Hemothorax

Hemothorax tarin jini ne a cikin sarari tsakanin bangon kirji da huhu (kogon murfin ciki).

Babban sanadin hemothorax shine raunin kirji. Hemothorax na iya faruwa a cikin mutanen da ke da:

• Rashin nakasa jini
• Kirji (thoracic) ko tiyatar zuciya
• Mutuwar ƙwayar huhu (cututtukan huhu)
• Huhu ko jijiyoyin ciki - na farko ko na sakandare (na asali, ko daga wani shafin)
• Hawaye a cikin jijiyoyin jini yayin sanya babban catheter ko kuma lokacin da yake haɗuwa da cutar hawan jini mai tsanani
• Tarin fuka

Kwayar cutar sun hada da:

• Rashin numfashi
• M, m numfashi
• Ciwon kirji
• Pressureananan jini (gigice)
• Launi mai laushi, mai sanyi da kunci
• Saurin bugun zuciya
• Rashin natsuwa
• Tashin hankali

Mai ba ka kiwon lafiya na iya lura da ragin ko numfashin da ke rashi a gefen abin da ya shafa. Ana iya ganin alamun ko binciken hemothorax akan gwaje-gwaje masu zuwa:

• Kirjin x-ray
• CT dubawa
• Thoracentesis (magudanar ruwa mai narkewa ta cikin allura ko catheter)
• Thoracostomy (magudanar ruwa mai narkewa ta cikin kirjin kirji)

Manufar jiyya ita ce a tabbatar da mutum ya daidaita, dakatar da zub da jini, da cire jini da iska a sararin samaniya.

• An saka bututun kirji ta bangon kirji tsakanin haƙarƙarin don zubar jini da iska.
• An bar shi a wuri kuma an haɗa shi zuwa tsotsa na wasu kwanaki don sake faɗaɗa huhun.

Idan bututun kirji shi kadai baya sarrafa zub da jini, ana iya bukatar tiyata (thoracotomy) don tsayar da zubar jinin.

Hakanan za'a magance dalilin hemothorax. Huhun da ke ciki na iya faduwa. Wannan na iya haifar da wahalar numfashi. A cikin mutanen da suka sami rauni, magudanar bututun kirji na iya zama abin da ake buƙata. Yin aikin tiyata bazai zama dole ba.

ABINDA ZA'A YI tsammani A SASHEN GAGGAWA

Mai ba da sabis ɗin zai auna tare da lura da mahimman alamun mutum, gami da ƙarancin oxygen, bugun jini, saurin numfashi, da hawan jini. Kwayar cututtukan za a bi da su kamar yadda ake buƙata. Mutumin na iya karɓar:

• Tallafin numfashi - Wannan na iya haɗawa da iskar oxygen, taimakon matsi na iska mara haɗari kamar BIPAP, ko intubation na endotracheal (sanya bututun numfashi ta cikin baki ko hanci a cikin hanyar iska) da sanyawa a kan iska (inji mai numfashi mai ba da rai)
• Gwajin jini da yiwuwar ba da jini
• Kirjin kirji (bututu ta fata da tsokoki tsakanin haƙarƙarin a cikin sararin da ke kusa da huhu) idan akwai huhu ya faɗi
• CT dubawa
• Nazarin ruwa mai yaduwa, Electrocardiogram (ECG)
• Ruwan ruwa da aka bayar ta jijiya (IV)
• Magunguna don magance cututtuka
• X-ray na kirji da ciki ko wasu sassan jiki idan akwai ƙarin rauni

Sakamakon ya dogara da dalilin hemothorax, yawan asarar jini da saurin ba da magani.

Dangane da babban rauni, sakamakon zai ƙara ƙari dangane da tsananin raunin da kuma yawan zubar jini.

Matsaloli na iya haɗawa da:

• Huhu da ya tarwatse, ko ciwon huhu, wanda ke haifar da gazawar numfashi (rashin numfashi da kyau)
• Fibrosis ko raunin jikin membrane da jijiyoyin jikin huhu
• Kamuwa da ruwa mai narkewa (empyema)
• Shock da mutuwa a cikin mawuyacin yanayi

Kira 911 ko lambar gaggawa na gida idan kuna da:

• Duk wani mummunan rauni ga kirji
• Ciwon kirji
• Mai tsananin muƙamuƙi, wuya, kafaɗa ko ciwon hannu
• Rashin wahalar numfashi ko numfashi

Jeka dakin gaggawa ko kira lambar gaggawa ta gida (kamar 911) idan kana da:

• Rashin hankali, ciwon kai, zazzabi da tari, ko jin nauyi a kirjinka

Yi amfani da matakan tsaro (kamar bel ɗin ɗamara) don guje wa rauni. Dogaro da dalilin, hemothorax bazai yuwu ba.

• Rushewar azaba - x-ray
• Tsarin numfashi
• Saka bututun kirji - jerin

Haske RW, Lee YCG. Pneumothorax, chylothorax, hemothorax, da fibrothorax. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin Murray & Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 81.

Raja AS. Raunin Thoracic. 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 38.

Semon G, McCarthy M. Bangon kirji, pneumothorax, da hemothorax. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 1146-1150.