Created at:1/13/2025
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Lymphocytosis macnaheedu waa inaad leedahay lymphocytes (nooc ka mid ah unugyada dhiigga cad) oo ka badan kuwa caadiga ah dhiiggaaga. U fikir lymphocytes-ka inay yihiin kooxda amniga ee gaarka ah ee jirkaaga oo la dagaallama caabuqyada oo kaa ilaaliya xanuunka.
Inta badan, lymphocytosis waxay dhacdaa marka nidaamkaaga difaaca jidhku si adag u shaqeeyo si uu ula dagaallamo caabuq ama uga jawaabo walbahaarka. Inkasta oo ay u ekaan karto mid walaac leh, inta badan waa jawaabta dabiiciga ah ee caafimaadka leh ee jidhkaaga u qaado waxa ku dhacaya agagaarkaaga.
Lymphocytosis waa marka tiradaada lymphocyte-ku ay kor u kacdo heerka caadiga ah ee dhiiggaaga. Dadka waaweyn, heerarka lymphocyte-ka ee caadiga ah inta badan waxay u dhexeeyaan 1,000 ilaa 4,000 unug halkii microliter ee dhiigga.
Marka dhakhaatiirtu ay helaan lymphocytosis shaqadaada dhiigga, waxay arkaan caddaynta in nidaamkaaga difaaca jidhku uu firfircoon yahay. Lymphocytes-kaagu waxa ka mid ah noocyada kala duwan ee unugyada sida unugyada T, unugyada B, iyo unugyada dilaaga dabiiciga ah, mid walba oo leh shaqadiisa gaarka ah ee ku ilaalinaysa caafimaadkaaga.
Xaaladdan waxay noqon kartaa mid ku meel gaar ah (socota maalmo ilaa toddobaadyo) ama joogto ah (socota bilo ama ka dheer). Lymphocytosis ku meel gaadhka ah waa mid aad u badan oo inta badan xallisa marka jidhkaagu ka soo kabsado wax kasta oo sababay.
Lymphocytosis lafteeda ma keento astaamo gaar ah oo aad dareemi karto. Ma soo toosi doontid adigoo og tiradaada lymphocyte-ka ay sarreeyso kaliya sida uu jidhkaagu dareemayo.
Si kastaba ha ahaatee, waxa laga yaabaa inaad dareento astaamo ka yimaada waxa sababaya lymphocytosis. Haddii aad qabtid caabuq, waxa laga yaabaa inaad la kulanto qandho, daal, ama qanjidhada limfaha oo bararsan. Haddii walbahaarku yahay sababta, waxa laga yaabaa inaad dareento daal ama aad u dhacdo.
Dad badan ayaa ogaada inay qabaan lymphocytosis kaliya marka ay helaan shaqada dhiigga ee caadiga ah sababo kale. Tani waa wax iska caadi ah oo macnaheedu maaha in wax la seegay ama in aad ogtahay in wax qaldan yihiin.
Lymphocytosis waxay dhacdaa marka jidhkaagu uu soo saaro lymphocytes ka badan sidii caadiga ahayd ama marka unugyadan ay noolaadaan muddo ka dheer sidii caadiga ahayd. Nidaamkaaga difaaca jidhkaagu wuxuu kordhiyaa wax soo saarka marka uu ogaado hanjabaado ama walbahaar.
Waa kuwan sababaha ugu badan ee tirada lymphocyte-kaagu ay kor u kici karto, iyadoo laga bilaabayo sababaha maalinlaha ah ee aad u badan tahay inaad la kulanto:
Infekshannadani waa sababta ugu badan ee jidhkaagu u kordhiyo soo saarista lymphocyte-ka. Nidaamkaaga difaaca jidhkaagu wuxuu aqoonsanayaa weeraryahanka wuxuuna u yeedhaa xoojin si uu uga caawiyo inuu iska caabiyo.
