Sanin Pleuritic Chest Pain (Pleurisy)
Idan kuna jin ciwo tare da numfashi, ko numfashi na jiki ko kuma lokacin da yayi numfashi mai zurfi, kuna iya jin damuwa. Doctors bayyana irin ciwo da ke faruwa tare da shan zurfin numfashi a matsayin "ciwon zuciya na zuciya" ko kuma "pleurisy." Sunan yana fitowa daga daya daga cikin abubuwan da ke tattare da wannan zafi: jin zafi na rokon, ƙuƙwalwar da ke rufe da huhu.
Amma akwai ainihin mawuyacin yiwuwar wannan nau'i. Mene ne wasu dalilai, a yaushe zaku iya tabbatar da bayyanar cututtuka, kuma wane gwajin da likitanku zai iya ba da shawara don gano asalin ku?
Pain tare da Rawan Bugawa: Pleuritic Chest Pain
Kamar yadda muka gani a sama, likitoci suna amfani da kalmar "jujjuyacciyar ƙuƙwarar ƙuƙumi" don bayyana ciwo a cikin kirji wanda ke faruwa tare da numfashi. Cikin baƙin ciki zai iya faruwa ne kawai tare da numfashi ko kuma yana iya kasancewa a kowane lokaci kuma ya zama sanannun lokacin da yayi zurfin numfashi. Gwajin kirji na jinji yana jin dadi sosai, maimakon kullun ko nauyi, amma akwai alamarsu ga wannan doka.
Yayin da yake shan azaba tare da gaggawa gaggawa?
Kafin tattauna batun yiwuwar haddasa zafi tare da numfashi, yana da muhimmanci a san lokacin da zaka kira 911. Idan kana da wasu daga cikin wadannan cututtuka tare da numfashi mai raɗaɗi, karanta wani ƙarin kuma kira don kula da lafiyar gaggawa:
- Pain wanda yake mai tsanani ko wanda ya zo a ba zato ba tsammani
- Da wuya a kama numfashinka ko rashin ƙarfi na numfashi
- Pain, kumburi, ko redness a ko dai daga kafafunku (wanda zai zama jini) tare da jin zafi tare da numfashi
- Haskewa ko ɓarna
- Rashin jinin jini , koda kuwa kadan ne (ko da teaspoon an dauke shi gaggawa)
- Kuna da lalacewa mai zuwa: Idan ba za ku iya bayyana abin da kuke nufi ba amma kuna jin kamar abin da kuke fuskanta shi ne gaggawa, ku dogara da ilminku kuma ku kira 911
Ɗaya daga cikin abubuwan da ke tattare da ƙananan ciwon ƙwayar zuciya na zuciya ne na wucin gadi, wani jini wanda ya fadi a kafafu kuma yana tafiya zuwa ga huhu. Wannan lamari ne mai barazana ga rayuwa kuma zai iya kaiwa ga mutuwa idan ba a yi masa ba. A cikin binciken shekarar 2017 an lura da cewa kashi 5 zuwa 21 cikin dari na mutanen da suka je wurin gaggawa tare da ciwo na ciwon zuciya na fata sun samo su suna da alamar mahaukaci.
Ra'ayoyin Raunin Pureitic Chest (Ra'ayin da Breathing)
Kafin shiga cikin yiwuwar ciwo da numfashi, yana taimakawa wajen magana game da hanyoyin da zasu haifar da irin wannan ciwo. Ciki da numfashi yana iya faruwa tare da yanayin da ya shafi kusan dukkanin siffofin da ke cikin kirji. Wadannan sun haɗa da:
- Ƙunƙunƙarin
- Jigilar, tsoka, da sauran kayan kyakoki na kirji
- A thoracic kashin baya
- Ƙwaƙwalwar huhu da rufin huhu
- Zuciya da rufin zuciya (pericardium)
- Gisophagus
- Ƙara
M zafi tare da Pleuritic Cheshi Pain vs Pleurisy
Idan kuna karantawa game da numfashi mai zafi ko jin raɗaɗi mai zafi, za ku iya samun wannan batu.
Wannan shi ne saboda numfashi mai zafi yana iya kiran abubuwa daban-daban. Kalmar "jinin ciwon zuciya" wanda aka saba amfani dasu don bayyana duk wani ciwo da ke faruwa tare da numfashi. Ya bambanta, ana iya amfani da kalmar pleurisy a wasu hanyoyi daban-daban. An yi amfani da Pleurisy wani lokaci don bayyana wani mummunar zafi da ke faruwa tare da numfashi mai zurfi, amma ana amfani da wasu lokuta musamman don bayyana ƙinƙarar da ake kira , ƙirar biyu ɗin da layin kuma kare ƙwaƙwalwa a lokacin motsi. Akwai ƙarin bayani akan yin amfani da waɗannan sharuddan. Alal misali, wasu yanayi irin su ciwon huhu na iya haifar da yanayin musamman (ƙwaƙwalwa da ƙumburi), amma kuma yana iya haifar da ciwo da numfashi saboda wasu kayan aiki irin su ƙuntatawa ko magunguna masu rarraguwa da tsoka daga tsoka.
