Eosinophilic ciwon huhu: bayanin irin bayyanar cututtuka, yana sa da kuma halaye na magani

Mai tsananin cutar huhu, kamar ciwon huhu, ba ko da yaushe ya sa ta kwayan Flora. Rushe homeostasis na manya da ƙananan numfashi fili iya parasites, fungi, kwayoyi, immunodeficiency, rashin lafiyan halayen. Kuma a irin haka ne, eosinophilic ciwon huhu tasowa.

definition

Eosinophilic ciwon huhu - a pathological aiwatar a cikin huhu, wanda aka halin wuce kima jari na eosinophils a Alveoli. Akwai da dama iri, ko bambance-bambancen karatu da wannan cuta, wanda zai iya ci gaba a kowane zamani.

Asibiti, shi ne kusan indistinguishable daga rashin lafiya ya sa ta kwayoyin cuta, haka babban mayar da hankali ne a kan bincike dakin gwaje-gwaje gwaje-gwaje: gama jini count, shafa. A mafi yawan lokuta, bayan kayyade irin cuta fara far steroid hormones adrenal bawo. Wannan taimaka rage kumburi dauki da kuma neutralize da bayyanar cututtuka na ciwon huhu. A hangen nesa ga wadannan marasa lafiya ne kullum m.

labarin

Kullum eosinophilic ciwon huhu, da Sanadin wanda a wancan lokaci ba da aka sani, aka farko aka bayyana a cikin tsakiyar karni na ashirin, a 1969, wani likita Harrington. Ya kasance ba sosai m, don haka kasafin cuta ta sunan, da kuma bayan buga duniyar kimiyya fara kira wani sabon Pathology ciwo Harrington.

Kafin wannan tarihi labarin eosinophilic ciwon huhu da aka sani a matsayin mai cuta da cewa tasowa a cikin huhu bayan kamuwa da cuta da parasites ko uncontrolled m da kwayoyi. Shekaru ashirin da daga baya, a shekarar 1989, ya bayyana a magani, da kalmar "m eosinophilic ciwon huhu".

etiology

Gane da dalilai da dama, wanda a ƙarƙashin rinjayar eosinophilic ciwon huhu tasowa. Haddasawa, cututtuka suna da nasaba,. Alal misali, m siffofin ciwon huhu ya sa ta taba (duka aiki da kuma m), alerji zuwa kwayoyi ko rage jiki ta defenses tare da HIV ko AIDS. Idan babu wani daga cikin dalilan ba dace, an dauke su zama idiopathic ciwon huhu.

Kullum eosinophilic ciwon huhu za a iya tsokane ta fungal kamuwa da cuta (aspergillosis pnevmomikoz) helminthic infestation (ascariasis, echinococcosis), da shafe tsawon amfani da kwayoyi wanda depress tsarin na rigakafi (steroids, cytostatics), na kullum autoimmune connective nama cututtuka (rheumatoid amosanin gabbai, Kaposi ta).

Eosinophils da m ayyuka na jiki, amma a matsayin da kumburi - wannan shi ne wani hali pathological tsari, a lokacin da akwai wuce kima, kuma m hanya, ya iya samun mummunan tasiri a kan mutum kiwon lafiya.

pathogenesis

Etiologic factor a mutunta mutane da yawa ma'anar yadda za a ci gaba eosinophilic ciwon huhu. Haddasawa, cututtuka, jiyya - duk abin da ya dogara a kan wannan. Madogara na da irin wannan ciwon huhu ne da jari na babban adadin eosinophils a cikin huhu kyallen takarda. Mutane da yawa cututtuka, ciki har da eczema, asma, ya sa ta ma m dauki da kwayoyin don saki da aiki fili.

