Ngokuvamile, ama-eosinophil enza amaphesenti amathathu kuya kwamaphesenti ama-leukocytes egazi (okusho, ajikeleza amangqamuzana egazi amhlophe), noma ama-350 kuya ku-650 ububanzi bamamitha ayi-cubic. I-Eosinophilia ichazwa njengenombolo ephakeme kakhulu yama-eosinophil egazini. I-Eosinophilia ibhekwa njengomnene uma kunama-eosinophil angaphansi kuka-1,500 nge-cubic millimeter, ilinganisa nge-1,500 kuya ku-5,000 ngamamithamitha ayi-cubic, futhi inzima kakhulu uma kunezinkulungwane ezingu-5000 zama-eosinophil ngo-cubic millimeter.
Kunezimbangela eziningi nezimbangela ezihlobene ne-eosinophilia. Izimbangela ezivame kakhulu zihilela izimo ezibangelwa izifo, izifo ezithathelwanayo, noma izifo ezibangelwa yi-neoplastic (umdlavuza). Ukukhomba imbangela, umlando wezokwelapha wesiguli kanye nokuhlolwa ngokomzimba kubalulekile, ikakhulukazi ngokunikeza izinkomba zokuqala.
Imithi ivame ukumelana nokuziphendulela. Noma imuphi imithi ingase ibe nomthwalo wemfanelo, kodwa ngokuvamile ama-antibiotic noma izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory drugs) (NSAIDs) zixhunyaniswa ne-eosinophilia ye-peripheral. Uma ukuvuvukala kwe-eosinophilic ehlushwayo iqala, ukuqhuma, umkhuhlane, kanye ne-pulmonary infiltrates kungenzeka.
Izimbangela ezithathelwanayo zivame ukusolakala ngeziguli ezakha i-eosinophilia ngemuva kokuphuma ezweni. Ukusiza ukutheleleka kuhlotshaniswa ne-eosinophilia. Isimo esisodwa esinjalo, okuthiwa i-Loeffler's syndrome, sibonakala nge-pulmonary yesikhashana esingaphansi kwe-eosinophilia ekuphenduleni ukudlula kwamagciwane e-helminth emaphashini.
Ukutheleleka kwe-fungal, ezinye izifo ezithathelwanayo, nesifo sofuba nazo zihlotshaniswa ne-eosinophilia.
Ngokuphathelene nokuhlukunyezwa njengesisusa esithile se-eosinophilia, i-hematologic (igazi) izibizo zingase zibe yi-eosinophilic. Nge-neoplasms ye-lymphoid, kungenzeka kube ne-eosinophilia esebenzayo. I-eosinophilia ye-peripheral ingase ivele ne-malignancies yomzimba eqinile.
I-Eosinophilia ingase ihlotshaniswe namacala athile ezifo ezixhumene nezicubu , i- Sjogren's syndrome kanye ne- rheumatoid arthritis . Kunezimo ezihlukahlukene zokuzimela, izivuvu, noma izimo ezingahle zihlobene ne-eosinophilia. Yize lezi zimo ngokuvamile zibhekwa njengesizathu esivamile kakhulu se-eosinophilia, isifo sokuxilonga kufanele sicabange ukuthi kungenzeka. Ake sibheke ezimbalwa.
I-Granulomatosis Eosinophilic Nge-Polyangiitis
I-granulomatosis ye-Eosinophilic ne-polyangiitis, isimo esaziwa ngokuthi i-Churg-Strauss Syndrome, sibhekwa njenge- vasculitis yesistimu. Lesi sifo, ngokusho kweThe Johns Hopkins Vasculitis Center, sachazwa okokuqala ngo-1951 nguDkt. Jacob Churg noDkt. Lotte Strauss njengesifo esinesifo se-asthma, i-eosinophilia, umkhuhlane, kanye "ne-vasculitis ehambisana nezinhlelo ezihlukahlukene zegciwane."
I-Fosciitis Eosinophilic (aka Diffuse Fasciitis Ne-Eosinophilia)
I-fasciitis ye-Eosinophilic iyisifo esingavamile lapho isikhumba kanye nezicubu ngaphansi kwesikhumba kuba nobuhlungu, bukhuni, futhi buqhakazile, ngokuqina kanzima ezandleni nasemilenzeni. Ukuthola ukuxilonga kuncike ekuhloleni kwesikhumba kanye ne-fascia (izicubu ezinzima ezinamahlombe phezulu naphakathi kwemisipha). Ngenxa yesimo sokuqina nokuqina, kufanele sihlukaniswe ne- scleroderma .
Ukwelashwa kwe-fasciitis eosinophilic ngokuvamile kuhilela ukusetshenziswa kwe- corticosteroids (ngokuvamile i- prednisone yomlomo). Ngenkathi imbangela ingaziwa, kubonakala sengathi kukhona umcimbi wokulungisa ohilela ukuzikhandla ezimweni eziningi.
I-Eosinophilic Myalgia Syndrome
I-Eosinophilia i-myalgia syndrome yinkinga lapho izinombolo eziphezulu kakhulu ze-eosinophil zidala ukuvuvukala emasongweni, emisipha, nasezingxenyeni ezihlangene. Kanye nobuhlungu, ukuqhuma, ukuvuvukala, ukukhwehlela nokukhathala, ubuhlungu obunzima bomzimba obubuhlungu buyisikhalazo esikhulu. Lesi simo sabonakala kuqala ngo-1989 , ngemuva kokuxhunyaniswa nokuxhaswa kwezempilo, i-L-tryptophan.
Ukwengezwa kwavinjelwa kodwa hhayi ngaphambi kokuba abantu bafe kuso. Kunezimo ze-myalgia ye-eosinophilic engahlobene no-L-tryptophan.
I-Hypereosinophilic Syndrome
I-Hypereosinophilic syndrome ibonakala ngegazi elithile le-eosinophilia, elinamakhulu angaphezu kwe-1500 eosinophils nge-cubic millimeter eqhubekayo izinyanga eziyisithupha noma ngaphezulu, okwenza ukuthi inhlangano ihileleke ngaphandle kwe-parasitic, i-allergen, noma enye enye imbangela ebonakalayo ye-eosinophilia. Izimpawu zincike yiziphi izitho ezihilelekile. Ukuxilongwa kuhilela ukukhipha ezinye izimbangela ze-eosinophilia, kanye nomnyo we-bone kanye nokuhlolwa kwe-cytogenetic. Ukwelashwa kuvame ukuqala nge-prednisone.
Imithombo:
I-Eosinophilia: Umhlahlandlela wokuHlola wokuHlola weziRheumatologists. Akuthota et al. I-Rheumatologist. Juni 15, 2015.
http://www.the-rheumatologist.org/article/eosinophilia-a-diagnostic-valuation-guide-for-rheumatologists/
I-Johns Hopkins Vasculitis Center. 08/08/2015.
http://www.hopkinsvasculitis.org/types-vasculitis/churgstrauss-syndrome-css/
I-Eosinophiic Fasciitis. I-Rula A. Hajj-ali, iModlag Manual. 08/08/2015.
http://www.merckmanuals.com/home/bone-joint-and-muscle-disorders/autoimmune-disorders-of-connective-tissue/eosinophilic-fasciitis
I-Hypereosinophilic Syndrome. UJane Liesveld, MD kanye noPatrick Reagan, iMMD Merck Manual. 08/08/2015.
http://www.merckmanuals.com/professional/hematology-and-oncology/eosinophilic-disorders/hypereosinophilic-syndrome