Pneumonia Eosinophilic: sharaxaad ku saabsan calaamadaha, keena iyo sifooyinka daaweynta

cudurada sanbabada daran, sida pneumonia, aan mar walba ay keento bakteeriyada. Khashkhashaan homeostasis of mareenka sare iyo hoose ee neefsashada kartaan dulin, fangaska, daroogada, difaaca, dareen diidmo oo xasaasiyadeed. Iyo in kiisaska noocaas ah, pneumonia eosinophilic yeesho.

qeexid

pneumonia Eosinophilic - habka bahal ah ee sambabada, taas oo ah waxa lagu gartaa raasamaal xad-dhaafka ah eosinophils in Alfiyoli ah. Waxaa jira dhawr nooc ama kala duwanaansho cudurkan, oo loo horumariyo karaa da 'kasta.

Caafimaad ahaan, waa shiidaa indistinguishable cudur ay keento bakteeriyada, sidaas Ujeeda ugu weyn ee saaran yahay sheybaar lagu ogaanayo: dhamaystiran count dhiig, smear. Xaaladaha intooda badan, ka dib markii la go'aaminayo nooca cudurka bilaabi therapy hormoonnada steroid kiliyaha adrenal. Tani waxay ka caawisaa loo yareeyo falcelinta bararka iyo takhalusi ah calaamadaha pneumonia. saadaasha ee bukaanka waa guud ahaan wanaagsan.

story

pneumonia eosinophilic Chronic, sababaha kuwaas oo wakhtigaas lama yaqaan, markii ugu horaysay la tilmaamay in bartamihii qarnigii labaatanaad, 1969, dhakhtarka Harrington ah. Isagu ma uu ahaa mid aad u xishood badan, sidaa darteed cudurka habboon magaceeda, iyo markii la baahiyay dunida sayniska waxay bilaabeen inay soo wac a cudurada syndrome cusub Harrington.

Ka hor this pneumonia eosinophilic article taariikhi ah ayaa loo yaqaan cudurka ah in uu yeesho ee sanbabada ayaa waxaa ka dib markii cudurka la dulin ama gelitaanka caasiyoobay daroogada. Labaatan sano ka dib, 1989, waxa uu u muuqday in daawada, ereyga "pneumonia eosinophilic ba'an".

etiology

Aqoonso dhawr arrimood, oo sarkhaansan pneumonia eosinophilic yeesho. Sababaha, calaamadaha waxay xidhiidh dhow la. Tusaale ahaan, noocyo ba'an ee pneumonia uu keeno sigaarka (labada firfircoon oo dadban), xasaasiyadda inay daroogo ama hoos u difaaca jirka ee HIV ama AIDS. Haddii mid ka mid ahaa sababaha ma ku habboon yahay, waxaa la arkaa in ay pneumonia idiopathic.

pneumonia eosinophilic Chronic la xanaajiyeen karo by caabuq fangas (pnevmomikoz aspergillosis) deris helminthic (ascariasis, echinococcosis), isticmaalka daba dheeraaday ee daroogada taas oo ku tuuji nidaamka difaaca jirka (steroids, nudaha), cudurada unugyada ee joogtada ah, shalalka connective (rheumatoid arthritis, Kaposi ee).

Eosinophils leeyihiin hawlaha difaaca ee jidhka, laakiin sida barar ah - taasi waa habka caadiga ah bahal ah, marka uu jiro xad-dhaaf ah koorso oo deg deg ah, uu ku yeelan karo saamayn taban ku leh caafimaadka dadka.

pathogenesis

factor Etiologic siyaabo badan qeexayaa sida si ay u horumariyaan pneumonia eosinophilic. Sababaha, calaamadaha, daawaynta - wax kasta oo ku xiran tahay taasi. saldhig u ah noocan ah pneumonia waa raasamaal ah tiro badan oo ah eosinophils in unugyada sambabada. cuduro badan oo, ay ka mid yihiin cambaarta, neefta, sababa dareen-celin aad u xoog u shaqeeyo in ay sii daayaan xarunta firfircoon.

Daawooyinka iyo waxyaabaha kale ee sunta ah badala falcelin ee eosinophils oo ka dhigaysa more nugul. wakiilada anti-bararka, antibiotics, daawooyinka keeni xasaasiyad keeni horumarinta pneumonia sare. Waxaa intaa dheer, qodobo keenaya muuqaalka kore ee tiro badan oo ah eosinophils ee unugyada, waxaa loola jeedaa qiiqa sigaarka ama uumi kiimikada.

cudurada dulinka

Dhakhaatiirta jira saddex hababka of pneumonia inta lagu guda jiro parasitosis. First - deris ah dulinka ee sambabada, labaad - qayb ka mid ah wareegga nolosha of dirxi, iyo saddexaad - dhiigga baaritaanka Random. Si aad ula dhaqmi jidhka diraa eosinophils. Waa in ay ka cadhaysiiyaan sii daayo a of cytokines, prostaglandins, leukotrienes iyo waxyaabaha kale ee firfircoon for tirtiridda of Gooryaanka. Laakiin halkii keeni pneumonia.

