What is asbestosis

Inhalation of asbestos dust caused by a pnömokonyosistir. Asbestos iron, silicate, magnesium, nickel and calcium in the form of fiber found in nature and is a substance from a mixture husule. In areas where the rock fragmentation process in industry because of asbestos and asbestos dust from the environment is distributed. Asbestos heat, acid and alkali resistant and durable material that is used increasingly in industry and therefore increasing pnömokonyosisi asbestos.

Some regions in Turkey, for example, in Diyarbakir and the villagers around Nevsehir whitewash their homes to do with asbestos, and asbestosis related cancer incidence in these regions, who work to increase the importance of Turkish Doctors (S. Yazid and Rel. Peace) by the proven.

Asbestos fibers are 20-50 microns long, although respira-inflammatory bronchioles and alveoli have access to. These fibers 3-10 microns in diameter, this allows you to be.

Pathology

20-40 years after inhalation of asbestos dust consists of increasing fibrosis. As the disease progresses and the honeycomb microcystic appearance (bronşiolektazi) increases. Asbestos fibers are seen in both the interstitium and the alveoli. Asbestos fibers are thickened pleura with pleural penetration. Pleura asbestos fibers are seen and objective diagnostic biopsy is performed in these cases is provided.

Clinical symptoms

Clinical symptoms are usually 20-40 years after asbestos inhalation begins. The main clinical symptom, exertional dyspnea gradually increases. In some cases, cough, sputum and chest pain are. Toraksda deformity due to pleural disease are seen. Despite this deformity in most patients, there is a complaint about the disease. Railer crepitan bilateral lung bases is heard. In most patients husule clubbing of income. Disease proceed loss of appetite, weight loss and syanoz develops. Cases may be complicated by cancer hemop-treble. Cases of pleural thickening or mesotelyoma dullness and decreased breath sounds in the region are related.

Radiological findings

The first radiographic abnormality in the developing regions of the lower lobe reticular-s appearance. Furthermore, the lung is a "ground glass" appearance is, pleura ililgidir kalınlaşmasıyle. The next period will be more pronounced interstitial Retin-vascular appearance. The concentration limits of the heart and diaphragm and pleura husule Parenchyma partially obscure makes. Such a view of the heart "rough heart" is called. Reticular infiltration in the later period of the disease progresses to the middle and upper loblara, more focused, heart and diaphragm borders belirsizleşir thoroughly.

Radiography of pleural thickening greater than 90% of cases are observed. Approximately half of the cases seen in both pleural and parenchymal lesions. % Of cases of heart view of the rough on the 20th followed. Advanced stages of the disease develop lung parenkimasında microcystic and honeycomb change.
Pleural thickening or pleural plaques are usually bilateral, are monitored more frequently in the lower half of the thorax and rib borders in a way that fits. In some cases, is pleural calcification. Multiple pleural plaques is an important finding for the diagnosis of disease. Pleural-parietal pleural plaques are composed of ordinary Asbestosis'de. These plaques are monitored more frequently than the dome of the diaphragm.

Lung function tests

Vital capacity and diffusing capacity is reduced. In some cases, depending on changes in emphysema secondary to the income tests husule disorder. Venti-lasyon/perfüzyon balance is disrupted in the early stages of the disease.

Asbestosis and cancer

The incidence of cancer of the lung disease after smoking asbestosistir most. The most common neoplasms of asbestosis and bronchial cancer mesotelyoma'dır. 10-fold higher incidence of cancer in workers with asbestos. Oat cell carcinoma or anaplastic bronchial cancer, the most common species. Cuticle-moid carcinoma and adenocarcinoma may also occur. 20 years after the cancer develops from asbestos inhalation. How much and long-term inhalation of asbestos in the incidence of cancer is so much. Incidence in smokers is more.

Mesotelyoma and pleural thickening and pleural biopsy needle to separate the objective is sufficient. The higher incidence of peritoneal Asbestosis'de mesotelyoma.

Asbestosis treatment

There is no possibility of improvement in the disease after coming husule. Periodic clinical and radiological examination of employees' asbestos work should be done, this kind of showing suspicious changes in work places must be removed. Asbestos inhalasoynu cut will stop the progression of the disease. The most successful method to reduce the dust of war, disease, and workers in asbestos work places to ensure that less dust inhaled.

Cancer in asbestos workers who smoke are seen more of these workers should not smoke. Must be trained on this subject. Bırakmayanlar smoking should be checked more closely.

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