Ingabe lawa maseli 'e-eosinophil' ayaphazamisa amaphaphu akho? Ake sixoxe nge-Eosinophilic Pneumonia!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga ngamaphaphu akho, njengobunzima bokuphefumula noma ukukhwehlela okuqhubekayo? Mhlawumbe uhlobo olungavamile lokutheleleka kwamaphaphu okungekho noyedwa kithi oke wezwa ngalo. Namuhla sizokhuluma ngesifo esisodwa esinjalo, i-Eosinophilic Pneumonia . Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, masiliqonde kalula.

Iyini i-Eosinophilic Pneumonia?

Kalula nje, i-Eosinophilic Pneumonia yisimo esingavamile esithinta amaphaphu akho. Kwenzeka lapho uhlobo lweseli elimhlophe legazi elibizwa ngokuthi i-eosinophil luqoqana emaphashini akho, futhi ngezinye izikhathi egazini lakho, okubangela ukuvuvukala , noma ukuvuvukala, emaphashini, okungawalimaza.

Lesi sifo singathinta abantu banoma yimuphi ubudala. Singabangelwa yizinto ezahlukahlukene. Ukubhema , ukungezwani komzimba , noma isifo sezikelemu ezibangelwa amagciwane konke kungabangela lesi sifo. Uma singelashwa kahle, ngezinye izikhathi singaholela ezimweni ezibucayi kakhulu, njengokwehluleka kokuphefumula .

I-pneumonia ehlala isikhathi eside ingavela ngezindlela ezimbili eziyinhloko:

• Isimo esibi kakhulu: Lokhu kwenzeka ngokushesha kakhulu, cishe ngokuzumayo, futhi kuhlala isikhathi esifushane.
• Isimo esingamahlalakhona: Lesi yisimo esiba sibi kakhulu ngokuhamba kwesikhathi, kodwa singahlala isikhathi eside.

Kodwa ungakhathazeki, lesi sifo esibizwa ngokuthi i-Eosinophilic Pneumonia asithelelani . Uma uxilonga lesi sifo kusenesikhathi futhi uthola ukwelashwa okufanele, udokotela wakho angakwazi ukulawula lezi zimpawu futhi akubuyisele endleleni efanele. Kunethuba elihle lokuthi uzolulama ngokuphelele.

Bangobani laba ma-eosinophil? Kungani benza lokhu?

Manje ungase uzibuze, ayini lawa ma-eosinophil futhi kungani ephazamisa amaphaphu ethu? Ama-eosinophil awuhlobo lweseli elimhlophe legazi elisiza amasosha omzimba wethu. Uma sikhuluma iqiniso, umongo wethu wamathambo ukhiqiza lawa ma-eosinophil. Kumuntu ophilile, akhona ngamanani amancane kakhulu, phakathi kuka-1% no-5% wamangqamuzana amhlophe egazi.

Kodwa-ke, uma unezimo ezifana nokungezwani komzimba , i-asthma , izifo , imithi ethile, noma umdlavuza , inani lama-eosinophil linganda ngokuzumayo. Lokhu sikubiza ngokuthi i-eosinophilia . Omunye umsebenzi wama-eosinophil ukuthi akhipha izinto ezahlukahlukene (ama-enzyme namaprotheni) futhi abhubhise amaseli ayingozi emzimbeni.

Kodwa-ke, inkinga iba lapho la ma-eosinophil anda kakhulu. Bese eqoqana ezicutshini nasezithweni zethu futhi abangele ukuvuvukala, okungukuthi, ukuvuvukala. Uma lokhu kwenzeka emaphashini, kuvela i-Eosinophilic Pneumonia.

I-Eosinophilic Pneumonia ihluke kanjani kwi-pneumonia evamile?

Cishe uke wezwa nge-pneumonia, kodwa i-Eosinophilic Pneumonia ihlukile kancane kune-pneumonia evamile.

Umehluko omkhulu imbangela. I-pneumonia evamile ibangelwa ukutheleleka ngamagciwane , isikhunta , noma amagciwane .

Kodwa-ke, i-Eosinophilic Pneumonia yenzeka lapho izindonga zendlela yakho yokuphefumula, amaphaphu, kanye nemithambo yegazi ohlelweni lwakho lokuphefumula zigcwele ama-eosinophil. Uma unesifo esifana ne -asthma , lesi simo singenziwa sibe sibi kakhulu. Lokhu kungenxa yokuthi amafinyila ayaqoqana, okuvimba kakhulu le ndlela yokuphefumula emincane.

