Heng ‘eosinophil’ cell te hian i lung pawh an tibuai em? Eosinophilic Pneumonia chungchang hi han sawi ila!

A chang chuan i lungah harsatna, thawk harsa emaw, khuh chhunzawm zel emaw ang chi i nei thin em? Kan zinga tumahin kan hriat ngai loh lung infection chi khat hmuh tur awm lo tak a ni mai thei. Vawiin hian chutiang natna pakhat, Eosinophilic Pneumonia chungchang kan sawi dawn a ni. A hming hi a buaithlak deuhin a lang thei a, mahse awlsam takin i hrethiam ang u.

Eosinophilic Pneumonia chu eng nge ni?

A awlsam zawngin sawi ila, Eosinophilic Pneumonia hi natna hlauhawm tak a ni a, i lung a tichhe thei a ni. I lungah thisen var chi khat eosinophil an tih chu i lungah a lo awm khawm a, a châng chuan i thisenah a lo awm a, chu chuan lungah inflammation , a nih loh leh a hring chhuak a, chu chuan a tichhe thei a ni.

He natna hian kum eng pawh a nghawng thei a ni. Thil chi hrang hrang avanga lo awm thei a ni. Meizial zuk , allergy , emaw parasitic roundworm disease emaw hian a thlen thei vek a ni. Enkawl that loh chuan a châng chuan natna khirh zâwk, thawkna lama harsatna ang chi a thlen thei a ni .

Eosinophilic pneumonia hi kawng hnih a awm thei a, chungte chu:

• Acute condition: Hei hi a lo thang chak hle a, a lo awm nghal mai mai a, rei lo te chhung a daih bawk.
• Chronic condition: Hei hi hun kal zelah a zual zel a, mahse rei tak a daih thei a ni.

Mahse lungngai suh, he natna Eosinophilic Pneumonia an tih hi a kai thei lo . Natna hi i hriat hmasak a, enkawl dan dik i hmuh chuan i doctor chuan heng symptoms te hi a control thei a, kawng dik zawh leh turin a ti thei che a ni. I dam leh vek theihna chance tha tak a awm.

Heng eosinophils te hi tute nge ni? Engvangin nge hetiang hian an tih?

Tunah chuan i ngaihtuah mai thei, heng eosinophils te hi eng nge ni a, engvangin nge kan lung hi an tibuai? Eosinophils hi thisen var chi khat a ni a , kan taksa hriselna tichaktu a ni . A dik tak chuan kan ruhro hian heng eosinophils te hi a siam chhuak thin. Mi hrisel takah chuan an awm tlem hle a, thisen var 1% leh 5% inkar a ni.

Mahse, allergy , asthma , infection , damdawi thenkhat , emaw cancer ang chi condition i neih chuan eosinophils hi a pung nghal thei a ni. Hei hi eosinophilia kan ti a ni . Eosinophils hnathawh dang pakhat chu thil chi hrang hrang (enzyme leh protein) a chhuah tir a, taksa tana tha lo cell te a tichhia a ni.

Mahse, buaina chu heng eosinophils te hi an pung lutuk hian a ni. Tichuan kan tissue leh organ-ah te an pung khawm a, inflammation, chu chu swelling an siam a ni. Chutiang chu lungah a thlen chuan Eosinophilic Pneumonia a lo awm thin.

Engtin nge Eosinophilic Pneumonia hi pneumonia pangngai nen a danglam?

Pneumonia chungchang hi i hre tawh ngei ang, mahse he eosinophilic pneumonia hi pneumonia pangngai nen chuan a danglam deuh hlek a ni.

A danglamna ber chu a chhan a ni. Common pneumonia hi bacteria , fungi emaw virus emaw inkaichhawn avanga lo awm a ni .

