I-rheumatoid pneumoconiosis

I-rheumatoid pneumoconiosis (i-RP, eyaziwa nangokuthi yi-Caplan syndrome) ukuvuvukala (ukuvuvukala) nokulimala kwamaphaphu. Kwenzeka kubantu abane-arthritis ye-rheumatoid abaphefumule uthuli, njengamalahle (i-pneumoconiosis yomsebenzi wamalahle) noma i-silica.

I-RP ibangelwa ukuphefumula othulini olungaphili. Lona uthuli oluvela ekugayeni izinsimbi, amaminerali, noma idwala. Ngemuva kokuthi uthuli lungene emaphashini, lubanga ukuvuvukala. Lokhu kungaholela ekwakhekeni kwezigaxa eziningi ezincane emaphashini kanye nesifo somoya esifana nesifuba somoya.

Akucaci ukuthi i-RP ikhula kanjani. Kunemibono emibili:

• Lapho abantu bephefumula uthuli olungaphili, kuthinta amasosha abo omzimba futhi kuholele ku-rheumatoid arthritis (RA). I-RA isifo esizimele lapho amasosha omzimba ehlasela izicubu zomzimba ezinempilo ngephutha.
• Lapho abantu asebevele benayo i-RA noma abasengozini enkulu yayo bechayeka othulini lwezimbiwa, baba ne-RP.

Izimpawu ze-RP yilezi:

• Khwehlela
• Ukuvuvukala okuhlangene nobuhlungu
• Izigaxa ezingaphansi kwesikhumba (amaqhuqhuva e-rheumatoid)
• Ukuphelelwa umoya
• Ukuqhuma

Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha umlando oningiliziwe wezokwelapha. Izofaka imibuzo mayelana nemisebenzi yakho (eyedlule neyamanje) neminye imithombo engaba khona yokuchayeka othulini olungaphili. Umhlinzeki wakho uzokwenza nokuhlolwa ngokomzimba, anake ngokukhethekile noma yisiphi isifo esihlangene nesesikhumba.

Ezinye izivivinyo zingafaka:

• I-x-ray yesifuba
• I-CT scan yesifuba
• Ama-x-ray ahlangene
• Ukuhlolwa komsebenzi wePulmonary
• Ukuhlolwa kwe-factor rheumatoid nokunye ukuhlolwa kwegazi

Akukho ukwelashwa okuqondile kwe-RP, ngaphandle kokwelapha noma yisiphi isifo samaphaphu nesihlangene.

Ukuya eqenjini lokwesekwa nabantu abanesifo esifanayo noma isifo esifanayo kungakusiza usiqonde kangcono isimo sakho. Kungakusiza nokuthi ujwayele ekwelashweni kwakho nasekuguqukeni kwendlela ophila ngayo. Amaqembu okusekela enzeka ku-inthanethi nasebusweni. Buza umhlinzeki wakho ngeqembu lokusekela elingakusiza.

I-RP ayivami ukudala inkinga yokuphefumula noma ukukhubazeka okukhulu ngenxa yezinkinga zamaphaphu.

Lezi zinkinga zingenzeka kusuka ku-RP:

• Ingozi eyengeziwe yesifo sofuba
• Ukuqhuma emaphashini (i-fibrosis enkulu eqhubekayo)
• Imiphumela emibi ephuma emithini oyiphuzayo

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezimpawu ze-RP.

Khuluma nomhlinzeki wakho mayelana nokuthola imishanguzo yomkhuhlane nenyumoniya.

Uma uthola ukuthi une-RP, shayela umhlinzeki wakho khona manjalo uma uba nokukhwehlela, ukuphefumula okuncane, umkhuhlane, noma ezinye izimpawu zokutheleleka kwamaphaphu, ikakhulukazi uma ucabanga ukuthi unomkhuhlane. Njengoba amaphaphu akho esevele onakele, kubaluleke kakhulu ukuthi ukwelashwa kutholakale ngokushesha. Lokhu kuzovimbela izinkinga zokuphefumula ukuthi zingabi nzima, kanye nokunye ukulimala emaphashini akho.

Abantu abane-RA kufanele bagweme ukuchayeka othulini olungaphili.

RP; Isifo seCaplan; I-pneumoconiosis - isifo samathambo; I-silicosis - i-rheumatoid pneumoconiosis; I-pneumoconiosis yomsebenzi wamalahle - i-rheumatoid pneumoconiosis

• Uhlelo lokuphefumula

ICorte TJ, iDu Bois RM, i-Wells AU. Izifo zezicubu ezixhuma. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 65.

UCowie RL, u-Becklake MR. I-pneumoconioses. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 73.

URaghu G, uMartinez FJ. Isifo samaphaphu esiphakathi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 86.

UTarlo SM. Isifo samaphaphu emsebenzini. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 87.