Matsaloli masu yiwuwa na Raɗa da Breathing
Akwai dalilai masu yawa na ciwo tare da numfashi wanda ke kusa da zama kawai wani abu mai ban sha'awa a cikin yanayi. Wasu daga cikin asifofin da suka fi dacewa sun rushe kasa ta tsarin jiki.
Abun da ke cikin kwari mai zafi
Yayin da huhu ba su da masu karbar jin zafi, yanayin kiwon lafiya wanda ke dauke da huhu zai iya haifar da ciwo a hanyoyi da dama, ciki har da wadanda ke haifar da fushi ga rokon. Wasu daga cikinsu sun haɗa da:
- Pleurisy: Kamar yadda muka gani a sama, ƙullun da kuka yi, wanda ake kira "pleurisy," shine mawuyacin matsalar ciwo da numfashi. Pleurisy zai iya faruwa ne kawai ko kuma ya kasance da alaka da wani yanayin kamar waɗanda aka ambata a kasa. Hakanan yana iya faruwa bayan ƙwaƙwalwar ƙwayar numfashi na sama, kuma yana ganin yana dawwama har abada.
- Cutar cututtuka na kwayar cutar: ƙwayoyin ƙwayar cuta ta musamman wanda zai iya haifar da ciwon zuciya na ciki kamar Coxsackie cutar, cutar suturar jini (RSV), mura, parainfluenza, mumps, adenovirus, cytomegalovirus (CMV), da cutar Epstein Barr (wanda ke haifar da mononucleosis).
- Ciwo da ciwon huhu : cututtuka cikin ƙwayar cuta, musamman ma wadanda ke cikin yankunan da ke cikin ƙananan huhu a kusa da rufi, zasu iya haifar da ciwo da numfashi.
- Maganin ciwon huhu : An yi tunanin cewa kusan rabin mutanen da aka bincikar da ciwon huhu tare da ciwon huhu ba su da zafi a wani wuri a cikin kirjin su a lokacin ganewar asali. Ba abin mamaki ba ne don wannan ciwo ya canza tare da numfashi, musamman ma idan ciwon yana tsaye a yankunan da ke waje na huhu a kusa da roƙon. A halin yanzu, yawancin ciwon huhu na huhu, adinocarcinoma na huhu , ya yi girma a cikin jiki na huhu a kusa da rokon. Wannan shi ne irin ciwon daji na huhu wanda yafi kowa a cikin mutanen da ba su taba taba taba tabawa, mata, da matasa da ciwon huhu ba.
- Tarin fuka (TB): Tarin ƙwayar cuta shine rashin jin dadi na rashin jin dadi tare da numfashi a Amurka, amma abu ne mai mahimmanci a duniya.
- Abubuwan da ake yi da ladabi: Raɗaɗɗen ruwa a tsakanin layin da aka yi, wanda ake magana da shi azaman nau'in juzu'i, yana da maɗaukaka ciwo tare da numfashi. Duk da haka, kamar yadda ciwo da numfashi yana da alamar ba da takamaiman bayyanar ba, zane-zane na iya kasancewa da alaka da wasu cututtuka, daga cututtuka na huhu da cututtukan zuciya zuwa yanayin da ake ciki kamar kwayar cututtukan zuciya, da ciwon daji. Maganganun ƙirar ƙazantattun kalmomi sune ƙazantattun wurare wanda ya ƙunshi ciwon daji. Wadannan zasu iya faruwa a mutanen da ke fama da ciwon huhu na huhu, ciwon nono, da kuma sauran ciwon daji wanda ke yada zuwa ga huhu.
- Pneumothorax : A pneumothorax shi ne rushewar wani ɓangare ko duk wani huhu. Rushewar zai iya zama ƙanƙara da kuma rashin haɗari, ko kuma yana iya zama babba kuma yana haifar da rashin ciwo tare da numfashi amma har ma rashin ƙarfi na numfashi ko ma subcutaneous emphysema, yanayin da fata na kirji ya yi kamar kumfa kunsa saboda gudun hijirar iska daga huhu. Hanyoyin pneumothorax na iya faruwa a matsayin rikitarwa na emphysema, sauran cututtuka na huhu, ko cututtuka, ko kuma zasu iya faruwa a cikin balagar lafiya.
