Eosinophilic pneumonia: i ka hōʻike o nā symptoms, ke kumu a me nā 'ano o ka hana

Loa akemāmā mai, e like me pneumonia, ka mea, e mau loa ana me ke kumu ma ka mea koʻohune flora. Loko homeostasis o ka luna, a malalo naehana'āpana ke parasites, fungi, ai ', immunodeficiency, allergic reactions. A i loko o ia hihia, eosinophilic pneumonia e hoʻomōhala ai.

ka wehewehena

Eosinophilic pneumonia - he pathological kaʻina hana i loko o ka maʻiʻaʻai, a ua wehewehe aku ma excessive hoʻomāhuahua o eosinophils i loko o nā alveoli. He nui na ano a me Lolina o kēia maʻi, a hiki hoʻomōhala i kekahi mau makahiki.

Clinically, ia meaʻaneʻane indistinguishable mai ka maʻi, kena ae la ia e koʻohune, no laila, i ka papa kuhikuhiE pulakaumaka mea ma PalekanaEND_LINK keʻena hoʻokolohua ho'āʻo ma: piha koko helu, haukaʻe. Ma ka hapanui o na hihia, ma hope o hoomaopopo ana i ke 'ano o ka maʻi hoʻomaka Inc steroid hormones adrenal cortex. Kēia kōkua emi i ka hoʻoʻino naoh a neutralize na symptoms o pneumonia. Ke prognosis no kēia mau hoʻomanawanui iki mai ka nui maikaʻi.

moʻolelo

Maʻi eosinophilic pneumonia, ke kumu o ka a ma ia manawa i ike ole ia, i ho'ākāka 'ia ma mua i loko o ka hapalua like-iwakalua kenekulia, i ka makahiki 1969, he kauka Harrington. He uaʻAʻole loa hilahila, no laila, appropriated maʻi kona inoa, a ma hope o ka puke o ka 'epekema ao nei, e hea aku i ka hou pathology maʻi pale Harrington.

Prior i kēia 'atikala eosinophilic pneumonia ua, ua hoikeia mai me ka maʻi e hoʻomōhala ana i loko o ka maʻiʻaʻai ma hope maʻiʻaʻai me parasites a kipi ke komo o ka ai'. He iwakālua nā makahiki ma hope, i ka 1989,ʻo iaʻikeʻia ma ka oihana lapaau, i ka manawa "huʻi eosinophilic pneumonia".

etiology

E kuhikuhi i kekahi mau aʻe, a ma lalo o ka aoao o eosinophilic pneumonia e hoʻomōhala ai. Kumu, symptoms i pili loa ua hoʻopili. No ka laʻana, huʻi ano o ka pneumonia, kena ae la ma ka paka (na hana a me ka OE), allergy ia ai 'ole emi i ke kino i ka pale aku ia lakou me ka HIV a kōkua iā ia,. Inā kekahi o na kumu mea i pono, ka mea, ua manaoia e e idiopathic pneumonia.

Maʻi eosinophilic pneumonia hiki e hoʻonāukiuki aku ai iā ia e kekahi fungal maʻiʻaʻai (aspergillosis pnevmomikoz) helminthic infestation (ascariasis, echinococcosis), hooloihi ae i hoʻohana ana ai 'a e kaumaha ana i ka'ōnaehana paleʻea'ōnaehana (steroid, cytostatics), maʻi autoimmune connective'aʻaʻa maʻi (rheumatoid arthritis, Kaposi ka).

Eosinophils i ka aiiay oihana o ke kino, akā, e like me ka li nui - keia mea he typical pathological kaʻina, ka wā he mea excessive a me ka kokololio papa,ʻo ia hiki i ka hopena maikaʻi ma luna o kanaka ola.

pathogenesis

Etiologic ololi ma na mea he nui ka mahalo i Ho'ākāka 'ana i ka hoʻomōhala eosinophilic pneumonia. Kumu, symptoms, ohe. - a pau hilinaʻi nui ma keia. Ke kihi o kēia 'ano o ka pneumonia o ka hoʻomāhuahua o ka helu nui o eosinophils i loko o ka akemāmā nā'aʻaʻa. He nui nā maʻi, a me eczema, asthma, kena ae la ia e oi aku ua hao wale mai naoh o ka meaola, e hookuu i kaʻeleu hui.

Lapaʻauʻia a me nāʻawahia waiwai alters ka reactivity o eosinophils, a me ka ia hou susceptible. Anati-hoʻoʻino konohiki, antibiotics, ai 'i allergies e alakai ai i ka hooulu ana o ka haumāna pneumonia. Eia hou kekahi, kumumea ana i ka helehelena o ka helu nui o eosinophils i loko o ka'aʻaʻa, pili uahi paka a Nine Inch ohu.

parasitic nā mea palahēhē

Kauka i ekolu maomeka o ka pneumonia i parasitosis. Mua - He parasitic infestation i loko o ka akemāmā, he lua - i kekahi hapa o ke ola kalapona o nā ilo, a me ke kolu - Random loiloi koko. E hana me ia i ke kino e hoouna eosinophils. Ka mea, e hoonaukiuki aku i ka hookuu ana o cytokines, prostaglandins, leukotrienes a me nā hana 'ona no ka hoʻopau o ka ilo. Akā, kahi i pneumonia.

