Ka-noqoshada Intercostal

Dib-u-celinta Intercostal waxay dhacdaa marka muruqyada u dhexeeya feeraha ay u soo baxaan gudaha. Dhaqdhaqaaqa badiyaa waa calaamad muujinaysa in qofku qabo dhibaato xagga neefsashada ah.

Dib-u-celinta Intercostal waa xaalad degdeg ah oo caafimaad.

Darbiga laabtaadu waa mid jilicsan. Tani waxay kaa caawinaysaa inaad si caadi ah u neefsato. Cadka adag ee loo yaqaan 'cartilage' ayaa ku dhejiya feerahaaga lafta naaska (sternum).

Muruqyada dhexdooda waa muruqyada u dhexeeya feeraha. Inta lagu jiro neefsashada, muruqyadani waxay si caadi ah u adkeeyaan oo u jiidaan qafiska feeraha. Laabtaadu way sii fidaysaa oo sanbabada ayaa hawo ka buuxsamaysa.

Dib-u-celinta Intercostal waxay u sabab tahay cadaadiska hawada ee laabtaada gudaheeda oo yaraaday. Tani waxay dhici kartaa haddii marin-haweedka sare (neef-mareenka) ama hawo-mareennada yaryar ee sambabaha (bronchioles) ay qayb ahaan xannibmaan. Natiijo ahaan, muruqyada 'intercostal' ayaa nuugaya gudaha, inta u dhexeysa feeraha, markaad neefsaneyso. Tani waa calaamad muujinaysa marin-haweedka xiran. Dhibaato kasta oo caafimaad oo keenta xannibaadda marin-haweedka waxay sababi doontaa dib-u-celin dhexdhexaad ah.

Dib-u-celinta Intercostal waxaa sababi kara:

• Xasaasiyad daran, jirka oo dhan oo loo yaqaan anaphylaxis
• Neefta
• Barar iyo xabka oo ku soo kordha marinnada hawada ee ugu yar sanbabada (bronchiolitis)
• Neefsashada oo dhib ah iyo qufac cabaada (croup)
• Caabuq ku dhaca unugyada (epiglottis) oo daboolaya hawo-mareenka
• Jirka shisheeye ee hawo-mareenka
• Burunkiito
• Dhibaatada sanbabada ee dhallaanka cusub ee loo yaqaan cilladda neefsashada
• Uruurinta malax ee unugyada kujira dhabarka cunaha (dib-u-dhaca retropharyngeal)

Raadso caawimaad caafimaad isla markaaba haddii ay dib-u-soo-kabasho dhexdhexaad ahi dhacdo. Tani waxay calaamad u noqon kartaa marin-haweedka xiran, kaasoo si dhakhso leh nafta halis ugu gelin kara.

Sidoo kale raadso daryeel caafimaad haddii maqaarka, bushimaha, ama ciddiyaha cowsku isku badalaan buluug, ama haddii qofku wareer ku dhaco, lulmoonayo, ama ay adag tahay in la toosiyo.

Xaaladda degdegga ah, kooxda daryeelka caafimaadku waxay marka hore qaadi doonaan tallaabooyin kaa caawinaya inaad neefsato. Waxaad heli kartaa oksijiin, daawooyin si loo yareeyo bararka, iyo daaweyn kale.

Markaad si fiican u neefsan karto, bixiyaha xanaanada caafimaadka ayaa ku baari doona wuxuuna ku weydiin doonaa taariikhdaada caafimaad iyo astaamaha, sida:

• Goorma ayay dhibaatadu bilaabatay?
• Ma ka sii fiicnaanaysaa, ka sii xumaanaysaa, mise waxay sii ahaaneysaa sidii hore?
• Ma dhacdaa markasta?
• Miyaad aragtay wax muhiim ah oo sababi kara xannibaadda marin-haweedka?
• Maxay yihiin calaamado kale oo jira, sida midabka buluugga ah ee maqaarka, xiiq, codka dhawaqa sare leh ee neefsashada, qufac ama dhuun xanuun?
• Ma waxbaa lagu neefsaday hawo-mareenka?

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Gaasaska dhiiga halbowlaha
• Raajo xabadka ah
• Tirinta dhiigga oo dhameystiran (CBC)
• Qalabka wadnaha si loo cabbiro heerka oksijiinta dhiigga

Ka-noqoshada muruqyada xabadka

Brown CA, Walls RM. Marinka hawada. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 1.

Rodrigues KK, Roosevelt GE. Xannibaadda neef-mareenka sare ee daran (croup, epiglottitis, laryngitis, iyo tracheitis bakteeriyada). Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: baab 412.

Sharma A. Neefsashada neefsashada. Gudaha: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Nelson Cilad-ku-Samaynta Calaamadaha Carruurta. Philadelphia, PA: Elsevier; 2018: cutubka 3.