Magunguna da sauran guba abubuwa musanya masa a reactivity na eosinophils da kuma sa su more mai saukin kamuwa. Anti-mai kumburi jamiái, maganin rigakafi, kwayoyi sa allergies da kai ga ci gaban da sakandare ciwon huhu. Bugu da kari, dalilai haddasa bayyanar da babban yawan eosinophils a cikin nama, yana nufin taba shan taba ko sunadarai vapors.

parasitic cututtuka

Likitoci ne uku sunadaran da ciwon huhu a lokacin parasitosis. Farko - a parasitic infestation a cikin huhu, a karo na biyu - da wani ɓangare na rayuwa sake zagayowar da tsutsotsi, da kuma na uku - Random nunawa jini. Don magance su jiki aika eosinophils. Su tsokane a saki na cytokines, prostaglandins, leukotrienes da sauran aiki abubuwa domin kawar da tsutsotsi. Amma maimakon sa ciwon huhu.

Musamman gabatar a cikin tsokoki na ƙananan numfashi fili tapeworms, Echinococcus kuma kamar naman alade tapeworm, kazalika da huhu fluke. Zama a cikin huhu da kuma samun yanayi oxygen da ake bukata domin ascarids, hanji ugritsy, hookworm da hookworm. Eosinophilic ciwon huhu, wanda aka sa ta sama pathogens, in ba haka ba da aka sani da Loeffler ta ciwo. Ta hanyar jini da huhu samun qwai kamar su Trichinella da schistosomes.

asibitin

Matsayin mai mulkin, da ilimin, pulmonologist, ko cututtuka da farko wurin wuya ga amsa tambaya na abin da haƙuri eosinophilic ciwon huhu. Alamun, ko shan la'akari da daban-daban etiologies suna kama da juna. A haƙuri tanã kai ƙãra na tari, da zazzabi, shortness na numfashi da kuma sweating da dare. Bayan mako biyu bayan farko na tari, idan kome aka yi, za ka lura da cututtuka na decompensated numfashi insufficiency. A irin wannan hali da mãsu haƙuri dole ne a canja zuwa wucin gadi iska.

Kullum eosinophilic ciwon huhu progresses sannu a hankali, domin watanni. Marasa lafiya rasa nauyi, suna da wata nakasa daga 'ya'yan numfashi, wheezing da tari, da yanayin jiki saukad da kasa subfebrile. Wani lokacin bayyanar cututtuka mimic asma, wanda ke sa cutar da ba daidai ba zabi na magani.

Mutane da yawa matsaloli ga ganewar asali na eosinophilic ciwon huhu magani halitta. Alamun, magani da kuma rigakafin da karfi kama zuwa asfirin fuka, cewa ya karkatar da likita. A parasitic cututtuka yana da takamaiman prodromal lokaci, wanda zai iya bayar da shawarar a helminthic mamayar.

bincikowa da

Tun asibiti eosinophilic ciwon huhu ne kusan babu daban-daban daga wasu ciwon huhu, da ganewar asali dogara ne a kan dakin gwaje-gwaje da kuma instrumental bincike. A general, bincike na jini eosinophilia furta karkashin fluoroscopic gani ga huhu ko lissafta Tomography m halayyar pathological canje-canje. Don tabbatar da ka iya daukar wani biopsy na huhu nama, kazalika da yin ja ruwa tare da surface na bronchus a lokacin bronchoscopy.

Don gane da dangantaka da magani, zauna a wani chemically gurbata yankunan, ko ciwon daji, kana bukatar ka nazarin haƙuri ta likita tarihi, kazalika da tattara a cikakken tarihi na rayuwa da kuma cutar. Idan, bayan duk bincike, a cikin hanyar shi ne har yanzu ba su iya gane, sa'an nan da ganewar asali an rubuta kamar yadda idiopathic eosinophilic ciwon huhu.

Tabbata ga map nuna mataki na numfashi gazawar. A cikin mako guda na farko da cutar akwai farko alamun da shi:
- mahara raunuka huhu nama.
- jari na ruwa a cikin pleural kogo.
- leukocytosis kuma dagagge erythrocyte sedimentation kudi a general bincike na jini.
- kara matakan immunoglobulin E;
- numfashi spirometry nuna wani karu a cikin huhu girma.

magani

Ko kafin karshe ganewar asali za a sa - eosinophilic ciwon huhu, magani yana farawa tare da lura da mãsu haƙuri ga likita.

