ʻO Eosinophilia: he aha ia a me nā kumu nui

Anter

• He aha ka mea e hiki ai iā Eosinophilia
• 1. ʻO ka maʻi maʻi e nā parasites
• 2. Nā Allergies
• 3. Nā maʻi ʻili
• 4. Hodgkin's lymphoma

Kūlike ʻo Eosinophilia i ka hoʻonui ʻana o ka nui o nā eosinophil e kahe ana i loko o ke koko, me ka helu o ke koko ma luna o ke kumukūʻai kūmole, aia ma waena o 0 a 500 eosinophil ma µL o ke koko. Kūleʻa pinepine kēia kūlana ma ke ʻano he pane o ka meaola i nā maʻi parasito a i ʻole ma muli o nā maʻi āpau, akā hiki ke kumu ʻia i nā maʻi koʻikoʻi e pili ana i nā hunaola koko, e like me nā lymphomas, no ka laʻana.

ʻO nā Eosinophils nā hunaola i loaʻa mai ka myeloblast, kahi aʻa i hana ʻia e ka iwi iwi, nona ka hana nui e pale aku ai i ke kino e kūʻē i nā mea maʻi lele. ʻOiai he mea nui no ka hana pono ʻana o ka ʻōnaehana pale, loaʻa nā eosinophil i kahi haʻahaʻa haʻahaʻa i ke koko i hoʻohālikelike ʻia me nā hunaola ʻē aʻe i kuleana no ka pale o ke kino. E aʻo hou aʻe e pili ana i nā eosinophils.

He aha ka mea e hiki ai iā Eosinophilia

ʻAʻole maʻa maʻamau ʻo Eosinophilia i nā hōʻailona a i ʻole nā ​​hōʻailona, ​​ʻike wale ʻia ma o ka hana ʻana o ka helu o ke koko, kahi e hōʻoia ai kahi loli i ka pili a me ka nui o nā eosinophil. Hiki ke hoʻokaʻawale ʻia ʻo Eosinophilia e like me kona koʻikoʻi i:

• Eosinophilia ʻoluʻolu, ʻo ia ka manawa ma waena o 500 a me 1500 eosinophil ma µL o ke koko;
• Eosinophilia kūwaena, ke nānā ʻia ma waena o 1500 a me 5000 eosinophil µL o ke koko;
• Eosinophilia koʻikoʻi, kahi i ʻike ʻia ma mua o 5000 eosinophil µL o ke koko.

ʻO ka nui o nā eosinophil i ʻike ʻia i ke hoʻokolohua koko, ʻoi aku ka nui o ke koʻikoʻi o ka maʻi, a he mea nui e kālailai i nā palena ʻē aʻe o ke keʻena hoʻokolohua i noi ʻia e ke kauka i mea e hiki ai i kahi hopena diagnostical a hoʻomaka i ka lāʻau kūpono.

Ke hoʻololi wale ʻia ka nui o nā eosinophil i ka helu o ke koko a ʻaʻohe hoʻololi ʻē aʻe i hoʻololi ʻia, noi ʻia paha e hana hou i ka hoʻokolohua e nānā ai inā mau ka eosinophilia, inā ʻaʻole ia e noʻonoʻo ʻia.

ʻO nā kumu nui o ka eosinophilia:

1. ʻO ka maʻi maʻi e nā parasites

ʻO ka maʻi maʻi e nā parasites kekahi o nā kumu nui o ka eosinophilia, keu hoʻi i ka wā e lawe ai nā parasites i kahi o ko lākou ola i nā māmā, e like me ka hihia o Nā lumbricoides ʻo Ascaris, Necator americanus, Ancylostoma duodenale a ʻO Strongyloides stercoralis. Hoʻokumu kēia mau parasite i nā eosinophilia ikaika a me nā infiltrates pulmonary, e hōʻike nei i ka maʻi o Loeffler, kahi e maloʻo ai ka uha a me ka hele mua ʻole o ka hanu ma muli o ka nui o nā eosinophil i loko o nā akemāmā.

E ʻike pehea e ʻike ai i ka maʻi o Loeffler.

