Loeffler Syndrome: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hana ʻia ai ke kuhi
• Pehea ka lāʻau

ʻO Loeffler Syndrome kahi kūlana i hōʻike ʻia e ka nui o nā eosinophil i loko o ka māmā i hana pinepine ʻia e nā maʻi parasite, ʻo ka mea nui e ka parasite Nā lumbricoides ʻo Ascaris, hiki ke kumu ʻia ia e ka hopena maʻi ʻaʻai i kekahi mau lāʻau, e ka maʻi ʻaʻai a i ʻole i ka hypersensitivity i kekahi mea i hanu ʻia a i ʻole i komo ʻia, no ka laʻana.

ʻAʻole kumu pinepine kēia maʻi i nā ʻōuli, akā aia nō paha kahi uha maloʻo a me ka pōkole o ka hanu holomua, no ka mea ʻoi aku ka nui o nā eosinophil i loko o ka hū i hiki ke hōʻeha i nā meaola.

Hoʻololi ka hoʻomaʻamaʻa e like me ke kumu, a hiki wale ia ma o ke kau ʻana o ka lāʻau e loaʻa ai ka maʻi maʻi a i ʻole ka hoʻohana ʻana i nā anti-parasites, e like me Albendazole, e like me ka ʻōlelo aʻoaʻo lapaʻau.

Nā hōʻailona nui

Hōʻike nā ʻōuli o ka Loeffler's Syndrome ma waena o 10 a 15 mau lā ma hope o ka maʻi ʻana a nalowale pinepine ʻia 1 a 2 mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau. ʻO kēia maʻi pinepine asymptomat, akā ʻike ʻia kekahi mau ʻōuli, e like me:

• Molo maloʻo a hua paha;
• Ka hanu ʻana o ka hanu, kahi e ʻinoʻino ai i mua;
• Kaha wela;
• E hoʻomake ana i ke koko;
• Wheezing a i ʻole wheezing i ka umauma;
• ʻEha ʻeha;
• Kaumaha emi.

Hoʻokumu nui ʻia kēia maʻi e ka maʻi e nā parasites e lawe i kahi ʻāpana o ke pōʻaiapuniola i nā akemāmā, e like me Necator americanus ʻo ia ka Ancylostoma duodenale, ʻo ia ke kumu o ka hookworm, ʻO Strongyloides stercoralis, ka mea e hoʻokumu ai i ka poweryloidiasis a Nā lumbricoides ʻo Ascaris, ʻo ia ka mea maʻi infectious o ascariasis a ʻo ia ke kuleana nui no ka maʻi ʻo Loeffler.

Ma waho aʻe o nā maʻi parasito, hiki i ka maʻi o Loeffler ke ala aʻe ma ke ʻano he hopena o neoplasms a i ʻole ke ʻano hypersensitivity i nā lāʻau, no ka laʻana, i hiki ai ke hoʻonui i nā eosinophil i loko o ke koko e hele i ka māmā a hūnā i nā cytokine e hōʻino ai i ka māmā. E aʻo hou aʻe e pili ana i nā eosinophil a me kā lākou mau hana.

Pehea e hana ʻia ai ke kuhi

Hana ʻia ke kuhi o ka Loeffler Syndrome ma o ka loiloi loiloi e ke kauka a me ka X-ray umauma, kahi e ʻike ʻia ai kahi infiltrate pulmonary. Hoʻohui ʻia, ua noi ʻia kahi helu piha o ke koko, kahi e nānā ʻia ai ma mua o 500 eosinophils / mm which, kahi e kūlike ai ma waena o 25 a 30% o ka nui o nā leukositte eosinophil, aia ka maʻamau ma waena o 1 a me 5%.

ʻO ka ninaninau parasitological o nā feces he maikaʻi wale nō ma kahi o 8 mau pule ma hope o ka maʻi, ʻoiai ma mua o ka hoʻomohala ʻana o ka parasite a ʻaʻole ia ma ke ʻano o nā larvae, me ka hoʻokuʻu ʻole ʻia o nā hua. Ke maikaʻi, nā hua he nui o ka parasite e kumu i ka maʻi ke nānā ʻia.

Pehea ka lāʻau

Hana ʻia ka lapaʻau e like me ke kumu, ʻo ia hoʻi, inā hopena ʻo Loeffler's Syndrome e ka hopena i kahi lāʻau, ʻo ka lāʻau maʻamau ka hoʻopiʻi ʻana i ka lāʻau.

I ka hihia o nā parasites, paipai ʻia ka hoʻohana ʻana i nā anti-parasites i mea e hoʻopau ai i ka parasite a pale aku i kekahi mau hanana hope loa o ka maʻi i hoʻokumu ʻia e ka parasite, e like me ka maʻi diarrhea, malnutrisi a me ka ālai ʻana o ka ʻōpū. ʻO nā lāʻau i hōʻike pinepine ʻia he vermifuges e like me Albendazole, Praziquantel a i ʻole Ivermectin, no ka laʻana, e like me ka parasite e kumu ai ka maʻi o Loeffler a e like me ka ʻōlelo aʻoaʻo a ka lāʻau. E ʻike he aha nā lāʻau nui no ka ilo a pehea e lawe ai.

Ma waho aʻe o ka mālama ʻana me nā lāʻau anti-parasite, he mea nui, i kēia mau hihia, e hoʻolohe i nā kūlana hoʻomaʻemaʻe mai ka pili pinepine ʻana o nā parasites i nā kūlana hoʻomaʻemaʻe maikaʻi ʻole. No laila he mea nui e holoi pinepine i kou mau lima, mālama i nā kui kuʻikuʻi a holoi i kāu meaʻai ma mua o ka hoʻomākaukau ʻana.