Heluhelu ʻia ʻo Eosinophil - kūpaʻa

ʻO kahi helu eosinophil loa he hōʻike koko e ana i ka helu o hoʻokahi ʻano o nā hunaola keokeo i kapa ʻia ʻo eosinophil. Lilo ka Eosinophil i ka wā i loaʻa iā ʻoe kekahi mau maʻi maʻi ʻaʻa, maʻi, a me nā ʻano olakino ʻē aʻe.

ʻO ka hapanui o nā manawa, huki ʻia ke koko mai kahi aa i loko o ka kuʻe lima a i ʻole ka hope o ka lima. Hoʻomaʻemaʻe ʻia ka pūnaewele me kahi antiseptic. Hoʻopili ka mea mālama ola i kahi kāʻei elastis a puni kou lima luna e pehu ai ke aa koko me ke koko.

A laila, hoʻokomo mālie ka mea hāʻawi i kahi nila i ke aa. Hōʻiliʻili ke koko i loko o kahi paipu airtight i hoʻopili ʻia i ka nila. Wehe ʻia ke kāʻei elastik mai kou lima aku. Lawe ʻia ke kui kele a uhi ʻia ka pūnaewele e hoʻōki i ke kahe ʻana o ke koko.

I nā pēpē a i ʻole nā ​​keiki ʻōpio, hiki ke hoʻohana ʻia kahi mea ʻoi e kapa ʻia ʻo ka lancet e wī i ka ʻili. Hōʻiliʻili ke koko i loko o kahi pahu aniani liʻiliʻi, a i ʻole i kahi pāheʻe a i ʻole ka papa hoʻāʻo. Hoʻokomo ʻia kahi bandage ma kahi e hoʻopau ai ke kahe ʻana o ke kahe.

I ka hale hana, kau ʻia ke koko ma ka paheʻe microscope. Hoʻohui ʻia kahi kina i ka hāpana. ʻO kēia ke kumu e hōʻike ʻia ai nā eosinophil ma ke ʻano he granula ʻalani-ʻulaʻula. Heluhelu ka ʻenehana i ka nui o nā eosinophil i loaʻa i kēlā me kēia 100 mau pūnaewele. Hoʻonui ʻia ka pākēneka o nā eosinophil e ka helu o ke koko keʻokeʻo e hāʻawi i ka helu eosinophil loa.

ʻO ka hapa nui o ka manawa, ʻaʻole pono nā mākua e hana i nā hana kūikawā ma mua o kēia hōʻike. E haʻi i kāu mea hāʻawi i nā lāʻau āu e lawe nei, me nā mea me ka ʻole o ka lāʻau. Hoʻololi kekahi mau lāʻau i nā hopena hōʻike.

ʻO nā lāʻau e hiki ai iā ʻoe ke hoʻonui i nā eosinophil me:

• Amphetamines (nā mea hoʻopio ʻai)
• ʻO kekahi mau laxatives i loaʻa me ka psyllium
• ʻO kekahi antibiotic
• Interferon
• Nā mea hoʻolapalapa

Hiki paha iā ʻoe ke ʻeha iki a i ʻole ke kuʻi ke hoʻokomo ʻia o ka nila. Hiki paha iā ʻoe ke hāwele i kahi kani ma ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko.

E loaʻa iā ʻoe kēia hōʻike e ʻike ai inā he hopena maikaʻi ʻole kāu mai ka hoʻāʻo ʻana o ke koko. E hana ʻia paha kēia hōʻike inā manaʻo ka mea hāʻawi he maʻi maʻi paha kāu.

E kōkua paha kēia hōʻike i ke kuhi:

• ʻO ka maʻi hypereosinophilic maʻi (kahi laha ʻole, akā i kekahi manawa fatukemia e like me ke ʻano)
• Kahi hopena maʻi (hiki ke hōʻike i ke koʻikoʻi o ka hopena)
• Nā pae mua o ka maʻi Addison
• ʻO ka maʻi e kahi parasite

ʻOi aku ka helu o nā eosinophil maʻamau ma mua o 500 mau pūnaewele i kēlā me kēia microliter (cells / mcL).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike ka laʻana ma luna i nā ana maʻamau no nā hopena o kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.

Hoʻohui pinepine ʻia kahi helu nui o nā eosinophil (eosinophilia) i nā ʻano maʻi like ʻole. ʻO kahi helu eosinophil kiʻekiʻe ma muli o:

• Ka nele o ke gland adrenal
• ʻO nā maʻi maʻi āpau, me ka fiva hay
• Asthma
• Nā maʻi maʻi autoimmune
• Eczema
• Nā maʻi fungal
• Hypereosinophilic maʻi maʻi
• Leukemia a me nā maʻi koko ʻē aʻe
• Lymphoma
• ʻO ka maʻi Parasite, e like me nā ilo

ʻO kahi helu eosinophil haʻahaʻa ma mua o ka maʻamau ma muli o:

• ʻOna ʻona
• Overproduction o kekahi mau steroid i loko o ke kino (e like me cortisol)

ʻO nā pōʻino mai ke kahe ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hoʻohana ʻia ka helu eosinophil e kōkua i ka hōʻoia ʻana i kahi kuhi. ʻAʻole hiki i ka hōʻike ke haʻi inā ʻo ka helu kiʻekiʻe o nā hunaola ke kumu ʻia e ka maʻi āpau a me ka maʻi parasite.

ʻO Eosinophils; Helu eosinophil pau loa

• Nā pūnaewele koko

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.

ʻO Roberts DJ. ʻO nā hiʻohiʻona Hematologic o nā maʻi parasite. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 158.

ʻO Rothenberg ME. Nā syndrome Eosinophilic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 170.