Positive allergic alveolitis of the lungs and efficiently. Allergic alveolitis - causes, symptoms, treatment of exogenous allergic alveolitis

Exogenous allergic alveoli - a whole group of diseases, which occur as a result of trivial and intensive ingestion of antigens of organic and inorganic walking and are characterized by diffuse allergic diseases

Ethiology

Ethiological officials, zdatnі zumoviti development of exogenous allergic alveolitis, pіdrozdіlyayut into three groups:

microorganisms (bacteria, fungi, simple ones) and products of life (bottles, glyco- and lipoproteins, polysaccharides, enzymes, endotoxins);

biologically active substances of food and grass planting (white antigens of bird feathers, wool of food, ribbons, milk, slips, after, slaughter, syrovatka, sawing cavovy grains, rice, hemp);

low molecular weight spoluces (diisocyanate, salts important metals(Gold) і lіkarskі won ( antibacterial drugs, Nitrofurani, intal, antimetabolites).

Shrinking of the alveoli of the vine for a trivial inhalation of high concentrations saw with a particle size of up to 5 microns (2-3 microns). The development of antigens does not affect the development of alveolitis.

pathogenesis

Features of the pathogenesis of exogenous allergic alveolitis:

Roztashuvannya ignition process in the alveoli and interstitial legends.

Pathomorphological substrate of urozhennya - sarcoid-like granuloma, before the warehouse which includes T-lymphocytes and macrophages. The process ends with the development of interstitial fibrosis.

The diagnosis of exogenous allergic alveolitis is associated with the development of immunocomplex (type III) and clinical-mediated (type IV) allergic reactions. Atopic IgE-fallow mechanisms (type I) for exogenous allergic alveolitis are not typical.

With trivial contact with the antigen, allergic reactions are detected with the establishment of specific antibodies and immune complexes, which activate the system of complement and alveolar macrophages. It remains to see IL-2 and chemotactic factors, so that it takes into account the infiltration of the lung tissue with neutrophils, eosinophils, ogryadny cells, lymphocytes. Lymphocytes, in their own right, see a number of biologically active speeches from pro-burning and ear, on the alveoli. The sensitized T-lymphocyte-helper produce IL-2, while injecting it into the activation of cytotoxic T-lymphocytes, which stimulates the development of an ignition type of early-mediated reaction (reaction) One hour with alveolitis, granulomas are established, activation of fibroblasts and stimulation of fibrosis and interstitial lungs (active synthesis of collagen) are observed.

pathologist picture

Exogenous allergic alveolitis is characterized by the presence of granulomas in the walls of the alveoli and bronchioles, inflammation of the lymphocytes and plasma cells, and the presence of a medullary exudate. Granulomas are confirmed by epithelial cells, which in the center are oozed by lymphocytes and plasma cells. At more advanced stages of the pathological process, there is a legenevia fibrosis.

key picture

gostra uniform Exogenous allergic alveolitis of the vinikє after 4-12 years, the antigen is consumed in a sick way, in the middle or parenterally. Fever ailment, chills, dry cough or seeing a small amount of mucous phlegm. You can also attack the breath. Before an hour of objectivity, cyanosis, zadishka (expiratory) is promoted. With auscultation of the lungs, there is crepitus, middling and moderate wheezing, and sometimes dry wheezing. Pislya podpinennya inflow of exogenous allergen vischereperelіchenya symptomatology shvidko znikaє.

A subacute form of an exogenous allergic alveolitis of the vinicum is in that case, when the body is injected with a slightly insignificant dose of antigen. Inquisitiveness to develop step by step and is characterized by slowness, swirling backward weakness, enthusiasm, low-grade fever tila, coughing because of a small amount of mucous phlegm, decreased appetite. With auscultation of the lungs, crepitus, wheezing occurs. Send a message to contact with an allergen cleverly show to change, after repeated contact becomes ill again.

The chronic form of vinicum is in case of bagatoretic infusion of small doses of allergen. For the whole form of sickness, the characteristic is unhealthy decrease in mass, fatigue, cough with the appearance of mucous phlegm. With auscultation of the lungs, crepitations, wheezing, a symptom of beeping (with the presence of pleuro- and pneumofibrosis) begin. Every year it takes shape heart of legend.

diagnostics

In case of clinical advanced peripheral blood, leukocytosis appears, leukocyte formulation deficiency, eosinophilia, an increase in SHOE, in case of biochemical, hypergammaglobulinemia, serum hemorrhage Immunologic blood counts allow to establish a decrease in the subpopulation of T-lymphocyte suppressors, positive RBTL, galvanized leukocyte migration from specific antigen, Addition of the number of circulating immune complexes. It is possible to detect specific antibodies to the IgG class for an additional Ouchterloni precipitation reaction, passive hemaglutination, and rapid immunoelectrophoresis.

