Masero aya e'eosinophil' ari kutambudza mapapu akowo here? Ngatitaurei nezveEosinophilic Pneumonia!

Dzimwe nguva unonzwa sekuti une dambudziko nemapapu ako here, sekutadza kufema zvakanaka kana kukosora nguva dzose? Pamwe imhando isingawanzoitiki yehutachiona hwemapapu iyo isina kana mumwe wedu akambonzwa nezvayo. Nhasi tichataura nezvechimwe chirwere chakadai, Eosinophilic Pneumonia . Kunyangwe zita racho ringanzwika serakaoma, ngatirinzwisise zviri nyore.

Chii chinonzi Eosinophilic Pneumonia?

Zvichitaurwa zviri nyore, Eosinophilic Pneumonia chirwere chisingawanzoitiki chinokanganisa mapapu ako. Chinoitika kana rudzi rwemasero machena eropa runonzi eosinophil rwukaungana mumapapu ako, uye dzimwe nguva muropa rako, zvichikonzera kuzvimba , kana kuzvimba, mumapapu, izvo zvinogona kuakuvadza.

Chirwere ichi chinogona kubata vanhu vezera ripi zvaro. Chinogona kukonzerwa nezvinhu zvakasiyana-siyana. Kusvuta , allergies , kana chirwere chehonye dzinopararira zvinogona kukonzera chirwere ichi. Kana chikarapwa nemazvo, dzimwe nguva chinogona kukonzera zvirwere zvakakomba, zvakaita sekutadza kufema zvakanaka .

Mapundu anouraya mapapu anogona kuitika nenzira mbiri huru:

• Dambudziko guru: Izvi zvinokura nekukurumidza, kamwe kamwe, uye zvinogara kwenguva pfupi.
• Chirwere chisingaperi: Ichi chirwere chinouya choenda, asi chinogona kugara kwenguva refu.

Asi musazvidya moyo, chirwere ichi chinonzi Eosinophilic Pneumonia hachitapurirani . Kana ukaona chirwere ichi nekukurumidza uye ukawana kurapwa kwakakodzera, chiremba wako anogona kudzora zviratidzo izvi uye kukudzosera munzira. Pane mukana mukuru wekuti uchapora zvachose.

Maeosinophil aya ndivanaani? Sei vachiita izvi?

Zvino ungave uchishamisika kuti, ma eosinophils aya chii uye nei achinetsa mapapu edu? Ma eosinophils rudzi rwemasero machena eropa anobatsira masoja edu ekudzivirira muviri . Kutaura chokwadi, mupfupa wedu unogadzira ma eosinophils aya. Mumunhu ane hutano, anowanikwa muhuwandu hushoma, pakati pe1% ne5% yemasero machena eropa.

Zvisinei, kana uine zvirwere zvakaita seallergies , asthma , hutachiona , mimwe mishonga , kana kenza , huwandu hwe eosinophils hunogona kuwedzera kamwe kamwe. Tinoti iyi eosinophilia . Rimwe basa re eosinophils nderekuti dzinoburitsa zvinhu zvakasiyana-siyana (ma enzymes nemapuroteni) uye dzinoparadza masero anokuvadza muviri.

Zvisinei, dambudziko nderekuti ma eosinophils aya anowedzera zvakanyanya. Zvadaro anoungana munyama dzedu nenhengo dzedu dzobva dzakonzera kuzvimba, kureva kuzvimba. Kana izvi zvikaitika mumapapu, Eosinophilic Pneumonia inokura.

Pneumonia inouraya vanhu vakawanda yakasiyana sei nepneumonia yenguva dzose?

Pamwe wakambonzwa nezve pneumonia, asi iyi eosinophilic pneumonia yakasiyana zvishoma ne pneumonia yenguva dzose.

Musiyano mukuru ndewechikonzero. Mabayo anowanzo kukonzerwa nehutachiona hwebhakitiriya , fungi , kana mavhairasi .

Zvisinei, Eosinophilic Pneumonia inoitika kana madziro enzira dzako dzekufema, mapapu, uye tsinga dzeropa muhurongwa hwako hwekufema azadzwa nema eosinophils. Kana uine chirwere chakadai seasthma , chirwere ichi chinogona kuwedzerwa kuipa. Izvi zvinokonzerwa nekuti madzihwa anoungana, zvichivhara nzira idzi dzekufema dzakamanikana.

