Leukopenia: Zvinokonzera, kuongorora chirwere uye migumisiro

Leukopenia - kuderedza leukocytes mu peripheral ropa pazasi 4x10 / l. mamiriro ichi hakusi vasiri musiyano pakati ndozvakajairwa, uye anogara kuratidzwa zvokuva Kumwe kuchinja kunotanga mumuviri. Leukopenia kunoitika munyika dzinoverengeka zvirwere zvinokonzerwa nemavhairasi uye kwemabhakitiriya etiology. The anowanzodanwa kuwanikwa nemwaranzi, izvo chinoita: sefivha, brucellosis, nemavhairasi chiropa, visceral leishmaniasis, miliary tibhii, munhu kuramba tichishanda septic myocarditis. Kureva, zvinogona zvose chakasimba uye chisingaperi zvirwere.

Chenjera zvirwere zvinogona chirwere nemhaka yokuwedzera mumuviri tembiricha, kwese chiremba mumarabhoritari tsvakurudzo Data. Leukopenia, izvo zvinokonzera marariya uye tick nezvipembenene spirochetosis zvingaitika intermittently uye akacherechedza panguva kurwisa chirwere panguva imwe chete kukura neutropenia uye lymphopenia. Munguva extraseizure vakachengeta hama lymphocytosis, uye monocytosis.

Chenjera uye chisingaperi kuzvimba, kusanganisira, uye septic zvirwere leukopenia kukura kunokosha chokukomborerwa shoma reactivity of zvirwere, kunyanya vari varwere vakwegura uye akaondoroka. Persistent leukopenia kwakakurumbira zvokudya zvinovaka muviri, vanoverengeka diffuse connective zvinyama, izvo zvinosanganisira chinonzi systemic lupus erythematosus, periarteritis nodosa uye Felty kuti syndrome. Chimwe chezvinhu zvikuru zvirwere connective zvinyama riri chinonzi systemic lupus erythematosus. Inogona chirwere pachishandiswa zviratidzo zvakadai dermatitis, polyserositis, arthritis, polyarthralgia, kuramba fivha, rinooneka yakawedzera ESR, kuvapo ari peripheral ropa kana akananga lupus lyupusnyh masero uye yakakwirira antinuclear antibody titer. Felty chirwere anoratidza kukanganisa majoini, fivha, akawedzera chirwatata uye node nodes uyewo zviratidzo kupererwa, yakawedzera erythrocyte sedimentation zvazvingava, mukuru kwevari RA chinhu uye antinuclear antibody.

At mwero kupererwa neropa uye thrombocytopenia, leukopenia zvinogona kuvakanganisawo. Zvikonzero ezvinhu akadaro zvinowanzobatanidzwa splenomegaly (akawedzera chirwatata), iro rinowanikwa kakawanda chaizvo chiropa cirrhosis.

Leukopenia raznoobrazobraznye kuitwawo zvirwere ropa hurongwa. zvirwere zvakadai angava kupererwa neropa uye neleukemia. The inonyanya nemwaranzi, zvinokonzera ayo chokuita rikwanise neleukemia, kupererwa neropa Addison-Birmera uye hypoplastic inoti uye aplastic kupererwa neropa. The chirwere pamusoro rikwanise neleukemia iri kunobva kuenda chirwere chakakomba neta neta, suppurative septic uye Hemorrhagic syndromes, uyewo kudzidza pamusoro mwongo punctate ropa kuongorora uye vakagwinya kuchinja.

Kazhinji leukopenia mu zvirwere kwemakemikari anobudiswa hurongwa - thyrotoxicosis, acromegaly, adrenal insufficiency. Zvichida iye uye chisingaperi kuzvimba mune cavernous miviri nemudumbu.

Leyopeniya rinowanzoberekera sezvo muviri apindura mishonga yokurapa kenza. Kushandisa chemotherapeutic kugadzirira mwoyo nhengo dzose uye hurongwa. Mushure kurapwa leukopenia, yakabuda zvishoma nezvishoma haazombotaurwi munguva mishonga. Nokufamba kwenguva, nhamba leukocytes muropa anodzorerwa dzose zvishoma nezvishoma.

Takurukura kukonzera yakaderera ropa leukocytes. Chii chero chirwere kwave akabatanidza leukopenia, zvakaipira ichi vari unopinza kuderera mumuviri dzokuzvidzivirira. Somugumisiro, panguva leucopenia kazhinji vakabatana zvinotapukira septic zvirwere zvakasiyana-siyana, yekudyidzana complicating huru chirwere.