Eosinophilia - ua rau, tsos mob thiab kho

Cov txheej txheem:

Eosinophilia - ua rau, tsos mob thiab kho
Eosinophilia - ua rau, tsos mob thiab kho
Anonim

Eosinophilia: nws yog dab tsi thiab yuav kho li cas?

Eosinophilia
Eosinophilia

Eosinophilia qhia ntau yam kab mob. Qhov no hematological syndrome tuaj yeem tshwm sim hauv ib tus neeg ntawm txhua lub hnub nyoog. Hauv cov menyuam yaus, eosinophilia raug kuaj pom ntau dua li cov neeg laus. Eosinophilia tuaj yeem yog qhov cim ntawm kev ua xua, kab mob cab, kab mob sib kis.

Eosinophils yog cov qe ntshav los ntawm pawg leukocyte. Eosinophils tau txais lawv lub npe vim yog xim liab ntawm cytoplasm. Nws tau txais xws li ntxoov ntxoo tom qab cov xim eosin ntxiv rau cov qauv ntshav. Yog li ntawd, eosinophils pom zoo kawg nkaus thaum kuaj ntshav smear nyob rau hauv lub tshuab tsom. Nrog ntau qhov kev nthuav dav, koj tuaj yeem pom tias cov hlwb zoo li cov amoebas me me uas tuaj yeem tawm ntawm lub txaj vascular thiab sib sau ua ke hauv thaj chaw mob. Hauv cov ntshav, eosinophils siv sijhawm tsis pub dhau ib teev, tom qab ntawd lawv nkag mus rau hauv cov ntaub so ntswg.

Lub luag haujlwm tseem ceeb ntawm eosinophils suav nrog:

  • Ua kom muaj kev tiv thaiv kab mob tiv thaiv kab mob nrog kev puas tsuaj ntawm cell membrane ntawm worms. Eosinophils nce rhiab heev ntawm receptors rau immunoglobulin E.
  • Txhawb kev tso tawm thiab sib sau ua ke ntawm cov kab mob sib kis.
  • Kev nqus thiab khi ntawm cov neeg kho mob inflammatory.
  • Kev nqus ntawm qee qhov me me, xws li cov cell membrane tawg ntawm cov kab mob thiab cov kab mob, nqus cov kab mob. Rau cov cuab yeej no, eosinophils hu ua microphages.

Normal eosinophil values

Cov nqi ib txwm muaj
Cov nqi ib txwm muaj

Nquag, tsis pub ntau tshaj 5% ntawm eosinophils los ntawm tag nrho cov leukocytes muaj nyob hauv cov ntshav. Tus nqi ntawm eosinophils yuav tsum tsis pub tshaj 310 ib ml ntawm cov ntshav. Yog hais tias ib tug neeg noj qab nyob zoo, ces tus txheeb ze tus naj npawb ntawm eosinophils yog xam nyob rau hauv nws. Yog tias muaj kev sib txawv, ces xa mus rau tus nqi tiag. Eosinophilia yog qhia los ntawm ntau tshaj 0.410 9/ l rau cov neeg laus. Nyob rau hauv thaum yau, eosinophilia raug lees paub thaum lawv qhov txiaj ntsig tshaj 0.710 9 / l.

Tus naj npawb ntawm eosinophils tuaj yeem hloov pauv nyob ntawm lub sijhawm ntawm hnub, uas feem ntau txiav txim siab los ntawm kev ua haujlwm ntawm cov qog adrenal. Yog li, thaum sawv ntxov, qib ntawm eosinophils tuaj yeem nce 15% piv rau cov qauv. Yog tias koj noj ntshav rau kev tshawb fawb los ntawm tus neeg mob hauv thawj ib nrab ntawm hmo ntuj, ces daim duab no yuav dhau qhov txiaj ntsig ib txwm los ntawm 30%.

Yog li ntawd, txhawm rau kom tau txais txiaj ntsig zoo tshaj plaws, cov txheej txheem pub ntshav rau kev tshuaj ntsuam yuav tsum ua raws li ntau txoj cai:

  • txheej txheem yog ua thaum sawv ntxov.
  • Rau 8-11 teev ua ntej kev xeem, koj yuav tsum tsis txhob noj.
  • Cawv thiab qab zib yuav tsum tsis suav nrog 1 hnub ua ntej txheej txheem.

