Sakamakon ganewar cututtuka yana buƙatar jarrabawar likita da sauri, sau da yawa tare da taimakon likita. Idan ka taba samun gwajin bugun jini, jarrabawarka za ta hada da kayan aiki masu zuwa.
Nazarin Neurological
Wannan gwaji yayi ne don likita don gano ko akwai matsala a aikin kwakwalwa wanda zai tabbatar da cewa mutum yana da ciwo.
Kowace ɓangare na gwaji na gwaji ya gwada wani ɓangaren kwakwalwa, ciki har da:
- Sanin hankali da sani
- Jawabin, harshe, da aikin ƙwaƙwalwa
- Hanyen gani da ido
- Sensation da motsi a hannun fuska da kafafu
- Ra'ayi
- Tafiya da ma'ana
Tambayar Tarihin Tambaya
Ana gwajin wannan gwagwarmaya a cikin dakin gaggawa don gano fashewar hemorrhagic .
Binciken kwaikwayon da aka lissafta (CT) yana da kyakkyawan gwaje-gwajen don wannan dalili ba kawai saboda suna iya gane jini a cikin kwakwalwa ba, amma kuma saboda ana iya yin sauri.
Har ila yau, CT zai iya bayyana kullun cututtuka, amma sau da yawa baza su iya gano shagunan cututtuka ba, har sai kimanin sa'o'i 6-12 bayan sun fara.
Lumbar Puncture
Har ila yau, an san shi a matsayin " famfo na gefe " wannan gwajin ana yin wani lokaci a cikin dakin gaggawa lokacin da akwai mummunan zato ga cututtukan jini. Jarabawar ta shafi shigar da wani allura a wani yanki a cikin ƙananan ɓangaren ƙwayar kashin baya inda yake da lafiya don tattara gurasar cizon sauro (CSF).
Lokacin da jini yana cikin kwakwalwa, ana iya ganin jini a CSF.
Halin Hanya na Magnetic (MRI)
Wannan yana daya daga cikin gwaje-gwaje mafi taimako a ganewar asali na bugun jini saboda zai iya gano bugun jini a cikin minti na farko. MRI hotuna na kwakwalwa kuma suna da inganci ga hotuna CT. Wani nau'i na musamman na MRI da ake kira angography na Magnetic Resonance , ko MRA, ya sa likitoci su ga yadda za su yi katsewa ko katse jini a kwakwalwa.
Transcranial Doppler (TCD):
Wannan jarabawar tana amfani da maguwar motsawa don auna yaduwar jini ta wurin manyan jini a kwakwalwa . Yankunan da ke cikin cikin jirgi na jini suna nuna bambancin jini kamar yadda al'amuran al'ada. Wannan bayanin za'a iya amfani dasu don likitoci su bi ci gaba na jini.
Wani muhimmin amfani ga TCD shine kimawar jini ta hanyar jini a cikin yanayin jini, kamar yadda wadannan tasoshin jini suna da kwarewa don shawo kan "vasospasm" a cikin wani abu mai hatsari da kwatsam na jini wanda zai iya hana jini.
Coribral Angiography:
Masanan likitoci sun yi amfani da wannan gwajin don ganin jini a cikin wuyansa da kwakwalwa. A lokacin wannan gwaji wani gilashi na musamman, wanda za'a iya gani ta amfani da hasken X, an isar da shi a cikin carotid arteries, wanda zai kawo jini zuwa kwakwalwa. Idan mutum yana da haɗari ko ƙuntatawa ɗaya a cikin ɗaya daga cikin wadannan jini, alamar yatsin rai zai iya taimakawa wajen gane asalin jini.
Dalili na yau da kullum na ciwon bugun jini yana raguwa da maganin carotid, carotid stenosis, wanda shine yawan sakamakon adadin cholesterol a kan ganuwar wadannan jini. Wannan yanayin kuma za a iya gano shi ta hanyar gwajin da ake kira Carotid Duplex, wanda ake amfani da raƙuman motsi don kimanta jini ta hanyar wadannan jini.
Dangane da digiri da kuma bayyanar cututtuka da mutum ya ji, ana iya buƙatar aikin tiyata don cire allo daga tasirin cutar.
Hanyoyin kwakwalwa na al'ada na iya taimakawa likitocin gano asalin waɗannan al'amuran da aka sani da zasu haɗu da bugun jini
Bayan da aka bincikar bugun jini, wani lokacin, dole ne a yi sabon gwajin gwagwarmaya don gano dalilin cutar.
Electrocardiogram
Wannan gwaji, wanda aka fi sani da EKG ko ECG, yana taimaka wa likitoci su gane matsaloli tare da motsawar wutar lantarki.
Yawancin lokaci, zuciya yana cikin damuwa a yau da kullum, wanda ya inganta jini mai yaduwa zuwa kwakwalwa da sauran gabobin. Amma idan zuciya yana da lahani a cikin motsi na lantarki, zai iya bugawa tare da rukunin wanda bai dace ba. Ana kiran wannan an archhythmia, ko kuma wanda bai dace ba .
Wasu arrhythmias, kamar su filastillation, suna haifar da kafa jini a cikin ɗakunan zuciya. Wadannan jini a wasu lokuta sukanyi ƙaura zuwa kwakwalwa da kuma haifar da bugun jini.
Harshen echocardiogram na Transthoracic (TTE)
Wannan gwaji, wanda aka fi sani da 'echo' yana amfani da raƙuman motsawa don neman jini ko wasu hanyoyi na nunawa cikin zuciya. Ana amfani da shi don neman abubuwan da ke damuwa a cikin aikin zuciya wanda zai haifar da yaduwar jini a cikin ɗakunan zuciya. Ana amfani da TTE don bincika idan jinin jini daga kafafu zai iya tafiya ta cikin zuciya kuma isa kwakwalwa.
Leg duban dan tayi
Doctors sukan yi wannan gwajin a kan marasa lafiya bugun jini da aka bincikar su tare da magungunan ƙananan ophtalmology. Jarabawar tana amfani da raƙuman motsi don neman jini a cikin zurfin sassan ƙafafun kafa, wanda kuma an san shi azaman matuka mai zurfi ko DVTs. DVTs na iya haifar da ciwo ta hanyar yin tafiya mai tsawo wanda ya ƙare a kwakwalwa. Na farko, ƙananan gunki na DVT ya ƙare kuma yana tafiya zuwa zuciya ta wurin zane-zane. Da zarar cikin zuciya jinin jini ya haɗu daga gefen dama zuwa gefen hagu na zuciya ta hanyar PFO, inda aka fitar da shi ta hanyar dajin da kwakwalwa zuwa kwakwalwa, inda zai iya haifar da bugun jini.
Gwajin jini
A mafi yawancin, jarabawar jini yana taimaka wa likitoci su nemi cututtuka da aka sani don ƙara haɗarin kutsawa , ciki har da:
Source
Bradley G Walter, Daroff B Robert, Fenichel M Gerald, Jancovic, Yusufu Harkokin Halitta a cikin aikin likita, ka'idodin ganewar asali da kuma gudanarwa. Philadelphia Elsevier, 2004.
Edited by Heidi Moawad MD