Cov qe ntshav 'eosinophil' no puas ua rau koj lub ntsws ntxhov siab thiab? Cia peb tham txog Eosinophilic Pneumonia!

Puas muaj tej lub sij hawm koj xav tias koj muaj teeb meem nrog koj lub ntsws, xws li ua pa nyuaj lossis hnoos tas li? Tej zaum nws yog ib hom kab mob ntsws uas tsis tshua muaj leej twg ntawm peb tau hnov ​​​​txog. Hnub no peb yuav tham txog ib qho kab mob zoo li no, Eosinophilic Pneumonia . Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, cia peb nkag siab yooj yim.

Kab mob ntsws Eosinophilic yog dab tsi?

Hais yooj yim xwb, tus kab mob Eosinophilic Pneumonia yog ib yam mob tsis tshua muaj uas cuam tshuam rau koj lub ntsws. Nws tshwm sim thaum ib hom qe ntshav dawb hu ua eosinophil sib sau ua ke hauv koj lub ntsws, thiab qee zaum hauv koj cov ntshav, ua rau o , lossis o, hauv lub ntsws, uas tuaj yeem ua rau lawv puas tsuaj.

Kab mob no tuaj yeem cuam tshuam rau tib neeg txhua lub hnub nyoog. Nws tuaj yeem tshwm sim los ntawm ntau yam. Kev haus luam yeeb , kev ua xua , lossis kab mob parasitic roundworm tuaj yeem ua rau nws. Yog tias tsis kho kom zoo, nws qee zaum tuaj yeem ua rau muaj cov mob hnyav dua, xws li ua tsis taus pa .

Kab mob ntsws eosinophilic tuaj yeem tshwm sim hauv ob txoj kev tseem ceeb:

• Mob hnyav: Qhov no tshwm sim sai heev, yuav luag tam sim ntawd, thiab kav ntev li ib ntus.
• Mob ntev: Qhov no yog ib qho mob uas tsuas yog zuj zus tuaj raws sijhawm, tab sis tuaj yeem kav ntev.

Tiamsis tsis txhob txhawj, tus kab mob no hu ua Eosinophilic Pneumonia tsis yog kis tau . Yog tias koj kuaj pom tus kab mob thaum ntxov thiab tau txais kev kho mob kom zoo, koj tus kws kho mob tuaj yeem tswj cov tsos mob no thiab pab koj rov qab mus rau txoj kev kho mob. Muaj feem ntau uas koj yuav zoo tag nrho.

Cov eosinophils no yog leej twg? Vim li cas lawv thiaj ua li no?

Tam sim no tej zaum koj yuav xav paub tias, cov eosinophils no yog dab tsi thiab vim li cas lawv thiaj ua rau peb lub ntsws ntxhov siab? Eosinophils yog ib hom qe ntshav dawb uas pab peb lub cev tiv thaiv kab mob . Yog hais kom meej, peb cov pob txha tsim cov eosinophils no. Hauv ib tus neeg noj qab nyob zoo, lawv muaj nyob rau hauv cov lej me me, ntawm 1% thiab 5% ntawm cov qe ntshav dawb.

Txawm li cas los xij, yog tias koj muaj tej yam mob xws li ua xua , mob hawb pob , kab mob sib kis , qee yam tshuaj , lossis mob qog noj ntshav , tus lej ntawm eosinophils tuaj yeem nce ntxiv sai sai. Peb hu qhov no ua eosinophilia . Lwm lub luag haujlwm ntawm eosinophils yog tias lawv tso ntau yam tshuaj (enzymes thiab proteins) thiab rhuav tshem cov hlwb uas ua rau lub cev puas tsuaj.

Txawm li cas los xij, qhov teeb meem yog thaum cov eosinophils no nce ntau dhau. Tom qab ntawd lawv sib sau ua ke hauv peb cov nqaij thiab cov kabmob thiab ua rau o, uas yog, o. Thaum qhov no tshwm sim hauv lub ntsws, Eosinophilic Pneumonia tshwm sim.

