Kakā Eosinophilic: he whakaahuatanga o te tohu, ai me ngā āhuatanga o te maimoatanga

mate pūkahukahu kino, pērā i kakā, kahore e meinga tonu i otaota kitakita. Whakapōrearea i homeostasis o te wahi romahā o runga me raro taea pirinoa, harore, taero, ārai, mate pāwera. A i roto i ngā take pēnei i, whakawhanake eosinophilic kakā.

whakamāramatanga

kakā Eosinophilic - he tukanga pathological i roto i te pūkahukahu, āhuatanga nei i te whakaeminga nui o eosinophils i te alveoli. He maha ngā momo rerekē o tenei mate, e taea te whakawhanake i tetahi tau ranei.

Hauora, he reira tata indistinguishable i mate meinga e te huakita, na te arotahi matua ko te i runga i whakamātau taiwhanga tātaritanga: tatau toto oti, pani. I roto i te nuinga o te wā, i muri i te whakatau i te momo o te mate timata therapy hormones pūtaiaki uho adrenal. E āwhina ana tēnei whakaiti i te tauhohenga inflammatory me haamou i te tohu o te hota. Ko te waitohunga hoki enei tūroro ko te tikanga pai.

kōrero

Ma'i kakā eosinophilic, nga take o nei kihai i taua wa i mohiotia, i whakaahuatia tuatahi i roto i te rau tau waenganui-rua tekau, i roto i te 1969, he tākuta Harrington. Ko ia e kore e rawa whakamā, na e pootitia ana mate tona ingoa, a i muri i te whakaputanga o te ao pūtaiao ka anga ki te karanga i te syndrome māuiuitanga hou Harrington.

Kua mua ki tenei kakā tuhinga eosinophilic hītori kua mohiotia rite te mate e whanake i roto i te pūkahukahu i muri i mate ki te pirinoa whakauru whakakeke o raau taero ranei. E rua tekau nga tau i muri mai, i roto i 1989, ka puta ia i roto i rongoa, te wā "kakā eosinophilic whakapeka".

etiology

Te tautuhi i te maha o ngā āhuatanga, e i raro i te whakawhanake i te mana o te kakā eosinophilic. Take, Kei te tata hono tohu. Hei tauira, ngā momo tāhapa o te kakā meinga e tupeka (e rua kaha, me te hāngū), pāwera ki taero ranei whakaiti parepare o te tinana ki a HIV AIDS ranei. Ki te kore he tika tetahi o nga take, kua whakaaro te reira ki te hei kakā idiopathic.

Ka taea te whakapataritari ma'i kakā eosinophilic e te mate fungal (aspergillosis pnevmomikoz) infestation helminthic (ascariasis, echinococcosis), te whakamahi roa o taero e lōmekina te pūnaha ārai mate (steroids, cytostatics), ma'i autoimmune mate kiko tūhonohono (kaikōiwi, Kaposi o).

Eosinophils i nga mahi tiaki o te tinana, engari ka rite ki te mumura - ko te tukanga pathological angamaheni tenei, ka reira he akoranga nui me te tere, i taea e whai ia he pānga kino i runga i te hauora tangata.

pathogenesis

take Etiologic i roto i te tikanga maha tautuhi pehea ki te whakawhanake i eosinophilic kakā. Take, tohu, maimoatanga - mea katoa tei runga i tenei. Ko te kokonga o tenei momo o te kakā ko te haaputuputuraa o te maha nui o eosinophils i roto i te kopa tana pukapuka. He maha mate, tae atu katoatia, huangō, meinga e te tauhohenga tutu rawa o te rauropi ki te tuku i te pūhui hohe.

Rongoā me ētahi atu matū paitini ketia te tauhohenga o eosinophils me hanga ratou i haria atu. āpiha Anti-inflammatory, paturopi, meinga taero pāwera e arahi ki te whanaketanga o te kakā tuarua. I tua atu, āhuatanga meinga te ahua o te maha nui o eosinophils i te kikokiko, e pā ana te paowa hikareti kohu matū ranei.

mate pirinoa

Doctors E toru tikanga o kakā i roto i parasitosis. Tuatahi - he infestation pirinoa i roto i te pukapuka, he tuarua - he wāhanga o te huringa ora o te kutukutu, a te toru o nga - Random bloodstream āta. Ki te mahi ki a ratou ka tukua te tinana eosinophils. kia ratou whakapataritari i te tuku o cytokines, prostaglandins, leukotrienes me ētahi atu matū kaha mō te whakakorenga o kutukutu. Engari meinga hei utu kakā.

