Abin da ya faru a cikin motsa jiki shine bulging of aorta , babban maganin da ke tafiya daga zuciya don samar da sauran jikin. Matsayi mafi yawan wuri na aneurysm aortic shine ciki. Aortic aneurysms iya rupture, manyan catastrophic jini asarar da mutuwa. Idan ka samu hanzarin lafiya, gaggawa na gaggawa zai iya kare rayuwarka. Anerkym aortic da aka gano kafin rupture zai iya yin gyaran gyare-gyaren gyare-gyare, tare da kyakkyawar ganewa.
Cutar cututtuka
Wani abun da ake ciki a cikin motsa jiki zai iya haifar da alamar cututtuka wanda ke daggewa kafin ya raguwa. Sau da yawa, lokacin da motsawar motsa jiki ya zama ya fi girma, bayyanar cututtuka ko dai farawa a karon farko ko damuwa. Kwayar cututtuka na iya zama alamar cewa rupture zai iya faruwa. Alamar cututtuka da rawar daɗaɗɗen motsa jiki na daɗaɗɗa ne, kuma suna cigaba da hanzari, a kan lokutan minti. Yawancin lokaci, anerysm aortic zai rushe ba tare da wani bayyanar cututtuka ba.
Aorta babban jirgi ne mai dauke da jini wanda ya fito daga zuciyarsa don ɗaukar jinin oxygenated zuwa jiki. Yawancin ƙananan arteries sun tashi daga aorta. Yankuna biyu inda ake iya samun motsawa aorticm a cikin ɓangare na ciki na abar, wadda take a baya a cikin ciki, da kuma ɓangaren thoracic na aorta, wanda yake a bayan hagu.
Kwayoyin cututtuka na Abortinal Aortic Aneurysm
Sashe na ciki na aorta shi ne mafi yawan yankin na anermism aortic, kuma wannan nau'i na anerysm, anerysm na ciki mai ciki, ana kiransa AAA.
Kwayoyin cututtuka na iya zama da sauƙi, ko kuma babu wata alamar bayyanarwa kafin a rushe.
- Buri na baya a cikin tsakiyar zuwa ƙananan ɓangaren baya
- Abun ciki da rashin jin daɗin ciki
- Pulsating jin dadi a cikin ciki
Kwayoyin cututtuka na kwayar cutar ta Thoracic Aneurysm
Aurracic aortic aneurysm shine sashin aorta wanda ya kwanta kwanan nan, kuma yana cikin kirji.
Kamar dai tare da AAA, alamar cututtuka na iya zama da ƙwarewa ko kuma bazai kasance bayyanar cututtuka ba kafin rushe.
- Ƙunƙun zuma
- Binciken baya
- Rawancin numfashi
Kwayoyin cututtuka na Raunin Rahoton Ruwa da Ƙari
Lokacin da ragowar motsa jiki ta hanyar motsa jiki, cututtuka na iya cigaba da hanzari. Mafi yawan bayyanar cututtuka na rupture aorticm aortic ba dole ba ne daidai da wadanda ba a taɓa samun anerysm aortic ba, ko da yake ciwo a yankin na anerysm na iya faruwa.
- Lightheadeness, dizziness da hangen nesa
- Tashin rauni
- Kyau mai tsanani, ciwon ciki ko baya
- Rashin sani
Hanyoyin cututtuka na cutar ta jiki da ke shafar wasu ɓangarori
Rufin jini zai iya zama a cikin motsarar motsa jiki. Idan wankar jini ya rabu da tafiya zuwa wasu sassan jiki, zasu iya haifar da lalacewa ta jiki, irin su bugun jini , gazawar koda ko ciwon zuciya. Kwayoyin cututtuka sun bambanta kuma zasu iya haɗawa da ciwon ƙirji, hasara da kuma jini a cikin fitsari.
