Daaweeynta Dhimashada Ugu Dambeysa
Inkasta oo waxtarka daaweyn badani, oo ay ku jiraan daaweynta cadaadiska hawada (PAP), haddana waxaa jira xaalado qaar marka daaweyn soo noqnoqod ah oo cadeyneysa lagama maarmaanka u ah. Isticmaalka qaliinka tracheostomy ee hurdada hurdada ayaa weli ah daaweyn badanaa, haddii marmar dhibaato ah, doorasho loogu talagalay kuwa ay adagtahay in lagu daweeyo ama neef-qabad nafta u hanjabtay.
Ma noqon karto doorasho koowaad, laakiin qaar ayaa noqon kara ugu dambeyn, doorasho ugu fiican. Baro isticmaalka tracheostomy si loo daweeyo apnea hurdada.
Waa maxay Tracheostomy?
Tracheostomy waa meeleynta qalliinka ee jeexjeexin ee trachea, ama qallajiye, horayba qoorta. Tuubbo yar oo caag ah ayaa la gelin karaa si loo furo furitaanka furan. Furitaankan wuxuu u oggolaanayaa dhaqdhaqaaqa hawada inuu dhaco iyada oo aan la isticmaalin hawo-mareenka sare, oo si wax ku ool ah u dhaafaya cunaha sare, afka, afka iyo sanka sanka. Marka hurdada hurdada ay u tahay mid halis ah, waxay noqon kartaa faragelin lagama maarmaan ah.
Waa maxay sababta Isticmaalka Tracheostomy ee Hurdada Hurdada?
Ka hor inta aan la helin cadaadiska joogtada ah ee hawada (CPAP), tracheostomy wuxuu ahaa daaweyn badan oo loo isticmaalo qalliinka si loo daaweeyo hurdada hurdada. Waxay si fiican u shaqaysaa xaalada uur-jiifka ah ee hurdada, taasoo dhacda sababta oo ah hawo-mareenka sare wuxuu ku dhacaa inta lagu jiro hurdada, taasoo keenta in uu ku soo noqnoqonayo joogtaynta neefsashada. Marka laga saaro iska caabinta hawo-mareenka sare, kaas oo lagu dhammaystiray ka dib marka uu jiro tracheostomy sida neefsashadu ku dhacdo iyada oo laga furo dhuunta, hunguriga hurdada ayaa si wayn loo hagaajiyaa.
Tani waxay caadi u noqon kartaa heerarka oksijiinta iyo heerarka carbon dioxide iyo calaamadaha kale.
Tracheostomy waxaa la isticmaali karaa marka neefsashada neefta ay dhacdo, iyo daaweynta caadiga ah, sida CPAP ama bilevel , looma dulqaadan karo ama waxtar leh. Tani waxay dhici kartaa marka uur-jiifka hurdo uu aad u daran yahay waxaana laga yaabaa in uu ku badan yahay dadka cirridka ku dhaca, sida ay ku dhacdo cilladda-buunjiimka.
Waxa kale oo laga yaabaa in looga baahdo carruurta leh cillado xagga koritaanka ah oo neefsanaya.
Dhibaatooyinka Qalitaanka Tracheostomy
Sida nidaamka caafimaad kasta, waxaa jira khataro iyo dhibaatooyin la xiriira meelaynta trakeostomy, sida:
- Hadalku wuxuu noqon karaa mid adag, wuxuu ubaahan yahay meeleyn sida "badhanka tracheostomy".
- Waxaa jiri kara dhibaatooyin isbeddel oo weyn, oo ay ku jiraan dhibaatooyinka naafada iyo dhibaatooyinka guurka.
- Waxaa jira halis ah infakshan, gaar ahaan marxaladaha soo noqda boronkiitada.
- Maqaarka maqaarku waa lagama maarmaan si looga hortago nabarro badan oo ka yimaada goobta trachea.
- Bukaan-socodka bukaan-socodka ah, qaliinka laftiisa waa mid aad u adag, badhanka tracheostomy wuxuu kaloo noqon karaa dhibaato badan.
Erey Si taxaddar leh u ah Bukaanka Bukaanka
Haddii la tixgeliyo tracheostomy, bukaanku waxay u baahan yihiin inay sidoo kale ogaadaan in laga yaabo in ay halis dheeraad ah ugu jiraan fashilka. Marka laga hadlayo cudurka buurnaanta-hypoventilation syndrome, kala duwanaanshaha hurdada hurdada iyo shaqa la'aanta neefsashada ee ku jirta shakhsiyaadka cadka, waxaa laga yaabaa inay jiraan dhibaatooyin haraaga ah ka dib marka cudurka tracheostomy. Awoodda hoos u dhaca muruqyada neefsashada ama awoodda hoos u dhaca si ay si buuxda u ballaariso sanbabada ayaa laga yaabaa in ay keento neefsashada sii wadata iyada oo hawshu socoto.
Sida daweynaha aan fiicnayn sida CPAP, bilevel, iyo aalado kale oo taageera ayaa hadda la heli karaa, tracheostomy ayaa hadda loo isticmaalo si loo daweeyo apnea hurdada.
Hase yeeshee, waxay noqon kartaa ikhtiyaarka nolol-badbaadinta ee loogu talagalay kuwa u baahan inay noqdaan munaasabadda ugu dambaysa.
Ilaha:
Camacho M et al. "Mini Tracheostomy for Apnea Hurdada Hurdada: Cabbiraad ku Saleysan Cadayn." Int J Otolaryngol. 2016; 7195349. Epub 2016 Jan 26.
> Cielo CM, Gungor A. "Fursadaha Daaweynta loogu talagalay Cudurka Hurdada ee Hawlgabka Carruurta." Lacagta Cunnada Qalabka Lacageed. 2016 Jan: 46 (1): 27-33. Epub 2015 November 17.
> Conway, W et al . "Saamaynta xun ee Tracheostomy ee Hurdo" Apnea ". JAMA 1981, 246: 347.