Dabbobi na ARDS na al'ada
Jiyya ga ARDS
ARDS, ko rashin ciwo na numfashi na numfashi, yana da matsala mai tsanani na numfashi wanda zai haifar da rashin lafiya mai barazana. Sakamakon asirin farko da magani yana da mahimmanci don dakatar da ARDS kafin ya zama mai tsanani cewa lalata kwayoyin halitta ko mutuwa mutuwa ce. Sakamakon asirin farko da magani yana da muhimmanci don ceton rayukan marasa lafiya da aka gano tare da ARDS.
Jiyya na yau da kullum Domin ARDS
Oxygen: Jiyya fara da bada oxygen mai haƙuri don taimakawa wajen tabbatar da isasshen iskar oxygen a cikin jini. Hakanan ana yin wannan shi ne ta hanyar tayar da mai haƙuri da yin amfani da mai kwakwalwa . Wannan yana sa mai yin haƙuri yayi numfashi, ko da lokacin da basu da ƙarfi don numfashi a kan kansu, kuma zai iya samar da iskar oxygen fiye da yadda yake tare da canal na hanci ko fuskar mask.
Kwayoyin rigakafi: Ana ba wa marasa lafiya marasa lafiya ARDS maganin kamuwa da cuta , irin su ciwon huhu, ko wasu kamuwa da cuta. Yawancin lokuta na ARDS farawa ne a matsayin ciwon huhu ko ƙananan ciwon huhu, yin maganin rigakafi.
IV Fluids: Fluids suna taka muhimmiyar rawa wajen taimaka wa goyon bayan jiki ga dukkan muhimman ayyukansa, amma samun daidaitattun ruwa na ruwa zai iya zama mai banƙyama. Ƙananan ruwa kuma jiki ya zama mai dadi, yana da wuya a aika da isasshen jini da iskar oxygen zuwa gabobin da tsauraran. Rawancin ruwa mai yawa zai iya hana ƙwaƙwalwar huhu don oxygenate jini.
Matsayin Jiki: A wasu lokuta zai iya taimakawa oxygenation don yin haƙuri a cikin ciki. Amma, mafi yawan marasa lafiya na ARDS suna da lafiya sosai har ma da kananan canje-canje a matsayi na iya sa yanayin su ya fi muni, wanda ya sa ma'aikata suka yi matukar wuya. Wani gado wanda ya juya mai ciwon ciki a ciki yayin da yake barin goyon baya na ruwa da goyon baya na iska don ci gaba shine wani ɓangare na magani.
- Dubi RotoProne, gado da ake amfani dashi don maganin ARDS da sauran cututtuka na numfashi. Bayyanar gado yana da ban mamaki kuma zai iya zama abin firgita ga 'yan uwa lokacin da suka fara ganin ƙaunarsu a cikinta.
Magungunan Inhaled:
- Nitric Oxide: Initled Nitric Oxide, ko INO, gas ne marar lahani da maras kyau wanda ake gudanarwa a wasu lokuta don maganin marasa lafiya na ARDS. An ba da shi don inganta wurare dabam dabam a cikin tsarin kwakwalwa, wanda ya kara yawan oxygenation. Nazarin bincike bai dace ba game da ingancin INO.
- Albuterol: Magunguna masu shayarwa, ana amfani da albuterol don magance cututtukan fuka ta hanyar buɗe mashut. Ana iya amfani da shi wajen kula da ARDS don taimakawa wajen buɗe tashar jirgin sama.
Steroids: Gudanar da kwayar cutar ta IV ga marasa lafiya da aka gano tare da ARDS shine batun da aka magance shi a cikin magani. Doctors suna rarraba a kan ko magungunan su ne magungunan maganin ARDS.
Mai ladabi: An bada wannan magani don inganta karfin jini ta hanyar ƙaddamar da jini na jiki. Mutane da yawa marasa lafiya tare da ARDS suna da wahala wajen rike karfin jini; wannan magani yana bada goyon baya ga jini kuma yana da magani na zabi ga marasa lafiya wadanda ke da ma'aurata bakwai kuma suna fama da rashin ƙarfi.
Sedatives and Paralytics: An ba da shawara don kiyaye kwantar da hankali ga marasa lafiya da kuma taimaka musu su jure wa kasancewa a cikin wani motsi, wanda zai iya haifar da damuwa sosai. Magunguna, ko magungunan da ke warkewa mafi yawan tsokoki na jiki, ana amfani dashi lokacin da mai haƙuri ke tsayayya da mai kwakwalwa don bada izinin mai daukar motsi ya yi aikin. Ba a taɓa amfani da ciwon ƙwayoyi ba tare da fitina ba, amma ana iya amfani da gurgunta ba tare da jinji ba.
Surfactant: Surfactant abu ne mai kayan jiki da sunadaran dake samuwa a kan alveoli (jakar iska) na huhu. Sarkar tayi yana inganta aikin alveoli, inganta yanayin oxygenation.
An ba da mutum mai tayar da hankali a jikin jariran da ba a haifa ba, wanda bazai samar da komai ba. An ba wannan magani ne ga marasa lafiyar ARDS a lokuta masu ƙari.
Bayan ARDS
Da zarar an yi haƙuri a cikin kwayar cutar ta ARDS, mutuwar mutum ya kai kimanin kashi 40%, ma'ana hudu daga cikin marasa lafiya goma da aka gano tare da ARDS sun mutu. Wadanda suka tsira sau da yawa suna yin haka saboda an gano su a farkon lokaci kuma suna bi da hankali sosai tare da maganin dacewa. Duk da yake kididdigar sunyi zurfi, fasikancin ARDS ya inganta a kowace shekara, tare da yawan marasa lafiya.
Yana da al'ada don jin dadin jiki, takaice na numfashi kuma a kullum rashin lafiya bayan bayanan ARDS. Yana iya ɗaukar makonni ko ma watanni don jin al'ada, ko da bayan fitarwa daga asibiti. Ga wasu marasa lafiya, ƙwaƙwalwar ƙwayar ƙwayar cuta tana iya nufin cewa oxygenation ba shi da kyau kamar yadda ya kasance kafin rashin lafiya, haifar da jijiya.
Sources:
Ƙungiyar Nitric Inhaled Domin Ƙarar Marasa Mai Ruwa na Matasa. Jaridar New England Journal of Medicine. Samun shiga Janairu 2011 http://www.nejm.org/doi/full/10.1056/NEJM199307153290313
Yaduwar Mutuwa Ga Magunguna Tare da Raunin Lung na Tashin Ciki / ARDS An Ƙaddara Lokacin. M. Zambon, J. Vincent. Chest: The Journal of the American College of Lung Physicians. Yuli 2008.
Mene Ne Aiki? Ciwon Zuciya na Ƙasar da Ciwon Jiki. Samun shiga Janairu 2011. http://www.nhlbi.nih.gov/health/dci/Diseases/Ards/Ards_WhatIs.html