Kei te whakararuraru anō hoki ēnei pūtau 'eosinophil' i ō pūkahukahu? Me kōrero tātou mō te Pneumonia Eosinophilic!

Kei te whakaaro koe i ētahi wā he raruraru ōu pūkahukahu, pērā i te uaua ki te manawa, te maremare tonu rānei? He momo mate pūkahukahu onge pea tēnei kāore anō kia rangona e tātou. I tēnei rā ka kōrero tātou mō tētahi o aua mate, ko te Eosinophilic Pneumonia . Ahakoa he ahua uaua te ingoa, kia māmā noa iho te mārama.

He aha te niumōnia eosinophilic?

He māmā noa iho, he mate onge te Pneumonia Eosinophilic e pā ana ki ō pūkahukahu. Ka puta tēnei ina kohia he momo toto mā e kiia nei ko te eosinophil i roto i ō pūkahukahu, ā, i ētahi wā i roto i ō toto, ka puta te mumura , te pupuhi rānei, i roto i ngā pūkahukahu, ka kino pea.

Ka pāngia te tangata o ngā tau katoa e tēnei mate. He maha ngā āhuatanga ka pā mai. Ko te momi hikareti , te mate pāwera , te mate kutukutu pirinoa rānei ka pā mai. Ki te kore e rongoatia tika, ka arahi pea ki ngā āhuatanga kino atu, pērā i te ngoikore o te manawa .

E rua ngā huarahi matua e puta ai te niumōnia eosinophilic:

• Āhua whakapeka: Ka tere rawa te puta o tēnei āhuatanga, tata ohorere, ā, he poto noa te wā e mau ana.
• Mate mau tonu: He mate tēnei ka kino haere i te roanga o te wā, engari ka roa pea te mau.

Kaua e manukanuka, ehara tēnei mate e kiia nei ko te Eosinophilic Pneumonia i te mate hopuhopu . Ki te kitea wawetia te mate, ā, ka whiwhi koe i te maimoatanga tika, ka taea e tō tākuta te whakahaere i ēnei tohumate, ka hoki anō koe ki te huarahi tika. He nui te tūponotanga ka ora katoa koe.

Ko wai ēnei eosinophils? He aha rātou i pēnei ai?

Tērā pea kei te whakaaro koe, he aha ēnei eosinophils , ā, he aha rātou e whakararuraru ai i ō tātou pukahukahu? Ko ngā eosinophils he momo toto mā e āwhina ana i tō tātou pūnaha ārai mate . Hei whakamārama, ka whakaputahia ēnei eosinophils e tō tātou hinu wheua. I roto i te tangata hauora, he iti noa iho te maha o ēnei, i waenga i te 1% me te 5% o ngā toto mā.

Heoi, ki te mea kei a koe ngā mate pēnei i te mate pāwera , te mate huango , ngā mate pāwera , ētahi rongoā , te mate pukupuku rānei, ka piki ohorere te maha o ngā eosinophil. Ka kiia tēnei he eosinophilia . Ko tētahi atu mahi a ngā eosinophil ko te tuku i ngā matū (ngā whākōkī me ngā pūmua) me te whakangaro i ngā pūtau e kino ana ki te tinana.

Heoi, ko te raruraru ina nui rawa te pikinga o ēnei eosinophils. Kātahi ka kohia ki roto i ō tātou kiko me ō tātou whekau, ka puta te mumura, arā, te pupuhi. Ina puta tēnei i roto i ngā pukahukahu, ka puta te Eosinophilic Pneumonia.

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He aha te rerekētanga o te niumōnia eosinophilic i te niumōnia noa?

Kua rongo pea koe i te niumōnia, engari he rerekē te niumōnia eosinophilic i te niumōnia noa.

Ko te rerekētanga matua ko te take. Ko te niumōnia noa ka puta mai i ngā mate huakita , harore , huaketo rānei.

Heoi, ka puta te Pneumonia Eosinophilic ina kī tonu ngā pakitara o ō ara manawa, o ō pukahukahu, me ō oko toto i roto i tō pūnaha manawa i ngā eosinophil. Mena he mate pēnei i te huango tōu , ka kino rawa atu pea tēnei mate. Nā te mea ka nui haere te hūpē , ka ārai i ēnei ara manawa kua whaiti.

