Menene atelectasis na huhu da yadda ake bi da shi

Ciwon huhu na huhu cuta ce da ke haifar da toshewa ko matsawar waje na bronchi, wanda ke haifar da huɗu ko duk huhu ya zama babu iska. Mutanen da ke da cutar na iya samun wahalar numfashi ko gazawar numfashi idan atelectasis yayi tsanani. Suna kuma iya samun ciwon huhu. Kodayake yawanci asymptomatic, atelectasis kuma a wasu lokuta na iya haifar da hypoxemia, wato raguwar adadin iskar oxygen da ake ɗauka a cikin jini da ciwon kirji. Jiyya ya ƙunshi cire toshewa daga hanyoyin iska da tabbatar da cewa ana ɗaukar zurfin numfashi.

Menene atelectasis na huhu?

Pulmonary atelectasis yayi daidai da rushewar alveoli na huhu, tare da asarar ƙima, bayan rashin samun iska, yayin da zagayar jini yake a can. Yana haifar da cikas na toshewar mashako ko mashako da ke shafar ɓangaren da abin ya shafa. Atelectasis na iya haɗawa da huhu gaba ɗaya, lobe ko sassan.

Menene musabbabin cutar huhu atelectasis?

Ciwon huhu na huhu yawanci yana haifar da toshewar ciki na ɗaya daga cikin manyan mashako wanda ya samo asali daga cikin trachea kuma yana kaiwa kai tsaye zuwa ga huhu.

Wannan na iya haifar da kasancewar: 
  • jikin waje da aka shaka, kamar kwamfutar hannu, abinci ko ma abin wasa;
  • wani ƙari;
  • wani toshe na gamsai.

Atelectasis kuma na iya haifar da kumburi daga waje ta:

  • mummunan ƙwayar cuta ko ƙwayar cuta;
  • lymphadenopathy (kumburin kumburin da ke kara girma);
  • pleural effusion (haɓakar haɓakar ruwa a cikin ramin pleural, wanda shine sarari tsakanin huhu da kirji);
  • pneumothorax (haɓakar haɓakar iska a cikin ramin pleural).

Atelectasis kuma na iya zama sakandare ga aikin tiyata wanda ke buƙatar intubation, ko zuwa madaidaicin matsayi, musamman a cikin marasa lafiya masu kiba da kuma lokuta na cardiomegaly (haɓakawa na zuciya mara kyau).

A ƙarshe, kowane yanayi ko ayyukan da ke rage zurfin numfashi ko murƙushe ikon mutum na yin tari na iya haɓaka atelectasis na huhu:

  • asma;
  • kumburi;
  • cuta na bangon bronchial;
  • cystic fibrosis;
  • wahalarwa yayin jiyya na gama gari (tiyata da tiyata na ciki musamman);
  • babban allurai na opioids ko masu kwantar da hankali;
  • kirji ko ciwon ciki.

Mutanen da suke da kiba ko kiba suna cikin haɗarin kamuwa da cutar cizon sauro.

Mene ne alamun atelectasis na huhu?

Baya ga bayyanar dyspnea, watau wahalar numfashi, da hypoxemia, watau raguwar adadin iskar oxygen a cikin jijiyoyin jini, atelectasis na huhu ya kasance mafi yawa asymptomatic. Kasancewa da tsananin dyspnea da hypoxemia sun dogara da yadda sauri atelectasis ke tasowa da girman huhun da abin ya shafa:

  • idan atelectasis ya ƙunshi iyakance na huhu ko ci gaba da sannu a hankali: alamomi galibi suna da sauƙi ko babu;
  • idan yawan alveoli ya shafa kuma atelectasis yana faruwa cikin sauri, dyspnea na iya zama mai ƙarfi kuma gazawar numfashi na iya haɓaka.

Hakanan bugun zuciya da bugun numfashi na iya ƙaruwa, kuma wani lokacin fatar na iya canza launin shuɗi saboda raguwar matakan oxygen a cikin jini. Wannan ake kira cyanosis. Alamomin cutar na iya yin nuni da rashin lafiyar da ta haifar da cin abinci (alal misali, ciwon kirji daga rauni) ko rashin lafiyar da ke haifar da shi (alal misali, ciwon kirji akan numfashi mai zurfi, saboda ciwon huhu).

Ciwon huhu na iya haifar da ciwon huhu na huhu, wanda ke haifar da tari, dyspnea, da ciwon huhu.

Kodayake lokuta ba safai ba ne, atelectasis na huhu na iya zama mai mutuwa a cikin jarirai da ƙananan yara.

Yadda za a bi da atelectasis na huhu?

Mataki na farko a cikin maganin atelectasis shine a cire sanadin toshewar hanyar iska ta:

  • tari;
  • buri na fili na numfashi;
  • kawar da bronchoscopic;
  • hakar tiyata, radiotherapy, chemotherapy ko jiyya na laser idan akwai ƙari;
  • jiyya na miyagun ƙwayoyi da nufin rage ƙudurin ko buɗe hanyar numfashi (nebulization na alphadornase, bronchodilators), a yayin da ake ci gaba da toshe kumburin.

Wannan matakin farko na iya zama tare:

  • maganin oxygen;
  • thoracic physiotherapy don taimakawa ci gaba da samun iska da fitowar abubuwan ɓoyewa;
  • dabarun faɗaɗa huhu kamar tari da aka umarce shi;
  • zurfin motsa jiki;
  • yin amfani da spirometer mai ƙarfafawa;
  • magani tare da maganin rigakafi idan ana zargin kamuwa da cutar kwayan cuta;
  • mafi wuya, shigar da bututun intubation (intubation endotracheal) da samun iska na inji.

Da zarar an kula da atelectasis, alveoli da ɓangaren huhu da ya ruɓe sannu a hankali ya sake yin kauri zuwa bayyanar su ta asali. Lokacin da magani ya makara ko hanawa ya bar tabo, yana faruwa cewa wasu wuraren sun lalace ba tare da juyawa ba.

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