Kab mob ntsws Eosinophilic txawv li cas ntawm kab mob ntsws ib txwm muaj?

Tej zaum koj twb tau hnov ​​txog mob ntsws (pneumonia), tab sis tus mob ntsws eosinophilic no txawv me ntsis ntawm tus mob ntsws ib txwm muaj.

Qhov txawv tseem ceeb yog qhov ua rau. Mob ntsws feem ntau yog tshwm sim los ntawm kev kis kab mob nrog cov kab mob bacteria , fungi , lossis viruses .

Txawm li cas los xij, Eosinophilic Pneumonia tshwm sim thaum cov phab ntsa ntawm koj txoj hlab pa, lub ntsws, thiab cov hlab ntsha hauv koj lub cev ua pa puv nrog eosinophils. Yog tias koj muaj mob zoo li mob hawb pob , qhov mob no tuaj yeem ua rau hnyav dua. Qhov no yog vim tias cov hnoos qeev sib sau ua ke, ua rau cov hlab pa nqaim ntxiv.

Cov hom mob ntsws Eosinophilic feem ntau yog dab tsi?

Muaj peb hom kab mob no tseem ceeb. Cia peb saib seb lawv yog dab tsi:

1. Kab mob ntsws Acute Eosinophilic Pneumonia (AEP): Hom kab mob no yuav mob hnyav zuj zus sai heev, ua rau cov pa oxygen hauv koj cov ntshav poob qis. Txawm li cas los xij, feem ntau, yog tias kho kom zoo, koj tuaj yeem rov zoo tag nrho.

2. Kab mob ntsws Eosinophilic Pneumonia (CEP): Qhov no yog ib yam mob uas tshwm sim li ob peb hnub, qee zaum ob peb lub lis piam. Yog tias tsis kho, nws tuaj yeem kav ntev li ob peb lub lis piam lossis ob peb lub hlis, thiab cov tsos mob tuaj yeem hnyav zuj zus.

3. Löffler syndrome / eosinophilia yooj yim hauv lub ntsws (SPE): Qhov no kuj yog ib hom mob ntsws eosinophilic. Txawm li cas los xij, hauv qhov no, tej zaum yuav tsis muaj tsos mob kiag li, lossis tsuas yog muaj tsos mob me me xws li hnoos qhuav xwb. Tus mob Löffler syndrome no yog tshwm sim los ntawm cov kab mob parasitic , tshwj xeeb tshaj yog cov kab mob roundworms . Yog tias kho, nws feem ntau yuav zoo li qub hauv ib hlis.

Leej twg yuav muaj feem mob Eosinophilic Pneumonia ntau dua?

Txawm hais tias tus kab mob no tuaj yeem tshwm sim rau txhua lub hnub nyoog, muaj qee qhov sib txawv me ntsis nyob ntawm qee yam. Txawm hais tias tsis paub qhov ua rau muaj tus kab mob no, feem ntau pom tus kab mob no ntau dua, tshwj xeeb tshaj yog thaum muaj mob hnyav, thaum lub caij ntuj sov.

Kuj tseem muaj qhov sib txawv nyob ntawm hom kab mob:

• Kab mob ntsws eosinophilic mob hnyav (AEP): Qhov no feem ntau tshwm sim rau cov txiv neej hnub nyoog ntawm 20 thiab 40 xyoo.
• Kab mob ntsws eosinophilic uas nyob ntev (CEP): Qhov no feem ntau tshwm sim rau cov poj niam hnub nyoog ntawm 30 thiab 50 xyoo.

Muaj ntau tus neeg uas muaj AEP haus luam yeeb.Cov Neeg. Tab sis feem ntau cov neeg uas muaj CEP tsis haus luam yeeb, thiab ntau dua ib nrab ntawm lawv muaj cov kab mob ua xua xws li mob hawb pob , eczema / atopic dermatitis , lossis allergic rhinitis / hay fever .

Kab mob no feem ntau tshwm sim li cas?

