Kodi maselo a 'eosinophil' awa akuvutitsanso mapapu anu? Tiyeni tikambirane za Eosinophilic Pneumonia!

Kodi nthawi zina mumamva ngati muli ndi vuto ndi mapapo anu, monga kupuma movutikira kapena chifuwa chosatha? Mwina ndi matenda osowa kwambiri m'mapapo omwe palibe aliyense wa ife amene adamvapo za iwo. Lero tikambirana za matenda ena otere, Eosinophilic Pneumonia . Ngakhale dzinalo lingamveke lovuta pang'ono, tiyeni timvetse mosavuta.

Kodi Eosinophilic Pneumonia ndi chiyani?

Mwachidule, Eosinophilic Pneumonia ndi vuto losowa lomwe limakhudza mapapu anu. Limachitika pamene mtundu wa selo loyera la magazi lotchedwa eosinophil limasonkhana m'mapapu anu, ndipo nthawi zina m'magazi mwanu, zomwe zimayambitsa kutupa , kapena kutupa, m'mapapu, zomwe zingawawononge.

Matendawa angakhudze anthu azaka zilizonse. Angayambitsidwe ndi zinthu zosiyanasiyana. Kusuta fodya , ziwengo , kapena matenda a parasitic roundworms onsewa angayambitse matendawa. Ngati sachiritsidwa bwino, nthawi zina angayambitse matenda aakulu, monga kupuma movutikira .

Chibayo chomwe chimayambitsa matenda a eosinophilic chimachitika m'njira ziwiri zazikulu:

• Matenda owopsa: Izi zimachitika mofulumira kwambiri, mwadzidzidzi, ndipo zimakhalapo kwa kanthawi kochepa.
• Matenda osatha: Uwu ndi matenda omwe amabwera ndi kutha, koma amatha kukhalapo kwa nthawi yayitali.

Koma musadandaule, matenda otchedwa Eosinophilic Pneumonia si opatsirana . Ngati mutazindikira matendawa msanga ndikupeza chithandizo choyenera, dokotala wanu akhoza kuwongolera zizindikirozi ndikukubwezeretsani panjira yoyenera. Pali mwayi waukulu woti mudzachira kwathunthu.

Kodi ma eosinophil awa ndi ndani? N’chifukwa chiyani amachita izi?

Tsopano mwina mukudabwa kuti, kodi ma eosinophils awa ndi chiyani ndipo n’chifukwa chiyani amavutitsa mapapo athu? Ma eosinophils ndi mtundu wa maselo oyera a m’magazi omwe amathandiza chitetezo chathu chamthupi. Kunena zoona, mafuta athu a m’mafupa amapanga ma eosinophils awa. Mwa munthu wathanzi, amapezeka m’magulu ochepa kwambiri, pakati pa 1% ndi 5% ya maselo oyera a m’magazi.

Komabe, ngati muli ndi matenda monga ziwengo , mphumu , matenda opatsirana , mankhwala ena, kapena khansa , chiwerengero cha eosinophils chingakwere mwadzidzidzi. Timachitcha kuti eosinophilia . Ntchito ina ya eosinophils ndi yakuti imatulutsa zinthu zosiyanasiyana (ma enzyme ndi mapuloteni) ndikuwononga maselo omwe ndi owopsa m'thupi.

Komabe, vuto limakhalapo pamene ma eosinophil amenewa akuwonjezeka kwambiri. Kenako amasonkhana m'thupi ndi ziwalo zathu ndipo amayambitsa kutupa, kutanthauza kutupa. Izi zikachitika m'mapapo, Eosinophilic Pneumonia imayamba.

Kodi chibayo cha eosinophilic chimasiyana bwanji ndi chibayo chamba?

Mwina mwamvapo za chibayo, koma chibayo chofala ichi n'chosiyana pang'ono ndi chibayo wamba.

Kusiyana kwakukulu ndi komwe kumayambitsa. Chibayo chofala chimayamba chifukwa cha matenda a mabakiteriya , bowa , kapena mavairasi .

Komabe, Eosinophilic Pneumonia imachitika pamene makoma a njira zanu zopumira, mapapo, ndi mitsempha yamagazi m'thupi lanu la kupuma amadzazidwa ndi eosinophils. Ngati muli ndi vuto monga mphumu , vutoli likhoza kuipiraipira. Izi zili choncho chifukwa mamina amadzaza, zomwe zimatsekereza njira zopumirazi.

