I-Eosinophilia: yintoni kunye nezizathu eziphambili

Umxholo

• Yintoni enokubangela i-Eosinophilia
• 1. Usulelo lwee-parasites
• 2. Izifo zomzimba
• 3. Izifo zolusu
• 4. I-lymphoma yeHodgkin

I-Eosinophilia ihambelana nokwanda kwenani leeosinophil ezijikeleza egazini, nenani legazi elingaphezulu kwexabiso lesalathiso, elihlala liphakathi kwe-0 kunye ne-500 ye-eosinophil nge-ofL yegazi. Le meko iqheleke kakhulu ukuba yenzeke njengempendulo yomzimba kusulelo lwe-parasitic okanye ngenxa yokungabikho komzimba, nangona kunjalo inokuba ngenxa yezifo ezinzulu ezibandakanya iiseli zegazi, ezinjengee-lymphomas, umzekelo.

I-Eosinophil iiseli ezivela kwi-myeloblast, eyiseli eveliswa ngumongo wethambo, owona msebenzi uphambili kukukhusela umzimba kwii-arhente ezosulelayo. Nangona ibalulekile ekusebenzeni kakuhle kwenkqubo yomzimba yokuzikhusela, ii-eosinophil zifumaneka kuxinzelelo olusegazini xa kuthelekiswa nezinye iiseli ezinoxanduva lokukhusela umzimba. Funda ngakumbi malunga neeososophil.

Yintoni enokubangela i-Eosinophilia

I-Eosinophilia ayihlali ibangela imiqondiso okanye iimpawu, ezibonwa kuphela ngokusebenza kokubalwa kwegazi, apho utshintsho kwisihlobo kunye nobungakanani be-eosinophils buqinisekiswa. I-Eosinophilia inokuhlelwa ngokobunzima bayo kwi:

• I-eosinophilia enobulali, kulapho kukho phakathi kwama-500 kunye ne-1500 eeosinophil nge-ofL yegazi;
• I-eosinophilia ephakathi, xa phakathi kwe-1500 kunye ne-5000 i-eosinophils µL yegazi ihlolwe;
• I-eosinophilia enamandla, apho ngaphezulu kwama-5000 eosinophils µL yegazi echongiweyo.

Inani elikhulu leeosinophil ezichongiweyo kuvavanyo lwegazi, kokukhona esi sifo siba qatha, kwaye kubalulekile ukuhlalutya ezinye iiparameter zelabhoratri ezicelwe ngugqirha ukuze kufikelelwe kwisigqibo sokuqonda isifo kwaye uqalise ngonyango olufanelekileyo.

Xa kuphela inani le-eosinophil kubalo lwegazi litshintshiwe kwaye kungekho lunye uviwo olutshintshileyo, kunokucetyiswa ukuphinda uviwo ukujonga ukuba ngaba i-eosinophilia iyaqhubeka, kungenjalo ayithathelwa ngqalelo.

Oonobangela abaphambili be-eosinophilia zezi:

1. Usulelo lwee-parasites

Usulelo lwee-parasites sesinye sezizathu eziphambili ze-eosinophilia, ngakumbi xa iiparasites ziqhuba inxenye yobomi babo emiphungeni, njengakwimeko Iascaris lumbricoides, I-Necator yaseMelika, Ancylostoma duodenale kwaye IiStrongyloides stercoralis. Ezi zifunxi-gazi zibangela ukungena ngamandla kwe-eosinophilia kunye ne-pulmonary inflation, ebonisa uphawu lwe-Loeffler's syndrome, apho kunokukhohlela okomileyo kunye nokuphefumla okuqhubekayo ngenxa yenani elikhulu leeosinophils emiphungeni.

Jonga indlela yokuchonga isifo seLoeffler.