Manaʻoi hoʻolauna i loko o nā nā'aʻaʻa o ka lalo naehana'āpana tapeworms, Echinococcus a me na mea like puaa tapeworm, e like me akemāmā fluke. Noho ana i loko o ka maʻiʻaʻai a me ke kōkua o ke ka lewa i oxygen koi 'ia no ka ascarids, intestinal ugritsy, hookworm a me ka hookworm. Eosinophilic pneumonia, a ua kauoha ia e ka luna pathogens, ole ike like Loeffler ka maʻi pale. Ma ke koko a hiki i ka ia maʻiʻaʻai loaa hua Trichinella a me schistosomes.

? aaieou

E like me ka rula, i ke kino, pulmonologist, a hoi infectious maʻi ma mua maka paakiki e pane i ka ninau o mea ka hoʻomanawanui eosinophilic pneumonia. Symptoms, e lawe i ka mooolelo o kaʻokoʻa etiologies i mea i like loa i kekahi i kekahi. Ke hoomanawanui complains o cough, ke kuni, pokole o ka hanu, a sweating i ka po. Ma hope o kekahi mau pule ma hope o ka hoouka kaua ana o cough, ina mea ua hana, oe, e hai i ka symptoms o decompensated naehana insufficiency. Ma ia hihia pono e hoololiia ke hoʻomanawanui iʻimi hoʻopunipuni hoʻokomo ea.

Maʻi eosinophilic pneumonia progresses lohi, no ka mahina. Hoʻomanawanui iki mai mi kino, ka mea, i ka pokole o ka hanu, a me ka maʻi o ka puʻu, me ka kino mahana paka ua ma lalo subfebrile. I kekahi manawa, na symptoms mimic asthma, aʻo kaʻike, a me ka hewa i waeia o ka lapaau.

He nui na hihia no kaʻike, o eosinophilic pneumonia lāʻau hana. Symptoms, lapaau a me ka Kāohiʻana o kona ano ikaika i ka aspirin asthma, e alakai hewa i ka kauka. Ma parasitic nā mea palahēhē loaʻa kekahi prodromal manawa, a e paipai i ka helminthic kaua.

lapaʻau '

Mai clinically eosinophilic pneumonia mea kokoke i okoa mai'ē aʻe pneumonia, i kaʻike, ua nānā 'ana i keʻena hoʻokolohua, a vocal noiʻiʻana. I mau, Ka Ikepili o ke koko eosinophilia'ōlelo ai ma lalo o fluoroscopic visualization no pulmonary a Me Tomography kekahi 'ano pathological loli. E hoʻokūpaʻaʻoe ke lawe i ka biopsy o ke akemāmā'aʻaʻa, e like me ia e mohala me ka ili o ka bronchus i bronchoscopy.

E kuhikuhi i ka pilina i ka lapaʻauʻia, noho i loko o ka chemically ua hoʻohaumiaʻia wahi, a me ka maʻi 'aʻai, e pono e akahele ninaninau i ka hoʻomanawanui i ka' inikua mōʻaukala, e like me e ohi i ka piha mōʻaukala o ke ola a me ka maʻi. Inā, ma hope o nā mea a pau o ka noiʻi, ke kumu mea nō,ʻaʻole hiki ke kuhikuhi i, laila, i kaʻike, ua palapala like idiopathic eosinophilic pneumonia.

Mai poina e palapala i ka 'i ke degere o naehana hanu ole. I loko o ka hebedoma o ka hoouka kaua ana o ka maʻi he mea mua hoailona o ia:
- mau lesions akemāmā'aʻaʻa;
- hoʻomāhuahua o ka loli ma ka pleural lua;
- leukocytosis a me ke kiekie erythrocyte sedimentation ana i loko o ka nui Ka Ikepili o ke koko;
- mahuahua pae o ka immunoglobulin E;
- naehana spirometry hōʻike he emi ma ka akemāmā buke.

lapaʻau

E like ma mua o kaʻike, hope loa, e hui pu ia'ku - eosinophilic pneumonia, lapaau hoʻomaka me ka lapaau ana o ka hoʻomanawanui a hiki i ke kauka.

Inā pneumonia mea kiʻekiʻe, e mea pono ke hana i ka nń ku maʻi: heʻeho a me ka ilo infestation. Kēia e kōkua ho'ēmi i pulmonary symptoms, a me ka hikiwawe ke ola.