Yiziphi izinhlobo eziyinhloko ze-Eosinophilic Pneumonia?

Kunezinhlobo ezintathu eziyinhloko zalesi sifo. Ake sibone ukuthi ziyini:

1. I-Acute Eosinophilic Pneumonia (AEP): Lolu hlobo luba lubi kakhulu ngokushesha okukhulu, okubangela ukuthi amazinga omoya-mpilo egazini lakho ehle. Kodwa-ke, isikhathi esiningi, uma welashwa kahle, ungalulama ngokuphelele.

2. I-Chronic Eosinophilic Pneumonia (CEP): Lesi yisimo esikhula phakathi nezinsuku ezithile, ngezinye izikhathi amasonto. Uma singelashwa, singahlala amasonto noma izinyanga, futhi izimpawu zingaba zimbi kakhulu.

3. I-Löffler syndrome / i-eosinophilia elula yamaphaphu (SPE): Lolu futhi uhlobo lwe-pneumonia ye-eosinophilic. Kodwa-ke, kulokhu, kungase kungabi nazimpawu nhlobo, noma kube nezimpawu ezincane nje njengokukhwehlela okomile . Le syndrome ye-Löffler ibangelwa ukutheleleka kwezinambuzane , ikakhulukazi izikelemu eziyindilinga . Ngokwelashwa, imvamisa iyaphela phakathi nenyanga.

Ubani onamathuba amaningi okuthola i-Eosinophilic Pneumonia?

Nakuba lesi sifo singavela kunoma yimuphi ubudala, kunezinguquko ezincane kuye ngezici ezithile. Nakuba imbangela eqondile ingaziwa, lesi sifo sivame ukubonakala kaningi, ikakhulukazi ezimweni ezimbi kakhulu, ehlobo.

Kukhona futhi umehluko kuye ngohlobo lwesifo:

• I-pneumonia ebukhali ye-eosinophilic (AEP): Lokhu kuvame kakhulu kwabesilisa abaneminyaka ephakathi kuka-20 no-40.
• I-persistent eosinophilic pneumonia (CEP): Lokhu kuvame kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-50.

Abantu abaningi abane-AEP bayabhema.Abantu. Kodwa iningi labantu abane-CEP alibhemi, futhi abangaphezu kwengxenye yabo banezifo zokungezwani komzimba ezifana ne -asthma , i-eczema / i-atopic dermatitis , noma i-allergy rhinitis / umkhuhlane we-hay .

Sivame kangakanani lesi sifo?

I-pneumonia ehlala isikhathi eside ibhekwa njengesifo esingavamile kakhulu . Ngokusho kocwaningo lwango-2020, amacala angaphansi kuka-200 e-AEP abikwe kumarekhodi ezokwelapha.

Kodwa-ke, abacwaningi bakholelwa ukuthi lokhu kungenxa yokuthi lesi sifo asihlolwanga kahle . Ngenxa yokuthi izimpawu zaso zifana kakhulu neze-viral flu noma ezinye izifo zamaphaphu, singase singahlolwa uma lesi sifo singesibi kakhulu, ikakhulukazi uma imbangela ingaziwa kahle (idiopathic).

Yiziphi ezinye izimo ezifana ne-Eosinophilic Pneumonia?

Njengoba sishilo ekuqaleni, kungaba nzima ukuthola isifo ngqo ngoba izimpawu zaso zifana nezifo ezivamile ezibangelwa amagciwane kanye nokuphefumula. Kunezinye izimo eziningana ezingabangela izimpawu ezifanayo:

• I-Acute Respiratory Distress Syndrome (ARDS)
• Isifuba somoya
• I-Eosinophilic Granulomatosis ene-Polyangiitis (i-EGPA, eyayaziwa ngokuthi i-Churg-Strauss syndrome)
• I-pneumonia evamile

Yiziphi izimbangela ze-Eosinophilic Pneumonia?

Kungaba nezimbangela eziningi zalesi sifo, kokubili ezithathelwanayo nezingathelelani. Kodwa ngezinye izikhathi ngisho nodokotela abakwazi ukuthola imbangela eqondile.

