I-Loeffler syndrome: kuyini, izimpawu nokwelashwa
-Delile
I-Loeffler syndrome yisimo esivezwa inani elikhulu lama-eosinophils emaphashini avame ukubangelwa ukutheleleka kwezinambuzane, ikakhulukazi yisimuncagazi I-Ascaris lumbricoides, futhi kungadalwa ukusabela okweqile kwemithi ethile, ngumdlavuza noma yi-hypersensitivity entweni ehogelwe noma efakiwe, ngokwesibonelo.
Lesi sifo asihlali sidala izimpawu, kepha kungahle kube nokukhwehlela okomile nokuphefumula okuqhubekayo, njengoba ama-eosinophil amaningi emaphashini angadala ukulimala komzimba.
Ukwelashwa kuyehluka kuye ngesizathu, futhi kungaba kuphela ngokumiswa komuthi obangela i-syndrome noma ukusetshenziswa kwama-anti-parasites, njenge-Albendazole, ngokwesibonelo, ngokweseluleko sezokwelapha.
Izimpawu eziyinhloko
Izimpawu zeLoeffler's Syndrome zivela phakathi kwezinsuku eziyishumi kuya kwezingu-15 ngemuva kokutheleleka futhi zivame ukunyamalala emavikini ayi-1 kuya kwayi-2 ngemuva kokuqala ukwelashwa. Lesi sifo ngokuvamile asymptomatic, kepha ezinye izimpawu zingavela, njenge:
- Ukukhwehlela okomile noma okukhiqizayo;
- Ukuphefumula, okuya ngokuya kuba kubi;
- Umkhuhlane ophansi;
- Ukukhwehlela igazi;
- Ukuqhuma noma ukushaya esifubeni;
- Ubuhlungu bemisipha;
- Ukwehla kwesisindo.
Lesi sifo sibangelwa kakhulu ukutheleleka ngama-parasites enza ingxenye yomjikelezo webhayoloji emaphashini, njenge I-Necator americanus yi- I-Ancylostoma duodenale, okubangela i-hookworm, I-Strongyloides stercoralis, okubangela i-strongyloidiasis futhi I-Ascaris lumbricoides, okuyi-ejenti elithelelanayo le-ascariasis futhi elibhekele ikakhulu i-Loeffler syndrome.
Ngaphezu kokutheleleka ngama-parasitic, i-Loeffler's syndrome ingavela njengomphumela wama-neoplasms noma i-hypersensitivity reaction kwizidakamizwa, ngokwesibonelo, okungaholela ekwandeni kwama-eosinophil egazini aya emaphashini futhi akhiphe ama-cytokines abangela ukulimala kwamaphaphu. Funda kabanzi ngama-eosinophil nemisebenzi yawo.
Ukuxilongwa kwenziwa kanjani
Ukuxilongwa kwe-Loeffler syndrome kwenziwa ngokuhlolwa komtholampilo ngudokotela nasesifubeni i-X-ray, lapho kubonakala khona ukungena kwamaphaphu. Ngaphezu kwalokho, kucelwa ukubalwa kwegazi okuphelele, lapho kuhlolwe khona ama-eosinophil / mm³ angaphezu kwama-500, angahle aphakathi kwama-25 nama-30% ama-eosinophil esewonke, lapho okujwayelekile kuphakathi kuka-1 no-5%.
Ukuhlolwa kwendle nge-parasitological kuhle kuphela emasontweni ayisishiyagalombili ngemuva kokutheleleka, ngoba ngaphambi kwalokho i-parasite isakhula futhi ayikho esimeni sezibungu, ngaphandle kokukhishwa kwamaqanda. Uma amaqanda amahle, angenakubalwa we-parasite abangela i-syndrome ayahlolwa.
Injani impatho
Ukwelashwa kwenziwa ngokwesizathu, okungukuthi, uma i-Loeffler's syndrome ibangelwa ukusabela kumuthi othile, ukwelashwa imvamisa kubandakanya ukumiswa komuthi.
Endabeni yama-parasites, ukusetshenziswa kwama-anti-parasites kuyanconywa ukuze kuqedwe le-parasite futhi kugwenywe ukubonakaliswa sekwephuzile kwesifo okubangelwa amagciwane, njengesifo sohudo, ukungondleki nokuvinjelwa kwamathumbu. Izidakamizwa ezivame ukukhonjiswa ngama-vermifuge anjenge-Albendazole, Praziquantel noma i-Ivermectin, ngokwesibonelo, ngokusho kwesinambuzane esidala i-Loeffler's syndrome nangokuya ngezeluleko zezokwelapha. Bona ukuthi iziphi izixazululo eziyinhloko zesibungu nokuthi ungasithatha kanjani.
Ngaphezu kokwelashwa ngemithi elwa nezimuncagazi, kubalulekile, kulezi zimo, ukunaka izimo zenhlanzeko ngoba izimuncagazi zivame ukuhlobene nezimo zenhlanzeko ezingezinhle. Ngakho-ke kubalulekile ukugeza izandla njalo, ugcine izinzipho zakho zigundiwe futhi ugeze ukudla kwakho ngaphambi kokukulungisa.