Ciwon huhu - alamun cututtuka na asibiti da gyarawa

Raunin wasanni

2K 0 01.04.2019 (bita ta ƙarshe: 01.04.2019)

Maganin huhu lalacewa ne ga huhun huhu wanda ke faruwa a ƙarƙashin rinjayar wani wakilin rauni, ƙarancin birgi ko matse kirji. A wannan yanayin, ba a keta mutuncin ƙirar visceral ba.

Dalilin

Babban abin da ya haifar da huhu mai rauni shine tasirin tashin hankali akan kirji saboda tsananin bugu tare da wani abu mara daɗi ko kalaman tsawa. Ilimin cututtuka yana faruwa a shafin tasiri da tasiri.

A mafi yawan lokuta, irin wannan raunin ne sakamakon haɗari. A cikin hatsarin mota, direbobi sun bugi sitiyarin kirji kuma sun ji rauni. Rikicin huhu da murkushewar kyallen takarda na yiwuwa ne saboda matsewar kirji da abubuwa masu nauyi da fadowa daga tsauni zuwa baya ko ciki.

Tsanani

Ofarfin tasirin inji da girman farfajiyar wakilin tashin hankali kai tsaye yana shafar yanayin lalacewar huhu. Dangane da yankin yankin da cutar ta shafa, cututtukan cututtukan suna da yawa ko kuma na gida. Matsayi da girman yankin rikicewar yana da mahimmanci don kimanta hoton asibiti da kuma yin hangen nesa.

Babban rikicewar huhu na iya haifar da mutuwar mutumin da ya ji rauni a wurin gaggawa.

Ya danganta da tsananin yanayin aikin cutarwa, ana rarrabe masu digiri masu zuwa:

1. Nauyin nauyi. Lalacewar huhu ta iyakance ga kayan aiki na sama. Mamaye bai wuce bangarorin huhu biyu ba. Babu damuwa na numfashi.
2. Matsakaici Raunin ya rufe sassa da yawa na huhun huhu. Akwai wurare daban-daban na murkushewar parenchyma, lalata jijiyoyin jini. Rashin numfashi matsakaici ne. Jinin ya cika da iskar oxygen da kashi 90 cikin ɗari ko fiye.
3. Tã nauyi Yanki mai yawa na lalacewa ga alveolar nama. Murkushewa da lalacewar tsarin tushe. Rage abun cikin oxygen a cikin jini na gefe.

OP SOPONE - stock.adobe.com

Kwayar cututtuka

Harshen da ya ji rauni yana da wuyar ganewa a cikin sa'o'in farko bayan rauni. Saboda wannan, ma'aikatan kiwon lafiya galibi suna yin kuskure wajen yin ganewar asali, suna tantance hoton asibiti sakamakon kisan kirji ko ɓarkewar haƙarƙarinsa. Wannan ya zama dalilin ba daidai ba magani.

Kwayoyin cututtuka na cututtukan huhu:

• Inara yawan rikicewar numfashi (ƙarancin numfashi).
• Kumburi da hematoma a shafin tasirin tasirin wuri.
• Kasancewar akwai ruwa mai danshi.
• Cyanosis.
• Inara yawan bugun zuciya a huta.
• Hemoptysis. Wannan alamar tana nuna kanta a cikin mawuyacin hali ko matsakaici na tsarin cuta (yana faruwa yayin kwanakin farko bayan rauni).
• Ragewar karfin jini.
• Rashin zurfin numfashi, jin zafi yayin raɗaɗa numfashi.

Saboda tarawar jini a cikin kayan kyalli mai taushi, karuwar girman kirji na faruwa. Tare da mummunan digiri na ilimin cututtuka, cikakken dakatar da numfashi yana faruwa. A wannan yanayin, ana buƙatar farfadowa kai tsaye.

