Codsiyo badan oo maaskaro marin-haweedka laryngeal

Maaskarada laryngeal si guul leh ayaa loo sameeyay waxaana loo adeegsaday bukaan bartamihii 1980-meeyadii waxaana lagu soo bandhigay Shiinaha 1990-meeyadii.Horumar weyn ayaa laga sameeyay isticmaalka maaskaro laryngeal-ka oo codsigeedu aad buu u sii faafayaa.

Marka hore, isticmaalka marin-haweedka laryngeal maaskaro ee goobta ilkaha.Si ka duwan inta badan qalliinnada caafimaadka, hababka ilkuhu waxay caadi ahaan soo galaan marin-haweedka.Waqooyiga Ameerika, ku dhawaad ​​60% takhaatiirta suuxdinta ilkaha si joogta ah uma galaan, taasoo si cad u tilmaamaysa kala duwanaanshiyaha ku dhaqanka (Young AS, 2018).Maareynta marin-haweedka waa mawduuc xiiso leh sababtoo ah luminta falcelinta marin-haweedka ee la xidhiidha GA waxay u horseedi kartaa dhibaatooyin culus oo marin-haweedka (Divatia JV, 2005).Baadhitaan habaysan oo xog-ururin elektaroonig ah iyo suugaanta cawl waxa dhamaystiray Jordan Prince (2021).Ugu dambeyntii waxaa la soo gabagabeeyey in isticmaalka LMA-da ee dhakhtarka ilkuhu ay yeelan karto awood lagu dhimo khatarta hypoxia-da qalliinka.

Marka labaad, isticmaalka hawo-mareenka marin-haweedka laryngeal ee qalliinnada lagu sameeyo stenosis tracheal kore ayaa lagu soo warramey taxanaha kiiska.Celik A (2021) ayaa falanqeeyay diiwaannada 21 bukaan oo lagu sameeyay qalliinka tracheal iyadoo la adeegsanayo hawo-qaadista LMA intii u dhaxaysay Maarso 2016 iyo May 2020 ayaa dib loo qiimeeyay.Ugu dambeyntii waxaa lagu soo gabagabeeyay in qaliinka tracheal ee ay caawiso LMA uu yahay hab si badbaado leh loogu isticmaali karo sida farsamada caadiga ah ee qaliinka cudurada aan fiicneyn iyo kuwa xun ee labadaba sare iyo hoose ee hawo mareenka oo lagu sameeyo bukaanada carruurta, bukaanada qaba tracheostomy, iyo bukaanada ku habboon tracheoesophageal fistula.

Marka saddexaad, isticmaalka khadka labaad ee LMA ee maaraynta marin-haweedka umusha.Marinka hawo-mareenka dhalmada ayaa sabab weyn u ah xanuunka iyo dhimashada hooyada (McKeen DM, 2011).Intubation endotracheal waxaa loo tixgeliyaa heerka daryeelka laakiin marin-haweedka maaskaro laryngeal (LMA) ayaa helay aqbalaad ahaan marin hawo-mareeneed samatabbixin ah waxaana lagu daray tilmaamaha maamulka marin-haweedka umusha.Wei Yu Yao (2019) marka la barbar dhigo LMA-ga Sare (SLMA) iyo xuubka endotracheal (ETT) ee maaraynta marin-haweedka umulaha inta lagu jiro qalliinka qalliinka wuxuuna ogaaday in LMA ay noqon karto farsamo kale oo maarayn hawo-mareen ah oo si taxadar leh loo doortay dad uur leh oo halistoodu yar tahay, oo la mid ah Heerarka guusha gelinta, hoos u dhaca wakhtiga hawo-qaadista iyo isbeddellada hemodynamic ka yar marka la barbar dhigo ETT.

Tixraacyo
[1] Young AS, Fischer MW, Lang NS, Cooke MR.Ku celceli qaababka takhaatiirta suuxinta ilkaha ee Waqooyiga Ameerika.Prog suuxinta .2018;65(1):9–15.doi: 10.2344/anpr-64-04-11.
[2]Prince J, Goertzen C, Zanjir M, Wong M, Azarpazhooh A. Dhibaatooyinka Hawo-mareenka ee ku jira Maaskarada Laryngeal Maaskarada ee ay maamusho Ilkaha-Meta-Analysis.Prog.2021 Dec 1;68(4):193-205.doi: 10.2344/anpr-68-04-02.PMID: 34911069;PMCID: PMC8674849.
[3]Celik A, Sayan M, Kankoc A, Tombul I, Kurul IC, Tastepe AI.Isticmaalka Kala Duwan ee Maaskarada Hawo-mareenka Laryngeal inta lagu jiro Qalitaanka Tracheal.Qalliinka Wadnaha wadnaha ee Thorac.2021 Dec; 69 (8): 764-768.doi: 10.1055/s-0041-1724103.Epub 2021 Mar 19. PMID: 33742428.
[4] Rahman K, Jenkins JG.Dhuunta dhuunta mareenka ee fashilantay ee dhalmada: marar badan ma jirto laakiin weli si xun ayaa loo maareeyay.Suuxinta.2005;60:168-171.doi: 10.1111/j.1365-2044.2004.04069.x.
[5]Yao WY, Li SY, Yuan YJ, Tan HS, Han NR, Sultana R, Assam PN, Sia AT, Sng BL.Isbarbardhigga marin-haweedka sare ee laryngeal maaskaro ka soo horjeedka xuubka xuubka hawo-mareenka ee maaraynta marin-haweedka inta lagu jiro suuxinta guud ee qaybta qalliinka: tijaabo la kantaroolay oo la kala soocay.BMC Anesthesiol.2019 Jul 8;19(1):123.doi: 10.1186/s12871-019-0792-9.PMID: 31286883;PMCID: PMC6615212.