Mahse, Eosinophilic Pneumonia hi i thawkna kawngah i thawkna kawng, lung leh thisen kalna kawng bangte chu eosinophils-in a khat a nih chuan a lo awm thin. Asthma ang chi natna i neih chuan he natna hi a tizual thei a ni. Hei hi a chhan chu mucus a lo pung a, heng boruak kawng tawi te hi a tikhawlo zual sauh a ni.

Eosinophilic Pneumonia chi hrang hrangte chu engte nge ni?

He natna hi chi thum a awm a. Eng nge an nih i en ang u:

1. Acute Eosinophilic Pneumonia (AEP): Hetiang chi hi a na zual nghal vat a, chu chuan i thisena oxygen level a ti tlahniam thin. Mahse, a tam zawkah chuan uluk taka enkawl a nih chuan i dam chhuak vek thei a ni.

2. Chronic Eosinophilic Pneumonia (CEP): Hei hi ni engemaw zat, a chang chuan kar tam tak chhunga lo awm thin a ni. Enkawl loh chuan kar tam tak emaw thla tam tak emaw a daih thei a, a natna lan chhuah dan chu a na zual thei bawk.

3. Löffler syndrome / simple pulmonary eosinophilia (SPE): Hei hi eosinophilic pneumonia chi khat a ni bawk. Mahse, chutiang a nih chuan, a lan chhuahna a awm lo tak tak thei a, a nih loh leh a lan chhuahna tenau tak tak , khuh hring (dry cough) ang chi chauh a awm thei bawk . He Löffler syndrome hi parasitic infection avanga lo awm a ni a , a bik takin roundworms vang a ni . Enkawlna nen chuan thla khat chhungin a reh tlangpui.

Tute nge Eosinophilic Pneumonia vei tam zawk?

He natna hi kum eng pawhah awm thei mah se, thil engemaw a zirin danglamna tlemte a awm. A chhan dik tak hriat ni lo mah se, he natna hi hmuh tur a tam zawk a, a bik takin natna khirh takah chuan thlasik lai hian hmuh tur a tam zawk.

Natna chi hrang hrang a zirin danglamna a awm bawk:

• Acute eosinophilic pneumonia (AEP): Hei hi mipa kum 20 leh 40 inkar ah a tam ber.
• Persistent eosinophilic pneumonia (CEP): Hei hi hmeichhia kum 30 leh 50 inkar zingah a tam ber.

AEP vei tam tak chuan zu an in thin.Mi. Mahse CEP vei tam zawk chuan zu an in lo va, an zinga a chanve aia tam chuan allergy natna, asthma , eczema / atopic dermatitis , emaw allergic rhinitis / hay fever te an nei a ni.

He natna hi engtiang chiahin nge a hluar?

Eosinophilic pneumonia hi natna awm lo tak anga ngaih a ni. Kum 2020-a zirchianna pakhatah chuan medical record-ah AEP vei hi 200 aia tlem lo an awm tawh a ni.

Mahse, zirchiangtute chuan hei hi natna hi hriat chian loh vang niin an ngai . A natna lan chhuah dan hi virus flu tlanglawn emaw, lung natna dang emaw nen a inang hle a, a natna hi a na lutuk lo a nih chuan hriat lohvin a awm thei a, a bik takin a chhan chiang taka hriat a nih loh chuan (idiopathic).

Eosinophilic Pneumonia nen hian eng natna dang nge inang?

Kan sawi tawh ang khan a natna lan chhuah dan hi virus leh thawkna lam natna tlanglawn tak nen a inang avangin a natna dik tak hriat a harsa thei hle. Hetiang chiah hian natna dang engemaw zat a awm thei bawk:

• Acute Respiratory Distress Syndrome (ARDS) natna vei te hi a ni.
• Asthma natna a ni
• Eosinophilic Granulomatosis hi Polyangiitis (EGPA, a hmaa Churg-Strauss syndrome tia hriat thin) natna vei a ni.
• Pneumonia natna tlangpui

Eosinophilic Pneumonia hi engte nge ni?

