He aha ka Syndroma Hypereosinophilic? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka syndroma hypereosinophilic (HES) he maʻi koko maʻamau loa ia kahi e hana nui ai kou kino i nā eosinophil, kahi ʻano keʻokeʻo koko e kōkua mau ana i ka hakakā ʻana i nā maʻi a me nā maʻi ʻiliʻili. I ka piʻi ʻana o kēia mau pūnaewele i ka nui ma luna o ka manawa, hiki iā lākou ke hōʻino i kou mau kino a me nā ʻiʻo, ʻoiai kou naʻau, nā māmā, ka ʻili, a me ka ʻōnaehana nerve.

E noʻonoʻo i nā eosinophil e like me ka hui hoʻomaʻemaʻe o kou kino no kekahi mau ʻano hoʻoweliweli. Ma HES, lilo kēia hui i mea hana nui a hoʻomaka e hana i nā pilikia ma mua o ka hoʻoponopono ʻana iā lākou. ʻOiai ke kani ʻino nei kēia kūlana, nui nā kānaka me HES e ola maikaʻi me ka lapaʻau kūpono a me ka nānā.

He aha nā hōʻailona o ka syndroma hypereosinophilic?

Hiki i nā hōʻailona o HES ke ʻokoʻa loa no ka mea hiki i nā eosinophil kiʻekiʻe ke hoʻopili i nā kino like ʻole ma kou kino. Nui nā kānaka e ʻike mua i nā hōʻailona palahalaha e like paha me nā maʻi maʻamau, ʻo ia ke kumu e lōʻihi ai ka ʻike ʻana.

Eia nā hōʻailona maʻamau loa āu e ʻike ai:

• Luhi mau ʻole e hoʻomaikaʻi ʻia me ka hoʻomaha
• Pōkole o ka hanu a i ʻole ka pilikia o ka hanu
• ʻEha umauma a i ʻole ka palpitations naʻau
• ʻIli ʻili, ka ʻili, a i ʻole nā ​​hoʻololi ʻili wehe ʻole
• Nāwaliwali o nā ʻiʻo a i ʻole ka ʻeha o nā hono
• Ke ʻōhū mau ʻole e hele aku
• ʻO ka pehu i kou mau wāwae, nā kuʻekuʻe wāwae, a i ʻole ka maka
• ʻEha ʻōpū a i ʻole nā ​​pilikia digestive

ʻIke kekahi poʻe i nā hōʻailona neurological e like me nā pilikia hoʻomanaʻo, ka huikau, a i ʻole ka numbness i ko lākou mau lima a me nā wāwae. Hoʻomohala ʻia kēia mau hōʻailona no ka mea hiki i nā eosinophil ke komo i kou ʻōnaehana nerve a hoʻoulu i ka mumū.

ʻAʻole pinepine, hiki iā ʻoe ke ʻike i nā lymph nodes nui, ka nalowale kaumaha wehe ʻole, a i ʻole nā ​​maʻi wela hou. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka hoʻomohala ʻana o nā hōʻailona i nā mahina, no laila ʻaʻole paha ʻoe e hoʻohui koke iā lākou i kahi kūlana hoʻokahi.

He aha nā ʻano o ka syndroma hypereosinophilic?

Hoʻokaʻawale nā ​​kauka i ka HES i nā ʻano like ʻole ma muli o ka mea e hoʻonui ai i kou pae eosinophil. ʻO ka maopopo ʻana i kou ʻano kikoʻī e kōkua i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa no kou kūlana.

ʻO nā ʻano nui e komo pū ana:

• HES mua: Hana kēia i ka wā e hana nui ai kou iwi kuamoʻo i nā eosinophil ma muli o nā hoʻololi genetic a i ʻole nā ​​maʻi pūnaewele koko
• HES lua: Hana kēia i ka wā e hoʻoulu ai kekahi kūlana ʻē aʻe, e like me nā maʻi ʻiliʻili, nā parasites, a i ʻole nā ​​maʻi autoimmune, i ka hana eosinophil kiʻekiʻe
• HES Idiopathic: ʻO kēia ke ʻano ʻaʻole hiki i nā kauka ke ʻike i ke kumu kikoʻī no kou eosinophil kiʻekiʻe

Hoʻopili pinepine ʻia ka HES mua i nā mutations genetic e hoʻopilikia i ke ʻano o ka hoʻomohala ʻana o kou mau pūnaewele koko. Hoʻokahi ʻano i ʻike nui ʻia e pili ana i ka hui ʻana o ʻelua mau gene i kapa ʻia ʻo FIP1L1 a me PDGFRA, kahi e pane maikaʻi loa ai i ka lāʻau lapaʻau i kapa ʻia ʻo imatinib.

