Ngaba ezi 'seli ze-eosinophil' ziyayiphazamisa imiphunga yakho? Makhe sithethe nge-Eosinophilic Pneumonia!

Ngaba ngamanye amaxesha ukhe uzive ngathi unengxaki ngemiphunga yakho, njengobunzima bokuphefumla okanye ukukhwehlela okungapheliyo? Mhlawumbi luhlobo olungaqhelekanga losulelo lwemiphunga olungazange luve nganto kuthi. Namhlanje siza kuthetha ngesifo esinye esinjalo, i-Eosinophilic Pneumonia . Nangona igama lisenokuvakala linzima kancinci, masiliqonde ngokulula.

Yintoni i-Eosinophilic Pneumonia?

Ngamafutshane, i-Eosinophilic Pneumonia yimeko engaqhelekanga echaphazela imiphunga yakho. Yenzeka xa uhlobo lweseli emhlophe yegazi ebizwa ngokuba yi-eosinophil luqokelelana emiphungeni yakho, kwaye ngamanye amaxesha egazini lakho, nto leyo ebangela ukudumba , okanye ukudumba, emiphungeni, okunokuyonakalisa.

Esi sifo sinokuchaphazela abantu bayo nayiphi na iminyaka. Singabangelwa zizinto ezahlukeneyo. Ukutshaya , i-allergies , okanye isifo se-parasitic roundworm zonke ezinokubangela esi sifo. Ukuba asinyangwa kakuhle, ngamanye amaxesha sinokukhokelela kwiimeko ezinzulu ngakumbi, ezifana nokusilela kokuphefumla .

I-pneumonia ebangela i-eosinophilic inokwenzeka ngeendlela ezimbini eziphambili:

• Imeko ebukhali: Oku kwenzeka ngokukhawuleza kakhulu, phantse ngequbuliso, kwaye kuhlala ixesha elifutshane.
• Imeko engapheliyo: Le yimeko efika idlule, kodwa inokuhlala ixesha elide.

Kodwa ungakhathazeki, esi sifo sibizwa ngokuba yi-Eosinophilic Pneumonia asisuleli . Ukuba usifumanisa kwangethuba isifo kwaye ufumane unyango olufanelekileyo, ugqirha wakho unokulawula ezi mpawu aze akubuyisele endleleni. Kukho ithuba elihle lokuba uya kuphila ngokupheleleyo.

Ngoobani la ma-eosinophil? Kutheni besenza oku?

Ngoku usenokuba uzibuza ukuba, zeziphi ezi eosinophils kwaye kutheni ziphazamisa imiphunga yethu? Ii-Eosinophils luhlobo lweeseli ezimhlophe zegazi ezinceda inkqubo yethu yokuzikhusela . Ngokuchanekileyo, umongo wethu wethambo uvelisa ezi eosinophils. Kumntu ophilileyo, zikhona ngamanani amancinci kakhulu, phakathi kwe-1% kunye ne-5% yeeseli ezimhlophe zegazi.

Nangona kunjalo, ukuba uneemeko ezifana ne -allergies , i-asthma , usulelo , amayeza athile, okanye umhlaza , inani lee-eosinophils linokunyuka ngequbuliso. Oku sikubiza ngokuba yi -eosinophilia . Omnye umsebenzi wee-eosinophils kukuba zikhupha izinto ezahlukeneyo (ii-enzymes kunye neeproteni) kwaye zitshabalalise iiseli eziyingozi emzimbeni.

Nangona kunjalo, ingxaki ibakho xa ezi eosinophils zisanda kakhulu. Emva koko ziqokelelana kwizicubu zethu nakwizitho zethu zomzimba zize zibangele ukudumba, oko kukuthi, ukudumba. Xa oku kusenzeka emiphungeni, kuvela i-Eosinophilic Pneumonia.

I-Eosinophilic Pneumonia yahluke njani kwi-pneumonia eqhelekileyo?

Mhlawumbi ukhe weva nge-pneumonia, kodwa le pneumonia ye-eosinophilic yahlukile kancinci kune-pneumonia eqhelekileyo.

Umahluko ophambili ngunobangela. I-pneumonia eqhelekileyo ibangelwa zizifo ezibangelwa ziibhaktheriya , iifungi , okanye iintsholongwane .

