I-Popcorn lung isifo: izimpawu, ukwelashwa, izimbangela

Kuyo yonke impilo, isimiso somuntu sokuphefumula sibhekene nokuhlaselwa okuvela emvelweni wangaphandle. Izimo ezingavumelekile zemvelo, zonke izinhlobo zegciwane, amabhaktheriya, amaphuphu amakhemikhali aphefumulayo anomthelela omubi kuwo futhi avuse izifo ezihlukahlukene.

Kuyini ukukhubazeka?

Isifo se-Popcorn lung, noma ukuqothula i-bronchiolitis ukuhlukunyezwa okukhulu kwezitho zokuphefumula, okutholakala ezindaweni ezibulalayo ze-bronchi.

Kwenzeka ngokuvinjelwa okugcwele noma okuncane kwe-bronchioles ngenxa yokuvuvukala kwabo. Inqubo iqhubeka njalo, iholele ku:

• Ukwehlukaniswa kwezicubu ezithintekile;
• Ukulahlekelwa ukufinyelela kwe-oxygen;
• Ukuphulwa kwegazi;
• Izifo ezihambisanayo.

Iqala, njengombuso, ngokuqinile, futhi ihambisana nokulandelana okulandelayo:

• I-brronchitis;
• Ukuvinjelwa kwe-Airway;
• I-pneumonia;
• I-asthma.

Ngenxa yalesi sizathu, ukuxilongwa okulungile akukwenziwa ngokushesha. Isiguli siphathwa isikhathi eside kusukela emiphakathini engenhla, futhi i-bronchiolitis ngalesi sikhathi idlula ifomu elingapheli, elingenakuqedwa ngokuphelele.

Izici zobunjwa

Izimpawu zesifo se-popcorn lungaphazamiseki ekhaya. Lokhu kungaphezu kwamandla ngisho nodokotela abanolwazi, futhi kwezinye izimo - nemishini ye-X ray.

Ngokwezibalo, ngamacala angu-50%, isithombe sesifuba asibonisi izinguquko.

Indlela enokwethenjelwa kakhulu yokuxilongwa yi-MRI noma i-CT yesimiso sokuphefumula, lapho zonke izingxenye zendikimba ethintekile zihlolwe ngemininingwane encane kakhulu.

Kungenzeka ukumangalela i-bronchiolitis ngezibonakaliso ezilandelayo:

1. Ukuphefumula . Emagabeni okuqala akudingekile, kodwa njengoba kuqhubekela phambili kuqinisa.
2. Isikhumba esibomvu (cyanosis). Okokuqala kwenzeka endaweni yengxantathu ye-nasolabial, bese isakazeka ebusweni nasemzimbeni.
3. Isikhukhula. Ezinsukwini zakuqala izinsuku ezibomvu zinezintambo kanye nokuvuthwa kwezwakala. Ngemva kwesikhashana, kukhona ukuthuthukiswa okuncane, okuyinto ishintshwe ngesigaba esisha sokukhwehlela okungenakukhiqiza.

Imiphumela

Izinkinga ze-popcorn lung disease ziyingozi kakhulu. Zibangela ukuwohloka okubucayi enhlalakahleni kanye nemiphumela eyingozi. Lokhu kufaka:

• Inhliziyo yepulmonary. Njengoba inkinga ye-bronchiolitis ithinta umsebenzi wendilinga encane yokujikeleza kwegazi futhi ibangele ukucindezeleka okwenyuka kwi-ventricle efanele yenhliziyo, okuholela ekushintsheni kwe-hypertrophic in tishu.
• I-emphysema yesibili. Esikhathini esithombeni kuboniswa ukuphakama kwe-organ. Kwenzeka ngenxa yokuphulwa kwengcindezi emiphakathini yamapulmoni (ngokumelene nesithiyo sokuvimbela okuyingxenye yendlela yokuphefumula).
• I-pneumosclerosis. Njengoba inani le-foci elivuvukalayo landa, izicubu ezinempilo zelungu kancane kancane zifakwe esikhundleni sesisindo somzimba.
• Ukunciphisa ukugeleza kwegazi. Ukuhlukumeza kunomthelela omubi ekuphefumuleni, ukucindezela.
• Ukuphuluka kwamaphaphu. I-pathology engavamile, ehlala endaweni eyodwa yelungu, kancane kancane kokubili. Kuboniswe izinguquko ze-dystrophic ezinxenyeni zayo, futhi kugcwalisa izingxenye ezingu-3 zesikhala ngezinkunzi zomoya.