Differential diagnosis of exogenous allergic alveolitis should be carried out with idiopathic fibrosing alveolitis, professional bronchial asthma, COPD, tuberculosis, sarcoidosis, Wegener's granulomatosis.

lykuvannya

Likuvannya exogenous allergic alveolitis transmission of antigens to the contact of a sick person with a germ. At the state stage, the GCS is assigned (1 mg / kg pre-nizolone for 1-3 days with further lower doses for 3-4 days). If there is evidence of a contraindication to the value of GCS, or if it is not effective, vikoristovuvati azathioprine 150 mg per addition for 1-1.5 months, then 4-6 months. - 100 mg, nadal - 50 mg per dobu.

For galvanizing fibrosis, D-penicylamine (cuprenil) is frozen at 150-200 mg per dose for 4-6 msec. with the transition to 100 mg with a stretch of 2 rocks, glutamic acid, polyenzyme preparations (systemic enzyme therapy).

Singing perspectives on extracorporeal methods of detoxification: plasmapheresis, plasma, immuno, lymphosorption.

examination of the legal status

Nutrition of pracezdatnost іs from the legends entangled in the flow, obstructed by the antigens of microorganisms, circulate in the same way, as in the case of the most recent forms of the saw legends, the legends, wicked species, sawn.

prophylaxis

The primary prophylaxis of exogenous allergic alveolitis is carried out when looking at technological projects of industrial and agricultural enterprises, as well as an hour of professional survey of workers. The robot, tied with a flood of allergens, is not recommended for chronic nonspecific incapacitation of legends, frequent GDVI, allergic reactions.

When conducting dispensary examination of the various contingents, the workers are divided into three groups:

individuals who are in contact with allergens, which may have specific antibodies to them in their blood, or without clinical and radiological manifestations of exogenous allergic alveolitis and s normal performance functions of the new environment;

sensitized individuals with the appearance of the smallest key symptoms damaged function mental systems (vasomotor rhinitis, chronic bronchitis);

ailments with an exogenous allergic alveolitis with a flared clinical picture, fibrous snakes of a legacy tissue.

Prevention in the 1st group (rhizik) of transmission wellness come in(Zagartovuvannya, exercise therapy, dikhalnaya gymnastics), and during the transfer of GDVI indicate a course of nonspecific desensitization (antihypertensive disorders, calcium preparations).

In the 2nd group, a preventive treatment of the main illness is carried out with the help of time-dependent contact of the sick person with an allergen (sanatorium, prophylactic).

When robots are tied with an inflow of allergens, it is necessary to set up an individual patient (respirators, masks).

Exogenous allergic alveolitis (EAA) is a burning of a group of alveoli of the lung, which develops as a result of a free siege in them, which develops from immunoglobulin and allergenic exogenous walking. If the alveoli are alveoli є with other structural units of the lungs, they grow on the ends of the bronchioles, the bronchial tree itself with EAA is not affected.

cause development

Previously, the disease was called "farmer's lung" and hyperchymal interstitial pneumonitis. I will also name the ailment in a non-standard way, having cut it into a link, and the reason for its development is the regular inhalation of a finely dispersed saw, folding behind the warehouse, components such as particles can be good time... Tobto EAA is an inheritance from the legends of busy life in the midst of life, as, as a rule, they use robots in the body for an hour on the young farm, on the farm and in the state workers with the help of the organisms. I would also like to quilt yogo interconnection with butovy and ecologic troubles.

At the same hour, allergic alveolitis in children є to reach the broader ailments, which develop on aphids bronchial asthma... If older people are older, the main reason for the formation of pathology is: they are uncomfortable, think of them, who are regularly inhaled with small bottles, then it is more important for children to have a homemade saw in the warehouse.

saw blade and coma;
flowers and other fungi;
argue actinomycetiv;
food and wine proteins, which can be found in the products of living, food, farm household food;
pralny powders, components of yak є enzyme;
food products, etc.

symptoms

Allergic alveolitis of the lungs can be contracted in hospitals, in chronic forms. at gostrom perebіgu ailments before the end of the day, if you have a contact with an allergen, you may be susceptible to:

the temperature is adjusted;
zadishka navіt near the camp of calm;
chills;
weakness and lack of breath;
slight hyperemia (harshness on tl_ embryos) mucous membranes of the upper dikhalnyh nobles;
attack a cough;
blue skins and mules;
deaf wheezing in legends;
I have a pain in kintzivka.

Oscillations of the development of an allergic alveolitis supervise the destruction of the cleansing of the bronchial tree, through a few days of the first signs of illness before them, symptoms of infection may occur. ignition processes in the lungs, for example, pneumonia and bronchitis.