Ndedzipi mhando huru dzeEosinophilic Pneumonia?

Kune mhando nhatu huru dzechirwere ichi. Ngationei kuti ndedzipi:

1. Acute Eosinophilic Pneumonia (AEP): Rudzi urwu runokurumidza kuipa, zvichiita kuti huwandu hweokisijeni muropa rako hudzike. Zvisinei, kazhinji, kana ukarapwa nemazvo, unogona kupora zvachose.

2. Chirwere chepfungwa chinogara kwenguva refu chinonzi Chronic Eosinophilic Pneumonia (CEP): Ichi chirwere chinokura kwemazuva akati wandei, dzimwe nguva mavhiki. Kana chikasarapwa, chinogona kugara kwemavhiki kana mwedzi, uye zviratidzo zvacho zvinogona kutowedzera kuipa.

3. Löffler syndrome / simple pulmonary eosinophilia (SPE): Iyi imhando ye pneumonia inonzi eosinophilic. Zvisinei, muchiitiko ichi, panogona kunge pasina zviratidzo zvachose, kana zviratidzo zvidiki zvakaita sekukosora kwakaoma . Iyi Löffler syndrome inokonzerwa nehutachiona hweparasite , kunyanya honye dzakaita seroundworms . Nekurapwa, inowanzopera mukati memwedzi.

Ndiani ane mukana mukuru wekuwana Eosinophilic Pneumonia?

Kunyangwe chirwere ichi chichigona kuitika chero pazera ripi zvaro, pane zvimwe zvinhu zvishoma zvinoenderana nezvimwe zvinhu. Kunyangwe chikonzero chaicho chisingazivikanwi, chirwere ichi chinowanzoonekwa kakawanda, kunyanya muzviitiko zvakakomba, muzhizha.

Kunewo misiyano zvichienderana nerudzi rwechirwere:

• Chirwere chepneumonia chinouraya vanhu vakawanda (AEP): Izvi zvinonyanya kuitika kuvarume vane makore ari pakati pe20 ne40.
• Chirwere chepneumonia chinogara kwenguva refu (CEP): Ichi chinowanzoitika pakati pevakadzi vane makore ari pakati pe30 ne50.

Vanhu vazhinji vane AEP vanosvuta.Vanhu. Asi vanhu vazhinji vane CEP havasvuti, uye vanopfuura hafu yavo vane zvirwere zveallergy zvakaita seasthma , eczema / atopic dermatitis , kana allergic rhinitis / hay fever .

Chirwere ichi chakajairika zvakadii?

Eosinophilic pneumonia inoonekwa sechirwere chisingawanzoitiki . Sekureva kweongororo yakaitwa muna 2020, nyaya dzisingasviki mazana maviri dzeAEP dzakanyorwa muzvinyorwa zvekurapa.

Zvisinei, vaongorori vanotenda kuti izvi zvinokonzerwa nekuti chirwere ichi hachinyatsoonekwa . Nekuti zviratidzo zvacho zvakafanana nezvirwere zvefuruwenza kana zvimwe zvirwere zvemapapu, chinogona kusaonekwa kana chirwere chacho chisina kunyanya kuipa, kunyanya kana chikonzero chacho chisingazivikanwi chaizvo (idiopathic).

Ndezvipi zvimwe zvirwere zvakafanana neEosinophilic Pneumonia?

Sezvatakambotaura, zvinogona kuoma kuziva chirwere chaicho nekuti zviratidzo zvacho zvakafanana nezvirwere zvehutachiona uye zvekufema. Kune zvimwe zvirwere zvakawanda zvinogona kukonzera zviratidzo zvakafanana:

• Chirwere cheAcute Respiratory Distress Syndrome (ARDS)
• Asima
• Eosinophilic Granulomatosis ine Polyangiitis (EGPA, yaimbozivikanwa seChurg-Strauss syndrome)
• Mabayo akajairika

Ndezvipi zvikonzero zveEosinophilic Pneumonia?

Pane zvikonzero zvakawanda zvechirwere ichi, zvinotapuriranwa uye zvisingatapurire. Asi dzimwe nguva kunyange vanachiremba havakwanise kuwana chikonzero chaicho.