Jidhkaagu wuxuu ula dhaqmaa walbahaarka sidii calaamad lagu kordhiyo difaaca jirka, xitaa marka aanu jirin infekshan. Jawaabtan waxay kaa caawinaysaa inaad iska ilaaliso xilliyada nugul.
Daawooyinka qaarkood waxay kicin karaan soo saarista lymphocyte-ka sidii saameyn dhinac ah. Tani badanaa way xallisaa marka aad joojiso qaadashada daawada, inkastoo aanad waligaa joojin daawooyinka la qoray adigoon marka hore la hadlin dhakhtarkaaga.
Xaaladahan waxay u baahan yihiin daryeel caafimaad iyo maareyn joogto ah. In kasta oo ay aad uga yar yihiin caabuqyada, haddana waa muhiim in la aqoonsado oo si sax ah loo daweeyo.
Lymphocytosis waxay calaamad u noqon kartaa xaalado kala duwan oo hoose, laga soo bilaabo caabuqyada fudud ilaa arrimaha caafimaad ee aadka u adag. Inta badan, waxay muujineysaa in nidaamkaaga difaaca jidhku si caadi ah uga jawaabayo caqabad.
Aan sahamino waxa lymphocytosis laga yaabo inay kuugu sheegayso caafimaadkaaga, annagoo ka bilaabayna xaaladaha ugu badan:
Sababta ugu badan ee lymphocytosis waa jidhkaaga oo la dagaallamaya caabuq. Tani waxay noqon kartaa caabuq fayras oo aad hadda la kulantay ama mid aad ka soo kabsaneysid. Lymphocytes-kaagu waxay sii ahaanayaan kuwo sareeya maalmo ama toddobaadyo ka dib markaad dareento inaad fiican tahay, iyagoo sii wada shaqadooda nadiifinta.
Caabuqyada bakteeriyada ayaa sidoo kale sababi kara lymphocytosis, gaar ahaan caabuqyada daba-dheeraada sida qaaxada ama qufaca daba-dheeraada. Caabuqyadan waxay inta badan sababaan kor u kaca joogtada ah sababtoo ah way adag tahay in jidhkaagu si buuxda u nadiifiyo.
Cudurrada is-difaaca sida arthritis-ka rheumatoid ama cudurka mindhicirka bararsan waxay sababi karaan lymphocytosis socda. Xaaladahan, nidaamkaaga difaaca jidhku wuxuu sii ahaanayaa mid firfircoon sababtoo ah si khaldan ayuu u weerarayaa unugyada caafimaadka qaba.
Xasaasiyadda iyo cilladaha xasaasiyadda ayaa sidoo kale sii hayn kara tirada lymphocyte-kaaga oo sarreeya. Jidhkaagu wuxuu ilaaliyaa heerarka sare ee unugyadan si uu u maareeyo jawaabta bararka ee socda.
Mararka qaarkood lymphocytosis waxay muujineysaa dhibaato ku saabsan sida jidhkaagu u sameeyo ama u maareeyo unugyada dhiigga. Leukemia lymphocytic daba-dheeraada waa hal suurtogalnimo, inkasta oo ay aad uga yar tahay sababaha la xiriira caabuqa.
Cudurrada kale ee dhiigga sida lymphomas-ka ayaa sidoo kale sababi kara lymphocytosis, laakiin kuwan badanaa waxay la socdaan calaamado dheeraad ah sida miisaanka oo aan la garanayn, dhididka habeenkii, ama daal joogto ah.
Dhibaatooyinka tayroodhka, gaar ahaan hyperthyroidism, waxay sababi karaan lymphocytosis. Tayroodhkaaga aadka u shaqeeya wuxuu dedejiyaa habab badan oo jidhka ah, oo ay ku jiraan soo saarista unugyada difaaca.
Cudurrada qanjidhada adrenal-ka ayaa sidoo kale saameyn kara heerarka lymphocyte-ka. Xaaladahaas waxay inta badan keenaan calaamado kale sida isbeddelada miisaanka, heerarka tamarta, ama cadaadiska dhiigga.
