Matenda a Loeffler: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe matendawa amapangidwira
• Kodi chithandizo

Matenda a Loeffler ndi omwe amadziwika ndi kuchuluka kwa ma eosinophil m'mapapu omwe nthawi zambiri amayamba chifukwa cha matenda opatsirana, makamaka ndi tiziromboti Ascaris lumbricoides, amathanso kuyambitsidwa ndi kusamvana ndi mankhwala ena, khansa kapena kutengeka ndi chinthu china chomwe chidapumira kapena kumeza, mwachitsanzo.

Matendawa samayambitsa zizindikiro, koma pakhoza kukhala chifuwa chouma komanso kupuma pang'ono, chifukwa ma eininophils owonjezera m'mapapo amatha kuwononga ziwalo.

Chithandizocho chimasiyanasiyana malinga ndi chomwe chimayambitsa, ndipo chitha kungoyimitsidwa kwa mankhwala omwe akuyambitsa matendawa kapena kugwiritsa ntchito ma anti-parasites, monga Albendazole, mwachitsanzo, malinga ndi upangiri wachipatala.

Zizindikiro zazikulu

Zizindikiro za Loeffler's Syndrome zimapezeka pakati pa masiku 10 ndi 15 mutadwala ndipo nthawi zambiri zimasowa sabata limodzi kapena awiri mutayamba mankhwala. Matendawa nthawi zambiri samapezeka, koma zizindikilo zina zitha kuwoneka, monga:

• Chifuwa chowuma kapena chopindulitsa;
• Kupuma pang'ono, komwe kumawonjezeka pang'onopang'ono;
• Kutentha kwakukulu;
• Kutsokomola magazi;
• Kupuma kapena kupumira pachifuwa;
• Kupweteka kwa minofu;
• Kuchepetsa thupi.

Matendawa amayamba chifukwa cha tiziromboti tomwe timagwira ntchito m'mapapu, monga Necator americanus ndi Ancylostoma duodenale, zomwe zimayambitsa chimbudzi, Strongyloides stercoralis, zomwe zimayambitsa strongyloidiasis ndi Ascaris lumbricoides, yomwe imayambitsa matenda opatsirana a ascariasis ndipo imayambitsa matenda a Loeffler.

Kuphatikiza pa matenda opatsirana pogonana, matenda a Loeffler amatha kutuluka chifukwa cha zotupa m'mimba kapena momwe zimakhalira ndi mankhwala osokoneza bongo, mwachitsanzo, zomwe zingayambitse kuchuluka kwa ma eosinophil m'magazi omwe amapita m'mapapu ndikutulutsa ma cytokines omwe amawononga m'mapapo. Dziwani zambiri za eosinophil ndi ntchito zawo.

Momwe matendawa amapangidwira

Kupezeka kwa matenda a Loeffler kumachitika kudzera pakuwunika kwa dokotala ndi X-ray pachifuwa, momwe m'mapapo mwanga mulowerera. Kuphatikiza apo, kuwerengetsa magazi kwathunthu kumafunsidwa, momwe amafufuzira ma eosinophil / mm 500 opitilira 500, omwe amatha kufanana pakati pa 25 ndi 30% ya ma leinocyte eosinophil, pomwe zachilendo zimakhala pakati pa 1 ndi 5%.

Kuwonetsetsa kwa ndowe kumangokhala koyenera pafupifupi masabata 8 mutadwala, kuyambira pomwe tizilomboto timakumanabe ndipo simakhala ngati mphutsi, osatulutsa mazira. Pakakhala mazira abwino, ambiri a tiziromboti tomwe timayambitsa matendawa amayang'aniridwa.

Kodi chithandizo

Chithandizocho chimachitika malinga ndi chifukwa chake, ndiye kuti, ngati matenda a Loeffler amayamba chifukwa cha zomwe amamwa, mankhwala nthawi zambiri amakhala ndi kuyimitsa mankhwalawo.

Pankhani ya majeremusi, kugwiritsa ntchito ma anti-parasites ndikulimbikitsa kuti athetse tizilomboto ndikupewa kuwonetseredwa mochedwa kwa matenda omwe amayambitsidwa ndi tiziromboti, monga kutsegula m'mimba, kuperewera kwa zakudya m'thupi komanso kutsekeka kwa m'matumbo. Mankhwala omwe amawonetsedwa nthawi zambiri ndi ma vermifuge monga Albendazole, Praziquantel kapena Ivermectin, mwachitsanzo, malinga ndi tiziromboti tomwe timayambitsa matenda a Loeffler komanso malinga ndi upangiri wa zamankhwala. Onani njira zabwino kwambiri zothandizira nyongolotsi ndi momwe mungamwe.

Kuphatikiza pa chithandizo chamankhwala ochepetsa majeremusi, ndikofunikira, munthawi imeneyi, kusamalira ukhondo popeza tiziromboti nthawi zambiri timakhudzana ndi ukhondo. Chifukwa chake ndikofunikira kusamba m'manja pafupipafupi, kudula misomali ndikutsuka chakudya musanaphike.