Eosinophilia - ndichiyani? Zizindikiro, Zoyambitsa, Chithandizo

Eosinophilia - ndichiyani? Yankho la funso dokotala mupeze zipangizo operekedwa ndi nkhaniyi. Komanso angakuuzeni kuti chifukwa pali kupatuka amenewa, kodi zizindikiro zake ndi njira mankhwala.

zambiri

Eosinophilia - ndichiyani? Zochita matenda akuti kumvetsa mkhalidwe wapadera wa magazi yomwe zimawonedwa mu mtima kochulukira mlingo wa maselo - eosinophils. Ndiponso, zopatuka oterowo amapezeka impregnation kapena otchedwa kusalola zimakhala ena. Mwachitsanzo, pa eosinophils ozizira m'malo mosavuta wapezeka mu kumaliseche a secretions, bronchial mphumu - mu sputum, ndi zotupa pleural kapena magazi kuchulukana mu mapapo - mu madzimadzi m'mapapo.

mmene matenda

Mu wamkulu eosinophils anthu m'magazi imatengedwa wabwinobwino wa 0,02 × 109 / L 0,3 × 109 / L. Ngati chithunzi ichi kuposa, wodwala akapezeka ndi "eosinophilia". Kodi izo, ife tinapeza. Tsopano taganizani zomwe mlingo wa kupatuka kumasulidwa:

1. A digiri yapamwamba ya - oposa 20%.
2. Wongolerani - 10 20%.
3. A digiri yaing'ono, i.e. 10% ya leukocytes okwana.

Lekeza eosinophilia ndi chizindikiro cha zotupa parasitic, ena leukemias, komanso thupi lawo siligwirizana.

Matenda kapena chizindikiro?

Eosinophilia, chithandizo chimene ife tiganizire moposera, si nthenda palokha, koma chabe chizindikiro cha autoimmune, matenda, matupi awo sagwirizana ndi kuvutika ena.

Choncho, tiyeni titenge limodzi, chifukwa munthu ali ndi chikhalidwe pathological.

Eosinophilia: zimayambitsa

zopatuka izi akuwonekera pa maziko a chitukuko cha matenda ambiri. mndandanda wautali zikuphatikizapo:

• matenda Parasitic (paragonimiasis, ascariasis, strongyloidiasis, likodzo opistorhoz, Trichinosis, filariasis, fascioliasis, malungo, njoka zam'mimba zangowe, toxocariasis, echinococcosis, Weingarten syndrome bothriocephaliasis).
• matenda khungu (chikanga, pemphigoid, cutaneous ndere, pemphigus, dermatitis herpetiformis).
• matenda awo sagwirizana (bronchial mphumu, edema Quincke a, chigwagwa, matupi awo sagwirizana rhinitis, atopic dermatitis, urticaria, matenda seramu, chigwagwa, eosinophilic myositis ndi fasciitis, eosinophilic cystitis).
• Matenda a magazi (Sezary matenda, matenda Hodgkin a, polycythemia vera, timathawa magazi m'thupi, khansa, histiocytosis banja ndi immunodeficiency kuphatikiza ndi eosinophilia).
• matenda a m'mapapo (kusalola m'mapapo mwanga, matupi awo sagwirizana aspergillosis, chibayo eosinophilic, syndrome Loeffler a, sarcoidosis).
• matenda Autoimmune (matendawa, zokhudza zonse lupus erythematosus).
• Matenda a m'mimba ndipo matumbo (matenda staph ana ndi zilonda matenda chilonda, gastroenteritis, matupi awo sagwirizana gastroenteropathy).
• matenda enaake ophwanya (periarteritis nodosa, nyamakazi, granulomatosis Wegener a, fasciitis, eosinophilic).
• zotupa zilonda (carcinomatosis, adenocarcinoma za m'mimba ndi chiberekero, Williams chotupa khansa chithokomiro, ukazi, ndi khungu penile).
• deficiencies m'thupi (immunoglobulin akusowa, T limfopatiya, Wiskott-Aldrich syndrome).
• matenda ena (matenda enaake, eosinophilia prematurity, matenda obadwa nawo a mtima, chorea, akusowa magnesium, syndrome eosinophilic, splenectomy, boma la hypoxia, wowumitsa TB lymph mfundo, cheza padzuwa, fever, peritoneal dialysis, banja eosinophilic leukocytosis, etc.).

Iwo ayenera kukumbukira kuti eosinophilia-myalgia syndrome kumachitika odwala kulandira mankhwala ena: kukonzekera munali mahomoni, "Aspirin" n'lakuti antitubercular, "Papaverine", "aminophylline", "imipramine" "ndi diphenhydramine" mankhwala penicillin, kukonzekera golide, mankhwala sulfa mavitamini B, β-blockers, "Phenibutum", "chymotrypsin", "chlorpropamide," "Misklerona".

Eosinophilia: Zizindikiro

Zizindikiro ngati pathological chikhalidwe chifukwa cha matenda imene zimawonedwa.

1. zotakasika ndi autoimmune matenda. Mu matenda amenewa zizindikiro zotsatirazi anati zambiri:

• hepatosplenomegaly;
• magazi m'thupi;
• kuwonda;
• malungo;
• olowa ululu;
• fibrosis m'mapapo mwanga;
• congestive mtima kulephera;
• kutupa kwa mitsempha ndi mitsempha;
• angapo limba kulephera.