Hiki ke hana ʻia ka HES lua e nā kūlana like ʻole e komo pū ana i kekahi mau kanesa, nā pane lāʻau, a i ʻole nā ​​maʻi maʻi lōʻihi. ʻO ka ʻike ʻana a me ka mālama ʻana i ke kumu kumu e kōkua pinepine ai i ka kaohi ʻana i nā pae eosinophil.

He aha ke kumu o ka syndroma hypereosinophilic?

ʻO ke kumu pololei o HES e hilinaʻi ana i ke ʻano āu i loaʻa ai, akā pili nui ia i kou ʻōnaehana pale e hana nui ana i nā eosinophil. I nā hihia he nui, hana kēia ma muli o nā hoʻololi genetic i kou mau pūnaewele koko a i ʻole ka pane pale nui.

Nui nā mea e hiki ke hoʻoulu a kōkua paha i ka HES:

• Nā mutations genetic e hoʻopilikia ana i ka hana pūnaewele koko
• Nā kūlana autoimmune kahi e hoʻouka ai kou ʻōnaehana pale i nā ʻiʻo olakino
• Kekahi mau lāʻau lapaʻau a i ʻole nā ​​pane lāʻau
• Nā maʻi parasitic, ʻoiai ma nā wahi tropical
• Nā kanesa koko e like me ka leukemia a i ʻole lymphoma
• Nā pane maʻi ʻiliʻili nui a i ʻole ka maʻi hanu
• Kekahi mau ʻano o nā tumors

I kekahi manawa, hoʻomohala ʻia ka HES ma hope o ka maʻi viral a i ʻole ka pilikia nui i kou ʻōnaehana pale. Hiki i ka ho'āʻo ʻana o kou kino e hakakā i ka pilikia mua ke alakaʻi i ka hana eosinophil mau.

I nā hihia he nui, ʻaʻole hiki i nā kauka ke kuhikuhi pololei i ka mea i hoʻomaka i ke kaʻina hana. ʻAʻole kēia manaʻo ua hana hewa ʻoe a i ʻole hiki iā ʻoe ke pale aku. Hoʻomohala pinepine ʻia ka HES ma muli o nā mea ma waho loa o kou mana.

I ka wā hea ʻoe e ʻike ai i ke kauka no ka syndroma hypereosinophilic?

Pono ʻoe e ʻimi i ka mālama lapaʻau inā ʻike ʻoe i nā hōʻailona mau ʻole e hoʻomaikaʻi ʻole ʻia me nā lapaʻau maʻamau, ʻoiai inā loaʻa iā ʻoe nā hōʻailona he nui e hoʻopilikia ana i nā ʻāpana like ʻole o kou kino. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i nā pilikia koʻikoʻi.

E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe:

• Pōkole o ka hanu wehe ʻole a i ʻole ka ʻeha umauma
• Luhi mau e hoʻopilikia ana i nā hana o kēlā me kēia lā
• ʻIli ʻili a i ʻole nā ​​hoʻololi ʻole e pane i nā lapaʻau maʻamau
• Nāwaliwali o nā ʻiʻo a i ʻole ka numbness i kou mau lima a me nā wāwae
• ʻO ka pehu i kou mau wāwae, nā kuʻekuʻe wāwae, a i ʻole ka maka
• Ka hui ʻana o nā hōʻailona he nui e mau ana ma mua o kekahi mau pule

E ʻimi i ka mālama lapaʻau koke inā ʻike ʻoe i ka ʻeha umauma nui, ka pilikia o ka hanu, ka pehu nui, a i ʻole nā ​​hōʻailona neurological koke e like me ka huikau a i ʻole ka nāwaliwali nui. Hiki i kēia ke hōʻike i ka pilikia nui o nā kino e pono ai ka mālama koke.