He aha ngā momo matua o te Pneumonia Eosinophilic?

E toru ngā momo matua o tēnei mate. Kia tirohia tātou he aha ēnei:

1. Te Pūkahukahu Eosinophilic Whakapeka (AEP): Ka tere te kino haere o tēnei momo, ka heke te nui o te hāora i roto i tō toto. Heoi, i te nuinga o te wā, ki te rongoatia tika, ka taea e koe te ora katoa.

2. Te Pūkahukahu Eosinophilic Mau tonu (CEP): He mate tēnei ka puta ake i roto i ngā rā, i ētahi wā he wiki. Ki te kore e rongoatia, ka roa pea mō ngā wiki, mō ngā marama rānei, ā, ka kaha haere ngā tohu.

3. Te mate Löffler / te eosinophilia pūkahukahu māmā (SPE): He momo niumōnia eosinophilic anō hoki tēnei. Heoi, i tēnei wā, kāore pea he tohu, he tohu iti noa iho rānei pērā i te maremare maroke . Ko tēnei mate Löffler ka puta mai i ngā mate pirinoa , inā koa ko ngā kutukutu porowhita . Mā te maimoatanga, ka memeha i roto i te marama kotahi.

Ko wai te mea ka nui ake te tūponotanga ki te pāngia e te niumōnia eosinophilic?

Ahakoa ka pā tēnei mate i ngā tau katoa, he iti noa ngā rerekētanga i runga i ētahi āhuatanga. Ahakoa kāore i te mōhiotia te tino take, he maha ake ngā wā ka kitea tēnei mate, inā koa i ngā wā tino kino, i te raumati.

He rerekētanga anō hoki kei runga i te momo mate:

• Te niumōnia eosinophilic acute (AEP): He mea noa tēnei i roto i ngā tāne i waenga i te 20 me te 40 tau te pakeke.
• Te niumōnia eosinophilic pumau (CEP): He mea tino noa tēnei i waenga i ngā wāhine i waenga i te 30 me te 50 tau te pakeke.

He maha ngā tāngata whai AEP e momi hikareti ana.Ngā tāngata. Engari ko te nuinga o te hunga whai CEP kāore e momi hikareti, ā, neke atu i te haurua o rātou he mate pāwera pērā i te huango , te ekisema/te mate kiriuhi , te rhinitis pāwera/te kirika tarutaru rānei.

He pēhea te noa o tēnei mate?

E kiia ana te niumōnia eosinophilic he mate tino onge . E ai ki tētahi rangahau o te tau 2020, he iti iho i te 200 ngā kēhi o te AEP kua pūrongohia i roto i ngā pūkete hauora.

Heoi, e whakapono ana ngā kairangahau nā te mea kāore i te tino kitea te mate. Nā te mea he tino rite ōna tohu ki ērā o te rewharewha huaketo noa, o ētahi atu mate pūkahukahu rānei, kāore pea e kitea mēnā kāore i te tino kino te mate, inā koa mēnā kāore i te tino mōhiotia te pūtake (idiopathic).

He aha atu ngā āhuatanga e rite ana ki te Eosinophilic Pneumonia?

E ai ki tā mātou i kōrero ai i mua ake nei, he uaua ki te tautuhi i te mate tuturu nā te mea he rite ōna tohu ki ngā mate huaketo me ngā mate manawa noa. He maha atu anō ngā āhuatanga ka puta ai ngā tohu rite:

• Te Mate Pōuri Manawa Whakapeka (ARDS)
• Mate huango
• Te Granulomatosis Eosinophilic me te Polyangiitis (EGPA, i mua ko te Churg-Strauss syndrome)
• Pūkahukahu noa

He aha ngā take o te niumōnia eosinophilic?

He maha ngā take o tēnei mate, he mate hopuhopu, he mate kore hopuhopu hoki. Engari i ētahi wā, kāore e taea e ngā tākuta te kimi i te tino take.

