Chii chinonzi rhinocytogram? Kugadzirisa, chimiro muvana, tsanangudzo yehutano uye kugadzirira kwayo

Zvinokonzera kuvhiringidza zvinowanikwa mumakumbo emvura ndeye dambudziko guru kune vana. Izvi zvinoitika kuti vabereki vanoita kurapa zvisina kukodzera kwenguva refu rhinitis, sezvo kune marudzi akawanda ehosha yakadaro uye chimwe nechimwe chinoda kushandiswa kweimwe nzira yekurapa.

Zvinonyanya kukosha kuti uwane hutachiwana hwekuongororwa. Nokuda kweizvi, rhinocytogram inoitwa. Kugadzirisa smear kubva mumhino kuchagadza kuvapo kwechirwere ichi uye kujekesa zvinhu zvayo.

Chii chinonzi rhinocytogram

Rinocytogram inongororwa yakaoma ye microflora ye sinal sinuses. Kuti uite izvi, tora swab kubva mumhino kuti uwane kuvharwa kwemvura. Nzira imwechete yekuongorora inofananidzira kuongororwa kwenhamba yemasero akadai se:

• Lymphocytes;
• Erythrocytes;
• Neutrophils;
• Ciliated epithelium;
• Macrophages;
• Yeast mushroom;
• Eosinophils.

Nekubatsira kwekutsvakurudza, zvinokwanisika kuziva kuti mabhakitiriya api akaita kuti kuve kwemahombekombe evarwere kunowanzobudirira kurwisana naro.

Chiratidzo chekuita

Ihinocytogram inongororwa smear inotorwa kubva mumusasa mucosa. Iyi nzira ndeyevakuru nevana. Kazhinji, kuongororwa kwakadaro kunorongedzerwa kune vanhu vane nguva refu yakasimba yemhino yemhino kana kugara vachidzoka kwehutachiona hwehutano hwemapfupa.

Iboka iri pane ngozi yakawanda inosanganisira:

• Vana;
• Vanhu vane utachiona husina simba;
• Transplanted organ transplantation;
• Vanhu vane chirwere cheshuga.

Zviri pachena kuti chidzidzo ichi chinorayirirwa kana murwere ane imwe kana zvikwangwani zvakawanda panguva imwe chete, ndeyokuti:

• Nasal kudyidzana, yakatarwa kweinopfuura kwevhiki;
• Nasal kubudiswa, kwete kutenderwa kurapwa;
• Sneezing;
• Itching of the nasal mucosa.

Uku kuongororwa kwakajeka kusingabatsiri kushungurudzika kune mwana.

Kugadzirira fence yechakavanzika

Varwere vakawanda vari kushamisika kuti vangagadzira sei rhinocytogram uye kuti vangagadzirira sei chidzidzo. Kuti uwane migumisiro yakarurama, unofanira kutevera mamwe mitemo. Kwemazuva maviri isati yasarudzwa kuongorora kunofanira kumira kushandisa mafuta anonhuwira mukati nekunze kwemhino. Zvinorambidzwa kushandisa madonhwe uye mapiritsi ane antibacterial components uye corticosteroids.

Mazuva mashanu isati yatora mashoko acho, rega kutora maantibioti. Usashambidza zvitadzo zvepine rimwe zuva usati watora smear, uyewo pazuva ranhasi zvinokurudzirwa kuti usabvuta mazino ako uye kunwa mvura chete.

Zvichitevedzwa zvehutano

Rinocytogram mumwana uye munhu mukuru anoitwa chero nguva, asi, zvakanakisisa kuzviita pamatanho ekutanga echirwere. Tora sampuli yekuongorora nenzira isina nyore. Nzira yacho haina kurwadza, uye haufaniri kuitya kunyange kunyange nevana.

Kuti agadzire kuunganidzwa kwezvinhu, murwere anokanganisa musoro zvakare, uye chiremba kana mukoti anoshandisa swab cotton kutora chikamu chaidiwa chezvinhu zvekudzidza. Zvakanyatsoita nzira imwe chete yaunofanira kuita neimwe mhino. Zvadaro sampuli dzinoiswa mune imwe chigadziko chakasvibirira chakasvibirira chemuviri, izvo zvinodiwa kuti kukura kwei microorganisms.

Kakawanda, kuti uwane mhinduro yakarurama, chiremba anogona kushandisa endoscope. Kudzidza kwakadaro kunoitwa pasi peanesthesia. Icho chimiro chemuenzaniso wekutsvaga chinokonzera kusashamisika, sezvo ichiitwa kubva kumaasitini eparanasal. Izvo zvinhu zvinogadziriswa zvinonzi zvinokurudzira, sezvo zvingashandiswa kuona kuti kune neutrophils mune smear.

Chii chinoshandiswa nemasero mukuongorora

Mumwe chiremba anoziva anofanira kupa tsanangudzo yemugumisiro wakawanikwa, sezvo iye anoziva nzira yekujekesa (rhinocytogram). Mucosa inonzi nasal mucosa ine masero mashoma, rimwe nerimwe raanoita rimwe basa. Kana mabhakitiriya kana mavairusi akawana mucous membrane, ipapo uwandu hwe leukocyte hunowedzera kuti hurwisana nawo. Aya masero anosanganiswa pakuumbwa kwehutachiona.