Gaar ahaan dawadu unugyada ka mid ah tapeworms mareenka hoose, Echinococcus iyo sida tapeworm hilibka doofaarka, iyo sidoo kale la yaabka lahaa sambabada. Joogista sambabada iyo helitaanka ogsijiin atmosfeerta looga baahan yahay ascarids, ugritsy xiidmaha, hookworm oo hookworm. pneumonia Eosinophilic, taas oo sabab looga dhigay wareer kor ku xusan, haddii kale loo yaqaan Loeffler ee syndrome. Iyada oo dhiiga sambabada hesho ukunta Trichinella iyo schistosomes.

rugta caafimaadka

Sida caadiga ah, aqoonyahanka, pulmonologist, ama cudurada faafa xataa arko koowaad adag in laga jawaabo su'aasha ah waxa pneumonia ku eosinophilic bukaanka. Calaamadaha, xataa iyada oo la tixgelinayo etiologies kala duwan oo aad u la mid ah midba midka kale waa. Bukaanka ayaa ka cabanaya qufaca, qandho, neefta oo ku qabata iyo dhidid habeenkii. laba todobaad ka dib bilawga qufac Ka dib, haddii aan waxba laga qaban, waxaad arki doontaa calaamadaha kaafi neefsashada decompensated. Xaaladdan oo kale bukaanka waa in lagu wareejiyo hawo aan dabiici ahayn.

pneumonia eosinophilic Chronic tartiib ah, muddo bilo ah. Bukaan-socodka lumiyaan miisaan badan, waxay leeyihiin neefta oo ka mid ah neefta, hiinraag iyo qufac, heer-kulka jidhka hoos uga dhaco subfebrile. Mararka qaar calaamadaha neefta shabahaya, taas oo ka dhigaysa baaritaan iyo doorasho khalad ah ee daaweynta.

dhibaatooyin badan oo lagu ogaado daroogada pneumonia eosinophilic abuuraa. Calaamadaha, daaweynta iyo ka hortaga ay muuqashadii dembigooda xoog leh oo neefta aspirin, in baadiyeeyaa dhakhtarka. In cudurada dulinka leedahay gaar ah muddo prodromal, taas oo soo jeedin karaan a jabsata helminthic.

Baadhista xanuunada

Tan iyo pneumonia Caafimaad eosinophilic waa u lahayn wax ka pneumonia kale oo kala duwan, cudurka waxay ku salaysan shaybaarka iyo baaritaan xarkaha. Guud ahaan, falanqaynta eosinophilia dhiig kaga hadlay hoos muuqaalaynta fluoroscopic for pulmonary ama lagu xisaabiyaa si raajito isbedel bahal ah dabeecad u dareemi. Si loo xaqiijiyo waxaad qaadan kartaa biopsy ka mid ah unugyada sambabada, iyo sidoo kale in la sameeyo radi dusha sare ee sambabbada lagu jiro Bronchoscopy.

Si loo garto xiriirka daawada, joogaan a meelaha kiimikaad wasakhaysan, ama kansarka, waxaad u baahan tahay in si taxaddar leh baaris taariikhda caafimaad ee bukaan-socodka, iyo sidoo kale si ay u ururiyaan taariikh faahfaahsan oo ku saabsan nolosha iyo cudur. Haddii, ka dib cilmi oo dhan, sababta weli ma awoodaan in ay aqoonsadaan, ka dibna cudurka waxaa lagu diiwaangeliyaa sida pneumonia eosinophilic idiopathic.

U hubso in aad khariidada waxay muujinaysaa heerka ay neefta. toddobaadkii ee bilawga ah ee cudurka gudahood ay jiraan calaamadaha ugu horeeya waxaa ka mid ah:
- lesions badan unugyada sambabada;
- raasamaal ah ee dareeraha ah ee saabka pleural;
- leukocytosis iyo heerka Kimikada erythrocyte kacsantahay ee falanqaynta guud ee dhiig;
- kordhinta heerarka immunoglobulin E;
- spirometry neefsashada muujinaysaa hoos u dhac in mugga sambabada.

daaweynta

Xitaa ka hor inta cudurka final waxaa lagu bakhtiin doonaa - pneumonia eosinophilic, daaweynta bilaabataa daaweynta bukaanka dhakhtarka.

