Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 16 Iune 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Case Study:  Terry the former stoneworker suffering with silicosis
Wikiō: Case Study: Terry the former stoneworker suffering with silicosis

ʻO Silicosis kahi maʻi maʻa mau i hoʻokumu ʻia e ka hanu ʻana i (lepo) silica lepo.

ʻO Silica kahi aniani maʻamau, kūlohelohe. Loaʻa ia i ka hapa nui o nā moena pōhaku. Hoʻokumu ka lepo Silica i ka wā o ka mining, quarrying, tunneling, a me ka hana pū ʻana me kekahi mau ʻaila. ʻO ka silica kahi ʻāpana nui o ke one, no laila hōʻike pū nā mea hana kīʻaha a me nā one-blasters i ka silica.

ʻEkolu ʻano o ka silicosis e kū nei:

  • ʻO ka silicosis maʻi, i hopena ʻia mai ka hōʻike wā lōʻihi (ʻoi aku ma mua o 20 mau makahiki) i nā haʻahaʻa haʻahaʻa o ka lepo silica. ʻO ka lepo silica ke kumu o ka pehu ʻana i nā akemāmā a me nā pūnana lymph chest. Hiki i kēia maʻi ke pilikia i ka hanu ʻana o ka poʻe. ʻO kēia ka ʻano maʻamau o ka silicosis.
  • ʻO ka silicosis wikiwiki, i kū ma hope o ka hōʻike ʻana i nā silica ʻoi aku ka nui ma kahi o ka manawa pōkole (5 a 15 mau makahiki). ʻOi aku ka pehu ʻana i nā akemāmā a me nā ʻōuli ma mua o ka silicosis maʻalahi.
  • ʻO silicosis koʻikoʻi, nā hopena mai ka wā pōkole e hōʻike ʻia i nā silica nui loa. Hoʻonui loa ka mumū a hiki ke hoʻopiha me ka wai, e hoʻoiki ana i ka hanu nui a me kahi pae oxygen haʻahaʻa.

ʻO ka poʻe e hana ana i nā hana kahi i hōʻike ʻia i ka lepo silica ka makaʻu. Loaʻa kēia mau hana:


  • Manufacturing Abrasives
  • Ke hana aniani
  • Hoʻouku
  • Kalikimaka
  • Kūkulu ala a me ke kūkulu ʻana
  • Pāhū one
  • ʻOki pōhaku

Hiki i ka ʻike nui ʻana i ka silica ke hana i ka maʻi i loko o hoʻokahi makahiki. Akā maʻa mau ka 10 a 15 mau makahiki o ka hōʻike ma mua o ka hiki ʻana o nā ʻōuli. Ua lilo ka silicosis i mea liʻiliʻi ma muli o ka ʻOihana Hoʻomalu a me ka Health Administration (OSHA) i hana ai i nā lula e koi ana i ka hoʻohana ʻana i nā pono hana pale, ka mea e kaupalena ana i ka nui o nā limahana lepo silica e inhale ai.

ʻO nā hōʻailona me:

  • Cough
  • Pokole o ka hanu
  • Kaumaha emi

E lawe kāu kauka olakino i ka mōʻaukala. E nīnau ʻia ʻoe e pili ana i kāu mau hana (hala a me kēia manawa), nā leʻaleʻa, a me nā hana ʻē aʻe i hōʻike iā ʻoe i ka silica. E hana pū ka mea hāʻawi i kahi hoʻokolohua kino.

ʻO nā hoʻāʻo e hōʻoia i ka hōʻailona a hōʻole i nā maʻi like e like me:

  • Pākuʻi x-ray
  • Scanner CT pahu
  • Nā hoʻāʻo hana pulmonary
  • Nā hoʻāʻo no ka maʻi puʻupuʻu
  • Nā ho'āʻo koko no nā maʻi āpau e pili ana

ʻAʻohe mālama kūikawā no ka silicosis. He mea nui ka hemo ʻana i ke kumu o ka hū ʻana i ka silica i mea e pale ʻole ai i ka maʻi. Kākoʻo lapaʻau ʻia i ka lāʻau ʻohe, bronchodilators, a me oxygen inā pono. Kau ʻia nā lāʻau lapaʻau antibiotic no nā maʻi hanu e pono ai.