Dalilin
Abokiyar motsa jiki na iya bunkasa lokacin da ganuwar dabbar ta zama mai rauni. Wannan zai iya faruwa a tsawon lokaci saboda sakamakon cututtuka da kuma yanayin da ke shafar dukan jini na jiki, ba kawai aorta ba. Rashin raunin maganin yana haifar da zubar da jini, wanda zai haifar da tsinkayewa don rushewa ko jini. Halin ta jiki na motsawa a kan gabobin da ke kusa da shi zai iya haifar da alamun bayyanar cututtuka, yayin da hasara na jini na rupture na motsa jiki yana haifar da sakamako mai tsanani da rai.
Dalili na Hadarin da kuma Dalili
- Shan taba, ya zuwa yanzu, shine babban abu mai hadarin gaske don anerysms aortic. Masu shan taba suna da karuwa sau 5 a cikin abin da ya faru da anerysms aortic idan aka kwatanta da wadanda ba masu shan taba ba.
- Tsufa: Auric anerysms ne rare a cikin mutane a karkashin shekaru 60.
- Mace namiji: Aortic anerysms yana faruwa fiye da maza fiye da mata.
- Rawanin hawan jini : Dogon lokaci babban hawan jini, musamman idan ba a hana shi ba, zai iya ƙara haɗarin hadarin motsa jiki.
- Atherosclerosis : Yin ƙarfin jigilar jini, wanda ya faru ne sakamakon sakamakon hawan cholesterol da hauhawar jini, yana nufin zubar da jini ta hanyar yin ganuwar layin da ba daidai ba kuma yana iya raunanawa.
- Tarihin iyali na raye-raye aortic abu ne mai muhimmanci mai hadari
- Yanayin kwayoyin halitta: Kwayoyin cututtuka da dama zasu iya kara haɗarin rashin jin dadi, saboda rauni daga cikin jini wanda ya faru da wadannan yanayi. Ciwon Marfan, ciwo na Ehlers-Danlos, maganin Takayashu, valve mai kwakwalwa, Bukaciyar Loeys-Dietz, ciwon daji na asibiti, da cutar cututtuka na polycystic duk sun kara haɗarin anerysms aortic.
- Cutar: Cutar zuwa cikin ciki ko kirji na iya haifar da wani motsa jiki mai haɗari don ci gaba ko rushe.
Abubuwan Dama don Rupture
Ba abu mai sauƙi ba ne a hango ko hasarin motsa rai zai rushe. Gyara bayyanar cututtuka, girman girma ko kara girman girman anerysm, da shaida na jinkirin zub da jini a kan gwajin hoto, duk sun bada shawara cewa karamin yiwuwar raguwa. Girman canji a canjin jini, ko cututtuka mai tsanani, na iya ƙara chances na rushewa na motsa jiki.
Sanin asali
Sakamakon farko na anerysm aortic sau da yawa saboda rupture, kuma rupture zai iya zama m. Idan kana da wani motsawar motsa jiki ta hanyar motsa jiki, sakamakonka zai fi kyau idan ana gano anerysm kafin ya samar da wani alamu.
- Nunawa: An gano yawancin kayan motsa jiki na farko kafin cirewa lokacin da aka yanke hukunci ga wadanda aka yanke hukunci akan su, koda kuwa babu alamun ko alamu akan nazarin jiki. Ƙungiyar Ayyukan Tsaro na Ƙungiyar Amincewa ta Amurka ta kafa shawarwari don nazarin zane-zane mai ban mamaki bisa ga shekarun haihuwa, jinsi, da kuma tarihin shan taba.
- Bincike na jiki: Kullun daji, wanda shine babban shingen wuri mai zurfi a cikin ciki, bincike na jiki zai iya ganowa game da kimanin kashi 33 cikin dari na mutanen da ke da AAA. Domin jinin jini yana da wuya a ji idan kana da wani motsarar thoracic, ganewa a lokacin binciken jiki yana da ƙananan ga anerysms thoracic.
- X-ray Chest: X-ray na kirji ba yawanci gwajin da likitanku zai yi ba idan kun kasance cikin hadari na anerysm aortic. Duk da haka, yawancin abubuwan da aka samo asali ne da farko da aka gano tare da kwakwalwa na X-ray yau da kullum da aka umarce su don wani dalili ba tare da nunawa ga wani abu mai raɗaɗi ba.