He natna hi a thlentu tam tak a awm thei a, hri kai leh hri kai lo pawh a awm thei. Mahse a chang chuan doctor-te pawhin a chhan dik tak an hmu thei lo.

Hri kai lo chhan ber thenkhat chu:

• Allergy natna a awm thei
• Fungus ( Aspergillosis tia koh chi a ni fo ) .
• Inhaled toxins , entîr nân, chemical meikhu, boruak aṭanga chhuak metal chi hrang hrang, a nih loh leh leivut.
• Damdawi thenkhat , entirnan, hman tlanglawn antibiotics , nonsteroidal anti-inflammatory drugs (NSAIDs) , emaw antidepressant thenkhat (Selective Serotonin Reuptake Inhibitors - SSRIs)
• Smoking , a bik takin i zuk tan tirh emaw, i zuk tam lutuk emaw a nih chuan.
• A hnuaia thil awm dangte , entirnan cancer, autoimmune disease , emaw inflammatory disease .

Tin, hri kai thenkhat, a bik takin parasite te hian EP a thlen thei bawk. A tlem hle a, COVID-19 vei zingah pawh a awm thei bawk.

Eosinophilic Pneumonia natna lan chhuah dan chu engte nge ni?

He natna lan chhuah dan hi natna chi leh a chhan a zirin a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat chu a awm a:

• Khuh
• Khawsik
• Thâwk hah / Dyspnea

Acute eosinophilic pneumonia (AEP) hi a na zual nghal vat thei a, a tam zawk chu kar hnih chhungin a na thei bawk. Meizial zu miteah hian symptoms a na zual thei. Tin, symptoms an nei thei bawk a, chungte chu:

• A rilru a na
• Chills a awm
• Chau
• Muscle na / Myalgia a awm

Pawimawh: Hriatchhuah leh enkawl vat loh chuan i thisena oxygen level chu hlauhawm takin a tlahniam thei a ni. Hei hian darkar tlemte chhungin acute respiratory failure a thlen thei a, emergency treatment a ngai a ni.

Chronic eosinophilic pneumonia (CEP) symptoms hi a lo lang zauh zauh a, a chang chuan natna hmuhchhuah a nih hma thla engemaw zat a awm bawk. CEP vei te hian thawk hah emaw thisen oxygen level hniam emaw an nei tlem hle. A lan chhuah dan tlangpui chu:

• Thâwk hahna a na zual
• Zan a thawk hah
• Sawifiah loha taksa rihna tlahniam
• A rilru a buai hle

Heng symptoms te hi i neih chuan doctor pan ngei ang . Thâwk harsa i neih emaw, i rilru a na a nih chuan damdawi in hnai ber pan nghal mai tur a ni.

Engtin nge Eosinophilic Pneumonia hi hmuhchhuah a nih?

Doctor-te chuan he natna hi i symptoms te zawtin an hmuchhuak thin. Tin, doctor chuan a hnuaia mite hi a ti ang:

• I medical history leh i zin tawhna hmun te an zawt ang.
• Taksa enfiahna (physical exam) neih a ni.
• Thisen test , a bik takin complete blood count (CBC) , tih a ni a, thil dik lo awm leh awm loh enfiah a ni.

Eosinophilic pneumonia hi natna dang nena a lan chhuah dan a inang avangin hriat a harsa thei hle. Tin, eosinophil engzat nge sang anga ngaih tih pawh bituk a awm lo a, hei vang hian hriat a harsa hle. A châng chuan, doctor-te chuan enkawl hnua a lan chhuah dân a ṭhat hunah chauh diagnosis chu an nemnghet ṭhin.

Eng test nge natna hriat theihna tura puitu?

