Eosinophilia - ihe ọ bụ? Mgbaàmà, akpatara, Ọgwụgwọ

Eosinophilia - ihe ọ bụ? Azịza a ọgwụ ajụjụ ị ga-ahụ na ihe ndị ahụ ndị na-esonụ. Ke adianade do, anyị ga-agwa gị na ihe mere e ji dị otú ahụ a ndiiche, ihe bụ ya mgbaàmà na ụzọ nke ọgwụgwọ.

ozi izugbe

Eosinophilia - ihe ọ bụ? Na-adakarị omume a okwu ịghọta pụrụ iche ọnọdụ ọbara nke ọ na a hụrụ na onye ọrịa ihe mụbara larịị nke cell - eosinophils. Ọzọkwa, mgbe ndị dị otú ahụ a ndiiche emee impregnation ma ọ bụ na-akpọ infiltration nke ọzọ arọ. Ka ihe atụ, a oyi eosinophils kama mfe achọpụtara na-agbapụta n'ahụ nke secretions, bronchial ụkwara ume ọkụ - na sputum, na pleural etuto ahụ na ma ọ bụ ọbara mkpọchi na ngụgụ - na akpa ume ọmụmụ.

n'ókè nke ọrịa

Na okenye mmadụ eosinophils n'ime ọbara a na-ewere nkịtị nke 0,02 x 109 / L 0.3 x 109 / L. Ọ bụrụ na a na ọnụ ọgụgụ a karịa, onye ọrịa na-chọpụtara na "eosinophilia". Gịnị ka ọ bụ, anyị chọpụtara. Ugbu a, were ihe ogo ndiiche tọhapụ:

1. A elu ogo - karịa 20%.
2. Agafeghị oke - site 10 ruo 20%.
3. A obere ogo, i.e. 10% nke ngụkọta leukocytes.

Persistent eosinophilia bụ ihe ịrịba ama nke parasitic ọnya, ụfọdụ leukemias, nakwa dị ka nfụkasị Jeremaya mere.

Ọrịa ma ọ bụ mgbaàmà?

Eosinophilia, ọgwụgwọ nke anyị na-atụle n'ihu, bụ otu nọọrọ onwe ha ọrịa, ma naanị a mgbaàmà nke autoimmune, na-efe efe, anabata ndị ọzọ abnormalities.

Ya mere, ka-esi ọnụ, ihe mere na onye nwere a-enweghị nchịkwa na ọnọdụ.

Eosinophilia: akpata

A ndiiche na-egosipụta na ndabere nke mmepe nke ọtụtụ ọrịa. Nke a ogologo ndepụta gụnyere:

• Parasitic ọrịa na (paragonimiasis, ascariasis, strongyloidiasis, schistosomiasis, opistorhoz, Trichinosis, filariasis, fascioliasis, ịba, hookworm, toxocariasis, echinococcosis, Weingarten syndrome bothriocephaliasis).
• Skin ọrịa na (eczema, pemphigoid, cutaneous lichen, pemphigus, dermatitis herpetiformis).
• Anabata ọrịa na (bronchial ụkwara ume ọkụ, Quincke si edema, hay fever, imi nsụchi, atopic dermatitis, urticaria, ọbara ọrịa, hay fever, eosinophilic myositis na fasciitis, eosinophilic cystitis).
• Ọrịa nke ọbara (Sezary syndrome, Hodgkin ọrịa, polycythemia vera, pernicious anaemia, ọrịa kansa ọbara, histiocytosis ezinụlọ na jikọrọ immunodeficiency na eosinophilia).
• akpa ume ọrịa na (akpa ume infiltration, anabata aspergillosis, eosinophilic oyi baa, Loeffler si syndrome, sarcoidosis).
• Autoimmune ọrịa na (scleroderma, systemic lupus erythematosus).
• Ọrịa nke afo na eriri afọ (staph ọrịa ụmụaka na peptic ọnyá afọ ọrịa, gastroenteritis, anabata gastroenteropathy).
• Rheumatic ọrịa (periarteritis nodosa, ọrịa ogbu ogbu na nkwonkwo, Wegener si granulomatosis, fasciitis, eosinophilic).
• Ịza aza etuto ahụ (carcinomatosis, adenocarcinoma nke afo na akpanwa, Williams akpụ, thyroid cancer, mmamiri, na penile akpụkpọ).
• Dịghịzi erughị eru (immunoglobulin erughi, T limfopatiya, Wiskott-Aldrich syndrome).
• Ọrịa ndị ọzọ (imeju, eosinophilia prematurity, congenital ọrịa obi, ọrịa chorea, magnesium erughi, eosinophilic syndrome, splenectomy, ala nke hypoxia, cheesy ụkwara nta Lymph, radieshon ikpughe, acha uhie uhie ahụ ọkụ, peritoneal dialysis, ezinụlọ eosinophilic leukocytosis, wdg).

