Rheumatoid pneumoconiosis

Rheumatoid pneumoconiosis (RP, oo sidoo kale loo yaqaan Caplan syndrome) waa barar (barar) iyo nabarro sambabaha. Waxay ku dhacdaa dadka qaba xanuunka loo yaqaan 'rheumatoid arthritis' ee ku neefta boodhka, sida dhuxusha (dhuxusha shaqaalaha 'pneumoconiosis') ama silica.

RP waxaa sababa neefsashada boodhka aan dabiici ahayn. Tani waa boodh ka yimaada shiidaalka biraha, macdanta, ama dhagaxa. Kadib markay siigadu gasho sambabaha, waxay keentaa caabuq. Tani waxay u horseedi kartaa samaysanka burooyin yaryar oo badan oo sambabaha ah iyo cudur hawo mareenka oo la mid ah neefta fudud.

Ma cadda sida RP u horumariyo. Waxaa jira laba aragtiyood:

• Marka dadku ku neefsadaan boodhka aan dabiici ahayn, waxay ku dhacdaa habdhiska difaaca waxayna u horseedaa rheumatoid arthritis (RA). RA waa cudur isdifaaca jirka kaas oo habka difaaca jirka uu si qalad ah ugu weeraro unugyada jirka ee caafimaadka qaba.
• Marka dadka horey uheystey RA ama ay qatar ugu jiraan inay ku dhacaan boodhka macdanta, waxay yeeshaan RP.

Calaamadaha RP waa:

• Qufac
• Barar wadajir ah iyo xanuun
• Buruqyo maqaarka hoostiisa (qanjira rheumatoid)
• Neefta oo kugu yaraata
• Xiiqii

Bixiyahaaga daryeelka caafimaadka ayaa qaadan doona taariikh caafimaad oo faahfaahsan. Waxay ka koobnaan doontaa su'aalo ku saabsan shaqooyinkaaga (waqtiyadii hore iyo kuwa hadda) iyo ilaha kale ee suurtogalka ah ee u nugul boodhka aan habboonayn Bixiyahaagu sidoo kale wuxuu sameyn doonaa baaritaan jireed, isagoo si gaar ah fiiro gaar ah ugu yeelanaya cudur kasta oo wadajirka ah iyo maqaarka.

Tijaabooyinka kale waxaa ka mid noqon kara:

• Raajo xabadka ah
• Baadhitaanka CT ee laabta
• Raajooyin wadajir ah
• Imtixaanada shaqada ee sambabada
• Baadhitaanka cudurka rheumatoid iyo baaritaanada kale ee dhiigga

Ma jiro daaweyn gaar ah oo loo helo RP, marka laga reebo daaweynta cudurrada sambabada iyo xubnaha.

Kaqeybgalka koox taakuleyn ah oo leh dad isku cudur ama cudur lamid ah waxay kaa caawin karaan inaad sifiican u fahamto xaaladaada. Waxay sidoo kale kaa caawin kartaa inaad la qabsato daaweyntaada iyo isbeddelada qaab nololeedkaaga. Kooxaha taageerada waxay ka dhacaan khadka tooska ah iyo shaqsi ahaanba. Weydii bixiyahaaga wax ku saabsan koox taageero ah oo ku caawin karta.

RP dhif ayay u keentaa dhibaato neefsasho oo daran ama naafonimo dhibaatooyinka sambabaha awgood.

Dhibaatooyinkan waxay ka dhici karaan RP:

• Khatarta sii kordheysa ee qaaxada
• Nabar ku yeelashada sambabada
• Dhibaatooyinka ay keento daawooyinka aad qaadato

Ka wac ballan ballan bixiyahaaga haddii aad leedahay astaamaha RP.

Kala hadal bixiyahaaga sidii aad u heli lahayd tallaalada ifilada iyo oof-wareenka.

Haddii lagaa helay RP, wac dhakhtarkaaga isla markiiba haddii aad isku aragto qufac, neef-qabad, qandho, ama calaamado kale oo ah infekshinka sambabka, gaar ahaan haddii aad u malaynayso inaad hargab qabto. Maadaama sambabadaadu horeyba wax u gaareen, aad ayey muhiim u tahay in si dhakhso leh loo daaweeyo infekshanka. Tani waxay ka hortageysaa dhibaatooyinka neefsashada inay noqdaan kuwo daran, iyo sidoo kale waxyeelo dheeri ah oo ku dhacda sambabadaada.

Dadka qaba RA waa inay ka fogaadaan soo-gaadhista boodhka aan dabiici ahayn.

RP; Cudurka 'Caplan Syndrome'; Pneumoconiosis - rheumatoid; Silicosis - rheumatoid pneumoconiosis; Pneumoconiosis ee shaqaalaha dhuxusha - rheumatoid pneumoconiosis

• Nidaamka neefsashada

Corte TJ, Du Bois RM, Wells AU. Cudurada unugyada isku xidha. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 65.

Cowie RL, Becklake MR. Pneumoconioses. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 73.

Raghu G, Martinez FJ. Cudurka sanbabada ee dhexda. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 86.

Tarlo SM. Cudurka sambabka shaqada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 87.