Lo mcimbi ohlotshaniswa nezinguquko ze-pathological egazini nasezimpilweni ezenziwe ngegazi (amathambo omnkantsha, i-spleen, i-lymph nodes), efana nezibonakaliso zezifo zesimiso se-hematopoietic, kuthiwa yi-reaction leukemoid. Kwezinye izimo, izakhi ze-cell ezifayo zingena egazini, kwezinye - ukukhiqizwa kwamangqamuzana egazi kwanda, okwesithathu - isivuno samangqamuzana egazi sinqunyelwe.
Ukuhlukaniswa kokuphendula kwe-leukemoid
Izinhlobo ze-leukemoid ezithinta igazi zihambisana nezimbangela zenzeke. Kukhona izinhlobo ezilandelayo eziyinhloko zokuphendula kwe-leukemoid ye-neutrophilic:
- I-reaction ye-leukemoid i-eosinophilic. Ihlotshaniswa nezinqubo zokwelapha emzimbeni. Izimbangela ezivamile zentuthuko yizilwane ze-helminthic, i-dermatitis yokwelapha, ukusabela ekusungulweni kwemithi elwa namagciwane. Kulesi simo, inani eliningi lama- eosinophil alitholakala egazini likagulane.
- I-reaction ye-Leukemoid yohlobo lwe-myeloid. Ikhumbula i-leukemia engapheliyo i-myelogenous. Izinguquko egazini zibhekwa nge-metastases yamangqamuzana omdlavuza ethambo, futhi zingase zihlotshaniswe nezifo ezithathelwanayo ezimbi, izidakamizwa ezihlukahlukene zomzimba. Ngaphezu kwalokho, ukusabela kungase kwenzeke uma uthatha izidakamizwa zokuhlukunyezwa.
- I-reaction leukemoid ye-lymphocyte uhlobo. Ivela nge- mononucleosis ezithathelwanayo , umdlavuza, isifo sofuba, ezinye izifo ezithathelwanayo kanye nezifo ezizimele (lupus erythematosus, rheumatoid polyarthritis).
Ukuxilongwa kwezenzo ze-leukemoid
Izindlela ezilandelayo zokuxilonga zisetshenziselwa ukunquma ukusabela kwe-leukemoid:
- ukutadisha isithombe somtholampilo wesifo;
- ukuhlola i-laboratory yegazi smears;
- i-biopsy.
Ukwelashwa kwe-reaction leukemoid
Izindlela ezikhethekile zokwelashwa kwezinkinga ze-leukemoid azikho. Izinguquko ezithintekayo ezingxenyeni ze-hematopoietic system zinciphisa noma zinyamalale ngemva kokwelashwa okuphelele kwesifo esiyisisekelo, ngenxa yalokho okwavela khona. Ngakho-ke, uma ukuhlasela kwe-helminthic kuqinisekisiwe, izidakamizwa ze-anthelmintic zibekiwe, uma kwenzeka izifo ezithathelwanayo zokwelapha izifo zelashwa, njll.
Ukungafani kukhona izinhlobo ezithile zezenzo ze-leukemoid, lapho, naphezu kokwelashwa, azikho ukuthuthukiswa kwesithombeni sesithombeni. Kulesi simo, ukwelashwa okuyinkimbinkimbi kufakazelwa ukwamukelwa kwezimpawu zokuzivikela, ukulwa nokwelapha kanye nama-hormone amanye ama-hormonal.