Kwenziwe ntoni: Ukuba kukho urhano losulelo zizifunxi-gazi, kuyacetyiswa ukuba, ukongeza kubalo olupheleleyo lwegazi, kufuneka kwenziwe uvavanyo lweparasoloji yelindle kunye nomlinganiso weCRP egazini. Ukongeza, ugqirha unoku-odola i-X-ray yesifuba ukujonga ukungena kwe-pulmonary. Xa eqinisekisa ukosuleleka, ugqirha ucebisa ukuba kunyangwe amayeza okubulala isifo ngokuhambelana nesidleleli esinoxanduva lwesifo, kwaye kubalulekile ukuba unyango lulandelwe kude kube sekupheleni, nokuba akukho zimpawu, ukuthintela ukuphindaphinda kwesi sifo kunye neengxaki.

2. Izifo zomzimba

I-Eosinophilia nayo ixhaphake kakhulu njengesiphumo sokuphendula, okunokuphefumla, ukunxibelelana, ukutya okanye amayeza, kunye nokukhutshwa komxholo wawo kubume obungaphandle kweeseli ukuzama ukulwa iarhente ejongene nokwaliwa.

Kwenziwe ntoni: Kuyacetyiswa ukuba kuthathwe amanyathelo ukulwa nokwaliwa, njengokuthintela ukunxibelelana nento ebangela ukungabikho komzimba, ukongeza kumachiza e-antihistamine, anceda ukunciphisa iimpawu zokungabikho komzimba. Ngamanye amaxesha, xa i-allergies ingahambi nkqu nee-antihistamines, kunokucetyiswa ukuba kuthathwe i-corticosteroids. Ukongeza, kubalulekile ukudibana ne-allergenist ukuze unyango lujolise ngakumbi.

Ngamanye amaxesha, ukongeza kubalo lwegazi, umlinganiso we-immunoglobulin E, okanye i-IgE, eyiprotein ekhoyo kumanqanaba asezantsi egazini, kodwa enexabiso elonyukayo lokungabikho komzimba, inokucelwa nayo. Funda nzulu ngeIgE.

3. Izifo zolusu

Ezinye izifo zolusu zingakhokelela ekwandeni kwenani leeosinophil, njengakwimeko ye-pemphigus, i-granulomatous dermatitis kunye ne-eosinophilic fasciitis. Kwiimeko ezininzi, izifo zolusu zinokuchongwa ngamabala abomvu okanye amhlophe eluswini anokuthi okanye angabi namaxolo, abangele iintlungu okanye ukurhawuzelela.

Kwenziwe ntoni: Ukuba kukho naziphi na iimpawu zotshintsho kulusu olubonakalayo, kuyacetyiswa ukuba umntu lowo abonane nogqirha wesikhumba ukuze olu tshintsho luphandwe kwaye, ngenxa yoko, unyango olufanelekileyo lunokuqaliswa.

4. I-lymphoma yeHodgkin

I-Hodgkin's lymphoma luhlobo lomhlaza ochaphazela ii-lymphocyte, ezizezona iiseli zokhuselo ziphambili zomzimba, ngokubonakala kwamanzi entanyeni, ukwehla kobunzima ngaphandle kwesizathu, ukuncipha komzimba, ukurhawuzelela umzimba wonke kunye nefiva eqhubekayo.

Kolu hlobo lwe-lymphoma kukho ukwehla okukhulu kwinani lee-lymphocyte, ezibizwa ngokuba yi-lymphopenia, kwaye, kwilinge lokwakha kwakhona amajoni omzimba womntu, ukuveliswa okukhulu kwee-eosinophil kuyenzeka, kubonisa uphawu lwe-eosinophilia.

Yazi ukuba ungaziqonda njani iimpawu zeHodgkin's lymphoma.

Kwenziwe ntoni: Kwezi meko, kubaluleke kakhulu ukuba umntu alandele unyango ngokwesikhokelo se-oncologist, uninzi lwexesha elifuna i-chemotherapy kunye ne-radiotherapy. Ngamanye amaxesha, ukufakelwa komongo wethambo kunokuba yimfuneko ukuzama ukubuyisela imveliso yeeseli eqhelekileyo.