Diagnostics

Dole ne wanda aka azabtar ya bincika likitan traumatologist ko likitan thoracic. Likita ya bayyana yanayin raunin kuma ya gudanar da binciken asibiti na mai haƙuri. Ana amfani da hanyoyi masu zuwa don tabbatar da ganewar asali:

• Binciken jiki. Tare da taimakon bugun jini, likita ya ƙayyade ƙaruwar ciwo yayin latsawa a bayan baya ko yankin thoracic a shafin cutar. Tare da wasu raunin da ya faru, yana yiwuwa a ji ƙarancin ɓangaren haƙarƙarin. Samun huhu yana ba ka damar jin rake rake a yankin da aka lalata.
• Gwajin gwaje-gwaje. Don keɓe zubar jini na ciki, ana yin gwajin jini na asibiti. Gwajin sputum ana yin shi don gano jajayen ƙwayoyin jini waɗanda ke nuna lalata huhu. Matsayin hypoxemia an ƙaddara shi ta hanyar nazarin haɓakar gas ɗin jini. Ana nuna matakin jikewar oxygen ta bugun jini.
• Binciken katako. Radiyon X-ray yana ba ka damar gano wuraren kutsewar ƙwayar huhu a wurin rauni 'yan kwanaki bayan rauni. Binciken X-ray yana da kyau idan an sami karaya, pneumo- da hemothorax. Ana ba da shawarar CT don ƙwayoyin cuta masu tsanani. Tare da taimakon sa, an gano fashewar huhu, pneumocele da atelectasis.
• Bronchoscopy. Ana amfani dashi don alamun nuni. Tare da taimakonta, an tabbatar da asalin zubar jini yayin hemoptysis. Tare da nazarin endoscopic, ana tsarkake tubes na bronchial.

Em Artemida-psy - stock.adobe.com. Bronchoscopy

Taimako na farko

Kwayar cututtukan huhu da suka ji rauni suna bayyana wani lokaci bayan rauni. Saboda wannan, samar da taimako akan lokaci ba zai yiwu ba. Hadadden ayyukan gaggawa don huhu mai rauni ya kusan kama da taimakon farko don sauran raunin da ya faru:

• Matsalar sanyi (15 min). Ana amfani dashi don rage kumburi da kuma kawar da ciwo. Cold yana da tasiri mai tasiri a kan jijiyoyin jini kuma yana hana ƙwanƙwasawa.
• Rashin motsi. Dole ne a tanadar wa wanda aka azabtar da cikakken hutu. Duk wani motsi ya kamata a guje shi.
• Magunguna. An haramta amfani da duk wani mai rage radadi ko anti-inflammatory. Suna iya haifar da rashin ganewar asali.

Jiyya

Idan ana tsammanin huhun mutum ya baci, to ya zama dole a hanzarta kaishi asibiti na wasu kwanaki a sashen tiyata ko rauni. Maganin mazan jiya na ilimin cututtuka ya haɗa da:

• Maganin sa barci Yin amfani da magungunan cututtukan da ba na steroidal ba.
• Saukowar mai saurin DN. Ana amfani da maganin oxygen, maganin jiko-transfuss da hormones corticosteroid. A cikin mawuyacin hali, ana canja mai haƙuri zuwa samun iska ta wucin gadi.
• Rigakafin cutar nimoniya. Game da cututtukan cututtuka na aikin magudanun ruwa na magudanar numfashi, ana tsarkake hanyoyin iska. Yana da kyau a sanya muku maganin rigakafi.

Ana amfani da tsoma bakin tiyata lokacin da manyan fatji suka tsage ko jijiyoyin jini suka lalace.

A lokacin lokacin murmurewa, an tsara magungunan motsa jiki, tausa da kuma aikin likita.

Rikitarwa

Thoracic hematoma shine mafi cutarwa sakamakon cututtukan huhu. Matsaloli masu tsanani sun haɗa da: gazawar numfashi, ciwon huhu, pneumotrax, zub da jini, hemothorax, da zubar jini.

© designua - stock.adobe.com. Pneumothorax

Hasashen da rigakafin

Mai haƙuri tare da rikicewar ƙwayar huhu ya warke ba tare da rikitarwa ba cikin makonni biyu. Raunin matsakaici yana da cikakkiyar sanarwa. Ci gaban sakamako mai tsanani yana yiwuwa a cikin rashin isasshen magani, a cikin tsofaffi marasa lafiya da kuma kasancewa tare da cututtukan cututtuka. Bunƙara mai zurfin ciki, yadin da laka da murkushe ƙwayoyin huhu na iya haifar da mutuwar wanda aka azabtar.

Amincewa da matakan aminci na mutum yana ba ku damar guje wa faruwar rauni. Rigakafin rikice-rikice na farkon lokaci da ƙarshen lokaci shine samar da kulawar likita akan lokaci.

Kalli bidiyon: Maganin Ciwon Ido Sadidan (Nuwamba 2024).