Rigun dural yana da nauyin aikin tiyata wanda ke rufe jikin daji wanda ake kira Dura mater.
Dural sac bala'in ba kome ba ne ga rikici a kusa da. A cikin binciken da aka yi a shekara ta 2017, masu bincike na kasar Sin sun tabbatar da cewa dural sac hawaye zai iya haifar da lekage na ruwa, ciwon zuciya, matsalolin jijiya da kuma mawuyacin hali.
Menene Irin Harkokin Cikin Cikin Ciki Yayi Cikin Gidan Dubu?
Amsar ita ce, ya dogara. Masana marubuta na China sun gano hanyoyin da dama kamar yadda ya kamata.
Gaba ɗaya, duk da haka, ƙananan hawaye suna ci gaba da faruwa sau da yawa tare da aikin tiyata na gyaran gyare-gyare. Sakin gyaran mahaifa na gaba yana gaba a kan wannan jerin, daga bisani ta hanyar fuska daga kashin baya, kuma daga bisani a kan ƙaddamar da ƙwayar cuta (don ƙwaƙwalwar jini).
Tashin fuka da ƙwayar cuta ɗaya yana iya haifar da ƙananan ƙananan hawaye, ingancin magana.
Binciken da aka yi a cikin jaridun lafiya wanda aka wallafa a cikin jaridar Clinical Neurology da Neurosurgery a watan Maris na 2016 ya gano cewa hawaye da yawa sun ba da kansu a cikin mutanen da suka sami sakamako masu talauci daga aikin tiyata wanda aka cire wani gizon synovial . A yawancin lokuta kamar waɗannan, bisa ga mawallafin mawallafa, yana da kamar ƙuƙwalwar dural ya nuna matsala masu wahala.
Masana binciken kwayoyin halitta da mawallafan magunguna sunyi cewa dullin dural yakan kasance mafi sau da yawa a matakin L5 / S1.
Sun kuma ce sun ce lokacin da aka cire ɓangare na cyst, mai haƙuri ba shi da haɗari ga hawaye mai dural.
Yin guje wa ƙananan ƙugiyoyi - ƙwaƙwalwar Cutar da Kwayar Cutarka
Ko da likita mai fiɗa da hannayen sihiri, yana da wuyar ba a saka jakar da yake dauke da kashin baya. Rubutun da ke rufe da kashin baya ba ya da wuya kamar kashi, fata ko tsoka, Dokta Joshua D.
Auerbach, Babban Jami'in Harkokin Spine Surgery a Bronx-Lebanon Hospital Center a Birnin New York, ya gaya mani. "Yana da kyau da kuma sauƙi tsage."
Yayin da likitan likitanka tare da ɓacin rai (ko wata kayan aiki) na iya zama abin da ke haifar da hawaye, yanayin da aka rigaya da / ko lalacewar zai iya ƙara yawan haɗarinka. Alal misali, yin amfani da steroids, ciwon ciwon sukari, ko yin furuci duk ƙara yawan haɗarinku. Haka ma gaskiya idan kuna da wasu matsalolin spine, wato: spondylolisthesis, stenosis , scoliosis, ko kyphosis .
Asibitoci ba su so su yi rahoton ƙididdigar ƙwararren ƙaura
Rumbun tsawa yana daya daga cikin matsalolin da ake yi na sake dawowa. Amma asibitoci da yawa sun bayyana jinkirta bayar da rahoton hawaye da ke faruwa a cikin cibiyoyin su. Don wannan kuma wasu dalilan da ya sa, ba za a iya la'akari da abin da zai faru ba.
Kamar dai yadda yake, yawan adadin da ake ciki a cikin binciken bincike ya bambanta. Yawancin abubuwa zasu iya bambance bambance-bambance: dalilin dashi (cututtuka, cututtuka, scoliosis, synovial cysts da dai sauransu), ko tiyata shine 1st, 2nd, 3rd, da dai sauran dalilai.
A wani bangare mai zurfi, binciken binciken Janairu 2011 wanda aka buga a Neurosurgery yana bincikar kimanin mutane 108,000 wadanda suka kamu da tiyata wanda ya sami kashi 1.6 cikin 100 daga cikinsu suna fama da hawaye.
A babban gefen, Medscape ya ruwaito cewa binciken da aka buga a Spine ya yi nazari a cikin kashi 89 cikin dari na yawan mutanen da suka kamu da cutar.