Ezinye zezimbangela eziyinhloko ezingathelelani yilezi:

• Ukusabela kokungezwani komzimba
• Isikhunta (ngokuvamile uhlobo olubizwa ngokuthi i-Aspergillosis )
• Ubuthi obuphefumulayo , isibonelo umusi wamakhemikhali, izinhlayiya zensimbi eziphuma emoyeni, noma uthuli.
• Eminye imithi , isibonelo, ama-antibiotic asetshenziswa kakhulu, izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID) , noma ezinye izidakamizwa zokucindezeleka (ama-Selective Serotonin Reuptake Inhibitors - ama-SSRI) .
• Ukubhema , ikakhulukazi uma usanda kuqala ukubhema noma uma ukhuphule inani lokubhema ngokuzumayo.
• Ezinye izimo eziyisisekelo , isibonelo umdlavuza, isifo sokuzivikela komzimba , noma isifo sokuvuvukala .

Ngaphezu kwalokho, ezinye izifo, ikakhulukazi izimuncagazi, nazo zingadala i-EP. Akuvamile kakhulu, kungenzeka nakubantu abane -COVID-19 .

Ziyini izimpawu ze-Eosinophilic Pneumonia?

Izimpawu zalesi sifo zingahluka kuye ngohlobo kanye nembangela yalesi sifo, kodwa kunezinye izimpawu ezivamile:

• Ukukhwehlela
• Imfiva
• Ukuphelelwa umoya / Ukuphelelwa umoya

I-pneumonia ebukhali ye-eosinophilic (AEP) ingaba yimbi kakhulu ngokushesha okukhulu, ngokuvamile phakathi kwamasonto amabili. Izimpawu zingaba zimbi kakhulu kubantu ababhemayo. Bangase babe nezimpawu ezifana nalezi:

• Ubuhlungu besifuba
• Ukugodola
• Ukukhathala
• Ubuhlungu bemisipha / i-Myalgia

Okubalulekile: Uma kungatholakali futhi kwelashwa ngokushesha, izinga lomoya-mpilo egazini lakho lingehla kakhulu ngendlela eyingozi. Lokhu kungaholela ekuhlulekeni kokuphefumula okubukhali phakathi namahora ambalwa, okudinga ukwelashwa okuphuthumayo.

Izimpawu ze- chronic eosinophilic pneumonia (CEP) zikhula kancane kancane, ngezinye izikhathi izinyanga ngaphambi kokuba lesi sifo sitholakale. Abantu abane-CEP abavamile ukuba nokuphefumula okunzima noma amazinga aphansi omoya-mpilo egazini. Izimpawu ezivamile zifaka:

• Ukuphefumula okufushane okuba kubi kakhulu
• Ukujuluka ebusuku
• Ukwehlisa isisindo okungachazeki
• Ukuphefumula

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela . Uma unenkinga yokuphefumula noma ubuhlungu esifubeni, hamba esibhedlela esiseduze ngokushesha.

I-Eosinophilic Pneumonia ihlolwa kanjani?

Odokotela baxilonga lesi sifo ngokukubuza ngezimpawu zakho. Ngaphezu kwalokho, udokotela uzokwenza okulandelayo:

• Bazokubuza ngomlando wakho wezokwelapha nokuthi uhambe kuphi.
• Kuhlolwa umzimba .
• Ukuhlolwa kwegazi , ikakhulukazi inani eliphelele legazi (i-CBC) , kwenziwa ukuhlola noma yikuphi ukukhubazeka.

I-pneumonia ehlala isikhathi eside ingaba nzima ukuyixilonga ngoba izimpawu zayo zifana nezezinye izifo. Akukho mkhawulo obekwe wokuthi zingaki ama-eosinophil abhekwa njengaphezulu, okwenza kube nzima ukuyixilonga. Ngezinye izikhathi, odokotela baqinisekisa ukuxilongwa kuphela uma izimpawu ziba ngcono ngemva kokwelashwa.

Yiziphi izivivinyo ezisiza ekuxilongweni?

Ukuhlolwa okubaluleke kakhulu odokotela abakusebenzisayo ukuthola lesi sifo ukuhlanza i-bronchoalveolar (BAL) . Lokhu kuhilela ukuthatha isampula yoketshezi oluvela emaphashini akho usebenzisa ithubhu eliguquguqukayo elibizwa ngokuthi i-bronchoscope bese ulihlola izimpawu. Ngaphezu kwalokho, lezi zivivinyo zingenziwa:

• I-X-ray yesifuba
• Ukuskena kwe-CT

Udokotela wakho angase ancome ukuhlolwa okukhethekile ukuze kuqinisekiswe ukuxilongwa, kukhishwe ezinye izimo, futhi kwenziwe okunye ukuhlolwa. Uma unemibuzo mayelana nokuhlolwa, khuluma nodokotela wakho.