Manifestations of the undergrowth to get overwhelmed by the disease:

zadishka, supervodzhuzh physical navantazhennya;
cough with mucous phlegm;
wheeze in legends.

At the touch of a time, talk about the runaway of the EAA, it is possible only after a few days for robots in uncomfortable minds and inhaling a great number of saws, most often the symptoms of an allergic alveolus start to get sick, so not with shkidlivny minds pratsi.

To that, the people are being promoted to practice in the same place, and at the same time, the acceleration of getting overwhelmed and becoming the reason for their transition into a chronic form. characteristic familiar The inconsistency of the intensity is often due to the lack of success and the magnitude of the provocation of the physical imposition. All those who show ailments are rosy, and the wheezing in the legends is now diagnosed from time to time, and the radiological data must be left unimportant. It is correct to diagnose chronic allergic alveolitis in a foldable manner. Protect vidati yogo:

post_yna vtoma;
filthy portability of physical navantages;
decreased appetite і, apparently, vagi;
flattening breast cancer;
developing a syndrome of "drumsticks", tobto sweating fingers and nigtiv.

Drumstick Syndrome

diagnostics

Diagnosis is mainly established on the premises:

classic paintings;
hematologic disorders, which can develop in the presence of leukocytosis, eosinophilia, adduction SHOE and in.;
detection of precipitates from antigens to ochikuvannyh antigens;
functional legacy tests;
Danih about shkіdlivі virobnichі factories;
the presence of signs of fibrosis on roentgenologic signs;
The date of tracheobronchial biopsies, which should be carried out, even though these methods did not give sufficient information for setting a diagnosis, as they allow judging about the manifestation of pneumonitis.

Analysis of blood samples for specific antibodies

The analysis of the precipitates to the detected allergens one of the most important parts of the diagnostics, the odor odor, will be indicative of the presence of an immunological reaction of the body to an allergen. So, in the form of fallowness, in the form of a watered-down dzherel, there are different types of growth:

Farmer's easier, the reason for the development of such є thermophilic actinomycetes, is to take revenge in great quantities in winter sini, silos, grains.
Lighter than a bird lover, a breeder or a chornorob. Such people often contact with the last of papugas, pigeons, indikiv, chicks and other poultry.
"Conditioning" is easier. The reason for the development of such a form of seizure is that water is obstructed in iridescent aerosols, breezes or evaporators, in those present thermophilic actinomycetes, amoebi, Aureobasidium pullulans thin.
Lighter than a fox. To form with regular contact with oak, cedar saw and wood of other species.
Lighter sauna. It develops as a result of frequent inhalation of obstructed steam in the sauna, it is not enough to take revenge on Aureobasidium pullulans.
"Buryakova" is easier. Sponsor in people who work because of a beetle clogged, and see in every thermophilic actinomyceti.
"Kavova" is easier. To get involved in professional illnesses of people, who practice on virobnistvі kavi.
Lighter than a miller. It grows through the lesion of the alveoli with particles of flour infusion, which is alive in wheat mucus.

There is still a rich development of the EAA, but all the same, at the time of the appearance of specific precipitating antibodies in the blood, so that the attackers of the singing antigens, it is not possible to tell about the presence of an allergic alveolitis, there is a certain picture of the alveolitis. In such a rank, the analysis of blood count allows you to avoid judging the type and number of allergens in the body, so that you can confirm the diagnosis in addition to identifying the reason for the development of the disease.

Functional Legend Probes

If the EAA is in the form, the ailments will show:

change the obsyag legen;
destruction of diffusional buildings;
decrease in elasticity;
lack of blood supply is sour when physical options.

A handful of functional changes are insignificant, but in the world of progress, the stench will become obsessed. Therefore, with chronic exogenous allergic alveolitis, obstruction of the dyshal paths is not easily observed.

Differential diagnosis

EAA vimagaє differential diagnostics s:

sarcoidosis;
idiopathic legenevim fibrosis;
legen lesions in DBST;
medicinal lesions;
eosinophilic pneumonia;
allergic bronchogenic aspergillosis;
"Legendary mycotoxicosis";
atypical with "farmer's lung";
Infectious diseases.

lykuvannya

Likuvannya of exogenous allergic alveolitis in the whole field in the contact with shkidlivosti, which became the reason for the development of the disease. It’s easy to find out and pinch in conjunction with the dzherel allergens, which might be enough for a second donation without storing any special lykarsky zasobiv... To that we are sick even more often it is recommended to radically change viglyad labor activity for shaking off all the domestic creatures. It’s not a pity for quiet reasons, for example, it’s a matter of dying allergens є home drank, and a quick guide to buying special cleaners, etc.

