Emphysema subcutaneous

Emphysema subcutaneous wuxuu dhacaa marka hawadu gasho unugyada maqaarka hoostiisa. Tani waxay badanaa ku dhacdaa maqaarka daboolaya laabta ama qoorta, laakiin wuxuu kaloo ku dhici karaa qaybaha kale ee jirka.

Emphysema subcutaneous badanaa waxaa loo arki karaa inuu yahay maqaar jilicsan oo soo baxa. Marka bixiye daryeel caafimaad uu dareemo (taabto) maqaarka, wuxuu soo saaraa dareen dillaac aan caadi ahayn (crepitus) maadaama gaaska lagu riixayo unugyada.

Tani waa xaalad naadir ah. Markay dhacdo, sababaha suurtagalka ah waxaa ka mid ah:

• Sambabka oo iskulaabmay (pneumothorax), oo badanaa ku dhaca jab feeraha ah
• Jabka lafaha wajiga
• Dillaaca ama jeexjeexa dariiqa neefta
• Dillaac ama jeex jeex hunguriga ama marinka caloosha iyo caloosha

Xaaladdan waxay ku dhici kartaa:

• Dhaawac waalan.
• Dhaawacyada qaraxa.
• Ku neefsashada kookaha.
• Waxyeellada ama gubashada kiimikada ee hunguriga ama marin-haweedka.
• Dhaawacyada quusidda.
• Matag xoog leh (Boerhaave syndrome).
• Dhibaato soo wajahda, sida rasaas ama dhaawac mindi.
• Xiiqdheer (xiiq-dheer).
• Nidaamyada caafimaadka qaarkood ee tuubo geliya jirka. Kuwaas waxaa ka mid ah endoscopy (tuubada hunguriga iyo caloosha oo loo maro afka), xariiq mareenka dhexe ah (kateetar dhuuban oo xidid ku dhow wadnaha), qalliinka endotracheal, (tuubada afka tuubbada la galiyo).

Hawada waxaa sidoo kale laga heli karaa inta u dhexeysa lakabyada maqaarka ee gacmaha iyo lugaha ama jirkaba ka dib infekshannada qaarkood, oo ay ku jiraan gaas gangrene, ama quusitaanka ka dib. (Quusayaasha qubeyska leh ee neefta leh waxay u badan tahay inay yeeshaan dhibaatadan marka loo eego kuwa kale ee quusayaasha ah.)

Xaaladaha badankood ee keena emphysema-ka subcutaneous-ka waa kuwo daran, waxaana suuragal ah in horayba laguugu daweeyay adeeg bixiye. Mararka qaarkood joogitaan cisbitaal ayaa loo baahan yahay. Tani waxay u badan tahay haddii dhibaatada ay sabab u tahay infekshan.

Haddii aad dareento hawo subaga hoostiisa oo la xiriirta mid ka mid ah xaaladaha kor lagu sharaxay, gaar ahaan dhaawacyada ka dib, wac 911 ama nambarkaaga adeegyada gurmadka degdega ah isla markiiba.

HA maamulin wax dareere ah. HA GUURIN qofka illaa ay daruuri u tahay lagama maarmaan in laga saaro deegaanka halista ah. Ka ilaali qoorta iyo dhabarka dhaawaca soo socda markaad sidaas sameyneyso.

Bixiyuhu wuxuu cabirayaa oo kormeerayaa astaamaha muhiimka ah ee qofka, oo ay ka mid yihiin:

• Buuxinta oksijiinta
• Heerkulka
• Garaaca wadnaha
• Heerka neefsashada
• Dhiig kar

Calaamadaha ayaa loo daaweyn doonaa sida loogu baahan yahay. Qofku wuxuu heli karaa:

• Hawo-mareenka iyo / ama taageerada neefsashada - oo ay ku jiraan oksijiinta iyadoo la adeegsanayo qalabka gudbinta dibedda ama isku-buuqinta xididdada dhiigga (ku xiridda tuubada neefsashada ee afka ama sanka la marsiinayo hawo-mareenka) iyadoo lagu dhejiyay hawo-mareenka (mashiinka neefsashada ee nolosha ka taageera)
• Tijaabooyinka dhiigga
• Tuubbada laabta - tuubada maqaarka iyo muruqyada u dhexeysa feeraha oo gasha godka godka (meel u dhexeysa darbiga xabadka iyo sambabka) haddii sambabku dumo
• CAT / CT scan (sawirka kumbuyuutarka ee kumbuyuutarka lagu duubo ama imaging sare) ee laabta iyo caloosha ama aagga hawo-hoosaadka
• ECG (koronto-baaris ama raadinta wadnaha)
• Dareerayaasha xididka (IV)
• Daawooyinka lagu daaweeyo astaamaha
• Raajooyin xabadka iyo caloosha iyo qeybaha kale ee jirka oo laga yaabo inay waxyeello soo gaartay

Saadaashu waxay kuxirantahay sababta cudurka 'subcutaneous emphysema'. Haddii lala xiriiro naxdin weyn, habraac ama infekshan, darnaanta xaaladahaas ayaa go'aamin doonta natiijada.

Emphysema subcutaneous oo la xidhiidha quusitaanka qubeyska ayaa inta badan ka khatar yar.

Dabiicad; Hawada subcutaneous; Cudurka emphysema; Emphysema qalliin

Byyny RL, Shockley LW. Quusitaanka qulqulka iyo dysbarism. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 135.

Cheng GS, Varghese TK, Park DR. Pneumomediastinum iyo mediastinitis. 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 84.

Kosowsky JM, Kimberly HH. Cudurka 'pleural disease'. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 67.

Raja AS. Dhaawac maskaxeed. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 38.