Obani abangafakwa eqenjini lezokwelapha elilapha lesi sifo?

Lapho welapha i-pneumonia ye-eosinophilic, ithimba lakho lezokwelapha lingafaka:

• Abelaphi bomzimba
• Odokotela bezifo zamaphaphu
• Abelaphi bokuphefumula

Ingabe ikhona ikhambi eliphelele lalokhu? Ingabe kungaba yingozi empilweni?

Ezimweni eziningi, uma lesi sifo sitholakala kusenesikhathi futhi selashwa kahle ngemithi, izimpawu zingalawulwa, futhi ngezinye izikhathi kungatholakala ukululama okuphelele. Uma ulandela imiyalelo yokwelashwa ngokucophelela, ungabuyela emisebenzini oyijabulelayo.

I-pneumonia ehlala isikhathi eside ayiyona into ephuthumayo yezokwelapha. Kodwa-ke, akuvamile kakhulu, ukuthi ingabangela izinkinga ezinkulu nezisongela ukuphila, njengokwehluleka kokuphefumula .

Iphathwa kanjani i-Eosinophilic Pneumonia?

Uma unesimo esincane salesi sifo, udokotela wakho angase angekwelaphi. Ngezinye izikhathi, i-EP ibangelwa umuthi owuthathayo. Uma kunjalo, udokotela wakho uzokutshela ukuthi uyeke ukuthatha lowo muthi.

Uma udinga ukwelashwa, odokotela belapha zonke izinhlobo ezintathu eziyinhloko ze-EP besebenzisa imithi eyenzelwe imbangela nezimpawu eziyisisekelo. Ama-Corticosteroids , anciphisa ukuvuvukala (ukuvuvukala), ayindlela yokwelapha ejwayelekile, futhi asebenza kahle kakhulu.

Ezimweni ezimbi kakhulu ze-AEP, odokotela bangase batuse nezinye izindlela zokwelapha ukuvimbela ukucindezeleka kokuphefumula, njengokuthi:

• I-oxygen eyengeziwe
• Ama-Glucocorticoids (futhi uhlobo lwe-corticosteroid)

Abantu abane-CEP bavame ukudinga ukuthatha ama-steroid isikhathi eside, ngokuvamile izinyanga. Abanye abantu bangase badinge ukwelashwa isikhathi eside nakakhulu.

Ungayinciphisa kanjani ingozi yokuthola i-Eosinophilic Pneumonia?

Ukuthi ungayinciphisa yini ingozi yakho yokuthola lesi sifo kuncike embangela eyinhloko. Imbangela eyinhloko yamazinga aphezulu e-eosinophil ukungezwani komzimba. Lokhu kungadluliselwa ezizukulwaneni ngezizukulwane. Imithi ingasiza ekuvimbeleni noma ekulawuleni ukusabela kokungezwani komzimba kwesimiso sakho somzimba sokuzivikela.

Indlela yokuphila enempilo , njengokunciphisa noma ukuyeka ukubhema, inganciphisa nengozi yakho yokuthola lesi sifo ngokujwayelekile. Khuluma nodokotela wakho ngezindlela zokunciphisa ingozi yakho yokuthola i-eosinophilic pneumonia.

Kuzothatha isikhathi esingakanani ukululama? Uyini umbono?

Isikhathi sokululama ngenxa ye-Eosinophilic Pneumonia siyahlukahluka kuye ngohlobo kanye nobukhali besifo. Iningi labantu abane-acute eosinophilic pneumonia (AEP) liyalulama ngokushesha, ngezinye izikhathi kungakapheli amahora angu-48 okuqala ukwelashwa ngama-steroid. Iningi labantu lithatha cishe isonto noma amabili ukululama ngokuphelele.

Uma une-pneumonia engapheli ye-eosinophilic (CEP), cishe kuzodingeka uphuze i-steroid yomlomo (njenge- prednisone ) isikhathi eside - izinyanga, mhlawumbe ngisho neminyaka. Uzophinde welashwe nganoma yiziphi izimo ezingaphansi, njenge-asthma.