Haddii pneumonia waa sare, waxaa lagama maarmaan ah in lagu daweeyo cudurka sababaya ah: buro ama deris ku dixiri. Tani waxay kaa caawin doontaa in la yareeyo astaamaha pulmonary oo soo kabsasho degdeg ah.

Haddii sababta cudurka oo aan loo aqoonsan, qoondeeyey therapy glucocorticosteroid. Waxay si fiican u saaro jawaab bararka, xasilinta xuub cell, yareeyo heerkulka. Dembidhaafka waxaa si deg deg ah gaaray - maalintii seddexaad ama afaraad. Laakiin dawadan halkaa kuma dhammaaneyso. waayitaanka calaamadaha macnaheedu ma aha in cudurku waa la daaweyn. Sidaa darteed, corticosteroids, bukaanka qaadataa muddo bil ah, iyadoo hoos u tartiib ah qiyaasta, barta ay meesha hababka ogaanshaha xarkaha ma xaqiijin kabashada.

Nooca joogtada ah ee cudurka waxay u baahan tahay daaweyn muddo saddex bilood ah ama in ka badan, xitaa ka dib markii lumis ee calaamadaha lagu daawayn. Soo noqoshada waa pneumonia suurto gal ah ku saabsan asalka ah ee ka bixitaanka kadis ah corticosteroids. Xaaladaha qaarkood, bukaanka waxaa laga yaabaa in u baahan tahay in ay u baddashaan hawo farsamo.

Odoroska

Haddii pneumonia eosinophilic waa cudur sare kansarka ama parasitosis, ka dibna natiijadii ay ku xidhan tahay socodka cudurada ku dahsoon. Dilaa ah, la siiyaa daaweyn ku filan iyo waqtiga lagama yaabo.

pneumonia eosinophilic Chronic waa mid u nugul noqnoqon wajiga of glucocorticosteroids ah. Sidaa darteed, qaar ka mid ah daawooyin haddi qofku qaadanayo, kuwaas oo u ah nolosha. Laakiin in xaaladda this, waxaa jira biyodiiday. Dhibaatooyinka ay keento dawaynta, sida prednisone, aad ah u yareyn kartaa tayada nolosha aadanaha. Kuwaas waxaa ka mid ah: boog ulcer, osteoporosis, kushingoid, hoos difaac.

saf-

Sida caadiga ah, pneumonia sababa dulin in ku badan yihiin gobollada-gud si wareer ah kuwan. Tani waxay noqon kartaa ugu kulaale, taiga Siberian ah, iyo maddiibad Mediterranean ama webiga gaar ah.

pneumonia eosinophilic Xiisad horumariyo karaa da 'kasta, xataa carruurta aad u yaryar, laakiin wax badan oo la il daran dadka da'da dhexe intii labaatan inay intii afartan sannadood ah. In xanuun jirto qaar ka mid ah takoorka jinsiga - nimankii xanuunsato inta badan dumarka, maxaa yeelay, cudurka waxaa keena sigaar tubaakada. In suugaanta caafimaad ee hadda jira sharaxaada pneumonia eosinophilic ka dib markii Dawaynta ilayska ee kansarka naasaha.

pneumonia Eosinophilic in eeyaha

Xayawaankani waxa sidoo kale laga heli karaa pneumonia eosinophilic. Sababaha, astaamaha, ka hortagga cudurka waa mid aad la mid ah aadanaha. Sidoo kale, sababaha cudurka: dulin sambabada, fangaska, xasaasiyad manka, cayayaanka, kiimikooyin iyo daawooyinka.

Eeygu arkay jawaab caasiyoobay difaaca keena dhexgalka ee unugyada sambabada by eosinophils. Fudaydkii kala qaybsanaanta hoose hoos u, waxaa uu yeesho fangaska pathogenic keeni pneumonia. xayawaanka waxaa lagu dilay by aysiidh iyo hypoxia. Rugta la mid tahay qufac aadanaha, neefta oo ku qabata, tamar darro, qandho, rabitaan la'aan cunto, miisaanka oo yaraada.

Waayo, cudurka isticmaalaya baaritaan dhiig, X-rays ee sambabada, Cytology lavage bronchoalveolar, serology. On bararka X-ray unugyada sambabka la arki karo ee, joogitaanka granuloma cell, Guntin lymph mediastinal wayneeyo iyo hilar wadnaha hadh ballaarinta. Ka dib markii cadeeyo pneumonia eosinophilic etiology ah, xoolaha ku meelaynayaa daaweyn gaar ah loogu talagalay baabi'inta cudurka hoose. The ugu waxtarka badan - corticosteroids, isku dhafan oo antibiotics iyo bronchodilators. Sida caadiga ah, xayawaanka sii therapy nolosha oo dhan.