- Nazarin duban dan tayi : Anan dan tayi shine wani nau'i na binciken da zai iya gano mahaukaci a cikin motsin ruwa da tsarin jiki na jiki. Ana nazarin nazarin duban dan tayi musamman mahimmanci akan ganewar asali na anerysms aortic. Yana da gwajin gwajin gaggawa mai lafiya da kuma gwadawa, yana amfani da shi a cikin yanayi na gaggawa.
- CT scan: Wani binciken hoto, CT scan, zai iya gano canje-canje a tsarin tsarin, kuma zai iya amfani da shi a cikin shirin ƙira.
- MRI duba: MRI, kamar CT, wani binciken hotunan ne wanda zai iya gano ƙananan hauka. Dangane da ƙayyadaddu na abin da kake so, ana iya zaɓar MRI ko CT don kimanta maƙarƙashiyarka.
Jiyya
Idan an gaya maka cewa kana da wani motsa rai, kai da likitanka za su yanke shawara kan hanya mafi kyawun magani . Hanyoyi guda biyu zuwa gudanar da kayan wasan motsa jiki sun haɗa da gyaran miki don hana rushewa, ko kulawa da hankali a kan lokaci. Har ila yau, wannan yanke shawara zai dogara ne akan yiwuwar cewa ƙaunarka za ta rushe, kuma a kan ƙimar da kake tsammani daga tiyata.
Da alama cewa anortysm aortic zai raguwa ya dogara ne akan dalilai guda biyu: girman adadin, da kuma yawan ci gabanta. Girman aneurysm aortic an dauke shi mafi kyawun alama na hadarin rupture kuma ana iya auna shi ta gwajin tarin duban, CT scan, ko MRI. Aneurysms fiye da 5.5 cm cikin diamita a cikin maza, ko fiye da 5.0 cm a cikin mata, sun fi kusantar rushewa fiye da kananan anerysms. Idan an kai wadannan matakan ƙididdiga ta ma'auni, haɗarin rupture ya fi 40% fiye da shekaru biyar, kuma an tilastawa aikin tiyata. A ƙasa da waɗannan matakan kofa, yiwuwar rupture zai iya kasancewa kusa da hadarin rikitarwa daga tiyata, don haka ba a ba da shawarar yin tiyata ba.
- M gyaran gyare-gyaren gyare-gyaren gyare-gyaren gyare-gyaren gyare-gyaren gyare-gyare. Akwai hanyoyi da yawa na gyaran gyare-gyare, ciki har da abin da ake kira gyarawa, da kuma wata hanya, wanda shine gyaran gyare-gyare. Kwararren likitanku zai tsara hanyarku don ba ku dama mafi kyau na gyaran gyare-gyare da kuma farfado da lafiya tare da ƙananan matsaloli yadda zai yiwu.
- Rashin haɗarin m: Mutane da yawa waɗanda ke dauke da ciwon motsa jiki suna da wasu cututtukan zuciya na zuciya saboda shekarun da abubuwan haɗari, don haka haɗarin m gyarawa ba sau da yawa. Bugu da ƙari, haɗarin mutuwa daga aiki na al'ada yawanci kusan 5% ko žasa, amma haɗarin aikin tilas ya kamata a yi nazarin kowane mutum.
- Biye: Idan ba'a bada shawarar tiyata ba, to, dole ne a sake mayar da martani na yau da kullum game da girman anerysm. Idan anerysm yayi girma a cikin girman ta fiye da 0.5 cm a cikin shekara, haɗarin rupture ya fi girma - kuma ana amfani da tiyata musamman idan girman girman anerysm har yanzu bai fi 5.0 ko 5.5 cm ba.
Jiyya na Aortic Aneurysm Rupture
Rupture mai raɗaɗi ne mai kwakwalwa shi ne na gaggawa. Idan wannan ya faru da ku ko ƙaunatacciyar, haɓaka gaggawa na gaggawa da gyaran gyare-gyare. Bugu da ƙari, gyara gyarawar motsa jiki, rashin hasara jini da tasiri akan wasu kwayoyin halitta dole ne a gudanar da su.
