Zosavuta m'mapapo mwanga eosinophilia

Eosinophilia yosavuta yam'mapapo ndi kutupa kwa mapapo kuchokera kuwonjezeka kwa eosinophils, mtundu wa khungu loyera la magazi. Njira zamapapu zokhudzana ndi mapapu.

Matenda ambiri amtunduwu amayamba chifukwa cha:

• Mankhwala, monga mankhwala a sulfonamide kapena mankhwala osagwiritsa ntchito zotupa (NSAID), monga ibuprofen kapena naproxen
• Kutenga ndi bowa monga Aspergillus fumigatus kapena Pneumocystis jirovecii
• Tizilombo toyambitsa matenda, kuphatikizapo nyongolotsi Ascariasis lumbricoides, kapena Necator americanus, kapena nkhokweAncylostoma duodenale

Nthawi zina, palibe chifukwa chomwe chimapezeka.

Zizindikiro zimatha kuphatikizira izi:

• Kupweteka pachifuwa
• Chifuwa chowuma
• Malungo
• Kumva kudandaula
• Kupuma mofulumira
• Kutupa
• Kupuma pang'ono
• Kutentha

Zizindikiro zimatha kuyambira paliponse mpaka zovuta. Amatha kupita osalandira chithandizo.

Wothandizira zaumoyo amvera pachifuwa chanu ndi stethoscope. Phokoso ngati crackle, lotchedwa rales, lingamveke. Rales akuwonetsa kutupa kwa mapapo minofu.

Kuyeza kwathunthu kwa magazi (CBC) kumatha kuwonetsa kuchuluka kwa maselo oyera amwazi, makamaka ma eosinophil.

X-ray pachifuwa nthawi zambiri imawonetsa mithunzi yachilendo yotchedwa yolowerera. Amatha kutha pakapita nthawi kapena kuwonekeranso m'malo osiyanasiyana am'mapapo.

Bronchoscopy yotsuka nthawi zambiri imawonetsa ma eosinophil ambiri.

Njira yomwe imachotsa m'mimba (kutsuka m'mimba) imatha kuwonetsa zisonyezo za nyongolotsi ya ascaris kapena tizilombo tina.

Ngati mukugwirizana ndi mankhwala, omwe akukuthandizani angakuuzeni kuti musamwe. Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.

Ngati vutoli limachitika chifukwa cha matenda, mutha kuchiritsidwa ndi mankhwala opha tizilombo kapena antiparasitic.

Nthawi zina, mankhwala odana ndi zotupa otchedwa corticosteroids amaperekedwa, makamaka ngati muli ndi aspergillosis.

Nthawi zambiri matendawa amatha popanda chithandizo. Ngati pakufunika chithandizo, yankho nthawi zambiri limakhala labwino. Koma, matendawa amatha kubwerera, makamaka ngati vutoli lilibe chifukwa chake ndipo liyenera kuthandizidwa ndi corticosteroids.

Vuto losowa la m'mapapo mwanga eosinophilia ndi mtundu waukulu wa chibayo wotchedwa acute idiopathic eosinophilic pneumonia.

Onani omwe akukuthandizani ngati muli ndi zizindikilo zomwe zingakhudzidwe ndi vutoli.

Ichi ndi matenda osowa. Nthawi zambiri, chifukwa sichimapezeka. Kuchepetsa kupezeka pazovuta, monga mankhwala ena kapena tiziromboti, kungachepetse mwayi wopeza matendawa.

M'mapapo mwanga amalowerera ndi eosinophilia; Matenda a Loffler; Chibayo cha eosinophilic; Chibayo - eosinophilic

• Mapapo
• Dongosolo kupuma

Cottin V, Cordier JF. Matenda am'mapapo a eosinophilic. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 68.

[Adasankhidwa] Kim K, Weiss LM, Tanowitz HB. Matenda opatsirana pogonana. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chaputala 39.

Klion AD, Weller PF. Eosinophilia ndi zovuta zokhudzana ndi eosinophil. Mu: Adkinson NF, Bochner BS, Burks AW, et al, olemba. Ziwombankhanga za Middleton: Mfundo ndi Zochita. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014: chap 75.