Āta whakaurua ki te kopa o te raro tapeworms wahi romahā, Echinococcus me pērā i poaka tapeworm, me te pūkahukahu whiore. Noho i roto i te pūkahukahu, me te whai wāhi ki te hāora kōhauhau e hiahiatia ana mō te ascarids, ugritsy intestinal, hookworm me hookworm. kakā Eosinophilic, meinga nei e te tukumate runga ake, te kore e mohiotia rite syndrome o Loeffler. Na roto i te bloodstream ki te pūkahukahu whiwhi hua Trichinella me schistosomes.

whare hauora

Ka rite ki te tikanga, te kaihaumanu, pulmonologist, ranei mate noa hopuhopu i titiro tuatahi uaua ki te whakahoki i te pātai o te mea te kakā eosinophilic manawanui. Tohu, tae noa tango ki pūkete te etiologies rerekē e tino rite ki tahi i te tahi. amuamu te manawanui o te mare, kirika, hāhā o te manawa, me te sweating i te po. I muri o wiki te tokorua i muri i te tīmatanga o te mare, ki te mahi kahore te, ka kite koe i te tohu o te iti hoki romahā decompensated. I roto i taua take me te whakawhiti i te manawanui ki te ventilation tāwhaiwhai.

kauneke āta ma'i kakā eosinophilic, hoki nga marama. ngaro tūroro taimaha, to ratou he hāhā o te manawa, wheezing me te maremare, te pāmahana tinana makaka i raro subfebrile. I te tahi taime i ngā nga tohu huangō, e hanga te tātaritanga me te whiriwhiri o te maimoatanga he.

He maha fifi mo te tātaritanga o te tarukino kakā eosinophilic hanga. Tohumate, maimoatanga me te ārai o tona ahua kaha ki te ahipirini huangō, e whakapohehe ana i te tākuta. I roto i te mate pirinoa he motuhake wā prodromal, e kia whakaaro te whakaekenga helminthic.

tātaringa

Mai te mea tata kahore rerekē i ētahi atu kakā kakā hauora eosinophilic, e hāngai ana te tātaritanga i runga i taiwhanga me ngā tūhuratanga mauhaa. I roto i te whānui, te tātaritanga o te eosinophilia toto korerotia i raro i te mātakitaki fluoroscopic mō kitea huringa pathological āhuatanga pūkahukahu computed Tomography ranei. Ki te whakaū i taea te tango i koe he unuhanga o te kiko pūkahukahu, me te ki kia Nini ki te mata o te ngōrahi i roto i bronchoscopy.

Ki te tautuhi i te hononga ki te rongoā, noho i roto i te wāhi matū poke, ranei mate pukupuku, e hiahia ana koe ki te āta titiro hītori hauora o te manawanui, me te ki te kohikohi i te hītori taipitopito o te ora, me te mate. Ki te, i muri i te rangahau katoa, he kore e taea ki te tāutu i tonu te take, ka tuhia te tātaritanga te rite kakā eosinophilic idiopathic.

Kia tino ki te mahere tohu te tohu o te kore romahā. I roto i te wiki o te tīmatanga o te mate i reira he tuatahi tohu o reira:
- pāpaka maha pūkahukahu kiko;
- haaputuputuraa o te wai i roto i te kōhao pleural;
- leukocytosis me teitei ngeniwhero auau parataiao i roto i te tātari whānui o te toto;
- te whakanui ake taumata o immunoglobulin E;
- E whakaatu ana spirometry romahā he hekenga i roto i te rōrahi pūkahukahu.

maimoatanga

i mua i Ahakoa ka te tātaritanga whakamutunga kia hoatu - kakā eosinophilic, tīmata maimoatanga ki te maimoatanga o te manawanui ki te tākuta.