Zvimwe zvezvikonzero zvikuru zvisingatapurire chirwere ndeizvi:

• Kusawirirana kwemuviri
• Fungus (kazhinji rudzi runonzi Aspergillosis )
• Chepfu dzinofemwa , semuenzaniso utsi hwemakemikari, zvidimbu zvesimbi zvinofambiswa nemhepo, kana guruva.
• Mimwe mishonga , semuenzaniso, mishonga inorwisa mabhakitiriya inowanzo shandiswa, mishonga isingashandisi masteroidal anti-inflammatory drugs (NSAIDs) , kana mimwe mishonga inorwisa kushushikana kwepfungwa (Selective Serotonin Reuptake Inhibitors - SSRIs) .
• Kusvuta , kunyanya kana uchangotanga kusvuta kana kuti wangoerekana wawedzera huwandu hwaunosvuta.
• Zvimwe zvirwere zviri pasi pazvo , semuenzaniso kenza, chirwere che autoimmune , kana chirwere chekuzvimba .

Pamusoro pezvo, zvimwe zvirwere, kunyanya tupukanana, zvinogona kukonzerawo EP. Kashoma, zvinogonawo kuitika kuvanhu vane COVID-19 .

Ndezvipi zviratidzo zveEosinophilic Pneumonia?

Zviratidzo zvechirwere ichi zvinogona kusiyana zvichienderana nerudzi uye chikonzero chechirwere, asi pane zvimwe zviratidzo zvakajairika:

• Kukosora
• Kupindwa nechando
• Kushaya mweya / Kushaya simba rekufema

Chirwere cheAcute eosinophilic pneumonia (AEP) chinogona kukura nekukurumidza, kazhinji mukati memavhiki maviri. Zviratidzo zvinogona kuoma zvakanyanya kune vanhu vanoputa. Vanogonawo kuona zviratidzo zvakaita se:

• Kurwadziwa kwechipfuva
• Kutonhora
• Kuneta
• Kurwadziwa kwetsandanyama / Myalgia

Zvakakosha: Kana ikasaonekwa uye ikasarapwa nekukurumidza, huwandu hweokisijeni muropa rako hunogona kudzikira zvine njodzi. Izvi zvinogona kukonzera kutadza kufema zvakanaka mukati memaawa mashoma, zvichizoda kurapwa nekukurumidza.

Zviratidzo zve chronic eosinophilic pneumonia (CEP) zvinokura zvishoma nezvishoma, dzimwe nguva mwedzi yakati wandei chirwere chisati chaonekwa. Vanhu vane CEP havawanzo kufema zvakanaka kana kuti vane oxygen shoma muropa. Zviratidzo zvinowanzoonekwa zvinosanganisira:

• Kufema kushoma kunowedzera kuipa
• Kudikitira husiku
• Kuderedza uremu kusingatsananguriki
• Kufemereka

Kana uine chimwe chezviratidzo izvi, enda kuna chiremba . Kana uchinetseka kufema kana kurwadziwa pachipfuva, enda kuchipatara chiri pedyo nekukasika.

Chii chinonzi Eosinophilic Pneumonia?

Vanachiremba vanoongorora chirwere ichi nekukubvunza nezvezviratidzo zvako. Pamusoro pezvo, chiremba achaita zvinotevera:

• Vachakubvunza nezvenhoroondo yako yehutano uye kwawakamboenda.
• Kuongororwa kwemuviri kunoitwa.
• Kuongororwa kweropa , kunyanya kuverengwa kweropa rose (CBC) , kunoitwa kuti vaone kana paine dambudziko.

Pneumonia inouraya vanhu inogona kuoma kuona nekuti zviratidzo zvayo zvakafanana nezvezvimwe zvirwere. Hapanawo muganho wekuti mangani eosinophils anoonekwa seakakwira, zvichiita kuti zviome kuona. Dzimwe nguva, vanachiremba vanongosimbisa kuongororwa kana zviratidzo zvave nani mushure mekurapwa.

Ndezvipi zvidzidzo zvinobatsira pakuongorora chirwere?