Ọ kwesịkwara kwuru na eosinophilia-myalgia syndrome nwere ike ime ná ndị ọrịa na-anata ụfọdụ ọgwụ: preparations nwere homonụ, "Ọgwụ Aspirin", antitubercular mmadụ, "Papaverine", "aminophylline", "imipramine" "Diphenhydramine" ọgwụ nje penicillin, gold preparations, sulfa ọgwụ ọjọọ, vitamin B, β-blockers, "Phenibutum", "chymotrypsin", "chlorpropamide," "Misklerona".

Eosinophilia: Mgbaàmà

Mgbaàmà ndị dị otú ahụ enweghị nchịkwa ọnọdụ kpatara ọrịa na nke ọ na-hụrụ.

1. Mere na autoimmune ọrịa. Na ọrịa ndị a na-esonụ mgbaàmà na-hụrụ ọzọ mgbe:

• hepatosplenomegaly;
• anaemia;
• arọ ọnwụ;
• fever;
• nkwonkwo mgbu;
• akpa ume fibrosis;
• congestive obi odida;
• mbufụt nke veins na akwara;
• multiple ngwa ọdịda.

2. parasitic ọrịa. Dị otú ahụ na abnormalities na-kwuru, sị:

• hepatosplenomegaly (abawanye splin ma ọ bụ imeju);
• myalgia (ie, mgbu uru na nkwonkwo);
• isi ọwụwa, ahụ ọkụ, adịghị ike, ọgbụgbọ, dizziness, ọnwụ nke agụụ;
• lymphadenopathy (mgbu na ọzịza nke Lymph);
• ụba obi ọnụego, ọzịza nke mbubere na ihu, ihe ọkụ ọkụ na akpụkpọ, hypotension;
• Loeffler si syndrome mgbe na-akpụ akpụ larvae (mgbu, mkpụmkpụ nke ume, ụkwara, asthmatic akụrụngwa).

3. Skin na anabata ọrịa:

• ọdịdị itching, ọkụ ọkụ, blisters, akọrọ akpụkpọ, ekpepụsị nke epidermis na akpụkpọ onya.

4. eriri afọ ọrịa.

• Ọtụtụ ọrịa nke digestive tract yiri ka akpaghasị nsia osisi, nke n'ikpeazụ slows ala usoro nke ọcha aru nsí na adịghị. Dị ka a na-achị, na-eme n'ọdịnihu, nke a na-eduga onye ubara ọdịnaya nke eosinophils ke iyịp. Dị otú ahụ na ndiiche nwere ike ịkpaghasị ndidi n'ime eriri mgbu, vomiting, cramps, ọgbụgbọ, afọ ọsịsa na ịba ọcha n'anya mgbaàmà (jaundice, hepatic nro, na onye na-abawanye).

5. Diseases nke ọbara.

• N'ihi na ndị dị otú ahụ a nupụsịrị e ji mara ibute ọrịa ugboro ugboro, Lymph, imeju na-na splin nditat, ụkwara, dyspnea, cyanosis nke anụ.

