Oof wareer

Oof wareenku waa xaalad neefsasho taas oo ay ka jirto barar (barar) ama infekshan ku dhaca sambabaha ama hawo mareenada waaweyn.

Oof-wareenka oof-wareenku wuxuu dhacaa marka cuntada, candhuufta, dareerayaasha, ama matagga lagu neefsado sambabaha ama dariiqyada hawadda ee keena sambabbada, halkii laga liqi lahaa hunguriga iyo caloosha.

Nooca bakteeriyada sababtay oof wareenka waxay kuxirantahay:

• Caafimaadkaaga
• Halka aad ku nooshahay (tusaale ahaan guriga ama rugta kalkaalinta caafimaad ee muddada dheer)
• In dhawan isbitaalka lagaa dhigay
• Isticmaalka antibiyootikada ee ugu dambeysay
• In nidaamkaaga difaaca uu daciif yahay

Waxyaabaha halista u ah neefsashada (hamiga) sheyga qalaad ee sambabaha waa:

• Ka feejignaanta oo yar daawooyinka, jirada, qalliinka, ama sababo kale awgood
• Kooma
• Cabida qamri aad u tiro badan
• Helitaanka daawo si ay kuu geliso hurdo dheer qalliinka (suuxdinta guud)
• Gabow
• Dareen-celinta gag-xumada ah ee dadka aan feejignayn (suuxsan ama miyir-qabka ah) ka dib istaroogga ama dhaawaca maskaxda
• Dhibaatooyinka liqitaanka

Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Laab xanuun
• Qufaca ur xun, xaako cagaaran ama mugdi ah (xaako), ama xaako ay kujirto malax ama dhiig
• Daal
• Qandho
• Neefta oo kugu yaraata
• Xiiqii
• Urta neefta
• Dhidid badan
• Dhibaatooyinka wax liqidda
• Jahwareer

Bixiyaha xanaanada caafimaadka wuxuu dhageysan doonaa dildilaaca ama dhawaaqa neefta ee aan caadiga aheyn markii uu laabtaada ku dhageysanayo stethoscope Taabashada darbigaaga laabta (garaac) waxay ka caawisaa adeeg bixiyaha inuu dhagaysto oo uu dareemo dhawaaqyada aan caadiga ahayn ee laabtaada ah.

Haddii oof wareen la tuhmo, bixiyaha ayaa laga yaabaa inuu dalbado raajo xabadka ah.

Tijaabooyinka soo socda ayaa sidoo kale kaa caawin kara ogaanshaha xaaladan:

• Gaaska dhiiga halbowlaha
• Dhaqanka dhiigga
• Bronchoscopy (waxay isticmaashaa baaxad gaar ah si loo daawado hawo mareenka sambabaha)
• Tirinta dhiigga oo dhameystiran (CBC)
• Raajooyin ama baaritaanka CT ee xabadka
• Dhaqanka Xaakada
• Imtixaanada liqida

Dadka qaar ayaa laga yaabaa inay u baahdaan in isbitaal la dhigo. Daaweyntu waxay kuxirantahay sida uu u daranyahay oof-wareenku iyo sida uu qofku u xanuunsanayo hamigiisa ka hor (xanuun joogto ah). Mararka qaarkood hawo-mareenka (mashiinka neefsashada) ayaa loo baahan yahay si loo taageero neefsashada.

Waxay u badan tahay in lagu siiyo antibiyootiko.

Waxaad u baahan kartaa in lagaa baaro hawsha wax liqiddaada. Dadka dhibku ka qabo wax liqitaanku waxay u baahan karaan inay isticmaalaan habab kale oo quudin si loo yareeyo halista hamiga.

Natiijadu waxay kuxirantahay:

• Caafimaadka qofka ka hor inta uusan qabin oof wareenka
• Nooca bakteeriyada keenta oof-wareenka
• Intee in leeg ayay sambabadu ku lug leeyihiin

Infekshano aad u daran ayaa laga yaabaa inay sababaan dhaawac muddo dheer gaadha sambabada.

Dhibaatooyinka waxaa ka mid noqon kara:

• Cudurka sanbabada
• Naxdin
• Infekshinka uu ku faafo dhiiga (bakteeriyada)
• Ku faafida infekshinka meelaha kale ee jirka
• Neefsashada oo xumaata
• Dhimasho

Wac adeeg bixiyahaaga, tag qolka gargaarka degdegga ah, ama wac nambarka degdegga ee deegaanka (sida 911) haddii aad leedahay:

• Laab xanuun
• Qabow
• Qandho
• Neefta oo kugu yaraata
• Xiiqii

Oof-wareenka anaerobic; Hamiga hunqaaca; Oof-wareenka neerfayaasha ah; Neefta oof-wareenka

• Oof wareenka dadka waaweyn - dheecaanka

• Noolaha Pneumococci
• Bronchoscopy
• Sambabada
• Nidaamka neefsashada

Musher DM. Guudmarka oof-wareenka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 91.

Torres A, Menendez R, Wunderink RG. Oof-wareenka bakteeriyada iyo dheecaanka sambabka. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 33.