Ukuhlaziywa kwezizathu, ukuxilongwa, kunye noTyango lwe-Eosinophilia
I-Eosinophilia yigama lobuchwepheshe lokwanda kwenani le-eosinophil. I-Eosinophil yimizimba yamhlophe yegazi etshabalalisa izinto ezisemzimbeni njengama-parasites kwaye ithatha inxaxheba ekuphenduleni.
Ziziphi Iingxaki Ze-Eosinophilia?
Kukho izizathu ezininzi zokubala kwakho kwe-eosinophil kunokuphakanyiswa. Ezinye zezona zinto zibangela ukuba zinyameke kwaye zifuna unyango oluncinane.
Akuqhelekanga ukuba inani eliphakamileyo libe lixesha elide kwaye lilungiswe ngaphandle kwonyango. Masihlole ezinye zezizathu ngoku.
- Usulelo lwama-parasite: Ehlabathini lonke imbangela eqhelekileyo ye-eosinophilia yintsholongwane ye-parasite. Amagama alezi zifo ziquka i-schistosomias, trichinosis, strongyloidiasis, kunye ne-ascariasis. Ezi zigulo zifumaneka kwihlabathi lonke kuquka iMelika. Imbali yokuhamba yinxalenye ebalulekileyo yomsebenzi we-eosinophilia nangona ukungabikho kohambo olusandul Ukuhamba kwesifo sohlobo lwabantu abahambahambayo luhlobo lwentsholongwane ye-parasite kodwa aluqhelekanga ngokuqhelekileyo ne-eosinophilia.
- Ukusetyenziswa kwezidakamizwa: Amachiza angabangela i-eosinophilia, ngamanye amaxesha kungekho zibonakaliso okanye iimpawu ezibonakalayo. Amachiza aqhelekileyo anxulumene ne-eosinophilia aquka i-antibiotics (i-penicillin, i-cephalosporins), imithi engeyiyo-steroidal anti-inflammatory (aspirin, ibuprofen), ranitidine (i-reflux ye-gastroesophageal), i-phenytoin (i-anti-seizure) kunye ne-allopurinol (isetyenziselwa ukuphathwa gout). Ifom ephezulu kakhulu ibizwa ngokuba yi-drug response with eosinophilia kunye neempawu zesistim (DRESS). Ngethamsanqa, abaninzi abantu abayi kuba nale mpendulo xa bafumana le mayeza.
- I-Atopy : I-Atopy yempendulo ethile eyenzeka emzimbeni. Ngokuqhelekileyo, i-atopy ibhekisela kwi-asthma, i-allergies (ebizwa ngokuba yi-rhinitis ye-allergen), kunye ne-eczema. Akuqhelekanga ukuba umntu abe neengxaki ezingaphezulu kweyodwa kwezi zonyango njengoko zihlobene. Ezi zezi ezinye zezizathu eziqhelekileyo zokunyuka kwe-eosinophilia elula, ngokukodwa kubantwana. Ngokufanayo, ukunyuka kokutya kungakhokelela ekubalekeni kwe-eosinophil.
- I-Eosinophilia esophagitis (EoE): Le yintlupheko ebonakaliswa yi-eosinophil esasazeka kwi-esophagus ngokuqhelekileyo ayinayo i-eosinophil. Phantse ama-50% abantu abane-EoE baya kuphakamisa amanqaku eosinophil egazini.
- I-Hypereosinophilic syndromes : I-Hyperoeosinophilic syndromes (HES) yiqela leengxaki ezibonakaliswa ngokubala kwe-eosinophil ephezulu kunye nobungqina bomonakalo wombutho ukusuka kwinani elikhulu lama-eosinophil. Amacandelo ekujoliswe kuwo ngokuqhelekileyo ngumhlaza, umphunga, kunye nesisu somzimba. I-HES ingaba yiprayimari (ebizwa nangokuthi i-neoplastic) yesibini (isebenzayo) okanye idiopathic (isizathu esingaziwa).
- I-Churg-Strauss Syndrome: i-vasculitis yakwa-Churg-Stauss, ebizwa ngokuba yi-eosinophilic granulomatosis kunye ne-polyangiitis, ingabangela i-eosiniophilia. Abantu abanalo meko bavela nge-asthma kunye neminye imiba yemiphunga ekuqaleni, ngoko kuphuhlisa i-eosinophilia, kwaye ekugqibeleni i- vasculitis , ukuvuvukala kwemithambo yegazi.
