I-Bronchiolitis obliterans yisifo esibi kakhulu esingenakuphikisana nesifo sokuphuza esibangela ukuvuvukala nokuvinjelwa kwemigwaqo encane kunazo zonke emaphashini: ama- bronchioles . Kuyaziwa nangokuthi i-bronchiolitis ene-obliterative, futhi izimpawu zayo zingase zifane nezibonakaliso zesifo esingenasifo se-pulmonary chronic obstructive ( COPD ).
I-Bronchiolitis obliterans yaziwa kangcono ngo-2000 lapho izikhulu zezempilo zaseMissouri zibuza ama-federal Centers for Disease Control and Prevention (CDC) ukubasiza ukuba baphenye amacala asebenzi be-microwave popcorn aseJasper, Mo.
Ekugcineni, izikhulu zezezempilo zilandele ukuqubuka kwesifo se-diacetyl, imakhemikhali eyenza i-microwave popcorn isiphuzo sayo se-buttery.
Kusukela kuleso simo, i-bronchiolitis obliterans yathola isiteketiso "i-popcorn lung."
Ngonyaka ka-2015, i-CDC iphinde ihlonze abasebenzi basezindaweni zokucubungula ikhofi ababhekene ne-bronchiolitis obliterans. Lapho, imbangela ibonakala iyinkimbinkimbi yezinto eziphilayo ezikhishwe yizinhlamvu eziningi zekhofi lapho ziphansi.
Izimbangela ze-Bronchiolitis Obliterans
Kwabanye abantu, akucaci ukuthi yiziphi izimbangela ze-bronchiolitis obliterans. Kodwa-ke, izimbangela eziningana ezikhona zitholakale. Lokhu kufaka:
- Inhalation of fumes
- Izifo zokuphefumula
- Izifo ezixhumene nezicubu, ezifana ne- rheumatoid arthritis
- Ukubhekana nemithi ethile
Lesi simo sikhona nakwabanye abantu ngemuva komnkantsha wamathambo, amaphaphu noma inhliziyo kanye nokufakelwa kwamaphaphu . Ucwaningo oluthile oluthole ukuthi abantu abangaba ngu-10% abathola ukufakelwa komnyosa wamathambo evela kumnikeli bahlakulela i-bronchiolitis obliterans eminyakeni emihlanu yenqubo yabo yokufakelwa, kuyilapho abanye abacwaningi beqaphela ukuthi abamukeli abangu-50% bamapulazi okufakelwa kwamaphaphu bathuthukisa isimo phakathi neminyaka emihlanu.
Izimpawu ze-Bronchiolitis Obliterans
Nakuba kungathatha iminyaka ukuthi izimpawu zesifo zivele emva kokufakelwa, izimpawu ezilandelayo (ezilinganisa kakhulu lezo zeCOPD) zingabonakala zingakapheli amasonto amabili kuya kweziyisishiyagalombili emva kokutholakala kwemfucumfucu enobuthi noma ukulandela ukutheleleka kwamaphaphu:
Ukubona isimo
Ukuze usize ukuxilonga lesi sifo, odokotela bangalandela okulandelayo:
- Ukucubungula ukuhlolwa, okufana nesifuba se-X-ray ne- CT scan yesifuba
- Ukuhlolwa kokusebenza kwamapulmonary
- I-liop biopsy
I- lung yokuhlinzwa ye- lung , lapho udokotela wakho ohlinzayo esusa isicu esincane samapayipi ukuze ahlole ngaphansi kwe-microscope, yindlela engcono kakhulu yokuthola i-bronchiolitis obliterans.
Uma une-bronchiolitis obliterans, umsebenzi wakho wamaphaphu ungase wehle kancane kancane ngokuhamba kwesikhathi, ngakho udokotela wakho angakucela ukuthi uphinde uhlole ezinye zezokwelapha, ikakhulukazi izivivinyo zomsebenzi wamaphaphu.
Ukwelashwa: Imithi, Ukufakelwa Kwamafutha
Njenge- COPD , i-bronchiolitis obliterans ayinakuphika. Kodwa ukwelashwa okulandelayo, noma kunjalo, kungasiza ukunciphisa ukuqhubeka kwayo:
- Ukususwa okusheshayo kokuvezwa kwe-toxin ecasulayo (uma i-toxin ehoxisiwe yimbangela yesifo)
- Imithi, kuhlanganise ne- corticosteroids kanye nezidakamizwa ezinciphisa izimpendulo zomzimba zomzimba (izivikeli ze-immunosuppressants)
- Ukufakelwa kwe-Lung
Ngenxa yokuthi i-bronchiolitis obliterans ingaba yingozi uma ingashiywa ingelashwa, ukungenelela kwangempela kubalulekile ekuphatheni okuphumelelayo kwalesi sifo.
I-Bronchiolitis obliterans ayiyona into efanayo ne-bronchiolitis obliterans ehlela ukuphefumula , naphezu kwamagama afanayo. I-Bronchiolitis obliterans ehlela ukuphefumula yindlela engavamile ye-pneumonia engasetshenziswanga ebangela ukuvuvukala okukhulu emabhakeni amaphaphu.
> Imithombo:
> Izikhungo zokuLawula nokuvimbela izifo kanye neNational Institute for Occupational Safety and Health. I-flavorings-Related Related Lung Disease sheet sheet.
> Ditschkowski M et al. I-Bronchiolitis obliterans emva kwe-SCT almateneic hematopoietic: ukuqonda okwengeziwe-ukubuka okusha? I-Bone Marrow Transplantation. (2013) 48, 1224-1229.
> I-GM et al. Ingabe sisondele ekwelapheni okuphumelelayo kwezidakamizwa ze-bronchiolitis obliterans? I-Expert Opinion kwi-Pharmacotherapy. 2014 Oct; 15 (15): 2117-20.