
caplan syndrome

caplance syndrome (kinwa caplan rog kinwa sandhivat pneumoconiosis) haah sandhivat sandhivat (aar. aii.) aanee pneumoconiosischa eka sanyog aahe joou antah pulmonary gathinchya rupat prakat hoto, jeey chhatichya ksh-kiranavar eksandh aanee changlya prakare paribhashit disatat.
chinhe aanee lakshane.
caplan syndromedhye khokala aanee shwas ghenyas tras hone, sandhivatachya lakshanansah, jase qee vednadayak sandhe aanee sakalchi kadakpana, asey disun yete.
tapasanimadhye komal, sujalele metacarphophalengeal sandhe aanee sandhivat gathinche praman disun aale pahije; chhatichya auscultationmule pasarlele phood disu shakatat jeey khokalyavar kinwa khol shwas ghetalyavar nahise hott naheet.
caplan syndrome hii fuffusachi eka gaath asaleli sthitee aahe jee ektar sandhivatacha (aar. aii.) itihas asalelya kinwa tyanantar pudhil <aay. dii. 1> varshant aar. aii. vikasit karananya dhool-ughad jhalelya vyaktinmadhye udbhavate. fuffusatil gathee samanyatah kolasa kamgaranchya sadhya pneumoconiosischya parshvabhumivar, dwaipakshik aanee paridhiyapane udbhavtat. sadharanpane anek gathee asatat, jyaa aakarane 0.50 teey 5.0 centimeterparyant badaltat. gathee samanyatah vegane disatat, bahutekda fakt kahee aathvadyant. gathee vadhu shakatat, aakarat badal naan karata rahoo shakatat, virghalu shakatat kinwa nahishi houu shakatat aanee nantar punha disu shakatat. teey vayoo-drav patali vadhavu shakatat, calcify karoo shakatat kinwa vikasit karoo shakatat. sthoolpane, teey eka vishal silicotic gathinsarkhe asoo shakatat. uutakiyadrushtya, tyanche samanyatah eka necrotic kendra asate, jeey plazma peshi aanee lymphocytes kshetrane vedhalele asate aanee anekada macrophages aanee neutrofilspasoon banalelya paridhiy dahak kshetrasah asate.
karane.
caplan syndrome keval khankamatil dhool (kolasa, esbestos, silika) shhee sambandhit aar. aii. aanee pneumoconiosis yaa donhi prakarchya rugnanmadhye aadhalato. hii sthitee khaan kamgaranmadhye (visheshtah anthracite kolasa khaninmadhye kaam karananyanmadhye), asbestosis, silicosis aanee itar pneumoconiosesmadhye udbhavate. kadachit eka anuvanshik pravrutti dekhil aahe aanee dhoomrapan haah eka vadhavnara ghatak manla jaato.
pathophysiology.
sandhivatachi upasthiti ekhadya vyaktichi rogpratikarak shakti kolasa khanitoon nighananya dhoolasarkhya paradeshi padarthanna kashee pratisad dete heey badalate. jevha sandhivat asaleli vyakti asha aakramak samgrichya samparkat yete, tevha tyanna pneumoconiosis honyacha dhoka vadhato.
vyavasthapan.
ekada kshayrog vagalala qee, upchar steroidsdware keela jaato. kolshachya dhoolshi serve sampark thambavala pahije aanee dhoomrapan thambavanyacha prayatna keela pahije. sandhivatacha upchar samanyatah dii. emm. aar. dii. chya lavkar vaparane keela pahije.
purvasoochana.
gathee sandhivatachya swarupachi anek varshe aadhipasoon tarikh tharvu shakatat. anyatha rognidan aar. aii. sathee aahe; fuffusacha rog utsfurtapane nighun jaau shakato, parantu fuffusiy tantumay rog dekhil vadhu shakato.
mahamarishastra.
sadhya 100,000 lokanpaiki 1 lock sankramit aahet, parantu kolasa khaan udhyogat ghat jhalyamule tyat ghat honyachi shakyata aahe. heey guntaguntichya silicosischya prakarananmadhye dekhil disun aale aahe (pragatishil mothya pneumoconiosisdware chinhankit).
itihas.
yaa lakshansamuchchayala dow. cardiff pneumoconiosis panelvaryl eka vaidya anthany caplan, jyane 1953 chya prakashanat nishkarshanchya nakshatrala eka vegala ghatak mhanoon olakhale. tyanantar tyanni yaa rogacha shodh ghenare pudhil lekh lihile. caplan syndromeche varnan moolatah pragatshil mothya fibrosis asalelya kolasa khaan kamgaranmadhye kele gele hote.