Xakamaynta Neefta Loo-shaqeeyaha sida Jawaab-celiyaha First-Line ee Caabuqa
Neutrophils, oo loo yaqaan 'neurocytes', waa nooca unugyada dhiigga cad ee udub dhexaad u ah nidaamka difaaca jirka. Iyada oo qayb ka ah difaaca difaaca jirka ah , nutrophils waxay u dhaqmaan sida jawaabta ugu horeysa ee caabuqa, weerarka bakteeriya, fayrasyada, iyo cudurada kale.
Neutrophils ayaa sidoo kale loo gudbin karaa sida fagocyt (macneheedu waa in la cuno iyo caanaha macneheedu) marka ay jidhka ka ilaaliyaan iyaga oo diyaargaroobaya nooleynta beeraha.
Waxay ka soo baxaan dhuuxa lafaha waxayna xisaabiyaan qiyaastii 50 illaa 70 boqolkiiba unugyada dhiiggaaga cad.
Waa maxay Naasnuujiyeyaashu Samee
Nidaamka difaaca jirka difaaca, nutrophils waxay leeyihiin awood dheeri ah (macneheedu waa awoodda si dhaqso ah u guurto) oo awood u leh inay ku wareegaan wakiil infekshan si loo dilo. Marka laga reebo in la qaado cudurka "pathogen", neutrophils waxay sii deyn kartaa mukhaadaraadka (unugyada dila) ee si toos ah uga takhalusi kara noolaha.
Neutrophils ayaa awood u leh in ay helaan ugxantooda iyada oo loo marayo habka loo yaqaan chemotaxis taas oo ay u aqoonsadaan kiimikada la sii daayo by gooyo ama jarjar iyo u dhaqaaqaan "murugo" si toos ah.
Tani way ka duwan tahay difaaca jirka ee labaad-kan oo soo saaro unugyo loo diyaariyey in la dilo cudurkan iyo pathogenka kali ah. Dhibaatada nadiifka ah, marka la barbardhigo, waxay dilaan aan gaar ahaan ahayn, weeraraan wax kasta oo aan "urin" xaq.
Neutrophils waxay ka jawaabaan infekshannada labadaba jirka gudihiisa iyo dusha sare ee maqaarka.
Maskaxda , mid ka mid ah waxyaabaha soo saaro infekshinka maqaarka, ayaa badanaa ka kooban nutrophil, bakteeriya, iyo unugyada maqaarka.
Maxay Nimaxafroolistu noo sheegeen
Nutrophils ayaa lagu tiriyaa qeyb ka mid ah baaritaanka dhiigga ee buuxa (CBC) . Baaritaan kale, oo la yiraahdo kala duwanaanshaha WBC , ayaa tilmaamaya boqolkiiba nooc kasta ee unugyada dhiigga cad ee dhiig muunad ah, oo ay ku jiraan nutrophils, lymphocytes, monocytes, basophils, iyo eosinophils.
Dhanka kale, tirooyinka nukofilnimada (ANC) ayaa nagu sheegaya in tirada unugyadaasi ay ku jiraan dhiigga oo leh qiyaas caadi ah "caadi ah" inta u dhaxaysa 1800 iyo 7800 oo unugyada microliter (mL).
Tirada neutrophil oo loo yaqaan ' neutrophilia' , waxaa sababi kara infekshin kasta, xanuun, ama caabuqa kaas oo ka dhigaya nidaamka difaaca jirka. Neutrophilia wuxuu ku badan yahay appendisitis, gubasho halis ah, noocyada qaar ee leukemia, iyo xaalad kasta oo keenta barar daran (sida wadne qabadka).
Taas bedelkeeda, tiro tiradoodu hooseyso, oo loo yaqaano ' neutropenia' , waxaa sababi kara sepsis , chemotherapy, daaweynta shucaaca, iyo jirro xoog leh oo ka mid ah qalabka korontada. Dadka qaarkiis, neutropenia waxay noqon kartaa mid joogto ah (socota oo joogto ah) halka kuwa kale ay noqdaan kuwa ku-meel-gaar ah (badanaa ka jawaab celinta cudur ama daroogada).
La socoshada Nutrophils ee Daaweynta Kansarka
Inta lagu jiro daweynta kansarka , tirakoobka neutrophil ayaa si joogto ah loo hubiyaa si loo go'aamiyo sida nidaamka difaaca uu uga jawaabayo cadaadiska shucaaca ama kemotherabi. Cudurka neutropenia wuxuu si caadi ah u yahay xaaladahaan waxaana loo kala saari karaa sida:
- Cudurka neutropenia ee yar yar (ANC ee ka hooseeya 1500 unug / mL) kaas oo khatarta ugu yar ku jirta cudurka.
- Cudurka neutropenia ee dhexdhexaadka ah (ANC inta u dhaxaysa 1000 iyo 500 unugyada / mL) taas oo keenaysa khatar yar oo cudur ah.
- Nutro-yari daran (ANC oo ka hooseysa 500 unug / mL) taas oo keeneysa khatar aad u daran.
Haddii ANC ay hoos u dhacdo ilaa 500 unug / mL, dhakhtarkaagu wuxuu u badan yahay inuu qoro daawooyin si uu u wanaajiyo heerarka neutrophil oo laga yaabo inay bixiyaan koorso antibiyootiko ah si looga hortago caabuq halis ah.
> Isha:
> Xirfadaha, L .; Hiemstra, I .; Kuijsper, T .; et al. "Neurophils in kansarka." Immunol Rev. 2016; 3273 (1): 312-28.