Miedzo inonyanya kukosha inoshandiswa navanachiremba kuongorora chirwere ichi ndeyekushambidza mapapu uchishandisa bronchoalveolar lavage (BAL) . Izvi zvinosanganisira kutora sampuli yemvura kubva mumapapu uchishandisa chubhu inochinjika inonzi bronchoscope woiongorora kana iine zviratidzo. Pamusoro pezvo, bvunzo idzi dzinogona kuitwa:

• X-ray yechipfuva
• Kuongororwa kweCT

Chiremba wako anogona kukurudzira bvunzo dzakanyanya kuti asimbise chirwere chacho, abvise zvimwe zvirwere, uye aite dzimwe bvunzo. Kana uine mibvunzo nezvebvunzo idzi, taura nachiremba wako.

Ndivanaani vanogona kubatanidzwa muchikwata chekurapa chiri kurapa chirwere ichi?

Pakurapa pneumonia inonzi eosinophilic, timu yako yezvekurapa inogona kusanganisira:

• Varapi vemuviri
• Vanachiremba vemapapu
• Varapi vekufema

Pane mushonga wakakwana weizvi here? Zvingangoisa upenyu panjodzi here?

Kazhinji, kana chirwere chikaonekwa nekukurumidza uye chikarapwa nemazvo nemishonga, zviratidzo zvinogona kudzorwa, uye dzimwe nguva kupora kwakazara kunogona kuwanikwa. Kana ukanyatsotevera mirairo yekurapwa, unogona kudzokera kumabasa aunofarira.

Mapundu anouraya vanhu vakawanda (eosinophilic pneumonia) haawanzo kuva emergency panyaya dzekurapa. Zvisinei, kashoma, anogona kukonzera matambudziko akakomba, anotyisidzira hupenyu, akadai sekutadza kufema zvakanaka .

Chirwere cheEosinophilic Pneumonia chinorapwa sei?

Kana uine chirwere chisina kunyanya kuipa, chiremba wako anogona kusakurapa. Dzimwe nguva, EP inokonzerwa nemushonga wauri kutora. Kana zvakadaro, chiremba wako achakuudza kuti urege kutora mushonga iwoyo.

Kana uchida kurapwa, vanachiremba vanorapa marudzi ese matatu makuru eEP vachishandisa mishonga yakagadzirirwa chikonzero nezviratidzo. Corticosteroids , inoderedza kuzvimba (kuzvimba), ndiyo nzira yakajairika yekurapa, uye inoshanda zvikuru.

Muzviitiko zvakakomba zveAEP, vanachiremba vanogonawo kukurudzira mamwe marapirwo ekudzivirira matambudziko ekufema, akadai se:

• Okisijeni yekuwedzera
• Glucocorticoids (rudzi rwe corticosteroid)

Vanhu vane CEP vanowanzoda kutora mishonga yema steroids kwenguva yakareba, kazhinji kwemwedzi yakati wandei. Vamwe vanhu vangada kurapwa kwenguva yakareba.

Ungaderedza sei njodzi yekubatwa neEosinophilic Pneumonia?

Kana uchikwanisa kuderedza njodzi yako yekubatwa nechirwere ichi zvinoenderana nechikonzero chacho. Chikonzero chikuru chekuwanda kwe eosinophils iallergies. Izvi zvinogona kupfuudzwa nezvizvarwa. Mishonga inogona kubatsira kudzivirira kana kudzora allergies dzemuviri wako.

Mararamiro ane hutano , akadai sekuderedza kana kurega kusvuta, anogonawo kuderedza njodzi yako yekubata chirwere ichi. Taura nachiremba wako nezvenzira dzekuderedza njodzi yako yekubatwa nechirwere chepneumonia chinonzi eosinophilic.

Zvinotora nguva yakareba sei kuti munhu apore? Tariro yacho ndeyei?

Nguva yekupora kubva kuEosinophilic Pneumonia inosiyana zvichienderana nerudzi uye kuoma kwechirwere. Vanhu vazhinji vane acute eosinophilic pneumonia (AEP) vanopora nekukurumidza, dzimwe nguva mukati memaawa makumi mana nemasere ekutanga kurapwa nesteroid. Vanhu vazhinji vanotora vhiki imwe kana maviri kuti vanyatsopora.

