Created at:1/13/2025
Question on this topic? Get an instant answer from August.
Ukubalwa okuphansi kwamaseli amhlophe egazini, okubizwa nangokuthi i-leukopenia, kusho ukuthi umzimba wakho unamaseli ambalwa okulwa nezifo kunokujwayelekile. Cabanga ngamaseli amhlophe egazi njengeqembu lokuphepha lomzimba wakho - lapho izinombolo zawo zehla ngaphansi kwamaseli angu-4,000 ngemikrolitha yegazi, amasosha akho omzimba awasebenzi kahle ekuvikeleni amagciwane nezifo.
Lesi simo sithinta izigidi zabantu emhlabeni wonke futhi singahluka kusuka ezigamekweni ezilula kuya kwezinkulu. Noma kungase kuzwakale kukhathaza, abantu abaningi abanokubalwa okuphansi kwamaseli amhlophe egazini baphila impilo enempilo ngokugadwa okufanele nokunakekelwa ithimba labo lezempilo.
Ukubalwa okuphansi kwamaseli amhlophe egazini kwenzeka lapho igazi lakho liqukethe amaseli amhlophe angaphansi kuka-4,000 ngemikrolitha. Amaseli akho amhlophe egazi amaseli omzimba akhethekile aqapha ngaphakathi kwegazi lakho, izicubu, nezitho efuna amabhakthiriya ayingozi, amagciwane, nabanye abahlaseli.
Kunezinhlobo eziningana zamaseli amhlophe egazi, ngalinye linemisebenzi ethile yokukugcina unempilo. Ama-neutrophil alwa nezifo zamabhakthiriya, ama-lymphocyte abhekana ngamagciwane futhi ahlele izimpendulo zomzimba, kanti ama-monocyte ahlanza amaseli alimele nodoti. Lapho noma yiziphi lezi zinhlobo zamaseli zehla kakhulu, ikhono lomzimba wakho lokulwa nezifo liyakhubazeka.
Igama elithi
Uma izimpawu zivela, ngokuvamile zihlobene nokwanda kokuba sengozini yokutheleleka. Ungase uzithole ubamba imikhuhlane, umkhuhlane, noma ezinye izifo kaningi kunomndeni wakho nabangane. Lokhu kutheleleka kungase kubonakale sengathi kuhlala isikhathi eside noma kuzizwe kubi kakhulu kunakuqala.
Abanye abantu baqaphela ukuthi bazizwa bekhathele kakhulu kunokujwayelekile, ikakhulukazi uma umzimba wabo usebenza kanzima ukulwa nokutheleleka ngamaseli ambalwa omzimba okuzivikela. Ungase futhi uhlangabezane nezilonda zomlomo eziphindaphindayo, izifo zesikhumba, noma imfiva evame ukuba khona njengoba umzimba wakho ulwela ukugcina izivikelo zawo ezijwayelekile.
Ukwehla kwesibalo sama-white blood cell kungase kwenzeke ngezizathu eziningana, kusukela ezimweni zesikhashana kuya ezindabeni eziyinkimbinkimbi ezingaphansi. Ukuqonda lezi zimbangela kungakusiza wena nodokotela wakho ukuthi nithole indlela engcono kakhulu yesimo sakho esithile.
Izimbangela ezivame kakhulu zihlanganisa imithi ecindezela ukusebenza komzimba, izifo ze-autoimmune lapho umzimba wakho uhlasela amaseli awo, kanye nokutheleleka okukhulu noma okulimaza umnkantsha wamathambo. Nawa amakhulu izigaba zezimbangela:
Ngezinye izikhathi imbangela ihlala ingaziwa, odokotela abakubiza ngokuthi i-"idiopathic" leukopenia. Lokhu akusho ukuthi kukhona okungalungile ngokunakekelwa kwakho - kumane nje kusho ukuthi ukukhiqizwa kwamangqamuzana amhlophe egazi emzimbeni wakho kunciphile ngezizathu ezingacacile ngokushesha.
Inani eliphansi lamangqamuzana amhlophe egazi lingabonisa izimo ezihlukahlukene ezingaphansi, kusukela emiphumeleni yemithi yesikhashana kuya ezindabeni zempilo ezingathi sína. Udokotela wakho uzocabangela isithombe sakho esiphelele sezokwelapha ukuze anqume ukuthi yini engase ibangele ukubala kwakho okuphansi.
Ezimweni eziningi, inani eliphansi lamangqamuzana amhlophe egazi libonisa ukuthi kukhona okuphazamisa ikhono lomnkantsha wamathambo akho lokukhiqiza la mangqamuzana abalulekile amasosha omzimba. Lokhu kuphazamiseka kungaba okwesikhashana, njengangesikhathi sokwelashwa komdlavuza, noma okuqhubekayo, njengoba kunjalo ngezimo ezithile ze-autoimmune.