Ko ētahi o ngā tino take kore-pango ko:

• Ngā uruparenga mate pāwera
• Harore (he momo e kiia ana ko te Aspergillosis )
• Ngā paitini e manawahia ana , hei tauira, ngā auahi matū, ngā matūriki konganuku e rere ana i te rangi, te puehu rānei.
• Ko ētahi rongoā , hei tauira, ngā paturopi e whakamahia whānuitia ana, ngā rongoā anti-inflammatory kore-steroidal (NSAID) , ētahi rongoā antidepressant (Selective Serotonin Reuptake Inhibitors - SSRIs) .
• Te momi hikareti , ina koa mēnā kua tīmata noa koe ki te momi hikareti, kua piki haere rānei te nui o tāu momi hikareti.
• Ētahi atu mate pūtake , hei tauira, te mate pukupuku, te mate pūnaha ārai mate , te mate mumura rānei.

Hei tāpiritanga, ko ētahi mate pāwera, inā koa ko ngā pirinoa, ka taea hoki te whakaputa i te EP. He tino onge, ka taea hoki te puta i roto i te hunga whai COVID-19 .

He aha ngā tohu o te niumōnia eosinophilic?

Ka rerekē pea ngā tohu o tēnei mate i runga i te momo me te pūtake o te mate, engari he tohu noa iho ēnei:

• Maremare
• Kirika
• Te poto o te manawa / Te poto o te manawa

Ka tere te kino haere o te niumōnia eosinophilic acute (AEP) , i roto i ngā wiki e rua. Ka kaha ake ngā tohu i roto i te hunga kaipaipa. Tērā pea ka pāngia rātou e ngā tohu pēnei i:

• Mamae o te uma
• Ngā makariri
• Ngenge
• Mamae uaua / Myalgia

He mea nui: Ki te kore e kitea wawetia, e rongoatia hoki, ka tino heke te taumata hāora i roto i tō toto. Ka taea e tēnei te arahi ki te ngoikore o te manawa i roto i ētahi haora, me te hiahia kia rongoatia wawetia.

Ka puta haere ngā tohu o te niumōnia eosinophilic mau tonu (CEP) , i ētahi wā he marama i mua i te tautuhi i te mate. Kāore i te maha ngā wā ka pāngia te hunga whai CEP e te poto o te manawa, te iti rānei o te hāora i roto i te toto. Ko ngā tohu noa ko:

• Te poto o te manawa e kino haere ana
• Te werawera o te pō
• Te whakahekenga taumaha kāore i te whakamāramahia
• Te whewhe

Ki te pā mai tētahi o ēnei tohu ki a koe, me toro atu ki te tākuta . Ki te uaua te manawa, ki te mamae rānei tō uma, haere tonu ki te hōhipera tata.

Me pēhea te tautuhi i te niumōnia eosinophilic?

Ka tātaritatia tēnei mate e ngā tākuta mā te pātai atu ki a koe mō ō tohumate. Hei tāpiri, ka mahia e te tākuta ēnei e whai ake nei:

• Ka pātai atu rātou mō tō hītori hauora me ō haerenga.
• Ka whakahaerehia he whakamātautau tinana .
• Ka mahia ngā whakamātautau toto , inā koa he tatau toto katoa (CBC) , hei tirotiro i ngā āhuatanga rerekē.

He uaua te tautuhi i te niumōnia eosinophilic nā te mea he rite tonu ōna tohu ki ērā o ētahi atu mate. Kāore hoki he rohe kua whakaritea mō te maha o ngā eosinophil e kiia ana he teitei, ā, he uaua ki te tautuhi. I ētahi wā, ka whakaū noa ngā tākuta i te tautuhi ina pai ake ngā tohu i muri i te maimoatanga.

He aha ngā whakamātautau e āwhina ana ki te tautuhi mate?

