Tirinta WBC

Tirinta WBC waa baaritaan dhiig si loo cabiro tirada unugyada dhiiga cad (WBCs) ee dhiiga kujira.

WBCs sidoo kale waxaa loo yaqaan leukocytes. Waxay ka caawiyaan la dagaallanka infekshinka. Waxaa jira shan nooc oo waaweyn oo unugyada dhiigga cad ah:

• Basophils
• Eosinophils
• Lymphocytes (unugyada T, unugyada B, iyo unugyada dabiiciga ah ee dila)
• Monocytes
• Neutrophils

Sambal dhiig ayaa loo baahan yahay.

Inta badan, uma baahnid inaad qaaddo tallaabooyin gaar ah baaritaankaan ka hor. U sheeg daryeel caafimaad bixiyaha dawooyinka aad qaadanaysid, oo ay ku jiraan kuwa aan dhakhtar qorin. Daawooyinka qaarkood waxay beddeli karaan natiijooyinka baaritaanka.

Marka irbadda la geliyo si dhiig loo qaado, dadka qaar waxay dareemaan xanuun dhexdhexaad ah. Qaar kale waxay dareemaan oo keliya dharbaaxo ama xaniin. Intaas ka dib, waxaa laga yaabaa in xoogaa wax garaaco ama nabarro yar yeeshaan. Tani dhawaan way tagi doontaa.

Waxaad mari doontaa baaritaankaan si aad u ogaato inta WBCs ee aad haysato. Bixiyahaaga ayaa laga yaabaa inuu amro baaritaankaan si looga caawiyo baaritaanka xaaladaha sida:

• Caabuq
• Dareen-celinta xasaasiyadda
• Caabuq
• Kansarka dhiigga sida leukemia ama lymphoma

Tirada caadiga ah ee WBCs ee dhiiga kujira waa 4,500 ilaa 11,000 WBCs microliterkiiba (4.5 ilaa 11.0 × 10⁹/ L).

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan sheybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan tijaabooyin kala duwan. Kala hadal adeeg bixiyahaaga natiijooyinka baaritaankaaga.

YAR WBC COUNT

Tiro yar oo ah WBCs ayaa loo yaqaan leukopenia. Tiro ka yar 4,500 oo unug halkii microliter ah (4.5 × 10⁹/ L) wuxuu ka hooseeyaa sida caadiga ah.

Neutrophils waa nooc ka mid ah WBC. Waxay muhiim u yihiin la dagaallanka infekshinka.

Tiro ka yar ka caadiga caadiga ah ee WBC ayaa laga yaabaa inay sabab u tahay:

• Lafaha yaraanta ama guuldarada (tusaale ahaan, infekshan awgood, buro, ama nabaro aan caadi ahayn)
• Kansarka daweynta dawooyinka, ama daawooyinka kale (eeg liiska hoose)
• Cilladaha jirka qaarkood sida lupus (SLE)
• Cudurka beerka ama beeryarada
• Daaweynta shucaaca ee kansarka
• Cudurrada fayraska qaarkood, sida mononucleosis (mono)
• Kansarrada waxyeelleeya dhuuxa lafta
• Infekshannada bakteeriyada oo aad u daran
• Culeys maskaxeed ama jir ahaaneed oo daran (sida dhaawac ama qalliin)

HIGH WBC COUNT

Tiro ka badan inta caadiga ah ee WBC ayaa loo yaqaan 'leukocytosis'. Waxaa laga yaabaa inay sabab u tahay:

• Dawooyinka qaarkood ama daawooyinka (eeg liistada hoose)
• Sigaar cabista
• Qalliinka ka-soo-baxa beeryarada ka dib
• Infekshannada, badiyaa kuwa ay sababaan bakteeriyada
• Cudurka caabuqa (sida rheumatoid arthritis ama xasaasiyad)
• Leukemia ama cudurka Hodgkin
• Waxyeellada unugyada (tusaale ahaan, gubasho)

Waxaa sidoo kale jiri kara sababo aan caadi aheyn oo loogu talagalay tirinta aan caadiga ahayn ee WBC.

Daawooyinka hoos u dhigi kara tiradaada WBC waxaa ka mid ah:

• Antibiyootikada
• Anticonvulsants
• Daawooyinka Antithyroid
• Qalabka Arsenical
• Captopril
• Dawooyinka kiimikada ah
• Chlorpromazine
• Clozapine
• Diuretics (kaniiniyada biyaha)
• Xannibaadayaasha histamine-2
• Sulfonamides
• Quinidine
• Terbinafine
• Ticlopidine

Daawooyinka kordhin kara tirinta WBC waxaa ka mid ah:

• Beta adonergic agonists (tusaale ahaan, albuterol)
• Corticosteroids
• Epinephrine
• Qeybta kicinta gumeysiga 'Granulocyte'
• Heparin
• Lithium

Khatar yar ayaa ku jirta in dhiigga lagaa qaado. Xididdada iyo halbowlayaasha waxay ku kala duwan yihiin cabirka qof ilaa qof kale, iyo dhinac jirka ah dhinaca kale. Helitaanka tijaabada dhiigga ee dadka qaarkiis way ka dhib badan tahay kuwa kale.

Khataraha kale ee la xiriira dhiig qaadashada waa yar yihiin, laakiin waxaa ka mid noqon kara:

• Dhiigbax xad dhaaf ah
• Miyir beelid ama dareemid madax-wareer
• Daloollo badan si loo helo xididdada
• Hematoma (dhiig ku ururaya maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Tirinta leukocyte; Tirinta unugyada dhiigga cad; Kala-duwanaanta unugyada dhiigga; WBC kala duwanaansho; Caabuq - tirinta WBC; Kansarka - tirinta WBC

• Basophil (dhow)
• Waxyaabaha la sameeyay ee dhiiga
• Tirinta unugyada dhiigga cad - taxane

Chernecky CC, Berger BJ. Tirada leukocyte ee kala duwan (Diff) - dhiigga durugsan. Gudaha: Chernecky CC, Berger BJ, eds. Tijaabooyinka Shaybaarka iyo Nidaamyada Baadhista. 6aad ed. St Louis, MO: Elsevier Saunders; 2013: 441-450.

Vajpayee N, Graham SS, Bem S. Baaritaanka aasaasiga ah ee dhiigga iyo dhuuxa lafta. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 30.