Mai kānalua e kākoʻo iā ʻoe iho inā mau nā hōʻailona. He mea maʻamau ʻole ka HES, no laila hiki ke lōʻihi ka hiki ʻana i ka ʻike pololei. E mālama i kahi puke hōʻailona e kōkua i kāu hui olakino e hoʻomaopopo i nā ʻano a me nā hoʻololi ma luna o ka manawa.

He aha nā mea pilikia no ka syndroma hypereosinophilic?

I ka wā e mālama ʻole ʻia ai ka HES, hiki i nā eosinophil nui ke hōʻino nui i nā kino like ʻole i kou kino. Eia naʻe, me ka mālama kūpono, hiki ke pale ʻia a mālama ʻia paha nā pilikia he nui.

ʻO nā pilikia koʻikoʻi loa e hoʻopilikia ana i kou naʻau a hiki ke komo pū:

• Ka hōʻino o ka naʻau (cardiomyopathy) e hoʻopilikia ana i ka hana pumping
• Nā pilikia o ka naʻau e hoʻopilikia ana i ke kahe koko
• Nā clots koko e hiki ke hele i nā ʻāpana ʻē aʻe o kou kino
• Nā pilikia o ka naʻau e hiki ke hoʻoweliweli i ke ola

Hiki ke hoʻopilikia ʻia kou mau māmā, e alakaʻi ana i ka ʻili, ke ʻōhū mau, a i ʻole nā ​​pilikia hanu. Hoʻomohala kekahi poʻe i ka mumū māmā e paʻakikī ai ka loaʻa ʻana o ka oxygen lawa i nā hana maʻamau.

Hiki i nā pilikia neurological ke komo pū me ka hahau, nā hoʻopaʻa ʻana, a i ʻole ka neuropathy peripheral kahi āu e nalowale ai ka manaʻo i kou mau lima a me nā wāwae. Hiki i kou ʻili ke hoʻomohala i nā rashes mau, ka mānoanoa, a i ʻole nā ​​ʻeha paʻakikī e ho'ōla.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hoʻomohala ʻana o ka hapa nui o nā pilikia i nā mahina a i ʻole nā ​​makahiki. Me ka nānā mau a me ka mālama kūpono, hiki i kāu hui olakino ke pale pinepine i nā pilikia koʻikoʻi mai ka hana ʻana.

Pehea ka ʻike ʻana i ka syndroma hypereosinophilic?

Pono ka ʻike ʻana i ka HES i nā ʻanuʻu he nui no ka mea pono nā kauka e hōʻoia i nā pae eosinophil kiʻekiʻe, e kāpae i nā kumu ʻē aʻe, a e nānā i ka hōʻino o nā kino. Hiki ke lōʻihi ke kaʻina hana, akā ʻo ka hoʻopau piha e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama kūpono.

E hoʻomaka kāu kauka me nā ho'āʻo koko e ana i kou helu eosinophil. No ka ʻike ʻana i ka HES, pono e hoʻonui ʻia kou pae eosinophil no ka liʻiliʻi o ʻeono mahina, ke ʻole ʻoe e loaʻa ka hōʻike o ka hōʻino o nā kino.

Hiki ke komo pū nā ho'āʻo hou aku:

• Helu koko piha e nānā i kou mau ʻano pūnaewele koko a pau
• Biopsy iwi kuamoʻo e nānā i kahi e hana ʻia ai nā pūnaewele koko
• Ho'āʻo genetic e nānā i nā mutations kikoʻī
• Nā ho'āʻo naʻau e like me ka echocardiogram a i ʻole MRI e nānā i ka hōʻino
• Nā scans CT o kou umauma a me kou ʻōpū
• Nā ho'āʻo e kāpae i nā parasites, nā maʻi ʻiliʻili, a i ʻole nā ​​kūlana ʻē aʻe

E hana pū kāu kauka i kahi nānā kino piha a e nānā i kou mōʻaukala lapaʻau. Ke ʻimi nei lākou i nā ʻano e hiki ke wehewehe i kou mau hōʻailona a me ka eosinophil kiʻekiʻe.

