A Loeffler Syndrome: Tohu me te rongoā

Te aha e mea faufaa ki te mamae i te ā-tau pouaka X-hihi, me ngā whakamātautau toto wā? Enei akoranga heheu mai te tīmatanga o te tahi mau mate pūkahukahu, no te mea he te nuinga o ratou asymptomatic. kia Ko ētahi o ēnei Leffler syndrome. ka tohu me te maimoatanga o te tukanga pathological, me te te take matua e lāulea ki roto i te tuhinga o tenei ra.

mate Whakaahuatanga

I raro i syndrome rata Leffler kite mate pāwera pūkahukahu. Infiltrates - I roto i te whakautu ki etahi he hiri faaitoitoraa i hanga i roto i te whekau romahā. E ki ana ratou i ki te ahua motuhake o ngā pūtau toto, e he ana hoki te momo o ngā pūtau ma toto, me te e huaina "eosinophils".

taumata teitei o enei matū i roto i te whakamātautau toto te tikanga tohu mate pāwera / tukanga hopuhopu i roto i te rauropi, te whakaparu i pirinoa puku ranei. Infiltrates āhuatanga e ratou kaha ki te heke i runga i te okana pāngia. Ka taea e ratou ngaro e ratou, a kore e waiho i muri noa mātānawe.

whakaahuatia hinga Tuatahi o te pūnaha pūkahukahu eosinophilic i i te timatanga o te rau tau XX. Mai reira, e kore i te whakahaere kaiputaiao ki te tāutu i Loeffler syndrome i roto i te hōkai motuhake rata. Kua rahua te rangahau maha ki te whakarato i tētahi whakahoki e pā ana i te take tangohia me preconditions o tona tupu. Tenei ko te mea ngaro hauora tūturu. No mōhiohio tauwhāiti e pā ana ki te tau me tatau pāpori. Ētahi rangahau mea e pā te syndrome tamariki anake, me i-mōrearea rōpū ngā iwi i roto i nga whenua ki te climates pārūrū. Heoi, pai heke tenei māuiuitanga puta noa te ao. I roto i te wā i reira e ano te iwi taitamariki, me ngā māngai o te feia ruhiruhia.

Take o te mate

Ahakoa te mau fifi i roto i te tāutu i te etiology o te tukanga pathological, i taea e ki te tāutu i te rōpū o provocateurs āhuatanga kaiwhakaako. Ko reira taa'eraa e kia puta tohu syndrome tohu Loeffler o muri whakapā ki kararehe, me te ara i roto i te maimoatanga o etahi mate.

I roto i te puna matua o te mate, tākuta tohatoha:

1. allergens Air. Kei te maha kite te whanaketanga o te syndrome rite te tauhohe o te tinana ki te hae i pokepokea ai ranei harore. matū Ngā mōrearea.
2. Rongoā. Ko te whakamahi o etahi rōpū o taero - reira he pea, engari tukua te take o te eosinophilia pūkahukahu. E ai ki ngā akoranga, i taea e ki te tāutu i te whakautu e tika ana ki paturopi, nga kai kaha nei he rongoā paturopi me nitrofuran tatou.
3. Bacteria (etahi momo o Staphylococcus, streptococcus ko Brucella). Tukumate tuku i te tangata ki te manawanui hauora i roto i te rūrū, tūemi akuaku whaiaro, me te kai. I muri iho, tomo te reira i te tinana i roto i tuwhera patunga. Ehara i waho mahino huakita ara tuku.
4. Worms. Pirinoa tomo te pūnaha romahā i roto i 2-3 wiki i muri i te mate. pea te reira i roundworm, ugritsy intestinal, toxocara, Trichinella ranei hookworm. Te faaiteraa i te flat puta rite i tūroro, me i muri i te whakapā ki te kararehe.

Leffler syndrome ICD-10 (International Whakarōpū o Diseases) tautuhi te J82 waehere.

rōpū mōrearea tiketike

tatauranga Medical o atu tahumaero taea ki a koe tīpako i tētahi rōpū o ngā āhuatanga e hanga he tangata whakaraerae ki te syndrome. He mau peu motuhake me te hauora whānui ēnei.

Ko wai te mea i tūpono?

1. i aroha Tupeka. Tenei rōpū hoki ngā hikareti hāngū. Te faatītīraa ngoikore te mahi paruru o te pūkahukahu.
2. Asthmatics. Tata 50% o te tūroro ki te hītori tuhia o eosinophilia pūkahukahu i roto i te huangō he reira.
3. Huaketo ki HIV. Ko te take matua mō te whanaketanga o te tukanga pathological - he pūnaha ārai mate ngoikore.
4. Tūroro ki mate mate pukupuku.
5. Travellers. Ki te whānuitanga nui pā tenei ki tira haere tūhura i te whenua o Ahia me Africa.