Kodi mitundu ikuluikulu ya Eosinophilic Pneumonia ndi iti?

Pali mitundu itatu ikuluikulu ya matendawa. Tiyeni tiwone zomwe zili:

1. Acute Eosinophilic Pneumonia (AEP): Mtundu uwu umakula mofulumira kwambiri, zomwe zimapangitsa kuti mpweya m'magazi anu uchepe. Komabe, nthawi zambiri, ngati mutalandira chithandizo choyenera, mutha kuchira kwathunthu.

2. Chibayo Chosatha cha Eosinophilic Pneumonia (CEP): Ichi ndi matenda omwe amakula kwa masiku angapo, nthawi zina milungu ingapo. Ngati sachiritsidwa, amatha kukhala kwa milungu kapena miyezi, ndipo zizindikiro zimatha kukhala zazikulu.

3. Löffler syndrome / simple pulmonary eosinophilia (SPE): Iyi ndi mtundu wa chibayo chomwe chimayambitsa eosinophilic. Komabe, pankhaniyi, sipangakhale zizindikiro konse, kapena zizindikiro zazing'ono monga chifuwa chouma . Löffler syndrome iyi imayamba chifukwa cha matenda opatsirana ndi tizilombo toyambitsa matenda , makamaka mphutsi zozungulira . Ndi chithandizo, nthawi zambiri imatha mkati mwa mwezi umodzi.

Ndani amene ali ndi mwayi waukulu wopeza Eosinophilic Pneumonia?

Ngakhale kuti matendawa amatha kuchitika pa msinkhu uliwonse, pali kusiyana pang'ono kutengera zinthu zina. Ngakhale kuti chifukwa chenicheni sichidziwika, matendawa nthawi zambiri amapezeka kawirikawiri, makamaka pazochitika zoopsa, m'chilimwe.

Palinso kusiyana kutengera mtundu wa matenda:

• Chibayo champhamvu cha eosinophilic (AEP): Izi zimachitika kwambiri mwa amuna azaka zapakati pa 20 ndi 40.
• Chibayo chopitirira muyeso (CEP): Ichi chimapezeka kwambiri mwa akazi azaka zapakati pa 30 ndi 50.

Anthu ambiri omwe ali ndi AEP amasuta.Anthu. Koma anthu ambiri omwe ali ndi CEP sasuta fodya, ndipo oposa theka la iwo ali ndi matenda enaake monga mphumu , eczema / atopic dermatitis , kapena allergic rhinitis / hay fever .

Kodi matendawa ndi ofala bwanji?

Chibayo chofala kwambiri chimaonedwa kuti ndi matenda osowa kwambiri . Malinga ndi kafukufuku wa 2020, milandu yosakwana 200 ya AEP yalembedwa m'mabuku azachipatala.

Komabe, ofufuza amakhulupirira kuti izi zimachitika chifukwa chakuti matendawa sapezeka mokwanira . Popeza zizindikiro zake zimafanana kwambiri ndi za chimfine chofala cha mavairasi kapena matenda ena a m'mapapo, amatha kusapezeka ngati matendawa si aakulu kwambiri, makamaka ngati chifukwa chake sichikudziwika bwino (idiopathic).

Ndi matenda ena ati omwe amafanana ndi Eosinophilic Pneumonia?

Monga tanenera kale, zimakhala zovuta kuzindikira matenda enieni chifukwa zizindikiro zake zimafanana ndi matenda ofala a mavairasi ndi matenda opumira. Pali matenda ena angapo omwe angayambitse zizindikiro zofanana:

• Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS)
• Mphumu
• Eosinophilic Granulomatosis yokhala ndi Polyangiitis (EGPA, yomwe kale inkadziwika kuti Churg-Strauss syndrome)
• Chibayo chofala

Kodi ndi zifukwa ziti za Eosinophilic Pneumonia?

Pali zifukwa zambiri zomwe zimayambitsa matendawa, zomwe ndi zopatsirana komanso zomwe sizimapatsirana. Koma nthawi zina madokotala sangapeze chomwe chimayambitsa matendawa.