Haa, lymphocytosis inta badan way iska baxdaa, gaar ahaan marka ay sababto arrimo ku meel gaar ah sida caabuqyada ama walbahaarka. Inta badan kiisaska la xiriira caabuqyada fayraska waxay iska nadiifiyaan 2-6 toddobaad gudahood markuu jidhkaagu soo kabsado.
Tiradaada lymphocyte-ka ayaa caadi ahaan ku soo noqota caadi marka sababta asaasiga ah wax laga qabto. Haddii aad qabtid hargab ama ifluweens, heerarkaagu waa inay caadi noqdaan markaad bogsato. Haddii walbahaarku ahaa kiciyaha, maareynta walbahaarka waxay kaa caawin kartaa inaad hoos u dhigto tiradaada.
Si kastaba ha ahaatee, qaar ka mid ah sababaha lymphocytosis waxay u baahan yihiin daaweyn caafimaad si loo xalliyo. Caabuqyada bakteeriyada waxay u baahan karaan antibiyootiko, halka xaaladaha is-difaaca ay u baahan yihiin maareyn joogto ah. Dhakhtarkaagu wuxuu kaa caawin karaa inuu go'aamiyo haddii lymphocytosis-kaagu u baahan yahay daaweyn ama ay si dabiici ah u xallin doonto.
Maadaama lymphocytosis lafteedu aanay ahayn cudur balse ay tahay jawaab celin wax kale, daaweynta guriga waxay diiradda saartaa taageerida caafimaadkaaga guud iyo wax ka qabashada sababaha asaasiga ah ee aad maareyn karto.
Waa kuwan siyaabo fudud oo aad jidhkaaga u taageeri karto inta heerarkaaga lymphocyte-ku caadi noqdaan:
Nasashadu waxay jidhkaaga siisaa tamarta uu u baahan yahay si uu ula dagaallamo caabuqyada oo uu ugu soo laabto shaqada caadiga ah. Isku day inaadan naftaada aad u gelin wakhtigan.
Maadaama walbahaarku uu gacan ka geysan karo lymphocytosis, maareynta heerarka walbahaarka ayaa laga yaabaa inay kaa caawiso in tiradaadu si degdeg ah ugu soo noqoto caadi.
Tallaabooyinkan fudud waxay taageeraan habka soo kabashada dabiiciga ah ee nidaamkaaga difaaca waxayna kaa caawinayaan ka hortagga dhibaatooyinka.
Daaweynta caafimaad ee lymphocytosis waxay si buuxda ugu xiran tahay waxa sababaya tiradaada lymphocyte ee sareysa. Xaalado badan, daaweyn gaar ah looma baahna marka laga reebo la socodka iyo waqtiga.
Dhakhtarkaagu wuxuu marka hore shaqayn doonaa si uu u aqoonsado sababta asaasiga ah iyadoo la adeegsanayo baaritaanno dheeraad ah haddii loo baahdo. Marka ay fahmaan waxa wada lymphocytosis-kaaga, waxay kugula talin karaan daaweyn ku habboon.
Haddii caabuq bakteeriyada uu sababayo lymphocytosis-kaaga, dhakhtarkaagu wuxuu kuu qori karaa antibiyootiko. Infekshannada fayraska, daaweyntu waxay inta badan diiradda saartaa maaraynta calaamadaha halka jirkaagu uu la dagaallamayo fayraska si dabiici ah.
Infekshannada daba-dheeraada sida qaaxadu waxay u baahan yihiin daaweyn gaar ah oo ka hortagga mikrobiyada oo laga yaabo inay socdaan dhowr bilood. Dhakhtarkaagu wuxuu la socon doonaa tiradaada lymphocyte si loo hubiyo in daaweyntu shaqaynayso.
Xaaladaha is-difaaca ee sababa lymphocytosis waxay u baahan karaan daawooyinka immunosuppressive si ay u dejiso nidaamkaaga difaaca ee aadka u firfircoon. Daawooyinkan waxay u baahan yihiin la socod dhow oo uu sameeyo bixiyahaaga daryeelka caafimaadka.
