Kodi Chimachititsa Bwanji Eosinophilia?

Kawirikawiri, majeremusi amadzipangika kukhala amodzi mwa magawo atatu aliwonse a m'magazi a leukocyte (mwachitsanzo, kuyendetsa maselo oyera a magazi), kapena 350 mpaka 650 pa cubic millimeter. Eosinophilia imatanthauzidwa ngati chiwerengero chosawerengeka cha majeremusi m'magazi. Eosinophilia imaonedwa kuti ndi yofewa pamene ili ndi mapiko osachepera 1,500 olemera mamitamita imodzi, osakaniza ndi 1,500 kuti 5,000 pa kilogalamu imodzi yammitamita, ndipo nkhanza ngati pali zoposa 5,000 za eosinophil per cubic millimeter.

Pali zifukwa zingapo zomwe zingayambitse komanso zomwe zimayenderana ndi eosinophilia. Zomwe zimayambitsa zimakhala zovuta, matenda opatsirana, kapena matenda a khansa (kansa). Kuti mudziwe chifukwa chake, mbiri yakale ya wodwalayo ndi kuunika kwa thupi ndikofunika, makamaka poyambitsa ndondomeko yoyamba.

Mankhwala nthawi zambiri amachititsa kuti anthu asaganize. Mankhwala aliwonse akhoza kukhala ndi udindo, koma kawirikawiri mankhwala opha tizilombo kapena mankhwala osagwira ntchito (anti-anti-inflammatory drugs) (NSAIDs) akugwirizanitsidwa ndi zamoyo zapadera. Ngati kutupa kwa majeremusi amatha kutuluka, kuthamanga, malungo, ndi pulmonary zimalowa.

Nthawi zambiri zimaganiziridwa chifukwa cha odwala amene amapanga eosinophilia atachoka m'dzikoli. Kuteteza matendawa kumayenderana ndi eosinophilia. Chikhalidwe chimodzi chotere, chotchedwa Loeffler's syndrome, chodziwika ndi pulmonary yochepa imalowa mkati mwa eosinophilia chifukwa cha kupititsa kwa helminth mphutsi m'mapapo.

Matenda a fungal, matenda ena a parasitic, ndi chifuwa chachikulu cha TB zimagwirizananso ndi eosinophilia.

Pankhani ya malungo ngati chifukwa chothetsera matenda a eosinophilia, matenda a hematologic (magazi) angakhale osasangalatsa. Ndi mitsempha ya lymphoid, pangakhale phokoso lokhazikika la eosinophilia. Mphuno ya eosinophilia imatha kupezeka ndi ziwalo zolimba za malignancies.

Eosinophilia imatha kugwirizanitsidwa ndi matenda enaake , matenda a Sjogren ndi matenda a nyamakazi . Pali mitundu yosiyanasiyana yowimirira, yotupa, kapena yothetsera yomwe ingakhale yogwirizana ndi eosinophilia. Ngakhale kuti zikhalidwezi zimakhala zovuta kwambiri chifukwa cha eosinophilia, katswiriyu ayenera kulingalira kuti angathe. Tiyeni tiyang'ane ochepa.

Gosulomatosis Yosasinthana Ndi Polyangiitis

Gosulomatosis yokhala ndi mafuta osakaniza ndi polyangiitis, omwe poyamba ankatchedwa Churg-Strauss Syndrome, amachititsa kuti azikhala opaleshoni. Matendawa, malinga ndi The Johns Hopkins Vasculitis Center, inayamba kufotokozedwa mu 1951 ndi Dr. Jacob Churg ndi Dr. Lotte Strauss monga matenda omwe anali ndi asthma, eosinophilia, malungo, ndi "mankhwala opatsirana a ziwalo zosiyanasiyana."

Fasciitis Osasophika (aka Fasciitis ndi Eosinophilia)

Eosinophilic fasciitis ndi matenda osadziwika omwe khungu ndi minofu pakhungu zimakhala zowawa, zotupa, ndi kutupa, pang'onopang'ono kuumitsa m'manja ndi miyendo. Kusanthula kumadalira chiwombankhanga cha khungu ndi fascia (minofu yolimba kwambiri pamwamba ndi pakati pa minofu). Chifukwa cha kuuma kwake ndi kukulitsa, ziyenera kusiyanitsidwa ndi scleroderma .

Chithandizo cha eosinophilic fasciitis chimaphatikizapo kugwiritsa ntchito corticosteroids (kawirikawiri pamlomo prednisone ). Ngakhale kuti chifukwa chake sichikudziwika, zikuwoneka kuti pali zochitika zowonongeka zomwe zimakhudza nthawi zambiri.

Myalgia Syndrome Osasinthana

Eosinophilia myalgia syndrome ndi matenda omwe mawerengero akuluakulu a eosinophils amachititsa kutupa m'mitsempha, minofu, ndi minofu. Kuphatikizika ndi ululu, kuthamanga, kutupa, chifuwa, ndi kutopa, ululu waukulu wa minofu umene umapweteka kwambiri ndi kudandaula kwakukulu. Chikhalidwecho chinayamba kuzindikiridwa mu 1989 , atagwirizanitsidwa ndi wothandizira, L-tryptophan.

Chowonjezeracho chinali choletsedwa koma osati anthu asanamwalire. Pali milandu ya myalgia yosagwirizana ndi L-tryptophan.

Hypereosinophilic Syndrome

Matenda a hypereosinophilic amadziwika ndi matenda a eosinophilia, omwe ali ndi mphamvu zoposa 1500 pa cubicmeter imodzi yomwe imapitirira miyezi isanu ndi umodzi kapena kuposerapo, kuchititsa kuti ziwalo zogwirira ntchito zisagwiritsidwe ntchito pokhapokha, zowonongeka, kapena chifukwa china chilichonse choyambitsa matenda a eosinophilia. Zizindikiro zimadalira ziwalo zomwe zimakhudzidwa. Kuzindikira kumaphatikizapo kutaya zifukwa zina za eosinophilia, kuphatikizapo fupa la mafupa ndi mayeso a cytogenic. Chithandizo chimayamba ndi prednisone.

Zotsatira:

Eosinophilia: Buku lofufuza njira zogwiritsira ntchito matenda a Rheumatologists. Akuthota ndi al. The Rheumatologist. June 15, 2015.
http://www.the-rheumatologist.org/article/eosinophilia-a-diagnostic-kuphunzira-guide-for-rheumatologists/

The Johns Hopkins Vasculitis Center. 08/08/2015.
http://www.hopkinsvasculitis.org/types-vasculitis/churgstrauss-syndrome-css/

Eosinophiic Fasciitis. Rula A. Hajj-ali, MD Merck Manual. 08/08/2015.
http://www.merckmanuals.com/home/bone-joint-and-muscle-disorders/autoimmune-disorders-of-connective-tissue/eosinophilic-fasciitis

Hypereosinophilic Syndrome. Jane Liesveld, MD ndi Patrick Reagan, MD Merck Manual. 08/08/2015.
http://www.merckmanuals.com/professional/hematology-and-oncology/eosinophilic-disorders/hypereosinophilic-syndrome