- Iintsholongwane: Kukho amaninzi emdlavuza, ngakumbi i-cancer cancers, eyaziwayo ngokunyusa inani le-eosinophil. Ezi ziquka uhlobo olunqabileyo lwe-leyemia leyemiaid (AML) ebizwa ngokuba yi-eosinophilic leukemia. Ezinye izizathu zibandakanya ezininzi ze- myeloproliferative neoplasms (ezifana, i-thrombocythemia ebalulekileyo, i-polycythemia vera) i-B-cell kunye ne-T-cell lymphoma, kwakunye ne-adenocarcinomas yesiginci sesisu, umphunga kunye nomlomo wesibeleko.
Ziziphi iimpawu ze-Eosinophilia?
Ukuba unayo i-eosinophilia, iimpawu zakho ziza kubalwa ngokukodwa ngenxa yesibalo sokuphakanyiswa kwe-eosinophilia. Ukuba inani lakho le-eosinophil liphakanyiswa ngokunyanisekileyo ungenayo nayiphi na impawu. Izimpawu eziqhelekileyo ziquka:
- Rash
- Ukutshiza
- I-diarrhea, kwimeko yesifo se-parasite
- Isifuba
- Runny ekhaleni, ingakumbi xa idibene ne-allergies.
I-Eosinophilia ifunyaniswe njani?
Njengengxaki ezininzi zegazi, i-eosinophilia ichongiwe kwibala elipheleleyo legazi (CBC) . I-Eosinophil enye yeeseli zegazi ezimhlophe kwaye ifunyenwe kwingxenye yeCBC ebizwa ngokubahluko. Ukwahlukahlukana kubonisa ukuba zininzi zezilwanyana zegazi ezimhlophe (neutrophil, lymphocyte, monocyte, eosinophil, kunye ne- basophil ) zikhoyo egazini.
Emva kokuchongwa kwe-eosinophilia, umboneleli wakho wezempilo uzakuqala ukusebenzela ukucacisa isizathu, ngamanye amaxesha oku kufuna ukudluliselwa kwi-hematologist. Ukukhawuleza kwe-eosinophilia ngamanye amaxesha kunokukhokelela umsebenzi ofunekayo. I-Eosinophilia inokwenziwa ngamanani ngama-eosinophil (i-eosinophil ngokupheleleyo).
- Ubumnandi: 500 - 1500 amaseli / mL
- I-modate: 1500 - 5000 amaseli / mL
- Ikhulu:> 5000 iiseli / mL
Ukuqulunqa imbangela ye-eosinophilia yakho iya kusekelwe kwiimpawu zakho. I-eosinophilia isophagitis inokubangela ubunzima bokugwinya, isifuba kunye / okanye intlungu yesisu, ukuhlanza okanye ukutya okunamandla kwi-esophagus. Ukuxilonga kuyadinga i-biopsy ye-esophagus. Uninzi lwezifo ezikhungathelwanayo zifunyanwa ngokuthatha isampula ze-stool kwaye zivavanya. Akunakho ukuvavanya ukufumana ukuba unyango luyimbangela ye-eosinophilia yakho. Ukuba isibalo sakho se-eosinophil sibuyela kwizinto eziqhelekileyo emva kokuyeka imichiza, kudla ukuba kucingelwa ukuba imithi yayiyimbangela.
Ziziphi iiNyango zokhetho kwi-Eosinophilia?
Kuyafana nokokufunyaniswa ukuxilongwa, unyango luchongwa yimbangela ye-eosinophilia. Khetha ziquka:
- Ukuqwalaselwa: Ukuba i-eosinophilia yakho ibumnene, ukuqwalaselwa ngokuphindaphindiweyo kwama-lab kungaphakanyiswa.
- Ukuba unyango lubangela ukubala kwakho kwe-eosinophil ephakamileyo, inokupheliswa
- Ukuphucula ukonyango kwesifo se-asthma, eczema, kunye nokunyamezela
- Ukunyangwa kwama-parasite kuphathwa ngamachiza aphikisayo.
- I-Steroids njenge-prednisone ingasetyenziselwa ukuphatha i-hypereosinophilic syndromes
ILizwi
I-Hypereosinophilia lizwi elivakalayo. Ngethamsanqa, kubantu abaninzi abanalo mqathango, kuyinto engapheliyo kwaye ifuna unyango oluncinane. Kwabanye, ukuxilongwa nokunyango kungadinga ukuthunyelwa kwingcali. Ukuba unenkxalabo eyongezelelweyo, qiniseka ukuba uxoxe nabo nodokotela wakho.
> Umthombo:
> I-Weller PF kunye neKlion AD. Indlela eya kwisigulane nge-eosinophilia engachazwanga. Ku: U-UpToDate, i-Post TW (Ed), UpToDate, i-Waltham, MA.