zurniimtpeМедицина труда и промышленная экологияRussian Journal of Occupational Health and Industrial Ecology1026-94282618-8945FSBSI “Izmerov Research Institute of Occupational Health”10.31089/1026-9428-2023-63-3-171-178zurniimtpe-3137Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWСовременные представления о диагностике, лечении и профилактике профессионального гиперчувствительного пневмонитаCurrent views on diagnosis, treatment and prevention of occupational hypersensitivity pneumonitishttps://orcid.org/0000-0002-9107-7964ГорблянскийЮрий Ю.GorblyanskyYuriy Yu.noemail@neicon.ruhttps://orcid.org/0000-0003-0961-9603РамазановаЭльмира Р.RamazanovaElmira R.noemail@neicon.ruhttps://orcid.org/0000-0002-0050-5645КонторовичЕлена ПавловнаKontorovichElena P.

Доцент кафедры профпатологии ФГБОУ ВО «Ростовский государственный медицинский университет» МЗ РФ, Ростов-на-Дону, канд. мед. наук.

e-mail: kontorovichep@yandex.ru

Associate Professor of the Department of Occupational Pathology, Rostov State Medical University of Ministry of Health, Russian Federation, Rostov-on-Don, Cand. of Sci. (Med.).

e-mail: kontorovichep@yandex.ru

kontorovichep@yandex.ruhttps://orcid.org/0000-0002-0149-1281ПонамареваО. П.PonamarevaOksana P.noemail@neicon.ruФГБУ ВО «Ростовский государственный медицинский университет» Минздрава РоссииРоссияRostov State Medical UniversityRussian Federation202317032023633171178Copyright © Горблянский Ю.Ю., Рамазанова Э.Р., Конторович Е.П., Понамарева О.П., 20232023Горблянский Ю.Ю., Рамазанова Э.Р., Конторович Е.П., Понамарева О.П.Gorblyansky Y.Y., Ramazanova E.R., Kontorovich E.P., Ponamareva O.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journal-irioh.ru/jour/article/view/3137

В структуре интерстициальных заболеваний лёгких (ИЗЛ) гиперчувствительный пневмонит (ГП) является достаточно распространённым в мире. Однако до настоящего времени заболевание нередко диагностируется на поздней стадии (фиброзирования), что требует совершенствования методов ранней диагностики заболевания и своевременного проведения экспертизы связи заболевания с профессией. Приведён анализ отечественной и зарубежной литературы, посвящённой особенностям формирования профессионального ГП в современных социально-экономических условиях. Представлены эволюция представлений о заболевании, современная классификация, факторы профессионального риска и методы диагностики ГП. В связи со сложностью этиологии и патогенеза заболевания обращено внимание на необходимость междисциплинарного комплексного подхода к диагностике профессионального ГП. Рассмотрены современные методы лечения заболевания. С позиции медицины труда рассмотрены перспективы совершенствования диагностики, лечения и профилактики профессионального ГП.

Участие авторов

Участие авторов:Горблянский Ю.Ю. — концепция и дизайн исследования, написание текста;Рамазанова Э.Р. — написание текста;Конторович Е.П. — написание текста, редактирование;Понамарева О.П. — написание текста, оформление библиографии.

Финансирование

Финансирование. Исследование не имело спонсорской поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Дата поступления

Дата поступления: 17.11.2022 / Дата принятия к печати: 26.01.2023 / Дата публикации: 20.03.2023

In the structure of interstitial lung diseases (ILD), hypersensitive pneumonitis (HP) is quite common in the world. However, to date, the disease is often diagnosed at a late stage (fibrosis), which requires improving the methods of early diagnosis of the disease and timely examination of the connection of the disease with the profession. The analysis of domestic and foreign literature devoted to the peculiarities of the formation of a professional GP in modern socio-economic conditions is given. The authors have described the evolution of ideas about the disease, modern classification, occupational risk factors and methods of diagnosis of HP. Due to the complexity of the etiology and pathogenesis of the disease, we have drawn the attention to the need for an interdisciplinary integrated approach to the diagnosis of professional HP. The scientists have considered modern methods of treatment of the disease from the standpoint of occupational health, the prospects for improving the diagnosis, treatment and prevention of occupational HP.

Contribution

Contribution:Gorblyansky Yu.Yu. — concept and design of the study, writing the text;Ramazanova E.R. — writing the text;Kontorovich E.P. — writing text, editing;Ponamareva O.P. — writing the text, bibliography design.

Funding

Funding. The study had no funding.

Conflict of interests

Conflict of interests. The authors declare no conflict of interests.

Received

Received: 17.11.2022 / Accepted: 26.01.2023 / Published: 20.03.2023

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The authors declare that there are no conflicts of interest present.