Zaɓuɓɓukan Kiwon lafiya da Zaɓuɓɓuka na Ƙarfinka na Carotid
Jirgin carotid yana da jini guda biyu wanda ke tafiya tare da gefen wuyanka cikin kwakwalwarka. Tare da suturar kalmomi biyu a bayan wuyansa, carotids suna ba da hanya ga kwakwalwa don karɓar jinin da yake bukata ga oxygen.
Bayani
Kamar sauran sutura, ana iya lalata carot. Hanyoyin jini, high cholesterol, da shan taba suna da wasu hanyoyi don kara haɓaka da ƙin plaque a cikin carotid da sauran jini.
Lokacin da alamar ta kafa a cikin jirgi na zuciya, zai iya haifar da ciwon zuciya . Lokacin da alamar ta kafa a cikin jirgi na jini ko a cikin tafiya zuwa kwakwalwa, zai iya haifar da bugun jini .
Tsarin Carotid shine lokacin da ake amfani da ita wajen nuna ƙwaƙwalwar carotid. Yayin da wata takarda ta rusa muryar carotid, zai iya haifar da bugun jini a hanyoyi biyu. Hanyar da ta fi dacewa ita ce wani ɓangare na takarda don karya fasalin, ta samar da takalma , da kuma tafiya ta cikin jini har sai ya zauna a hankali kuma yana kange jini zuwa ɓangare na kwakwalwa. Sannan jikin ya mutu saboda rashin isashshen oxygen - ana kiran shi ischemia .
Hakanan Carotid zai iya rage yawan jini daga kwakwalwa zuwa kwakwalwa don haka idan jini ya sauko, ɓangaren kwakwalwa ya danganta da wannan maganin bai karbi jini ba. Wannan labari ba shi da na kowa fiye da gyaran kafa saboda kwakwalwa an gina domin samar da nama daga maganin da ya fi kowa ɗaya a lokaci guda, a matsayin wani nau'i na kariya daga lalacewa.
Jiyya
Saboda carotid stenosis ne irin wannan haɗari factor don bugun jini, ba za a iya watsi da kawai. Duk da haka, akwai wasu rigima game da yadda ake kula da carotid stenosis. Akwai hanyoyi guda uku don magance carotid stenosis:
- magani
- m magani (carotid endarterectomy)
- ƙananan ƙazantar daɗaɗɗen jini .
Jiyya
Har zuwa wani mahimmancin, magani na carotid stenosis yana da tsammanin duniya shine mafi kyawun zaɓi. Alal misali, idan maganin carotid ya kasa da kashi 50%, ba a buƙatar samun farfadowa ba.
Maimakon haka, magani yana mayar da hankali akan tabbatar da cewa alamar ba ta kara girma ba. Ya kamata a magance matsalolin haɗari kamar shan taba, hauhawar jini da high cholesterol . Kamar yadda kullum, cin abinci da motsa jiki suna da muhimmanci.
Bugu da ƙari, likita zai saba da wasu nau'i na jini don hana kutsawa daga kafa da kuma katange igiya ko tafiya zuwa kwakwalwa. Dangane da irin tsananin da ake ciki, wannan zai iya kasancewa daga wani abu mai sauƙi kamar aspirin zuwa wani abu mai matukar yiwuwa a matsayin Coumadin.
Masana da yawa sun yarda cewa mafi kyau maganin kiwon lafiya ya ci gaba da inganta a tsawon lokaci, yana maida shi mafi mahimmanci idan aka kwatanta da wasu hanyoyin da ba su mamayewa.
M Jiyya
Daidaitaccen takalmin Carotid (CEA) wata hanya ce wadda ta yi amfani da carotid kuma an tsabtace takarda. An yi nazarin karatun Carotid, kuma bayanan ya nuna cewa yana inganta sakamakon gaba daya a cikin yanayin zaɓuɓɓuka. Waɗannan sharuɗɗa sun haɗa da haka:
- Dole ne a katange carotid (yawanci fiye da 60%) amma ba gaba ɗaya an katange ba.
- Dole ne likita ya kamata ya zama gwani, tare da ƙananan ƙananan mace da ke hade da tiyata.
- Dole ne mai haƙuri ya kasance lafiya don ya warke lafiyar jiki daga hanyar dabara.
Abubuwan lawuran sakamako na CEA sun haɗu da haɗari na 3 zuwa 6 bisa annoba ko mutuwa. A kalla a cikin watan bayan hanya, haɗarin zuciya na zuciya ya fi girma a marasa lafiya wanda ke shan CEA fiye da ƙwaƙwalwar ƙwayoyi (duba ƙasa). Har ila yau, saboda wasu jijiyoyi na jiki suna samun jinin su daga wannan jirgi, ana iya lalacewa a lokacin tiyata. Bugu da ƙari, bude carotid zai iya haifar da rauni na hyperperfusion , wanda shine lokacin da kwakwalwa ba zai iya tsara sabon karuwa a cikin jini ba, wanda zai iya haifar da ciwon kai, haɗari, da kuma ƙarancin neurological.