Inā i ke kumu o ka maʻi i ole, ua hōʻike ', ia glucocorticosteroid Inc. Ka mea, e pono wehe hoʻoʻino pane, stabilize ke kelepona heleʻili lahilahi, emi i ka mahana. Ke kala ana ua loaʻa koke - i loko o ke kolu a me ka ha o ka lā. Akā, i kēia ka lapaʻau 'Aʻole i pau i laila. Ka nalowale ana o symptoms aʻole i manaʻo 'ia ka maʻi ua ola. Nolaila, corticosteroids, ke hoʻomanawanui i ka mahina, a me ka gradual ka ho'ēmiʻana o ka mahele lāʻau a hiki i ka wahi, kahi i komo PalekanaEND_LINK ano mai e hoʻokūpaʻa i ke ola.

Ka maʻi ano o ka maʻi koi iapaau ana no na malama ekolu a oi, a ma hope o ka nalowale ana o lapaʻau symptoms. Relapses e hiki pneumonia ma luna o ke kāʻei kua o abrupt withdrawal o corticosteroids. Ma kekahi mau hihia, i ka hoʻomanawanui i Pono e OIeEOEIeAeEIIe, i me mechanical hoʻokomo ea.

Outlook

Inā eosinophilic pneumonia mea he haumāna maʻi i ka maʻi 'aʻai paha parasitosis, laila, i ka neʻeʻana hilinaʻi nui ma luna o ke kahe ana o ka nń ku pathology. Ona, nae kūpono a me ka 'eleu lapaʻauʻaʻole paha.

Maʻi eosinophilic pneumonia mea prone e recur ma luna o ka maka o na glucocorticosteroids. Nolaila, kekahi e hoomanawanui i lawe mau ai 'no ke ola. Akā, i loko o keia kulana, aia no he downside. ʻaoʻao 'ole o ka lapaʻau, e like me prednisone, hiki loa emi i ka pono o ke kanaka ola. Mau nā: peptic ulcer, osteoporosis, kushingoid, ua hoʻemi e hoʻonele.

epidemiology

E like me ka rula, pneumonia kena ae la ia e parasites i mea nui, he pono ole i ka endemic wahi a hiki i kēia mau pathogens. Kēia i ia i ke koaʻe ke, ka Siberian taiga, ke Kaiwaenahonua ipuʻauʻau a me kekahi mau muliwai.

Huʻi eosinophilic pneumonia hiki hoʻomōhala i kekahi makahiki, a hiki i nā mamo loa opiopio, akā, ka hapanui o ka mea e hana mai waena-elemakule kanaka, mai ka iwakalua a hiki i na makahiki hookahi kanaha. I ka maʻi he mea kekahi hoohanau hoʻokae 'ole - na kanaka e maʻi oi ma mua o nā wāhine pinepine, no ka mea, ka mea maʻi ua kena ae la ma ka paka e uwahi ana. I ka papa 'inikua moʻokalaleo loaʻa nō nā wehewehena o eosinophilic pneumonia ma hope o ka pāhawewe Inc no ka umauma Ka maʻi' aʻai.

Eosinophilic pneumonia i ka ilio

Nā holoholona Hiki ke loaʻa i eosinophilic pneumonia. Kumu, symptoms, Kāohiʻana o kēia maʻi ka mea i like loa ke kanaka. Like me, nā kumu o ka maʻi. Parasites i loko o nā maʻiʻaʻai, fungi, allergies e pollen, nā mea kolo, a me na laau Nine Inch.

Ka ilio malama he kipi'ōnaehana paleʻea muli o ka mea e hookomo i ka akemāmā'aʻaʻa infiltration ma eosinophils. He lauwili anei haʻahaʻa māhele emi, ma laila e hoʻomōhala ana i pathogenic fungi i kumu pneumonia. Ka holoholona ua make ma ka acidosis a me ka hypoxia. Ke? Aaieou Ua like ke kanaka cough, pokole o ka hanu, nawaliwali, wela, nele o ka ikaika loa ka makemake, ke kaupaonaʻana me keia poho.

No ka meaʻike, ka hoʻohana 'ana i ke koko hōʻike, X-na kukuna o ka ia maʻiʻaʻai, bronchoalveolar lavage cytology, serology. Ma ka X-Ray hiki akemāmā'aʻaʻa edema, i ke alo o ka halepaahao granuloma, lymph wahi hoʻonui mediastinal a hilar anoe e malu ai ka naau. Ma hope o clarification o ka etiology eosinophilic pneumonia, veterinarian waihona 'ilepili hana nona ma ke kāpaeʻana i ka iniiaiie maʻi. Ka loa ka hoʻokō - corticosteroids, ma ka hui pu ana, me ka antibiotics a me bronchodilators. IeAUPIIe, IAa IO, holoholona koe lifelong Inc.