Idan ciwon huhu ne na biyu, shi wajibi ne mu bi tamkar cuta: ƙari ko tsutsa infestation. Wannan zai taimaka wajen rage na huhu cututtuka da kuma wani speedy dawo.

Idan hanyar da cutar ba a gano, sanya glucocorticosteroid far. Suna da kyau cire kumburi amsa, dattako jikin tantanin, rage yawan zafin jiki. Gafarar aka samu da sauri - a cikin na uku ko hudu rana. Amma wannan magani ba ya kawo karshen akwai. The bacewar cututtuka ba ya nufin cewa da cutar da aka warke. Saboda haka, corticosteroids, da mãsu haƙuri daukan wani watan, tare da sauka a hankali rage daga cikin kashi ga zance inda instrumental bincike hanyoyin ba tabbatar da dawo da.

A kullum nau'i na cutar na bukatar magani watanni uku ko fiye, ko da bayan bacewar asibiti bayyanar cututtuka. Sake komowan cutar ne yiwu ciwon huhu a kan wani bango na ba zato karbo daga corticosteroids. A wasu lokuta, da haƙuri iya bukatar canzawa zuwa inji iska.

Outlook

Idan eosinophilic ciwon huhu ne da sakandare cuta da ciwon daji ko parasitosis, sa'an nan sakamakon dogara da ya kwarara daga cikin tamkar Pathology. Fatal, bayar da isasshen kuma dace magani wuya.

Kullum eosinophilic ciwon huhu ne yiwuwa don sake aukuwa a kan fuskar glucocorticosteroids. Saboda haka, wasu marasa lafiya shan wadannan kwayoyi ga rayuwa. Amma a cikin wannan halin da ake ciki, akwai wani downside. Side effects magani, kamar prednisone, za a iya ƙwarai rage ingancin rayuwar dan Adam. Wadannan sun hada da: peptic miki, osteoporosis, kushingoid, rage rigakafi.

epidemiology

Matsayin mai mulkin, ciwon huhu ya sa ta parasites cewa sun fi kowa a cikin wadan yankuna to wadannan pathogens. Wannan na iya zama da yammacin sahara, da Siberian taiga, da Rum tasa ko wani musamman kogin.

M eosinophilic ciwon huhu zai iya ci gaba a kowane zamani, ko da a sosai matasa da yara, amma mafi yawansu ba su sha daga tsakiyar-shekaru mutane daga ashirin zuwa shekara arba'in. A rashin lafiya akwai wasu jinsi nuna bambanci - da maza samun rashin lafiya mafi sau da yawa fiye da mata, saboda da cutar ne ya sa ta taba shan taba. A halin yanzu likita adabi akwai kwatancin eosinophilic ciwon huhu bayan radiation far ga nono.

Eosinophilic ciwon huhu, a karnuka

A dabbobi kuma za a iya samu eosinophilic ciwon huhu. Haddasawa, cututtuka, da rigakafin wannan cuta ne sosai kama da mutum. Hakazalika, Sanadin cutar: parasites a cikin huhu, fungi, allergies zuwa pollen, kwari, sunadarai da kuma magunguna.

The kare lura da wani uncontrolled rigakafi amsa da cewa yana sa da huhu nama infiltration da eosinophils. Lightness ƙananan ƙungiyoyin rage-rage, a can tasowa pathogenic fungi da zai haddasa ciwon huhu. The dabba da aka kashe acidosis da hypoxia. A asibitin ne kama da mutum tari, shortness na numfashi, wani rauni, zazzabi, rashin ci, nauyi asara.

Ga ganewar asali amfani da wani jini gwajin, X-haskoki na huhu, bronchoalveolar lavage cytology, serology. A cikin X-ray a bayyane huhu nama edema, gaban cell granuloma, Lymph kumburi kara girma mediastinal da hilar fadada inuwa zuciya. Bayan bayani da etiology eosinophilic ciwon huhu, likitan dabbobi sanya takamaiman magani da nufin kawar da primary cuta. A mafi inganci - corticosteroids, a hade tare da maganin rigakafi da kuma bronchodilators. Yawancin lokaci, dabbobi zama lifelong far.