Zina mwa zifukwa zazikulu zomwe sizimayambitsa matenda ndi izi:

• Matenda a ziwengo
• Bowa (nthawi zambiri mtundu wotchedwa Aspergillosis )
• Poizoni wopumira , mwachitsanzo utsi wa mankhwala, tinthu tachitsulo touluka, kapena fumbi.
• Mankhwala ena , mwachitsanzo, omwe amagwiritsidwa ntchito kwambiri ndi maantibayotiki , mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) , kapena mankhwala ena oletsa kuvutika maganizo (Selective Serotonin Reuptake Inhibitors - SSRIs) .
• Kusuta , makamaka ngati mwangoyamba kumene kusuta kapena ngati mwadzidzidzi mwawonjezera kuchuluka kwa kusuta komwe mumasuta.
• Matenda ena omwe amayambitsa matendawa , mwachitsanzo khansa, matenda odziteteza ku matenda enaake , kapena matenda otupa .

Kuphatikiza apo, matenda ena, makamaka tizilombo toyambitsa matenda, tingayambitsenso EP. Kawirikawiri, imathanso kuchitika mwa anthu omwe ali ndi COVID-19 .

Kodi zizindikiro za Eosinophilic Pneumonia ndi ziti?

Zizindikiro za matendawa zimatha kusiyana malinga ndi mtundu ndi chifukwa cha matendawa, koma pali zizindikiro zina zodziwika bwino:

• Chifuwa
• Malungo
• Kupuma movutikira / Kulephera kupuma

Chibayo cha acute eosinophilic pneumonia (AEP) chingakule mofulumira kwambiri, nthawi zambiri mkati mwa milungu iwiri. Zizindikiro zimatha kukhala zoopsa kwambiri mwa anthu omwe amasuta. Akhozanso kukumana ndi zizindikiro monga:

• Kupweteka pachifuwa
• Kuzizira
• Kutopa
• Kupweteka kwa minofu / Myalgia

Chofunika: Ngati simunapezeke ndi kulandira chithandizo mwachangu, mpweya m'magazi mwanu ukhoza kutsika kwambiri. Izi zingayambitse kupuma movutikira mkati mwa maola ochepa, zomwe zimafuna chithandizo chadzidzidzi.

Zizindikiro za chibayo chosatha cha eosinophilic pneumonia (CEP) zimakula pang'onopang'ono, nthawi zina miyezi ingapo matendawa asanadziwike. Anthu omwe ali ndi CEP nthawi zambiri amakhala ndi kupuma movutikira kapena mpweya wochepa m'magazi. Zizindikiro zodziwika bwino ndi izi:

• Kupuma movutikira komwe kumakulirakulira
• Thukuta la usiku
• Kuchepetsa thupi kosamveka bwino
• Kupuma movutikira

Ngati muli ndi zizindikiro izi, pitani kwa dokotala . Ngati mukuvutika kupuma kapena kupweteka pachifuwa, pitani kuchipatala chapafupi nthawi yomweyo.

Kodi Eosinophilic Pneumonia imapezedwa bwanji?

Madokotala amazindikira matendawa pokufunsani za zizindikiro zanu. Kuphatikiza apo, dokotalayo adzachita izi:

• Adzakufunsani za mbiri yanu yachipatala komanso komwe mwapita.
• Kuyezetsa thupi kumachitika.
• Kuyezetsa magazi , makamaka kuchuluka kwa magazi (CBC) , kumachitika kuti aone ngati pali vuto lililonse.

Chibayo cha eosinophilic chingakhale chovuta kuchizindikira chifukwa zizindikiro zake zimafanana ndi za matenda ena. Palibenso malire okhazikika a kuchuluka kwa ma eosinophils omwe amaonedwa kuti ndi okwera, zomwe zimapangitsa kuti zikhale zovuta kuzizindikira. Nthawi zina, madokotala amatsimikiza kuti matendawa apezeka pokhapokha zizindikiro zitayamba bwino pambuyo pa chithandizo.

Ndi mayeso ati omwe amathandiza kupeza matenda?

Mayeso ofunikira kwambiri omwe madokotala amagwiritsa ntchito pozindikira matendawa ndi kusamba kwa bronchoalveolar (BAL) . Izi zimaphatikizapo kutenga chitsanzo cha madzi m'mapapo anu pogwiritsa ntchito chubu chosinthasintha chotchedwa bronchoscope ndikuyang'ana ngati pali zizindikiro. Kuphatikiza apo, mayeso awa akhoza kuchitidwa:

• X-ray pachifuwa
• Kujambula kwa CT

Dokotala wanu angakulangizeni mayeso apadera kuti atsimikizire matenda, athetse matenda ena, komanso achite mayeso ena. Ngati muli ndi mafunso okhudza mayesowa, lankhulani ndi dokotala wanu.

