene matendawa amadza mwadzidzidzi, mofulumira) ndi osapitirira (amayamba miyezi kapena zaka zingapo).

Neutropenia mwa ana: zimayambitsa

Neutropenia mwa ana ukhoza kuyambitsidwa ndi matenda osiyanasiyana, kapena kukhala ngati zovuta zosiyana. Nthaŵi zambiri, neutropenia imayamba chifukwa cha kugwiritsa ntchito mankhwala ena nthawi yayitali - antimetabolites, anticonvulsants, penicillin, mankhwala osokoneza bongo, ndi zina zotero. Nthaŵi zina, matendawa amatha kudziwika (ndiko kuti, mwina ndi zotsatira zake), mwa ena sichidalira kukonzekera, mlingo ndi nthawi yolandila.

Congenital neutropenia ndizovuta kwambiri. Kuperewera kwa kupanga neutrophilic leukocyte kungayambidwe ndi choloŵa choloŵa cholowa kwa matenda, pancreatic pathologies, HIV kapena impso kulephera. Zina mwa zifukwa za matendawa ndi khansa, matenda a mafupa, B13 avitaminosis ndi folic acid.

Neutropenia kwa ana: zizindikiro

Zizindikiro zina za neutropenia sizilipo. Zochitika zachipatala za matendawa zimadalira matenda omwe sanagwiritsidwe ntchito. Kulemera kwa mtundu wa neutropenia kwa ana, ndikovuta kwambiri matenda opatsirana. Pambuyo pa kuphwanya ntchito ya chitetezo kumachepetsa chitetezo, thupi limakhala loopsya komanso lofooka. Choncho, nthawi zambiri ma neutropenia amapezeka ndi kuwonjezeka kwa kutentha, kufooka, maonekedwe a zilonda ndi zilonda pa mucous membrane, kukula kwa chibayo. Kawirikawiri ankawona kutenthedwa, arrhythmia, tachycardia, kuwonjezeka thukuta, kuzizira. Pazifukwa zovuta, ngati palibe chithandizo chamankhwala chokwanira, neutropenia ikhoza kuchititsa mantha kwambiri.

Neutropenia kwa ana: mankhwala

Kusiyanasiyana kwa chithandizo cha neutropenia kumadalira zifukwa zake. Koma mulimonsemo, chimodzi mwa zolinga zofunika kwambiri ndiko kulimbikitsa chitetezo cha wodwalayo ndikumuteteza ku matenda. Malingana ndi mawonekedwe ndi kuopsa kwa matendawa, chithandizo chingakhale mwina kunyumba, ndi malo. Koma mulimonsemo, pangozi ya thanzi labwino, ndipo makamaka pamene kutentha kumatuluka, wodwala ayenera kufunsa mwamsanga dokotala. Pochizira mabala a mucosal, zopukusira ndi salt solution, chlorhexidine njira kapena hydrogen peroxide amagwiritsidwa ntchito.

Perekani magulu awa a mankhwala: mavitamini, maantibayotiki ndi glucocorticoids, kuwonjezera apo, mankhwala osiyanasiyana angatchulidwe (kachiwiri, malingana ndi mawonekedwe ndi zifukwa za matenda). Pa milandu yoopsa, odwala amaikidwa muzowonongeka kuti ateteze ku matenda opatsirana.