Eosinophilia: ndi chiyani komanso zomwe zimayambitsa

Zamkati

• Zomwe zingayambitse Eosinophilia
• 1. Kutenga matenda ndi tiziromboti
• 2. Ziwengo
• 3. Matenda akhungu
• 4. Hodgkin's lymphoma

Eosinophilia ikufanana ndi kuwonjezeka kwa kuchuluka kwa ma eosinophil omwe amayenda m'magazi, okhala ndi kuchuluka kwamagazi kuposa mtengo wowerengera, womwe nthawi zambiri umakhala pakati pa 0 ndi 500 eosinophil pa µL yamagazi. Izi ndizofala kuchitika ngati kuyankha kwa zamoyo ku matenda opatsirana kapena chifukwa cha chifuwa, komabe zitha kukhalanso chifukwa cha matenda akulu okhudzana ndi maselo amwazi, monga ma lymphomas, mwachitsanzo.

Eosinophil ndi maselo omwe amachokera ku myeloblast, yomwe ndi khungu lopangidwa ndi mafupa, omwe ntchito yake yayikulu ndikuteteza thupi kumatenda opatsirana. Ngakhale ndizofunikira pakugwira bwino ntchito kwa chitetezo cha mthupi, ma eosinophil amapezeka m'magazi ochepa poyerekeza ndi ma cell ena omwe amateteza thupi. Dziwani zambiri za ma eosinophil.

Zomwe zingayambitse Eosinophilia

Eosinophilia sichimayambitsa zizindikilo kapena zizindikilo, zomwe zimadziwika kokha chifukwa cha kuchuluka kwa magazi, momwe kusintha kwa ma eosinophil kumatsimikizika. Eosinophilia imatha kugawidwa molingana ndi kuuma kwake kukhala:

• Eosinophilia wofatsa, ndipamene pamakhala ma eosinophil pakati pa 500 ndi 1500 pa µL yamagazi;
• Eosinophilia wapakatikati, pamene pakati pa 1500 ndi 5000 eosinophil µL yamagazi amayang'aniridwa;
• Eosinophilia woopsa, momwe ma eosinophil oposa 5000 5000L amwazi amapezeka.

Kuchulukitsa kwa ma eosinophil omwe amapezeka pakuyezetsa magazi, kumakulirakulira kwa matendawa, ndipo ndikofunikira kupenda magawo ena a labotale omwe adafunsa adotolo kuti athe kufikira kumapeto ndikuzindikira chithandizo choyenera.

Pomwe kuchuluka kwa ma eosinophil owerengera magazi kumasinthidwa ndipo palibe mayeso ena omwe asintha, kungalimbikitsidwe kuti mubwereza mayeso kuti muwone ngati eosinophilia ikupitilira, apo ayi silingaganizidwe.

Zomwe zimayambitsa eosinophilia ndi izi:

1. Kutenga matenda ndi tiziromboti

Kutenga ndi tiziromboti ndi chimodzi mwazomwe zimayambitsa eosinophilia, makamaka pomwe majeremusi amachita gawo la moyo wawo m'mapapu, monganso Ascaris lumbricoides, Necator americanus, Ancylostoma duodenale ndipo Strongyloides stercoralis. Tiziromboti timayambitsa eosinophilia komanso m'mapapo mwanga, omwe amadziwika kuti Loeffler's syndrome, momwe mungakhale chifuwa chouma komanso kupuma pang'ono chifukwa cha kuchuluka kwa ma eosinophil m'mapapu.

Onani momwe mungadziwire matenda a Loeffler.

Zoyenera kuchita: Ngati pali kukayikira kwa matenda ndi tiziromboti, tikulimbikitsidwa kuti, kuwonjezera pa kuwerengera kwathunthu kwa magazi, kuyezetsa magazi kwa ndowe ndi kuyeza kwa CRP m'magazi kuchitike. Kuphatikiza apo, adotolo amatha kuyitanitsa ma X-ray pachifuwa kuti aone ngati m'mapapo mwake mulowamo. Potsimikizira matendawa, adotolo amalimbikitsa chithandizo chamankhwala ochepetsa mphamvu ya kachilomboka malingana ndi tiziromboti tomwe timayambitsa matendawa, ndipo ndikofunikira kuti mankhwalawo atsatiridwe mpaka kumapeto, ngakhale ngati kulibe zizindikiro, kuti apewe kubwereranso kwa matendawa komanso zovuta zina.

2. Ziwengo

Eosinophilia imadziwikanso kwambiri chifukwa cha zovuta zomwe zimachitika, zomwe zimatha kupuma, kulumikizana, chakudya kapena mankhwala, ndikutulutsa zomwe zili m'malo ena akunja kuyesera kulimbana ndi wothandizirayo.

Zoyenera kuchita: Ndikulimbikitsidwa kuti achitepo kanthu kuti athane ndi ziwengo, monga kupewa kulumikizana ndi zinthu zomwe zimayambitsa ziwengo, kuphatikiza mankhwala a antihistamine, omwe amathandiza kuthetsa zizolowezi zowopsa. Nthawi zina, ngati ziwengo sizichoka ngakhale ndi ma antihistamines, mwina mungalimbikitsidwe kutenga corticosteroids. Kuphatikiza apo, ndikofunikira kufunsa wotsutsa kuti mankhwala azitha kulunjika.

Nthawi zina, kuwonjezera kuwerengera kwa magazi, kuchuluka kwa immunoglobulin E, kapena IgE, yomwe ndi protein yomwe imapezeka m'magazi ochepa, koma yomwe imakhala ndi kuchuluka kwa chifuwa, itha kupemphedwanso. Dziwani zambiri za IgE.

3. Matenda akhungu

Matenda ena akhungu amathanso kuyambitsa kuchuluka kwa eosinophil, monga pemphigus, granulomatous dermatitis ndi eosinophilic fasciitis. Nthawi zambiri, matenda akhungu amatha kudziwika ndi zigamba zofiira kapena zoyera pakhungu lomwe lingakhale lopanda mamba, limapweteka kapena kuyabwa.

Zoyenera kuchita: Ngati zizindikiro zakusintha pakhungu zikuwoneka, ndikulimbikitsidwa kuti munthuyo akafunsane ndi dermatologist kuti kusinthaku kufufuzidwe ndipo, motero, chithandizo choyenera chitha kuyambitsidwa.

4. Hodgkin's lymphoma

Hodgkin's lymphoma ndi mtundu wa khansa yomwe imakhudza ma lymphocyte, omwe ndi maselo ofunikira oteteza thupi, omwe amawoneka ngati madzi m'khosi, kuchepa thupi popanda chifukwa, kuwonda, kuyabwa mthupi lonse ndi malungo.

Mu mtundu uwu wa lymphoma pamakhala kuchepa kwakukulu kwa ma lymphocyte, otchedwa lymphopenia, ndipo, poyesera kumanganso chitetezo chamthupi cha munthu, kutulutsa ma eosinophil kwakukulu kumachitika, kofotokozera eosinophilia.

Dziwani momwe mungazindikire zizindikiro za Hodgkin's lymphoma.

Zoyenera kuchita: Pazinthu izi, ndikofunikira kuti munthu azitsatira chithandizocho malinga ndi malangizo a oncologist, nthawi zambiri amafuna chemotherapy ndi radiotherapy. Nthaŵi zina, kuika mafuta m'mafupa kungakhale kofunikira pofuna kubwezeretsa kupanga maselo a magazi.