Binciken Harkokin Sakamakon, Fahimtarwa, da Kula da Eosinophilia
Eosinophilia shine sunan fasaha don ƙara yawan ƙidaya eosinophil. Eosinophils sune irin kwayoyin fararen jini wadanda ke halakar da abubuwa a cikin jiki kamar kwayoyin cuta kuma suna shiga cikin rashin lafiyan halayen.
Menene Dalilin Eosinophilia?
Akwai dalilai masu yawa da za a iya ɗaukar adadin eosinophil. Wasu daga cikin mawuyacin hali sunyi sulhu kuma suna buƙatar kulawa kaɗan.
Ba abin ban mamaki ba ne don ƙimar da aka ƙwanƙwasa ya kasance mai tsayayya kuma warware ba tare da magani ba. Bari mu sake nazarin wasu matsaloli a yanzu.
- Hanyoyin cuta mai kama da juna: A dukanin duniya yawancin cutar eosinophilia shine kamuwa da cuta. Sunan wadannan cututtuka sun hada da schistosomiasis, trichinosis, strongyloidiasis, da ascariasis. Wadannan alamun suna iya samuwa a duk duniya, ciki har da Amurka. Tarihin tafiye-tafiyen wani ɓangare ne na aikin aiki don eosinophilia ko da yake rashin samun tafiya na baya ba ya hana fitar da cututtuka. Yannawa na tafiya ya zama nau'i na kamuwa da cuta amma ba a hade da eosinophilia ba.
- Drug halayen: Magunguna na iya haifar da eosinophilia, wani lokaci ba tare da wata alamar bayyanar ko bayyanar cututtuka ba. Mafi magungunan magungunan da ke hade da eosinophilia sun hada da maganin rigakafi (penicillin, cephalosporins), magungunan anti-inflammatory marasa steroidal (aspirin, ibuprofen), ranitidine (ga refrox gastroesophageal), phenytoin (anti-seizure) da allopurinol (da ake amfani dasu da gout). Mafi mahimmanci siffar ana kiransa maganin miyagun ƙwayoyi tare da eosinophilia da kuma tsarin siginar jiki (DRESS). Abin farin ciki, yawancin mutane ba za su sami wadannan halayen ba idan sun sami waɗannan magunguna.
- Atopy : Atopy wani abu ne wanda ke faruwa a jiki. Yawancin lokaci, damuwa tana nufin ciwon fuka, ƙwayar yanayi (wanda ake kira rashin lafiyar rhinitis), da kuma eczema. Ba abin mamaki ba ne ga wani ya kasance yana da fiye da ɗaya daga cikin waɗannan likita yayin da suke da alaƙa. Wadannan wasu daga cikin abubuwan da ya fi dacewa akan yaduwar eosinophilia, musamman a cikin yara. Hakazalika, abincin abinci yana iya haifar da ƙidaya eosinophil mai daraja.
- Eosinophilia esophagitis (EEE): Wannan mummunar yanayin da eosinophils ke yadawa zuwa esophagus wanda bashi dauke da eosinophils. Kimanin kashi 50 cikin 100 na mutanen EEE zasu kuma karu da adadin eosinophil cikin jini.
- Harkokin Hypereosinophilic : Harkokin Hyperoeosinophilic (HES) sune rukuni na rashin lafiya wanda ke dauke da ƙididdigar eosinophil da yawa da kuma shaidar lalata kwayoyin cutar daga babban adadin eosinophils. Kwayoyin da aka yi niyya shine fata, huhu, da kuma gastrointestinal tract. HES zai iya zama na farko (wanda ake kira neoplastic) na biyu (mai amsawa) ko idiopathic (sa ba a sani ba).
- Cutar Churg-Strauss: Churg-Stauss vasculitis, wanda ake kira eosinophilic granulomatosis tare da polyangiitis, zai iya haifar da eosiniophilia. Mutanen da ke cikin wannan yanayin sun kasance tare da ciwon fuka da kuma sauran matsalolin huhu a farkon, sannan suka ci gaba da ingantaccen eosinophilia, da kuma ƙarshe daga ƙananan jini , ƙone jini.
