Chemotherapy e ka fokotsa litšenyehelo tsa mali. Palo e feletseng ea mali (CBC) ke tlhahlobo ea mali e tloaelehileng e etsoang khafetsa nakong ea phekolo ea kankere ea matsoele. Kopa le ho boloka kopi ea CBC ea hau ka 'ngoe.
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Ho Utloisisa Tlhaloso ea Hao ea Mali (CBC)Mohlala oa mali a hau o tla huloa le ho lekoa ho hlahloba likarolo tse fapaneng maling a hau (a hlalositsoeng ka ho qaqileng hamorao). Liphello tsa teko ena li tla bontša kamoo litho tsa hau tsa bohlokoa li sebetsang hantle kateng, le hore na phekolo e bolaea kankere ea hau hantle hakae. CBC e tla senola maemo a joalo a mali e le neutropenia, anemia kapa thrombocytopenia. Maemo ana kaofela a ka phekoloa.
Mehato e Mehlano
Li-Cells Red Blood (RBC) - Lisele tse khubelu tsa mali li na le hemoglobin, 'me li tsamaisa oksijene' meleng oa hao. Lisele tsena li boetse li tlosa lihlahisoa tse tsoang lithong tsa hao. Li-RBC li lekantsoe ka limilione ka li-cubic millimeter (mil / mm 3 ) tsa mali.
Li-Cells White Blood (WBC) - Lisele tse tšoeu tsa mali ke karolo ea bohlokoa ea sesole sa hau sa 'mele. Ho na le mefuta e mengata ea lisele tse tšoeu tsa mali, tse kang neutrophils. Li-WBC li lekantsoe ka likete tse likete tsa li-cubic milliliter (K / mm 3 ) tsa mali.
Platelet (PLT) - Li- Platelets , tse bitsoang li-thrombocyte, ke likaroloana tse nyane tsa lisele tse ka bang leshome-kholo ea boholo ba sele e khubelu ea mali. Mosebetsi oa bona o ka sehloohong ke ho etsa lesela ho thibela mali a nako e telele. PLTs li lekanyetsoa ka likete tse likete tsa lik'hilogrithara (K / mm3) tsa mali.
Hemoglobin (HGB) - Hemoglobin e na le oksijene 'me e fana ka lisele tse khubelu tsa mali' mala oa tsona. Ha u kenya letsoho, hemoglobin e na le oksijene e tsoang matšoafong a hao ho ea mahetleng a hao, 'me ha o tsoa, hemoglobin e fetisetsa carbon dioxide' meleng oa hao. HGB e lekanyetsoa ka dikgerama ka ho feletseng (g / dL) ea mali.
Hematocrit (HCT) - Hematocrit mehato ea karolo ea lisele tse khubelu tsa mali ho amana le bokahohle ba mali a hau.
Mokhoa o tloaelehileng oa Mehato ena:
RBC: 3.58-4.99 mil / mm 3
WBC: 3.4-9.6 K / mm 3
PLT: 162-380 K / mm 3
HGB: 11.1-15.0 g / dL
HCT: 31.8-43.2%
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CBC ea hau - Litekanyo tsa lisele tsa mali tsa White le NeutropeniaMefuta e Ts'oanang ea Mali ea Mali
Lisele tse tšoeu tsa mali li bohlokoa bophelong ba hau hobane li loantša tšoaetso. Ho fapana le lisele tse khubelu tsa mali, ho na le mefuta e sa tšoaneng ea lisele tse tšoeu tsa mali.
Mefuta e Mehlano ea Lisele tsa Motsoako oa Mali
- Li-neutrophils (li-polys le lihlopha) (NE)
- Lymphocyte (LY)
- Monocyte (MO)
- Eosinophils (EO)
- Basophils (BA)
E 'ngoe le e' ngoe ea mefuta ena ea lisele tse tšoeu ea mali e tla lekanyetsoa le ho tlalehoa ka CBC ea hau ka peresente le ka palo.
