I-Eosinophilia: iyini nezimbangela eziyinhloko

-Delile

• Yini engadala i-Eosinophilia
• 1. Ukutheleleka ngama-parasites
• 2. Ukungezwani komzimba
• 3. Izifo zesikhumba
• 4. I-lymphoma kaHodgkin

I-Eosinophilia ihambelana nokwanda kwenani lama-eosinophil ajikeleza egazini, ngesibalo segazi ngaphezu kwenani lesethenjwa, okuvamise ukuba phakathi kwama-eosinophil angu-0 kuye kwangama-500 nge-µL yegazi ngalinye. Lesi simo kuvame ukwenzeka njengempendulo yesidalwa ekuthelelweni yisinanakazana noma ngenxa yokungezwani komzimba, noma kunjalo futhi kungabangelwa yizifo ezimbi kakhulu ezibandakanya amangqamuzana egazi, njenge-lymphomas, isibonelo.

Ama-eosinophil amangqamuzana asuselwa ku-myeloblast, okuyiseli elikhiqizwa umnkantsha wethambo, umsebenzi wawo omkhulu ukuvikela umzimba kuma-virus. Yize ibalulekile ekusebenzeni kahle kwamasosha omzimba, ama-eosinophil atholakala ekugxileni okuphansi egazini uma kuqhathaniswa namanye amaseli abhekele ukuvikela umzimba. Funda kabanzi ngama-eosinophil.

Yini engadala i-Eosinophilia

I-Eosinophilia ngokuvamile ayibangeli zimpawu noma izimpawu, ibonwa kuphela ngokusebenza kwesibalo segazi, lapho kuguqulwa khona ushintsho kwinani lama-eosinophil ahlobene nalawo aphelele. I-Eosinophilia ingahlukaniswa ngokobukhulu bayo ku:

• I-eosinophilia emnene, okuyilapho kukhona phakathi kwama-eosinophil aphakathi kuka-500 no-1500 nge-µL yegazi ngalinye;
• I-eosinophilia emaphakathi, lapho kuhlolwe phakathi kwama-eosinophil aphakathi kuka-1500 no-5000 µL yegazi;
• I-eosinophilia enamandla, lapho kutholakala khona ama-eosinophil angaphezu kuka-5000 µL wegazi.

Lapho inani elikhulu lama-eosinophil akhonjwa ekuhlolweni kwegazi, kukhula kakhulu isifo, futhi kubalulekile ukuhlaziya eminye imingcele yelabhorethri ecelwe ngudokotela ukuze kufinyelelwe esiphethweni sokuxilonga bese kuqala ukwelashwa okufanele.

Lapho kuphela inani lama-eosinophil esilinganisweni segazi esishintshiwe futhi kungekho okunye ukuhlolwa okushintshile, kunganconywa ukuthi kuphindwe ukuhlolwa ukubheka ukuthi ngabe i-eosinophilia iyaqhubeka yini, uma kungenjalo ayibhekwa.

Izimbangela eziyinhloko ze-eosinophilia yilezi:

1. Ukutheleleka ngama-parasites

Ukutheleleka ngama-parasites kungenye yezimbangela ezinkulu ze-eosinophilia, ikakhulukazi lapho ama-parasites enza ingxenye yomjikelezo wempilo yabo emaphashini, njengasesimweni I-Ascaris lumbricoides, I-Necator americanus, I-Ancylostoma duodenale futhi I-Strongyloides stercoralis. Lezi zinambuzane zidala ukungena ngaphakathi kwe-eosinophilia kanye ne-pulmonary, okukhomba i-Loeffler's syndrome, lapho kungahle kube khona ukukhwehlela okomile nokuphefumula okuqhubekayo ngenxa yenani elikhulu lama-eosinophils emaphashini.

Bona ukuthi ungabona kanjani i-Loeffler syndrome.

