I-Bronchiolitis obliterans iyisifo esiyingozi, esingenakuphikisana nesifo somphunga esibangela ukuvuvukala kunye nokukhutshwa kwindlela encinci ye-airways kwimiphunga: i- bronchioles . Kwakhona kwaziwa ngokuba yi-bronchiolitis, kwaye iimpawu zayo zinokuthi zifane neempawu zesifo esingapheliyo se-pulmonary disease ( COPD ).
I-Bronchiolitis obliterans yaziwa kangcono ngo-2000 xa amaziko ezempilo eMissouri acela amaziko e-federal kwi-Disease Control and Prevention (CDC) ukubanceda baphande ngamatyala asebenzi be-microwaves popcorn plant baseJasper, Mo.
Ekugqibeleni, amagosa ezempilo alandele ukuqhawuka kwe-diacetyl, ikhemikhali eyenza i-microwave popcorn i-flavor ye-buttery.
Ukususela kuloo matyala, i-bronchiolitis obliterans yafumana isiteketiso "i-popcorn lung."
Ngo-2015, i-CDC yachonga abasebenzi basekhompyutheni yokucoca iikhofi abachaphazelekayo nge-bronchiolitis obliterans. Kukho, imbangela ibonakala iyimimandla ye-organic ekhutshweyo ekhutshwe ngobuninzi beebhontshisi zekhofi xa ziphantsi.
Iingxaki zeBronchiolitis Obliterans
Kwabanye abantu, akucaci oko kubangela i-bronchiolitis obliterans. Nangona kunjalo, izizathu ezinokubakho zifunyenwe. Ezi ziquka:
- Inhalation of fumes
- Izifo zokuphefumula
- Izifo ezixubileyo zomzimba, ezifana ne- rheumatoid arthritis
- Ukuphendula kwamachiza athile
Le meko iphinda ikhule kwabanye abantu emva komnatha wethambo, umphunga okanye intliziyo kunye nokufakelwa kwemiphunga . Olunye uphando lubonise ukuba abantu aba-10% abafumene umtshini wokutshintsha umongo kumniki-mveliso bavelisa i-bronchiolitis obliterans kwiminyaka emihlanu yenkqubo yabo yokufakelwa, ngelixa abanye abaphandi baqaphele ukuba i-50% yeempazamo zokufakelwa kwemiphunga ziphuhlisa imeko kwiminyaka emihlanu.
Iimpawu zeBronchiolitis Obliterans
Nangona kungathatha iminyaka ukuze izibonakaliso zesifo zivele emva kokutshintshwa, iimpawu ezilandelayo (ezinokuthi zifane neCOPD) zingabonakala kwiiveki ezimbini ukuya kweebhozo emva kokungena kwiimfucu ezinobuthi okanye ukulandela ukusuleleka kumaphaphu:
Ukuchonga imeko
Ukukunceda ukufumanisa esi sifo, oogqirha banokuyalela oku kulandelayo:
- Ukuphonononga iimvavanyo, ezifana nesifuba se-X-ray kunye ne- CT yesitrato
- ImiSebenzi yovavanyo
- I-biopsy yomlenze
I- biopsy yokupakraza , apho ugqirha wakho okhupha isicatshulwa esincinane esivela kumphunga wakho ukuze uhlole phantsi kwe-microscope, yindlela efanelekileyo yokufumanisa i-bronchiolitis obliterans.
Xa une-bronchiolitis obliterans, umsebenzi wakho wamaphaphu unganokuhlahla ngokuhamba kwexesha, ngoko ugqirha wakho unokucela ukuba uphinde uphinde uphinde uhlole iimvavanyo zonyango, ingakumbi iimvavanyo zomsebenzi wamaphaphu.
Unyango: Imithi, Ukufakelwa kwe-Lung
NjengoCOPD , i-bronchiolitis obliterans ayinakuphelelwa. Noko ke, unyango olulandelayo lunokunceda ukuphucotha ukuqhubeka kwalo:
- Ukususwa ngokukhawuleza kokungcola kwi-toxin ecasulayo (ukuba i-toxin engumngcipheko yimbangela yesifo)
- Amachiza, kuquka i- corticosteroids kunye neziyobisi ezinciphisa ukuphendula komzimba ngomzimba (i-immunosuppressants)
- Ukufakelwa kwemfudu
Ngenxa yokuba i-bronchiolitis obliterans ingaba yingozi xa ingashiywanga ingathotyelwa, ukungenelela kwangaphambili kubalulekile ekulawuleni okuphumelelayo kwesi sifo.
I-Bronchiolitis obliterans ayikho imeko efana ne-bronchiolitis obliterans eququzelela ukupheka kwe- pneumonia , naphezu kwamagama afanayo. I-Bronchiolitis obliterans eququzelela umpneumonia yindlela engaqhelekanga ye-pneumonia engathatshukiyo ebangela ukuvuvukala okukhulu kwimibhobhooles yamaphaphu.
> Imithombo:
> Amaziko okuLawula nokuKhuselwa kwezifo kunye neZiko leSizwe loKhuseleko loMsebenzi kunye neMpilo. Iphepha le-Lung Disease le-Flavouring Related.
> Ditschkowski M et al. I-Bronchiolitis obliterans emva kwe-SNL ye-almateneic hematopoietic SCT: ukuqonda okungakumbi-imbono emitsha? I-Bone Marrow I-Transplantation. (2013) 48, 1224-1229.
> I-GM et al. Ngaba sisondele kwindlela yokwenza imichiza ephumelelayo ye-bronchiolitis obliterans? Iingcamango zengcali kwi-Pharmacotherapy. 2014 Oct; 15 (15): 2117-20.