Hanyoyin cututtuka na kwakwalwa na jini a cikin sutura zuwa ga huhu wanda yawanci sukan haifar da yaduwar jini - na iya bambanta ƙwarai. Dangane da yawancin ƙwayar ka da kuma girman ginin, za ka iya fuskanci wasu alamomi da alamun bayyanar, kamar waɗannan:
- nakasaccen numfashi na numfashi wanda yayi muni da aiki
- Ƙunƙun dajin da zai iya zama muni idan ka numfasawa sosai
- Pain lokacin da kuka ji, ku ci, lanƙwasa, ko kuyi
- Pain da ke damuwa tare da motsa jiki amma ba ya tafi gaba daya lokacin da ka huta
- Abincin, wanda zai iya haifar da ƙuduri
Sauran alamu da bayyanar cututtuka, waɗanda zasu iya haɗawa da haka:
- Ƙunƙun ƙafa ko kumbura, ko duka biyu, sau da yawa a maraƙi
- Clammy fata ko blue-tinged fata
- Fever
- Sweating
- Raƙiri ko rashin biyan bukatun zuciya
- Haskewa ko rashin hankali
Menene Yake faruwa a lokacin Gwajiyar Pulmonary?
A lokacin da ake kira embolism ko PE , abin da ya fi masaniya shi ne cewa jinin jini yana fitar da shi daga zuciya zuwa ga huhu, ta hanyar rikici . Hanyoyin maganin tayi na jini don yada jini ga kowane kututturen jini da jini zai iya zamawa a wurare daban-daban a hanya, a cikin tasoshin da ke haifar da jini ga huhu. Idan jinin jini yana da yawa, zai iya zama makale kuma ya hana wani babban jirgin ruwa wanda zai iya zama barazanar rai. Haka kuma zai yiwu a yaduwar jini ya zama ƙanƙara wanda ya zama wanda ba a gane shi ba, yana haifar da wani ƙananan ƙwayar ƙwayar jikin don jin abinda ya faru.
Sanin asali da Jiyya
Za a iya yin gwaje-gwaje iri-iri domin tantance zane-zane, wanda ya haɗa da scan, D-dimer, ko angiogram na huhu.
Hanyoyin maganin kwalliya suna dogara ne akan ƙananan jini da harkar jini. Idan bayyanar cututtuka ba mai tsanani ba, za a iya amfani da masu zubar da jini da kuma kiyaye su don hana ci gaba da cigaban ƙyallen.
Don manyan, mai tsanani mai tsanani, masu shan magani na jini-wadanda suke amfani da su don buɗe tasoshin zuciya a yayin da ake ciwon zuciya.
Me yasa cututtukan da ke fama da cututtukan da ke cikin haɗari ga Embolism na yaudara?
Lokacin da masana kimiyya ke nazarin hadarin PE, sunyi la'akari da dukkanin cutar da ta saba da mutum don samun su. Wato, PE suna daya daga cikin abubuwan da zasu iya faruwa a yayin da mutum ya tayar da jini a jikin su, yanayin da aka sani da thromboembolism , ko VTE.
Idan aka kwatanta da yawancin jama'a, tasirin VTE da PE ne mafi girma a marasa lafiya da ciwon daji; Magungunan ciwon daji sunyi kusan sau hudu kamar yadda zasu iya haifar da thromboembolism, wanda ya hada da burbushin tarin hankalin da kuma zubar da jini mai zurfi. Maganin ɓarna mai zurfi, ko DVT, tana nufin musamman ga ƙuƙwalwar jini wanda yake samuwa a cikin zurfin tsafin, yawanci a kafafu, amma kuma suna iya faruwa a wasu wurare. Cikakken mafi girma na DVT yana faruwa yayin da ɓangare na jini ya ƙare kuma yana tafiya cikin jini zuwa zuciya da baya bayan huhu , haifar da rikici wanda ake kira PE. Kuna iya samun PE ba tare da samun DVT ba, duk da haka.
