Loeffler kaThixo Syndrome: Iimpawu and Treatment

Kutheni kubalulekile uye yonyaka esifubeni X-reyi kwaye iimvavanyo zegazi ngamaxesha athile? Ezi zifundo zibonisa nisaqala ezinye izifo zamaphaphu, ngenxa yokuba uninzi lwazo nazimpawu. Ezi kufuneka iquke Leffler syndrome. Iimpawu kunye nonyango inkqubo lwezidumbu, kwakunye izizathu eziphambili ziya kuxutyushwa kwinqaku yanamhlanje.

isifo inkcazelo

Phantsi syndrome Leffler amagqirha ukuqonda umzimba miphungeni. Lingene - Kwimpendulo itywina ethile isivuseleli eqalisiweyo amalungu sokuphefumla. Bazele uhlobo olwahlukileyo iiseli zegazi, nayo uhlobo iiseli ezimhlophe zegazi ize ke ngokuba "eosinophils".

imigangatho ephakamileyo ezi zinto kuvavanyo igazi kubonisa jikelele iinkqubo komzimba / ezosulelayo kwi ephilayo, nokosulela gazi okanye ithumba. Efunxeka luphawulwa ubuchule babo bafuduka kwi-organ abachaphazelekayo. Ke ungalahleka bebodwa kwaye musa ukushiya ngasemva nokuba umkrwelo.

lahluleka yokuqala inkqubo eosinophilic pulmonary iye echazwe ekuqaleni kwenkulungwane XX. Ukususela ngoko, izazinzulu ayikwazanga ukuchonga Loeffler syndrome ngakumbi ezithile zonyango. Uphononongo ezininzi baye basilela ukunika impendulo malunga oonobangela ngqo kunye imiqathango ingenzeka yayo. Loo mfihlelo yezonyango wokwenene. Akukho ulwazi oluthile malunga neminyaka kunye nezinyuko zentlalo. Ezinye izifundo bathi onaso ichaphazela abantwana kuphela kwaye abasemngciphekweni libandakanya abantu kumazwe kwimozulu yetropiki. Noko ke, le ngezifo abasuka ehlabathini ngempumelelo. Phakathi kwezi meko kukwakho abantu abatsha, kunye nabameli abadala.

Kubanga zosulelo

Nangona ubunzima ekuchongeni umyalezo zenkqubo lwezidumbu, oogqirha bakwazi ukuchonga iqela yokuxhokonxa zinto. Kuyaphawuleka ukuba iimpawu syndrome zibonakalisa Loeffler xa kunokwenzeka emva ukuqhagamshelana kunye nezilwanyana kwaye nkqu unyango lwezifo ezithile.

Phakathi mithombo iphambili zosulelo, oogqirha bekela:

1. izakhi Air. Uphuhliso onaso kaninzi kubonwa nje abasabela ngayo umzimba ukuya umungu okanye umngundo fungi. iikhemikhali ezinobungozi.
2. Imithi. Ukusetyenziswa amaqela athile iziyobisi - oko akunakwenzeka, kodwa wavumela unobangela eosinophilia miphungeni. Ngokutsho izifundo, siye sakwazi ukuchonga impendulo efanelekileyo nemithi, izithako ezisebenzayo leyo penicillin kunye nitrofuran.
3. Ziibhaktheriya (ezinye iintlobo Staphylococcus, iStreptococcus Brucella). Magciwane idluliselwe kumntu ogulayo impilo ngokusebenzisa ukuxhawula, izinto ucoceko kunye nokutya. Emva koko, lingena emzimbeni amanxeba avulekileyo. Not ngaphandle iintsholongwane transmission umendo emoyeni.
4. Ntshulube. Irhorho ngenisa isixokelelwano sokuphefumla kwiiveki 2-3 emva kokosuleleka. Kusenokuba amile, ugritsy isisu, toxocara, Trichinella okanye hookworm. Ukwabelana a flat kwenzeka ukususela izigulane, kwaye emva ukuqhagamshelana kunye nezilwanyana.

Leffler syndrome ICD-10 (International Classification of Diseases) uchaza ukuba J82 khowudi.

Iqela ingozi eliphezulu

manani zonyango lezifo ikuvumela ukuba ukhethe iqela ezenza umntu esichengeni xa syndrome. Ezi imikhwa ethile kunye nempilo jikelele.

Ngubani na isengozini?

1. abathandi icuba. Eli qela lukwaquka abatshayayo kwisixando sokwenziwa. Likhoboka buthathaka zikhusela emiphungeni.
2. Amaxhoba kunganganynzeleki. Malunga nama-50% ezigulane kunye imbali ebhalwe ngayo eosinophilia yemiphunga sifo langoku.
3. Angosuleleka ne-HIV. Isizathu esiyintloko uphuhliso inkqubo zophendlo lwezifo - inkqubo omzimba buthathaka.
4. Izigulane zizifo somhlaza.
5. Abahambi. Ukuze a kakhulu oku kusebenza abahambi ngokuphonononga amazwe Asia and Afrika.