Kwamitin Kwamitin Kulawa da Kula da ICD- CM (kwamitin da ke taka muhimmiyar rawa wajen bincikar maganin binciken) ya gano cewa kashi 57 cikin dari na asibitocin da suka bincikar sunyi rikici akan rashin hawaye na dural. Kwamitin ya tabbatar da cewa kashi 46 cikin dari na asibitoci 2,446 ba su ruwaito ba. Har ila yau, ya tabbatar da cewa asibitoci sun bayar da rahoto game da zubar da hawaye, amma ba su bayar da rahoto ba.
Go adadi.
Kuma lokacin da likitoci suke yin tarin fuka a cikin asibitoci daban-daban sun shiga cikin binciken bincike na asibiti (wanda aka raba su daga aikin kulawa da asibitoci), abin da ya faru na dural hawaye ne, a wasu lokuta, har zuwa 10%.
Kwamitin ICD-CM ya kiyasta cewa asibitoci sun bayar da rahoto game da rabi kawai na hawaye da ke faruwa.
Ƙunƙwasawa na Dural da Cerebrospinal fluids - Cutar cututtuka da magani
Kamar yadda na ambata a farkon wannan labarin, bayyanar cututtukan dural sun haɗu da lakabin ruwa (wanda ake kira CSF leakge). Menene hakan yake? Yaya zaku iya fada idan kuna iya samun hawaye na dural?
Dokta Auerbach ya ce idan kuna da CSF din, za ku iya lura da ruwa mai tsabta daga cututtukanku. Hakanan zaka iya fuskanci ciwon kai wanda ke da matsayi wanda ya ci gaba da muni idan ka tashi da kuma an yantar da shi lokacin da kake kwance. Sauran cututtuka sun haɗa da canje-canje na gani, tashin hankali, vomiting ko damuwa, in ji Auerbach.
Idan ba'a bi da sauri ba kuma yadda ya kamata, hawan gizon ruwa zai iya shafar lafiyarka. Saboda haka cututtuka irin su waɗanda aka tattauna a sama suna buƙatar kulawa da lafiya sosai.
Dukkanin wannan ya ce, hawan doki yana kama da likita yayin aikin tiyata kuma ana bi da shi a daidai lokacin da kuma can.
Amma ƙarshen bayyanar cututtuka mai yiwuwa ne, kuma a wannan yanayin, zai kasance a gare ku don lura da su kuma kuyi aiki. Idan ka fuskanci wani ko duk bayyanar cututtukan da aka ambata a sama, ka tabbata ka tattauna da likitanka da zarar za ka iya.
Magunguna don dural hawaye sun hada da barci, hutawa, kuma idan ci gaba ya ci gaba, tiyata. Tiyata don hawaye na dural yana kama da lalata wani rami a cikin taya. A watan Maris na 2012, mafi yawan tsaran hawaye na jiki sun hada da sutures (stitches), amma har yanzu fasahohin da ba a san su ba ne.
Source:
> Fang, Z., Jiyya na ruwa na gubar dabbar yana haifar bayan tiyata. Chin J Traumatol. Afrilu 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392710/
> Guerin P, et. al., Tsarin tsaka-tsakin yanayi a yayin da ake yin gyaran fuska: Abinda ke ciki, gudanarwa, da rikitarwa. A sake dubawa. Rauni. 2011 Janairu 18. [Epub gaba da bugawa]. http://www.ncbi.nlm.nih.gov/pubmed/21251652
> Klessinger, S. Abubuwan da ke ciki na dural hawaye bayan kammalawa na haɗin ginin synovial lumbar da kuma dangantaka da sakamakon. Clin Neurol Neurosurg. Maris Maris 2016 Mar http://www.ncbi.nlm.nih.gov/pubmed/26945877
> Shaw, J. Tsakanin Durotomy / Dural Tear. Kwamitin ICD-9-CM na Kwamitin Kulawa da Kulawa. Maris 19-20, 2008. Gabatarwar Powerpoint.
> Williams, BJ, et. al. Halin rashin lafiyar da ba a kula da shi ba a cikin tayar da hanyoyi a kan lambobi 108,478. Neurosurgery. Jan 2011. http://www.ncbi.nlm.nih.gov/pubmed/21150757 "