Hiki i ke kaʻina hana ʻike ke manaʻo nui, akā hāʻawi kēlā me kēia ho'āʻo i ka ʻike nui e pili ana i kou kūlana a kōkua i ka alakaʻi ʻana i nā hoʻoholo lapaʻau. Mai kānalua e nīnau i nā nīnau e pili ana i ka mea e ʻimi nei kēlā me kēia ho'āʻo.

He aha ka lapaʻau no ka syndroma hypereosinophilic?

ʻO ka mālama ʻana no HES e kau nui ana i ka hoʻemi ʻana i kou helu eosinophil, ka mālama ʻana i nā hōʻailona, ​​a me ka pale ʻana i ka hōʻino o nā kino. E hilinaʻi kāu papahana mālama kikoʻī i kou ʻano HES, nā kino i hoʻopilikia ʻia, a pehea kou pane i nā lāʻau lapaʻau like ʻole.

ʻO nā ala mālama nui e komo pū ana:

• Nā corticosteroids e like me ka prednisone e hoʻemi koke i nā pae eosinophil
• Nā lāʻau lapaʻau i hoʻonohonoho ʻia e like me ka imatinib no kekahi mau ʻano genetic
• Nā lāʻau immunosuppressive e kaohi i kou ʻōnaehana pale
• Nā lāʻau chemotherapy no nā hihia koʻikoʻi
• Nā lāʻau lapaʻau e pale aku i kou naʻau a me nā kino ʻē aʻe

Nui nā kānaka e hoʻomaka me nā corticosteroids no ka mea hana wikiwiki lākou e hoʻoemi i nā helu eosinophil. Eia naʻe, hiki i ka hoʻohana lōʻihi o ka steroid ke loaʻa nā hopena ʻaoʻao, no laila e hana kāu kauka e ʻimi i ka nui liʻiliʻi e pono ai a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe.

Inā loaʻa iā ʻoe ka mutation genetic FIP1L1-PDGFRA, hiki i ka imatinib ke hana maikaʻi loa a hiki ke ʻae iā ʻoe ke hoʻōki i nā lāʻau ʻē aʻe loa. ʻO ia ke kumu he mea nui loa ka ho'āʻo genetic i ka ʻike ʻana i ka HES.

Hoʻopili pinepine ʻia ka mālama ʻana i ka hui ʻana o nā lāʻau lapaʻau, a hiki ke lōʻihi ka loaʻa ʻana o ke kaulike kūpono no kou kūlana. Kūkulu nā ho'āʻo koko mau i kāu kauka e nānā i kou pane a hoʻoponopono i nā lapaʻau e like me ka pono.

Pehea ʻoe e mālama ai i ka syndroma hypereosinophilic ma ka home?

ʻOiai he mea nui ka mālama lapaʻau no HES, nui nā mea āu e hiki ke hana ma ka home e kākoʻo i kou olakino a hana pū me kāu mau lapaʻau i kuhikuhi ʻia. Hiki i kēia mau hoʻolālā mālama ponoʻī ke kōkua iā ʻoe e ʻike maikaʻi a hiki ke hoʻemi i nā flare-ups.

E kau i ka kākoʻo ʻana i kou olakino pale holoʻokoʻa:

• E ʻai i ka ʻai kaulike piha i nā meaʻai anti-inflammatory e like me ka iʻa, nā lau ʻōmaʻomaʻo, a me nā huaʻai
• E loaʻa ka hiamoe lawa e kōkua i kāu ʻōnaehana pale e hana pono
• E mālama i ke kaumaha ma o nā ʻano hoʻomaha, ka noʻonoʻo, a i ʻole ka hoʻoikaika māmā
• E noho hydrated e kōkua i kou kino e hoʻomaʻemaʻe i nā lāʻau lapaʻau maikaʻi
• E pale i nā mea hoʻoulu i ʻike ʻia e like me kekahi mau meaʻai a i ʻole nā ​​allergens kaiapuni

E mālama i kāu mau hōʻailona i loko o kahi puke, e hoʻomaopopo ana i nā ʻano a i ʻole nā ​​hoʻololi. Hiki i kēia ʻike ke waiwai nui no kāu hui olakino i ka hoʻoponopono ʻana i kāu papahana mālama.