Ndani angaphatikizidwe m'gulu lachipatala lochiza matendawa?

Pochiza chibayo cha eosinophilic, gulu lanu lachipatala lingaphatikizepo:

• Akatswiri a zamaganizo
• Akatswiri a matenda a m'mapapo
• Akatswiri ochiritsa matenda a kupuma

Kodi pali mankhwala athunthu a izi? Kodi zingakhale zoopsa pa moyo?

Nthawi zambiri, ngati matendawa apezeka msanga ndikuchiritsidwa bwino ndi mankhwala, zizindikiro zimatha kuchepetsedwa, ndipo nthawi zina munthu amatha kuchira mokwanira. Ngati mutsatira malangizo a chithandizo mosamala, mutha kubwerera ku zochita zomwe mumakonda.

Chibayo chomwe chimayambitsa matenda a Eosinophilic nthawi zambiri sichimayambitsidwa ndi matenda adzidzidzi. Komabe, nthawi zambiri, chingayambitse mavuto aakulu komanso oopsa monga kupuma movutikira .

Kodi Eosinophilic Pneumonia imachiritsidwa bwanji?

Ngati muli ndi vuto laling'ono la matendawa, dokotala wanu sangakupatseni chithandizo. Nthawi zina, EP imayamba chifukwa cha mankhwala omwe mukumwa. Ngati zili choncho, dokotala wanu angakuuzeni kuti musiye kumwa mankhwalawo.

Ngati mukufuna chithandizo, madokotala amachiritsa mitundu yonse itatu ikuluikulu ya EP pogwiritsa ntchito mankhwala omwe amapangidwira zomwe zimayambitsa komanso zizindikiro zake. Corticosteroids , yomwe imachepetsa kutupa (kutupa), ndiyo njira yodziwika bwino yothandizira, ndipo ndi yothandiza kwambiri.

Pa milandu yoopsa ya AEP, madokotala angalimbikitsenso njira zina zothandizira kupewa mavuto opuma, monga:

• Mpweya wowonjezera
• Glucocorticoids (komanso mtundu wa corticosteroid)

Anthu omwe ali ndi CEP nthawi zambiri amafunika kumwa mankhwala a steroids kwa nthawi yayitali, nthawi zambiri kwa miyezi ingapo. Anthu ena angafunike chithandizo kwa nthawi yayitali.

Kodi mungachepetse bwanji chiopsezo chotenga Eosinophilic Pneumonia?

Kaya mungachepetse chiopsezo chanu chotenga matendawa kutengera chomwe chimayambitsa matendawa. Chifukwa chachikulu chomwe chimayambitsa kuchuluka kwa eosinophils ndi ziwengo. Izi zitha kuperekedwa kwa mibadwomibadwo. Mankhwala angathandize kupewa kapena kulamulira ziwengo zomwe zimachitika m'thupi lanu.

Moyo wathanzi , monga kuchepetsa kapena kusiya kusuta fodya, ungachepetsenso chiopsezo chanu chotenga matendawa. Lankhulani ndi dokotala wanu za njira zochepetsera chiopsezo chanu chotenga matenda a chibayo otchedwa eosinophilic pneumonia.

Kodi zitenga nthawi yayitali bwanji kuti munthu achire? Kodi chiyembekezo chili bwanji?

Nthawi yochira ku Eosinophilic Pneumonia imasiyana malinga ndi mtundu ndi kuopsa kwa matendawa. Anthu ambiri omwe ali ndi acute eosinophilic pneumonia (AEP) amachira msanga, nthawi zina mkati mwa maola 48 kuyambira pomwe adayamba kulandira mankhwala a steroid. Anthu ambiri amatenga pafupifupi sabata imodzi kapena ziwiri kuti achire mokwanira.

Ngati muli ndi chibayo chosatha cha eosinophilic pneumonia (CEP), mwina mungafunike kumwa mankhwala a steroid (monga prednisone ) kwa nthawi yayitali - kwa miyezi, mwina zaka. Mudzalandiranso chithandizo cha matenda aliwonse omwe angayambitse vutoli, monga mphumu.

