Analysis ntawm cov ntshav thiab seev suab nyob rau hauv cov me nyuam - uas yuav qhia tau?

Niaj hnub nimno cov tshuaj ua rau nws kim heev kev siv ntawm ntau yam txoj kev tshawb nrhiav ntawm lub cev, nyob rau hauv lub sij hawm kom ib tug mob, txiav txim kev kho mob zoo. Cov kev yog nyuab, tab sis nyob rau hauv Feem ntau, feem ntau nws pib nrog ib tug yooj yim cov ntshav mus kuaj Nrog rau txoj kev loj hlob ntawm cov feem ntau mob.

Analysis ntawm cov ntshav thiab seev suab nyob rau hauv cov me nyuam yog ib tug loj qhov chaw ntawm cov ntaub ntawv hais txog cov kev kho mob ntawm tus me nyuam. Txawm yog hais tias tus me nyuam thiab yog tsis muaj express manifestation ntawm ib tug kab mob, ib txoj kev xws li ua kom tiav cov ntshav count , cov kws kho mob pom zoo kom mus ua ib tug prophylactic kev ntsuas tsis tsawg tshaj li 1 lub sij hawm nyob rau hauv ib nrab ib xyoo. Thiab muaj ntau ntau zoo yog vim li cas. Ib tug tsis ntev los no daim ntawv ntsuam xyuas los ntawm lub koom haum of Pediatrics pom tias 80% ntawm cov me nyuam pejxeem suffers los ntawm ib tug thaum daim ntawv ntawm anemia. Qhov no yog tshwj xeeb tshaj yog muaj tseeb nyob rau hauv environmentally disadvantaged cov cheeb tsam ntawm lub teb chaws. Lawv ua txuj coj zoo li ib tug mob tej zaum yuav tsis qhia tej yam mob cov tsos mob, tab sis, cov me nyuam muaj ib tug tseem ceeb lag nyob rau hauv lub cev txoj kev loj hlob thiab txo kev tiv thaiv, thaws rov los nyob rau hauv lub heev mob khaub thuas.

Cov ntshav yog coj feem ntau yog los ntawm lub distal ncoo ntawm nruab nrab ntiv tes nrog ib tug menyuam tsis taus pov tseg Lancet li hais tias ib tug ntshai kis tau tus mob - los yog tsis muaj tus kab mob. Ib tug ob peb tshiab tee ntshav uas yog siv rau tib lub muaj menyuam tsis taus iav swb thiab tsau. Analysis ntawm cov ntshav thiab seev suab nyob rau hauv cov me nyuam nqa tawm los ntawm ib tug uas muaj ib tug kawm ntawv qib siab. Hais tias yog, qhov chaw lab kuaj ua xwb tus xov tooj, cia nyob ib leeg txhais lawv nyob rau hauv cov nqe lus ntawm diagnosing tus me nyuam los yog tias tus kab mob yuav tsuas yuav ib tug kws kho mob. Thaum loj kho mob chaw zov me nyuam - nws yuav ua tau ib tug hematologist, tab sis nyob rau hauv feem ntau tus neeg mob tus txheej txheem yog nqa tawm koog tsev kawm ntawv cov menyuam yaus.

Qhov ntawd yuav qhia cov ntshav tsom xam thiab seev suab ntawm cov me nyuam thiab hais tias tus kws kho mob zoo ua ntej?

Tus nab npawb ntawm erythrocytes (ntshav liab) nyob rau hauv tus qauv thiab cov theem ntawm hemoglobin. Qhov tseem ceeb yog tsis tsawg tshaj li 4.0 / l ntawm erythrocytes thiab tsis tsawg tshaj li 120 g / L hemoglobin. Lower tus xov tooj hais tias tsis muaj dab tsi ntawm lub xub ntiag ntawm anemia.