Nangona kunjalo, i-Eosinophilic Pneumonia yenzeka xa iindonga zeendlela zakho zomoya, imiphunga, kunye nemithambo yegazi kwinkqubo yakho yokuphefumla zizaliswa zii-eosinophils. Ukuba unesifo esifana ne -asthma , esi sifo sinokwenziwa sibe sibi ngakumbi. Oku kungenxa yokuba i-mucus iyaqokelelana, ize ivale ngakumbi le ndlela yomoya incinci.

Ziziphi iintlobo eziphambili ze-Eosinophilic Pneumonia?

Kukho iintlobo ezintathu eziphambili zesi sifo. Masibone ukuba zeziphi:

1. I-Acute Eosinophilic Pneumonia (AEP): Olu hlobo luba mandundu ngokukhawuleza, nto leyo ebangela ukuba amanqanaba eoksijini egazini lakho ehle. Nangona kunjalo, uninzi lwexesha, ukuba unyangwa ngokufanelekileyo, ungaphila ngokupheleleyo.

2. Isifo se-Chronic Eosinophilic Pneumonia (CEP): Esi sisifo esikhula kangangeentsuku, ngamanye amaxesha iiveki. Ukuba asinyangwa, sinokuhlala iiveki okanye iinyanga, kwaye iimpawu zinokuba nzima kakhulu.

3. I-Löffler syndrome / i-simple pulmonary eosinophilia (SPE): Olu luhlobo lwe-eosinophilic pneumonia. Nangona kunjalo, kule meko, kusenokungabikho zimpawu konke konke, okanye kubekho iimpawu ezincinci nje njengokukhwehlela okomileyo . Le Löffler syndrome ibangelwa zizifo ezibangelwa ziiparasites , ingakumbi iintshulube ezingqukuva . Xa inyangwa, idla ngokuphela kwinyanga.

Ngubani onokuba nethuba elikhulu lokufumana i-Eosinophilic Pneumonia?

Nangona esi sifo sinokwenzeka nakweyiphi na iminyaka, kukho utshintsho oluncinci oluxhomekeke kwizinto ezithile. Nangona unobangela ochanekileyo ungaziwa, esi sifo sidla ngokubonakala rhoqo, ingakumbi kwiimeko ezinzima, ehlotyeni.

Kukho umahluko ngokuxhomekeke kuhlobo lwesifo:

• I-Acute eosinophilic pneumonia (AEP): Le yintsholongwane exhaphakileyo kumadoda aphakathi kweminyaka engama-20 ukuya kwengama-40 ubudala.
• I-persistent eosinophilic pneumonia (CEP): Le yingxaki eqhelekileyo phakathi kwabasetyhini abaneminyaka engama-30 ukuya kwengama-50 ubudala.

Abantu abaninzi abane-AEP bayatshaya.Abantu. Kodwa uninzi lwabantu abane-CEP abatshayi, kwaye ngaphezulu kwesiqingatha sabo banezifo ze-allergies ezifana ne -asthma , i-eczema / i-atopic dermatitis , okanye i-allergy rhinitis / i-hay fever .

Ixhaphake kangakanani le sifo?

I-Eosinophilic pneumonia ithathwa njengesifo esingaqhelekanga . Ngokutsho kophando olwenziwe ngo-2020, zingaphantsi kwama-200 iimeko ze-AEP ezibikwe kwiirekhodi zonyango.

Nangona kunjalo, abaphandi bakholelwa ukuba oku kungenxa yokuba esi sifo asifumaneki ngokwaneleyo . Ngenxa yokuba iimpawu zaso zifana kakhulu nezomkhuhlane oqhelekileyo wentsholongwane okanye ezinye izifo zemiphunga, sinokuthi singafumaneki ukuba esi sifo asibi kakhulu, ingakumbi ukuba imbangela ayaziwa ncam (idiopathic).

Ziziphi ezinye iimeko ezifana ne-Eosinophilic Pneumonia?

Njengoko besitshilo ngaphambili, kunokuba nzima ukufumanisa isifo esichanekileyo kuba iimpawu zaso zifana nezifo eziqhelekileyo zentsholongwane kunye nezifo zokuphefumla. Kukho ezinye iimeko ezininzi ezinokubangela iimpawu ezifanayo:

• I-Acute Respiratory Distress Syndrome (ARDS)
• Isifuba
• I-Eosinophilic Granulomatosis enePolyangiitis (i-EGPA, eyayisaziwa ngokuba yiChurg-Strauss syndrome)
• I-pneumonia eqhelekileyo

Zithini izizathu ze-Eosinophilic Pneumonia?

Zininzi izizathu zesi sifo, ezosulelayo nezo zingasuleliyo. Kodwa ngamanye amaxesha noogqirha abakwazi ukufumana unobangela ochanekileyo.

