I-pneumonitis: kuyini, izinhlobo, izimpawu nokwelashwa
-Delile
I-Hypersensitivity pneumonitis ifana nokuvuvukala kwamaphaphu ngenxa yokungezwani komzimba okubangelwa amagciwane, uthuli noma amakhemikhali, okuholela ekukhwehleleni, ekuphefumuleni kanzima nasemkhuhlane.
I-pneumonitis ingahlukaniswa ngokwesizathu sayo ngezinhlobo eziningana, njenge:
- I-pneumonitis yamakhemikhali, imbangela yalokho ukuhogela uthuli, izinto ezinobuthi noma ezingcolisiwe nama-ejenti amakhemikhali asetshenziswa ekukhiqizeni izinto zenjoloba nezokupakisha, isibonelo;
- I-pneumonitis ethathelwanayo, okubangelwa amagciwane amancane, njengesikhunta ngenxa yokuhogela isikhunta, noma amagciwane kanye neprotozoa;
- I-lupus pneumonitis, okwenzeka ngenxa yezifo ezizimele, lolu hlobo lungajwayelekile;
- I-pneumonitis yangaphakathi, esibizwa nangokuthi yiHamman-Rich Syndrome, okuyisifo esingajwayelekile esingaqondakali futhi esingaholela ekuphefumuleni.
Ngaphezu kwalokho, i-pneumonitis ingabangelwa ukuhogela umoya ongcolile ngezinhlayiya ze-hay ezikhuntile, ukufakwa komoya ongcolile, izinsalela zikamoba, ukhokho okhuntile, ibhali noma imithombo ebunjiwe, isikhunta soshizi, igciwane likakolweni elinegciwane kanye nobhontshisi wekhofi ongcolile.
Izimpawu eziyinhloko
Izimpawu eziyinhloko zokuvuvukala kwamaphaphu yilezi:
- Khwehlela;
- Ukuphefumula okufishane;
- Imfiva;
- Ukwehla kwesisindo ngaphandle kwesizathu esisobala;
- Ubunzima bokuphefumula;
- Izinga lokuphefumula lenyukile, elaziwa njenge-tachypnea.
Ukuxilongwa kwe-pneumonitis kwenziwa ngokuhlolwa komtholampilo, ngaphezu kwemiphumela yokuhlolwa okuthile, njenge-X-ray yamaphaphu, ukuhlolwa kwelabhoratri okuhlola ukusebenza kwamaphaphu nokukalwa kwama-antibodies athile egazini. Ngaphezu kwalokho, i-lung biopsy ne-bronchoscopy ingacelwa ngudokotela ukucacisa ukungabaza nokuphetha ukuxilongwa. Thola ukuthi kwenzelwa ini nokuthi kwenziwa kanjani i-bronchoscopy.
Indlela yokwelapha
Ukwelashwa kwe-pneumonitis kuhlose ukunciphisa ukuvezwa komuntu kuma-causative agents alesi sifo, kuboniswe ukungabikho emsebenzini kwezinye izimo. Endabeni ye-pneumonitis ethathelwanayo, ukusetshenziswa kwama-antibiotic, ama-antifungal noma ama-antiparasitic agents kungakhonjiswa ngokuya nge-agent ethelelekayo ehlukanisiwe.
Kwezinye izimo, lesi sifo siyaphola kungakapheli amahora, ngemuva kokuhamba kude nama-causative agents, yize ikhambi lizoza ngemuva kwamasonto ambalwa. Kuyinsakavukela ukuthi, nangemuva kokwelashwa kwalesi sifo, isiguli sizizwa siphefumula kanzima lapho senza imizamo yomzimba, ngenxa ye-pulmonary fibrosis engakwazi ukuhlala.
Ezimweni ezinzima kakhulu, kungadingeka ukuthi lowo muntu angeniswe esibhedlela ukuze athole umoya-mpilo nemithi yokulawula ukusabela okweqile.