Vim hais tias cellular muaj pes tsawg leeg ntawm cov ntshav yog tseem ceeb heev rau cov ntsiab lus ntawm leukocytes (ntshav dawb). Yuav tsum muaj tsawg kawg yog 9 nyob rau ntawm -9,5 / l. Sib nrug los ntawm lawv tag nrho cov muaj ntau tus nqi thiab lawv muaj pes tsawg leeg, raws li ntawm lawv muaj ib tug kev sib cais ntawm basophils, eosinophils, basophils, lymphocytes thiab monocytes. Ua ke lawv ua li ntawm thiaj li hu ua "differential ntshav count", uas yog tso ntshav kuaj thiab txhais lus ntawm cov me nyuam qhia tau hais tias los ntawm sab laug mus rau sab xis. Tshwj xeeb feem ntau siv lub sij hawm "leukocyte ua haujlwm tshuav", uas txhais tau tias nce nyob rau hauv lub xov tooj ntawm cov ntshav dawb nyob rau hauv rau sab laug ib feem ntawm cov mis, i.e. qe thiab eosinophils. Qhov no feem ntau yog qhia ib tug mob inflammatory txheej txheem (nrog rau cov kab) nyob rau hauv ib tug me nyuam. Tab sis "ua haujlwm leukocyte tshuav" (lymphocytes thiab monocytes) qhia cov nyiam tsis haum reaktsiyam.V tej zaum, li ib txwm mis ntawm "dawb" cov ntshav cai nce nyob rau hauv lub xov tooj ntawm eosinophils tsuas yog ib tug kws kho mob yuav qhia tau rau yog ib lub xub ntiag ntawm ib tug cab kab nyob rau hauv lub cev (ascariasis, giardiasis, etc.).

Ib qho tseem ceeb uas qhia hais tias qhia cov ntshav thiab seev suab nyob rau hauv cov me nyuam yog cov ESR los yog tus nqi ntawm sedimentation. Feem ntau, tus xov tooj yuav tsum tsis txhob ntau tshaj 10-15 hli ib teev. Qhov nce nyob rau hauv no daim duab - Nco ntsoov kos npe rau ntawm lub xub ntiag ntawm lub pathological kom pom tseeb ntawm o nyob rau hauv lub cev.

Platelets (hlwb lub luag hauj lwm rau cov ntshav txhaws) yuav tsum muaj tsawg kawg yog 2-3 / liter ntshav. Txo lawv tus xov tooj los yog rhuav lub puab tej zaum yuav qhia ib tug hereditary mob (thrombocytopenia), uas yuav tsum tau kho raws li thaum ntxov li sai tau.

Kuaj ntshav rau cov me nyuam, raws li nyob rau hauv cov laus, tsis yog tas rau kev tsom xam. Nyob rau hauv tej rooj plaub, tshwj xeeb tshaj yog nyob rau hauv ntau yam ntaub ntawv ntawm daj ntseg, nws yuav tsum tau ntshav Science News for KIDS, uas yog coj los ntawm cov hlab ntsha thiab muaj kuj yoo mov. Muaj yog twb nrhiav ncaj thiab indirect bilirubin, enzymes AST, ALT, mus ntsuam xyuas lub siab muaj nuj nqi thiab lwm yam xov tooj uas yeej to taub xwb tshwj xeeb.

Feem ntau, cov ntshav yog xam raws li ib tug ntawm cov ntaub so ntswg ntawm lub cev (nrog rau cov nqaij ntshiv, cov pob txha) xwb nyob rau hauv cov kua daim ntawv. Txhua tus neeg cov ntshav kuj sai sai tshiab (nyob rau nruab nrab txhua txhua 3-4 xyoos). Muaj txawm tias ib tug txoj kev los mus txiav txim tus txiv neej pw ntawm tus me nyuam cov ntshav rov. Nws essence yog luv luv raws li nram no: cov poj niam, xws li los ntawm 15 xyoo ntawm lub hnub nyoog (yau tsis suav), ntshav yog daim ntawv rov ntxiv txhua txhua 3 lub xyoos. Thiab cov txiv neej, txij li thaum 16 xyoo, txhua txhua 4 xyoo. Nws yog ntseeg hais tias nyob rau hauv uas nws cov ntshav, pw ua ke, thiab qhov no yuav muaj ib tug me nyuam. Cov qauv no yog heev teeb meem, xws li tag nrho cov uas tsis yog-kev kho mob txoj kev "programming" tus txiv neej pw ntawm tus me nyuam, tab sis nws tsis muaj zuj zus thiab tsis muaj kev zoo dua tshaj lwm tus.