Anerysm mai kwakwalwa shi ne haɗakarwa mai kamawa na aorta, babban maganin a jiki. Babban dalilin da aka dauke shi matsala shi ne cewa wasu lokuta wani motsa rai na iya rushewa, yana haifar da mummunan jini na jini. Duk da haka, wasu matsaloli masu tsanani suna yiwuwa.
Yawancin yawancin, anerysms aortic suna cigaba da hankali, a tsawon shekaru da dama, don haka kada su yi girma har zuwa ma'ana cewa rupture zai iya yiwuwa.
Wadannan irin wa] annan wa] ansu irin wa] annan cututtuka ba su da wata alama.
Duk da haka, a wasu lokuta, anerysm na iya girma da sauri kuma ya zama babba, yana haifar da bayyanar cututtuka. Wadannan bayyanar cututtuka sune alamar cewa rupture ya zama mafi kusantar. Lokacin da motsawar motsa jiki ta rushe haɗarin mutuwa mutuwa ne ƙwarai-ko da idan an yi aikin tiyata na gaggawa. Saboda wannan dalili, mutanen da ke da motsin rai na likita suna buƙatar kula da lafiya na kusa don a iya yin aikin tiyata kafin a rushe.
Don haka, yana da matukar muhimmanci a san ko wani motsa jiki na motsa jiki yana haifar da alamun bayyanar. Doctors bukatar yin aiki da sauri idan duk wani mai haɗari tare da hadarin haɗari ga wani aortic aneurysm kuma ya bayyana alamun cututtuka da mai yiwuwa ne ya faru da irin wannan animeysm. Wajibi ne a kalla wadannan mutane a nan gaba. Kuma mutanen da aka bincikar su tare da karamin motsa jiki na matsakaici ko matsakaici, kuma suna kulawa da shi, suna buƙatar su san abin da alamun da zasu gano su kuma bayar da rahoto ga irin likita a nan gaba.
Kwayoyin cututtuka
Kwayoyin cututtuka da motsawar motsa jiki ke gudana sun dogara ne, har zuwa wani, ko dai shi ne anerysm aortic ko anathysm na ciki.
Aorta ba kawai shine mafi girma a cikin jiki ba, shine mafi tsawo. Ya fara ne a "saman" zuciya don haka lokacin da zuciya ke zubar da jini daga hagu na ventricle kuma a fadin kwandon ruwa a cikin kwamin, jini yana zuwa sama, zuwa kai.
Wannan ɓangaren farko na aorta ana kiransa aorta mai hawa (tun da yake yana nuna jini zuwa sama).
A saman kirji, a ƙarƙashin kirji, aorta yana yin amfani da U-juya-wanda ake kira baka na aorta-sannan kuma ya yi waƙoƙi ƙasa tare da kashin baya, ta cikin kirji sannan kuma cikin ciki. Ana kiran wannan aorta mai saukowa.
Dangane da tsawonsa, dabbar ta ba da jini mai yawa da ke ba da kai, da makamai, kora, da kuma gabobin ciki. A ƙarshe, a cikin ƙananan ƙananan ƙwayar ya rarraba a cikin arteries biyu na iliac, wanda ke ci gaba da bayar da kafafu.
Anatarysm zai iya bunkasa a kowane wuri tare da hanyar aorta. Idan anerysm yana samuwa a sama da diaphragm (tsohuwar ƙwayar jiki a gindin ƙirar) an kira shi aikin motsa jiki na thoracic. Idan an samo shi a ƙasa da diaphragm, ana kiranta shi anortysm na ciki. Kimanin kashi 40 cikin dari na anerysms aortic ne thoracic, kuma 60 kashi na ciki.
Thoracic Aortic Aneurysm cututtuka
Wani motsi na ko dai anorta mai hawa, da alamar daji, ko kuma fadin aorta a sama da diaphragm ana kiransa thorakin aortic aneurysm. Kamar dai yadda duk wani motsawa na motsa jiki, waɗannan sukan fara fitowa kaɗan kuma suna girma sosai. Idan har ya zama babban ƙwayar magungunan ƙwayar cuta na thoracic zai iya haifar da nau'o'in bayyanar cututtuka, dangane da wurinsa kuma a kan abin da wasu jiki zasu tsara zai iya farawa.
Wadannan alamun bayyanar sun hada da:
- Ƙunƙun zuma. Ƙunƙun dajin da aka samu ta hanyar anerysm na yau da kullum yana hade da hawan motsawa, ko kuma wani motsawar da ke shafar baka. Wannan irin ciwo na kirji, bambancin da yake da shi a cikin jiki , yawanci ba a kai tsaye ba ne game da aiki.
- Binciken baya. Abun daji na ciwon daji wanda ake haifar da anerysm a lokacin da ake ji shi a tsakanin ƙwaƙwalwar ƙafa, ko kuma ɗan ƙarami. Yawanci yana faruwa ne tare da animeysm na saukarwa aorta thoracic.
- Girma. Rushewar aorta mai hawa ko maciji mai kwakwalwa zai iya rinjayar jijiyar laryngeal wanda ya ci gaba, wanda ke ba da igiyoyin murya. Akwai sakamakon ƙwaƙwalwar murya na murya na iya haifar da hoarseness.
- Ƙara . Wani motsi na hawan mai hawa ko baka zai iya shiga kan hanyoyi, samar da tari.
- Dyspnea (shortness na numfashi). Don irin wadannan dalilai, wani motsawar motsi na hawan sama ko baka zai iya haifar da dyspnea .