Cudurrada tayroodhka waxaa lagu daaweeyaa daawooyin si loo caadiyeeyo heerarka hormoonnada, taas oo inta badan caawisa in la xalliyo lymphocytosis. Daawooyinka dhiig karka ama daaweyn kale ayaa laga yaabaa in loo baahdo dhibaatooyinka adrenal.
Haddii lymphocytosis ay keento cudurrada dhiigga sida leukemia ama lymphoma, daaweyntu waxay noqotaa mid aad u adag. Tani waxaa ka mid noqon kara kiimiko-terabi, shucaac, ama daaweyn kale oo gaar ah oo kansarka ah.
Dhakhtarkaagu wuxuu ku gudbin doonaa takhasusleyaal sida hematologists ama oncologists xaaladahan. Waxay horumarin doonaan qorshe daaweyn oo dhammaystiran oo loo habeeyay ogaanshahaaga gaarka ah.
Waa inaad aragtaa dhakhtar haddii lymphocytosis-kaaga lagu ogaaday shaqada dhiigga caadiga ah, xitaa haddii aad isku aragto caafimaad qab. Inkasta oo inta badan aan waxyeello lahayn, waxaa muhiim ah in la fahmo sababta tirintaada u sarreyso.
La xiriir bixiyahaaga daryeelka caafimaadka isla markiiba haddii aad la kulanto mid ka mid ah astaamahan oo ay weheliyaan lymphocytosis la yaqaan:
Astaamahan waxay muujin karaan xaalad hoose oo aad u daran oo u baahan daryeel caafimaad oo degdeg ah.
Dhakhtarkaagu waxa uu u badan yahay inuu doonayo inuu dib u hubiyo shaqadaada dhiigga dhawr toddobaad gudahood si uu u arko haddii tirinta lymphocyte-kaagu ay ku soo noqonayso caadi. Tani waxay ka caawisaa inay go'aamiyaan haddii daaweyntu shaqaynayso ama haddii baaritaan dheeraad ah loo baahan yahay.
Haddii lymphocytosis-kaagu uu sii socdo ama ka sii daro, dhakhtarkaagu waxa laga yaabaa inuu dalbado tijaabooyin dheeraad ah sida socodka cytometry ama daraasaadka dhuuxa lafta si uu u helo sawir cad oo ah waxa dhacaya.
Waxyaabo badan ayaa kordhin kara suurtagalnimada in aad ku dhacdo lymphocytosis, inkastoo qof kastaa la kulmi karo tirada lymphocyte-ka oo sarreeya marka kicinta saxda ah ay joogaan.
Fahamka qodobbada khatarta ah waxay kaa caawin karaan inaad ogaato marka lymphocytosis ay u badan tahay inay dhacdo:
Da'du waxay saameysaa inta jeer ee aad la kulanto kicinta iyo sida uu habka difaacaagu uga jawaabo iyaga.
Qodobbadaas waxay ka dhigi karaan habka difaacaaga mid aad u falcelin badan ama waxay ku soo bandhigi karaan kicinta badan ee keenta lymphocytosis.
Qodobbada caafimaadku waxay ku siin karaan in aad ku dhacdo lymphocytosis ama waxay ka dhigi karaan inay u badan tahay inay sii jirto marka ay dhacdo.
Lymphocytosis lafteeda marar dhif ah ayay keentaa dhibaatooyin toos ah maadaama ay inta badan tahay jawaab caadi ah oo difaac ah. Si kastaba ha ahaatee, xaaladaha hoose ee keena lymphocytosis mararka qaarkood waxay keeni karaan dhibaatooyin haddii aan la daweyn.
Inta badan kiisaska lymphocytosis way iska tagaan iyada oo aan wax saameyn ah oo muddada dheer ah ku yeelan caafimaadkaaga. Tirada lymphocyte-kaagu waxay ku noqotaa caadi, nidaamkaaga difaaca jirkaaguna wuxuu sii wadaa inuu si sax ah u shaqeeyo.