Izimo ezivamile ezingaphansi ezingabangela ukubala okuphansi kwamangqamuzana amhlophe egazi zihlanganisa:
Ngokuvamile, ukwehla kwenani lamaseli amhlophe egazi kungase kubonise izimo ezingavamile zofuzo njenge-severe congenital neutropenia noma i-cyclic neutropenia. Lezi zimo ngokuvamile zivela ebuntwaneni futhi zibangele amaphethini aphindaphindayo enani eliphansi lamaseli amhlophe egazi.
Yebo, ukwehla kwenani lamaseli amhlophe egazi ngezinye izikhathi kungase kulungiswe ngokwalo, ikakhulukazi uma kubangelwa izinto zesikhashana ezinjengemithi, izifo ezingamahlalakhona, noma ukucindezeleka. Kodwa-ke, lokhu kuncike ngokuphelele kulokho okubangela ukwehla kwakho ekuqaleni.
Uma ukwehla kwenani lamaseli amhlophe egazi kuhlobene nemithi, amazinga akho ngokuvamile azobuyela kokujwayelekile uma uyeka ukuthatha umuthi odala inkinga noma uqede inkambo yakho yokwelashwa. Isibonelo, abantu abathola i-chemotherapy ngokuvamile babona ukuthi inani labo lamaseli amhlophe egazi libuyela esimweni esijwayelekile phakathi kwemijikelezo yokwelashwa.
Izifo ezingamahlalakhona zinganciphisa okwesikhashana ukukhiqizwa kwamaseli egazi amhlophe, kodwa ngokuvamile izinombolo zakho zibuyela esimweni esijwayelekile lapho umzimba wakho ululama. Ngokufanayo, ukucindezeleka okukhulu ngokomzimba noma ngokomzwelo kungathinta okwesikhashana ukusebenza komzimba, ngezinga elijwayelekile njengoba ukucindezeleka kuphela.
Kodwa-ke, uma ukwehla kwakho kwenani lamaseli egazi amhlophe kubangelwa isimo esingaphansi njengokuphazamiseka komzimba noma inkinga yomnkantsha wamathambo, akunakwenzeka ukuthi kuthuthuke ngaphandle kokwelashwa okufanele. Lezi zimo zidinga ukuphathwa okuqhubekayo ukusiza ukubuyisela nokugcina ukusebenza komzimba okunempilo.
Ngenkathi ungeke ukwazi ukwandisa ngokuqondile inani lamaseli akho egazi amhlophe ekhaya, ungathatha izinyathelo ezibalulekile zokusekela amasosha akho omzimba futhi unciphise ingozi yakho yokutheleleka. Lezi zinyathelo zisebenza kahle kakhulu kanye nohlelo lokwelashwa lukadokotela wakho, hhayi njengendlela yokushintsha ukunakekelwa kwezokwelapha.
Izinketho zakho zansuku zonke zingenza umehluko omkhulu ekutheni umzimba wakho uphatha kanjani ngamaseli ambalwa omzimba. Gxila ekudaleni indawo esekela impilo yakho futhi inciphise ukuchayeka kumagciwane ayingozi.
Nawa amasu asebenzayo ongawathatha ekhaya:
Lezi zinyathelo zokusekela zingakusiza ukuthi uhlale unempilo ngenkathi ithimba lakho lezokwelapha lisebenza ukubhekana nesizathu esiyinhloko sokwehla kwamaseli akho amhlophe egazi. Khumbula, lezi zinyathelo ziyagcwalisa kodwa azithathi indawo yokwelashwa kwezokwelapha okungochwepheshe.
Ukwelashwa kwezokwelapha kokwehla kwamaseli amhlophe egazi kugxila ekubhekaneni nesizathu esiyinhloko nokukuvikela ezifweni ngenkathi amasosha akho omzimba elulama. Udokotela wakho uzokwenza uhlelo lokwelashwa olwenzelwe wena ngokusekelwe kulokho okubangela ukwehla kwakho nokuthi kubi kangakanani.
Isinyathelo sokuqala ngokuvamile sihlanganisa ukuthola nokwelapha imbangela. Uma imithi inecala, udokotela wakho angase alungise imithamo, ashintshele kwezinye izindlela, noma amise imithi ethile okwesikhashana. Ezimweni ze-autoimmune, imithi ecindezela amasosha omzimba ingase ibonakale ingaqondakali, kodwa empeleni ingasiza ngokuqeda amasosha akho omzimba ekuzihlaseleni.
Ukwelashwa okuqondile udokotela wakho angase akuncome kufaka phakathi:
Udokotela wakho uzophinde aqaphe izibalo zakho zegazi njalo ukuze alandelele ukusabela kwakho ekwelashweni futhi alungise uhlelo lwakho lokunakekela njengoba kudingeka. Lokhu kuqapha okuqhubekayo kusiza ekuqinisekiseni ukuthi ukwelashwa kwakho kusebenza ngempumelelo nangokuphepha.
