Hemopneumothorax

Wadatacce

• Menene alamun cutar hemopneumothorax?
• Menene ke haifar da hemopneumothorax?
• Yaya ake gano hemopneumothorax?
• Yin maganin hemopneumothorax
• Thoracostomy (shigar kirji kirji)
• Tiyata
• Magunguna
• Matsalolin hemopneumothorax
• Outlook

Bayani

Hemopneumothorax haɗuwa ne da yanayin kiwon lafiya biyu: pneumothorax da hemothorax. Pneumothorax, wanda kuma aka sani da huhu da ya faɗi, yana faruwa ne lokacin da iska ta kasance a waje huhun, a cikin sararin da ke tsakanin huhun da kuma kirjin kirji. Hemothorax yana faruwa lokacin da jini yake a wannan wurin. Kusan kashi 5 cikin ɗari na marasa lafiya da ke fama da cutar pneumothorax suna fuskantar hemothorax a lokaci guda.

Hemopneumothorax galibi yana faruwa ne sakamakon rauni a kirji, kamar daga harbi, soka, ko karyewar haƙarƙari. Wannan ana kiransa hemopneumothorax mai rauni. A lokuta da ba safai ake samun irin wannan ba, wasu yanayin kiwon lafiya ne ke haifar da shi, kamar cutar sankarar huhu, cututtukan jini, ko cututtukan zuciya na rheumatoid. Hemopneumothorax kuma na iya faruwa kwatsam ba tare da wani dalili ba (ba tare da wata wata ba).

Don magance hemopneumothorax, dole ne jini da iska su fita daga kirji ta amfani da bututu. Za a kuma bukatar yin tiyata don gyara duk wani rauni ko rauni.

Menene alamun cutar hemopneumothorax?

Hemopneumothorax na gaggawa ne na likita, saboda haka yana da mahimmanci a gane alamomin sa yanzunnan.

Kwayar cutar sun hada da:

• ciwon kirji kwatsam wanda ke ta'azzara bayan tari ko shan dogon numfashi
• numfashi mai wahala ko wahala (dyspnea)
• karancin numfashi
• matse kirji
• tachycardia (saurin bugun zuciya)
• kodadde ko shuɗi mai launin fata sakamakon rashin isashshen oxygen

Ciwon zai iya faruwa ne kawai a ɓangarorin biyu ko kuma kawai a gefen inda rauni ko rauni ya faru.

Menene ke haifar da hemopneumothorax?

Hemopneumothorax yawanci ana haifar dashi ne ta hanyar rauni ko rauni ko rauni mai rauni zuwa kirji.

Lokacin da bangon kirji ya ji rauni, jini, iska, ko kuma duka biyun na iya shiga cikin siraran bakin ciki cike da huhu, wanda ake kira sararin samaniya. A sakamakon haka, aikin huhu ya dami. Huhu ba sa iya faɗaɗawa don barin iska. Huhu sai sun yi ƙasa kuma sun faɗi.

Misalan rauni ko rauni wanda zai iya haifar da hemopneumothorax sun hada da:

• wuka rauni
• harbin bindiga
• huda daga karyewar haƙarƙari
• fada daga mahimman tsayi
• hatsarin mota
• rauni daga faɗa ko tuntuɓar wasanni (kamar ƙwallon ƙafa)
• huda rauni daga hanyar likita, kamar su biopsy ko acupuncture

Lokacin da rauni ko rauni shine dalilin, ana kiran yanayin a matsayin hemopneumothorax mai rauni.

A wasu lokuta mawuyaci, hemopneumothorax na iya haifar da yanayin rashin damuwa ciki har da:

• rikitarwa na ciwon huhu na huhu
• rheumatoid amosanin gabbai
• hemophilia
• tsarin lupus erythematosus
• cututtukan cututtukan ciki na huhu

Hemopneumothorax kuma na iya faruwa kwatsam ba tare da wani dalili ba. Koyaya, wannan baƙon abu bane.

Yaya ake gano hemopneumothorax?

Idan kana da rauni ko rauni a kirjin ka, likitanka na iya yin odar X-ray ɗin kirji don taimakawa ganin idan ruwa ko iska na ginawa a cikin ramin kirji.

Hakanan za'a iya yin wasu gwaje-gwajen bincike don ƙarin kimanta ruwa a kewayen huhu, misali kirjin CT na hoto ko duban dan tayi. Wani duban dan tayi na kirji zai nuna yawan ruwa da kuma ainihin inda yake.

Yin maganin hemopneumothorax

Jiyya don hemopneumothorax an yi shi ne don zubar da iska da jini a cikin kirji, dawo da huhu zuwa aikin yau da kullun, hana rikice-rikice, da kuma gyara duk wani rauni.

Thoracostomy (shigar kirji kirji)

Babban magani ga hemopneumothorax shine ake kira kirji bututu thoracostomy. Wannan aikin ya hada da sanya bututun roba mai rauni a tsakanin hakarkarin a cikin yankin da huhun yake domin fitar da iska da jini. Ana iya haɗa bututun da mashin don taimakawa magudanan ruwa. Bayan likitanka ya tabbata cewa babu sauran ruwa ko iska da za a sha, za a cire bututun kirji.

Tiyata

Mutanen da ke da babban rauni ko rauni za su iya buƙatar tiyata don gyara kayan da suka lalace. Hakanan suna iya buƙatar ƙarin jini ɗaya ko fiye idan sun rasa jini da yawa.

Magunguna

Kafin aikin thoracostomy, ya danganta da dalilin halin da kuke ciki, likitanku na iya baku maganin rigakafi na prophylactic don taimakawa rigakafin ƙwayoyin cuta. Hakanan likitan ku na iya ba da umarnin magungunan ciwo don taimakawa da kowane ciwo kafin da bayan tiyatar ku.

Matsalolin hemopneumothorax

Matsalolin hemopneumothorax sun hada da:

• cututtuka masu tsanani, irin su ciwon huhu
• girgizar jini
• kamun zuciya
• empyema, wani yanayi ne wanda al'aura ke taruwa a cikin sararin samaniya; empyema yawanci ana kamuwa da cutar nimoniya
• rashin numfashi

Bugu da kari, mutanen da suka kamu da cutar hemopneumothorax suna cikin haɗarin samun wani labari idan buɗewa a cikin huhun ba zai rufe su sosai ba.

Outlook

Hemopneumothorax wani yanayi ne mai barazanar rai kuma yana buƙatar kulawa da shi nan da nan don mafi kyawun hangen nesa.

Idan yanayin ya samo asali ne sakamakon rauni ko rauni a kirji, hangen nesa zai dogara da tsananin raunin. Maganganun rashin lafiyar hemopneumothorax suna da kyakkyawan hangen nesa da zarar an cire ruwa da iska daga kirji. A cikin ƙaramin binciken guda ɗaya, dukkan marasa lafiya huɗu da ke da cutar ta hantsin zuciya sun warke sarai kuma huhunsu ya faɗaɗa sosai bayan abin da ya faru.

Gabaɗaya, hemopneumothorax ba zai haifar da wata matsala ta rashin lafiya ba nan gaba bayan an bi da shi. Koyaya, akwai ƙaramar damar sake faruwa. Amfani da ƙananan dabaru masu cin zali, kamar thoracostomy da aikin tiyata na bidiyo, ya haifar da raguwar mace-mace da maimaituwar sake dawowa.