Izifo

Izimbangela zezifo ze-popcorn lungaphafani, kodwa indawo yokuqala phakathi kwazo zonke izinhlobo zezifo. Isibonelo:

• I-Herpes;
• I-Adenovirus;
• I-Cytomegalovirus;
• I-Parainfluenza virus;
• Isikhunta se-genus Aspergillus ne-Candida;
• Klebsiella;
• Legionella;
• I-Mycoplasma.

Ukungena emzimbeni womuntu, lezi zinambuzane zilimaza amangqamuzana aphilile, okubangela ukusabela okungenasiphelo ngendlela yokuvimba ukukhwabanisa.

Izinqubo eziningi ezifanayo ze-pathological diagnosis ezinganeni eziye zahlushwa i-rubella, isishukela noma inkukhu yenkukhu. Kubantu abadala, izikhundla ezihola zihlala ezinye izici.

Ezimweni eziningi, i-bronchiolitis enjalo ikhula kubantu abane-immunity ekhukhumezekile, kaningi nge-HIV ukutheleleka kanye nezinye izinqubo ezihlala isikhathi eside ezinciphisa umzimba.

Ukungenelela kokuhlinzwa

Ukunqotshwa kwe-bronchioles kungenzeka ngesikhathi se-engraftment yezicubu zinikelo.

Amacala angu-20 kuya ku-50% atholakala kubantu ababenokuhlinzwa okufakelwa ukufakelwa:

• Ukukhanya;
• Inhliziyo;
• Umnyosa wethambo.

Ukugula kubhekene nenkambo enzima, futhi ukubikezela okuvamile kungavumelekile. Ezimweni ezinjalo, ukuguqulwa okuphindaphindiwe kungadingeka, okuyinto engathandeki kakhulu ngenxa yesimo saleso siguli.

Ezinye izifo

Muva nje, zonke izinhlobo zezifo ezizimele zitholakala kaningi. Isizathu esiqondile sokwehlela kwabo asikwazi ukusungulwa, kodwa odokotela bavame ukucabanga ukuthi lokhu kungenzeka ngenxa yezici ezifana nalezi:

• Ukuwohloka kwesimo semvelo;
• Ukudla okungalungile kwekhwalithi;
• Umthelela wamakhemikhali ahlukahlukene azungeze umuntu wanamuhla;
• Imikhuba emibi;
• Ukunciphisa umsebenzi wezimoto.

Ngokuvamile, ukubukeka kwesifo se-popcorn lungasetshenziswa nokuba khona kwe:

• I-systemic lupus erythematosus;
• I-Scleroderma;
• I-arthritis ye-rheumatoid.

Ngokuvamile kuvela ngasemuva:

• Isifo sikaStephen-Jones;
• Isifo sikaCrohn;
• Izilonda ezilonda ulwelwesi lwesisu esingenhla nesisemathunjini (isisu, i-duodenum, emathunjini amancane nezinsana);
• I-pneumonia yokuphefumula;
• I-alergolitis ye-allergen.

Okwamanje, i-bronchiolitis engapheliyo engaqediwe ingakafundiwe ngokugcwele, ngakho-ke izizathu zalokho okukhona kungenzeka zibe mkhulu kakhulu.

I-cigarettes

Eminyakeni yamuva, odokotela emhlabeni jikelele bakhathazeke kakhulu ngesilinganiso sokusakazeka kokulutha kwe-nicotine.

Izimpawu ze-popcorn isifo se-popcorn ekubhemeni kwenzeka kaningi, nakuba kungenjalo njalo kubonisa ukuthuthukiswa kwalesi sifo esingathandeki.

Ngokwezibalo, iziguli eziningi ezine-bronchiolitis ezingapheli zihlukunyezwa yi-nicotine.

Ukungena ohlelweni lokuphefumula, intuthu ye-acrid icasula ithebhulethi yesikhumba, bese iyanciphisa. Izitho zokuphefumula ziba amasango okungena kwabamele abahlukahlukene be-flora pathogenic, evame ukubhujiswa uhlelo lokuzivikela komzimba.

Ngokuhamba kwesikhathi, i-bronchi yababhemayo iba yingozi kakhulu. Kukhona ukukhwehlela okomile okomile okubangelwa ukuvuvukala nokuvuvukala kwe-bronchioles enkulu neyincane (i-bronchioles).

Kungaba isibonakaliso sokuqala kwezifo eziphefumula ezilandelayo:

• Bronchiolitis obliterans;
• Emphysema;
• I-bronchitis engapheli;
• Isifo sofuba;
• I-Cancer.