Ki te he Tuarua kakā, he mea e tika ana ki te hamani i te mate e whāriki ana: he puku ranei te infestation kutukutu. Te reira e tauturu whakaiti tohu pūkahukahu me te ora hohoro.

Ki te kore kua tāutuhia te take o te mate, i faataahia therapy glucocorticosteroid. E pai te nekehia atu ratou whakautu inflammatory, e faaau membrane pūtau, whakaiti i te pāmahana. hohoro tutuki murunga te - i roto i te toru ranei, te wha o nga ra. Otiia e kore e tenei rongoā mutu ki reira. E kore e te ngaro o te tohu tikanga e ora te mate te. Na reira, corticosteroids, e te manawanui he marama, ki te whakaiti āta o te horopeta ki te wāhi i reira e kore e mauhaa tikanga tātaritanga e whakaū i te ora.

titau te ahua ma'i o te mate maimoatanga mō te toru marama, neke atu rānei, tae noa i muri i te ngaro o ngā tohu haumanu. Relapses he kakā taea i runga i te whakamārama o te withdrawal ohorere o corticosteroids. I roto i ētahi wā, kia hiahia te manawanui ki te whakawhiti ki te ventilation aunoa.

outlook

Ki te he kakā eosinophilic he mate tuarua ki te mate pukupuku parasitosis ranei, ka tei te putanga i runga i te rere o te māuiuitanga whāriki. Fatal, ngā maimoatanga tika me te wā pea.

Ko e pängia ana ki te auau ki runga ki te mata o te glucocorticosteroids ma'i kakā eosinophilic. Na reira, i te tahi mau tūroro tango enei taero mō te ora. Otiia i roto i tenei āhuatanga, i reira te mea he paku. ngā pānga taha o te maimoatanga, pērā i prednisone, e taea te nui whakaiti i te kounga o te ora te tangata. Ko ētahi o ēnei: whewhe keté, osteoporosis, kushingoid, heke wātea i te mate.

mātai tahumaero

Ka rite ki te tikanga, kakā meinga e pirinoa e te hunga ake noa i roto i ngā rohe tetehi ki enei tukumate. kia te tropics, te taiga Siberian, te takotoranga wai Mediterranean ranei tetahi awa ngā tenei.

Ka taea e kakā eosinophilic whakapeka whakawhanake i tetahi tau, ara i roto i ngā tamariki rawa taitamariki, engari te nuinga o ratou mamae i te tangata waenganui-koroheke rua tekau ki te wha tekau nga tau i. I roto i te mate i reira ko etahi whakahāwea ira - nga tangata whiwhi mate atu pinepine atu i te wahine, no te mea i meinga te mate e tupeka paowa. I roto i te tuhinga hauora o nāianei i reira he whakamārama o te kakā eosinophilic i muri radiation therapy mō te mate pukupuku uma.

kakā Eosinophilic i roto i kuri

Ka taea e hoki nga kararehe e kitea kakā eosinophilic. Take, tohu, he tino rite ki te tangata te ārai o tenei mate. Waihoki, ko te take o te mate: pirinoa i roto i te pūkahukahu, harore, mate pāwera ki te hae, pepeke, matū me ngā rongoā.

kitea te kuri he whakautu ārai whakakeke e ai te kiko kookuhutanga pūkahukahu i eosinophils. Otinga wehenga raro heke, i reira whakawhanake pathogenic harore e meinga kakā. Te kararehe e patua e acidosis me hypoxia. He rite ki te mare tangata, hāhā o te manawa, ngoikore, kirika, kore o te hiahia, mate taimaha te whare hauora.

Hoki te tātaritanga mā te whakamahi i te whakamātautau toto, X-hihi o te pūkahukahu, bronchoalveolar cytology lavage, serology. I te X-ray kitea pūkahukahu kiko edema, te aroaro o granuloma pūtau, waitinana kōpuku mediastinal whakarahi me hilar ngakau roha whakamarumaru. I muri i te whakamārama o te kakā etiology eosinophilic, e whakarite tākuta maimoatanga motuhake e hāngai ana te whakakore i te mate tuatahi. Ko te whai hua tino - corticosteroids, i roto i ngā ki paturopi me bronchodilators. Ko te tikanga, kararehe noho therapy oraraa taatoa.