Anthu ambiri omwe amalandira chithandizo msanga amakhala ndi chiyembekezo chabwino kwambiri . Mankhwala operekedwa a AEP amatha kuchepetsa zizindikiro mwachangu ndikupangitsa kuti achire mokwanira.

Komabe, anthu opitilira 50% omwe ali ndi CEP adzabwereranso ku matendawa . Kenako adzafunika kumwa mankhwala a steroid kwa nthawi yayitali, mwina kangapo. Dokotala wanu adzagwira nanu ntchito moyo wanu wonse kuti akuthandizeni kuthana ndi chibayo chosatha cha eosinophilic chibayo ndikuchepetsa zizindikiro zanu.

Muyenera kuyesedwa pafupipafupi kuti muwone momwe mulili. Kuwunika kumeneku kudzalola dokotala wanu kusintha chithandizo chanu ngati pakufunika kutero ndikupewa mavuto. Tsatirani malangizo a dokotala wanu mosamala ndikutsatira nthawi yanu yokumana. Izi zidzakuthandizani kulandira chithandizo munthawi yake.

Kodi matendawa angakhudze moyo wanga?

Kuchuluka kwa chibayo chomwe chimayambitsa matenda a eosinophilic kumadalira kuopsa kwa zizindikiro zanu, matenda ena omwe amayambitsa matendawa, komanso kupambana kwa chithandizo. Mutha kuchira mokwanira ndikubwerera ku zochita zanu zachizolowezi.

Kapena, mungafunike kusintha moyo wanu, kupitiriza kumwa mankhwala oletsa zizindikiro, ndikupewa mavuto. Mwa kugwira ntchito limodzi ndi dokotala wanu, mutha kukhala ndi thanzi labwino komanso kuchita masewera olimbitsa thupi momwe mungathere.

Kodi ndi liti pamene muyenera kupeza upangiri wa dokotala wa Eosinophilic Pneumonia?

Ngati muli ndi zizindikiro monga kupuma movutikira, kupweteka pachifuwa, kutentha thupi, kapena kutsokomola mwadzidzidzi kapena pang'onopang'ono, funsani upangiri wa dokotala wokhudza Eosinophilic Pneumonia. Dokotala wanu angakutumizireni kwa katswiri wa mapapu .

Mukaphunzira za matenda osowa a m'mapapo otchedwa eosinophilic pneumonia, mungakhale ndi mafunso ambiri okhudza thanzi lanu. Koma anthu ambiri amachira ndi corticosteroids. Dokotala wanu angakuthandizeni kuchepetsa zizindikiro zanu ndikupewa mavuto. Adzagwira nanu ntchito kuti apange dongosolo la chithandizo lomwe lingakuthandizeni, kuti muchiritsidwenso. Kumbukirani, ngati muwona kusintha kulikonse pa thanzi lanu, monga chifuwa, malungo, kapena kupweteka pachifuwa, nthawi zonse lankhulani ndi dokotala wanu. Adzapeza chomwe chimayambitsa zizindikiro zanu ndikukupatsani chithandizo chomwe mukufuna.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri zokhudza Eosinophilic Pneumonia. Nazi zinthu zingapo zoti muzikumbukira mwachidule:

• Imeneyi ndi matenda osowa kwambiri omwe amayamba chifukwa cha kuchuluka kwa maselo oyera m'magazi otchedwa eosinophil m'mapapo.
• Zinthu monga kusuta fodya, ziwengo, mankhwala ena, ndi matenda opatsirana ndi tizilombo toyambitsa matenda zingayambitse izi.
• Chifuwa, malungo, ndi kupuma movutikira ndi zizindikiro zazikulu. Kupweteka pachifuwa, kutopa, ndi thukuta usiku zimathanso kuchitika.
• Iyi si matenda opatsirana.
• Ngati yapezeka msanga ndikuchiritsidwa ndi mankhwala monga corticosteroids, nthawi zambiri imatha kuchiritsidwa.
• Ngati muli ndi zizindikiro izi, musakhale aulesi ndipo pitani kwa dokotala . Ndicho chinthu chofunika kwambiri.

Tikukhulupirira kuti mwadziwitsidwa ndi izi. Khalani ndi thanzi labwino!

Chibayo chofala kwambiri , chibayo chofala kwambiri, matenda a m'mapapo, matenda opuma, eosinophils, ziwengo, chibayo