Rarraba ga SAH da yadda likitoci ke sarrafa su
Hawan jini na subarachnoid (SAH) wani mummunar rikicewa ne mai rikitarwa wanda zai iya haifar da jinin jini daga ciwon zuciya a cikin kwakwalwa da kuma rushewa a cikin ruwan sama (CSF).
Kusan kashi uku na marasa lafiya da SAH suna da "kyakkyawar sakamako" bayan jiyya. Yayinda wannan bai isa ba, haɓurwar subarachnoid zai iya kawar da wasu matsaloli.
Don kiyayewa daga waɗannan matsalolin da ake fuskanta, wadanda ke fama da cutar hawan jini suna kulawa a cikin kulawa mai kulawa sosai bayan sun fara zuwa asibiti.
Akwai manyan matsaloli hudu da suka shafi ciwon sukarin jini. Wadannan rikitarwa su ne vasospasm, hydrocephalus, shinge, da kuma rebleeding.
Vasospasm Bayan Subarachnoid Hemorrhage
Kalmar vasospasm na nufin jini a cikin kwakwalwa "spasm" da kuma matsawa, rage kuma wani lokacin ma yana dakatar da jini zuwa sassa na kwakwalwa. Sakamakon shi ne bugun jini.
Vasospasm yawanci yakan faru bakwai zuwa kwanaki goma bayan da aka fara farawa. Saboda vasospasm yana da wuyar magance idan ya faru, ƙimar kula da asibiti shine rigakafi. An nuna nau'in nimodipine shan magani na jini don rage rashin yiwuwar sakamako marar kyau bayan vasospasm (ko da yake ba ze rage hadarin bunkasa fasospasm a farkon wuri) ba. Yawancin jini a cikin jiki ya nuna cewa ya dace da haɗarin hadarin gashi, kuma don haka mai haƙuri ya ba da isasshen ruwa ta IV domin kula da jini a wata ƙasa (ba yawa ba, ba kaɗan ba).
Sauran ƙarin fasahar gwaji don hana vasospasm sun hada da bada magungunan statin .
Mutanen da ke da SAH suna kallo ne akan alamun vasospasm tare da gwaji na ainihi. Idan akwai gwajin gwagwarmaya a hankali, zai iya nufin vasospasm yana faruwa. Amfani da fasahohi irin su Doppler na waje yana iya nuna cewa wani yana tasowa vasospasm.
Game da maganin vasospasm, cutar karfin jini yana ci gaba da tsayi (hawan jini) in ba tare da marasa lafiya wadanda ke da hawan jini ko wasu matsalolin zuciya wanda suke hana sabawa wannan tsarin ba.
Idan vasospasm ya ci gaba duk da rashin ciwon jini, mafi yawan zabin abubuwa, kamar angioplasty (buɗe jirgi mai jini tare da cakuda ta hanyar jini) ko amfani da catheter don yin amfani da magunguna kai tsaye a wuri mai ƙunci, za'a iya ƙoƙari.
Hydrocephalus Bayan Subarachnoid Hemorrhage
Wani lokaci jinin jini daga cutar zubar da jini za a iya zama a cikin ɗaya daga cikin manyan wuraren shayarwa na magungunan ruwa (CSF). Yawanci, ana samar da CSF a cikin ventricles na kwakwalwa. Daga nan sai ya fita daga kananan wuraren da ake kira foramina. Idan an dakatar da waɗannan gado, CSF har yanzu ana samar amma babu inda za a je. Sakamakon hakan shine kara karuwa cikin ventricles na kwakwalwa, wanda ake kira hydrocephalus. Halin ya watsa zuwa kwakwalwa da kwanyar.
Ƙara ƙwaƙwalwar intracranial zai iya haifar da rage sani da kuma coma. Idan aka bari ba tare da izini ba, kwakwalwa za a iya tura ta cikin yankuna kamar budewa a gindin kwanyar, wanda zai haifar da mutuwar.
Don hana wannan magungunan ƙin, neurosurgeons na iya yin fitilar lumbar ko sanya shunt a cikin kwanyar don zubar da CSF.