In quiet patients, if the symptoms of illness give the patient a hundred discomfort, or if they do not go through for an hour, you can have a sign:

Antigistaminnyh zasobiv, for example, Claritin, Zyrteka, Ebastin. The preparations of the most common group are often stagnant for some signs of pathology for elimination.
Glucocorticoids. The stench is shown with the manifestation of hospitality and pidgostroi form of engulfment. Naybilsh is more importantly victorious Medrol, less - Prednizolon. A collection of їх is recognized at the viglyadі іnіtsіyuyuyu course trivial in 10 days, noting that є zenyatty gostrich reactions. As soon as you end up with a term, you will not be asked to buy additional medications on the basis of Medrol, you may decide to continue the therapy up to 2 or more. When we are tired of showing the EAA from the side of the organs, we switch to an alternative mode of drinking, when Medrol is taken in the same doses, even every other day, and with a further increase of the sick drug, step by step reduce the dose by 5 minutes.
Antibiotics in the penicylin series abo macrolides. The stench is indicated in the presence of a great number of bacteria in the inhalation of the saw and the increased temperature in the patient.
β 2 -sympatomimetics, for example, salbutamol or berotek. The drugs of the whole group are vicious in the presence of obstructive syndrome, which is supervised by paroxysmal dyspnoea or coughing.

It is also recommended for patients to take Lazolvan and complex vitamins A, C, E. to relieve their cough and suppress coughs.

With the right approach to the problem and the prompt decision of the EAA allergen, it’s against it in the form of hospitality, I’ll see it after 3-4 days, but with the manifestation of a chronic seizure, one cannot find a guarantee of safety for the life of the patient. decompensation, and hence, before the adduction of the lethal result.

Exogenous allergic alveolitis is an unacceptable ailment, a disease, as a rule, to develop, as a result of an organism on the basis of a permanent rotten mind and robots. So, the Persha was documented as a sposter in 1932, the middle of people, like the privacy of the government, and were constantly stuck with the same allergen.

In the year, the bullet was described under the name "farmer's ailment" - and only in an hour, since more information became available and it was necessary for all of the emerging images, the bullet was given the name "eccentric."

cause ailments

The intelligence, which may be alveolitis, is required for the ear to grow, as it is the enemy's organism, and in which case the main problem is. The process is dependent on last:

Allergen is consumed in the body - as a rule, in small doses and through the dysfunctional way. In childish vines, you can eat and walk along the path, through the school, and even organism reacts to a new way.
Microparticles, to avenge the allergen, pass in the leg and settle on the alveoli... I react to them immune system, Yaka mittєvo started to viroblyat to new antigen, to break the antigen (tobto, alien tilo).
Immune complexes, which are stored from other cells to the organisms and antibodies collapse to antigens - to cells-zagarbniks and become neutralized.
How to go - a person does not see anything and does not help, but in the body it is possible to see.
Iakshcho zagarbnikov zanadto bugato and immune cells didn’t fit in with them, they smelt gnuts and settle on the walls of the alveoli;
As a result of the robotic phagocytes, toxins are established, which cleanse the lungs and inject them onto the walls of the alveoli, run and groan.
There are symptoms of burning: the tissues of the middle of the lungs are swollen, the eksudat is violated, the purchase of burned clitins - granulomas.

In important cases, the alveolitis of the allergic alveolitis of the normal tissue and of the legends can be replaced with the resultant one, it is important to enclose their rupture and make them sick to the point of development.

Alveolitis develops only in fifteen hundred people, when they work with potential allergens. Tsomu take their own ordered factories, among them:

Sensitivity of hairs and success of robotic smooth eating. In the middle of the lungs, covered with curved fabric - smooth epithelium - like covering with thin hairs, like, if you use third-party elements on them, you can fix it at once with mucus from the name. Yakscho tsei mechanism is disgusting pratsyuє, more chances, so allergy will not be vivered from the lungs as quickly as possible, with the onset of sputum.
Zahvoryuvannya dikhalnyh nobles. For an hour, the body is sick in the whole age, we are more influenced - the immunity of the backward adulation is a single problem, so you can quickly switch to іnshu. Well, the firing process is still in the dichny paths, the alert is simpler than pushing them into the water.
Features of robotics and immunity. Weak immunity can be the reason for the development of an exogenous allergic alveolitis, the risk for a new dose of allergen is not a full-blown junction, and it’s uncomfortable to fit in.
Features of phagocytosis. As phagocytosis is superbly active, the stench can start the process earlier, less later it will become more active and more active.

In such a rank, before an allergic alveolitis of the lungs develops in people, it should be screwed up:

ailments of legends - dribbling and fall;
kurinnya - lowering immunity and immediately leading up to the substitution of a smooth food with a complete abnormally crooked fabric;
alcoholism, visibility physical activity, Wrong harassment - may lower immunity.

