Occupational asthma: lisosa, matšoao, tlhahlobo le kalafo

Occupational asthma ke lefu le khetholloang ke tšitiso ea moea e pharalletseng, ea nakoana le e khutlisetsoa morao e bakoang ke ntho e itseng e itseng e teng tikolohong ea mosebetsi.

Occupational asthma e fapane le bronchoconstriction ho motho ea nang le idiopathic asthma a pepesehetse motho ea halefisang.

Lintho tse ngata tse halefisang tse fumanoang mosebetsing li ka mpefatsa asthma ea idiopathic, empa liketso tse joalo ha li bolele asthma ea mosebetsing.

Asma ea mosebetsing hangata e qala kamora ho pepeseha bonyane likhoeli tse 18 ho isa ho lilemo tse 5; ha e etsahale pele ho khoeli e le 'ngoe ea ts'ebetso ntle le haeba ts'usumetso e etsahetse pejana.

Ha motho a se a tsebisitsoe ho allergen e itseng, ka linako tsohle o arabela maemong a tlase haholo a allergen ho feta ao hangata a fanang ka karabo (e lekantsoeng ka ppm kapa ppb).

Asma ya mosebetsing e ama basebetsi ba fokolang feela.

Lisosa tsa asthma ea mosebetsing

Lintho tse amanang le mosebetsi li kenyelletsa linaoa tsa castor, lipeo tsa cereal, li-enzyme tsa proteolytic tse sebelisoang tlhahisong ea sesepa le indastering ea ho ritela le ea matlalo, patsi ea mosedare e khubelu ea bophirima, li-isocyanate, formalin (ka seoelo), lithibela-mafu (mohlala, ampicillin le spiramycin), li-epoxy resin le tee.

Lethathamo le ntse le eketseha.

Le hoja ho lekeha ho bolela hore mefuta e mengata ea asthma e bakoa ke mofuta oa I (IgE-mediated) kapa mofuta oa III (IgG-mediated) immunological response, mokhoa o joalo o bonolo ha oa lokafatsoa.

Liketso li ka 'na tsa fapana' me bronchospasm e ka 'na ea hlaha nakoana ka mor'a ho pepeseha kapa hamorao, mohlala, ho fihlela lihora tse 24 hamorao ka ho ipheta bosiu bakeng sa beke kapa ho feta ntle le ho pepeseha hape.

Matšoao le matšoao a asthma ea mosebetsing

Hangata bakuli ba tletleba ka ho hema, ho tsitlella sefuba, ho hema le ho khohlela, hangata ba e-na le matšoao a holimo a matšoafo a kang ho thimola, rhinorrhoea le lacrimation.

Matšoao a ka 'na a hlaha nakong ea lihora tsa ts'ebetso ka mor'a ho pepesehela lerōle kapa mouoane o itseng, empa hangata a hlaha lihora tse' maloa ka mor'a hore mosebetsi o emise, e leng se etsang hore kamano le ho pepeseha ha mosebetsi ho se bonahale.

Ho hema bosiu e ka 'na ea e-ba eona feela letšoao. Symptomatology hangata e nyamela mafelong a beke kapa nakong ea matsatsi a phomolo.

tepelletse maikutlong

Tlhahlobo e ipapisitse le temoho ea ho pepeseha ho moemeli oa aetiological tikolohong ea ho sebetsa le liteko tsa immunological (mohlala, liteko tsa letlalo) tse entsoeng ka antigen e belaelloang.

Keketseho ea hyperreactivity ea bronchial ka mor'a ho pepesehela antigen e belaelloang e boetse e thusa ho etsa tlhahlobo.

Maemong a thata le ho feta, tlhahlobo e ntle ea ho hema ka matla, e etsoang ka laboratoring le ho laoloa ka hloko, e tiisa sesosa sa tšitiso ea moea.

Liteko tsa ts'ebetso ea matšoafo, tse bonts'ang phokotso ea matla a ho kenya moea nakong ea mosebetsi, ke bopaki bo bong ba hore ho pepeseha ha mosebetsi ho bapala karolo ea sesosa.

Phapang ea asthma ea idiopathic hangata e ipapisitse le setšoantšo sa matšoao le kamano le ho pepeseha ha allergen.

Therapy

Kalafo ea asthma ea bronchial (hangata e kenyelletsang molomo kapa aerosol bronchodilator, theophylline le, maemong a matla, corticosteroids) e ntlafatsa matšoao.

Thibelo

Liindastering tseo ho tsona ho fumanoeng lintho tsa allergenic kapa bronchoconstrictive, ho felisoa ha lerōle ke habohlokoa; leha ho le joalo, ho felisoa ha menyetla eohle ea ts'usumetso le mafu a kliniki ha ho khonehe.

Haeba ho khoneha, motho ea nang le kutloelo-bohloko ka ho khetheha o lokela ho tlosoa tikolohong e mo bakelang matšoao a asma. Haeba ts'oaetso e tsoela pele, matšoao a atisa ho tsoela pele.

Mafu a mang a mosebetsi oa ho hema

Mafu a mang khafetsa a amanang le phefumoloho a ka u khahlang ke:

  • silicosis;
  • pneumoconiosis ea basebetsi ba mashala;
  • asbestosis le mafu a amanang (mesothelioma le pleural effusion);
  • berylliosis;
  • hypersensitivity ho pneumonia;
  • byssinosis;
  • mafu a bakoang ke likhase tse hlabang le lik’hemik’hale tse ling;
  • boloetse ba ho haha.

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