Cutaramar emphysema

Phyarƙasa emphysema na faruwa lokacin da iska ta shiga cikin kyallen takarda a ƙarƙashin fata. Wannan galibi yana faruwa a cikin fatar da ke rufe kirji ko wuya, amma kuma yana iya faruwa a wasu sassan jiki.

Sau da yawa ana iya ganin emphysema a ƙarƙashin ta kamar sumul na fata. Lokacin da mai ba da kiwon lafiya ya ji (taɓar) fata, yakan samar da wani abu mai ban tsoro (crepitus) yayin da aka tura iskar gas cikin nama.

Wannan yanayi ne mai wuya. Lokacin da hakan ta faru, dalilan da zasu iya haifar da:

• Hankalin da ya tarwatse (pneumothorax), yawanci hakan yana faruwa ne tare da raunin haƙarƙari
• Rushewar kashi
• Fashewa ko tsagewa a cikin hanyar iska
• Fashewa ko yayyagawa a cikin makoshin hanji ko hanyar hanji

Wannan yanayin na iya faruwa saboda:

• Raunin rauni.
• Raunin rauni.
• Numfashi a cikin hodar iblis.
• Lalata ko ƙonewar sinadarai na hanta ko hanyar iska.
• Raunin da ruwa ya ji.
• Yin amai mai karfi (Ciwon Boerhaave).
• Raunin rauni, kamar harbi ko rauni.
• Pertussis (tari mai tsanani).
• Wasu hanyoyin kiwon lafiya wadanda suke saka bututu a jiki. Wadannan sun hada da endoscopy (bututu a cikin esophagus da ciki ta bakin), layin tsakiya na tsakiya (catheter na bakin ciki zuwa jijiyar kusa da zuciya), intubation na endotracheal (bututu a cikin maƙogwaro da bututun iska ta baki ko hanci), da kuma bincikowa (bututu a cikin bututun shakar iska ta baki).

Hakanan za'a iya samun iska a tsakanin matakan fata akan hannaye da ƙafafu ko jiki bayan wasu cutuka, gami da gas ɗin gas, ko bayan ruwa. (Diversan wasan ɓoye tare da asma na iya samun wannan matsalar fiye da sauran masanan.)

Yawancin yanayin da ke haifar da emphysema a ƙarƙashin ƙasa mai tsanani ne, kuma wataƙila mai ba da sabis ya kula da kai. Wani lokaci ana bukatar zaman asibiti. Wannan zai fi dacewa idan matsalar ta dalilin kamuwa da cuta ne.

Idan kun ji iska a ƙarƙashin ruwa dangane da kowane yanayin da aka bayyana a sama, musamman bayan rauni, kira 911 ko lambar sabis ɗin gaggawa na gida kai tsaye.

KADA KA gudanar da wani ruwa. KADA KA motsa mutum sai dai in ya zama dole ne a cire shi daga yanayin haɗari. Kare wuya da baya daga ci gaba da rauni lokacin yin hakan.

Mai ba da sabis ɗin zai auna da kuma lura da muhimman alamun mutum, gami da:

• Oxygen jikewa
• Zazzabi
• Pulse
• Yawan numfashi
• Ruwan jini

Kwayar cututtukan za a bi da su kamar yadda ake buƙata. Mutumin na iya karɓar:

• Airway da / ko tallafin numfashi - gami da oxygen ta hanyar isar da sakon ta waje ko intubation na endotracheal (sanya bututun numfashi ta cikin baki ko hanci a cikin hanyar iska) tare da sanyawa a kan iska (injin mai bada rai)
• Gwajin jini
• Kirjin kirji - bututu ta fata da tsokoki tsakanin haƙarƙarin a cikin sararin samaniya (sarari tsakanin bangon kirji da huhu) idan akwai huhu ya faɗi
• CAT / CT scan (hoto mai kwakwalwa ko hoton ci gaba) na kirji da ciki ko yanki tare da iska mai subcutaneous
• ECG (lantarki ko gano zuciya)
• Ruwan ruwa ta jijiya (IV)
• Magunguna don magance cututtuka
• X-ray na kirji da ciki da sauran sassan jiki waɗanda ƙila sun ji rauni

Hannun hangen nesa ya dogara da dalilin emphysema mai cutarwa. Idan an haɗu da babban rauni, hanya ko kamuwa da cuta, ƙarancin waɗannan yanayin zai ƙayyade sakamako.

Phyarƙashin emphysema na ƙarƙashin ƙasa wanda yake da alaƙa da nutsarwa galibi ba shi da tsanani.

Tsuntsaye; Cutarƙashin iska; Emphysema na nama; Emphysema na tiyata

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Kosowsky JM, Kimberly HH. Cutar ta jiki. 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 67.

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