It’s great on a new level and spadkova smartness, і vіk. Allegedly, the main factor, vividly, is the vibration of the profession - all types of allergic alveolitis є professional ailment.

Classification

Exogenous alveolitis was accepted as a result of the allergen of the disease. Tse can be a bacteri, lіkuvalny drugs, Allergic speeches of the rose and foodstuffs. I see it in this rank:

barn exogenous allergic alveolitis, which is a vine in people, which is used for wheat, especially - cleaned and rosipanoy in one great mountain;
bagassosis, like a vine, among the wicked ones with a red cane;
Exogenous allergic alveolitis of Kawi molluscs, which is a vine in humans, is robotic continuously stuck with small Kavi, especially if you need a special threshing;
Exogenous allergic alveolitis of sauna lovers, like a vine in a quiet, but permanently contact with a vologic tree - very, not only bath attendants;
Exogenous allergic alveolitis of weavers, which is a vineyard in people, which can be done well, especially if you have been lying already for a long time and has already had a problem;
Exogenous allergic alveolitis of volinschikiv, which is a vine in people who are constantly in contact with musical instruments - spirits and have not been cleaned for a long time;
Exogenous allergic alveolitis of chinbarov, which is an enemy of maple bark;
Exogenous allergic alveolitis of bird lovers, which develops in people, through robots constantly contact with birds, or after piglets, chicks, papugs;
exogenous allergic alveolitis of khutroviks - karakul and khutro foxes;
exogenous allergic alveolitis hammers - black pepper, especially chalking;
Exogenous allergic alveolitis of the inhabitants of New Guinea - drank from the outline, especially already raised the path;
Exogenous allergic alveolitis of mushroom pickers and ailments of brewers - dispute mushroomsі, for example, barley і malt, crushed to a saw or malt;
Exogenous allergic alveolitis of farmers - wet sino.

In addition, you see alveoli, such as a red tree, a crust tree, a mushroom-board and a warm primitive, de mushroom argue.

For this purpose, the alveolitis in humans has developed, it’s not enough just for the mother to correct the allergen in a clean viglyad. Chervona tree did not bring any shkodi on its own, so yak itself is not very long and pigeons, and malt. Only in the camp of the found particles, which can penetrate into the legends, allergenic symptoms of ailments melt into life.

symptoms

Symptoms of allergic alveolitis can be divided into three large groups:

Gostra form. It develops, if the ailment has taken off a larger dose of allergen at a time, and the body cannot fit in with it. The effect is manifested in the interval from three to twelve years and it is not easy to get rid of the cold. For a new characteristic severe cough, Adjustable temperature, less at the slopes and m'yaz, strong head b_l in the area of chola. The sick person's temperature rises, his wine becomes weak, he gets tired and feels cold in the warmth. To navigate without a gostr reaction, the phase to go through all for a few days without contact with the allergen, or turn immediately, if the ailment knows the dose. And if you go without a lot of problems, you will lose your nerve and weakness.

Gostru phase is easy to confuse with chill- to that one? If you want to be built, everything is trivial and intelligent, as it is more beautiful than a vicious friend and ask him to change.

Subacute form. To develop, if the ailment is in contact with the allergen more, the ale dose of the bullet is less. Todi allergic alveolitis is easy to get rid of with bronchitis, or to burned legends - the ailment fixes itself at the least physical pressure, there are mild pains in the breasts, the temperature may rise. It is easy to get tired and often coughs - the cough is severe, painful and strong due to the appearance of mucous phlegm.
Chronic form. To develop, as a result of continuous contact with small doses of allergen. It is typical for people who work in the singing spheres with rocks and do not live any zusil, who want to clean up their crazy ways. In general, allergic exogenous alveolitis characterizes the delay in physical activity, appetite intensity and vagi intake. It is possible to recall the symptoms of a trivial sour hunger - phalanges of ailing fingers, molding so-called drumsticks, shkіra ma cyanotic appearances, cognitive functions of diminishing. The ailment will gradually skarzhivat on stomluvane, seeming weakness.

As soon as the development of chronic form goes through it, it’s just as fast as it’s typical for all ailments, and it’s supervised to keep up with constant sour hunger. tse:

degenerative changes of the lungs, with any stench more, they cannot normally show their function - they can win when healthy tissues are replaced with a result;
degenerative changes of the heart - win, as a result of the lack of sourness, are characterized by arrhythmia, hopeful or accelerated by the rhythm, pain, retardation when trying to show physical activity.

The judgment changes, the cognitive functions of the brain decrease. The whole body in the heart of the suffering and as a result of ailments can end life from an infarction, if the heart simply does not fit in with advancing new options. It is necessary to fix it quickly and easily.

