Cibiyar Biki na Kyau
Duk da tasirin magunguna masu yawa, ciki har da matsalolin iska mai kyau (PAP), akwai wasu lokuta yayin da mafi mahimmancin farfadowa ya tabbatar da zama dole. Yin amfani da aikin tiyata a cikin barci a cikin barci yana kasancewa mai mahimmanci, idan akwai matsala, a wasu lokuta ga waɗanda suke da wuyar magancewa ko kuma haɗari mai haɗarin barci.
Maiyuwa bazai kasance farkon zabi ba, amma ga wasu yana iya zama ƙarshe, mafi kyawun zaɓi. Koyi game da yin amfani da tracheostomy don magance barci na barci.
Mene ne Cutar Dama?
Tracheostomy ita ce ƙaddamar da wani shinge a cikin trachea, ko iska, a gaban wuyansa. Za a iya saka ƙaramin tube na filastik don ci gaba da budewa. Wannan buɗewa yana ba da damar motsi iska ya faru ba tare da yin amfani da jirgin sama na sama ba, ta hanyar wucewa ta bakin murya, harshe, baki, da kuma nasus. Idan lokutan barci yana da tsanani, zai yiwu ya zama dole.
Me ya sa Yayi amfani da Harkokin Lafiya a Abun Magana?
Kafin zuwan ci gaba da kwantar da hankalin iska (CPAP), ana amfani da tracheostomy don amfani da maganin barci. Yana aiki sosai da kyau a cikin yanayin barci na barci, wanda ya faru saboda iska ta sama ta fadi a lokacin barci, yana haifar da hutawa a cikin numfashi. Ta hanyar kawar da juriya na babbar jirgin sama, wanda aka kammala bayan tracheostomy yayin da numfashi ya faru ta hanyar budewa a cikin makogwaro, an yi gyare-gyaren barci sosai.
Wannan zai iya daidaita tsarin oxygen da carbon dioxide da sauran alamu.
Za a iya amfani da tracheomyomy lokacin da rashin lafiya na numfashi ya faru, kuma farfadowa na al'ada, kamar CPAP ko bilevel , ba a jure ko tasiri. Wannan na iya faruwa a lokacin da barci na barci yana da tsanani sosai kuma yana iya kasancewa a kowa a cikin mutanen da ke da mummunan hasara, kamar yadda ya faru a cikin ciwon hauka-hypoventilation.
Ana iya buƙata a yara tare da ciwo masu ci gaba wanda ke daidaitawa numfashi.
Matsaloli tare da Tracheostomy
Kamar yadda yake tare da kowane tsarin likita, akwai matsaloli da matsalolin da ke hade da matsayi na tracheostomy, kamar:
- Jawabin zai zama mai wuya, yana buƙatar wurin zama kamar "button tracheostomy".
- Akwai matsaloli masu daidaitawa, ciki har da rashin nakasa da matsalolin aure.
- Akwai hadarin kamuwa da cuta, musamman ma aukuwa na mashako.
- Hanyoyin fata zasu iya zama dole don hana yaduwa mai yawa a tashar trachea.
- A cikin marasa lafiya marasa lafiya, aikin tiyata kanta ya fi wuya kuma maɓallin tracheostomy yana iya zama mafi matsala.
Kalmar Gargaɗi ga marasa lafiya
Idan ana la'akari da ƙwayar cututtuka, marasa lafiya marasa buƙatar ya kamata su sani cewa suna iya samun haɗarin rashin cin nasara tare da hanya. A game da ciwon hauka-hypoventilation, wani bambancin barci na barci da rashin rashin ƙarfi na numfashi a cikin ƙananan mutane, akwai matsalolin matsala bayan tracheostomy. Rage ƙarfin cikin ƙwayar motsin jiki ko ƙarfin ragewa don ƙaddamar da ƙwayoyin cutar zai iya haifar da ci gaba na numfashi na ci gaba duk da aikin.
Yayinda hanyoyin maganin marasa lafiya kamar CPAP, bilevel, da sauran kayan tallafi yanzu suna samuwa, yanzu ba a yi amfani da tracheostomy don magance barci na barci ba.
Zai iya, duk da haka, zama zaɓi na ceton rai ga waɗanda suke bukatan shi a matsayin makomar karshe.
Sources:
Camacho M et al. "Mini Tracheostomy don Abincin Abincin Abinci: Shawarar Shaida." Int J Yawara. 2016; 2016: 7195349. Afub 2016 Janairu 26.
> Cielo CM, Gungor A. "Zaɓuɓɓukan Kulawa don Abun Harkokin Kiwon Lafiyar Jama'a. Tsarin lafiyar lafiyar matasa. 2016 Jan, 46 (1): 27-33. Afub 2015 Nuwamba 17.
> Conway, W et al . "Hanyoyin Lahani na Tracheostomy don Abincin Abai." JAMA 1981; 246: 347.