Ezinye zezona zinto ziphambili ezingezizo ezosulelayo zezi:

• Iimpendulo ze-allergy
• Ifungus (edla ngokuba luhlobo olubizwa ngokuba yi-Aspergillosis )
• Iityhefu ezifuthwayo , umzekelo umsi weekhemikhali, amasuntswana esinyithi aphuma emoyeni, okanye uthuli.
• Amanye amayeza , umzekelo, asetyenziswa rhoqo njengee-antibiotics , amayeza angengo-steroidal anti-inflammatory (NSAIDs) , okanye amanye amayeza okudakumba (Selective Serotonin Reuptake Inhibitors - SSRIs) .
• Ukutshaya , ingakumbi ukuba usandul’ ukuqala ukutshaya okanye ukuba ngequbuliso unyuke kakhulu umlinganiselo wokutshaya.
• Ezinye iimeko ezifihlakeleyo , umzekelo umhlaza, isifo sokuzikhusela komzimba , okanye isifo sokudumba .

Ukongeza, ezinye izifoIngakumbi iiparasites, zinokubangela i-EP. Kunqabile kakhulu, inokwenzeka nakubantu abane -COVID-19 .

Zithini iimpawu ze-Eosinophilic Pneumonia?

Iimpawu zesi sifo zinokwahluka ngokuxhomekeke kuhlobo kunye nesizathu sesifo, kodwa kukho ezinye iimpawu eziqhelekileyo:

• Ukukhwehlela
• Ifiva
• Ukuphefumla nzima/Ukuphelelwa ngamandla

I-Acute eosinophilic pneumonia (AEP) inokukhula ngokukhawuleza, rhoqo kwiiveki ezimbini. Iimpawu zinokuba nzima ngakumbi kubantu abatshayayo. Banokufumana neempawu ezifana nezi:

• Iintlungu zesifuba
• Ukugodola
• Ukudinwa
• Iintlungu zemisipha / iMyalgia

Kubalulekile: Ukuba ayifunyaniswanga kwaye ayinyangwa ngokukhawuleza, inqanaba leoksijini egazini lakho linokuhla ngendlela eyingozi. Oku kunokukhokelela ekungakwazini ukuphefumla ngokukhawuleza kwiiyure ezimbalwa, nto leyo edinga unyango olungxamisekileyo.

Iimpawu ze- chronic eosinophilic pneumonia (CEP) zikhula kancinci kancinci, ngamanye amaxesha iinyanga ngaphambi kokuba isifo sifunyanwe. Abantu abane-CEP abafane bafumane ukuphefumla okufutshane okanye amanqanaba e-oxygen aphantsi egazini. Iimpawu eziqhelekileyo ziquka:

• Ukuphefumla okunzima okuya kuba mandundu
• Ukubila ebusuku
• Ukunciphisa umzimba ngendlela engachazekiyo
• Ukuphefumla

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubonana nogqirha . Ukuba unengxaki yokuphefumla okanye iintlungu esifubeni, yiya esibhedlele esikufutshane ngokukhawuleza.

Ifunyanwa njani i-Eosinophilic Pneumonia?

Oogqirha bayasixilonga esi sifo ngokukubuza ngeempawu zakho. Ukongeza, ugqirha uya kwenza oku kulandelayo:

• Baza kukubuza ngembali yakho yezonyango kunye nokuba uhambe phi.
• Kuyenziwa uvavanyo lomzimba .
• Uvavanyo lwegazi , ingakumbi ukubalwa kwegazi okupheleleyo (CBC) , lwenziwa ukujonga naziphi na iingxaki.

I-Eosinophilic pneumonia inokuba nzima ukuyifumanisa kuba iimpawu zayo ziyafana nezezinye izifo. Akukho mda umiselweyo wokuba zingaphi ii-eosinophils ezithathwa njengeziphezulu, nto leyo eyenza kube nzima ukuyifumanisa. Ngamanye amaxesha, oogqirha bayaqinisekisa ukuba isifo siyaqhubeka xa iimpawu ziphucuka emva konyango.

Zeziphi iimvavanyo ezinceda ekuxilongweni?