He natna hi doctor-te’n an hman thin test pawimawh ber chu bronchoalveolar lavage (BAL) a ni. Hei hian i lung atanga tui sample lak chu flexible tube bronchoscope an tih hmanga lak a, a natna lan chhuah dan enfiah a huam a ni. Tin, heng test te hi tih theih a ni bawk:

• Chest X-ray neih a ni
• CT scan a ni

I doctor chuan i natna hriat chian nan, natna dang a awm loh nan leh test dang tih nan specialized test tam zawk neih a rawt thei ang. Test chungchanga zawhna i neih chuan doctor nen inbia ang che.

He natna enkawltu medical team-ah hian tute nge tel theih?

Eosinophilic pneumonia enkawl hunah i medical team-te chu:

• Taksa lam thiamte
• Pulmonologist te an ni
• Thluak lam enkawltu te

Hei hi damdawi famkim a awm em? Nunna atana hlauhawm a ni thei ang em?

A tam zawkah chuan natna hi a hmaa hriatchhuah a nih a, damdawi hmanga enkawl \ha a nih chuan a lan chhuah dan chu thunun theih a ni a, a chang chuan damna famkim a awm thei bawk. Enkawl dan tur thupekte ngun taka i zawm chuan i hlim taka hnathawhnaah i kir leh thei ang.

Eosinophilic pneumonia hi damdawi lam emergency a ni tlangpui lo. Mahse, a tlem hle a, harsatna lian tak, nunna atana hlauhawm tak, thawk lama harsatna ang chi a thlen thei a ni .

Eosinophilic Pneumonia hi engtin nge enkawl a nih?

Natna vei mild case i neih chuan i doctor chuan a enkawl lo mai thei. A chang chuan EP hi damdawi i ei vang a ni. Chutiang a nih chuan i doctor chuan chu damdawi chu ei tawh lo turin a hrilh ang che.

Enkawlna i mamawh chuan doctor-te chuan EP chi hrang hrang pathumte hi a chhan leh a lan chhuah dan ang zela siam damdawi hmangin an enkawl vek a ni. Corticosteroids , swelling (inflammation) tihziaawmna hi standard treatment a ni a, a hlawk hle.

AEP natna khirh tak takah chuan doctor-te chuan thawk lama harsatna awm lo turin enkawlna dang an rawt thei bawk a, chungte chu:

• Oxygen tihpunna tur a ni
• Glucocorticoids (corticosteroid chi khat pawh a ni bawk) .

CEP vei te hian steroid hi rei tak an ei a ngai fo thin a, a tlangpuiin thla tam tak chhung an ei thin. Mi thenkhat chuan rei zawk pawh enkawl an mamawh mai thei.

Engtin nge Eosinophilic Pneumonia vei theihna tur i tihziaawm theih ang?

He natna i vei theihna tur i tihtlem theih leh theih loh chu a chhan bulpuiah a innghat a ni. Eosinophil level sang chhan ber chu allergy a ni. Chûngte chu thlah kal zelah a lo inthlâkthleng thei a ni. Damdawi hian i immune system-a allergic reaction awmte chu a veng thei a, a control thei bawk.

Nun hrisel , zuk leh hmuam tihtlem emaw, bânsan emaw ang chi hian natna a tlangpuiin i vei theihna a ti tlem thei bawk. Eosinophilic pneumonia vei theihna tihtlem dan tur i doctor nen sawiho rawh.

Eng chen nge a dam leh theih ang? Eng ang thlirna nge ni ang?

Eosinophilic Pneumonia atanga dam leh hun chhung hi natna chi leh nasat dan azirin a inang lo. Acute eosinophilic pneumonia (AEP) vei tam zawk chu an dam nghal vat a, a then chu steroid hmanga enkawl tan atanga darkar 48 chhungin an dam leh thin. Mi tam zawk chuan an dam kim theih nan kar khat emaw kar hnih emaw vel an hmang thin.

Chronic eosinophilic pneumonia (CEP) i neih chuan, oral steroid ( prednisone ang chi) chu rei tak – thla tam tak chhung, kum tam tak chhung pawh ni thei. Tin, a hnuaia natna awm apiang, asthma ang chi te pawh enkawl i ni bawk ang.