Abun ciki na cututtuka da cutar Ebola
Wani ciwon motsa jiki na ciki yana da wuya ya haifar da bayyanar cututtuka fiye da anerysm a thoracic saboda akwai ƙarin "dakin" a cikin ciki don anirysm ya yi girma kafin ya rinjayar sauran tsarin jiki. Lokacin da bayyanar cututtuka ke faruwa, yakan nuna cewa anirysm yana da girma kuma / ko yana girma cikin sauri. Wadannan bayyanar cututtuka sun haɗa da:
- Binciken baya. Abun ciwo daga ciwon motsa jiki na ciki yana ji a cikin ɓangaren ƙananan baya, ƙarƙashin diaphragm.
- Jin rashin jin ciki mai zurfi. Anerysm mai ciki na ciki zai iya haifar da rashin tausayi, zafi, ko "cikakken" a cikin ciki.
- Harshen motsa jiki. Idan ciwon motsa jiki na ciki ya zama babba, zai iya haifar da mummunar ɓarna a cikin yankin na cibiya.
Matsaloli
Lokacin da ba a yi jawabi ba, waɗannan matsaloli zasu iya faruwa.
Rupture
Babban kuma mafi nisa wanda ya fi tsoron tsoron aiwatar da wani motsa jiki mai raɗaɗi shi ne rupture. Rawanin da aka rushe shi ne mafi yawan lokuta da bala'in, wanda zai haifar da zub da jini na ciki. Kwayar cututtuka na rushewa yana farawa da mummunan ciwo a cikin kirji ko baya, ya bi hanzari da lalacewa , rauni mai tsanani, da hasken wuta , gigice , da asarar sani.
Cushewar kwakwalwar jiki yana da sauƙi sosai, ko da za a iya yin ƙoƙarin yin gyare-gyare a cikin kwakwalwa, raunin mutuwa yana da yawa. Idan an yi amfani da kayan motsa jiki ta hanyar motsa jiki, za'a yi wannan tiyata a kowane lokaci kafin rupture ya auku.
Aserar Dissection
Rashin fashewar jiki shine tsaguwa a cikin rufin dabbar, wanda zai iya faruwa a kowane yanki na rauni a cikin bango aort. Ruwan jini yana iya shigar da hawaye, mai yiwuwa ya raba rassan bango aortic. Lokacin da irin wannan rarraba ya auku, sau da yawa wanda aka azabtar zai fuskanci kwatsam, mai tsanani, raɗawa ko kuma yawo cikin kirji ko baya.
Hanyoyin jini na ciki da kuma lalata jini wanda sau da yawa yakan haifar da rashawa, fashewa, ko sauran lalacewar lalacewar jiki, lalacewa ta jiki, ko mutuwa. Rashin fashewar iska zai iya faruwa ko da babu wani motsa jiki aortic da yake akwai, amma kasancewar wani animeysm ya sa rikitarwa ya fi dacewa.
Auric Regurgitation
Wani gwaji wanda zai iya haifar da anortysm aortic shi ne regurgitation aortic (valve aortic dam). Wannan rikitarwa zai iya haifar da anerysm na hawan mai hawa, nan da nan a sama da bawul din.
Tsarin dorina mai sauƙi a cikin wannan wuri zai iya karkatar da bawul din da ya dace don sa basar ta yi aiki mara kyau. Mutane da ke fama da wannan rikitarwa suna da alamun alamun da alamun alamun wariyar launin fata, ciki har da dyspnea, zafi ciwon zuciya, gurguntacciyar zuciya, cututtukan zuciya , da ciwo zuciya .
Yawancin lokaci, kawai lokacin da ake nazarin waɗannan mutane saboda yadda suke nuna damuwa ta hanyar kwance cewa ainihin dalili na matsalar-anirysm mai hawa mai girma - an gano.
Blood Clots
A wasu lokuta, ƙwayar jini zai iya samuwa a cikin ɓangaren ƙwayar ƙwayar dabbar, inda za'a iya yayyafa jini na al'ada ta al'ada da kuma yankunan zumunta na iya bunkasa. Jubar da jini a cikin kwari zai iya yin ba da izinin (karya a kashe) kuma yayi tafiya zuwa kusan dukkanin kwayoyin jiki, wanda yakan haifar da mummunan lalacewa.
> Sources:
> Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF / AHA / AATS / ACR / ASA / SCA / SCAI / SIR / STS / SVM Jagoran Bayanan Bincike da Gudanarwa ga Marasa lafiya Da Ciwon Cutar Daji na Thoracic Jagoran, Ƙungiyar Amirka don Tashin Ƙasa, Cibiyar Harkokin Labaran {asar Amirka, {ungiyar Harkokin Lafiya ta {asar Amirka, {ungiyar Harkokin Kwayoyin Tsarin Lafiyar Nahiyar Amirka, {ungiyar Harkokin Lafiya ta Duniya da Harkokin Tsarin Mulki, Cibiyar Harkokin Tsarin Harkokin Ci Gaba da Cibiyar Harkokin Tsarin Harkokin Cutar Kasuwanci, Cibiyar Nazarin Siyasa ta Thoracic, da Cibiyar Nazarin Yammaci. Yanayi 2010; 121: e266.
> Moll FL, Powell JT, Fraedrich G, et al. Gudanarwa na Abortinal Aortic Aneurysms Clinical Practice Guidelines Of The European Society For Vascular Surgery. Eur J Vasc Endovasc Surg 2011; 41 Samar 1: S1.