Kuyini rinotsitogramma? Sokuqonda uthola izingane, incazelo inqubo kanye nokulungiselela ke

izinqubo ukuvuvukala kule ingaphakathi acinene, - inkinga enkulu kakhulu izingane. Ngokuvamile ukuze abazali eyenziwa ukwelashwa okungalungile rhinitis ezingamahlala khona ngoba kukhona izinhlobo eziningi izifo ezifana ne ngayinye idinga ukusebenzisa izindlela ezithile yokwelapha.

Kubalulekile kakhulu ukuxilonga imbangela. Ukuze wenze lokhu, olwenziwa rinotsitogramma. Sokuqonda swab kusukela ekhaleni izocacisa khona isifo futhi embule izici busebenze.

Kuyini rinotsitogramma

Rinotsitogramma kuyinto ukuhlaziywa olunzulu microflora we sinuses. Ngenxa yalesi smear othathwe ekhaleni ngoba acinene uketshezi. Le ndlela yocwaningo kusho ukulinganisa inani lamaseli ezifana:

• lymphocyte;
• zamangqamuzana abomvu egazi;
• neutrophil;
• epithelium ciliated;
• ama-macrophage;
• nembiliso;
• eosinophils.

Ngosizo ucwaningo nethuba ukuze kunqunywe ukuthi yiziphi amagciwane omcasule ukuvela umkhuhlane ngoba impi yimpumelelo kakhulu naye.

Izinkomba inqubo

Rinotsitogramma smear ukuhlaziywa ethathwa mucosa acinene. Inqubo ezinqunyiwe abadala kanye nezingane. Ngokuvamile, azihlole inikezwa abantu umbono abangafuni amanothi eside isekelé amakhala yisisu noma sokuphinda kaningi zokuphefumula ipheshana ukutheleleka.

iqembu ephezulu kufaka:

• izingane;
• Abantu ne izinhlelo obuthaka mzimba;
• isitho ukufakelwa;
• abantu abanesifo sikashukela.

Nakanjani, kulolu cwaningo inikezwa uma isiguli esisodwa noma eziningana izikhalazo, okuyilezi:

• ukuminyana acinene, kwaphawuleka kule ngesonto;
• amakhala yisisu, akuzona esilaphekayo;
• sneezing;
• Ukulunywa we mucosa acinene.

Lena ukuhlaziywa kunalokho elula, okuyinto akubangi ukungakhululeki ingane.

Ilungiselela kocingo imfihlo

Iziguli eziningi abazibuza yona indlela yokwenza rinotsitogrammu nokuthi ukulungiselela isifundo. Ukuze uthole imiphumela olunembile, udinga alandele imithetho ethile. Ezinsukwini ezimbili ngaphambi ukuhlaziya kocingo kufanele wayeka ukusebenzisa yokugcoba ezihlukahlukene ngaphakathi nangaphandle kwe-ekhaleni. Akuvunyelwe zisebenzisa amathonsi noma izifutho eliqukethe e izingxenye ngezithako zawo elwa namagciwane kanye corticosteroids.

izinsuku ezingu-5 ngaphambi ukuqoqwa impahla udinga ayeke ukuphuza imithi elwa namagciwane. Asikho isidingo uxubha sinuses kosuku ngaphambi kokuthatha smear, kanye ngosuku kungcono ukuba ukuxubha amazinyo abo, aphuze amanzi kuphela.

Izici Ezihilelekile Kule nqubo

Rinotsitogramma ingane futhi omdala Kunenkolelo nganoma yisiphi isikhathi, kodwa lokhu arcade kwenziwa ngesikhathi izigaba sokuqala lesi sifo. Ukwenza amasampuli ukuhlaziywa ngendlela elula. Inqubo kobuhlungu ngokuphelele, futhi ayidingi wesabe, ngisho nezingane.

Ukuze afeze ezimbalwa impahla, isiguli elahla ikhanda kancane emuva, futhi udokotela noma unesi usebenzisa swab ukotini ukuthatha lemali edingekayo amaphuzu esifundweni. Ichaza ngayo kanye indlela efanako kufanele wenziwe ngezinto omunye ikhala. Ngokulandelayo, masampuli zafakwa esitsheni okhethekile nge ekhethekile naphakathi izakhi adingekayo ukukhula nezilwanyana ezincane.

Ngokuvamile, ukuze uthole imiphumela esinembile udokotela angasebenzisa endoscope. Ukutadisha okunjalo wenziwa khona ngaphansi izinzwa wendawo. Lolu hlobo ucingo impahla for ukuhlaziya kubangela ezinye kabi ngoba aphethwe kusukela sinuses paranasal. Indaba nomphumela ubhekwa ngaphezulu ulwazi, njengoba ingasetshenziswa ukucacisa khona neutrophil egazini smear.

Yini benze amaseli ukuhlaziywa

Ukwenza incazelo yi kumelwe udokotela oqeqeshwe ngokuphelele, njengoba azi ukuthi angakwenza kanjani wokufunda ukuhlaziya (rinotsitogrammu). Acinene mucosa yakhiwa amaseli eziningana, ngayinye yaba wenza umsebenzi othile. Uma lwamafinyila uthole amagciwane noma amagciwane ke ukubhekana nazo kwandisa izinga amangqamuzana amhlophe egazi. La mangqamuzana zinengxenye kumiswa amasosha omzimba.

