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Ranar Halitta: 3 Yuli 2021
Sabuntawa: 15 Nuwamba 2024
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Bututun kirji bututu ne, sassauƙaƙƙen bututu da aka sanya a cikin kirjin. Yana aiki kamar magudana.

  • Tubalan kirji suna fitar da jini, ruwa, ko iska daga kewayen huhunka, zuciya, ko majina.
  • An saka bututun da ke kusa da huhunka tsakanin haƙarƙarinka zuwa cikin sararin saman tsakanin rufin ciki da rufin kirjinka na waje. Wannan ana kiran sa sararin samaniya. Anyi shi don bawa huhunku damar faɗaɗawa sosai.

Lokacin da aka saka bututun kirjinka, za ka kwanta a gefenka ko ka zauna wani bangare a tsaye, tare da hannunka daya a kanka.

  • Wani lokaci, zaka sami magani ta jijiya (ta jijiyoyin wuya, ko na IV) don sanyaka nutsuwa da bacci.
  • Za a tsabtace fatarka a wurin da aka shirya shigarwar.
  • An saka bututun kirji ta hanyar inci 1 (inci santimita 2.5) a cikin fata a tsakanin hakarkarinku. Sannan an shiryar dashi zuwa madaidaicin wuri.
  • An haɗa bututun zuwa gwangwani na musamman. Ana amfani da tsotsa sau da yawa don taimakawa magudanar ruwa. Wasu lokuta, nauyi kawai zai ba shi izinin malala.
  • Dinki (dinki) da tef a ajiye bututun a wurin.

Bayan an saka bututun kirjinka, za a yi maka x-ray a kirji don tabbatar da cewa bututun yana wurin da ya dace.


Bututun kirji galibi yakan zama a wurin har sai an nuna x-ray duk jini, ruwa, ko iska sun zubo daga kirjinka kuma huhunka ya sake fadada gabaɗaya.

Bututun yana da sauƙin cirewa lokacin da ba'a buƙatarsa.

Wasu mutane na iya sanya bututun kirji wanda aka saka ta hanyar x-ray, komputa mai kwakwalwa (CT), ko duban dan tayi. Idan kana yin babban huhu ko tiyatar zuciya, za a sanya bututun kirji yayin da kake ƙarƙashin maganin sauro gabaɗaya (barci) yayin aikinka.

Ana amfani da tubes na kirji don magance yanayin da ke haifar da huhu ya faɗi. Wasu daga cikin waɗannan sharuɗɗan sune:

  • Yin tiyata ko rauni a cikin kirji
  • Iska yana malalowa daga cikin huhu zuwa kirji (pneumothorax)
  • Girman ruwa a cikin kirji (wanda ake kira kwayar halittar ciki) saboda zubar jini a kirjin, tarin ruwa mai danshi, guguwar ciki ko gyambon ciki a cikin huhu ko kirji, ko gazawar zuciya
  • Hawaye a cikin esophagus (bututun da ke ba da damar abinci ya tafi daga baki zuwa ciki)

Wasu haɗari daga tsarin shigarwar sune:


  • Zub da jini ko kamuwa da cuta inda aka saka bututun
  • Matsayi mara kyau na bututun (cikin kyallen takarda, ciki, ko kuma nesa da kirji)
  • Rauni ga huhu
  • Rauni ga gabobin da ke kusa da bututun, kamar su baƙin ciki, hanta, ciki, ko diaphragm

Da alama za ku iya zama a asibiti har sai an cire bututun kirjinku. A wasu lokuta, mutum na iya zuwa gida da bututun kirji.

Yayinda bututun kirji yake a wurin, mai ba da kiwon lafiyarku zai bincika a hankali don zubar iska, matsalolin numfashi, kuma idan kuna buƙatar oxygen. Hakanan zasu tabbatar bututun ya zauna a wurin. Mai ba ku sabis zai gaya muku ko ba laifi ku tashi ku yi tafiya ko ku zauna a kujera.

Abin da kuke buƙatar yin:

  • Yi numfashi sosai da tari sau da yawa (mai kula da ku zai koya muku yadda ake yin hakan). Numfashi mai zurfi da tari za su taimaka sake fadada huhun ka da taimakawa magudanan ruwa.
  • Yi hankali babu kinks a cikin bututun ka. Tsarin magudanan ruwa ya kamata koyaushe ya zauna a tsaye kuma a sanya shi ƙasa da huhu. Idan ba haka ba, ruwa ko iska ba zasu huce ba kuma huhunka ba zai iya sake fadada ba.

Nemi taimako kai tsaye idan:


  • Bututun kirjinki yana fitowa ko canzawa.
  • Bututun sun katse.
  • Ba zato ba tsammani kuna da wahalar numfashi ko kuma kuna da ƙarin zafi.

Hangen nesa ya dogara da dalilin da aka saka bututun kirji. Pneumothorax mafi yawanci yakan inganta, amma wani lokacin ana buƙatar tiyata don gyara matsalar. Ana iya aiwatar da wannan ta hanyar faɗi ko kuma na iya buƙatar babban ragi dangane da asalin yanayinku. A yanayin kamuwa da cuta, mutum yakan inganta yayin da aka kula da cutar, duk da cewa tabon rufin huhu na iya faruwa wani lokacin (fibrothorax). Wannan na iya buƙatar tiyata don gyara matsalar.

Saka bututun bututun kirji; Saka bututu cikin kirji; Tsarin kirji; Magudanar ruwa

  • Saka bututun kirji
  • 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 rubutu na Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 81.

Margolis AM, Kirsch TD. Bututun kirji. 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 10.

Watson GA, Harbrecht BG. Sanya bututun kirji, kulawa, da cirewa. A cikin: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Littafin rubutu na Kulawa mai mahimmanci. 7th ed. Philadelphia, PA: Elsevier; 2017: chap E12.

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