Kuwedzera kweeukocytes kunoratidza kuvapo kwehutachiwana mumuviri, uye kudarika kweimwe yezvikamu zvikamu zve leukocyte zvinoratidza chikonzero chechirwere. Apo zvinokonzera zvose zvinopinda mumuchu, mumvura inoshandiswa inotanga kuitika. Inokonzerwa nekuumbwa kwepamusoro pemucosa weeosinophils. Mukuwedzera, chidzidzo chacho chinogona kuona epithelium uye mabhakitiriya.

Kazhinji muvana nevakuru

Kana uchiitisa chidzidzo, zvakakosha kuziva kuti rhinocytogram inowanikwa sei kuvana. Kugadziridza mutafura kunobvumira kutsvaga mararamiro akaenzana ezvimwe zvikamu zvechivi chechivi chevanhu vakuru nevana.

Zviri mumasero aya hazviiti nguva dzose, zvinogona kuchinja zuva rese. Mumazuva emangwanani kana manheru, chiyero ichi chinogona kuderedzwa ne-20%, uye usiku inogona kukwira ne30%.

Pakuita rhinocytogram kududzira, chimiro muvana veEosinophil musati makore mana vanofanira kuva 0-7, uye mune vana vakwegura kupfuura makore mana, zviratidzo zvevakuru zvinotorwa. Zvose zvekutsvaga zvinoenderana nezera remwana, saka chiremba anofanira kufananidzira mhinduro.

Kugadziriswa kwezviratidzo

Kuti uone chinokonzera kukonzera kwenguva refu kusina kudarika rhinitis, kuwanda kwehuwandu pakati pemasero kunoverengwa panguva yekutsvaga. Paanoongorora rhinocytogram (decoding), zvakajairika kuvana vemasero machena eropa vanofanira kunge vari mumunda wechitarisiko kusvika kumatanho akawanda. Nechirongwa chekutapurirana nekuputika, mari yavo inowedzera zvakasimba.

Muchidimbu cheeutrophils inofanira kuva 1-3%. Muhupo hwehutachiona hwehutachiona hunotonhora, foreal sinusitis, kana sinusitis, nhamba yavo inowedzera zvinoshamisa, zvichienderana nekukwirira uye kuoma kwemaitiro ezvokuvhiringidza. Izvi zvinoratidzwa mukuonekwa kwekusviba kwakakura kubva mumhino yejena kana yebhuruu. Pakutanga, hutachiona hwehutachiona hunogona kuoma nekutapukirwa kwebhakitiriya, ndicho chikonzero chiyero cheeutrophils chinogona kuwedzera pamwe chete ne lymphocytes.

Kugadzirisa (mumutemo) rhinocytograms muvana inoratidza kuti lymphocytes haifaniri kudarika 5%. Kuwedzera kwakanyanya kwehuwandu hwemarikirini kunogona kuratidza kuvapo kwehutano, parainfluenza, adenovirus kana chero humwe hutachiona hutachiona. Mukuwedzera, nhamba yavo inogonawo kuwedzera nechando chisingaperi.

Kuvapo kwe-10% eosinophils mukutsvaga kunoratidza kuvapo mumuviri wepollinosis, kana chirwere chinonzi allergenic rhinitis. Nhamba ye epithelium haisi iyo nguva dzose inofungidzirwa mubhuku, asi chiyero chikuru cheicho chinoratidza kuvhiringidza kunoitwa mumuviri.

Paanosarudza rhinocytogram mune zvakasikwa, vana havafaniri kuva nemasero matsvuku eropa. Kana iripo, tinogona kutaura pamusoro pekufamba kwechirwere, sezvo erythrocytes munyaya iyi inopinda nepakati pemidziyo yega yega yeropa.

Iyo microflora inowanzosava, asi kana iripo, saka rudzi rwe causative agent runowanikwa. Zvirwere zvinokonzera zvirwere zvinogona kuitika muBacterial rhinitis kana chirwere cherhinitis.

Kana mhinduro yacho yakasununguka, uye mhepo inomhanya isingapfuuri

Kana rhinocytogram inowanzo muvana, uye mhepo inomhanya isingapfuuri kwenguva yakareba, zvino izvi zvinogona kuva chiratidzo:

• A vasomotor runny nose;
• Drug rhinitis;
• Imwe rudzi rwerhinitis.

Vasomotor runny nose inogona kuitika semugumisiro wekuvhiringidzwa kwemidziyo. Inonyanya kunyanya kuvharwa uye pasi pesimba remhepo inotonhora. Medicamentous rhinitis inogona kutanga semugumisiro wokushandiswa kwenguva refu kwevasoconstrictor zvinodhaka. Mukuwedzera, inotonhora inogona kuitika semugumisiro wekuvhiringidzwa kwe endocrine kana nervous system.

Zvinetso izvi zvose zvinoda kutsvakurudza kumwe nekurapa kwakakwana.