Ukwandisa amangqamuzana amhlophe egazi kubonisa khona ukutheleleka emzimbeni, kanye ngokweqile omunye amafraktjhini leukocyte kubonisa imbangela yalesi sifo. Ngemva ukuxhumana surface acinene mucosa nomzimba ukusabela nomzimba. Kuyinto ngenxa ukwakheka phezu eosinophils mucosal. Ngaphezu kwalokho, phakathi nesifundo zingatholakala epithelia namagciwane.

Uthola izingane kanye nabantu abadala

Lolu cwaningo nakanjani kudingeka wazi ukuthi iyini kuyinsakavukela at rinotsitogramme izingane. Kulungiswa ethebuleni ukucacisa sibalo evamile ahlukaniswa sinuses abadala kanye nezingane.

Okuqukethwe la mangqamuzana akuyona njalo, ke ziyahlukahluka usuku lonke. Ekuseni noma kusihlwa, lesi sibalo kungenzeka yehliswe ngama-20%, kanye ebusuku kungase kukhule ngo-30%.

Lapho efeza lo ukuqaqwa rinotsitogrammy ngesilinganiso eosinophils e izingane ezingaphansi kweminyaka engu 4 ubudala kufanele kube 0-7, nezingane abaneminyaka engama 4 ziyabhekelelwa izibalo abadala. Okunye izinkomba cwaningo incike yobudala ingane, ngakho incazelo yaleli Imiphumela ihlobene udokotela.

kulungiswa ukusebenza

Ukuze ubone ukuthi yini imbangela nokunwetshiwe hhayi odlulayo abandayo, ngesikhathi ukuphindaphinda ukubala maqondana bobukhulu ngaphakathi kwezinombolo amaseli. Lapho ehlaziya rinotsitogrammy (emagama) e leukocyte evamile izingane kufanele ibe ukubuka kube Amakilasi ambalwa. Lapho ukugeleza ukutheleleka kanye ukuvuvukala inombolo yabo iyakhula.

Ngokuvamile, ama-neutrophil kufanele kube 1-3%. Ephambi kwezinduna uhlobo webhaktheriya rhinitis, sinusitis noma sinusitis inani lawo likhuphuka ngokucijile ngokulingana umfutho nokuba yinkimbinkimbi ukugeleza ukuvuvukala. Lokhu kubonakala ukubukeka obukhulu acinene osenyameni ophuzi noma oluhlaza. Ekuqaleni, imithombo yezokuzijabulisa ingadlulisela igciwane lohlobo nzima esibangelwe igciwane, yingakho inani neutrophil zingandiswa kanyekanye ne-lymphocyte.

Kulungiswa (evamile) rinotsitogrammy ezinganeni kusikisela ukuthi amaseli kumele singeqi 5%. I ukwanda okukhulu kwezincwadi amazinga lymphocyte kungase kubonise khona Umkhuhlane, parainfluenza, adenovirus, noma yimuphi omunye igciwane lohlobo. Ngaphezu kwalokho, inombolo yabo zingandiswa kanye rhinitis ezingamahlala-khona.

Ukuba khona e ukuhlaziywa ezingaphezu kuka-10% ibonisa khona eosinophils emzimbeni hay fever, noma rhinitis iguliswa. Hhayi njalo isifundo ukucabangela inombolo epithelium, kodwa nabaningi ekubukeleni kwakhe imidlalo zenzeka emzimbeni ngesikhathi ukuvuvukala.

Ngo sokuqonda evamile rinotsitogrammy ezinganeni akufanele kube ngokuthi ingqamuzana legazi elibomvu. Uma umuntu ongakhuluma ngazo ukugeleza umkhuhlane, njengoba erythrocyte kulokhu zingene imithambo yegazi thinned e ngalo ingaphakathi acinene.

I microflora ngokuvamile omubi, uhlobo Nokho, uma ikhona, bese kulokhu uchazwa ukutheleleka pathogen. Amagciwane ingabuye yenteke ngesikhatsi webhaktheriya noma viral rhinitis rhinitis.

Uma imiphumela evamile, futhi amakhala yisisu aluphumeleli

Uma rinotsitogramma izingane evamile, futhi amakhala yisisu iqhubeka isikhathi eside, kungase kube uphawu lokungabi:

• vasomotor rhinitis;
• izidakamizwa olubangelwa rhinitis;
• nezinye izinhlobo rhinitis.

Vasomotor rhinitis kungenzeka ngenxa ukuphazamiseka imithambo yegazi. It is baphawula ikakhulukazi ngaphansi kokucindezeleka futhi ngaphansi kwethonya lomoya abandayo. Rhinitis medicamentosa ungaqala ngenxa ukusetshenziswa eside vasoconstrictors. Ngaphezu kwalokho, umkhuhlane kungenzeka ngenxa ukuphazamiseka endocrine kanye izinhlelo sezinzwa.

Zonke yalezi zinkinga kudinga ukucwaninga kanzulu ukwelashwa olunzulu.