He aha e hana ai: Inā loaʻa kahi kānalua o ka maʻi e nā parasites, pono ia, me ka helu o ke kaukā piha, e mālama ʻia ka nīnaninau a me nā ana o CRP i ke koko. Eia hou, hiki i ke kauka ke kauoha i nā kukuna X e nānā i nā infiltrates pulmonary. Ke hōʻoia nei i ka maʻi, hōʻike ke kauka i ka lāʻau lapaʻau me nā lāʻau antiparasite e like me ka parasite ke kuleana o ka maʻi, a he mea nui e ukali ʻia ka mālama ʻana a hiki i ka hopena, ʻoiai inā ʻaʻohe ʻōuli, e pale i ka hoʻi hou ʻana o ka maʻi a me nā pilikia.

2. Nā Allergies

He mea maʻamau hoʻi ʻo Eosinophilia ma ke ʻano he hopena o nā hopena maʻi ʻino, i hiki ke hanu, pili, meaʻai a lāʻau paha, me ka hoʻokuʻu ʻia o kāna ʻike i ka wahi extracellular i ka hoʻāʻo ʻana e hakakā me ka ʻākena i kuleana no ka maʻi āpau.

He aha e hana ai: Paipai ʻia e hana i nā hana e hakakā ai i nā maʻi āpau, e like me ka hōʻalo ʻana i ka pilina me nā mea e hopena ai i ka maʻi āpau, a me nā lāʻau antihistamine, e kōkua ai e hōʻoluʻolu i nā hōʻailona maʻi āpau. I kekahi mau hihia, ke hele ʻole ka maʻi āpau me nā antihistamines, koi ʻia paha e lawe i nā corticosteroids. Eia hou, he mea nui e nīnau aku i kahi mea aleremia i mea e hiki ai ke hoʻokau hou aku i ka lāʻau.

I kekahi mau hihia, i ka helu o ka helu o ke koko, hiki ke noi ʻia ke ana o immunoglobulin E, a i ʻole IgE, kahi protein i loko o nā haʻahaʻa haʻahaʻa i loko o ke koko, akā i hoʻonui ʻia ka nui o nā mea āpau āpau. E aʻo hou e pili ana i IgE.

3. Nā maʻi ʻili

Hiki i kekahi mau maʻi ʻili ke hopena i ka hoʻonui ʻana i ka nui o nā eosinophil, e like me ka hihia o ka pemphigus, dermatitis granulomatous a me nā fosciitis eosinophilic. I ka hapanui o nā hihia, hiki ke ʻike ʻia nā maʻi ʻili e nā ʻulaʻula a keʻokeʻo paha o ka ʻili i scaly paha a i ʻole ʻole, e ʻeha ai a ʻeha hoʻi.

He aha e hana ai: Inā ʻike ʻia nā ʻōuli o ka loli i ka ʻili, koi ʻia e nīnau ke kanaka i ka dermatologist i hiki ke hoʻokolokolo ʻia kēia hoʻololi a, no laila, hiki ke hoʻomaka ʻia ka lapaʻau kūpono.

4. Hodgkin's lymphoma

ʻO Hodgkin's lymphoma kahi ʻano maʻi ʻaʻai e pili ana i nā lymphocytes, ʻo ia nā keena pale pale nui o ke kino, me ke ʻano o ka wai i ka ʻāʻī, hoʻemi kaupaona no ke kumu kūpono ʻole, ka pohō kaumaha, ka huehue a puni ke kino a me ke kuni e kiʻekiʻe mau ana.

I kēia ʻano lymphoma nui ka emi ʻana o ka helu o nā lymphocytes, i kapa ʻia ʻo lymphopenia, a i ka hoʻāʻo ʻana e kūkulu hou i ka ʻōnaehana pale o ke kanaka, ʻoi aku ka nui o ka hana ʻana o eosinofil, e hōʻike ana i ka eosinophilia.

ʻIke pehea e ʻike ai i nā ʻōuli o Hodgkin's lymphoma.

He aha e hana ai: I kēia mau hihia, he mea nui ka mea e ukali i ke kanaka e like me ke alakaʻi a ka oncologist, ʻo ka hapa nui o ka manawa e koi ana i ka chemotherapy a me ka radiotherapy. I kekahi mau hihia, pono paha ka hoʻoneʻe ʻana i ka iwi iwi i ka hoʻāʻo e hoʻihoʻi i ka hana ʻana o ke kahe maʻamau.