Rocumatoid pneumoconiosis

ʻO Rheumatoid pneumoconiosis (RP, ʻo ia hoʻi ʻo Caplan Syndrome) ke pehu (ka mumū) a me ka ʻili ʻana o nā akemāmā. Kū i loko o ka poʻe me ka rheumatoid arthritis i hanu i ka lepo, e like me mai ka lanahu (pneumoconiosis o ka limahana) a i ʻole silica.

Hoʻokumu ʻia ka RP e ka hanu ʻana i ka lepo lepo ʻole. He lepo kēia mai ka wili ʻana i nā metala, nā minelala, a i ʻole ka pōhaku. Ma hope o ke komo ʻana o ka lepo i loko o nā māmā, hoʻonāukiuki ia. Hiki i kēia ke alakaʻi i ka hoʻokumu ʻia ʻana o nā puʻupuʻu liʻiliʻi he nui i loko o nā akemāmā a me kahi maʻi lewa e like me ka hānō liʻiliʻi.

ʻAʻole maopopo pehea ka hoʻomohala ʻana o RP. ʻElua mau manaʻo.

• Ke hanu ka poʻe i ka lepo anorganic, hoʻopili ia i kā lākou ʻōnaehana pale a alakaʻi i ka rheumatoid arthritis (RA). ʻO RA he maʻi maʻi autoimmune kahi e pale aku ai ke kino pale o ke kino i nā kino o ke kino e kuhihewa.
• Ke hōʻike ʻia ka poʻe i loaʻa iā RA a i ʻole ka makaʻu nui no ka lepo o ka mineral, hoʻomohala lākou iā RP.

Nā ʻōuli o RP:

• Cough
• Huʻi hui a ʻeha
• Lumps ma lalo o ka ʻili (rheumatoid nodules)
• Pokole o ka hanu
• ʻUhihi

E lawe kāu kauka olakino i kahi mōʻaukala kikoʻī. E hoʻopili ʻia nā nīnau e pili ana i kāu mau ʻoihana (ka wā i hala a me kēia manawa) a me nā kumuwaiwai kūpono ʻē aʻe o ka hōʻike ʻana i ka lepo lepo ʻole. E hana pū kekahi kāu mea hāʻawi i kahi hoʻokolohua kino, e nānā pono ana i nā maʻi hui a me nā ʻili.

Hiki i nā hoʻokolohua ʻē aʻe ke:

• Pākuʻi x-ray
• CT scan o ka umauma
• Pākuʻi x-kukuna
• Nā hoʻāʻo hana pulmonary
• Hōʻike kumu Rheumatoid a me nā hoʻokolohua koko ʻē aʻe

ʻAʻohe mālama kūikawā no RP, ʻē aʻe ma mua o ka mālama ʻana i nā maʻi āpau a me nā hui pū.

Ke hele nei i kahi hui kākoʻo me nā poʻe i loaʻa ka maʻi like a i ʻole kahi maʻi like e hiki ke kōkua iā ʻoe e hoʻomaopopo pono i kou ʻano. Hiki iā ia ke kōkua iā ʻoe e hoʻomaʻa i kāu mālama ʻana a me nā loli nohona. Hana ʻia nā hui kākoʻo ma ka pūnaewele a ma ke kino kekahi. E nīnau i kāu mea hāʻawi e pili ana i kahi hui kākoʻo e kōkua iā ʻoe.

ʻAʻole pilikia ʻo RP i nā pilikia hanu koʻikoʻi a kīnā ʻole hoʻi ma muli o nā pilikia o ka maʻi māmā.

Hiki ke hana i kēia mau pilikia mai RP:

• Hoʻonui i ka makaʻu no ka maʻi puʻu
• Scarring i loko o nā akemā (holomua nui fibrosis)
• Nā hopena ʻaoʻao mai nā lāʻau āu e lawe ai

Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o RP.

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 RP, e kāhea koke aku i kāu mea hāʻawi inā ulu 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 pū kāu. 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.

Pono ka poʻe me RA e hōʻole i ka huna ʻana i ka lepo lepo ʻole.

RP; Maʻi maʻi Caplan; Pneumoconiosis - rheumatoid; Silicosis - pneumoconiosis rheumatoid; ʻO ka pneumoconiosis o ka limahana limahana - pneumoconiosis rheumatoid

• ʻŌnaehana hanu

ʻO Corte TJ, Du Bois RM, Wells AU. Nā maʻi palahalaha hoʻohui. 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 65.

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 Raghu G, ʻo Martinez FJ. Maʻi maʻi Interstitial I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 86.

ʻO Tarlo SM. Maʻi maʻi ʻohana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 87.