Raunin ƙirji, bayyani na babban dalilin mutuwa na uku daga raunin jiki

By Cristiano Antonino On Apr 21, 2023

Raunin ƙirji yana ɗaya daga cikin mafi yawan taimakon farko da kuma ma'aikatan motar asibiti yanayin sa baki na likita: dole ne a san shi daidai, don haka

Za a gano mutum yana fama da rauni a kirji idan ya sami mummunan rauni a kirji, kuma dole ne a gano shi daidai, domin shi ne na uku da ke haifar da mutuwa sakamakon raunin jiki a kasashen Yamma.

Raunin ƙirji ya haɗa da raunin harbin bindiga, kuma yana iya faruwa a sakamakon faɗuwa, bayan an caka masa wuka, duka ko duka.

Likita na iya yin ganewar asali, yawanci tare da X-ray.

Za a iya raba ciwon kirji zuwa nau'i biyu:

Rage raunin da ke faruwa a lokacin da wanda aka azabtar ya sami rauni wanda ya karya fata, kamar wuka a cikin kirji ko harbin bindiga;
Ƙunƙarar rauni zai haifar da wasu tsagewar fata, hawaye ba shine dalilin raunin da kansa ba kuma lalacewa sau da yawa ba a bayyana ba. Babban dabba ya harba shi ko kuma kasancewa cikin hatsarin mota na iya haifar da rauni a fili.

Rashin raunin da ya faru yana da kashi 25% na duk mace-mace saboda bala'in gaggawa na likita.

Raunin ƙirji zai gabatar da alamu da yawa, mafi yawanci shine zafi mai tsanani da wahalar numfashi

Sauran alamomin za su haɗa da zubar jini, girgiza, ƙarancin numfashi, zub da jini, ɓarnawa da kuma asarar sani, wanda zai faru dangane da dalilin raunin ƙirjin.

Karyewar kasusuwa kuma na iya faruwa saboda rauni na thoracic.

Za a yi maganin ciwon ƙirji dangane da dalilin; Ana iya buƙatar shiga tsakani don share hanyar iska, ko dai idan huhu ya rushe ko don hana raunin da ya faru daga haifar da mummunar lalacewa kuma ta haka ya haifar da kamuwa da cuta.

Raunin ƙirji na iya haifar da nau'i daban-daban na raunin zuciya, irin su shiga jikin waje, fashewa, tamponade, laceration da occlusion na arteries na jijiyoyin jini, ciwon zuciya na zuciya, zubar da jini na pericardial, lahani, raunin valvular, da rushewar manyan tasoshin.

Wadannan raunuka sau da yawa suna mutuwa.

Raunukan da ke shiga cikin zuciya galibi ana haifar da su ta hanyar manyan makamai ko bindigogin harbi kuma suna haifar da adadin mace-mace tsakanin 50% zuwa 85%.

Rushewar raunin da ya faru yawanci ana danganta su da fashewar zuciya, tare da ventricle na dama yana shafar sau da yawa fiye da hagu, kuma yana haifar da adadin mace-mace kusan kashi 50% a cikin marasa lafiya da suka isa wurin. ɗakin gaggawa da rai.

Bayan fashewar ɗakin zuciya ko hawaye a cikin jijiyoyin jini ko manyan tasoshin, jini da sauri ya cika jakar pericardial kuma yana haifar da tamponade na zuciya.

Ko da kadan kamar 60-100 ml na jini na iya haifar da tamponade na zuciya da bugun jini, sakamakon raguwar cikawar diastolic.

Raunin harbin bindiga da ke shiga cikin jakar pericardial da kuma cikin zuciya yana haifar da saurin zubar jini, wanda ke mamaye hoton asibiti.

Tamponade na zuciya bayan harbin harbin bindiga a zuciya yana da alaƙa da haɓakar rayuwa saboda hauhawar jini na tsarin jiki da kuma ƙara matsa lamba a cikin sarari na pericardial, wanda ke taimakawa iyakance zubar jini.

A zuciya tamponade sau da yawa yana hade da asibiti bayyanar cututtuka na Beck's triad (jugular venous distension, hypotension da attenuation na zuciya sautunan).

Wataƙila wannan triad ɗin ba ya kasancewa a cikin marasa lafiya waɗanda suka zama hypovolaemic saboda zubar jini.

Shaidar radiyo na faɗaɗa inuwar mediastinal na iya ba da shawarar zubar da jini a cikin mediastinum da/ko tamponade.

Tabbatar da zubar da jini na pericardial na iya bayar da echocardiography.

Ƙwayoyin binciken gaggawa na gaggawa, tare da kewayawa na zuciya da gyare-gyaren tiyata, da zubar da jini kamar yadda ake bukata ta yanayin asibiti za a yi.

Canje-canjen anatomopathological na ƙwayar zuciya sun ƙunshi zubar jini na intramyocardial, edema na myocardial, occlusion na jijiyoyin jini, lalatawar myofibrillar da necrosis na myocardium.

Wadannan raunuka suna haifar da arrhythmias da rashin kwanciyar hankali na haemodynamic kwatankwacin wanda aka gani bayan ciwon zuciya na zuciya.

Hakanan ana iya buƙatar shigarwa, samun iska ko wasu hanyoyin oxygenation; tiyata, magani na miyagun ƙwayoyi, cikakken hutawa kuma a wasu lokuta magungunan jiki na iya zama dole.

Saboda tsananin zafin, za a yi amfani da magungunan kashe qwari don rage yawan zafin. Za a gudanar da maganin analgesics ta hanyar epidural.

Ana iya ba da marasa lafiya na yau da kullun ko marasa lafiya tare da jiko mai sarrafa kansu don amfani da buƙatu don sarrafa ciwo.