Isibikezelo kubantu abaningi abathola ukwelashwa kusenesikhathi sihle kakhulu . Imithi enikezwa i-AEP inganciphisa ngokushesha izimpawu futhi iholele ekululameni okuphelele.

Kodwa-ke, abantu abangaphezu kuka-50% abane-CEP bazophinde baphinde baqale . Bazodinga ukuthatha ama-steroid isikhathi eside, mhlawumbe izikhathi eziningana. Udokotela wakho uzosebenza nawe impilo yakho yonke ukusiza ekulawuleni le pneumonia engapheli ye-eosinophilic nokunciphisa izimpawu zakho.

Kuzodingeka ukuthi uhlolwe njalo ukuze uqaphe isimo sakho. Lokhu kuqapha kuzovumela udokotela wakho ukuthi alungise ukwelashwa kwakho uma kudingeka futhi avimbele izinkinga. Landela imiyalelo kadokotela wakho ngokucophelela futhi ugcine ama-aphoyintimenti akho. Lokhu kuzokusiza ukuthi uthole ukwelashwa ngesikhathi.

Ingabe lesi sifo sizothinta izinga lempilo yami?

Ukuthi i-pneumonia e-eosinophilic ithinta kangakanani impilo yakho kuncike ebunzimeni bezimpawu zakho, ezinye izimo eziyisisekelo, kanye nempumelelo yokwelashwa. Ungase ukwazi ukululama ngokugcwele futhi ubuyele emisebenzini yakho evamile.

Noma, kungadingeka wenze izinguquko ezithile endleleni yokuphila, uqhubeke uthatha imithi yokulawula izimpawu, futhi uvimbele izinkinga. Ngokusebenzisana eduze nodokotela wakho, ungahlala uphilile futhi usebenza kahle ngangokunokwenzeka.

Kufanele uthole nini iseluleko sezokwelapha nge-Eosinophilic Pneumonia?

Uma unezimpawu ezifana nokuphelelwa umoya, ubuhlungu besifuba, umkhuhlane, noma ukwanda kokukhwehlela okungazelelwe noma kancane kancane, funa iseluleko sezokwelapha mayelana ne-Eosinophilic Pneumonia. Udokotela wakho angakudlulisela kudokotela wamaphaphu .

Uma ufunda ngalolu hlobo olungavamile lokutheleleka kwamaphaphu olubizwa ngokuthi i-eosinophilic pneumonia, ungase ube nemibuzo eminingi mayelana nempilo yakho. Kodwa abantu abaningi baba ngcono nge-corticosteroids. Udokotela wakho angakusiza ukunciphisa izimpawu zakho futhi avimbele izinkinga. Bazosebenzisana nawe ukudala uhlelo lokwelashwa olukusebenzelayo, ukuze uphinde ululame. Khumbula, uma ubona noma yiziphi izinguquko empilweni yakho, njengokukhwehlela, umkhuhlane, noma ubuhlungu besifuba, khuluma nodokotela wakho njalo. Bazothola imbangela yezimpawu zakho futhi bakunikeze ukwelashwa okudingayo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-Eosinophilic Pneumonia. Nazi izinto ezimbalwa okufanele uzikhumbule ngamafuphi:

• Lesi yisifo esingavamile esibangelwa ukwanda kweseli elimhlophe legazi elibizwa ngokuthi i-eosinophil emaphashini.
• Izinto ezifana nokubhema, ukungezwani komzimba, imithi ethile, kanye nezifo ezibangelwa amagciwane zingabangela lokhu.
• Ukukhwehlela, umkhuhlane, kanye nobunzima bokuphefumula yizimpawu eziyinhloko. Ubuhlungu besifuba, ukukhathala, kanye nokujuluka ebusuku nakho kungase kwenzeke.
• Lesi akusona isifo esithathelwanayo.
• Uma kutholakale kusenesikhathi futhi kwelashwa ngemithi yokwelapha efana ne -corticosteroids, ngokuvamile kungalapheka.
• Uma unalezi zimpawu, ungabi yisivila uye kudokotela . Yilokho okubaluleke kakhulu.

Sithemba ukuthi lolu lwazi selukutshelile. Hlala uphilile!

I- pneumonia ehlala isikhathi eside, i-pneumonia ehlala isikhathi eside, isifo samaphaphu, isifo sokuphefumula, ama-eosinophils, ukungezwani komzimba, i-pneumonia