Tlhaloso ea hau ea li-neutrophil (ANC)
Li-neutrophils, tseo hape li bitsoang granulocytes, li etsa karolo e fetang halofo ea palo ea lisele tsa hao tse tšoeu tsa mali. Ho na le mefuta e 'meli ea li-neutrophils: li-polys le lihlopha, tse lokelang ho baloa ka thoko. Tlaleho ea hau ea CBC e tla ba le palo ea ANC kapa AGC (Absolute Granulocyte Count). Ena ke nomoro ea bohlokoa hobane e bontša kamoo 'mele oa hao o ka loantšang tšoaetso hantle kateng. Palo e tloaelehileng ea neutrophile ke 2 500 ho ea ho 6 000. ANC ea hau e balloa ka mokhoa ona:
Sesole sa mali e lekanang x (palo ea lipolisi + palo ea lihlopha) = Palo e feletseng ea Neutrophil
Neutropenia
Haeba palo ea hau ea neutrophile e ka tlaase ho 1 000, u na le kotsi e eketsehileng ea tšoaetso. Haeba palo ea hau ea neutrophile (ANC) e theoha ka tlase ho 1 000, u ka fumana tšoaetso e tebileng habonolo. Boemo bona bo bitsoa neutropenia 'me bo ka phekoloa ka liente tsa Neulasta kapa Neupogen (filgrastim). Li-Labs lia fapana ka mefuta ea tsona, empa neutropenia e bonolo e ne e tla ba ANC ea 1 000 ho ea ho 1 500, e tla be e le ANC ea 500 ho ea ho 1 000, le ANC e matla ka tlase ho 500. Haeba o fumana tšoaetso, e lokela ho phekoloa ka lithibela-mafu. Maemong a feteletseng, ho kenyelletsoa motsoako oa masapo ho ka fuoa.
Hlokomela hore Maafrika a Amerika le Maasai a ka Boroa-bochabela a na le li-ANC tse tloaelehileng ka tlaase le hore ho hlahlojoa ha neutropenia ho tla boela ho etsoe palo e tlaase.
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CBC ea hau - Li-Cells Red Blood le Anemia, Platelets le ThrombocytopeniaLi-Red Blood, Hemoglobin, Hematocrit le Anemia
Haeba sesebelisoa sa hao se khubelu sa mali se sa tloaeleha, o na le lefu la mali. Nakong ea phokolo ea mali , maqhubu a hau a hematogrit le a hemoglobin e tla ba a fokolang, kahoo mali a hao a oksijene a tla ba a tlase, ho bolelang hore o tla ba le carbon dioxide e ngata haholo 'meleng oa hau. Phokolo ea mali e lebisa ho mokhathala, bofokoli, mokoloko, ho khathatseha ho phefumoloha ka ho feletseng, hlooho le ho lla litsebeng. Boemo bona bo ka phekoloa ka liente tse Ngotsoeng kapa darbepoetin. Maemong a tlaase a hematocrit le hemoglobin e ka 'na ea hloka tšelo ea mali.
Platelets Count le Thrombocytopenia
Haeba palo ea platelet ea hau e tlaase, mali a hao a ka 'na a sitoa ho koala. Boemo bona bo bitsoa thrombocytopenia. Haeba u khaoletsoe kapa haeba sejana sa mali se robehile, liplatelete tsa hao li ne li sitoa ho tiisa khefu, 'me u ka' na ua tšoaroa ke mali. Thrombocytopenia e ka lebisa ho nosebleeds, matetetso a folisang butle-butle, maqeba a tsoa mali, monobo o mofubelu kapa o mosoeu, setopo sa tšollo ea mali le mali a tsoang ka botšehaling (eseng ho ea khoeling). Boemo bona bo ka phekoloa ka lithethefatsi tse matlafatsang tlhahiso ea platelet, kapa ho hlokahala ho tšeloa platelete.
> Mohloli:
> Mekhatlo ea Sechaba ea Bophelo. NIH Clinical Center. Tlhahisoleseding e feletseng ea lingoliloeng Publications. Palo e feletseng ea Mali. Faele ea PDF, e hatisitsoeng ka April 2000.