Chifuwa cha pneumoconiosis

Rheumatoid pneumoconiosis (RP, yemwenso amadziwika kuti Caplan syndrome) ndikutupa (kutupa) ndi mabala am'mapapo. Zimapezeka mwa anthu omwe ali ndi nyamakazi yomwe yapuma fumbi, monga kuchokera ku malasha (pneumoconiosis wa malasha) kapena silika.

RP imayambitsidwa ndi kupuma mu fumbi lachilengedwe. Ili ndi fumbi lomwe limadza chifukwa chopera miyala, mchere, kapena thanthwe. Fumbi likalowa m'mapapu, limayambitsa kutupa. Izi zitha kupangitsa kuti pakhale zotupa zambiri m'mapapu ndi matenda am'mlengalenga ofanana ndi mphumu yofatsa.

Sizikudziwika bwinobwino momwe RP imakhalira. Pali malingaliro awiri:

• Anthu akamapuma fumbi lachilengedwe, limakhudza chitetezo cha mthupi lawo ndipo limatsogolera ku nyamakazi (RA). RA ndi matenda omwe amangodziyimira pawokha momwe chitetezo chamthupi chimagwirira minofu yolimba mwangozi.
• Anthu omwe ali ndi RA kale kapena ali pachiwopsezo chachikulu chifukwa cha fumbi lamchere, amakhala ndi RP.

Zizindikiro za RP ndi izi:

• Tsokomola
• Kutupa pamodzi ndi ululu
• Ziphuphu pansi pa khungu (mitsempha ya mafupa)
• Kupuma pang'ono
• Kutentha

Wothandizira zaumoyo wanu adzalemba zambiri zamankhwala. Idzakhala ndi mafunso okhudza ntchito zanu (zam'mbuyomu komanso zam'mbuyomu) ndi zina zomwe zingayambitse fumbi lachilengedwe. Omwe amakupatsaninso ayesetsanso thupi, mosamala kwambiri matenda aliwonse olumikizana ndi khungu.

Mayesero ena atha kuphatikizira:

• X-ray pachifuwa
• Kujambula kwa CT pachifuwa
• Ma x-ray ophatikizana
• Mayeso a ntchito yamapapo
• Kuyesedwa kwa nyamakazi ndi kuyesa magazi ena

Palibe mankhwala enieni a RP, kupatula kuchiza matenda am'mapapo ndi olumikizana.

Kupita pagulu lothandizira ndi anthu omwe ali ndi matenda omwewo kapena matenda omwewo kungakuthandizeni kumvetsetsa matenda anu. Itha kukuthandizaninso kusintha pazithandizo zanu komanso kusintha kwa moyo wanu. Magulu othandizira amachitika pa intaneti komanso pamasom'pamaso. Funsani omwe akukuthandizani za gulu lothandizira lomwe lingakuthandizeni.

RP nthawi zambiri imayambitsa vuto lakupuma kapena kulumala chifukwa cha mavuto am'mapapo.

Zovuta izi zitha kuchitika kuchokera ku RP:

• Kuchuluka kwa chiwopsezo cha chifuwa chachikulu
• Kutupa m'mapapu (kupita patsogolo kwakukulu kwa fibrosis)
• Zotsatira zoyipa za mankhwala omwe mumamwa

Funsani nthawi yokumana ndi omwe amakupatsani ngati muli ndi zizindikiro za RP.

Lankhulani ndi omwe amakupatsani mwayi wopeza katemera wa chimfine ndi chibayo.

Ngati mwapezeka kuti muli ndi RP, itanani omwe amakupatsani nthawi yomweyo ngati muli ndi chifuwa, kupuma pang'ono, malungo, kapena zizindikilo zina zamatenda am'mapapo, makamaka ngati mukuganiza kuti muli ndi chimfine. Popeza kuti mapapu anu awonongeka kale, ndikofunikira kwambiri kuti matendawa athandizidwe mwachangu. Izi zimalepheretsa kupuma kuti kukhale koopsa, komanso kuwonongeka kwamapapu anu.

Anthu omwe ali ndi RA ayenera kupewa kupezeka ndi fumbi lachilengedwe.

RP; Matenda a Caplan; Pneumoconiosis - nyamakazi; Silicosis - nyamakazi pneumoconiosis; Pneumoconiosis ya malasha - rheumatoid pneumoconiosis

• Dongosolo kupuma

Corte TJ, Du Bois RM, Wells AU (Adasankhidwa) Matenda othandizira. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 65.

Cowie RL, Becklake MR. Pneumoconioses. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 73.

Raghu G, Martinez FJ. Matenda am'mapapo amkati. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 86.

Zotsatira Tarlo SM. Matenda am'mapapo pantchito. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 87.