Rigakafin
Abokiyar motsa jiki ta fi dacewa idan kana da wasu abubuwan haɗari. Wasu daga cikin abubuwa masu hadari, irin su tsofaffi da tsinkayen jini, ba za'a iya sarrafawa ba. Wasu halayen haɗari, a gefe guda, ana iya canzawa ko sarrafawa, wanda ya rage karfin ku na tasowa ga abubuwan da suka faru aorticm .
Wasu daga cikin matakan da za ku iya ɗauka don rage haɗarinku sun haɗa da:
- Kada ku shan taba: Shan taba shine babban haɗari ga dukkanin cututtuka na ciki, ciki har da anortysms aortic. Hanyar da ta dace ta rage yawan lalacewar da ke haifar da shan taba shine don dakatar da shan taba.
- Karfin jini: Juwan jini yana da babbar mahimmanci ga cututtuka na jijiyoyin jini, da kuma rike karfin jini ta hanyar amfani da abinci, kulawa da damuwa, ko magungunan ƙwayoyi ya rage sauƙin da kake yi na tasowa ta hanyar motsa jiki.
- Sarrafa matakin ku na cholesterol: High cholesterol take kaiwa zuwa atherosclerosis, wanda ke tsanantawa da arteries. Atherosclerosis yana cikin manyan abubuwan da ke tattare da anerysm aortic. Akwai hanyoyi da yawa na rage yawan matakan cholesterol. Yawancin magunguna na iya rage cholesterol, da kuma abincin mai cututtuka da ke da ƙwayar fiber da ƙananan magunguna marasa lafiya kuma zai iya rage yawan cholesterol ga wasu mutane.
- Gudanar da kulawa da lafiya kullum: Yin kula da ziyarar likita naka na da muhimmanci. Kwararka zai iya gane cewa zaka iya kasancewa cikin hadarin samun ciwon motsa jiki, kuma zaka iya buƙatar gwajin gwaje-gwaje. Bugu da ƙari, idan ka ci gaba da ziyarar likita na yau da kullum, matsalolin da za su iya ƙara yawan hadarin motsa jiki na aortic, kamar hauhawar jini da high cholesterol, za a iya gano su da kuma bi da su da wuri.
Kalma Daga
Rashin fashewar motsa jiki ta hanyar motsa jiki shine babban abin rayuwa wanda zai iya haifar da mutuwa. Auric anerysms sau da yawa ba sa haifar da bayyanar cututtuka, abin da ke sa nunawa wani muhimmin al'amari na kula da lafiyar jiki, musamman idan kana da abubuwa masu haɗari irin su shan taba, tsofaffiyar haihuwa, hauhawar jini da kuma atherosclerosis.
Idan kana da ƙarancin motsa jiki, yanke shawara game da ko kana buƙatar gyare-gyare, kuma cikakkun bayanai game da hanya kanta yana buƙatar yin shawarwari mai girma tare da likita mai kwakwalwa. Tiyata yana dauke da babbar hanya, kuma bayan gyara, yawancin mutane suna da kyakkyawar sakamako kuma basu da wata damuwa ta hanyar motsa jiki.
Idan kai ko ƙaunatacciyarka yana dawowa daga rawar da aka yi wa wulakanci, wannan farfadowa zai dauki lokaci, kuma za'a iya yin tasiri na tsawon lokaci na rurture na rudani na aortic.
> Sources:
> Curt ne W, Yano M. Magungunan rashin cututtukan da ke ciki na ciki. Abdom Radiol (NY). 2018 May; 43 (5): 1067-1083. Doi: 10.1007 / s00261-018-1525-0.
> Cury M, Zeidan F, Lobato AC. Cutar cutar a cikin matasa: kwayoyin cututtuka na asali, ƙwayoyin cuta na haɗin kai, da kuma abubuwan da ke tattare da iyali. Int J Vasc Med. 2013; 2013: 267215. Doi: 10.1155 / 2013/267215. Afub 2013 Jan 14.
> Ullery BW, Hallett RL Fleischmann D. Tsarin ilimin ilimin halittu da kuma gudanarwa na yau da kullum. Abdom Radiol (NY). 2018 May; 43 (5): 1032-1043. Doi: 10.1007 / s00261-017-1450-7.