Likuvannya and diagnostics

First, if you start to diagnose an allergic exogenous alveolitis, it is necessary to carry out a comprehensive diagnosis, so as not to confuse the ailment with the legion of legion ailments. For tsyo vikoristovuyut:

Zbir anamnesis. Lykar zbirah dan, fed, if there are symptoms, if you have an ailing allergy or if you have contact with potential allergens, if your relatives are sick with a disease.
Caution of symptoms. Lykar pereviryak, yak viglyadayut symptoms of the patient - chi є at a new zadishka, fever, headache... Ask for a cough.
Physiological survey. Likar to ask the sick person to cough, to wonder at a cough, to make a mess of it, to kick a backside. Listen to legends for wheezing.
X-ray and tomography. Likar referring a sick person to X-ray - with an ailment of a sick child, there will be no more strength, there will be visible those other vuzliks - granules. Once before X-ray, tomography can be done, so that it is more accurate to assess the status of the legends from the internal perspective.
Doslidzhennya funktsii dikhannya. Lykar pereviryak, the patient can inhale and back, but the number of his lungs has changed significantly.
Test for allergeni. Likar puts a sick person in contact with an allergen and marvel at the reaction of the body. When there are symptoms, the diagnosis becomes clear.

Can also be carried out laboratory dosage zrazok biopsia - the stench permits more precise definition of the internal body of the body. If the diagnosis is an exogenous allergic alveolitis - deliveries, there are only a few cases.

The first and the most important croc - take away the sick one in a flood to the allergen... Often, it can be folded down through those, where the alveolitis of the bandages is not normal, with professional performance, but it is absolutely necessary. We can't talk about yake lіkuvannya, as long as the ailment doesn’t pin the contact.
Another croc is glucocorticosteroids, which reduce the activity of immune cells and change the manifestation of allergies.

on пізніх stage ailments, however, do not give glucocorticoids to the effect. Allergic alveolitis of the lungs afterwards lіkuvati more symptomatically, having killed the sick person from the allergen and indicating that it is worth it, as it can lead to the death of its camp.

However, there is a lot of degenerative worms that are not eaten away. In addition, exogenous allergic alveolitis is necessary for early stages If symptoms only appear.

Exogenous allergic alveolitis of the lungs of the vine through regular inhalation of a saw with a folding warehouse, components of which є particles are of a growing nature.

With a lot of zvoryuvanni on the lungs, pour in teasers of the navkolishny middle. Particularly wider is the phenomenon in the Silskoe statehood, I want to spontaneously spontaneously і in the minds of the mind.

What about the ailment?

Exogenous allergic alveolitis is provoked by callous mockers, there is an allergic reaction, and then the alveoli are ignited (even the little ones in the middle of the lungs).

Ethiological development of tsyogo ailments є other particles, which are consumed directly in the legend, minayuchi trachea.

Dzherelom can be:

Birdie b_lok;
color;
Be drank;
Argue fungi.

Especially people get infected when they start working in the Silskoe state. Before a group of people, people are also included in the group who live in the zones of industrial enterprises.

Toxic-allergic alveolitis

Rise through the infusion of toxic words on the leg.

Yogo wiklikayut singing speeches:

Chemistry with chlorine.
Chalk talc.
Immunodepression.
Zinc.
Sulfanilamidi.

cause

See coming:

Liks;
Singing products kharchuvannya;
The particularity of the climate;
microorganisms;
Cheerful speeches;
Mind professional skill.

Falsely, when chinniks appear, exogenous allergic alveolitis appears in the following view:

Bagassoz - a teaser є tsukrova restin.
Suberose is a dzherel antigen to serve as a tree bark.
Barn dough - negatively injected brudna dough.
Lycoperdinosis is a manifestation of sickness wiklikє mushroom-board.
Lighter hammers - grain with fungus.
Lighter khutrovik_v - bits of hair, withered by slashing misha.
The sickness of sauna lovers is a dzherelo in the flowers of the Vologo derevin.

The list can be continued until indefinitely. For people who are sick to the point of becoming ill, antigen is always present and everywhere.

disease pathogenesis

The form of allergic alveolitis doesn’t exist and exact data about the processes that occur for an hour with ailments, it’s not.

A pathological process occurs, such as the loss of tissue and legends. The progress of the reaction is to be found in the peculiarities of the most recent allergens and in the form of organisms.

Hypersensitivity to bronchial infections, which can be produced before any symptoms appear.

Have legends on cob stage ailments pretend to be granulomas. Lighter texture changes: the main fabric is made of fabric.

symptoms

The clinical picture is that the ailment lies at the stage, in which the process of pathology is located.

gostra stadiya

It grows through a few years of age for the penetration of the allergen into the body. Tsey stage is characterized by quick development.

