Toshewar hanyar jirgin sama ta sama

Toshewar hanyar iska ta sama yana faruwa yayin da hanyoyin numfashi na sama suka zama masu ƙuntata ko toshewa, wanda hakan ke sanya yin wahalar numfashi. Yankunan da ke cikin iska ta sama da za a iya shafawa su ne bututun iska (trachea), akwatin murya (maƙogwaro), ko maƙogwaro (pharynx).

Hanyar iska zata iya zama taƙaita ko toshewa saboda dalilai da yawa, gami da:

• Matsalar rashin lafiyan da trachea ko maƙogwaro ya kumbura ya rufe, gami da halayen rashin lafiyan ƙudan zuma, gyada, maganin rigakafi (kamar penicillin), da magungunan hawan jini (kamar masu hana ACE
• Chemical konewa da halayen
• Epiglottitis (kamuwa da cuta wanda ya raba trachea da esophagus)
• Wuta ko ƙonewa daga numfashi a cikin hayaƙi
• Jikin ƙasashen waje, kamar su gyada da sauran kayan abinci mai numfashi, gutsun balan-balan, maɓallai, kuɗi, da ƙananan kayan wasa
• Cututtuka na yankin iska na sama
• Rauni ga yankin hanyar jirgin sama na sama
• Peritonsillar ƙurji (tarin kamuwa da kayan kusa da tonsils)
• Guba daga wasu abubuwa, kamar su strychnine
• Retropharyngeal ƙurji (tarin kayan kamuwa da cutar a bayan hanyar iska)
• Tsananin ciwon asma
• Ciwon makogwaro
• Tracheomalacia (rauni na guringuntsi wanda ke tallafawa trachea)
• Matsalar igiyar murya
• Wucewa ko rashin sani

Mutanen da ke cikin haɗari mafi girma don toshe hanyar iska sun haɗa da waɗanda suke da:

• Matsalolin Neurologic kamar haɗiye wahala bayan bugun jini
• Hakoran da suka ɓace
• Wasu matsalolin rashin tabin hankali

Childrenananan yara da tsofaffi suma suna cikin haɗarin kamuwa da hanyar iska.

Kwayar cutar ta bambanta, ya danganta da dalilin. Amma wasu alamun suna da mahimmanci ga kowane nau'i na toshewar iska. Wadannan sun hada da:

• Hankali ko firgita
• Launin Bluish zuwa fata (cyanosis)
• Canje-canje a cikin sani
• Chokewa
• Rikicewa
• Wahalar numfashi, yin iska don iska, wanda ke haifar da tsoro
• Rashin sani
• Heeara, kumburi, busawa, ko wasu sautukan numfashi da ba a saba da su ba suna nuna wahalar numfashi

Mai ba da lafiyar zai yi gwajin jiki kuma ya duba hanyar iska. Mai ba da sabis ɗin zai kuma yi tambaya game da dalilin haifar da toshewar.

Gwaje-gwaje yawanci ba lallai bane, amma na iya haɗawa da:

• Bronchoscopy (bututu ta bakin zuwa cikin bututun iska da bututu na shaƙatawa)
• Laryngoscopy (bututu ta bakin zuwa cikin makogwaro da akwatin murya)
• X-haskoki

Jiyya ya dogara da dalilin toshewar.

• Za'a iya cire abubuwan da suka makale a cikin hanyar iska da kayan aiki na musamman.
• Ana iya saka bututu a cikin hanyar iska (endotracheal tube) don taimakawa tare da numfashi.
• Wani lokaci ana yin budewa ta wuyan cikin hanyar iska (tracheostomy ko cricothyrotomy).

Idan toshewar ta kasance saboda jikin wani baƙon ne, kamar wani abinci da aka shaƙa, yin cushewar ciki ko matse kirji na iya ceton ran mutum.

Gaggauta jinya galibi tana cin nasara. Amma yanayin yana da haɗari kuma yana iya mutuwa, ko da an bi da shi.

Idan toshewar ba ta yi sauƙi ba, zai iya haifar da:

• Lalacewar kwakwalwa
• Rashin numfashi
• Mutuwa

Toshewar hanyar jirgin sama galibi lamari ne na gaggawa. Kira 911 ko lambar gaggawa ta gida don taimakon likita. Bi umarnin kan yadda zaka taimaka wajan barin numfashin mutum har sai taimakon ya iso.

Rigakafin ya dogara da dalilin toshewar hanyar iska ta sama.

Wadannan hanyoyi na iya taimakawa hana toshewa:

• Ku ci a hankali ku tauna abinci gaba ɗaya.
• Kar a sha giya mai yawa kafin ko yayin cin abinci.
• Kare kananan abubuwa daga kananan yara.
• Tabbatar da hakoran roba sun dace daidai.

Koyi don gane alamar duniya don rashin numfashi saboda hanyar iska da aka toshe: kama wuyan hannu da hannu ɗaya ko duka biyu. Hakanan koya yadda ake share jikin baƙi daga hanyar iska ta amfani da hanya kamar matsi na ciki.

Toshewar jirgin sama - babba babba

• Gwanin jikin makogwaro
• Chokewa
• Tsarin numfashi

Direba BE, Ya Kashe RF. Gudanar da hanyar jirgin sama ta asali da yanke shawara. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 3.

Rose E. Harkokin gaggawa na yara na gaggawa: toshewar iska ta sama da cututtuka. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 167.

Thomas SH, Goodloe JM. Jikin ƙasashen waje. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 53.