Ƙarƙashin Ƙarfin Ƙungiyar Carotid
Ƙungiyar Citrus ta Cutar (CAS) tana dauke da ƙananan ƙwayar cuta ta hanyar jinin jini, yawanci farawa daga ƙwaƙwalwar mata a cinya, har zuwa maganin carotid. Anyi haka ne a karkashin jagorancin ruwaya , don haka gwani zai iya ganin abin da suke yi. Da zarar catheter yana cikin matsayi, an sanya wani sutura a cikin maganin don taimakawa bude shi kuma ya buɗe shi. Gaba ɗaya, lokacin dawowa daga CAS ya fi sauri fiye da na CEA.
Yawancin mutane kamar ra'ayin da ake yi na carotid saboda yana da ƙarancin gazawa fiye da adadin carotid. Duk da haka, damuwa bai kasance kamar yadda CEA ba, kuma yana da hadarin gaske. Binciken farko da aka nuna ya nuna cewa hadarin da ake ciki ya fi muhimmanci fiye da CEA a gaba ɗaya. Duk da haka, an yi binciken wannan binciken don gwada likitocin marasa lafiya wadanda ba su da cikakken fahimta suna yin maganin ga likitoci da suka fi sani da CEA.
Nazarin binciken 2010 a New England Journal of Medicine ya nuna cewa yayin da yunkuri na iya zama tasiri a matsayin CEA a bude sutura, haɗarin bugun jini da ya shafi hanya ya fi girma a CEA, a kalla a cikin wata na fari bayan hanya.
Ra'ayin Nazarin
Mataki na farko shi ne yanke shawara idan an buƙatar wani magani fiye da magani. Babban mahimmanci a cikin yanke shawara shi ne ko yaduwar cutar ta riga ta haifar da bugun jini ko a'a. Idan ba haka ba, kuma idan stenosis ba kasa da kimanin 80%, da yawa likitoci likita kawai kiwon lafiya gudanarwa. Idan annoba ya faru, yana iya zama alamar cewa ana buƙatar karin magani mai tsanani. Idan bugun jini ya yi yawa, duk da haka, ƙila ba za a sami ƙwaƙwalwar kwakwalwa ba don tabbatar da hadari na hanya.
Tun lokacin gabatarwa a ƙarshen shekarun 1990, carotid stenting ya karu da sannu a hankali. Medicare yanzu ya rufe hanya a karkashin yanayin zaɓi. A ƙarshe, mafi kyau magani zai dogara ne akan halaye na musamman na masu haƙuri, likitoci, har ma da inshora.
Wasu bincike sun nuna cewa abubuwan da suke da tsayin daka da siffar takarda da jirgi na jini zai iya tasiri damar da CAS zai haifar da bugun jini. Mazan tsofaffi kullum suna da talauci fiye da saurayi, kodayake wani tsofaffi lafiyayye yana iya yin kyau.
Assurance kuma yana taka muhimmiyar rawa. Medicare zai kullum rufe CAS ga symptomatic marasa lafiya tare da babban hadarin ga CEA wanda yana da akalla 70% stenosis. Sauran nau'ikan stenosis (game da 90% na lokuta) ya kamata a kula da su a wata hanya.
Daga qarshe, yanke shawara game da yadda za a gudanar da carotid stenosis yana da mahimmanci kamar yadda mutum yake da stenosis. Binciken bincike ba sau da yawa, kuma saboda akwai kudaden da za a yi tare da kowane zaɓi, zai iya zama ƙalubale don samun ra'ayi mai ban sha'awa. Kada ku ji tsoro ku tambayi likita fiye da ɗaya don tunanin su.
Sources:
Brott TG, et al. Ƙunƙwasawa da rashin dacewa don maganin carotid-artery stenosis. N Engl J Med . 2010 Jul 1; 363 (1): 11-23. Afub 26 Mayu 2010.
Ropper AH, Samuels MA. Ka'idodi na Adams da Victor na ilimin lissafi, 9th ed: The McGraw-Hill Companies, Inc., 2009. McCabe MP, O'Connor EJ.
Sharon Swain, Claire Turner, Pippa Tyrrell, Anthony Rudd a madadin Cibiyar Harkokin Gudanar da Harkokin Gudanar da Ƙungiyar, Gano da kuma farawa na farko na fashewar cututtuka da ƙaddamarwa mai sauƙi: taƙaitaccen jagorancin NICE, BMJ 2008; 337: a786, 24 ga Yuli, 2008
Tu JV et al. Bayanan haɗari ga mutuwar ko bugun jini bayan bayanan carotid: remarks daga Registered Registry Registry. Dama . 2003 Nu; 34 (11): 2568-73.
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 .