People have to show:

chills;
zadishka;
The temperature rises;
Dry cough;
To fix painful slopes and m'yazi.

Reduction of contact with the antigen to produce all symptoms without treatment.

subacute stage

Infused with regular antigen in the body. Poisonousness grows everywhere, but it is the reason for the brutal beast to the likar.

Qia form to manifest:

Cough with phlegm;
zadishka;
Zniknenny appetite;
Pidyom temperature.

Repeated contact with the child will burn the symptoms.

chronic stage

It should be characterized by reports of immune, infectious and ignition processes. The function of the lungs is impaired, as a result of heart failure.

є vidminna sign falling ill among people singing professions. I call yogo - "Monday's symptom."

In humans, with a stretch of work, the ailment manifests itself even more strongly, but for the period of extreme symptoms, the symptoms change significantly. Self-esteem is meaningful, but with the ear of labor, the symptomatology is known to the outgrowth.

Have children

Tse zhvoryuvannya vinikak is rіdko, mostly in school wіtsі. The reason to serve is drank and homemade things.

As soon as the ailment is repaired, the symptoms are spared in children:

Shvidka vtomlyuvanstvo;
Decrease masa tila;
More and more growth;
The form of nigtiv changes.

Symptoms in children and older adults are similar, but in childish zvoryuvannya protokє in the form of hospitality.

diagnostics

Therapist, pulmonologist, and, if necessary, allergologist take care of exogenous allergic alveolitis.

The diagnosis is made for a complex situation, like a polyaga in an offensive:

Get anamnesis.
The patient's scars are analyzed.
Auscultation is performed.
Chest x-ray.
Bronchoscopia.
Viznachennya rіvnya erythrocytes.
Provocative probes. Introduce aerosol with the antigen with the help of the іngalyatsії and then use the spirometry.

If it is not enough to give an accurate diagnosis, then hesitate biopsia of the legend.

Differential diagnosis

It is necessary to differentiate from tuberculosis, lymphogranulomatosis and other illnesses due to illness.

Deyaki from them:

sarcoidosis;
Eosinophilic pneumonia;
Іnfektsіynі zapalennya;
Legenevius with mycotoxicosis.

Differentiation to allow ailments with similar symptoms.

lykuvannya

Therapy of an exogenous allergic alveolitis of the obov'yazkovo is less complex and lasts a trivial hour.

Find out the main principles of therapy:

Visible contact with a sick person.
The ignition process is required.
Slid to compensate for the dyshally lack.

Name the following preparations:

hormonal activity

Cytostatics - improve the development of the reaction and improve the development of the reaction.

Inodi cleanse the shelter against the antigen. Plasmapheresis - effective way help, if toxic-allergic alveolitis is manifested.

Gostra the stage of ailments get caught up in hormones for a month. Iakshcho prevent severe cough, hormones are suppressed by bronchodilators.

navit pislya effective treatment happen to be spastered in the dispensary.

As soon as the pathology was evident, the prognosis was quite hospitable.

accelerating

Khvoroba has its own peculiarities and is cluttered with serious accelerated, especially in children.

It should be explained by the increased loss of the lungs to the most recent officials and by a weak immune system. Such people may be able to develop a gostra form of becoming ill, signs of a strong turn and a great problem of infectious acceleration.

Possible heritage:

Deficiency of sourness wiklikє dyshally lack of;
Legeneva hypertension;
Pathology of the disease can be a heart failure.

At the outbreak of the disease, a potentially fatal result.

professional come in

An important role in the prevention of disease prevention is of prophylactics:

In general, the guilty ones are guilty of hygienic norms.
For an hour, robots will need to wear respirators and special clothing.
If ailments develop through the intake of medications, then before treatment it is necessary to have an allergic anamnesis.
The kids need to change the robot.

Slid regularly see a pulmonologist. If you change your mind and have a quicker way of living, you can start developing an allergic alveolitis.

With adequate treatment, exogenous allergic alveolitis is guilty of knowing through the month. If ill health has passed into a chronic form, then a successful result cannot be guaranteed. Might be the result of a legeneva decompensation, which can lead to a lethal result.