Nco ntsoov coj mus rau hauv tus account qhov tseeb tias thaum cev xeeb tub los ntshav, qib ntawm eosinophils hauv cov ntshav nce siab, vim estrogen txhawb kev loj hlob ntawm cov qe ntshav. Tom qab ovulation thiab txog thaum kawg ntawm lub voj voog, theem ntawm eosinophils yuav, ntawm qhov tsis sib xws, yuav qis dua.

Nyob rau hauv me nyuam yaus, eosinophils ib txwm yuav txawv ntawm cov neeg laus:

  • Thawj 14 hnub ntawm tus menyuam lub neej - 1-6% ntawm eosinophils hauv cov ntshav.
  • Tom qab 15 hnub thiab mus txog ib xyoos - 1-5% ntawm eosinophils hauv cov ntshav.
  • Txij li ib nrab mus rau 1 xyoos - 1-7%.
  • Txog 1 txog 5 xyoos - 1-6%.
  • Thaum muaj hnub nyoog 5 xyoos, eosinophils sib npaug rau cov neeg laus - 1-5%.

Ua rau eosinophilia

Ua rau eosinophilia
Ua rau eosinophilia

Kev txhawj xeeb thaum qib eosinophils hauv cov ntshav siab tshaj 700 hlwb ib milliliter ntawm cov ntshav.

3 qib ntawm eosinophilia txheeb xyuas:

  • Mild eosinophilia. Qib eosinophils hauv cov ntshav yog 10%.
  • Eosinophilia ntawm qhov mob hnyav. Qib eosinophils hauv cov ntshav yog los ntawm 11 txog 15%.
  • Severe eosinophilia. Hauv qhov no, qhov ntau dhau yog 15% lossis ntau dua.

Nco ntsoov tias qee zaum qhov kev kuaj mob tuaj yeem ua yuam kev. Thaum siv eosin dye, tsis tsuas yog eosinophils tau txais cov xim liab, tab sis kuj muaj cov pob zeb hauv cov neutrophils. Hauv qhov no, theem ntawm neutrophils yuav qis dua, thiab eosinophils yuav nce ntxiv. Hauv qhov no, cov tsos mob pathological hauv ib tus neeg yuav tsis tuaj. Thaum tau txais cov ntaub ntawv no, nws yuav tsum tau kuaj ntshav thib ob.

Kev tsis haum ntawm lub cev ib txwm ua rau nce qib ntawm eosinophils hauv cov ntshav.

Qhov no yuav tshwm sim hauv cov xwm txheej hauv qab no:

  • Tam sim kev tsis haum tshuaj: hay fever, angioedema, anaphylactic shock, urticaria.
  • Kev tsis haum tshuaj rau tshuaj, mob ntshav qab zib.
  • Rhinitis ntawm qhov tsis haum.
  • Cov tawv nqaij ua xua (dermatitis, eczema, pemphigus vulgaris).
  • kab mob kab mob.
  • Kab mob kab mob: amoebiasis, toxoplasmosis, chlamydia.
  • Kab mob ntawm qhov xwm txheej autoimmune: SLE, rheumatoid mob caj dab, periarteritis nodosa.
  • Kab mob ntawm cov kab mob ua pa: bronchial hawb pob, sarcoidosis, eosinophilic pleurisy, Loeffler's kab mob, histiocytosis.
  • Cov kab mob hauv plab: eosinophilic gastritis thiab colitis.
  • Ntshav qog nqaij hlav: lymphoma thiab Hodgkin's disease.
  • Malignant neoplasms.

Kev nkag mus ntawm cov kab mob mus rau hauv lub cev ntau dua li lwm yam ua rau muaj kev loj hlob ntawm eosinophilia. Qhov teeb meem no muaj feem xyuam rau cov kws kho mob. Xws li cov kab mob muaj xws li ascariasis, opisthorchiasis, giardiasis, amoebiasis, trichinosis, thiab lwm yam. Lub cev reacts rau lub xub ntiag ntawm txawv teb chaws creatures nyob rau hauv nws los ntawm nce qib ntawm eosinophils. Tsis tas li ntawd, yuav muaj dhia ob qho tib si thaum tsiv teb tsaws ntawm cov kab mob thiab tom qab tus neeg mus txog kev loj hlob.

Yog vim li cas rau qhov nce qib ntawm eosinophils hauv cov ntshav, uas nyob rau hauv qhov chaw thib ob, yog qhov ua xua ntawm lub cev. Thiab qhov ua rau ntawm kev tsis haum tshuaj tsis muaj teeb meem. Nws tuaj yeem tshwm sim hauv cov khoom siv hauv tsev, tshuaj, zaub mov, nqus pa nrog cov plua plav, thiab lwm yam. Eosinophils nyiam ua rau cov tshuaj lom neeg lom neeg uas ua rau vasodilation hauv kev ua xua. Yog li ntawd, tam sim ntawd tom qab allergen nkag mus rau hauv lub cev, theem ntawm eosinophils hauv cov ntshav nce.

