Bronchiolitis obliterans chirwere chakakomba, chisingaverengeki chinokonzera kuvhiringidza nekuvhara kwemhepo duku kudarika mumapapu: the bronchioles . Iyo inozivikanwawo sechinhu chinokonzera maronchiolitis, uye zviratidzo zvayo zvinogona kufanana zvakafanana nezviratidzo zvepachirwere chinopisa chirwere cheplmm ( COPD ).
Bronchiolitis obliterans yakazozivikanwa zviri nani muna 2000 apo vashandi vehutano veMissouri vakakumbira Federal feders for Disease Control and Prevention (CDC) kuti vabatsire kutsvakurudza mamiriro ezvinhu maimbova microwave popcorn plant workers kubva Jasper, Mo.
Pakupedzisira, vashandi vehutano vakaona kutengesa kwekuvhiringidza diacetyl, kemikemikari inopa microwave popcorn itsva yekunaka.
Kubva pane izvozvo, bronchiolitis obliterans yakawana zita rezita rokuti "popcorn lung".
Muna 2015, CDC yakaratidzawo vashandi vanobva kune imwe nzvimbo yekugadzira kofi vanotambura nebronchiolitis obliterans. Ikoko, chikonzero chacho chinoratidzika se chisingabatsiri chemakemikari evanhu akabudiswa nehuwandu hwehairi yehafi pavanenge vari pasi.
Zvinokonzera Bronchiolitis Zvipembenene
Mune vamwe vanhu, hazvisi pachena zvinokonzera bronchiolitis obliterans. Zvisinei, zvingaverengeka zvinokonzera zvinokonzerwa. Izvi zvinosanganisira:
- Inhalation ye fumisi inopisa
- Zvirwere zvepumusoro
- Matambudziko ekubatanidza maitiro, akadai se rheumatoid arthritis
- Kuita kune dzimwe mishonga
Mamiriro acho ezvinhu anowedzera kune vamwe vanhu mushure mefupa remapfupa, mapapu kana mwoyo uye mapapu ekugadzirwa . Chimwe chekudzidza chakawana kuti vamwe vanhu 10 muzana vakagamuchira fufuro yemafuta kubva kune mupiro vakagadzira bronchiolitis obliterans mukati memakore mashanu ekugadzirwa kwavo, asi vamwe vatsvakurudzi vanocherechedza kuti 50% yemapupa ekugadzirisa mapapu anovandudza mamiriro mukati memakore mashanu.
Zviratidzo zveBronchiolitis Zvinyorwa
Kunyange zvazvo zvingatora makore kuti zviratidzo zvechirwere zvioneke mushure mokunge tashandurirwa, zviratidzo zvinotevera (izvo zvakanyatsofanana neyeCOPD) zvinogona kuonekwa mukati memasvondo maviri kusvika masere mushure mekutsvaira kumhepo inotyisa kana kutevera utachiona hwepapupa:
Kuongorora Chimiro
Kuti ubatsire kuongorora chirwere chacho, vanachiremba vanogona kuraira zvinotevera:
- Kufungidzira miedzo, yakadai sebhokisi X-ray uye CT scan yebhokisi
- Pulmonary function tests
- Mhembwe tsvina
Chirwere chekupura mapapu , umo chiremba wako achibvisa chidimbu chemuviri kubva mumuapapu ako kuti uongorore pasi pe microscope, ndiyo nzira yakanakisisa yekuziva kuti bronchiolitis obliterans.
Paunenge uine bronchiolitis obliterans, mapapu ako anogona kupera zvishoma nezvishoma pane nguva, naizvozvo chiremba wako angakukumbira kuti udzoke dzimwe mimwe miedzo yezvokurapa, kunyanya mapurojekiti ekushanda kwemapapu.
Mishonga: Mishonga, Mhemberero Yokutengesa
Kufanana neCOPD , bronchiolitis obliterans haigoneki. Kurapa kunotevera, zvisinei, kunogona kubatsira kuderedza kufambira mberi kwayo:
- Kukurumidza kubviswa kwekutsvaga nexikisi inopisa (kana inxin inhaled chikonzero chechirwere)
- Mishonga, kusanganisira corticosteroids nemishonga inoderedza zvirwere zvemuviri (immunosuppressants)
- Kupera kwemafupa
Nemhaka yekuti bronchiolitis obliterans inogona kuuraya kana isingateereri, kupindira kwepakutanga kunokosha mukugadzirisa kutarisira chirwere chacho.
Bronchiolitis obliterans haisi yakangofanana nemaruva ebronchiolitis obliterans anoronga pneumonia , pasinei nemazita akafanana. Bronchiolitis obliterans kuronga pneumonia inoratidzika isiri yechirwere chepneumonia chinokonzera kuputika kukuru mumapapuchioles emapapu.
> Sources:
> Centers for Disease Control & Prevention uye National Institute for Occupational Safety and Health. Flavorings-Related Pung Chirwere chechokwadi pepa.
> Ditschkowski M et al. Bronchiolitis obliterans mushure mekunyorwa kwechiremera chemaHepatopoietic SCT: kuwedzera kunzwisisa-maonero matsva? Bone Marrow Transplantation. (2013) 48, 1224-1229.
> Verleden GM et al. Tiri pedyo nemishonga inobatsira yekurapa kwebronchiolitis obliterans here? Expert Opinion pa Pharmacotherapy. 2014 Nharo; 15 (15): 2117-20.