I-rheumatoid pneumoconiosis

I-rheumatoid pneumoconiosis (i-RP, ekwabizwa ngokuba yi-Caplan syndrome) kukudumba (ukudumba) kunye nokuqaqamba kwemiphunga. Kwenzeka kubantu abane-rheumatoid arthritis abaphefumle uthuli, njengamalahle (i-pneumoconiosis yomsebenzi wamalahle) okanye i-silica.

I-RP ibangelwa kukuphefumla uthuli olungaphiliyo. Olu luthuli oluvela ekusileni iintsimbi, izimbiwa, okanye ilitye. Emva kokuba uthuli lungene emiphungeni, lubangela ukudumba. Oku kungakhokelela ekwakhiweni kwamaqhuma amancinci emiphungeni kunye nesifo somoya esifana nesifuba.

Akucaci ukuba i-RP ikhula njani. Kukho iingcamango ezimbini:

• Xa abantu bephefumla uthuli olungaphiliyo, ichaphazela amajoni abo omzimba kwaye ikhokelela kwisifo samathambo (RA). I-RA sisifo esizenzekelayo apho amajoni omzimba ahlasela izicwili zomzimba ezisempilweni ngempazamo.
• Xa abantu abasele benayo i-RA okanye abasemngciphekweni omkhulu wokuvezwa kuthuli lwezimbiwa, baphuhlisa i-RP.

Iimpawu ze-RP zezi:

• Khohlela
• Ukudumba ngokudibeneyo kunye nentlungu
• Amaqhuma phantsi kolusu (amaqhuqhuva erheumatoid)
• Ukuqhawukelwa ngumphefumlo
• Ukukhawuleza

Umboneleli wakho wezempilo uya kuthatha imbali eneenkcukacha zonyango. Iya kubandakanya imibuzo malunga nemisebenzi yakho (eyadlulayo neyangoku) kunye neminye imithombo enokubakho yokuchasana nothuli olungaphiliyo. Umboneleli wakho uya kwenza uvavanyo lomzimba, ahlawule ikakhulu nasiphi na isifo esidibeneyo kunye nolusu.

Olunye uvavanyo lunokubandakanya:

• I-x-ray yesifuba
• Ukuxilongwa kwe-CT kwesifuba
• X-reyi ezidibeneyo
• Uvavanyo lomsebenzi wePulmonary
• Uvavanyo lweRheumatoid factor kunye nolunye uvavanyo lwegazi

Akukho lonyango oluthile lwe-RP, ngaphandle kokunyanga nasiphi na isifo semiphunga kunye nokudibana.

Ukuya kwiqela lenkxaso nabantu abanesifo esifanayo okanye isifo esifanayo kunokukunceda uqonde imeko yakho ngcono. Inokukunceda ukuba uqhelane nonyango kunye notshintsho kwindlela ophila ngayo. Amaqela enkxaso ayenzeka kwi-intanethi kwaye buqu. Buza umboneleli wakho malunga neqela lenkxaso elinokukunceda.

RP kunqabile ukuba ibangele ingxaki yokuphefumla okanye ukukhubazeka ngenxa yeengxaki zemiphunga.

Ezi ngxaki zinokwenzeka kwi-RP:

• Ukwanda komngcipheko wesifo sephepha
• Ukuqhekeka emiphungeni (ukuqhubela phambili kwefibrosis enkulu)
• Iziphumo ebezingalindelekanga ezivela kumayeza owathathayo

Biza ukuqeshwa kunye nomboneleli wakho ukuba uneempawu ze-RP.

Thetha nomboneleli wakho malunga nokufumana izitofu zokugonya umkhuhlane kunye nenyumoniya.

Ukuba ufumene ukuba une-RP, tsalela umnikezeli wakho ngoko nangoko ukuba uvela ukhohlela, uphefumla kancinci, umkhuhlane, okanye eminye imiqondiso yosulelo lwemiphunga, ngakumbi ukuba ucinga ukuba unomkhuhlane. Kuba imiphunga yakho sele yonakele, kubaluleke kakhulu ukuba usulelo lunyangwe ngokukhawuleza. Oku kuya kuthintela iingxaki zokuphefumla ekubeni zingqine, kunye nomonakalo ongaphezulu kwimiphunga yakho.

Abantu abaneRA kufuneka bakuphephe ukubekeka eluthulini olungaphiliyo.

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

• Inkqubo yokuphefumla

ICorte TJ, iDu Bois RM, i Wells AU. Izifo ezinxulumene nezihlunu. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 65.

UCowie RL, u-Becklake MR. Iinyumoniya. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 73.

URaghu G, uMartinez FJ. Isifo semiphunga esiphakathi. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 86.

I-Tarlo SM. Isifo semiphunga emsebenzini. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 87.