Njengomthetho, ukuqeda ukukhwehlela okunjalo cishe akunakwenzeka.

Ukuqeda amandla

Kungekudala, izigwayi ze-elektroniki, ezibizwa ngokuthi ama-vapers, zafika esikhundleni sokubhema ugwayi ovamile. Bagcwalisa uketshezi okhethekile oletha umphunga omnandi.

Abakhiqizi bamadivaysi anjalo baqinisekisa ukuthi ekwenzeni ukuphefumula akukho okwakhiqizwa izinto eziyingozi ze-carcinogenic nezingozi, okwenza uhlelo lwabo luphephile ngokuphelele empilweni.

Eqinisweni, lokhu akunjalo. Ukugula kukaPcorncornovaja noma isifo samaphaphu kusuka kugwayi kagesi kuvela kaningi, kunokujwayelekile.

Bambalwa abantu, abathengisa uketshezi olufanayo, banesithakazelo ekubunjweni kwalo, kodwa ngeze. Cishe amaphesenti angama-75 azo zonke izigcwalisi ezinamafutha ahlanganisa i-agent ediacetyl eyingozi.

Ivame ukusetshenziselwa embonini yokudla ukuze kube nokunethezeka kwamaswidi, ama-cream kanye nezinye.

Ngokwayo, akuyona ingozi, ukushisa kwalo kuhlanganiswa ngokufudumala, okuyinto, eqinisweni, kwenzeka kudivayisi entsha yokubhema.

Ngokokuqala ngqa, izindawo eziyingozi zamakhemikhali zaziwa esikhathini sika 2002-2005.

Kwamanye amafemu aseMelika eMissouri, okwenziwe ekwakhiweni kwe-popcorn, izifo ezinkulu ze-popcorn lung disease zatholakala.

Phakathi nezifundo eziningi ze-diacetyl, kuye kwafakazelwa ukuthi kuyingozi ngempela emsebenzini wesimiso sokuphefumula. Kodwa le nto ayivinjelwe. Kuseseyingxenye yokuphuza amanzi, imikhiqizo yokugcoba, njll njenge-flavouring.

Ngokuvame ukutholakala kulezi zigcwalisi ezilandelayo:

• I-Creamy;
• Chocolate;
• I-vanilla.

Abathandi bama-novelties anjalo kufanele baqaphelisise futhi bahlole ngokucophelela ukubunjwa ngaphambi kokuthenga.

Ukwelapha

Ngesitatimende sokuthola ukuhlolwa okuqondile kufanele kudingeke ukuthi udlulise lo mcwaningi olandelayo:

• Ukuhlaziywa okujwayelekile kwegazi nomchamo;
• I-X-ray yekhanda;
• CT noma i-MRI;
• I-bronchoscopy.

Isithombe se-popcorn lung disease (ku-x ray) sibheka cishe kanje.

Uma isimo esibi sesifo sibonakala, isiguli siphathwa esibhedlela kuphela. Ngokuvamile inqubo ithatha isikhathi eside futhi ayiphumeleli njalo emphumela omuhle.

Umgomo wokwelashwa ukhethwe ngamunye ngokucabangela izici eziningi.

Ovame ukuqokwa:

• Ama-antibiotics;
• Amalungiselelo amaHormonal;
• Expectorants;
• Amavithamini, amaminerali.

Endabeni yokuphila okungapheli, akunakwenzeka ngokuphelele ukuqeda i-bronchiolitis. Yonke imizamo odokotela iqondiswa ekuqedeni izikhalazo ezivela, ukuvimbela ukukhushulwa nokuqhubekela phambili okuqhubekayo.

Uma i-bronchiolitis inzima kakhulu, umbuzo wokuguqulwa komzimba ungase uvele.

Ngokuvamile, ukubikezela akubi. Ekuqaleni lesi sifo sibonakala, kungenzeka ukuthi umuntu ukhona.

Ukwelashwa ngokweqile kwesifo se-popcorn lungaphazamiseki, kuqinisekisiwe ukuholela ekuhlaleni kwesimo.

Abantu abaningi banqanda ukukhwehlela, okugcwele izingozi eziningi. Emzimbeni ophilile, udlulela ngempela (ngisho nangaphandle kokwelashwa) ngenxa yokuvikela omzimba okuqinile. Kodwa uma lesi sifo sibuthakathaka, i-bronchiolitis ingaqhubeka ifomu elingapheli futhi ivuse izifo eziningana zezifo.