Kab mob ntsws uas muaj tus kab mob Eosinophilic yog ib yam kab mob uas tsis tshua muaj . Raws li kev tshawb fawb xyoo 2020, muaj tsawg dua 200 tus neeg mob AEP tau tshaj tawm hauv cov ntaub ntawv kho mob.

Txawm li cas los xij, cov kws tshawb fawb ntseeg tias qhov no yog vim qhov tseeb tias tus kab mob no tsis tau kuaj pom zoo . Vim tias nws cov tsos mob zoo ib yam li cov kab mob khaub thuas lossis lwm yam kab mob ntsws, nws tuaj yeem tsis raug kuaj pom yog tias tus kab mob tsis hnyav heev, tshwj xeeb tshaj yog tias qhov ua rau tsis paub meej (idiopathic).

Muaj lwm yam mob dab tsi zoo sib xws rau tus kab mob Eosinophilic Pneumonia?

Raws li peb tau hais ua ntej lawm, nws yuav nyuaj rau kuaj mob tseeb vim nws cov tsos mob zoo ib yam li cov kab mob viral thiab cov kab mob ua pa. Muaj ntau lwm yam mob uas ua rau muaj cov tsos mob zoo sib xws:

• Kab Mob Ua Pa Nyuaj Siab (ARDS)
• Mob hawb pob
• Eosinophilic Granulomatosis nrog Polyangiitis (EGPA, yav tas los hu ua Churg-Strauss syndrome)
• Mob ntsws uas feem ntau tshwm sim

Dab tsi yog cov ua rau muaj tus kab mob Eosinophilic Pneumonia?

Muaj ntau yam ua rau muaj tus kab mob no, ob qho tib si yog kis tau thiab tsis kis tau. Tab sis qee zaum txawm tias cov kws kho mob kuj tsis tuaj yeem nrhiav tau qhov ua rau tseeb.

Qee qhov ua rau mob tsis kis tau yog:

• Kev ua xua
• Kab mob pwm (feem ntau yog hom hu ua Aspergillosis )
• Cov tshuaj lom uas nqus tau , piv txwv li cov pa tshuaj lom neeg, cov hlau me me uas ya hauv huab cua, lossis hmoov av.
• Qee cov tshuaj , piv txwv li, cov tshuaj tua kab mob uas siv ntau, cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) , lossis qee cov tshuaj antidepressants (Selective Serotonin Reuptake Inhibitors - SSRIs) .
• Haus luam yeeb , tshwj xeeb yog tias koj nyuam qhuav pib haus luam yeeb lossis yog tias koj tau nce koj cov pa luam yeeb tam sim ntawd.
• Lwm yam mob hauv qab , piv txwv li mob qog noj ntshav, kab mob autoimmune , lossis kab mob inflammatory .

Tsis tas li ntawd xwb, qee qhov kev kis kab mob, tshwj xeeb yog cov kab mob parasites, kuj tuaj yeem ua rau EP. Tsis tshua muaj, nws kuj tuaj yeem tshwm sim rau cov neeg uas muaj COVID-19 .

Cov tsos mob ntawm tus kab mob Eosinophilic Pneumonia yog dab tsi?

Cov tsos mob ntawm tus kab mob no yuav txawv nyob ntawm hom thiab ua rau tus kab mob, tab sis muaj qee cov tsos mob uas pom ntau:

• Hnoos
• Ua npaws
• Ua tsis taus pa / Ua tsis taus pa

Kab mob ntsws eosinophilic (AEP) tuaj yeem hnyav zuj zus sai heev, feem ntau yog li ntawm ob lub lis piam. Cov tsos mob tuaj yeem hnyav dua rau cov neeg haus luam yeeb. Lawv kuj tseem yuav muaj cov tsos mob xws li:

• Mob hauv siab
• Mob khaub thuas
• Kev qaug zog
• Mob leeg / Myalgia

Tseem Ceeb: Yog tias tsis kuaj pom thiab kho sai sai, cov pa oxygen hauv koj cov ntshav yuav poob qis heev. Qhov no tuaj yeem ua rau ua pa tsis ua haujlwm sai sai hauv ob peb teev, thiab yuav tsum tau kho mob ceev.