Uvavanyo olubalulekileyo olusetyenziswa ngoogqirha ukufumanisa esi sifo yi -bronchoalveolar lavage (BAL) . Oku kuquka ukuthatha isampuli yolwelo oluvela emiphungeni yakho usebenzisa ityhubhu eguquguqukayo ebizwa ngokuba yi-bronchoscope uze uyijonge ukuba ibonakalisa iimpawu. Ukongeza, olu vavanyo lunokwenziwa:

• I-X-reyi yesifuba
• Iskeni ye-CT

Ugqirha wakho unokucebisa uvavanyo olukhethekileyo ngakumbi ukuqinisekisa ukuxilongwa, ukuthintela ezinye iimeko, kunye nokwenza olunye uvavanyo. Ukuba unemibuzo malunga novavanyo, thetha nogqirha wakho.

Ngubani onokufakwa kwiqela lezonyango elinyanga esi sifo?

Xa unyanga i-eosinophilic pneumonia, iqela lakho lezonyango lingabandakanya:

• Iingcali zonyango lomzimba
• Iingcali zePulmonologists
• Iingcali zokuphefumla

Ngaba ikho indlela yokunyanga le nto? Ngaba ingasongela ubomi?

Kwiimeko ezininzi, ukuba isifo sifunyenwe kwangethuba kwaye sinyangwa ngokufanelekileyo ngamayeza, iimpawu zinokulawulwa, kwaye ngamanye amaxesha ukuchacha ngokupheleleyo kunokufezekiswa. Ukuba ulandela imiyalelo yonyango ngononophelo, ungabuyela kwimisebenzi oyithandayo.

I-pneumonia ehlala ixhaphakile ayisiyongxaki yezonyango. Nangona kunjalo, ayifane ibangele iingxaki ezinzulu nezisongela ubomi, ezifana nokusilela kokuphefumla .

Iphathwa njani i-Eosinophilic Pneumonia?

Ukuba unesifo esincinci, ugqirha wakho usenokungakunyangi. Ngamanye amaxesha, i-EP ibangelwa liyeza olisebenzisayo. Ukuba kunjalo, ugqirha wakho uya kukuxelela ukuba uyeke ukusebenzisa elo yeza.

Ukuba ufuna unyango, oogqirha banyanga zonke iintlobo ezintathu eziphambili ze-EP besebenzisa amayeza alungiselelwe unobangela kunye neempawu ezisisiseko. Ii-Corticosteroids , ezinciphisa ukudumba (ukudumba), lolona nyango luqhelekileyo, kwaye zisebenza kakhulu.

Kwiimeko ezinzima ze-AEP, oogqirha banokucebisa nezinye iindlela zonyango zokuthintela uxinzelelo lokuphefumla, ezifana nezi:

• Ioksijini eyongezelelweyo
• Iiglucocorticoids (kwakhona uhlobo lwe-corticosteroid)

Abantu abane-CEP badla ngokufuna ukuthatha ii-steroids ixesha elide, ngesiqhelo kangangeenyanga. Abanye abantu banokufuna unyango ixesha elide nangakumbi.

Ungayinciphisa njani ingozi yokuba ne-Eosinophilic Pneumonia?

Ukuba ungayinciphisa na ingozi yakho yokuba nesi sifo kuxhomekeke kwisizathu esiyintloko. Isizathu esiphambili samanqanaba aphezulu e-eosinophil yi-allergies. Ezi zinokudluliselwa kwizizukulwana ngezizukulwana. Amayeza anokunceda ukuthintela okanye ukulawula iimpembelelo ze-allergy kwinkqubo yakho yomzimba yokuzikhusela.

Indlela yokuphila esempilweni , efana nokunciphisa okanye ukuyeka ukutshaya, inokunciphisa nomngcipheko wakho wokuba nesi sifo ngokubanzi. Thetha nogqirha wakho ngeendlela zokunciphisa umngcipheko wakho wokuba ne-eosinophilic pneumonia.

Kuza kuthatha ixesha elingakanani ukuba umntu alulame? Injani imeko?

Ixesha lokuchacha kwi-Eosinophilic Pneumonia liyahluka ngokuxhomekeke kuhlobo kunye nobunzima besifo. Uninzi lwabantu abane-acute eosinophilic pneumonia (AEP) bachacha ngokukhawuleza, ngamanye amaxesha kwiiyure ezingama-48 emva kokuqala unyango lwe-steroid. Uninzi lwabantu luthatha malunga neveki okanye ezimbini ukuba baphile ngokupheleleyo.

Ukuba une-chronic eosinophilic pneumonia (CEP), kuya kufuneka uthathe i-steroid yomlomo (efana ne -prednisone ) ixesha elide - kangangeenyanga, mhlawumbi neminyaka. Uya kunyangwa nakweyiphi na imeko engaphantsi, efana ne-asthma.