Mgbe chlamydia ndidi pụrụ inwe ihe mgbu na nkwonkwo na ọkpukpu, adịghị ike, fever, itching na akpụkpọ, ụkwara, lymphadenopathy, na na. Eosinophilia na lymphomas esonyere ọnụ ọnụ ke moto ọrụ na uka na-abawanye na ahu okpomọkụ.

Mgbe akpụ ke afo ebe atụmatụ dị ka akpịrị ịkpọ nkụ, ileus, abdominal nditat. CNS mmetụta nwere ike ime isi ọwụwa, paresis na mkpọnwụ, nakwa dị ka ntị ọnwụ na ọhụụ. Ke adianade do, bụ mgbe a erughị ala na obi, ọzịza nke ihu, ụkwara, ilo aghara.

Gịnị bụ akpa ume eosinophilia?

Akpa ume eosinophilia - bụ akpa ume infiltration nke eosinophils. A ndiiche na-agwakọta ndị na-esonụ na-ekwu:

• akpa ume infiltrates;
• eosinophilic granuloma;
• eosinophilic oyi baa;
• eosinophilic vasculitis nke ngụgụ.

Otú e si amata a nwa?

Eosinophilia na ụmụ achọpụtara n'oge ọbara. Ọ ga-kwuru na nke a onu na ụmụ bụ intermittent na kpamkpam dị ka anya dị ka anya dị ka nwa ọhụrụ na-arọ ahụ esịmde nkịtị ụkpụrụ.

The kasị akpata otú ahụ deviations na-eto eto ụmụ na-agụnye:

• nfụkasị Jeremaya;
• parasitic infestation;
• hookworm;
• eosinophilic gastroenteritis;
• butere n'aka ọrịa na (e.g., ezinụlọ histiocytosis).

Diagnosis okenye

Ugbu a ị maara: eosinophilia - ihe ọ bụ. Ọ ga-kwuru na nchọpụta nke ndị dị otú ahụ a ndiiche bụ naanị na ọ dị mkpa ime a zuru ọbara ọnụ. Na N'ezie nke nnyocha dị otú ọkachamara wepụtara pasent nke eosinophils, nke mere na dibịa nwere ike ime ka a nchoputa.

Na nke a na-enweghị nchịkwa na ọnọdụ pụkwara inwe mgbaàmà nke anaemia (ie, belatara ọnụ ọgụgụ nke mkpụrụ ndụ ọbara uhie). Iji mata ọrịa, bụ nke mere ka eosinophilia, a ga-rụrụ Biochemical analysis nke ọbara na na nsị na mmamịrị.

Olee otú na-emeso?

Emeso eosinophilia dị ka otu nọọrọ onwe ha ọrịa adịghị eme ka ọ bụla uche. Iji malite, onye ọrịa kwesịrị ịchọpụta ezi ihe kpatara nke a enweghị nchịkwa ọnọdụ, na na mgbe ahụ, ha na dọkịta gị ịzụlite irè atụmatụ nke ọgwụ nke kpatara ọrịa, n'ihi na nke bụ nke a ndiiche.

Bụla na Dosages nke ọgwụ ndị na a ga-gụnyere na N'ezie, na-adabere na-akpata eosinophilia, nakwa dị ka ogo na ogbo nke ọrịa. O yikarịrị ka ndị na-enwe ndidi ga-mkpa, na Kama nke ahụ, na-ajụ ịnakwere ụfọdụ ọgwụ, họpụtara mbụ.

Eosinophilia na anụmanụ

A ndiiche na nwamba na nkịta na-egosi na akpụkpọ anabata ọrịa, nakwa dị ka mmeri nke ikpuru. Ụfọdụ n'ime ọrịa ndị a nwere ike oria na onye na-enye ndị data home ụmụ anụmanụ. Banyere nke a, ọ na-atụ aro ka ịkpọ gị vetiran soja nwoke banyere ọgwụgwọ nhọrọ maka gị Pita.