Chemical pneumonitis

Chemical pneumonitis kuzvimba kwemapapu kana kunetseka kufema nekuda kwekufema mweya wemakemikari kana kufemera mukati uye kudzipwa pane mamwe makemikari.

Makemikari mazhinji anoshandiswa mumba uye kubasa anogona kukonzera pneumonitis.

Zvimwe zvakajairika zvine njodzi zvinopinza mweya zvinosanganisira:

• Chlorine gasi (yakafemerwa mukati kubva pakuchenesa zvinhu senge chlorine bleach, panguva yenjodzi dzeindasitiri, kana pedyo nemadziva ekushambira)
• Zviyo uye guruva remushonga
• Mhepo inotyisa kubva kuzvipembenene
• Utsi (kubva kuimba yemoto uye moto wemusango)

Kune mhando mbiri dzepneumonitis:

• Acute pneumonitis inoitika kamwe kamwe mushure mekufema mune chinhu.
• Yenguva refu (isingagumi) pneumonitis inoitika mushure mekuratidzwa kune yakaderera nhanho yechinhu kwenguva yakareba. Izvi zvinokonzera kuzvimba uye zvinogona kutungamira mukuomarara kwemapapu. Nekuda kweizvozvo, mapapu anotanga kurasikirwa nemano ekuwana oxygen mumuviri. Kusarapwa, ichi chiitiko chinogona kukonzera kutadza kufema uye kufa.

Kurarama nekusuwa kweasidhi kubva mudumbu uye kuratidzwa kumakemikari kurwa kunogona zvakare kutungamira kumakemikari pneumonitis.

Zviratidzo zvakanaka zvinogona kusanganisira:

• Nzara yemhepo (kunzwa kuti haugone kuwana mweya wakakwana)
• Kufema kunonzwika kunyorova kana kugunun'una (isina kujairika ruzha ruzha)
• Kukosora
• Kunetseka kufema
• Kunzwa kusiri kujairika (pamwe kunzwa kupisa) muchipfuva

Zviratidzo zvisingaperi zvinogona kusanganisira:

• Kukosora (kunogona kana kusaitika)
• Kufambira mberi kuremara (inoenderana nekufema kwekufema)
• Kukurumidza kufema (tachypnea)
• Kufema kwekufema pamwe chete nekuita zvinyoro nyoro

Iyi bvunzo inotevera inobatsira kuona kuti mapapu akakanganiswa sei:

• Magasi eropa (chiyero chekuti yakawanda sei oxygen uye carbon dioxide iri muropa rako)
• CT scan yechifuva
• Lung basa zvidzidzo (kuyera kuyera kufema uye mashandiro emapapu ari kushanda)
• X-ray yechipfuva
• Kumedza zvidzidzo kuti uone kana mudumbu asidhi ndiyo iri kukonzera pneumonitis

Kurapa kwakanangana nekudzosera chikonzero chekuzvimba uye kudzikisa zviratidzo. Corticosteroids inogona kupihwa kudzikisira kuzvimba, kazhinji kusati kwamboitika kwenguva refu.

Mishonga inorwisa mabhakitiriya kazhinji haina kubatsira kana kudikanwa, kunze kwekunge paine hutachiona hwechipiri. Oxygen therapy inogona kubatsira.

Mune zviitiko zvekumedza uye matambudziko emudumbu, kudya zvidiki zvidiki munzvimbo yakatwasuka kunogona kubatsira. Muzviitiko zvakakomba, pombi yekudyisa mudumbu inodikanwa, kunyange izvi zvisingawanzo kudzivirira zvachose kupinda mumapapu.

Mhedzisiro yacho inoenderana nemakemikari, kuomarara kwekuratidzwa, uye kuti dambudziko iri rakaomarara here kana risingaperi.

Kukundikana kwekufema uye kufa kunogona kuitika.

Bata wako mupi wezvehutano kana iwe uchinetseka kufema mushure mekufema (kana pamwe inhaling) chero chinhu.

Ingoshandisa mishonga yemumba sekurairwa, uye gara uri munzvimbo dzine mweya wakakwana. Usambofa wakasanganisa ammonia uye bleach.

Tevedza mitemo yekubasa yekufema masiki uye pfeka iyo chaiyo masiki. Vanhu vanoshanda padhuze nemoto vanofanirwa kutora hanya kudzikisira kusangana kwavo nehutsi kana gasi.

Ive nekuchengera nezve kupa mamineral mafuta kune chero munhu anogona kuvhunga pairi (vana kana vanhu vakuru).

Gara kumusoro uchidya uye usarara pasi uchangopedza kudya kana uine matambudziko ekumedza.

Usaponze gasi, parafini, kana mamwe makemikari ane chepfu.

Aspiration pneumonia - kemikari

• Mapapu
• Kufuridzira system

Blanc PD. Mhinduro dzakakomba kukuratidzira kune chepfu. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 75.

Christiani DC. Kukuvara kwepanyama uye kwemakemikari emapapu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 88.

Gibbs AR, Attanoos RL. Zvakatipoteredza- uye chepfu-inokonzerwa nemapapu emapapu. Mune: Zander DS, Farver CF, eds. Pulmonary Pathology. 2nd ed. Philadelphia, PA: Elsevier; 2018: chits. 18.

Tarlo SM. Yepabasa chirwere chemapapu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 87.