Ko te whakamātautau tino nui e whakamahia ana e ngā tākuta hei tautuhi i tēnei mate ko te bronchoalveolar lavage (BAL) . Kei roto i tēnei ko te tango i tētahi tauira wai mai i ō pukahukahu mā te whakamahi i tētahi ngongo ngāwari e kiia nei ko te bronchoscope , ā, ka tirohia mēnā he tohu. Hei tāpiri, ka taea te mahi i ēnei whakamātautau:

• X-ray o te uma
• Matawai CT

Tērā pea ka tūtohu tō tākuta i ētahi atu whakamātautau motuhake hei whakaū i te mate, hei whakakore i ētahi atu mate, me te whakahaere i ētahi atu whakamātautau. Mena he pātai āu mō ngā whakamātautau, kōrero ki tō tākuta.

Ko wai ka taea te whakauru atu ki te tīma hauora e rongoā ana i tēnei mate?

I te rongoā i te niumōnia eosinophilic, ka uru pea tō rōpū hauora ki:

• Ngā kaiwhakaora tinana
• Ngā tohunga pūkahukahu
• Ngā kaiwhakaora manawa

He rongoā tino pai tēnei mō tēnei? Tērā pea ka mate pea koe?

I te nuinga o te wā, ki te kitea wawe te mate, ā, ka rongoatia tika mā te rongoā, ka taea te whakahaere i ngā tohumate, ā, i ētahi wā ka taea te whakatutuki i te ora katoa. Ki te āta whai koe i ngā tohutohu maimoatanga, ka taea e koe te hoki ki ngā mahi e pai ana ki a koe.

Ehara te niumōnia eosinophilic i te mea ohorere hauora. Heoi, he tino onge, ka puta he raruraru nui, he morearea ki te ora, pērā i te ngoikore o te manawa .

Me pēhea te rongoā i te niumōnia eosinophilic?

Mena he iti noa te mate e pāngia ana e koe, kāore pea tō tākuta e rongoā i a koe. I ētahi wā, ka puta te EP i te rongoā e tangohia ana e koe. Mena koinā te āhua, ka kī atu tō tākuta kia mutu te tango i taua rongoā.

Mena kei te hiahia koe ki te maimoatanga, ka rongoatia e ngā tākuta ngā momo matua e toru o te EP mā te whakamahi i ngā rongoā e hāngai ana ki te take me ngā tohu matua. Ko ngā corticosteroids , e whakaiti ana i te pupuhi (mumura), te maimoatanga paerewa, ā, he tino whai hua.

I ngā wā tino kino o te AEP, ka tūtohu pea ngā tākuta i ētahi atu maimoatanga hei ārai i te mamae o te manawa, pēnei i:

• Hāora tāpiri
• Ngā Glucocorticoids (he momo corticosteroid anō hoki)

He maha ngā wā ka hiahiatia e te hunga whai CEP te tango i ngā steroids mō te wā roa, arā, mō ngā marama. Tērā pea ka roa ake te maimoatanga mō ētahi tāngata.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te Pneumonia Eosinophilic?

Ko te whakaiti i te tūponotanga o te mate nei ka whakawhirinaki ki te pūtake o te mate. Ko te mate pāwera te tino take o te nui o ngā eosinophil. Ka taea ēnei te tuku iho i roto i ngā whakatipuranga. Ka taea e ngā rongoā te āwhina ki te ārai, ki te whakahaere rānei i ngā tauhohenga mate pāwera o tō pūnaha ārai mate.

Mā te noho hauora , pērā i te whakaiti, te whakamutu rānei i te kai paipa, ka taea hoki te whakaiti i tō tupono ki te pāngia e te mate whānui. Kōrero ki tō tākuta mō ngā huarahi hei whakaiti i tō tupono ki te pāngia e te niumōnia eosinophilic.

Kia pēhea te roa o te wā e ora ai? He aha te āhua o te oranga?

Ka rerekē te wā whakaora mai i te Pneumonia Eosinophilic i runga i te momo me te kaha o te mate. Ko te nuinga o te hunga e pangia ana e te niumōnia eosinophilic acute (AEP) ka tere te ora, i ētahi wā i roto i ngā haora 48 i muri i te tīmatanga o te maimoatanga steroid. Ko te nuinga o te iwi ka roa te kotahi, e rua rānei wiki ki te tino ora.