Mi tam zawk enkawlna hmasa ber tan chuan prognosis a tha hle . AEP damdawi pek hian natna lan chhuah dan a tihziaawm thuai thei a, damna famkim a thlen thei bawk.

Mahse, CEP vei zinga 50% aia tam chuan relapse an nei ang . Chumi hnuah chuan hun rei zawk steroid an ei a ngai dawn a, vawi eng emaw zat an ei a ngai mai thei. I doctor chuan i dam chhung zawngin he chronic eosinophilic pneumonia hi enkawl dan tur leh i symptoms tihtlem nan a pui ang che.

I dinhmun enfiah nan checkup reng reng i neih a ngai dawn a ni. He monitoring hian i doctor chuan a tul chuan i enkawlna chu a siamrem thei ang a, harsatna a awm loh nan a pui bawk ang. I doctor thupek chu uluk takin zawm la, i appointment te pawh zawm rawh. Hei hian a hun taka enkawlna i dawng thei ang.

He natna hian ka nunphung a nghawng dawn em?

Eosinophilic pneumonia hian i nun a nghawng dan chu i natna lan chhuah dan nasat dan te, a hnuaia awm natna dangte leh enkawlna hlawhtlinnaah a innghat a ni. I dam kim thei a, i thiltih pangngaiah i kir leh thei bawk.

A nih loh leh, nunphung tihdanglamna engemaw zat i siam a ngai mai thei a, natna lan chhuah dan control nan damdawi i ei chhunzawm a ngai thei a, harsatna i neih loh nan. I doctor nena thawhhona tha tak hmang hian a theih ang anga hrisel leh thawkrim takin i awm thei ang.

Eosinophilic Pneumonia hi engtikah nge damdawi lam thurawn i lak ang?

Thâwk hahna, rilru na, khawsik, emaw, khuh a pun thut emaw, zawi zawi emaw ang chi symptom i neih chuan Eosinophilic Pneumonia chungchangah doctor rawn la. I doctor chuan pulmonologist hnenah a refer thei che a ni .

He lung natna chi khat, eosinophilic pneumonia an tih hi i hriat chuan i hriselna chungchangah zawhna tam tak i nei mai thei. Mahse mi tam tak chu corticosteroids hmang hian an dam tha thin. I doctor hian i symptoms tihziaawmna tur leh complication awm lo turin a pui thei che a ni. I tana tha tur treatment plan siam turin an thawk ho ang che, chutiang chuan i dam leh thei ang. I hriselnaah danglamna eng emaw i hmuh chuan khuh, khawsik emaw, rilru na emaw i hriat chuan doctor nen inbia fo ang che. I natna lan chhuah chhan an hmuchhuak ang a, i mamawh enkawlna an pe ang che.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvang chuan Eosinophilic Pneumonia chungchang hi kan sawi nasa hle. A tawi zawngin hriat reng tur tlemte chu hetiang hi a ni:

• Hei hi natna tlemte chauh a ni a, chu chu lung chhunga thisen var chi khat eosinophil an tih tam lutuk vang a ni.
• Meizial zuk, allergy, damdawi thenkhat, leh parasitic infection ang chi thilte hian hei hi a thlen thei a ni.
• Khuh, khawsik, leh thawk harsatna te hi a lan chhuah dan ber a ni. Chhung na, hah, zan lama thawk hah te pawh a awm thei bawk.
• Hei hi natna hrik kai theih a ni lo.
• A hmaa hriatchhuah a nih a, corticosteroid ang chi enkawlna hmanga enkawl a nih chuan a dam thei fo.
• Heng symptoms te hi i neih chuan rilru hah lo la, doctor pan rawh . Chu chu a pawimawh ber a ni.

He thu hian hriattirna i neih ngei kan beisei. Hrisel takin awm rawh!

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