Gaba ɗaya, waɗannan ƙuƙwalwar jini za su iya samuwa a cikin sassan jikinka don wasu dalilai daban-daban, ciki har da waɗannan masu zuwa:
- Damage zuwa jikin mai ciki
- Raunin da ya faru ga kwayar cutar da ta shafi jiki, sinadaran, ko kuma abubuwa masu ilimin halitta
- Da ciwon tiyata, ci gaba da ciwo mai tsanani, da ciwon rashin lafiya ko yanayin da ke haifar da kumburi, da kuma wasu matakan da za a yi
- Wani rashin lafiya ko yanayin da yaduwar jini ya ragu, kamar bayan aikin tiyata, ko kuma a lokacin kwanciya mai tsawo, ko kuma a lokacin dogon jirgin yayin tafiya
- Wasu sharuɗɗan da zai haifar da jinin ku ya fi ƙarfin ko ya fi dacewa da jini fiye da al'ada
- Wasu alamomin da aka gaji, alal misali, factor V Leiden, wanda zai kara yawan hadarin jini
- Hormone far ko kwayoyin maganin haihuwa
Clotting da Beding tare da marasa lafiya da ciwon daji
Ruwan jini yana cikin marasa lafiya tare da ciwon daji, kuma marasa lafiya na ciwon daji na iya zama a kara yawan hadarin jini don dalilai daban-daban, ciki har da ciwon daji, da kanta, da magunguna daban-daban don ciwon daji. Chemotherapy, radiation far, da kuma maganin hormone zai iya kara yawan hawan jini.
Zai iya zama abin ƙyama, amma zubar da jini yana iya zama mafi yawan mutane a cikin ciwon jini. Wannan za'a iya fahimta kamar haka: yawanci, idan akwai matsala tare da tsarin gudanarwa ta jikin jiki, mutum zai iya zama mai hadari ga ko dai zub da jini ko kisa, dangane da yanayin.
Matsayi na Clot-Ya hana Magunguna
Yin amfani da maganin rigakafi na rigakafi ba a bada shawara ga masu fama da ciwon daji, musamman ma waɗanda aka kiyasta a ƙananan haɗari ga VTE; Duk da haka, a wa] anda ke da haɗari ga VTE da kuma wadanda ke da maganin myeloma wanda ake kira 'immunomodulators', za'a iya yin la'akari da irin wannan magani na jini, a cewar masana kungiyoyin.
Tsarancin kulawa na yanzu shine wani abu da ake kira heparin ƙananan kwayoyin (LMWH), wanda ke buƙatar injections. Sauran, sabon jini na bakin jini yana samuwa, amma akwai iyakacin shaida ga likitoci su zana a lokacin da suke yin la'akari da canzawa daga LMWH zuwa ɗaya daga cikin wadannan wakilan.
A cikin binciken da aka yi kwanan nan, lokacin da aka ba da shawarar na LMWH a matsayin mai magana mai mahimmanci tare da daidaitaccen inganci, mafi yawan marasa lafiya da ciwon daji sun fahimci zaɓaɓɓen wakili. Masana sun ce, duk da haka, yanke shawara don canzawa ya buƙatar yin la'akari da hankali game da rikici tsakanin marasa lafiya da ciwon daji, tare da maganganunsu masu mahimmanci.
PE / VTE a marasa lafiya tare da wasu cututtuka na jini
Binciken farko ya nuna cewa ciwon daji kamar ciwon nono da kuma ciwon huhu a cikin mahaifa, sun zama mafi mahimmanci don ƙara hawan jini fiye da jini, wanda ya hada da cutar sankarar jini , lymphoma, da myeloma. Akwai wasu littattafan tun bayan da hakan ya sabawa wannan ra'ayi, duk da haka, kuma yana iya kasancewa cewa irin ciwon jini da kuma yanayin halayen mutum zai haifar da haɗari a hanyoyi masu muhimmanci.
Marayun tsofaffi da marasa lafiya mai cutar Myeloid
Wani binciken da aka buga a shekara ta 2016 ya nuna cewa marasa lafiyar marasa lafiya da CML sun fi yawan zafin jiki PE fiye da marasa lafiya ba tare da ciwon daji ba, abin da ba abin mamaki bane, tun da yake ciwon daji, a gaba ɗaya, ana tunanin ƙãra matsalolin clotting. Rashin yawan matsalolin clotting ba a karuwa ba a cikin rukuni na marasa lafiya ɗauke da kwayoyi da ake kira tyrosine kinase (mafi yawancin mai suna imatinib), duk da haka, suna nuna cewa haɗarin waɗannan marasa lafiya tare da CML an kori mafi yawancin abubuwan da ke da alaka da ciwon daji kuma ba magani.
Yara Ƙananan Ciwon cutar sankarar cutar Lychoblastic
Abolism na yau da kullum a lokacin ƙuruciya ba abu ne ba, amma ciwon malignancy (kamar cutar sankarar bargo) na iya ƙara haɗarin VTE da PE a cikin yara. Babban haɗari ga VTE da PE sun haɗa da ƙananan ƙwayar cuta, malignancies, da kuma kariya. VTE yana faruwa ne a kashi 2.1-16 cikin dari na yara da ciwon daji, yayin da rahotanni masu alaka da VTE sun shafi kashi 2.6 zuwa kashi 36.7.