Kev ua xua nrog eosinophilia: bronchial hawb pob, pollinosis, diathesis thaum yau, urticaria, allergic rhinitis, tshuaj tsis haum tshuaj.

daim tawv nqaij muaj xws li psoriasis, kab mob herpes, neurodermatitis thiab eczema.

Muaj kev pheej hmoo siab ntawm eosinophilia los ntawm kev noj qee yam tshuaj. Cov tshuaj no muaj xws li Aspirin, Eufillin, beta-blockers, hormonal agents, Papaverine, Dimedrol, tshuaj kho tuberculosis thiab txo cov ntshav siab.

Eosinophilia yog ib qho cim ntawm cov qog nqaij hlav hauv lub cev. Cov no muaj xws li muaj metastases nyob rau hauv lub plab kab noj hniav thiab nyob rau hauv lub pleura, Wilms qog, qog nqaij hlav cancer ntawm lub dermis thiab thyroid caj pas. Tsis tas li ntawd, kev tsim cov eosinophils yuav cuam tshuam yog tias cov qog cuam tshuam rau cov pob txha pob txha. Qhov phom sij hauv txoj kev npaj no yog myeloid leukemia, eosinophilic leukemia, polycythemia vera, thiab lwm yam.

Ntxiv rau tag nrho cov laj thawj uas tau teev tseg saum toj no, kev hloov pauv hauv nruab nrog cev yuav ua rau dhia hauv eosinophils hauv cov ntshav. Eosinophilia yog ib qho cim ntawm kev tsis lees paub cov khoom txawv teb chaws.

Eosinophilia tsim tawm tsam keeb kwm ntawm magnesium deficiency hauv lub cev thiab tom qab nws irradiation. Tsis tas li ntawd, theem ntawm eosinophils hauv cov ntshav yuav txo qis yog tias ib tus neeg tau txais kev lim ntshav peritoneal.

Eosinophilia cov tsos mob

Cov tsos mob ntawm eosinophilia
Cov tsos mob ntawm eosinophilia

Eosinophilia tsis yog tus kab mob ywj pheej, tab sis tsuas yog qhov tshwm sim ntawm ib qho kab mob. Yog li ntawd, nws tsis muaj tsos mob ntawm nws tus kheej. Txawm li cas los xij, ib tus neeg yuav tsum tau tsom mus rau qee yam cim kom nkag siab tias nws tab tom txhim kho qee yam teeb meem hauv lub cev thiab nws yog lub sijhawm mus ntsib kws kho mob.

Eosinophilia feem ntau nrog cov kab mob parasitic ntxeem tau, cov cim qhia ntawm teeb meem yog:

  • nce qhov loj ntawm cov qog nqaij hlav, spleen thiab siab.
  • Slimming.
  • Anemia.
  • nce hauv lub cev kub kom muaj nuj nqis subfebrile.
  • mob hauv cov leeg.
  • Kev loj hlob tsis muaj zog.
  • Tsis xav noj zaub mov.
  • hnoos qhuav thiab pob khaus tawv nqaij.

Tag nrho cov tsos mob no tshwm sim vim cov kab mob cab tso cov co toxins uas nkag mus rau hauv cov hlab ntsha thiab ua rau tus tswv tsev. Yuav luag txhua tus neeg mob yws yws ntawm kev tsis sib haum xeeb hauv kev ua haujlwm ntawm lub plab zom mov.

Thaum lub cev muaj kev tsis haum tshuaj, tus neeg mob yuav ua pob khaus tawv nqaij, hlwv tuaj yeem tsim. Hauv qhov xwm txheej hnyav, kev sib tsoo, qhov txo qis hauv ntshav siab, lub xeev ntawm kev poob siab yog ua tau.

Kab mob ntawm lub plab zom mov, nrog rau eosinophilia, tau qhia nyob rau hauv txhua yam kev mob dyspeptic, ntuav, raws plab, mob plab, pom cov ntshav hauv cov quav, thiab lwm yam. Nyob rau tib lub sijhawm, tus neeg yuav tsum nkag siab tias cov tsos mob zoo li no tsis tshwm sim vim qhov nce qib ntawm eosinophils hauv cov ntshav. Nws tshwm sim vim muaj kab mob hauv qab.

