Imichiza pneumonitis

I-Chemical pneumonitis kukudumba kwemiphunga okanye ubunzima bokuphefumla ngenxa yokusezela umsi wamachiza okanye ukuphefumla nokukrwitsha kwiikhemikhali ezithile.

Iikhemikhali ezininzi ezisetyenziswa ekhaya nasemsebenzini zinokubangela inyumoniya.

Ezinye zezinto ezinobungozi eziqhelekileyo zibandakanya:

• Igesi yekhlorini (iphefumlelwe kwizinto zokucoca ezifana ne-chlorine bleach, ngexesha leengozi zorhwebo, okanye kufutshane namachibi okudada)
• Ingqolowa kunye nezichumisi zothuli
• Umphunga oyityhefu ovela kwizibulali zinambuzane
• Umsi (kwimililo yomlilo kunye nemililo yasendle)

Zimbini iintlobo zenyumoniya:

• Pneumonitis Acute kwenzeka ngesiquphe emva kokuphefumla into.
• I-pneumonitis yexesha elide (engapheliyo) yenzeka emva kokuvezwa kwamanqanaba asezantsi kwento ixesha elide. Oku kubangela ukudumba kwaye kungakhokelela ekuqineni kwemiphunga. Ngenxa yoko, imiphunga iqala ukuphulukana namandla ayo okufumana ioksijini emzimbeni. Ukunganyangwa, le meko inokubangela ukusilela kokuphefumla kunye nokufa.

Ukuphefumla okungapheliyo kweasidi esiswini kunye nokuchazwa kwimfazwe yamachiza kungakhokelela kwimichiza pneumonitis.

Iimpawu ezinobungozi zingabandakanya:

• Indlala yomoya (uziva ukuba awufumani moya ngokwaneleyo)
• Ukuphefumla okuvakala kumanzi okanye ukugungqa (izandi zemiphunga ezingaqhelekanga)
• Khohlela
• Kunzima ukuphefumla
• Imvakalelo engaqhelekanga (inokuba ivutha imvakalelo) esifubeni

Iimpawu ezingapheliyo zinokubandakanya:

• Ukukhwehlela (kunokwenzeka okanye kungenzeki)
• Ukukhubazeka okuqhubekayo (okunxulumene nokuphefumla okufutshane)
• Ukuphefumla ngokukhawuleza (tachypnea)
• Ukuphefumla kancinci ngokwenza umthambo omnene kuphela

Ezi mvavanyo zilandelayo zinceda ukumisela ukuba imiphunga ichaphazeleke kangakanani na:

• Iigesi zegazi (umlinganiselo wobungakanani beoksijini kunye nekhabhon diokside egazini lakho)
• Ukuxilongwa kwesifuba kwe-CT
• Izifundo zomsebenzi wemiphunga (iimvavanyo zokulinganisa ukuphefumla kunye nendlela esebenza kakuhle ngemiphunga)
• X-ray esifubeni
• Izifundo eziginya ukujonga ukuba ngaba isisu esiswini sisifo sepneumonitis

Unyango lujolise ekubuyiseleni phambili unobangela wokudumba kunye nokunciphisa iimpawu. I-Corticosteroids inokunikwa ukunciphisa ukudumba, rhoqo ngaphambi kokuvela kwexesha elide.

Amayeza okubulala iintsholongwane awanakuba luncedo okanye ayimfuneko, ngaphandle kokuba kukho usulelo lwesibini. Unyango lweoksijini lunokuba luncedo.

Kwiimeko zokuginya kunye neengxaki zesisu, ukutya ukutya okuncinci kwindawo ethe tye kunokunceda. Kwiimeko ezinzima, ityhubhu yokondla esiswini iyafuneka, nangona oku kungasoloko kuthintela ukufuna ukungena emiphungeni.

Isiphumo sixhomekeke kwimichiza, ubukrakra bokubhengeza, nokuba ingaba ingxaki inzima okanye ingapheliyo.

Ukusilela kokuphefumla kunye nokufa kunokwenzeka.

Nxibelelana nomboneleli wakho wezempilo ukuba unengxaki yokuphefumla emva kokuphefumla (okanye ukubetha) nayiphi na into.

Sebenzisa kuphela iikhemikhali zekhaya njengoko kuyalelwe, kwaye uhlala kwiindawo ezinomoya ofanelekileyo. Ungaze uxube i-ammonia kunye neblitshi.

Landela imithetho yendawo yokuphefumla kwaye unxibe imaski efanelekileyo. Abantu abasebenza kufutshane nomlilo kufuneka bakhathalele ukunciphisa umngcipheko wokuvezwa kwabo ngumsi okanye ziigesi.

Lumka ngokunika ioyile yamaminerali kuye nakubani na onokuyiminxa kuyo (abantwana okanye abantu abadala).

Hlala phezulu ngelixa usitya kwaye ungangqengili kanye emva kokutya ukuba uneengxaki zokuginya.

Musa ukuphonononga igesi, iparafini, okanye ezinye iikhemikhali ezinetyhefu.

I-pneumonia yokuphefumla - imichiza

• Amaphaphu
• Inkqubo yokuphefumla

IBlanc PD. Iimpendulo eziqinisekileyo kukuvezwa okunetyhefu. 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 75.

IChristiani DC. Ukwenzakala komzimba kunye nemichiza emiphungeni. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 88.

IGibbs AR, iAttanoos RL. Ukusingqongileyo- kunye nezifo zemiphunga ezibangelwa yityhefu. Ku: Zander DS, Farver CF, ii-eds. IPathmonary Pathology. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 18.

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.