Ithemba labantu abaninzi abafumana unyango kwangethuba lilungile kakhulu . Amayeza anikwa i-AEP anokunciphisa ngokukhawuleza iimpawu aze akhokelele ekuchacheni ngokupheleleyo.

Nangona kunjalo, abantu abangaphezu kwama-50% abane-CEP baya kuphinda babuyele kwisifo sabo . Emva koko kuya kufuneka bathathe ii-steroids ixesha elide, mhlawumbi amaxesha amaninzi. Ugqirha wakho uya kusebenza nawe ubomi bakho bonke ukunceda ukulawula le pneumonia engapheliyo ye-eosinophilic kunye nokunciphisa iimpawu zakho.

Kuya kufuneka uhlolwe rhoqo ukuze ujonge imeko yakho. Olu hlolo luya kuvumela ugqirha wakho ukuba alungise unyango lwakho ukuba kuyimfuneko aze athintele iingxaki. Landela imiyalelo kagqirha wakho ngononophelo kwaye ugcine amadinga akho. Oku kuya kukunceda ufumane unyango ngexesha elifanelekileyo.

Ngaba esi sifo siza kuyichaphazela umgangatho wobomi bam?

Ukuba ingakanani i-eosinophilic pneumonia echaphazela ubomi bakho kuxhomekeke kubukhali beempawu zakho, ezinye iimeko ezisisiseko, kunye nempumelelo yonyango. Usenokukwazi ukuchacha ngokupheleleyo kwaye ubuyele kwimisebenzi yakho yesiqhelo.

Okanye, kusenokufuneka wenze utshintsho oluthile kwindlela ophila ngayo, uqhubeke nokusela amayeza okulawula iimpawu, kunye nokuthintela iingxaki. Ngokusebenzisana ngokusondeleyo nogqirha wakho, unokuhlala usempilweni kwaye usebenza kangangoko unako.

Ufanele ufune nini iingcebiso zonyango nge-Eosinophilic Pneumonia?

Ukuba uneempawu ezifana nokuphefumla kancinci, iintlungu esifubeni, umkhuhlane, okanye ukunyuka kwesikhohlela ngequbuliso okanye kancinci kancinci, funa ingcebiso kagqirha malunga ne-Eosinophilic Pneumonia. Ugqirha wakho unokukuthumela kwi -pulmonologist .

Xa ufunda ngolu hlobo lungaqhelekanga losulelo lwemiphunga olubizwa ngokuba yi-eosinophilic pneumonia, unokuba nemibuzo emininzi malunga nempilo yakho. Kodwa abantu abaninzi bayachacha nge-corticosteroids. Ugqirha wakho anokukunceda unciphise iimpawu zakho kwaye athintele iingxaki. Baza kusebenza nawe ukwenza isicwangciso sonyango esikusebenzelayo, ukuze uphile kwakhona. Khumbula, ukuba ubona naluphi na utshintsho kwimpilo yakho, njengokukhwehlela, umkhuhlane, okanye iintlungu zesifuba, soloko uthetha nogqirha wakho. Baza kufumana unobangela weempawu zakho baze bakunike unyango olufunayo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-Eosinophilic Pneumonia. Nazi izinto ezimbalwa ekufuneka uzikhumbule ngokufutshane:

• Esi sisifo esingaqhelekanga esibangelwa kukwanda kweeseli ezimhlophe zegazi ezibizwa ngokuba yi-eosinophil emiphungeni.
• Izinto ezinje ngokutshaya, ii-allergies, amayeza athile, kunye nosulelo olubangelwa zizinambuzane zinokubangela oku.
• Ukukhohlela, umkhuhlane, kunye nobunzima bokuphefumla zezona mpawu ziphambili. Iintlungu zesifuba, ukudinwa, kunye nokubila ebusuku nazo zinokubakho.
• Esi asisosifo esosulelayo.
• Ukuba ifunyenwe kwangethuba kwaye inyangwa ngonyango olufana ne -corticosteroids, inokuhlala inyangeka.
• Ukuba unale mpawu, musa ukuba livila uye kugqirha . Leyo yeyona nto ibalulekileyo.

Siyathemba ukuba unolwazi oluvela kolu lwazi. Hlala usempilweni!

I- Eosinophilic pneumonia, i-Eosinophilic pneumonia, isifo semiphunga, isifo sokuphefumla, ii-eosinophils, ii-allergies, i-pneumonia