No ki tetahi ranei wā kotahi neke atu i te kotahi kāwai i te rārangi i runga nui faarahi te tupono o te whakawhanake i te eosinophilia pūkahukahu.

pikitia haumanu

He aha kua Leffler tohumate syndrome? I roto i te nui tākuta tukanga faaiteraa pathological wehewehe: kirika, ahuatanga, me te ngoikore. E whakamamaetia e te mare ngoikore, me te expectoration o te hūpē kowhai, e taea te faataa e te aroaro o eosinophils mate ētahi tūroro.

I roto i te pikitia i muri i te whakamātautau X-ray e taea te whakaaro aronga kotahi maha ranei o infiltrates tautau. Heoi, ratou rahi me te wāhi rerekē. Ki te i kirimana koe i te pūnaha ārai mate kaha, infiltrates te tikanga whakatau i runga i to ratou ake i roto i 2-3 wiki.

I roto i auscultation tātaritanga taea te tautuhi i tētahi atu tohu - wheezing maroke. Tikanga, kua kitea e ratou i roto i nga wāhanga o runga o te pukapuka. E whakaatu ana whakamātautau toto matüora te aroaro o leukocytosis i runga i te whakamārama o te maha nui o eosinophils (60-80%).

I roto i te tukanga mate

Ka taea e te mate puta i roto i tetahi o puka e toru. A feruri ia o nga taatou i roto i te taipitopito atu.

1. He puka ohie. Te āhuatanga pikitia inconspicuous haumanu. I roto i te mare kia sputum i konatunatua ki te toto, a reira he hūhi i te rohe o te pukorokoro. Ki te meinga te mate e te kătahi o kutukutu i te tinana, a kua kitea e ratou hua i roto i te pūnaha wahi kūnatu, te whakawhanake pancreatitis.
2. Ko te puka whakapeka. haamata Leffler syndrome ki te ara ohorere i roto i te pāmahana, me te āhuatanga e kino. He E kitea tohu o haurangi te manawanui. I roto i te wā poto o te wā mata ki te kore romahā. Kei te tonu maimoatanga kawea i roto i roto i te taiao hōhipera.
3. Ko te puka ma'i. Nuinga o ngā wā pāngia i roto i nga wahine e mamae i te huangō. I roto i nga tohu matua o ngā tākuta taratahi sweating nui, mate taimaha, me hāhā o te manawa.

Whakatau i te āhua o te tukanga pathological āwhina ki te whiriwhiri i te therapy tika.

tikanga o te tātaritanga

e kore te mea ranea ki te whakaū i syndrome o Loeffler te pikitia haumanu i runga ake. e kore e tohu rerekē i roto i ngā tamariki o tenei mate i roto i ngā pakeke, na ngā kāwai katoa o tūroro i faataahia whakamātautau whānui whānui. Kei a ia ko te mahi e whai ake nei:

1. Radiograph. I roto i te pikitia e taea kite koe wahi pouri mārama i roto i te eosinophilia pūkahukahu. Ko te kookuhutanga tenei.
2. whakamātautau toto. Tikanga, i roto i te toto o te tangata hauora e kore e nui te tokomaha o eosinophils te tohu o 5-10%. Te whakanui ake i tēnei ōwehenga ki 20-80% taea whakapae syndrome o Loeffler. e kore te mea rerekē i tenei tawhā i roto i ngā pakeke i te maha o eosinophils i roto i te tamariki i roto i te tinana hauora.
3. Ko te tātaritanga o te sputum. Ko te mea ngaro ki te tirohia hoki te aroaro o ngā hanganga tioata o nga whākōkī o eosinophils.
4. Fecal. Whakahaere ki te tāutu i pirinoa i roto i te tinana.
5. whakamātautau Allergological.

He wae nui ko te whakamātautau tātaritanga o te hītori manawanui. Ko ha konga o te tukanga ki te whakatū i te take me tūkunga o te mate. E kore e taea ki te tautapa i te maimoatanga mātau kahore enei wae.

maimoatanga Manakohia

Tino maha i roto i te maimoatanga ngā kore e rapua e Leffler syndrome. Tohu i roto i ngā pakeke me ngā tamariki mō te wā poto, me te haere i runga i to ratou ake e kore e puta. Te whakamārama pūtaiao anake mo tenei meka - te kore o te whakapā ki te whakapāwera.