Cov tsos mob ntawm tus kab mob ntsws eosinophilic mob ntsws (CEP) maj mam tshwm sim, qee zaum ntau lub hlis ua ntej kuaj pom tus kab mob. Cov neeg uas muaj CEP tsis tshua muaj kev ua pa luv luv lossis cov pa oxygen tsawg. Cov tsos mob feem ntau muaj xws li:

• Ua tsis taus pa uas zuj zus tuaj
• Kev hws hmo ntuj
• Kev poob phaus tsis paub meej
• Ua pa nrov nrov

Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob . Yog tias koj ua pa nyuaj lossis mob hauv siab, mus rau tsev kho mob ze tshaj plaws tam sim ntawd.

Yuav kuaj mob Eosinophilic Pneumonia li cas?

Cov kws kho mob kuaj mob no los ntawm kev nug koj txog koj cov tsos mob. Tsis tas li ntawd, tus kws kho mob yuav ua cov hauv qab no:

• Lawv yuav nug txog koj keeb kwm kev kho mob thiab qhov chaw uas koj tau mus ncig ua si.
• Yuav kuaj lub cev .
• Cov kev kuaj ntshav , tshwj xeeb tshaj yog kev suav ntshav tag nrho (CBC) , yog ua los xyuas seb puas muaj qhov txawv txav.

Kab mob ntsws eosinophilic nyuaj rau kuaj mob vim nws cov tsos mob zoo ib yam li lwm yam kab mob. Tsis muaj kev txwv rau pes tsawg eosinophils muaj, ua rau nws nyuaj rau kuaj mob. Qee zaum, cov kws kho mob tsuas yog lees paub qhov kev kuaj mob thaum cov tsos mob zoo dua tom qab kho mob.

Cov kev kuaj mob twg pab tau rau kev kuaj mob?

Cov kws kho mob siv qhov kev kuaj mob tseem ceeb tshaj plaws los kuaj mob no yog kev ntxuav bronchoalveolar (BAL) . Qhov no suav nrog kev coj cov kua dej los ntawm koj lub ntsws siv lub raj yas hu ua bronchoscope thiab kuaj xyuas nws seb puas muaj cov tsos mob. Tsis tas li ntawd, cov kev kuaj no yuav ua tau:

• Kev X-ray hauv siab
• Kev kuaj CT

Koj tus kws kho mob yuav pom zoo kom kuaj ntxiv tshwj xeeb kom paub tseeb tias koj muaj mob, tshem tawm lwm yam mob, thiab ua lwm yam kev kuaj. Yog tias koj muaj lus nug txog kev kuaj, nrog koj tus kws kho mob tham.

Leej twg thiaj li koom nrog pab pawg kho mob uas kho tus kab mob no?

Thaum kho mob ntsws eosinophilic, koj pab neeg kho mob yuav suav nrog:

• Cov kws kho lub cev
• Cov kws kho mob ntsws
• Cov kws kho mob ua pa

Puas muaj ib txoj kev kho tau tag nrho rau qhov no? Puas ua rau muaj kev phom sij rau lub neej?

Feem ntau, yog tias kuaj pom tus kab mob thaum ntxov thiab kho kom zoo nrog tshuaj, cov tsos mob tuaj yeem tswj tau, thiab qee zaum tuaj yeem rov zoo tag nrho. Yog tias koj ua raws li cov lus qhia kho mob kom zoo, koj tuaj yeem rov qab mus rau cov dej num uas koj nyiam.

Feem ntau tus kab mob ntsws uas muaj tus kab mob Eosinophilic tsis yog ib qho xwm txheej ceev rau kev kho mob. Txawm li cas los xij, tsis tshua muaj, nws tuaj yeem ua rau muaj teeb meem loj heev, xws li ua tsis taus pa .