Lwalowo okanye ngaxeshanye udidi ngaphezu kwesinye ukusuka kuluhlu olungentla kunyusa kakhulu amathuba yokuphuhlisa eosinophilia miphungeni.

picture clinical

Yintoni uneempawu syndrome Leffler? Phakathi ezinkulu inkqubo ezibonisa zophendlo lwezifo oogqirha bahlule: ifiva, umkhuhlane kunye buthathaka. Ezinye izigulane bayathuthunjiswa yi ukukhohlela buthathaka kwaye expectoration yencindi tyheli, leyo kunokucaciswa ubukho eosinophils kwabafileyo.

Kulo mfanekiso emva koviwo X-ray kunokuthathwa njengento enye okanye ezininzi nakujoliso olutsha lwe lingene ezisebenzisanayo. Noko ke, ubungakanani kunye nendawo ziyahluka. Ukuba yaqashwa umzimba owomeleleyo, efunxeka ngokuqhelekileyo ukusombulula ngokwabo kwisithuba seeveki 2-3.

Ngexesha auscultation uxilongo bakwazi ukuchonga enye uphawu - ukutswina owomileyo. Ngokuqhelekileyo, zifumaneka inxalenye engentla kwemiphunga. test igazi ezinto ibonisa ubukho leukocytosis kwisiqalo iqela elikhulu eosinophils (60-80%).

Ngexesha lenkqubo sifo

Esi sifo kwenzeka kwenye iintlobo ezintathu. Cinga ngalinye embodiments zolwimi ngokunzulu.

1. A ifomu elula. Lubonakala picture clinical zokuqhubela. Ngexesha Ukhohlokhohlo inokuba zesikhohlela ugalelwe igazi, yaye kukho kabi kwingingqi uqhoqhoqho. Ukuba inqanaba lesi sifo sibangelwa kwii ziimpethu emzimbeni, kunye namaqanda zazo zifumaneka kwi-nkqubo wokugaya, ukuphuhlisa pancreatitis.
2. Ifomu abukhali. Leffler syndrome luqala kokunyuka ngequbuliso kwamaqondo obushushu, kwaye lubonakala kakhulu. Isigulane uneempawu kunxilwe zikhona. Xa ixesha elifutshane sikhokelele ukusilela sokuphefumla. Unyango lusoloko luqhutywa bume esibhedlele.
3. Ifomu ezigulo ezondeleyo. Eyona sivame ukuxilongwa kwabasetyhini abaphethwe asthma. Phakathi iimpawu eziphambili oogqirha bodwa ukubila kakhulu, ukwehla kobunzima, kwakunye nokubamba-bamba umphefumlo.

Ukumisela imilo yenkqubo zophendlo lwezifo kunceda ukukhetha uthomalaliso ekunene.

iindlela isifo

Lo mfanekiso yezonyango ngasentla alanele ukuqinisekisa Loeffler engqondweni. Iimpawu musani bahluka abantwana besi sifo abadala, ngokunjalo zonke iindidi izigulane eyabelwe oviwo comprehensive. Luquka ezi zinto zilandelayo:

1. Radiograph. Kulo mfanekiso ungabona iindawo ezimnyama ngokucacileyo eosinophilia miphungeni. Lo nokungena.
2. test Blood. Ngokwesiqhelo, egazini onempilo inani eosinophils akufuneki igqithe uphawu 5-10%. Ukwandisa eli umlinganiselo kwi 20-80% ikuvumela usola Loeffler engqondweni. Inani eosinophils ebantwaneni xa umzimba usempilweni ayikho eyahlukileyo kulo parameter abadala.
3. Uhlaziyo isikhohlela. Imfihlelo ukukhangela ubukho izakhiwo crystalline le enzymes of eosinophils.
4. Gciwane. Kuyenziwa ukuqaphela irhorho emzimbeni.
5. iimvavanyo Allergological.

Enye inxalenye ebalulekileyo iimviwo lokubhaqa kwimbali nomonde. Le yinxalenye yenkqubo yokuseka unobangela kunye neemeko zokosuleleka. Akwenzeki ukuba zinyule unyango abanobuchule ngaphandle la macandelo.

unyango okunikezelwe

Lidla ngokufuthi unyango ethile ayifuni Leffler syndrome. Iimpawu abadala kunye nabantwana ixesha elifutshane udlule ngokwabo soze ivele. Le ingcaciso kuphela ngonzululwazi sokuba le nto - ukungabikho zoqhagamshelwano kunye allergen.