Cov qog nqaij hlav Eosinophilic yog qhia los ntawm cov tsos mob xws li cov qog nqaij hlav o, siab lossis siab me ntsis ntawm lub cev, mob nqaij thiab pob qij txha, thiab nquag kis kab mob.

Eosinophilia ntawm tus kheej lub cev yog qhov txawv, tab sis raws li kev ywj pheej pathology, nws tsis tshua muaj tshwm sim. Yog tias qhov no tshwm sim, ces lub ntsws cov ntaub so ntswg feem ntau nyob rau hauv qhov chaw cuam tshuam. Pulmonary eosinophilia tuaj yeem tshwm sim nrog eosinophilic vasculitis, pneumonia, granulomatosis.

Daim ntawv ntau tshaj plaws ntawm kev ywj pheej eosinophilia yog Loeffler's syndrome. Cov laj thawj ua rau nws txoj kev loj hlob tseem tsis tau paub txog science. Tus kab mob no muaj kev pom zoo, nrog rau hnoos thiab nce me ntsis hauv lub cev kub. Hauv lub ntsws, eosinophils accumulations pom, uas tom qab ntawd ploj ntawm lawv tus kheej.

Cov neeg nyob hauv cov tebchaws uas nyob ze rau ntawm txoj kab nruab nrab raug kuaj pom tias muaj eosinophilia tropical. Nrog rau tus kab mob no, infiltrates kuj tsim nyob rau hauv lub ntsws. Muaj ib qho kev xav tias qhov no pathology yog kis tus kab mob, vim nws muaj ib tug undulating chav kawm nrog lub sij hawm ntawm exacerbation thiab calm. Txawm li cas los xij, kev kho kom tiav ntawm cov neeg mob no ua tau.

Dhau li ntawm lub ntsws cov ntaub so ntswg, eosinophilic infiltrates tuaj yeem tsim hauv cov leeg nqaij. Lub myocardium dhau los ua qhov chaw txaus ntshai. Qhov no pathology ua rau txo qis hauv cov kab noj hniav ntawm lub plawv thiab kev loj hlob ntawm lub plawv tsis ua hauj lwm.

Eosinophilia kho

Kev kho mob ntawm eosinophilia
Kev kho mob ntawm eosinophilia

Eosinophilia, raws li tus kab mob ywj pheej, tsis muaj txiaj ntsig los kho, vim nws yog tshwm sim los ntawm ib qho lossis lwm qhov teeb meem hauv lub cev. Yog tias qhov nce qib ntawm eosinophils cuam tshuam nrog kev cuam tshuam ntawm cov kab mob parasitic, ces tus neeg mob tau muab tshuaj anthelmintic. Nws yog ib qho tsim nyog los ntxiv kev kho mob nrog cov vitamin-mineral complexes, desensitizing tshuaj (Fenkarol, Pipolfen). Yog tias tus neeg mob muaj ntshav tsis txaus, nws raug sau tshuaj muaj hlau.

Kev tsis haum ntawm lub cev raug tshem tawm los ntawm kev noj tshuaj tiv thaiv kab mob. Nws tuaj yeem yog Claritin, Phencarol, Suprastin, Zirtek, thiab lwm yam. Ib qho kev ua xua hnyav yuav tsum tau teem sijhawm ntawm cov tshuaj hormonal, nyob rau tib lub sijhawm nrog tus neeg mob, kev kho infusion yog nqa tawm. Yog tias cov pob khaus tshwm rau ntawm daim tawv nqaij, nws raug nquahu kom siv cov tshuaj pleev thiab cov tshuaj pleev ib ce nrog cov nyhuv antihistamine (Advantan, Elidel, thiab lwm yam). Txhawm rau txo qhov kev mob tshwm sim, cov neeg mob tau muab tshuaj rau qhov ncauj.

Qhov muaj cov txheej txheem oncological yuav tsum tau sab laj nrog tus kws kho mob oncologist. Cov neeg mob tau muab tshuaj cytostatics, tshuaj hormonal, immunosuppressants. Nyob ntawm seb hom qog thiab kev noj qab haus huv ntawm tus neeg mob, cov txheej txheem kev kho mob raug siv.

Yog li, eosinophilia yog cov tsos mob hematological uas tuaj yeem qhia tau tias muaj mob me me thiab ua xua, thiab cov kab mob hnyav uas ua rau tib neeg lub neej. Yog li, kev nce qib ntawm eosinophils hauv cov ntshav yuav tsum tsis txhob raug ignored.

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