Kufanele ubone udokotela ngokushesha uma uqaphela izimpawu zokutheleleka okuvamile noma uma usuvele welashwa ngenxa yokwehla kwesibalo samaseli amhlophe egazi futhi uthuthukisa izimpawu ezintsha. Ukunakekelwa kwezokwelapha ngaphambi kwesikhathi kungavimbela izinkinga ezincane ukuthi zingabi yizinkinga ezinkulu.
Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uthuthukisa umkhuhlane, ikakhulukazi uma ungaphezu kuka-100.4°F (38°C). Uma unesibalo esiphansi samaseli amhlophe egazi, ngisho nokutheleleka okuncane kungaba kubi ngokushesha, ngakho umkhuhlane uvame ukubonisa ukuthi umzimba wakho ulwa nokuthile ongeke ukwazi ukukusingatha wedwa.
Ezinye izimpawu zokuxwayisa ezidinga ukunakekelwa kwezokwelapha ngokushesha zihlanganisa:
Uma usuvele uthola ukwelashwa ngenani eliphansi lamangqamuzana amhlophe egazi, qhubeka nokuhlolwa njalo nodokotela wakho. Lokhu kuhlolwa kusiza ekuqinisekiseni ukuthi ukwelashwa kwakho kuyasebenza futhi kuvumela ukutholwa kwangaphambi kwesikhathi kwanoma yiziphi izinkinga.
Izinto eziningana zingakhuphula amathuba akho okuthuthukisa inani eliphansi lamangqamuzana amhlophe egazi, nakuba ukuba nezinto eziyingozi akukuqinisekisi ukuthi uzothuthukisa lesi simo. Ukuqonda lezi zinto kungakusiza kanye nodokotela wakho ukuthi niqaphe impilo yakho ngempumelelo.
Ubudala bunendima, njengoba abadala bethambekele ezimweni ezingabangela ukuthi kube maningi amangqamuzana amhlophe egazi. Nokho, izimo ezithile zofuzo kanye nokwelashwa komdlavuza kungathinta abantu bayo yonke iminyaka.
Izinto eziyingozi ezibalulekile zihlanganisa:
Izizinda ezithile zobuhlanga nazo zinamazinga aphezulu ezimo ezithile ezingabangela ukwehla kwenani lamaseli amhlophe egazi. Isibonelo, abantu baseMedithera, abaseMpumalanga Ephakathi, noma abase-Afrika bangase bathambekele kakhulu ezinhlotsheni ezithile zofuzo ezithinta ukubalwa kwamaseli amhlophe egazi.
Inkinga eyinhloko yokwehla kwenani lamaseli amhlophe egazi ukwanda kwengozi yokutheleleka okukhulu, okungaba yingozi ekuphileni uma kungelashwa ngokushesha. Ikhono lomzimba wakho elincishisiwe lokulwa namagciwane lisho ukuthi ngisho namabhaktheriya noma amagciwane avamile angabangela ukugula okukhulu.
Ukutheleleka kubantu abanenani eliphansi lamaseli amhlophe egazi kungahamba ngokushesha futhi kungase kungabonisi izimpawu zokuxwayisa ezivamile. Ungase ungathuthukisi izimpawu ezivamile ezinjengokwakheka kwe-pus noma ukuvuvukala okukhulu, okwenza kube nzima ukubona ukuthi uyagula nini.
Izinkinga ezingaba khona zihlanganisa:
Ezimweni ezingavamile, ukwehla okukhulu kwenani lamangqamuzana amhlophe egazi kungaholela ezinkingeni ezinjenge-neutropenic enterocolitis, ukuvuvukala okuyingozi kwamathumbu, noma izifo zama-fungal ezingahlasela ezingathinta izitho eziningi.
Nokho, ngokuqapha okufanele nokunakekela okuvimbayo, abantu abaningi abanenani eliphansi lamangqamuzana amhlophe egazi bangakwazi ukugwema izinkinga ezinzima. Ithimba lakho lezempilo lizosebenza nawe ukunciphisa lezi zingozi ngenkathi libhekana nesizathu esiyisisekelo.
Inani eliphansi lamangqamuzana amhlophe egazi ngezinye izikhathi lingase liphuthelwe ezinye izimo ngoba izimpawu zalo zihambisana nezinkinga eziningi ezivamile zempilo. Ukukhathala nezifo ezivame ukuhambisana nenani eliphansi lamangqamuzana amhlophe egazi kungase kuqale kubonakale sengathi ukucindezeleka, ukudla okungahambi kahle, noma nje "ukuguga."