Kana uine chirwere che chronic eosinophilic pneumonia (CEP), ungangoda kutora mushonga we steroid (wakadai se prednisone ) kwenguva yakareba - kwemwedzi, pamwe nemakore. Ucharapwawo chero zvirwere zvipi zvazvo, zvakaita se asthma.

Zvinotarisirwa kuti vanhu vazhinji vanorapwa nekukurumidza zvakanaka . Mishonga inopiwa yeAEP inogona kuderedza zviratidzo nekukurumidza uye kuita kuti vakwanise kupora zvizere.

Zvisinei, vanhu vanopfuura 50% vane CEP vachadzokera kuchirwere ichi zvakare . Vachazofanira kutora mishonga yema steroids kwenguva yakareba, pamwe kakawanda. Chiremba wako achashanda newe muhupenyu hwako hwese kuti akubatsire kudzora chirwere ichi chisingaperi chepneumonia uye kuderedza zviratidzo zvako.

Uchafanira kuongororwa nguva nenguva kuti utarise mamiriro ako ezvinhu. Kuongororwa uku kuchaita kuti chiremba wako achinje marapirwo ako kana zvichidikanwa uye kudzivirira matambudziko. Tevedzera mirairo yachiremba wako nokungwarira uye chengeta nguva yako yekusangana. Izvi zvichakubatsira kuti uwane kurapwa nenguva.

Chirwere ichi chichakanganisa hupenyu hwangu here?

Kuti pneumonia inonzi eosinophilic pneumonia inokanganisa sei hupenyu hwako zvinoenderana nekuoma kwezviratidzo zvako, zvimwe zvirwere zvirimo, uye kubudirira kwekurapwa. Unogona kupora zvizere wodzokera kumabasa ako emazuva ese.

Kana kuti, ungangoda kuchinja mararamiro ako, kuramba uchitora mishonga yekudzora zviratidzo, uye kudzivirira matambudziko. Nekushanda pamwe chete nachiremba wako, unogona kuramba uine hutano hwakanaka uye uchishingaira sezvinobvira.

Ndirini paunofanira kutsvaga rubatsiro rwechiremba nezve Eosinophilic Pneumonia?

Kana uine zviratidzo zvakaita sekushaya mweya, kurwadziwa pachipfuva, fivha, kana kuwedzera kamwe kamwe kana zvishoma nezvishoma kwekukosora, tsvaga rubatsiro rwechiremba nezve Eosinophilic Pneumonia. Chiremba wako anogona kukutumira kuna chiremba wemapapu .

Paunodzidza nezvechirwere ichi chisingawanzoitiki chemapapu chinonzi eosinophilic pneumonia, unogona kuva nemibvunzo yakawanda nezvehutano hwako. Asi vanhu vazhinji vanopora nekushandisa corticosteroids. Chiremba wako anogona kukubatsira kuderedza zviratidzo zvako uye kudzivirira matambudziko. Vachashanda newe kugadzira hurongwa hwekurapa hunokushandira, kuitira kuti ugone kupora zvakare. Yeuka, kana ukaona chero shanduko muhutano hwako, senge kukosora, fivha, kana kurwadziwa kwechipfuva, gara uchitaura nachiremba wako. Vachawana chikonzero chezviratidzo zvako uye vachakupa kurapwa kwaunoda.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezve Eosinophilic Pneumonia. Heano zvinhu zvishoma zvekurangarira muchidimbu:

• Ichi chirwere chisingawanzoitiki chinokonzerwa nekuwandisa kwemasero machena eropa anonzi eosinophil mumapapu.
• Zvinhu zvakaita sekusvuta, allergies, mimwe mishonga, uye hutachiona hwezvipembenene zvinogona kukonzera izvi.
• Kukosora, fivha, uye kuoma kufema ndizvo zviratidzo zvikuru. Marwadzo echipfuva, kuneta, uye kudikitira husiku zvinogonawo kuitika.
• Ichi hachisi chirwere chinotapuriranwa.
• Kana chirwere ichi chikaonekwa nekukurumidza uye chikarapwa nemishonga yakaita se corticosteroids, chinogona kurapwa.
• Kana uine zviratidzo izvi, usaita usimbe woenda kuna chiremba . Ndicho chinhu chakakosha.

Tinovimba kuti waziviswa neruzivo urwu. Ramba uine hutano hwakanaka!

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