Dillaaca tracheal

Wadno-xanuun ama dillaac bronki waa jeex ama jab ku dhaca hawo-mareenka (trachea) ama tuubooyinka neef mareenka, oo ah marinnada hawada ee ugu waaweyn ee keena sambabada. Ilmo ayaa sidoo kale ku dhici karta unugyada ku dahaadhan mashiinka dabaysha.

Dhaawaca waxaa sababi kara:

• Caabuqyada
• Nabaro (nabarro) walxaha shisheeye awgood
• Naxdin, sida dhaawac rasaas ama shil baabuur

Dhaawacyada trachea ama bronchi sidoo kale way dhici karaan inta lagu jiro howlaha caafimaadka (tusaale ahaan, bronchoscopy iyo meelaynta tuubada neefsashada). Si kastaba ha noqotee, tani waa wax aan caadi ahayn.

Dadka qaba dhaawacyada ee ku dhaca neef mareenka ama dillaaca neef mareenka badiyaa waxay qabaan dhaawacyo kale.

Calaamadaha waxaa ka mid noqon kara:

• Qufac dhiig
• Xunbo hawo ah oo laga dareemi karo maqaarka laabta, qoorta, gacmaha, iyo jirridda (subcutaneous emphysema)
• Neefsashada oo ku adkaata

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Feejignaan dhow ayaa la siin doonaa astaamaha dillaaca.

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Sawirka CT-ga ee qoorta iyo laabta
• Raajo xabadka ah
• Bronchoscopy
• CT angiography
• Laryngoscopy
• Isbarbar dhiga esophagography iyo esophagoscopy

Dadka uu soo gaadhay murugo waxay u baahan doonaan in dhaawacyadooda la daweeyo. Dhaawacyada neef mareenka badanaa waxay u baahan yihiin in la hagaajiyo inta lagu jiro qalliinka. Dhaawacyada bronchi-ka yar mararka qaarkood waa la daaweyn karaa qalliin la'aan. Sambabka soo dumay waxaa lagu daaweeyaa tuubo xabadka ah oo ku xiran nuugid, taasoo dib u ballaarinaysa sambabka.

Dadka ku neefsaday neef ajnabi ah hawo-mareenka, bronchoscopy ayaa loo isticmaali karaa in lagu soo saaro shayga.

Antibiyootikada waxaa loo isticmaalaa dadka qaba infekshan ku jira qaybta sanbabada ee dhaawaca.

Muuqaalka dhaawaca ee uur-ku-taallo wuxuu kuxiran yahay darnaanta dhaawacyada kale. Hawlgallada lagu hagaajinayo dhaawacyadan badanaa waxay leeyihiin natiijooyin wanaagsan. Muuqaalka ayaa u wanaagsan dadka ay neef mareenka ama khalkhalka ku dhaca neef mareenka ay u sabab tahay sababaha sida shey ajnabi ah, oo u muuqda inuu leeyahay natiijo wanaagsan.

Bilaha ama sannadaha dhaawaca ka dib, nabar ka soo gaadha goobta dhaawaca ayaa sababi karta dhibaatooyin, sida cidhiidhi, oo u baahan baaritaanno kale ama habab.

Dhibaatooyinka waaweyn qalliinka kadib xaaladan waxaa ka mid ah:

• Caabuq
• Baahida muddada-dheer ee hawo-mareenka
• Ciriiriga marinnada hawada
• Nabar

La xiriir adeeg bixiyahaaga haddii aad leedahay:

• Uu dhaawac weyn ka soo gaadhay laabta
• Neefsatay jidh shisheeye
• Calaamadaha caabuqa xabadka
• Dareenka xumbo hawo ah maqaarkaaga hoostiisa iyo neefsashada oo dhib ku ah

Xuubka xiidmaha ee jeexjeexan; Dillaaca Bronchial

• Sambabada

Asensio JA, Trunkey DD. Dhaawacyada qoorta Gudaha: Asensio JA, Trunkey DD, eds. Daaweynta hadda ee dhaawaca iyo daryeelka qalliinka ee khatarta ah. 2aad ed. Philadelphia, PA: Elsevier; 2016: 179-185.

Frew AJ, Doffman SR, Hurt K, Buxton-Thomas R. Cudurka neefsashada. Gudaha: Kumar P, Clark M, eds. Kumar iyo Clarke’s Clinical Medicine. 9aad. Philadelphia, PA: Elsevier; 2017: cutubka 24.

Martin RS, Meredith JW. Maareynta naxdinta daran. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 16.