Yuav kho tus kab mob Eosinophilic Pneumonia li cas?

Yog koj muaj tus kab mob me me xwb, koj tus kws kho mob yuav tsis kho koj. Qee zaum, EP yog tshwm sim los ntawm cov tshuaj uas koj noj. Yog tias qhov ntawd yog qhov teeb meem, koj tus kws kho mob yuav hais kom koj tsum tsis txhob noj cov tshuaj ntawd.

Yog tias koj xav tau kev kho mob, cov kws kho mob yuav kho tag nrho peb hom EP siv cov tshuaj uas tsim los rau qhov ua rau thiab cov tsos mob. Cov tshuaj Corticosteroids , uas txo qhov o (o), yog cov kev kho mob ib txwm muaj, thiab lawv ua haujlwm tau zoo heev.

Hauv cov mob hnyav ntawm AEP, cov kws kho mob kuj tseem yuav pom zoo lwm yam kev kho mob kom tiv thaiv kev ua pa nyuaj, xws li:

• Cov pa oxygen ntxiv
• Glucocorticoids (tseem yog ib hom corticosteroid)

Cov neeg uas muaj CEP feem ntau yuav tsum tau noj tshuaj steroids ntev heev, feem ntau yog li ob peb lub hlis. Tej zaum yuav muaj ib txhia neeg xav tau kev kho mob ntev dua.

Koj yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev mob ntsws Eosinophilic Pneumonia?

Seb koj puas txo tau koj txoj kev pheej hmoo ntawm kev mob no nyob ntawm seb yog vim li cas. Qhov ua rau muaj eosinophils ntau yog kev ua xua. Cov no tuaj yeem kis mus rau ntau tiam neeg. Cov tshuaj tuaj yeem pab tiv thaiv lossis tswj koj lub cev tiv thaiv kab mob kev ua xua.

Kev ua neej noj qab haus huv , xws li txo lossis tso kev haus luam yeeb, kuj tseem tuaj yeem txo koj txoj kev pheej hmoo ntawm kev mob feem ntau. Tham nrog koj tus kws kho mob txog cov hau kev los txo koj txoj kev pheej hmoo ntawm kev mob ntsws eosinophilic.

Yuav siv sijhawm ntev npaum li cas los kho kom rov zoo? Kev cia siab li cas?

Lub sijhawm rov zoo los ntawm tus kab mob Eosinophilic Pneumonia sib txawv nyob ntawm hom thiab qhov hnyav ntawm tus kab mob. Cov neeg feem coob uas muaj tus kab mob eosinophilic pneumonia (AEP) rov zoo sai, qee zaum hauv 48 teev tom qab pib siv tshuaj steroid. Cov neeg feem coob siv sijhawm li ib lossis ob lub lis piam kom rov zoo tag nrho.

Yog koj muaj tus kab mob ntsws eosinophilic pneumonia (CEP), tej zaum koj yuav tau noj tshuaj steroid (xws li prednisone ) ntev heev - rau ntau lub hlis, tej zaum txawm tias ntau xyoo. Koj kuj tseem yuav tau txais kev kho mob rau txhua yam mob uas tseem ceeb, xws li mob ntsws hawb pob.

Cov neeg feem coob uas tau txais kev kho mob thaum ntxov muaj kev kwv yees zoo heev . Cov tshuaj uas muab rau AEP tuaj yeem txo cov tsos mob sai sai thiab ua rau rov zoo tag nrho.

Txawm li cas los xij, ntau tshaj 50% ntawm cov neeg uas muaj CEP yuav rov qab mob dua . Tom qab ntawd lawv yuav tsum tau noj tshuaj steroids ntev dua, tej zaum ntau zaus. Koj tus kws kho mob yuav ua haujlwm nrog koj thoob plaws hauv koj lub neej los pab tswj tus kab mob eosinophilic pneumonia no thiab txo koj cov tsos mob.