Abantu abaningi ekuqaleni babhekisela izimpawu zabo ezintweni zansuku zonke ezinjengokusebenza ngokweqile, ukungalali ngokwanele, noma izinguquko zesizini. Lokhu kuqondakala ngokuphelele, njengoba izimpawu zakuqala zingaba zicashile kakhulu futhi zifane nalokho sonke esikuzwayo ngezikhathi ezimatasa noma ezicindezelayo.
Izimo ezingase zididaniswe nenani eliphansi lamangqamuzana amhlophe egazi zihlanganisa:
Umehluko omkhulu ukuthi ukwehla kwenani lamangqamuzana amhlophe egazi ngokukhethekile kuhilela izinguquko ezilinganisekayo egazini lakho ezivela ezivivinyweni zaselabhorethri. Uma uhlangabezana nokukhathala okuqhubekayo nezifo ezivame ukwenzeka, ukuhlolwa kwegazi okulula kungasiza ukuhlukanisa phakathi kokwehla kwenani lamangqamuzana amhlophe egazi nezinye izimo ezinzima ezinempawu ezifanayo.
Yebo, ukucindezeleka okukhulu noma okungapheli kunganciphisa okwesikhashana inani lamangqamuzana akho amhlophe egazi. Uma ucindezelekile kakhulu, umzimba wakho ukhiqiza amahomoni okucindezeleka njenge-cortisol anganciphisa umsebenzi wokuzivikela emzimbeni. Kodwa-ke, ukucindezeleka kuphela akuvamile ukubangela ukwehla okukhulu okudinga ukwelashwa kwezokwelapha.
Izindaba ezinhle ukuthi ukwehla kwenani lamangqamuzana amhlophe egazi okuhlobene nokucindezeleka kuvame ukuba okwesikhashana futhi kuthuthuke lapho amazinga okucindezeleka ehla. Ukuphatha ukucindezeleka ngamasu okuphumula, ukuzivocavoca, nokulala okwanele kungasiza ukusekela ukululama komzimba wakho wokuzivikela emzimbeni.
Akudingeki. Ukwehla okuncane kwenani lamangqamuzana amhlophe egazi ngezinye izikhathi kuyatholakala kubantu abanempilo futhi kungase kungadingi ukwelashwa. Kodwa-ke, ukwehla okukhulu kwenani noma amanani aqhubeka ehla adinga ukunakekelwa kwezokwelapha ukuvimbela izinkinga.
Udktora wakho uzobheka impilo yakho yonke, izimpawu, kanye nezinga lokwehla lapho enquma ukuthi ngabe ukwelashwa kuyadingeka yini. Abantu abaningi abanokwehla okuncane kwenani lamaseli amhlophe egazi baphila impilo ejwayelekile, enempilo ngokubheka njalo.
Ngenkathi ukudla kuphela kungelaphi inani eliphansi lamaseli amhlophe egazi, ukudla ukudla okunomsoco kungasekela amasosha akho omzimba nempilo yonke. Ukudla okucebile ngamavithamini B12, folate, kanye ne-zinc kubaluleke kakhulu ekukhiqizweni kwamaseli egazi.
Faka imifino eminingi eluhlaza, amaprotheni anciphile, izithelo ze-citrus, kanye okusanhlamvu okuphelele ekudleni kwakho. Kodwa-ke, uma unenani eliphansi kakhulu lamaseli amhlophe egazi, uzodinga ukwelashwa kwezokwelapha kanye nokudla okuhle ukuze ubhekane nesizathu esiyinhloko.
Imvamisa incike esimweni sakho esithile nokuthi yini ebangela amanani akho aphansi. Uma uthola ukwelashwa okuthinta amaseli amhlophe egazi, njenge-chemotherapy, ungadinga ukubhekwa masonto onke noma njalo.
Ezimweni ezizinzile, udokotela wakho angase ancome ukuhlola amanani akho njalo ezinyangeni ezimbalwa. Uma unomphumela owodwa ophansi ngaphandle kwezimpawu, ukuhlolwa kabusha emasontweni ambalwa kungase kwanele ukuqinisekisa ukuthi amazinga abuyela kokujwayelekile.
Ukuvimbela kuncike embangweni oyinhloko. Awukwazi ukuvimbela izimo zofuzo noma izifo ze-autoimmune, kodwa ungenza ukunciphisa ingozi yakho yokutheleleka okungase kucindezele ukukhiqizwa kwamaseli amhlophe egazi ngokuziqeqesha inhlanzeko enhle futhi uhlale unolwazi lwakamuva ngokugonywa.
Uma uthatha imithi enganciphisa inani lamaseli amhlophe egazi, sebenzisana eduze nodokotela wakho ukuze ubheke amazinga akho futhi ulungise ukwelashwa njengoba kudingeka. Ukugcina indlela yokuphila enempilo enokudla okuhle, ukulala okwanele, nokuphatha ukucindezeleka nakho kusekela ukusebenza okujwayelekile komzimba.