Astaamaha Cudurka Sambabka, Cilladaha, iyo Daaweynta

Dhibaatada sambabadu waa dhimashada qeyb ka mid ah unugyada sambabada oo sababtay joojinta dhiigga, taas oo badanaa sabab u ah xiridda xididdada dhiigga ee keena unugyada sanbabada.

Astaamaha Cudurka Pulmonary

Astaamaha infekshanka sambabada ayaa noqon kara mid aad u kala duwan. Caadi ahaan infekshanka sambabada waxaa weheliya hemoptysis (qufaca dhiigga), qandho, neefsasho (neefsashadu), iyo / ama laaluush- sida xanuunka (xanuunka laabta ee aagga infekshanka marka uu neefsanayo).

Xaaladaha qaarkood, si kastaba ha ahaatee, infekshanka sambabada ayaa soo saari doona calaamad muujinaysa calaamado la'aan. Xaqiiqdii, marar dhif ah ayaa lagu ogaadaa inay tahay mid la ogaanayo marka la eego nodule ama mass oo lagu arko raajo joogta ah.

Sababaha Cudurka Pulmonary

Ilaa hadda, sababta ugu badan ee sababa sambabada ayaa ah sambab loo yaqaan ' pulmonary embolism' (xinjir dhiig oo u socdaalay sanbabada). Hase yeeshee, xaalado caafimaad oo kale oo badan ayaa soo saari kara infekshanka sambabada, oo ay ka mid yihiin kansarka, cudurada korontada sida lupus , infekshannada kala duwan, cudurada sickle cell , cudurada infaktrative sambabada sida amyloidosis , ama embolization hawo ama qalab kale oo ka yimaada tuubada xididka.

Wax kasta oo ay sababto, sambabada ayaa ah mid aad u yar, sababtoo ah unugyada sambabku waxay leeyihiin saddex ilo oo ilo ah oo loogu talagalay oksijiinka: aroorka sambabada, halbowlaha bronchial (halbowlaha keena geedka neefta), iyo alveoli qudhooda (cirbadaha hawada gudaha sanbabada).

Taas macnaheedu waa in infekshanka sambabada ayaa inta badan lagu arkaa dadka qaba cudurka sambabada ee asaasiga ah, sida cudurka dabaysha ee joogtada ah .

Daaweynta Cudurka Laabanka (Pulmonary Infarction)

Daaweynta caabuqa sambabada waxaa ka mid ah daryeelka taageerada iyo maareynta xaalad hoosta.

Daryeelka taageerada ah waxaa ka mid ah ilaalinta oksijiinta ee ku filan adoo maamulaya ogsijiinka iyo xakameynta xanuunka si loo neefsado si ka raaxo leh. Haddii oksijiin ku filan oo aan lagu hayn karin iyada oo la siinayo oksijiin by cannula sanka ama waji maaskaro, bukaanku waxaa laga yaabaa inuu u baahdo in la geliyo oo lagu rakibo qalabka neefsashada.

Daaweynta kale waxay ku xiran tahay sababaha la tuhunsan yahay. Daaweynta gardarrada ah waa in loo sameeyaa dhibaatada sickle cell ama infekshin haddii ay u muuqdaan inay u muuqdaan kuwo u muuqda. Daaweynta waa in la xoojiyaa (haddii ay suurtagal tahay) cudur kasta oo ka mid ah cudurada korontada ee keenta dhibaatada, iyo xulashooyinka daaweynta ayaa loo baahan yahay in dib loo qiimeeyo haddii kansarku yahay sababta.

Si kastaba ha noqotee, inta badan kiisaska, sambabada sambabada waxaa sababa taranka sambabada. Xaaladahan, daaweynta waxaa ka mid ah, marka lagu daro daryeelka taageerada ah, machadka daawada xinjirowga lidka ku ah, badanaa la qaato heparin intravenous, dhowr maalmood ka dib markii loo isticmaalo daawada xinjirowga lidka ku ah.

Si kastaba ha noqotee, kiisaska sambabada sambabku uu yahay mid aad u weyn oo u muuqda inuu soo saaro infekshanka sambabada oo weyn, ama gaar ahaan haddii dhiiggu u gudbo sanbabada si aad u hoos loogu dhigo in wax soo saarka wadnaha uu hoos u dhaco, waxaa lagama maarmaan ah in la maamulo fibrinolytic ("xinjir "Daroogooyinka si ay isku dayaan in ay kala tagaan xinjirta oo xannibaya socodka dhiigga.

Khatarta dheeraadka ah ee ku lug leh isticmaalka mukhaadaraadka noocan oo kale ah, xaaladahaas, waxay ka sii daran tahay halista ba'an ee dhimashada haddii xinjirku uu weli yahay halka uu yahay.

Haddii ay xaaladdu tahay mid culus, waxaa laga yaabaa inay noqoto mid lagama maarmaan u ah in la isku dayo habka qalliinka si looga saaro xinjirta xannibaadda.

> Ilo:

> Parambil JG, Savic CD, Tazelaar HD, et al. Sababaha iyo soo bandhigidda Noocyada Cudurrada Pulmonary ee ku jira 43 xaaladood oo lagu aqoonsaday Qalitaan Cudurrada Sambabka. Chest 2005 Apr; 127 (4): 1178-83.

> Kucher N, Goldhaber SZ. Maareynta maskaxda sambabada. Wareegga 2005; 112: e28.

> Kabreel C, Jaff MR, Channick RN, et al. Kooxda Waxqabadka Bulshada ee Multipsyched Embalism. Chest 2013; 144: 1738.