I roto i te tahi atu te wā, heke therapy te ki te whakarerenga o whakapataritari ona āhuatanga whanaketanga. Hei tauira, ka excreted te whakaparu i pirinoa outputted helminths. Ki te ko te rongoā i tangohia tenei, mea orotahi tīpakohia.

I te tahi taime e kore e taea te hinga Leffler syndrome noa i muri therapy kaha. I roto i tenei take, e hiahia ana kia koe ki te hono atu ki te ventilator, me te ake rongoā te ahotea. I roto i te raau taero e kua whakaritea mo te mana o te eosinophilia pūkahukahu, e taea te tāutuhia:

1. hormones pūtaiaki. āhuatanga te tōtika rahi e "Prednisolone". Roa ona whakamahi whai wāhi ki te whakatere "resorption" infiltrates. Ki te te kore kitea te au pai, he reira e tika ana ki te reassess te tātaritanga. Te nuinga pea, mumura o te manawanui o te momo rerekē.
2. Antiasthmatics ( "Theophylline").
3. Expectorants pire. Hei whakapai ake i tūroro tukanga expectoration tautapa mucolytics ( "Mucosolvan", "Ambroxol"). Ki te whai koe i raruraru ki te wahi gastrointestinal e tūtohu ana ki te tango i enei raau taero i te inhalation.

Ka taea te whakaritea Drug therapy anake i te tākuta. e kore te tūtohu whaiaro-rongoā no ki te tangata toharite ko reira uaua tātai i te inenga o te raau taero, me te roanga o ratou whakauru. Te kore, uaua te whakahaere ki te karo i pōauautanga nui.

maimoatanga Antiparasitic

Leffler syndrome ascariasis - he āhuatanga tika noa. Ko reira reira tika ki te whakaaro wehe aha taero e whakamahia ana ki te aro i tēnei raruraru. Ki te whakapono koe i te taote, pai-kï:

1. "Pyrantel". whawhai ia nematodes, rapu pā uauaio i roto i pirinoa tairongo ki reira. Ka rite ki te hua, kua pai te ahu e ratou i te wahi kūnatu.
2. "Karbendatsim". Ko te kai kaha tomo i roto i te anga o te helminth, paralyzing reira. Ka rite ki te hua, ngaro te werau te kaha ki te hopu i roto i te lumen intestinal.
3. "Mebendazole". He whai hua ki kutukutu rongoā tino mohiotia tenei tarukino.

I roto i te nui infestation helminthic, ka kore nga taero i tabulahia i roto i tona mahi tuatahi, falemahaki te manawanui te. Kore, i reira kia tae mai he maroketanga oti.

Ko te mau hopearaa mo te tinana

pai te whakautu syndrome o Loeffler ki te maimoatanga. O te therapy kore e hoatu ki runga noa mo te marama i muri i te ngaro o ngā tohu. Kore, ka haere tonu i te tukanga inflammatory ki te ahu whakamua me te whakapataritari edema pūkahukahu pāwera. Ano, e kore e whakahaere tikanga i roto i kakakīrehe - ko tetahi pōauautanga o te syndrome tenei. Kei te haere tahi te reira i te scarring tina heke o te kiko pūkahukahu. Ka taea e te mate pā te ngakau, whekau kūnatu. e kore he takahi taea o ngā mahi roro ki te whakamārama o te takarepa hāora whakawhanake.

Ko te tūponotanga o te matahoki

Wehe he mea e tika ana ki te kōrero e pā ana ki te take o te matahoki. Nuinga maha tūpono ki a ratou e tika ana ki te tātaritanga ta'etotonú roa ranei, maimoatanga rawakore. I muri i te maimoatanga kia ko waho e te manawanui tino hauora. Heoi, te ahotea mau whakapā auau ki te whakapāwera whakapataritari tetahi matahoki ranei.

ara ki te aukati i

He reira taea ki te ārai i te mate Leffler? Ko te tino he mate kino, a inaianei kahore he feaa. Na he tokomaha te iwi no ki ngā rōpū mōrearea e e hiahia i roto i te ārai.

whakaaro te mehua ārai matua te ki te waiho i te haerenga auau ki te tari o te allergist. Ki te te āhuatanga te māuiuitanga e tenei etiology ngā, me tino whai koe i te tohutohu o te tohunga, me te tango i te rongoā tūtohutia. Kāinga ko reira e tika ana ki te hoko i te kete hauora paerewa, me e taea e koe tapahia poto tetahi whakaeke mate pāwera.