Haddii lymphocytosis ay keento caabuq bakteeriyada oo aan la daweyn, caabuqu wuu faafi karaa ama wuxuu noqon karaa mid daba-dheeraada. Tani waxay keeni kartaa dhibaatooyin aad u daran oo gaar ah nooca caabuqaas.
Caabuqyada fayraska ee keena lymphocytosis caadi ahaan ma keenaan dhibaatooyin shakhsiyaadka caafimaadka qaba. Si kastaba ha ahaatee, fayrasyada qaarkood waxay marmar keeni karaan caabuqyo bakteeriyada labaad oo u baahan daaweyn.
Xaaladaha is-difaaca jirka ee keena lymphocytosis joogto ah waxay keeni karaan dhaawac xubnaha haddii aan si sax ah loo maareyn. Dhibaatooyinkani waxay ka yimaadaan cudurka hoose, ma aha tirada lymphocyte-ka oo kor u kacday lafteeda.
Cudurrada dhiigga sida leukemia ama lymphoma waxay yeelan karaan dhibaatooyin halis ah, laakiin kuwan waxay la xiriiraan kansarka laftiisa halkii ay ka ahaan lahaayeen lymphocytosis. Ogaanshaha hore iyo daaweyntu waxay si weyn u horumariyaan natiijooyinka.
Marar aad u dhif ah, tirada lymphocyte-ka oo aad u sarreeya waxay keeni kartaa in dhiiggu dhumucdo (hyperviscosity), taas oo laga yaabo inay saameyn ku yeelato wareegga dhiigga. Tani waa wax aan caadi ahayn oo inta badan ku dhaca kansarka dhiigga qaarkood.
Dadka qaarkood waxay ka walwalsan yihiin in lymphocytosis ay la macno tahay in nidaamkooda difaaca jirku
Lymphocytosis mararka qaarkood waxaa lagu khaldi karaa cilladaha kale ee tirinta dhiigga ama xaaladaha nidaamka difaaca jirka. Fahamka kala soociddan ayaa kaa caawin kara inaad si fiican u fahamto natiijooyinkaaga imtixaanka.
Khaladaadka shaybaarka ayaa marmar sababi kara jahwareer ku saabsan tirinta lymphocytes. Haddii natiijooyinkaagu u muuqdaan kuwo aad uga duwan imtixaannadii hore iyada oo aan sabab cad lahayn, dhakhtarkaagu waxa laga yaabaa inuu ku taliyo in la soo celiyo shaqada dhiigga.
Lymphocytosis waxaa laga yaabaa in lagu khaldo kor u kaca kale ee unugyada dhiigga cad sida neutrophilia (tirinta neutrophil sare) ama eosinophilia (tirinta eosinophil sare). Nooc kasta oo kor u kaca unugyada dhiigga cad wuxuu soo jeedinayaa sababo kala duwan oo hoose.
Mararka qaarkood dadku waxay ku khaldaan lymphocytosis iyo leukocytosis (tirinta guud ee unugyada dhiigga cad). Inkasta oo lymphocytosis ay gacan ka geysan karto leukocytosis, ma aha isku shay.
Astaamaha lymphocytosis waxaa laga yaabaa in lagu khaldo dhibaatooyinka guud ee nidaamka difaaca jirka ama daalka daba-dheeraada. Si kastaba ha ahaatee, xaaladahan waxay leeyihiin shuruudo kala duwan oo ogaanshaha iyo hababka hoose.
Dadka qaar waxay ka walwalaan in lymphocytosis ay la macno tahay inay qabaan immunodeficiency, laakiin dhab ahaantii inta badan waa calaamad muujinaysa in nidaamkaaga difaaca jirku si sax ah u shaqaynayo isaga oo ka jawaabaya caqabadaha.
