How is pneumoconiosis caused?

Written by Li Ying
Pulmonology
Updated on September 14, 2024
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Pneumoconiosis is a systemic disease characterized by diffuse fibrotic scarring of lung tissue. It is caused by the long-term inhalation of industrial dust and dust during occupational activities, which accumulates in the lungs. Once pneumoconiosis occurs, it is irreversible and incurable for life, with a high mortality rate of up to 22%. So, who is more likely to develop pneumoconiosis? The main occupations include: First, mining activities, including coal mining, metal mining, and non-metal mining. These activities produce a large amount of dust that, when inhaled into the lungs, can cause pneumoconiosis. Second, mechanical manufacturing, specifically during the manufacturing process of metal castings. Activities such as sand mixing for casting and sand molding can lead to pneumoconiosis, particularly among welders who dominate this industry. Third, metal smelting, involving ore loading and unloading, steel casting, and alumina sintering. The primary occupations exposed include sintered pellet raw material workers, sintering workers, and blast furnace operators, all of whom come into contact with large amounts of dust. Fourth, the construction industry, for example, with materials resistant to fire such as quartz sand, glass, stone, and cement production, as well as asbestos mining. Workers in these industries are exposed to large amounts of dust. In China, the top three types of pneumoconiosis are silicosis, coal worker's pneumoconiosis, and graphite pneumoconiosis, along with those working in jade processing and welder's pneumoconiosis, which are relatively common.

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Written by Wang Chun Mei
Pulmonology
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Can people with pneumoconiosis drink alcohol?

Pneumoconiosis is a relatively common occupational disease clinically, often caused by long-term exposure to dust particles in the environment. Once diagnosed through clinical symptoms and relevant auxiliary examinations, it is recommended that patients avoid further contact with such dust. It is also advised that patients should avoid consuming spicy and irritating foods and abstain from drinking alcohol in their daily lives. They should engage in appropriate daily exercise and consume foods high in vitamins and proteins to enhance immune function and lung capacity. Therefore, patients with pneumoconiosis are prohibited from drinking alcohol to prevent the aggravation of certain clinical symptoms due to alcohol consumption.

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Written by Wang Chun Mei
Pulmonology
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Is pneumoconiosis prone to tuberculosis?

Pneumoconiosis patients and tuberculosis patients have significant differences. In clinical practice, a large portion of pneumoconiosis cases are due to prolonged exposure to harmful dust in the environment. For pneumoconiosis patients, who usually have poor immune function, if Mycobacterium tuberculosis is present in the external air, it can be transmitted through respiratory droplets and cause tuberculosis. However, in clinical practice, it is advised that pneumoconiosis patients wear masks when going out as much as possible to reduce the occurrence of infectious diseases. Additionally, for pneumoconiosis patients, it is generally recommended to keep warm, exercise appropriately to boost the immune system, which can also significantly reduce the risk of developing infectious pulmonary diseases.

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Written by Wang Chun Mei
Pulmonology
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How to treat Stage II pneumoconiosis?

Pneumoconiosis in clinical settings is primarily caused by long-term inhalation of mineral dust, leading to a category of diffuse pulmonary diseases. This type of disease is also considered one of the occupational diseases, with patients experiencing varying degrees of cough, expectoration, and shortness of breath, as well as different levels of breathing difficulty due to prolonged inhalation of high concentrations of dust in severe cases. Therefore, clinically, if pneumoconiosis reaches a moderate level, the first step in treatment involves removing the patient from the dusty environment. Subsequently, symptomatic treatment with appropriate medications is administered to the patient. Treatment usually depends on the symptoms presented by the patient. In cases of evident infection, timely anti-infective treatment should be given, along with medications to suppress cough, facilitate expectoration, and relieve asthma, in order to alleviate discomfort. Moreover, if complications are present, timely treatment of these complications should be administered, along with appropriate anti-fibrotic drugs to manage the clinical symptoms caused by pneumoconiosis.

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Written by Han Shun Li
Pulmonology
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Is pneumoconiosis hereditary?

Pneumoconiosis is generally caused by long-term exposure in highly polluted work environments, primarily due to dust pollution, with common types including silicosis and silicate pneumoconiosis, among others. Pneumoconiosis is an occupational disease, not a genetic disease, and it is not hereditary to future generations. The prevention of pneumoconiosis mainly involves improving the working environment and conducting regular physical examinations, along with proper labor protection. Once lung damage occurs, it is advisable to promptly change the work position to avoid the occurrence of pneumoconiosis.

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Written by Liu Jing Jing
Pulmonology
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Do people with pneumoconiosis cough at night?

Pneumoconiosis can potentially lead to coughing at night. It is caused by the inhalation of dust, resulting in changes to the lungs. Patients often exhibit symptoms such as coughing, expectoration, chest tightness, and shortness of breath, and these symptoms progressively worsen. In severe cases, complications may include pulmonary heart disease or pulmonary cerebral disease. However, coughing at night is not necessarily indicative of pneumoconiosis. Other conditions, such as chronic obstructive pulmonary disease, bronchiectasis, pulmonary tuberculosis, and lung tumors, may also result in nighttime coughing. Thus, it is important to visit a hospital for comprehensive diagnostics including chest CT, complete blood count, and sputum tests for tuberculosis to establish a clear diagnosis. Pneumoconiosis is an occupational disease, and visiting a local institute for occupational diseases can aid in diagnosis.