- Magunguna: Akwai ciwon daji, musamman magunguna, wanda aka sani don kara yawan ƙidaya eosinophil. Wadannan sun haɗa da irin wannan cututtukan cutar tawon jini na myeloid mai tsanani (AML) da ake kira cutar sankarar bargo eosinophilic. Sauran cututtuka sun haɗa da dama daga cikin ƙananan ƙwayoyin cuta (kamar, thrombocythemia, polycythemia vera) B-cell da T-cell lymphoma, da adenocarcinomas na gastrointestinal fili, huhu, da kuma cervix.
Mene ne alamun kwayar cutar Eosinophilia?
Idan kana da eosinophilia, za a tabbatar da alamar cututtuka ta hanyar sabili da ƙididdiga eosinophilia mai girma. Idan ƙidaya eosinophil yana dauke da ƙarancin ƙila za ka iya ba su da wata alamar bayyanar. Common bayyanar cututtuka sun haɗa da:
- Rash
- Itching
- Diarrhea, a yanayin saurin cututtuka
- Asthma
- Runny hanci, musamman idan an hade da allergies.
Ta yaya ake bincikar ilimin lissafi?
Kamar yawancin cututtuka na jini, an gano jinsinophilia akan cikakken jini (CBC) . Eosinophils suna daya daga cikin jinin jini kuma ana samun su a cikin ɓangaren CBC da ake kira bambancin. Rahotanni daban-daban nawa ne kowanne irin nau'in jini na jini (neutrophil, lymphocyte, monocyte, eosinophil, da basophil ) suna cikin jini.
Bayan ganewa na eosinophilia, mai bada sabis na kiwon lafiya zai fara aiki don gano dalilin, wani lokaci wannan yana buƙatar buƙatar ga likitan jini. Girma na eosinophilia wani lokaci zai iya jagorantar aikin da ake bukata. Eosinophilia za a iya rarraba ta adadin eosinophils (cikakken eosinophil ƙidaya).
- M: 500 - 1500 kwayoyin / mL
- Matsakaici: 1500 - 5000 Kwayoyin / ML
- Mai tsanani:> 5000 Kwayoyin / ML
Tabbatar da dalilin hanyar eosinophilia zai dogara ne akan alamun bayyanarku. Eosinophilia esophagitis na iya haifar da wahalar haɗuwa, kirji da / ko ciwo na ciki, zubar da abinci ko abincin da ke makawa a cikin esophagus. Binciken ganewa yana buƙatar bugun kwayar halitta na esophagus. Yawancin cututtuka na kwayoyin cutar suna bincikar su ta hanyar daukar samfurori da kuma gwada su. Babu yiwuwar jarraba don sanin idan magani ne dalilin da ke eosinophilia. Idan lambarka na eosinophil ya dawo zuwa al'ada bayan daina dakatar da magunguna, ana yawan zaton cewa magani ne dalilin.
Menene Zaman Lafiya na Zaɓuka don Eosinophilia?
Hakanan da abin da bincike yake bukata, ana iya magance magani ta hanyar eosinophilia. Zabuka sun haɗa da:
- Tsinkaya: Idan eosinophilia ya kasance mai sauƙi, za a iya yin la'akari da laccoci da maimaita sake.
- Idan magani yana haifar da ƙididdigar eosinophil mai girma, za'a iya katse shi
- Ƙarfafa farfadowa ga fuka, eczema, da allergies
- An shawo kan cutar ta hanyar maganin cututtuka da anti-parasitic.
- Za'a iya amfani da kwayoyin cutar kamar maganganun maganin cututtukan hypereosinophilic
Kalma Daga
Hypereosinophilia abu ne mai ban tsoro. Abin farin ciki, ga mafi yawan mutane da wannan yanayin, yana da matukar wucewa kuma yana bukatar kadan ba tare da magani ba. Ga wasu, ganewar asali da jiyya na iya buƙatar buƙata ga likita. Idan kana da damuwa mafi yawa, ka tabbata ka tattauna da likitanka.
> Source:
> Weller PF da Klion AD. Amfani da mai haƙuri tare da eosinophilia maras kyau. A: UpToDate, Post TW (Ed), UpToDate, Waltham, MA.