Hoʻopili pū ka mālama me ka palena ʻana i ka hōʻike i nā mea hoʻonāukiuki a me ka haʻalele ʻana i ka puhipaka.

Kūpono nui ka poʻe me ka silicosis i ka hoʻomohala ʻana i ka maʻi kō (TB). Manaʻo ʻia ʻo Silica e hoʻopilikia i ka hopena pale o ke kino i ka bacteria i kumu i ka TB. ʻO nā hoʻāʻo ʻana i ka ʻili e nānā ai no ka hōʻike ʻana i ka TB e hana mau ʻia ʻO ka poʻe me ka hoʻāʻo ʻili maikaʻi e mālama ʻia me nā lāʻau anti-TB. ʻO nā loli i ka hiʻona o ka umauma x-ray he hōʻailona paha ia o ka TB.

Pono paha ka poʻe me ka silicosis koʻikoʻi e loaʻa kahi transplant lung.

ʻO ka hui ʻana i kahi hui kākoʻo kahi e hiki ai iā ʻoe ke hui me nā poʻe ʻē aʻe me ka silicosis a i ʻole nā ​​maʻi e pili ana i hiki ke kōkua iā ʻoe e hoʻomaopopo i kāu maʻi a hoʻololi i kāna mālama.

Kūleʻa ka hopena, kaukaʻi ʻia i ka nui o ka poino o nā māmā.

Hiki i ka silicosis ke alakaʻi i nā pilikia olakino e hiki mai ana:

  • Pili maʻiʻaʻaʻa, me rheumatoid arthritis, scleroderma (i kapaia holomua systemic sclerosis), a me systemic lupus erythematosus
  • Kanesa maʻi ʻaʻai
  • ʻO ka fibrosis nui holomua
  • Hoʻoikaika hanu ʻole
  • Maʻi puʻu

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe ua loaʻa ʻoe i ka silica ma ka hana a loaʻa iā ʻoe nā pilikia hanu. ʻO ka loaʻa ʻana o ka silicosis e maʻalahi ai iā ʻoe e hoʻomōhala i nā maʻi lolo. E kamaʻilio me kāu mea hāʻawi e pili ana i ka loaʻa ʻana o nā maʻi koʻohuna a me ka maʻi ʻaʻai.


Inā ua loiloi ʻia ʻoe me ka silicosis, e kāhea koke aku i kāu mea nāna e hoʻolako inā loaʻa ʻoe i ka puʻe, ka pōkole o ka hanu, ke kuni, a i ʻole nā ​​hōʻailona ʻē aʻe o kahi maʻi lolo, keu hoʻi inā manaʻo ʻoe he maʻi flu kou. ʻOiai ua hōʻino ʻia kou mau māmā, he mea nui ia e mālama koke ʻia ka maʻi. Pale kēia i nā pilikia o ka hanu ʻana mai ka paʻakikī, a me ka hōʻino hou ʻana i kāu mau māmā.

Inā ʻoe e hana i kahi ʻoihana kūlana kiʻekiʻe a i ʻole kahi leʻaleʻa kiʻekiʻe, e ʻaʻa mau i kahi pale huna lepo a mai puhipaka. E makemake paha ʻoe e hoʻohana i nā pale ʻē aʻe i koi ʻia e OSHA, e like me kahi mea hanu.

ʻO silicosis koʻikoʻi; Silicosis maʻi; ʻO silicosis wikiwiki; ʻO ka fibrosis nunui holomua; ʻO ka silicosis Conglomerate; ʻO Silicoproteinosis

  • ʻO nā māmā o ka limahana lānahu - x-ray umauma
  • ʻO nā limahana o nā lānahu pneumoconiosis - pae II
  • ʻO nā limahana o nā lānahu pneumoconiosis - pae II
  • ʻO nā limahana o ka lānahu pneumoconiosis, paʻakikī
  • ʻŌnaehana hanu

Cowie RL, Becklake MR. Pneumoconioses. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 73.

ʻO Tarlo SM. Maʻi maʻi ʻohana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 93.

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