Mena kei a koe te niumōnia eosinophilic mau tonu (CEP), me tango pea koe i te steroid ā-waha (pērā i te prednisone ) mō te wā roa – mō ngā marama, mō ngā tau pea. Ka rongoatia hoki koe mō ngā mate pūtake, pērā i te mate huango.

He tino pai te matapae mō te nuinga o te hunga e whiwhi maimoatanga wawe ana . Mā ngā rongoā e hoatu ana mō te AEP ka tere te whakaiti i ngā tohu me te arahi ki te ora katoa.

Heoi, neke atu i te 50% o te hunga whai CEP ka hoki anō ki te mate . Kātahi ka hiahia rātou ki te tango i ngā steroids mō te wā roa, pea he maha ngā wā. Ka mahi tahi tō tākuta me koe puta noa i tō oranga hei āwhina i te whakahaere i tēnei niumōnia eosinophilic mau tonu me te whakaiti i ō tohu.

Me tirotiro tonu koe i tō āhua. Mā tēnei aroturuki ka taea e tō tākuta te whakarerekē i tō maimoatanga mēnā e tika ana, me te ārai i ngā raruraru. Me āta whai i ngā tohutohu a tō tākuta, me te pupuri i ō wā whakarite. Mā tēnei ka āwhina i a koe ki te whiwhi maimoatanga i te wā tika.

Ka pāngia te kounga o tōku oranga e tēnei mate?

Ko te nui o te pānga o te niumōnia eosinophilic ki tō oranga, e whakawhirinaki ana ki te kaha o ō tohu, ki ētahi atu mate huna, me te angitu o te maimoatanga. Tērā pea ka taea e koe te ora katoa me te hoki ki ō mahi o ia rā.

Me huri pea koe i ētahi momo noho, me tango tonu i ngā rongoā hei whakahaere i ngā tohu, me te ārai i ngā raruraru. Mā te mahi tahi me tō tākuta, ka taea e koe te noho hauora me te kaha tonu.

Āhea koe me rapu tohutohu hauora mō te Eosinophilic Pneumonia?

Mena kei a koe ngā tohu pēnei i te poto o te manawa, te mamae o te uma, te kirika, te piki haere ohorere rānei o te maremare, rapua he tohutohu hauora mō te Eosinophilic Pneumonia. Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga pūkahukahu .

Ina rongo koe mō tēnei momo mate pūkahukahu onge e kiia nei ko te niumōnia eosinophilic, tera pea he maha āu pātai mō tō hauora. Engari he maha ngā tāngata ka ora ake mā te whakamahi i ngā corticosteroids. Ka taea e tō tākuta te āwhina i a koe ki te whakaiti i ō tohu me te ārai i ngā raruraru. Ka mahi tahi rātou me koe ki te waihanga i tētahi mahere maimoatanga e pai ana mōu, kia ora ai koe anō. Kia mahara, ki te kite koe i ētahi huringa o tō hauora, pērā i te mare, te kirika, te mamae rānei o te uma, me kōrero tonu ki tō tākuta. Ka kitea e rātou te take o ō tohu, ā, ka hoatu ki a koe te maimoatanga e hiahiatia ana e koe.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, kua maha ā tātou kōrero mō te Eosinophilic Pneumonia. Anei ētahi mea hei maumahara poto:

• He mate onge tēnei e hua mai ana i te nui rawa o tētahi momo toto ma e kiia nei ko te eosinophil i roto i ngā pukahukahu.
• Ka taea e ngā mea pēnei i te momi hikareti, te mate pāwera, ētahi rongoā, me ngā mate pirinoa te take o tēnei.
• Ko te mare, te kirika, me te uaua ki te manawa ngā tohu matua. Tērā pea ka pā mai te mamae o te uma, te ngenge, me te werawera i te pō.
• Ehara tēnei i te mate hopuhopu.
• Ki te kitea wawetia te mate, ā, ka rongoatia ki ngā maimoatanga pēnei i te corticosteroids, he maha ngā wā ka taea te whakaora.
• Ki te pā mai ēnei tohu ki a koe, kaua e mangere, me toro atu ki te tākuta . Koinei te mea nui.

Ko te tumanako kua whakamōhiotia koe e ēnei kōrero. Kia ora tonu!