Koj yuav tsum tau mus kuaj mob tsis tu ncua kom paub seb koj tus mob zoo li cas. Qhov kev saib xyuas no yuav cia koj tus kws kho mob hloov kho koj txoj kev kho mob yog tias tsim nyog thiab tiv thaiv kom tsis txhob muaj teeb meem. Ua raws li koj tus kws kho mob cov lus qhia kom zoo thiab ua raws li koj lub sijhawm teem tseg. Qhov no yuav pab koj tau txais kev kho mob raws sijhawm.

Tus kab mob no puas yuav cuam tshuam rau kuv lub neej zoo?

Tus kab mob eosinophilic pneumonia cuam tshuam rau koj lub neej npaum li cas nyob ntawm seb koj cov tsos mob hnyav npaum li cas, lwm yam mob uas ua rau mob hnyav npaum li cas, thiab kev kho mob zoo npaum li cas. Tej zaum koj yuav rov zoo tag nrho thiab rov qab mus ua koj tej dej num li qub.

Los yog, tej zaum koj yuav tau hloov qee yam kev ua neej, txuas ntxiv noj tshuaj kom tswj tau cov tsos mob, thiab tiv thaiv cov teeb meem. Los ntawm kev ua haujlwm ze nrog koj tus kws kho mob, koj tuaj yeem noj qab nyob zoo thiab ua ub ua no tau.

Thaum twg koj yuav tsum nrhiav kev pab kho mob rau tus kab mob Eosinophilic Pneumonia?

Yog tias koj muaj cov tsos mob xws li ua tsis taus pa, mob hauv siab, kub taub hau, lossis hnoos sai sai lossis maj mam zuj zus, nrhiav kev pab tswv yim los ntawm kws kho mob txog tus kab mob Eosinophilic Pneumonia. Koj tus kws kho mob yuav xa koj mus rau tus kws kho mob ntsws .

Thaum koj kawm txog hom kab mob ntsws no hu ua eosinophilic pneumonia, tej zaum koj yuav muaj ntau cov lus nug txog koj txoj kev noj qab haus huv. Tab sis ntau tus neeg zoo dua nrog corticosteroids. Koj tus kws kho mob tuaj yeem pab koj txo koj cov tsos mob thiab tiv thaiv cov teeb meem. Lawv yuav ua haujlwm nrog koj los tsim ib txoj kev npaj kho mob uas ua haujlwm rau koj, yog li koj tuaj yeem rov zoo dua. Nco ntsoov, yog tias koj pom muaj kev hloov pauv hauv koj txoj kev noj qab haus huv, xws li hnoos, kub taub hau, lossis mob hauv siab, ib txwm tham nrog koj tus kws kho mob. Lawv yuav nrhiav qhov ua rau koj cov tsos mob thiab muab kev kho mob uas koj xav tau.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li peb tau tham ntau txog Eosinophilic Pneumonia. Nov yog ob peb yam uas yuav tsum nco ntsoov luv luv:

• Qhov no yog ib yam kab mob tsis tshua muaj tshwm sim los ntawm ntau dhau ntawm ib hom qe ntshav dawb hu ua eosinophil hauv lub ntsws.
• Tej yam xws li haus luam yeeb, ua xua, qee yam tshuaj, thiab kab mob parasitic tuaj yeem ua rau qhov no.
• Cov tsos mob tseem ceeb yog hnoos, kub taub hau, thiab ua pa nyuaj. Mob hauv siab, qaug zog, thiab hws hmo ntuj kuj tseem yuav tshwm sim.
• Qhov no tsis yog ib yam kab mob sib kis tau.
• Yog tias kuaj pom thaum ntxov thiab kho nrog cov kev kho mob xws li corticosteroids, nws feem ntau tuaj yeem kho tau.
• Yog koj muaj cov tsos mob no, tsis txhob tub nkeeg thiab mus ntsib kws kho mob . Qhov ntawd yog qhov tseem ceeb tshaj plaws.

Peb vam tias koj tau txais cov ntaub ntawv no lawm. Nyob zoo!

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