Mafi yawan shaidar PE a yara da ciwon daji suna mayar da hankali ga marasa lafiya da ALL, mafi yawan marasa lafiya na yara. Wani maganin maganin kananan yara da cutar sankarar bargo ya ruwaito a cikin kashi 5.2 na yara tare da DUK, amma rahotanni ya karu daga kashi 1 zuwa 36. Musamman ma, yin amfani da L-asparaginase, tare da tsarin chemotherapy ciki har da anthracycline, vincristine, da steroid, sunyi mummunan cutar sankarar lymphocytic (ALL) mai tsanani, musamman a yara-amma yana iya haɗuwa da haɗarin VTE , don haka magunguna don hana ƙin jini zai yiwu a rage wannan hadarin.
Magungunan cutar barkarar rigakafi, mai irin AML
Idan aka kwatanta da zub da jini, babban jini yana da matsala marar matsala a marasa lafiya tare da cutar sankarar bargaɗi mai tsanani, irin nauyin AML. Wannan misali ne mai kyau na ciwon daji na jini wanda tsarin kwayoyin jiki ke shafar, wanda yakan haifar da zub da jini, amma har da yiwuwar clotting. Masu fama da cutar sankarar barka mai yalwaci zai iya zuwa likita tare da matsaloli tare da zub da jini kamar na hanci wanda ba zai daina ba, ko yanke wanda ba zai daina yin hanzari ba. Amma kuma suna iya yin kullun maraƙi daga DVT, ko kuma ciwon kwakwalwa da rashin ƙarfi daga numfashi daga jini a cikin huhu ko PE.
Rashin ƙwayar cutar a cutar sankarar bargo da Lymphoma
Wani binciken da Petterson da abokan aiki da aka buga a shekara ta 2015 sun nuna cewa duk ciwon daji na iya kara yawan haɗarin VTE da kuma cewa har yawan haɗarin ya bambanta ga manyan magungunan ciwon daji; a cikin wannan binciken na musamman, an gani mummunar haɗarin VTE tare da ciwon magunguna da kuma wuyansa (4.1x) kuma mafi yawan haɗari da aka gani tare da ciwon kwakwalwa (47.3x).
Lokacin da wannan rukuni na masu bincike suka yi kokarin daidaitawa don yawancin canji don ganewa game da hadarin VTE a lymphoma (dangane da sauran cututtuka), sun gano cewa haɗarin ya karu sosai a tsakanin magungunan lymphoma.
Lymphoma yana daga cikin shafukan ciwon daji hudu da ke da ƙananan haɗarin VTE, kamar haka:
- Ciwon daji na Brain
- Ciwon daji na Pancreatic
- Sauran kwayoyi (esophagus, intestine, gallbladder, da bile tsarin)
- Lymphoma
An gano marasa lafiya da cutar sankarar bargo a cikin matsanancin haɗari a wannan binciken.
Daga cikin lamarin da ya faru da lamarin 33 tare da lymphoma mai aiki da kuma lokuta 18 da suka kamu da cutar sankarar bargo a cikin wannan binciken, kawai kashi 14 cikin 50 (kashi 28) na da ƙananan catheter cikin watanni uku kafin aukuwa na VTE. Yawancin lokuta da suka faru tare da cutar sankarar barkewar cutar da cutar sankarar jini (11 daga 18, ko 61 bisa dari), wanda ba a saba da shi da L-asparaginase, wani haɗari mai haɗari ga VTE.
Kalma Daga
Yana da muhimmanci a san cewa, a matsayin rashin lafiya na ciwon daji, zaka iya kasancewa mafi haɗari ga matsalolin jini da yaduwar jini kamar su embolism. Duk da haka, yana da mahimmanci a sanya wannan hadarin cikin hangen zaman gaba. Gaba ɗaya, chances na tasowa tayi na tayi da ƙwayar hanzari har yanzu yana da ƙasa.
Kodayake karbar magani ta hanyar babban catheter mai ƙyama zai iya ƙara haɗarin PE / VTE, irin wannan magani zai iya samun ceto ga marasa lafiya da yawa da ciwon daji. Magunguna suna sane da haɗarin cutar VTE / PE a wasu cibiyoyin jini na ciwon jini, da kuma magunguna daban-daban. A matsayinka mai ilimi, saninka game da bayyanar cutar PE / VTE da kuma kulawarka zai iya taimakawa likitan ku yi aiki da sauri, idan bukatar ya tashi.
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