Chemical pneumonitis

Chemical pneumonitis ndikutupa kwa mapapo kapena kupuma movutikira chifukwa chofufuma ndi utsi wamafuta kapena kupumira ndikutsamwa mankhwala ena.

Mankhwala ambiri ogwiritsidwa ntchito kunyumba ndi kuntchito amatha kuyambitsa pneumonitis.

Zina mwazinthu zowopsa zomwe zimapuma ndizo:

• Chlorine mpweya (wopumira kuchokera kuzinthu zotsukira monga chlorine bleach, pakagwa ngozi zamakampani, kapena pafupi ndi maiwe osambira)
• Tirigu ndi fumbi la feteleza
• Mafungo oopsa ochokera ku mankhwala ophera tizilombo
• Utsi (woyaka nyumba ndi moto wamoto)

Pali mitundu iwiri ya pneumonitis:

• Pneumonitis pachimake amapezeka mwadzidzidzi pambuyo kupuma mu thunthu.
• Pneumonitis yanthawi yayitali (nthawi yayitali) imachitika pambuyo pokhala ndi zinthu zochepa kwa nthawi yayitali. Izi zimayambitsa kutupa ndipo zimatha kuyambitsa mapapo. Zotsatira zake, mapapu amayamba kutaya mwayi wawo wopeza mpweya m'thupi. Akapanda kuchiritsidwa, vutoli limatha kuyambitsa kupuma ndi kufa.

Kukhumba kwakanthawi kwa asidi kuchokera m'mimba ndikuwonetsedwa ndi nkhondo yankhondo kumayambitsanso mankhwala a pneumonitis.

Zizindikiro zoyipa zitha kuphatikiza:

• Njala yamlengalenga (kumva kuti simungapeze mpweya wokwanira)
• Kupuma komwe kumamveka konyowa kapena kovutikira (mawu osazolowereka am'mapapo)
• Tsokomola
• Kuvuta kupuma
• Kutengeka kosazolowereka (mwina kumverera kotentha) m'chifuwa

Zizindikiro zanthawi yayitali zimaphatikizapo:

• Chifuwa (chingachitike kapena sichingachitike)
• Kulemala pang'onopang'ono (kokhudzana ndi kupuma pang'ono)
• Kupuma mofulumira (tachypnea)
• Kupuma pang'ono ndi masewera olimbitsa thupi ochepa

Mayesero otsatirawa amathandiza kudziwa momwe mapapu amakhudzidwira:

• Magazi amwazi (muyeso wa kuchuluka kwa mpweya ndi mpweya woipa uli m'magazi anu)
• Kujambula pachifuwa kwa CT
• Maphunziro a mapapu (kuyesa kuyeza kupuma komanso momwe mapapo amagwirira ntchito)
• X-ray ya chifuwa
• Kumeza maphunziro kuti muwone ngati asidi am'mimba ndi omwe amayambitsa pneumonitis

Chithandizo chikuyang'ana kwambiri pakusintha zomwe zimayambitsa kutupa ndikuchepetsa zizindikilo. Corticosteroids itha kuperekedwa kuti ichepetse kutupa, nthawi zambiri kusanachitike zipsera zazitali.

Maantibayotiki nthawi zambiri samathandiza kapena amafunikira, pokhapokha ngati pali kachilombo kenakake. Thandizo la oxygen lingakhale lothandiza.

Pakumeza ndi vuto la m'mimba, kudya zakudya zochepa pamalo owongoka kumatha kuthandizira. Pazovuta kwambiri, chubu chodyetsera m'mimba chimafunika, ngakhale izi siziteteza kutuluka m'mapapu nthawi zonse.

Zotsatira zake zimadalira mankhwala, kuuma kwa chiwonetsero, komanso ngati vutoli ndi lalikulu kapena losatha.

Kulephera kupuma ndi kufa kumatha kuchitika.

Lumikizanani ndi omwe amakuthandizani ngati mukuvutika kupuma mukamakoka mpweya (kapena kutulutsa) chilichonse.

Gwiritsani ntchito mankhwala apakhomo monga momwe alamulirira, ndipo nthawi zonse m'malo opumira mpweya wabwino. Osasakaniza ammonia ndi bleach.

Tsatirani malamulo a kuntchito masks opumira ndi kuvala chigoba choyenera. Anthu omwe amagwira ntchito pafupi ndi moto ayenera kusamala kuti achepetse kutentha kwawo kapena mpweya.

Samalani popereka mafuta amchere kwa aliyense amene angawatsamwitse (ana kapena achikulire).

Khalani pomwe mukudya ndipo musagone mukangotha ​​kudya ngati mukumeza mavuto.

Osapopera mpweya, palafini, kapena mankhwala ena amadzimadzi owopsa.

Mpweya chibayo - mankhwala

• Mapapo
• Dongosolo kupuma

Blanc PD. Mayankho ovuta pazowopsa za poizoni. 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 75.

Christiani DC. Kuvulala kwakuthupi ndi mankhwala m'mapapu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 88.

Gibbs AR, Attanoos RL. Matenda am'mapapo opangidwa ndi chilengedwe komanso poizoni. Mu: Zander DS, Farver CF, eds. Matenda a m'mapapo. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 18.

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.