E lawe i kāu mau lāʻau lapaʻau e like me ka kuhikuhi ʻia, ʻoiai inā ʻoe e ʻike maikaʻi ana. ʻO ka kūpaʻa ka mea nui e mālama i kou pae eosinophil i kaohi ʻia a pale aku i nā pilikia.

E noho hou me nā injections e like me ka kuhikuhi ʻana a kāu kauka, ʻoiai hiki i kekahi mau mālama HES ke hoʻopilikia i ka hiki o kou ʻōnaehana pale ke hakakā i nā maʻi.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu mau hālāwai ke kōkua iā ʻoe e hana i ka hapa nui o kou manawa me kāu hui olakino a hōʻoia i ka pane ʻia o kāu mau hopohopo āpau...

Ma mua o kāu kipa, e hōʻiliʻili i ka ʻike nui:

• E papa inoa i kāu mau hōʻailona āpau, e komo pū ana i ka wā i hoʻomaka ai lākou a pehea lākou i loli ai
• E lawe mai i nā lāʻau lapaʻau āpau āu e lawe nei, e komo pū ana i nā mea hoʻohui a me nā lāʻau lapaʻau ma luna o ka counter
• E hōʻuluʻulu i kou mōʻaukala lapaʻau, e komo pū ana i kekahi mau hana koko a i ʻole nā ​​hopena ho'āʻo
• E kākau i nā nīnau āu e makemake ai e nīnau i kāu kauka
• E hoʻomaopopo i kekahi mōʻaukala ʻohana o nā maʻi koko a i ʻole nā ​​kūlana autoimmune

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui i kūkākūkā ʻia i ka wā o ka hālāwai. Hiki i nā hālāwai lapaʻau ke manaʻo nui, ʻoiai ke hana nei me kahi kūlana paʻakikī e like me HES.

Mai kānalua e noi i ka wehewehe inā ʻaʻole ʻoe e hoʻomaopopo i kekahi mea. Makemake kāu hui olakino e hōʻoia i kou ʻoluʻolu me kāu papahana mālama a hoʻomaopopo i ka mea e manaʻo ai.

E nīnau e pili ana i nā hōʻailona e pono ai ke kāhea a i ʻole ke ʻimi i ka mālama koke. Hiki i ka loaʻa ʻana o nā kuhikuhi maopopo ke kōkua iā ʻoe e ʻike hilinaʻi hou aku i ka mālama ʻana i kou kūlana ma waena o nā hālāwai.

He aha ka mea nui e pili ana i ka syndroma hypereosinophilic?

He kūlana hoʻokele ʻia ka HES i ka wā i ʻike pololei ʻia a mālama ʻia. ʻOiai hiki ke hopohopo mua, nui nā kānaka me HES e ola i nā ola piha, hana me ka mālama lapaʻau kūpono a me nā hoʻoponopono nohona.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i nā pilikia koʻikoʻi. Inā loaʻa iā ʻoe nā hōʻailona mau, wehe ʻole e hoʻopilikia ana i nā ʻāpana like ʻole o kou kino, mai kānalua e ʻimi i ka loiloi lapaʻau.

E hana pili me kāu hui olakino e ʻimi i ke ala mālama e hana maikaʻi loa no kou ʻano HES kikoʻī. Hiki ke lōʻihi kēia a me nā hoʻoponopono, akā ʻo ka hoʻomau mau ʻana e uku pinepine i nā hua i ka mana o nā hōʻailona a me ka maikaʻi o ke ola.

E noho ʻike e pili ana i kou kūlana, akā mai ʻae iā ia e hoʻomaopopo i kou ola. Me ka mālama kūpono, lilo ka HES i hoʻokahi ʻāpana o kou olakino āu e nānā a mālama ai, ma mua o ka mea e kaohi ana i kāu mau hana o kēlā me kēia lā.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka syndroma hypereosinophilic

Hiki ke ho'ōla ʻia ka syndroma hypereosinophilic?

