Waa maxay bronchiolitis obliterans, astaamaha, sababaha iyo sida loo daaweeyo

Qanacsan

• Calaamadaha cudurka loo yaqaan 'bronchitis obliterans'
• Sababaha ugu waaweyn
• Sida loo xaqiijiyo cudurka
• Sida daaweynta loo sameeyo

Bronchiolitis obliterans waa nooc ka mid ah cudurada sambabada ee joogtada ah taas oo unugyada sambabaha aysan ka soo kaban karin ka dib caabuq ama infekshan, iyadoo la xirayo dariiqyada neef mareenka isla markaana keenaya dhibaato xagga neefsashada ah, qufac joogto ah iyo neefta oo gaaban, tusaale ahaan.

Xaaladahan oo kale, unugyada bararsan ee sambabka, halkii lagu beddeli lahaa unugyo cusub, way dhintaan oo waxay yeeshaan nabar, kaas oo xannibaya marinka hawada. Sidaa darteed, haddii ay jiraan infekshanno dhowr ah oo ku dhaca sambabka muddo ka dib, tirada nabarradu way sii kordhayaan oo marinnada yaryar ee sambabka, oo loo yaqaan 'bronchioles', ayaa la baabi'iyaa, taasoo adkeyneysa in la neefsado.

Waa muhiim in bronchiolitis obliterans loo aqoonsado loona daaweeyo sida uu takhtarku kugula taliyo, maadaama habkan ay macquul tahay in laga fogaado dhibaatooyinka oo kor loo qaado tayada nolosha.

Calaamadaha cudurka loo yaqaan 'bronchitis obliterans'

Inta badan astaamaha bilowga ee bronchiolitis obliterans waxay la mid yihiin dhibaatooyinka kale ee sambabada, oo ay ku jiraan:

• Xiiqda markay neefsaneyso;
• Neefsashada oo gaabata iyo neefsashada oo ku adkaata;
• Qufac joogto ah;
• Waqtiyada qandhada yar tahay illaa 38ºC;
• Daal;
• Ku adkaanta quudinta, marka laga hadlayo dhallaanka.

Calaamadahaasi badanaa way soo baxaan waxayna baaba'aan dhowr xilli oo socon kara toddobaadyo ama bilo.

Sababaha ugu waaweyn

Bronchiolitis obliterans wuxuu dhacaa marka, xaalad qaar awgeed, uu jiro fal-celin caabuq leh oo keenta inuu dhex galo bronchioles iyo alveoli, kor u qaadista xannibaadda hawo-mareenka ee aan dib looga noqon karin. Xaaladaha badankood, boronkiitada noocan ah waxay la xiriirtaa infekshanno, badanaa adenovirus. Si kastaba ha noqotee, waxay sidoo kale ku dhici kartaa caabuqa noocyada kale ee fayrasyada, sida busbuska ama fayraska jadeecada, ama bakteeriyada sida Mycoplasma oof wareenka, Legionella pneumophilia iyo Xiiq-dheerta Bordetella.

In kasta oo kiisaska badankood ay sabab u yihiin infekshan ku dhaca noolaha, bronchiolitis obliterans ayaa sidoo kale ku dhici kara cudurada ku dhaca unugyada isku xira, natiijada ka soo baxda neefta walxaha sunta ah ama waxay dhacdaa dhuuxa lafta ama sambabka ka dib.

Sida loo xaqiijiyo cudurka

Baadhista cudurka loo yaqaan 'bronchiolitis obliterans' waa inuu sameeyaa takhtarka cudurrada sambabada ee carruurta sida ku cad calaamadaha iyo astaamaha uu soo bandhigo cunuggu, marka lagu daro baaritaannada ka caawiya in la ogaado waxa sababa boronkiitada iyo darnaanta.

Sidaa awgeed, dhakhtarku wuxuu kugula talin karaa Raajo xabadka ah, sawir-qaadis xisaabeed iyo sambabada scintigraphy, oo gacan ka geysanaya kala-goynta bronchiolitis obliterans-ka cudurrada kale ee sambabaha ee caanka ah. Si kastaba ha noqotee, ogaanshaha saxda ah waxaa kaliya lagu xaqiijin karaa biopsy sambabka.

Sida daaweynta loo sameeyo

Daaweyntu waxay ujeedadeedu tahay inay hagaajiso awooda neefsashada ee ilmaha, tan awgeed, dhakhtarku wuxuu kugula talin karaa isticmaalka afka ama neefsashada anti-inflammatory iyo buufinta bronchodilators, taas oo yareyneysa caabuqa sanbabada isla markaana yareynaya xabka, xakamaynta fursadaha muuqaalka nabarro cusub iyo fududeynta marinka hawada, marka lagu daro daaweynta oksijiinta lagu taliyay.

Daaweynta jimicsiga ee neefsashada ayaa sidoo kale lagu talin karaa si loo abaabulo loona fududeeyo ciribtirka dheecaanka, ka hortagga dhacdooyinka infekshannada kale ee neef mareenka. Fahmaan sida jimicsiga jirka loo sameeyo.

Xaalada bukaanka qaba bronchiolitis obliterans waxay ku dhacdaa infekshan muddada cudurka, dhakhtarku wuxuu kugula talin karaa isticmaalka antibiyootikada sida uu sheegayo wakiilka faafa ee mas'uulka ka ah dhibaatooyinka iyo sii xumaanshaha