Hayrettin GÖÇMEN, Selim DOĞANAY, Yücel AKKAŞ, Rahime Özgür IŞIĞIBOL

KOT TAŞLAMA İŞİNDE ÇALIŞAN SİLİKOZİSLİ HASTALARDA RESTRİKTİF SPİROMETRİK DEĞİŞİKLİKLERİ ETKİLEYEN FAKTÖRLER

Amaç: Kot taşlama işinde kullanılan silika, son yıllarda özellikle Türkiye'de trajik sonuçlara neden olan güncel bir silikozis kaynağıdır. Sağlıksız koşullarda uzun süre silikaya maruz kalan kot taşlama işçilerinde endemik olarak görülen önlenebilir fakat tedavi edilemez bu hastalık, uluslararası platformda büyük yankı uyandırmıştır. Çalışmada kot taşlamayla ilişkili silikoziste, restriktif patterne etki eden faktörlerin değerlendirilmesi amaçlanmıştır. Yöntem ve Gereç: Çalışmamızda kot taşlama işine bağlı silikozis gelişen ve parankimal hasara sekonder restriktif solunum yetmezliği nedeniyle çeşitli derecelerde maluliyet almış olguların demografik, spirometrik, laboratuar, klinik ve anamnestik verileri değerlendirilmiştir. Bulgular: Tümü erkek ve yaş ortalaması 20.4 yıl olan 21 silikozisli olgunun değerlendirilmiş olduğu çalışmada restriktif patern göstergelerinin silikaya maruziyete başlama yaşı ve çalışılan işyeri alan büyüklüğü ile pozitif, maruziyet süresi ve serum nötrofil/lenfosit oranı ile negatif yönde korele olduğu saptanmıştır. Sonuç: Çalışmamızın verilerine göre silika maruziyetine erken başlamanın, uzun maruziyet süresinin, küçük iş yerinde çalışmanın kot taşlama işine bağlı silikozis gelişen hastalarda restriktif patern açısından kötü prognostik değerler olduğu düşünülmektedir. Yüksek N/L oranları, hastalığın sistemik etkilerini monitorize etmede oldukça yararlıdır.

Anahtar Kelimeler:

Silikozis, Kot taşlama, Silika Maruziyeti

THE FACTORS THAT AFFECT RESTRICTIVE SPIROMETRIC ALTERATIONS IN SILICOSIS PATIENTS WORKING IN DENIM SANDBLASTING

Aim: Silica used in denim sandblasting is current source of silicosis that cause tragic consequences especially in Turkey in recent years. This preventable but incurable disease that is so endemically widespread among the denim sandblasting workers which exposed for a long time in unhealthy conditions, had a great impact on international public health platform. In our study were aimed to determinate the factors that effect restrictive pattern in sandblasting releated silicosis. Material and Methods: In our study were evaluated the demographic,spirometric, laboratory, clinical and anamnestic findings of the patients who had silicosis due to denim sandblasting and were evaluated at various levels of disability for restrictive respiratory failure secondary parenchymal damage evolving. Results: The restrcitive pattern indicators correlated with the onset age of exposure to silica and areas of workplaces positively, with exposure duration and serum neutrophil / lymphocyte (N/L) ratio negatively, in study evaluated 21 patients with silicosis, all male and with the average age 20.4 years. Conclusion: According to datas of our study, early onset of silica exposure, long exposure time, work in smaller workplace is thought to be a poor prognostic value for restrictive pattern in patients with silicosis due to denim sandblasting. High N / L ratios is very useful for monitoring the systemic effects of the disease.

Keywords:

Denim Sandblasting, Silica Exposure,

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