pneumothorax traumatic: calaamadaha, ogaanshaha iyo daaweynta

Traumatic pneumothorax waa joogitaanka hawada ee booska xuubka xuubka xuubka xuubka, taasoo keenta qayb ama gebi ahaanba burburka sambabada.

Calaamadaha waxaa ka mid ah xabad xanuun uu sababay dhaawaca iyo mararka qaarkood dyspnea. Cilad-sheegidda waxa lagu sameeyaa raajo laabta.

pneumothorax naxdin leh, oo badanaa lagu daweeyo dheecaan laabta

Pneumothorax waxaa sababi kara dhaawac ba'an ama dhexgalka; Bukaanno badan ayaa sidoo kale leh hemothorax (hemopneumothorax).

Bukaannada qaba nabarrada dhexda dhexmara mediastinum (tusaale, nabarrada dhexdhexaadka ah ee ibta naaska ama scapulae), ama qaba dhaawac ba'an, pneumothorax waxaa sababi kara dillaaca geedka tracheobronchial.

Hawada pneumothorax waxay geli kartaa unugyada jilicsan ee laabta iyo/ama qoorta (subcutaneous emphysema), ama mediastinum (pneumomediastinum).

Pneumothorax fudud oo hal dhinac ah, xitaa mid weyn, ayaa si fiican u dulqaadan kara bukaanada intooda badan ilaa ay qabaan cudur sambabada hoose oo hoose.

Si kastaba ha ahaatee, pneumothorax xad-dhaaf ah ayaa laga yaabaa inay keento hypotension daran, iyo pneumothorax furan ayaa wax u dhimi karta hawo-qaadista.

Calaamadaha xanuunka pneumothorax

Bukaanka qaba pneumothorax traumatic waxay caadi ahaan qabaan xanuunka laabta ee pleuritic, dyspnoea, tachypnoea iyo tachycardia.

Dhawaaqa neefsashada ayaa laga yaabaa inay yaraato oo ay saamaysay haemithorax hypertympanic garaacista, gaar ahaan pneumothoraces ballaaran.

Si kastaba ha ahaatee, natiijooyinkani had iyo jeer ma jiraan waxaana laga yaabaa inay adkaato in lagu ogaado goobta dib u soo kicinta ee buuqa badan.

Emphysema-ka hoostiisa ayaa sababa qaylo-dhaan ama dhawaqa garaaca garaaca; Natiijooyinka waxaa laga yaabaa in lagu meeleeyo meel yar ama waxay dabooli karaan qayb weyn oo ka mid ah darbiga laabta iyo/ama waxay ku fidsan yihiin qoorta; ka qaybqaadashada ballaaran waxay soo jeedinaysaa dillaaca geedka tracheobronchial.

Hawada ku jirta mediastinum waxa laga yaabaa inay soo saarto dhawaaq sifada leh oo la mid ah garaaca wadnaha (calaamadaha Hamman ama Hamman's crunch), laakiin calaamadani had iyo jeer ma jirto oo waxa kale oo ay mararka qaar sababto dhaawac hunguriga hunguriga ka soo gaadhay.

pneumothorax naxdin leh, ogaanshaha

  • X-ray raajada

Cilad-sheegashada waxaa badanaa lagu sameeyaa raajo laabta.

Ultrasonography (oo lagu sameeyay sariirta bukaanka inta lagu jiro dib u soo kicinta bilowga ah) iyo CT scan ayaa aad uga xasaasisan oof-wareenka yaryar marka loo eego raajada xabadka.

Baaxadda pneumothorax, oo lagu go'aamiyo boqolkiiba hemithorax ee madhan, ayaa lagu qiyaasi karaa natiijooyinka shucaaca.

Cabbirka tiro ahaan lagu sheegay ayaa ugu horrayn qiimo leh in la qiyaaso horumarka iyo xallinta, halkii la go'aamin lahaa saadaasha.

Daaweynta

  • Caadi ahaan tuubada thoracostomy

Daaweynta pneumothoraces intooda badan waa gelinta feeraha laabta (tusaale, 28 Fr) 5 ama 6 booska intercostal ee hore ee xariiqda dhidibka dhexe.

Bukaanka qaba pneumothoraces yaryar oo aan lahayn calaamado neefsasho ayaa si fudud loogu arki karaa taxane ah oo raajo laabta ah ilaa sambabada dib u fidaan. Taas beddelkeeda, tuubbad yar oo dheecaan ah ayaa la dhigi karaa.

Si kastaba ha ahaatee, dheecaanka laabta waa in lagu dhejiyaa bukaanada la geliyo suuxinta guud, hawo cadaadis togan, iyo/ama marin-haweedka, sababtoo ah waxqabadyadani waxay u bedeli karaan pneumothorax yar, fudud (aan dhib lahayn) oo loo yaqaan pneumothorax hypertensive.

Haddii dheecaan weyn oo hawo ah uu sii socdo ka dib dheecaanka laabta, nabarrada tracheobronchial waa in laga shakiyaa oo bronchoscopy ama la-talin degdeg ah waa in la diyaariyaa.

Akhri Sidoo kale:

Qalliinka Wadada Wadnaha: Goorma, Sidee iyo Sababta Loo Abuurayo Hawo-mareenka Arkiialka ah ee Bukaanka

Waa maxay Tachypnoea Ku-meel-gaadhka ah ee Ilmaha Cusub, ama Xanuunka Sambabka Qoyan ee Dhallaanka?

Source:

TPI

Waxa kale oo aad jeceshahay waxaa laga yaabaa