The normal white blood cell count is (4-10) × 109/liter, commonly known as 4000 to 10000 per cubic millimeter, the average value is 7000. If it is between 4,000 and 7,000, it is low normal and does not require treatment; if it is below 4,000, leukopenia is diagnosed. Even so, it does not necessarily mean that treatment is needed. For example, if the decrease is only mild or transient, does not continue to fall on retesting, and there are no symptoms or discomfort, then there is no need to be nervous and no treatment is needed. Of course, white blood cells in the following cases need to be concerned, and under the guidance of the doctor, to take intervention measures.
1. A severe decrease in white blood cell count requires urgent treatment. White blood cells are made up of granulocytes, lymphocytes, monocytes, and so on. Generally speaking, the most common and most important white blood cell reduction is the reduction of granulocytes. If the degree of reduction is too obvious, the bacteria are likely to spread rapidly in the state of complete or basic loss of resistance, and even enter the bloodstream to cause sepsis, which is a serious threat to life.
2, there is a reason for leukopenia should be directed at the cause of treatment. Common causes of leukopenia are generally three types: one is drugs, such as taking antipyretic drugs, sulfonamides, etc., at this time, such as leukopenia is too obvious, you should stop or change the drug; two is a viral infection, such as influenza, viral infections, etc., at this time, on the one hand, should be active in antiviral therapy, on the other hand, can be taken as appropriate to increase leukocytes of the drug; three is suffering from immune system diseases, such as rheumatoid arthritis, etc., at this time, the immune system can be used for the treatment of leukopenia. Rheumatoid arthritis, etc., this time should also be the same intervention, choose to take drugs that can increase white blood cells.
3, at the same time have red blood cells and (or) thrombocytopenia need further diagnosis and treatment. When there is a decrease in white blood cells, if the other two cells in the blood, namely red blood cells and platelets, have abnormal changes, the problem is more complicated, first of all, we need to further examination, the most commonly done is a bone marrow examination, in order to rule out the presence of other blood disorders, and then decide on the treatment plan.
Clinically used drugs to raise white blood cells are: vitamin B4, lisinopril, shark liver alcohol, coenzyme A, etc., generally without any side effects. Patients can choose to use them under the guidance of the doctor.
Leukopenia and granulocyte deficiency
Leukopenia and neutrophil deficiency are a group of syndromes caused by a variety of causes. According to their clinical characteristics, they belong to the category of "qi deficiency" in Chinese medicine.
[Clinical manifestations]
1. Leukopenia: general dizziness, fatigue, limb weakness, loss of appetite, low fever, insomnia and other non-specific symptoms. A small number of asymptomatic, while some patients have recurrent oral ulcers, lung infections or urinary tract infections.
2. Granulocyte deficiency: the onset of the disease is acute, often with high fever, chills, headache, fatigue or extreme weakness. Sometimes oral cavity, nasal cavity, skin, rectum, anus, vagina and other mucous membranes can appear necrotic ulcers. For those who are allergic to the drug, exfoliative dermatitis may occur at the same time, and in severe cases, central nervous system symptoms may occur. Septicemia or septicemia often occurs rapidly and leads to death.
[Diagnosis]
1. Leukopenia: peripheral blood leukocyte count is less than 4.Oxll09/L due to various causes. The criteria for children
are less than 4.5x109/L at 10-14 years of age, 5.0x 109/L at 5-9 years of age, and 5.5x 109/L at less than 5 years of age.
1. Leukopenia is a condition that is characterized by the presence of a high number of white blood cells.
2. Neutropenia and granulocyte deficiency: the absolute value of peripheral blood neutrophils in adults is less than 2.0x109/L, called neutropenia; less than 0.5xl09/L is called neutrophil deficiency.
[Treatment]
1. Western medicine
(1) Leukocyte-boosting drugs, such as leukemia or vitamin B410mg, 3 times a day; or lithium carbonate 0.25 g, 3 times a day.
(2) Use G-CSF and GM-CSF to promote cell production.
2. Traditional Chinese medicine treatment
Qi and blood deficiency: shortness of breath, dizziness, limb weakness, loss of appetite, insomnia and dreaminess, or extreme weakness, frequent occurrence of colds or other infectious clusters, pale tongue, white moss, and thin and weak pulse.
Treatment: tonifying qi and blood.
Prescription: 30 grams each of Radix Codonopsis and Radix Astragali, 10 grams each of Rhizoma Polygoni Multiflori, Rhizoma Polygoni Multiflori, Rhizoma Atractylodis Macrocephalae, Radix Rehmanniae Praeparata, Radix Angelicae Sinensis, Radix Paeoniae Alba, Salviae Miltiorrhizae, 6 grams of Radix Glycyrrhiza Uralensis and 5 jujube.
Chinese medicines: Fengling capsule, Bailing capsule, Spurgeon's Spirulina.
[Prevention and Nutrition]
1. Pay attention to diet: avoid cold and unclean diet to avoid digestive system infection.
2. Try to avoid going to public **** places to prevent respiratory infections.
3. Avoid taking drugs that cause bone marrow damage or leukopenia.
4. Avoid contact with chemicals and radioactive substances that cause bone marrow damage.