Kwezinye iimeko, unyango kuyehla nokungasetyenziswa ingqondo imiba yayo yophuhliso. Ngokomzekelo, xa gazi nokosulela kwazona ofakwe helminths. Ukuba oku iyeza kuthinjwa, izixhobo analogue ekhethiweyo.

Ngamanye amaxesha Leffler syndrome ayikwazi ukweyiswa kwanasemva unyango olunzulu. Kulo mzekelo, kusenokufuneka ukudibanisa kwi mpilo, kwaye uxinzeleko amayeza. Phakathi iziyobisi lalathelwe kolawulo eosinophilia yemiphunga, kungathiwa:

1. iihomoni steroid. Ukusebenza omkhulu luphawulwa "Prednisolone". Imihla iyoluka ukusetyenziswa kwayo inegalelo "resorption" lingene olukhawulezileyo. Ukuba iziphumo ezincumisayo akukho waphawula, kufanelekile ukuba uhlolisise uxilongo. Kungenzeka, nangokurhala yomguli luhlobo olwahlukileyo.
2. Antiasthmatics ( "Theophylline").
3. Expectorants iipilisi. Ukuphucula izigulane inkqubo expectoration ityumbe mucolytics ( "Mucosolvan", "Ambroxol"). Ukuba uneengxaki iphecana zesisu kucetyiswa ukuba uthathe la machiza yi inhalation.

therapy Drug kungenziwa kumiselwe kuphela ngugqirha. Self-iyeza akukhuthazwa, kuba umntu avareji kunzima ukubala umthamo iziyobisi kunye nobude kolwamkelo lwabo. Kungenjalo, kunqabile lilawula ukuphepha iingxaki ezinzulu.

unyango Antiparasitic

Leffler syndrome ascariasis - isenzeko eliqhelekileyo. Kuyacetyiswa ke ngoko ukuba siqwalasele ngokwahlukileyo oko machiza asetyenziswa ukuba kuliwe le ngxaki. Ukuba uyakholwa oogqirha, kakuhle lusebenza ukucikideka;

1. "Pyrantel". Lokulwa nematodes, efuna kwafa neuromuscular kwi Izimfimfithi ezibuthathaka kuyo. Ngenxa yoko, ndafumana ngempumelelo ukusuka lokugaya.
2. "Karbendatsim". Izithako ezisebenzayo angene ngenxa iqokobhe helminth, ezikhubazayo kuyo. Ngenxa yoko, ezimfimfitha ulahlekelwa ubuchule ukuze zifake kwi sayo emathunjini.
3. "Mebendazole". Eli chiza iyasebenza nxamnye iimpethu ezininzi eyaziwa amayeza.

Kukhawulezisa kakhulu helminthic, xa amachiza ezidweliswe kwasilela umsebenzi wayo ophambili, isigulane esibhedlele. Kungenjalo, kwanga kukho emzimbeni epheleleyo.

Imiphumo ukuba umzimba

Loeffler kaThixo syndrome ukuphendula kakuhle kunyango. Unyango kufuneka siyeke ngisho inyanga emva yokuduka iimpawu. Kungenjalo, inkqubo yokukrala iza kuqhubeka inkqubela kwaye bandiqumbise nokudumba uyalisa miphungeni. Kwakhona, musa ukuba abekele abanesigulo - le yenye ingxaki le onaso. Oko kukhatshwa loloyiko lakho ijwabu semiphunga. Isifo zingachaphazela intliziyo, izitho zokugaya. Ngokuchasene nentsukaphi okhulayo eshotayo oxygen ayikho lunyhasho kokusebenza kwengqondo kunokwenzeka.

Namathuba okuba kokuwela

Ngokwahlukeneyo kuyimfuneko ukuthetha malunga amatyala likakade. Ekudla ngokudityanwa nabo ngenxa diagnosis ngokungafanelekanga okanye ezilibazisekileyo, ukuphathwa kakuhle. Emva unyango isigulane ithi angavela ngokulula usempilweni. Noko ke, uxinezeleko abaqhelekileyo okanye umfowunelwa rhoqo kunye allergen bamqumbise omnye likakade.

iindlela zokunqanda

Ngaba kunokwenzeka ukuba ukuthintela isifo Leffler? Ngokwenene ukuba kokugula eyingozi, kwaye ngoku akukho kwamathandabuzo. abantu abaninzi ngoweqela kumaqela abasemngciphekweni banomdla kuthintelo.

Lo mqathango engundoqo lokunqanda kuthathwa ukuba utyelelo rhoqo kwi-ofisi aleji ngayo. Ukuba ngezifo iphawulwa le umyalezo othile, kufuneka ulandele ngokungqongqo icebiso leengcali kwaye uthathe amayeza ekhuthazwayo. Ekhaya kuyimfuneko ukuthenga ikhithi eqhelekileyo zonyango, apho usike elifutshane omnye uhlaselo ethile.