Okufanele ngikwenze: Uma kukhona ukusola kokutheleleka ngama-parasites, kunconywa ukuthi, ngaphezu kwesibalo segazi esiphelele, ukuhlolwa kwe-parasitological kwendle kanye nesilinganiso se-CRP egazini kufanele kwenziwe. Ngaphezu kwalokho, udokotela angalawula ama-X-ray esifubeni ukuze ahlole ukungena kwamaphaphu. Lapho eqinisekisa ukutheleleka, udokotela uncoma ukwelashwa ngemishanguzo elwa namagciwane ngokuya ngesimuncagazi esibhekele lesi sifo, futhi kubalulekile ukuthi ukwelashwa kulandelwe kuze kube sekupheleni, noma ngabe zingekho izimpawu, ukuvimbela ukuphindeka kwalesi sifo nezinkinga.

2. Ukungezwani komzimba

I-Eosinophilia nayo ivame kakhulu ngenxa yokungezwani komzimba, okungaba ukuphefumula, ukuxhumana, ukudla noma imishanguzo, ngokukhishwa kokuqukethwe kwayo kumvelo engaphandle kwamaseli ngomzamo wokulwa nomenzeli obhekene nokungezwani komzimba.

Okufanele ngikwenze: Kunconywa ukuthi kuthathwe izinyathelo zokulwa nokungezwani komzimba, njengokugwema ukuxhumana nento edala ukungezwani komzimba, ngaphezu kwamakhambi e-antihistamine, asiza ukuqeda izimpawu zokungezwani komzimba. Kwezinye izimo, lapho ukungezwani komzimba kungapheli ngisho nama-antihistamine, kunganconywa ukuthatha i-corticosteroids. Ngaphezu kwalokho, kubalulekile ukubonisana nomeluleki ukuze imithi ibhekiswe kakhulu.

Kwezinye izimo, ngaphezu kwesibalo segazi, isilinganiso se-immunoglobulin E, noma i-IgE, okuyiprotheni ekhona ezingeni eliphansi egazini, kodwa esinenani elinyukile lokungezwani komzimba, nakho kungacelwa. Funda kabanzi nge-IgE.

3. Izifo zesikhumba

Ezinye izifo zesikhumba nazo zingaholela ekwandeni kwenani lama-eosinophil, njengasesimweni se-pemphigus, i-granulomatous dermatitis kanye ne-eosinophilic fasciitis. Ezimweni eziningi, izifo zesikhumba zingabonakala ngezimagqabhagqabha ezibomvu noma ezimhlophe esikhunjeni okungenzeka noma kungabi nesikhumba, kubangele ubuhlungu noma ukulunywa.

Okufanele ngikwenze: Uma kubonakala noma yiziphi izimpawu zokushintsha kwesikhumba, kunconywa ukuthi umuntu abonane nodokotela besikhumba ukuze lolu shintsho luphenywe futhi, ngaleyo ndlela, kuqale ukwelashwa okufanele.

4. I-lymphoma kaHodgkin

I-Hodgkin's lymphoma wuhlobo lomdlavuza oluthinta ama-lymphocyte, okuyizakhi eziyinhloko zokuvikela umzimba, ngokubonakala kwamanzi entanyeni, ukwehla kwesisindo ngaphandle kwesizathu, ukuncipha komzimba, ukulunywa emzimbeni wonke nomkhuhlane uqhubeka uphakeme.

Kulolu hlobo lwe-lymphoma kukhona ukwehla okukhulu kwenani lama-lymphocyte, abizwa ngokuthi yi-lymphopenia, futhi, emzameni wokwakha kabusha amasosha omzimba womuntu, ukukhiqizwa okukhulu kwama-eosinophil kuyenzeka, okuveza i-eosinophilia.

Yazi ukuthi ungazibona kanjani izimpawu ze-Hodgkin's lymphoma.

Okufanele ngikwenze: Kulezi zimo, kubaluleke kakhulu ukuthi umuntu alandele ukwelashwa ngokuya ngokuqondiswa yi-oncologist, isikhathi esiningi esidinga i-chemotherapy ne-radiotherapy. Kwezinye izimo, ukufakelwa umnkantsha wethambo kungadingeka ngomzamo wokubuyisela ukukhiqizwa kwamangqamuzana egazi okujwayelekile.