Wāwahi trakea

ʻO kahi tracheal a i ʻole bronchial rupture kahi waimaka a haki paha i ka puka makani (trachea) a i ʻole nā ​​paipu bronchial, nā alaloa nui e alakaʻi ana i nā māmā. Hiki i kahi waimaka ke hana i loko o nā kiko e uhi ana i ka puka makani.

Hoʻokumu ʻia ka ʻeha e:

• Nā maʻi ʻino
• Nā ʻeha (ulcerations) ma muli o nā mea haole
• Trauma, e like me ka pū kīkē a i ʻole ka ulia kaʻa

Hiki paha i nā ʻeha i ka trachea a i ʻole bronchi ke hana i nā kaʻina olakino (e laʻa me ka bronchoscopy a me ke kau ʻana o kahi pahu hanu). Eia naʻe, he mea maʻamau ʻole kēia.

ʻO ka poʻe me ka trauma e hoʻomohala i kahi tracheal a i ʻole bronchial rupture pinepine i nā ʻeha ʻē aʻe.

Pākuʻi ʻia paha nā ʻōuli:

• ʻApu ʻana i ke koko
• Nā huʻa o ka lewa e hiki ke ʻike ʻia ma lalo o ka ʻili o ka umauma, ka ʻāʻī, nā lima, a me ke kumu (subcutaneous empysema)
• Hanu paʻakikī

E hana ka mea mālama ola i kahi hoʻokolohua kino. E nānā nui ʻia i nā ʻōuli o ka haki.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ka scanʻi CT a me ka umauma
• Pākuʻi x-ray
• ʻO Bronchoscopy
• CT angiography
• Laryngoscopy
• Hoʻohālikelike i ka esophagography a me ka esophagoscopy

ʻO ka poʻe i loaʻa i kahi trauma e pono e mālama i ko lākou mau ʻeha. Pono e hoʻoponopono hou nā ʻeha i ka trachea i ka wā o ke ʻoki. ʻO nā ʻeha i ka bronchi liʻiliʻi hiki ke mālama ʻia i kekahi manawa me ka ʻoki ʻole. Mālama ʻia kahi māmā hāʻule me kahi pahu pahu e pili ana i ka omo, kahi e hoʻonui hou ai i ka māmā.

No ka poʻe i hanu i kahi kino haole i nā alaloa, hiki ke hoʻohana ʻia i ka bronchoscopy e lawe i ka mea.

Hoʻohana ʻia nā antibiotic i ka poʻe me ka maʻi i ka ʻāpana o ka akemāe e pili ana i ka ʻeha.

Wahi a ka ʻeha ma muli o ka ʻeha o nā hōʻeha ʻē aʻe. ʻO nā hana e hoʻoponopono hou i kēia mau ʻeha i loaʻa nā hopena maikaʻi. Maikaʻi ʻo Outlook no ka poʻe nona ka tracheal a bronchial disruption ma muli o nā kumu e like me kahi mea haole, kahi e loaʻa ai kahi hopena maikaʻi.

I nā mahina a i ʻole mau makahiki ma hope o ka ʻeha, scarring ma ka ʻaoʻao hōʻeha i nā pilikia, e like me ka hoʻopili ʻana, kahi e koi ai i nā hoʻokolohua a me nā kaʻina hana.

ʻO nā pilikia nui ma hope o ke kaha ʻana no kēia ʻano nā:

• Maʻi kīnā
• Pono lōʻihi o kahi ea
• Ka palena o nā alaloa
• Scarring

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Loaʻa i kahi ʻeha nui i ka umauma
• Inha ʻia kahi kino haole
• Nā ʻōuli o ka maʻi maʻi umauma
• ʻO ka manaʻo o nā huʻa ea ma lalo o kou ʻili a pilikia i ka hanu ʻana

Uhae ʻia ka mucosa tracheal; Haki Bronchial

• Lungs

Asensio JA, Trunkey DD. Nā hōʻeha ʻāʻī. I: Asensio JA, Trunkey DD, eds. ʻO ka Therapy o Trauma a me nā lawelawe koʻikoʻi koʻikoʻi koʻikoʻi. ʻElua ed. Piladelapia, PA: Elsevier; 2016: 179-185.

ʻO Frew AJ, Doffman SR, Hurt K, Buxton-Thomas R. maʻi hanu. I: Kumar P, Clark M, eds. ʻO Kauka Lapaʻau ʻo Kumar lāua ʻo Clarke. 9th ed. Piladelapia, PA: Elsevier; 2017: chap 24.

Martin RS, Meredith JW. Ka mālama ʻana i ka ulia pōpilikia. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 16.