ʻO ka HES kahi kūlana lōʻihi maʻamau e pono ai ka mālama mau ma mua o ka ho'ōla hoʻokahi. Eia naʻe, pane maikaʻi kekahi poʻe me nā ʻano genetic kikoʻī i nā lapaʻau i hoʻonohonoho ʻia i ka hoʻoponopono piha ʻana o ko lākou mau helu eosinophil. Me ka mālama kūpono, nui nā kānaka e loaʻa ka remission lōʻihi kahi i kaohi maikaʻi ʻia ai ko lākou mau hōʻailona a pale ʻia ka hōʻino o nā kino. ʻO ka mea nui, ʻo ka ʻimi ʻana i ke ala mālama kūpono no kou ʻano HES kikoʻī a me ka mālama ʻana i ka nānā lapaʻau mau.

Hiki ke hoʻoilina ʻia ka syndroma hypereosinophilic?

ʻAʻole hoʻoilina ʻia ka hapa nui o nā hihia o HES a hoʻomohala kūʻokoʻa i ka wā o ke ola o ke kanaka. Eia naʻe, aia nā hihia ʻohana maʻamau kahi i hoʻopilikia ʻia ai nā lālā ʻohana he nui, e hōʻike ana i kahi ʻāpana genetic. Inā loaʻa iā ʻoe kahi mōʻaukala ʻohana o nā maʻi koko a i ʻole nā ​​lālā ʻohana he nui me nā hōʻailona like, e haʻi aku i kāu kauka. Hiki ke kuhikuhi ʻia ka ʻōlelo aʻo genetic i kekahi mau hihia e kōkua i ka hoʻomaopopo ʻana i kou pilikia a me kou mau lālā ʻohana.

Pehea ka lōʻihi e pono ai no ka mālama ʻana i ka HES e hana?

ʻO ka manawa no ka pane mālama e ʻokoʻa ma muli o nā lāʻau lapaʻau i hoʻohana ʻia a me kou kūlana pilikino. Hoʻomaka pinepine nā corticosteroids i ka hoʻemi ʻana i nā helu eosinophil i loko o nā lā a i ʻole nā ​​pule, ʻoiai hiki i nā therapies i hoʻonohonoho ʻia e like me ka imatinib ke lōʻihi i kekahi mau pule a i ʻole nā ​​mahina e hōʻike i nā hopena piha. E nānā mau kāu kauka i kou mau helu koko e hahai i kou pane. ʻIke kekahi poʻe i ka hoʻomaikaʻi ʻana o nā hōʻailona i loko o nā pule mua, ʻoiai pono kekahi mau mahina e loaʻa ai ka kaohi kūpono.

Hiki i ka syndroma hypereosinophilic ke hoʻopilikia i ka hāpai keiki?

Pono ka hāpai keiki me HES i ka hoʻolālā a me ka nānā pono, akā nui nā wahine me HES i nā hāpai keiki holomua. Pono paha ke hoʻoponopono a hoʻololi paha i kekahi mau lāʻau HES i ka wā hāpai e hōʻoia i ka palekana no ka makuahine a me ke keiki. Inā ʻoe e hoʻolālā e hāpai a hāpai nei, e kūkākūkā me kāu hematologist a me kāu obstetrician mua. Hiki iā lākou ke hana pū e hana i kahi papahana mālama palekana e kaohi i kou HES ʻoiai e pale aku i kāu pēpē e ulu ana.

He aha ka ʻokoʻa ma waena o HES a me nā eosinophils kiʻekiʻe mai nā maʻi ʻiliʻili?

ʻOiai ʻelua mau kūlana e komo pū ana i nā eosinophil kiʻekiʻe, ʻokoʻa lākou ma nā ʻano nui. Hoʻoulu pinepine nā pane maʻi ʻiliʻili i ka hoʻonui eosinophil manawa e hoʻonā ai i ka wā e wehe ʻia ai ka allergen a mālama ʻia paha. Hoʻopili ka HES i nā helu eosinophil kiʻekiʻe mau ʻole e pane ʻole i nā lapaʻau maʻi ʻiliʻili maʻamau a hiki ke hōʻino i nā kino ma luna o ka manawa. Hoʻopili pinepine ʻia ka HES i nā ʻōnaehana kino he nui i ka manawa hoʻokahi, ʻoiai he hopena kūloko loa ka eosinophilia maʻi ʻiliʻili. Hiki i kāu kauka ke kōkua i ka hoʻokaʻawale ʻana ma waena o kēia mau kūlana ma o ka loiloi a me ka ho'āʻo pono.