When a child falls ill, the pediatrician often prescribes a referral for a blood test. Having received a piece of paper with the result, the parents wonder what all these numbers mean and how important they are for the assessment of the state of health.
One of the key indicators is the level of neutrophils – one of the types of leukocytes. They perform a protective function, absorbing and splitting the cells of bacteria that enter the body. Let’s see why the number of neutrophils decreases, how many there should be.u-s.us.com
Neutrophilous norm in children
First of all, it should be emphasized that these cells mature into six stages; however, in the leukocyte formula, which is derived from the results of the analysis, only two “senior” stages indicate: rod and segmented. The fact is that the younger degree of maturation, for example, myelocytes and metamyelocytes do not significantly affect the blood formula.
In the leukocyte formula, rod and segmented neutrophils are indicated separately, and their rate in children of different ages is as follows:
- In newborns – 5-12 and 50-70, respectively;
- Up to 2 weeks – 1-5 and 27-55;
- In the month – 1-5 and 17-30;
- In the year – stab-core remain at the same level, segmented core increase to 45-65;
- В4 years – 1-4 and 35-55, respectively;
- From 6 years of age, the norms approach adult indicators: 1-4 and 40-60.
Reasons for low levels
A decrease in the number of neutrophils is not a disease in itself, but serves as an alarming symptom. As a rule, it indicates one of three states:
- Too high a concentration of pathogenic agents, which leads to the mass death of this type of cell – it can be viral or bacterial diseases, proceeding in a severe form;
- The impossibility of producing new neutrophils due to problems with the functioning of the bone marrow — most often chemotherapy or radiation therapy, radiation, and sometimes such a condition manifests itself as a side effect from drugs;
- mass cell death as a result of hematological diseases, which include folic acid deficiency, anemia (usually aplastic), and leukemia.
Not always reduced level of these elements in the leukocyte formula is a sign of the disease. Sometimes it indicates that the baby has dramatically reduced weight, the body does not receive enough vitamins. This picture can be observed when taking certain medications.
Not always the fact that stab or segmented neutrophils in the blood are lowered indicates that the child has neutropenia, that is, the changes have moved to a chronic level. In the latter case, the baby also has the following symptoms:
- Constant weakness, high fatigue crumbs;
- Increased sweating;
- A kid may experience limb tremor;
- Often, the temperature rises to febrile indices (that is, 38 degrees and above) without any reason;
- The crumb is prone to permanent gingivitis, stomatitis and other diseases of the oral cavity;
- Diagnosed violations of the heart;
- Often, the “fungus” makes itself known;
- Signs of general intoxication manifest themselves.
Such states are characteristic of febrile neutropenia. With congenital forms of illness, they may not be. Consider that inborn species of this disease are dangerous in the first twelve months of life of a little man, after which compensatory mechanisms are activated.
Causes of Neutropenia
- Most often, abnormal analyzes are caused by benign neutropenia. This condition is not dangerous for the baby and goes away by itself over time. As a rule, treatment is not prescribed. Please note that this condition is not a contraindication to routine vaccination.
- Sometimes the decrease in the number of these cells is the result of taking antibiotics, antipyretic (analgin and its derivatives) drugs that are used to combat cancer or after transplantation.
- If neutropenia is caused by blood disorders, such as leukemia, it is necessary to consult with a hematologist.
- Also, this condition is caused by irradiation, poisoning by various poisons, including mercury vapor.
What should parents do
- First of all, keep calm. “Disposable” test abnormalities are not at all a sign of serious pathologies. Exclude factors that may affect the number of cells, then repeat the complete blood count.
- You should not look at each indicator of leukocyte formula separately. For example, a situation where neutrophils are lowered, but at the same time lymphocytes are elevated, may indicate that the child has an inflammatory process. In general, such a pattern is common in children often.
- In no case do not “assign” immunomodulators to the baby, which will complicate the process of making the correct diagnosis to the doctor.
- Do not use various folk remedies. Remember that amateur is irrelevant here.
- If you see signs of anxiety in your crumbs, and the blood test deviates from the norm, contact the doctor immediately. Most likely, he will prescribe additional studies to clarify the diagnosis.
Decreased neutrophils in a child under one year old – video
What can cause a low number of neutrophils in the blood of a child? What should parents know? You will learn about this from the following video. It tells how these cells can be, why their concentration decreases, how it depends on the age of the child.
A decrease in the level of neutrophils in children’s blood may be a variant of the norm, but at the same time it may indicate alarming symptoms. In each case, the doctor should make the final diagnosis; parents should not try to do it themselves.