2. Parasitic matenda. Ndi kuvutika amenewa anati:

• hepatosplenomegaly (wakulitsidwa ndulu kapena chiwindi);
• myalgia (ie, kupweteka m'minofu, ndi m'mfundo);
• mutu, malungo, kufooka, nseru, chizungulire, kusafuna kudya;
• lymphadenopathy (ululu ndi kutupa kwa mwanabele);
• chinawonjezeka kugunda kwa mtima, kutupa kwa zikope ndi nkhope, okhadzula pa khungu, hypotension;
• syndrome Loeffler pamene kusuntha mphutsi (ululu chifuwa, kufupika kwa mpweya, chifuwa, mphumu chigawo).

3. Khungu ndi matupi awo sagwirizana matenda:

• maonekedwe a kuyabwa zidzolo, matuza, khungu youma, khungu kwa khungu ndi zilonda pakhungu.

4. m'mimba Matenda.

• Matenda ambiri pa mundawo m'mimba zikuoneka kuti asokoneze nyama m'mimba, omwe pamapeto pake kubweza ndondomeko yoyeretsera thupi la poizoni ndi zosafunika. Monga ulamuliro, m'tsogolo, zimenezi zimapangitsa kuti zili bwino eosinophils m'magazi. Ndi kupatuka amenewa akhoza kusokoneza mtima umbilical ululu, kusanza, kupotokola, nseru, m'mimba ndi kutupa zizindikiro (matenda a chikasu ndiyo, kwa chiwindi mwachikondi ndi kuwonjezeka).

5. Matenda a magazi.

• Pakuti kuchimwa matenda khalidwe pafupipafupi, lymph mfundo, chiwindi ndi ndulu kukulitsa, chifuwa, dyspnea, cyanosis wa khungu.

Pamene chlamydia moleza mtima kubva mu zimfundo ndi mafupa, kufooka, malungo, kuyabwa pakhungu, chifuwa, lymphadenopathy, ndi zina zotero. Eosinophilia mu lymphomas limodzi ndi kuchepa kuchepa ntchito galimoto ndi misa ndi kuwonjezeka mu thupi kutentha.

Pamene chotupa mu mbali pamimba mfundo monga ludzu, ileus, kukulitsa m'mimba. CNS mavuto kumachitika mutu, paresis ndi ziwalo, komanso imfa kumva ndi masomphenya. Komanso, pali zambiri kusapeza mu chifuwa, kutupa nkhope, chifuwa, Pomeza matenda.

Kodi eosinophilia m'mapapo mwanga?

M'mapapo mwanga eosinophilia - ndi kusalola m'mapapo mwanga wa eosinophils. zopatuka izi Chili limati zotsatirazi:

• infiltrates m'mapapo mwanga;
• eosinophilic granuloma;
• eosinophilic chibayo;
• eosinophilic vasculitis a m'mapapo.

Kodi kudziwa mwana?

Eosinophilia ana ndi wapezeka pa magazi okwanira. Tikumbukenso kuti zodabwitsazi ana ndi likukulira ndi kusiyiratu mwamsanga mwamsanga pamene thupi mwana kulemera ukufika mfundo yachibadwa.

Zimakonda zolakwika ngati ana monga:

• thupi lawo siligwirizana;
• parasitic infestation;
• zangowe;
• eosinophilic gastroenteritis;
• matenda otengera (mwachitsanzo, banja histiocytosis).

Matenda akuluakulu

Tsopano inu mukudziwa: eosinophilia - icho chiri. Tikumbukenso kuti kudziwika ngati kupatuka ndi zofunika kuchita kokha wathunthu magazi. M'kupita kwa kufufuza ngati katswiri linaŵerengera kuchuluka kwa eosinophils, kotero kuti dokotala akhoza kupanga matenda.

Ndi chikhalidwe ichi pathological akhozanso zizindikiro za kuchepa kwa magazi m'thupi (ie, chepetse chiwerengero maselo a magazi). Kudziwa matenda, zomwe zinachititsa kuti eosinophilia, ayenera idzachitika kusanthula amuzolengedwa magazi ndi ndowe ndi mkodzo.

Kodi kuchitira?

Kuchitira eosinophilia ngati matenda palokha sizimatanthauza iliyonse. Kuyamba, wodwala ayenera kupeza chifukwa chenicheni cha chikhalidwe ichi pathological, ndiyeno yekha, pamodzi ndi dokotala anu kukhala ndi chiwembu ogwira mankhwala a matenda chachikulu, chifukwa muli kupatuka ndi.

Maonekedwe ndi Mlingo wa mankhwala adzaphatikizidwa Inde umadalira zimayambitsa eosinophilia, komanso mwamphamvu ndi gawo la matenda. Zikuoneka kuti wodwalayo ayenera M'malo mwake, kukana kuvomereza mankhwala ena, woikidwa kale.

Eosinophilia nyama

zopatuka izi amphaka ndi agalu limasonyeza khungu ndi matenda awo sagwirizana, komanso kugonjetsedwa ndi mphutsi. Ena mwa matenda amenewa matenda ndi munthu amene amapereka nyama deta kunyumba. Pa nkhani imeneyi, Ndi bwino kufunsa vetenale anu za chithandizo kwa Pet.