Zadishka, often with complications vidihu. A collection of victories with physical navanazhennyah, in the world of progressing illnesses spontaneously and in peace.
The cough is often dry, in some cases there is a small amount of mucous phlegm.
Bil in the chest cells is often bilateral, in the lower viddylah of the lungs, it can be felt in case of a severe inhalation.
Decrease in mass.
Increased temperature.
Zagalnaya weakness, swelling stomlivanst, lowering of prasezdatnost.
Increased visibility.
Appetite visibility.
The blueness of the shkirny crooks - with a trivial abo gostromy interruption.
Zmіna of the formation of fingers - the growth of cysts in growth, opuquity nigty plate(With a trivial overrun).

form

Gostra form - to develop in 4-12 years after contact with massive doses of antigen. It is characterized by small growths and a significant variation in all symptoms: increased temperature (up to 38 ° C), chills, cough, difficulty in feeling, pain in the chest, may have pain in the head. In case of contact with a causal factor, the symptoms are quickly assimilated. In case of trivial contact with the antigen, it is possible to switch to a chronic form.
The subacute form is vinikє with a trivial infusion on the body of at least small doses of antigen. Symptoms grow in steps.
Chronic form - tied with bagatoric contact with small doses of antigen. Symptoms grow more and more, headaches є progressively badly. Progressively, the structure is destroyed and the functional capacity of the lungs is lost with the development of important dyshal and heart failure.

cause

As a rule, ill health bears a professional character, so as the development of zooming by contact with different antigens, in the main it is based on virobnism or in home government. However, not all people, who are in contact with many words, do not have ailments.
It should be given respect that exogenous allergic alveolitis is formed in schilous individuals (genetic agility, especially immune responses to organisms).

There are several causal factors:

diagnostics

Zbir skarg (progressive sluggishness, cough, bile at the breast, weakness, decreased weight).
Taking anamnesis (history of development) ailing - feeding about those who have repaired and prevented from becoming ill; z'yasuvannya for any reason diagnosis of ailments (contact with professional shkidlivosti).
Zagalny look (look around the shkіrnyh curves, thoracic cells, hanging legends with the help of a phonendoscope).
Analysis of phlegm.
Zagalny analysis of blood: in case of a state of emergency, there are signs of heat (increase in the number of leukocytes, accelerated SHOE (speed of occurrence of erythrocytes)), with chronic form You can improve your blood cells and hemoglobin.
X-ray of the organs of the breast cells - allowing the appearance of snakes in the legends and the suspicion of sickness.
Computer tomography of the highest permissiveness (HRCT) - allows more detail in the nature of the changes in the legends.
Spirometry (spirography) is an advanced function of the social environment. Allowing the assessment of the passage of the nobility and the health of the lungs.
Provocative test - to see the function of a callous dichotomy behind an additional spirometry, in order for the sick person to smell the inhalation of aerosol, to avenge the transmission of the antigen. Then re-conduct spirometry. at positive test Approximately after 4-6 years, the death of the patient’s zagalny camp (coughing, bad breath) and / or a decrease in the performance of the patient’s function will appear.
Posting the gas storage to the blood.
Bronchoscopia is a method that allows you to look around the body of the bronchial tubes from the middle behind an additional special attachment (bronchoscope), which is introduced into the bronchi. For an hour of the procedure, take a snake from the bronchial tubes and alveoli (spinal bulbs, in which there is gas exchange) for further advance to the customer warehouse. You can take a biopsy of an ugly file for an hour until the end of the day.
Biopsy is a small piece of urazhenoi fabric for the endurance of a clerical warehouse. Naybіlsh informative іdkrita (surgical) biopsies of uzhenoіy dіlyanka of legacy fabrics. The method is victorious in the case of a serious interruption of illness and ill-health of setting up a diagnosis for the data of over-insured people.
Consultation is also available.

Treatment of exogenous allergic alveolitis

Viklyuchennya contact with the causal antigen is the key moment of lykuvannya.
Glucocorticosteroids hormones - for smothering inflammation.
You can use an anti-fibrous preparation - for a change in the growth of a complete fabric (fabric, which fixes the supporting frame of all organs) in the legends.
Bronchodilators (zasobi, scho expand bronchi) - for usunennya zadishki.
Kisnev (ingalyatsii kisnyu).

Storage and inheritance

Dichally lack of (lack of sourness in the body).
Legeneva hypertension - a vise for the legenevia artery.
Chronic legeneva heart (heart lack, zoomed pathological process in the legends).

Prevention of exogenous allergic alveolitis

Unique trivial contact with professional and state-owned schools (extras and food from home birds, wool of food, bark, thyrsus, wood, loose sino, straw, different types of confectionery, boros, etc., color,

dodatkovo

With the state of the process and on the cob stages of chronic interruption to the antigen injected, the organism responds to the overworldly immune response, the development of allergic incineration into the development of allergic incineration, granulomas are formed in the lungs (purchase).
In case of trivial discomfort, it is spared to overwhelm the legacy of the fabric, the denial and the substitution to grow with good cloth... Tsya stage rejected the name "stylistic legend", the fragments on this stage of development of ailments are easy to change their structure and for Budova to play bdzholiny stylniki.
Such changes will significantly disrupt the function of the organs of energy and zoom in on the recognition of important mental deficiencies (deficiency in organism).