Lymphocytosis fudud mararka qaarkood waxaa lagu khaldaa xaalad halis ah marka ay dhab ahaantii tahay jawaab caadi ah oo ku aaddan sababaha caadiga ah. Heerka kor u kaca iyo astaamaha la xidhiidha waxay caawiyaan in la go'aamiyo muhiimadda.
Dhanka kale, dadka qaar waxay iska indho-tiraan lymphocytosis joogto ah oo ah
Maya, lymphocytosis had iyo jeer ma aha calaamad kansar. Xaqiiqdii, kansarku waa mid ka mid ah sababaha aan caadiga ahayn ee kor u kaca tirada lymphocytes. Inta badan kiisaska lymphocytosis waxaa keena caabuqyada, walbahaarka, ama xaalado kale oo aan waxyeello lahayn.
Inkasta oo kansarrada dhiigga qaarkood ay keeni karaan lymphocytosis, kuwan badanaa waxay la socdaan calaamado dheeraad ah iyo natiijooyinka shaybaarka. Dhakhtarkaagu wuxuu kaa caawin karaa inuu go'aamiyo haddii baaritaan dheeraad ah loo baahan yahay iyadoo lagu saleynayo xaaladaada gaarka ah iyo calaamadahaaga.
Muddada lymphocytosis waxay ku xiran tahay sababta asaasiga ah. Lymphocytosis-ka la xiriira caabuqa wuxuu caadi ahaan xalliyaa 2-6 toddobaad gudahood markuu jidhkaagu soo kabsado. Kor u kaca la xiriira walbahaarka ayaa laga yaabaa inay si dhakhso ah u xalliyaan marka walbahaarka laga saaro.
Xaaladaha daba-dheeraada sida cudurrada is-difaaca jirka waxay keeni karaan lymphocytosis joogto ah oo socota bilo ama sanado. Dhakhtarkaagu wuxuu la socon doonaa heerarkaaga waqti ka waqti si uu ula socdo isbeddelada oo uu u go'aamiyo haddii daaweyn loo baahan yahay.
Haa, jimicsiga daran wuxuu si ku meel gaar ah u kordhin karaa tirada lymphocytes. Tani waa jawaab caadi ah oo ku saabsan walbahaarka jireed oo inta badan ku noqda aasaaska saacado ama maalmo ka dib jimicsiga.
Jimicsiga joogtada ah ee dhexdhexaadka ah wuxuu dhab ahaantii taageeraa shaqada difaaca jirka ee caafimaadka leh oo caadi ahaan ma keeno lymphocytosis dhibaato leh. Si kastaba ha ahaatee, dhaqdhaqaaqyada dulqaadka xad dhaafka ah ama tababar xad dhaaf ah ayaa mararka qaarkood horseedi kara kor u kaca ku meel gaarka ah.
Lymphocytosis lafteeda kuma dhigto inaad faafa. Si kastaba ha ahaatee, haddii lymphocytosis-kaaga uu keeno cudur faafa, waxaa laga yaabaa inaad faafto iyadoo ku xiran caabuqa gaarka ah.
Raac taxaddarrada caadiga ah sida gacmaha oo la dhaqo oo guriga joog markaad xanuunsan tahay, laakiin lymphocytosis kaligeed uma baahna go'doominta. Dhakhtarkaagu wuxuu ku talin karaa taxaddarrada ku saleysan waxa keena tiradaada kor u kacday.
Haa, walbahaarka daran ee shucuureed ama jireed wuxuu keeni karaa lymphocytosis. Jidhkaagu wuxuu uga jawaabaa walbahaarka isagoo dhaqaajiya habka difaaca jirka, taasoo kordhin karta soo saarista iyo sii deynta lymphocytes.
Lymphocytosis-kan ay sababto walbahaarku inta badan waa mid ku meel gaar ah oo iska taga marka heerarka walbahaarku hoos u dhacaan. Maareynta walbahaarka iyadoo la adeegsanayo farsamooyinka nasashada, hurdo ku filan, iyo doorashada qaab nololeed caafimaad leh waxay kaa caawin kartaa in tiradaada lymphocyte-ku caadi noqoto.