Eosinophilia pulmonary maʻalahi

ʻO ka eosinophilia pulmonary māmā ka mumū o nā akemāmā mai ka hoʻonui ʻana i nā eosinophil, kahi ʻano o ke keʻokeʻo keʻokeʻo. ʻO ke ʻano o ka pulmonary e pili ana i nā māmā.

ʻO ka hapa nui o nā kūlana o kēia ʻano ma muli o ka hopena maʻi maʻi mai:

• ʻO kahi lāʻau, e like me ka sulfonamide antibiotic a i ʻole kahi lāʻau anti-inflammatory non-steroidal (NSAID), e like me ibuprofen a naproxen
• ʻO ka maʻi me kahi fungus e like me Aspergillus fumigatus a i ʻole ʻO Pneumocystis jirovecii
• ʻO kahi parasite, me nā roundworms Nā lumbricoides Ascariasis, a i ʻole Necator americanus, a i ʻole ka hookwormAncylostoma duodenale

I kekahi mau hihia, ʻaʻohe kumu i loaʻa.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• ʻEha ʻeha
• Mū maloo
• Fiva
• Manaʻo maʻi laulā
• Hanu wikiwiki
• Rash
• Pokole o ka hanu
• ʻUhihi

Hiki ke kau ʻia nā hōʻailona mai kekahi mea a i ʻole koʻikoʻi. Hele paha lākou me ka mālama ʻole ʻia.

E hoʻolohe ka mea mālama ola i kou umauma me kahi stethoscope. Lohe paha i nā leo e like me nā māwae, i kapa ʻia ʻo rales. Hōʻike ʻo Rales i ka mumū o kaʻiʻo māmā.

Hōʻike paha kahi hōʻike koko piha (CBC) i ka hoʻonui ʻia o nā hunaola keokeo, ʻoi aku nā eosinophil.

Hōʻike pinepine ka x-ray umauma i nā aka maʻamau i kapa ʻia infiltrates. Nalo paha lākou me ka manawa a puka hou paha i nā wahi like ʻole o ka akemāmā.

Hōʻike kahi bronchoscopy me ka holoi pinepine ʻana i kahi nui o nā eosinophil.

ʻO ke kaʻina hana e hemo ai ka ʻōpū o ka ʻōpū (gastric lavage) hōʻike i nā hōʻailona o ka ilo ascaris a i ʻole kahi ʻūlū ʻē aʻe.

Inā maʻi ʻoe i ka lāʻau, haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana iā ia. Mai hōʻoki i ka lawe ʻana i ka lāʻau me ke kamaʻilio mua ʻole ʻana me kāu mea hāʻawi.

Inā pili ke ʻano i kahi maʻi, hiki ke mālama ʻia ʻoe me kahi lāʻau antibiotic a antiparasitic paha.

I kekahi manawa, hāʻawi ʻia nā lāʻau anti-inflammatory i kapa ʻia ʻo corticosteroids, keu hoʻi inā he aspergillosis ʻoe.

Hele pinepine ka maʻi me ka mālama ʻole ʻia. Inā pono ka lāʻau, maikaʻi ka pane. Akā, hiki i ka maʻi ke hoʻi mai, keu hoʻi inā ʻaʻohe kumu kikoʻī a pono e mālama ʻia me nā corticosteroids.

ʻO kahi paʻakikī paʻakikī o ka eosinophilia pulmonary māmā he ʻano nui loa ia o ka pulumonia i kapa ʻia he idoniaopic eosinophilic pneumonia.

E ʻike i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona e pili paha me kēia maʻi.

He maʻi laha ʻole kēia. I nā manawa he nui, ʻaʻole hiki ke loaʻa ke kumu. Ka hoʻohaʻahaʻa ʻana i ka hōʻike ʻana i nā kumumea kūpono, e like me kekahi mau lāʻau a i ʻole nā ​​parasites, hiki ke hoʻemi i ka manawa o ka loaʻa ʻana o kēia maʻi.

Hoʻokomo pū ka pulmonary me eosinophilia; Maʻi maʻi Loffler; Pneumonia Eosinophilic; Poniaonia - eosinophilic

• Lungs
• ʻŌnaehana hanu

ʻO Cottin V, Cordier J-F. Nā maʻi lolo Eosinophilic. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 68.

Kim K, Weiss LM, Tanowitz HB. Nā maʻi Parasitic. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 39.

Klion AD, Weller PF. Nā maʻi e pili ana iā Eosinophilia a me eosinophil. I: Adkinson NF, Bochner BS, Burks AW, a me al. Middleton's Allergy: Nā Manaʻo a me ka Hoʻomaʻamaʻa. 8th ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 75.