Takaddamar Bayan Bayanin Subarachnoid
Jinin yana iya jawo ƙwayar cizon sauro kuma ya haifar da kama . Duk da haka, kawai ƙananan marasa lafiya da SAH suna ci gaba da samun ciwo (cututtuka). Doctors za suyi la'akari da yin amfani da maganin rigakafin rigakafi a cikin lokaci kadan bayan jinin jini. Amma yin amfani da maganin kututtuka ba a ba da shawarar ba (ba tare da shawarar bane bisa ga abubuwan haɗari), saboda hadarin abubuwan da ke faruwa.
Sake-Cigaba Bayan Yaduwar Cutar Subarachnoid
Bayan SAH, haɗarin sake zub da jini yana da kimanin kashi 3 zuwa 13 bisa cikin sa'o'i 24 da suka gabata, a cewar wani labarin 2012 a Stroke .
Binciken da ke faruwa a lokacin ba da jimawa da saurin kai na CT, musamman ma a cikin jimawa ba da jimawa ba, bayan da ya fara zubar da jini, zai iya taimakawa wajen sake wanzuwa idan ya faru.
Don hana sake yin zub da jini, haɗari mai haɗari a cikin kwakwalwa an rufe su. Ana iya yin hakan ta hanyar amfani da nau'i na miki don shirya kayan motsawa daga sauran maganganu, ko kuma ta hanyar zana hoton ta hanyar jigon harshe har zuwa na'urar motsa jiki da saka sautin ƙarfe ko wani abu mai ɗauka don rufe hatimi. Wace hanya ce mafi kyau shine yanke shawara mai rikitarwa wanda ya bambanta daga mutum zuwa mutum kuma yana buƙatar yin tattaunawa da hankali tare da tawagar likita.
Layin Ƙasa
Yayinda manyan matsaloli hudu na cutar hasara na jini na iya zama kamar yadda ya fi yawa, da rashin alheri, akwai wasu haɗari masu haɗari masu yawa waɗanda suka zo daga samun rashin lafiya mai tsanani da ake buƙata kulawa a cikin kulawa mai kulawa. Dole ne a kiyaye kariya daga cututtukan ƙafafun kafa, hyponatremia da kuma asibitocin da ke cikin asibiti. Rayuwa da zubar da jini na farko shine kawai ɓangare na gwagwarmaya ta ciwon sukarin jini. Yin tsira da sauran zasu buƙaci haɗin kai tare da tawagar likitoci.
Sources:
Bederson, JB, et al. (2009). Sharuɗɗa don gudanarwa na ciwon haɓurwar subarachnoid anerysmal: sanarwa ga likitocin kiwon lafiya daga wata ƙungiya na musamman na Ƙungiyar Harkokin Cutar, Ƙungiyar Zuciya ta Amirka. Buga , 40: 994.
Buczacki, SJ, Kirkpatrick, PJ, Seeley, HM, & Hutchinson, PJ (2004). Late epilepsy ya fara bude tiyata don ƙarancin jini mai suna subarachnoid. J game da ilmin halitta, Neurosurgery, & Psychiatry , 75: 1620.
Connolly, ES et al. (2012). Sharuɗɗa don gudanarwa na ciwon haɓurwar subarachnoid anerysmal: sanarwa ga likitocin kiwon lafiya daga wata ƙungiya na musamman na Ƙungiyar Harkokin Cutar, Ƙungiyar Zuciya ta Amirka. Tashi, 43 (6): 1711-37.
Kassell, NF, Sasaki, T., Colohan, AR, Nazar, G. (1985). Cerebral vasospasm suna bin ciwon jini na subarachnoid. Tashi, 16: 562.
Tidswell, P., et al. (1995). Sakamakon binciken bayan an rantsar da wani abu: dangantaka da shafin wasan kwaikwayo da kuma matsalolin lokaci. Bincike, 45: 875.
DISCLAIMER: Bayanin ilimi a wannan shafin shine don dalilai na ilimi kawai. Bai kamata a yi amfani dashi don maye gurbin kulawa ta sirri daga likitan lasisi. Don Allah a ga likitan ku don ganewar asali da kuma maganin duk wani abu game da bayyanar cututtuka ko yanayin kiwon lafiya .