- Abolus na tayi : Wani yanayi mai hadarin gaske, wanda ya zama mai haɗari da rai, tayi amfani da hanzari a lokacin da ƙuƙwalwa ya fadi a cikin kwakwalwan ƙafafun ( skeletal thrombosis ) da kuma tafiya zuwa cikin huhu. Kamar yadda yake tare da pneumothorax, alamar cututtuka na iya zamawa daga kadan zuwa mai tsanani, kuma wannan yanayin shine gaggawa na likita. Bayanan haɗari ga alamu na kwakwalwa sun haɗa da tiyata, da yawacin cututtuka, da ciki, da kuma nisa da nisa da mota ko jirgin sama. Kamar yadda muka gani a sama, an samo asali na wucin gadi a cikin mutanen da suka je wurin gaggawa tare da ciwon zuciya.
- Mesothelioma : Mesothelioma shine ciwon daji wanda ya fito ne a cikin kuka kuma yafi kowa a cikin mutanen da suka kasance masu kamuwa da asbestos akan aikin.
Abubuwan da ke da tausayi na zuciya mai zafi
Tun da zuciya tana kusa da huhu (da kuma kuka) kuma yana motsa da numfashi, yanayin zuciya zai iya haifar da ciwo da numfashi. Wasu yanayi masu dangantaka da zuciya wanda ke haifar da ciwon zuciya na ciki shine:
- Pericarditis : Pericarditis tana nufin ƙunƙarar jikin membranes wanda yake ɗaukar zuciya (pericardium) waɗanda suke kama da wadanda ke ɗaukar huhu. Pericarditis yana da ƙwayoyi masu yawa ciki har da cututtuka, ciwon daji (mafi yawan ciwon huhu da ciwon daji), yanayin yanayin kai tsaye irin su lupus, da cutar koda. Kimanin kashi 15 cikin dari na mutanen da ke da ciwon zuciya suna ci gaba da pericarditis.
- Zuciyar zuciya: Mafi sau da yawa, ciwon da ke hade da ciwon zuciya ba ya hade da numfashi, duk da haka ci gaba da zafi tare da numfashi mai zurfi yana iya faruwa, musamman ma idan ciwon zuciya yana tare da pericarditis kamar yadda aka gani a sama.
- Rashin fassarar rashawa: Raɗaɗɗen kwalliya wani yanayin ne inda raunana a cikin iska zai iya bari jini ya zubar da jini a cikin rufin "rarraba" da ke cikin ciki, sannan kuma gaggawa ne na gaggawa. wannan yakan haifar da mummunan zafi, wanda zai iya ji a cikin kirji da baya. Yana sau da yawa a cikin mutanen da ke fama da ciwon Marfan, yawancin maza waɗanda suke da tsayi da tsayi.
- Rawan jini na jini : Rawan jini na jini yana da mummunar yanayin da ake ɗaukar jini a cikin rikici. (Ya bambanta da hauhawar jini mafi yawan mutane sun saba da kuma ana bincikar su tare da rubutun echocardiogram maimakon jinin jini.) Rashin murfin jini yana da alhakin ɗauke da jini daga zuciya zuwa ga huhu don karɓar oxygen. Rashin hawan jini na jini na iya, daga bisani, zai iya haifar da wasu yanayi ciki har da cututtukan zuciya, cutar kututtuka, ciwon haɗari na haɗin kai, da kuma wasu magunguna.
Magungunan ƙwayoyin cuta da ke cikin ƙananan rai
Hanyoyin da ke shafe kowane nau'i ko nauyin kayan taushi a cikin kirji na iya haifar da ciwo wanda yake faruwa ko ya fi muni da numfashi. Wasu daga cikinsu sun haɗa da:
- Rib raguwa: Rashin rashawa a matsayin abin ciwo tare da numfashi yana da sau da yawa a fili, amma wani lokaci wadannan fractures na iya faruwa tare da tari ko tare da karamin rauni a cikin mutane tare da osteoporosis. Rashin haɗari gaguwa , wani irin ciwo mai haɗari , duk da haka, ƙila bazai zama a bayyane ba. Rashin ciwo mai rikici yana saukowa sau da yawa kuma ya fi muni da numfashi mai zurfi da coughing.
- Costochondritis da Tietze ciwo : Costochondritis da Tietze ciwo ne yanayi wanda ya haɗa da ƙonewa na yankin inda hakarkarin ya haɗa tare da / ko inda yatsun kafa suka haɗa da sternum (ƙirjin ƙirjin). Tare da costochondritis, akwai yiwuwar kumbamar wannan yanki, amma tare da Tietze ciwo babu. Abun ciki na kirji wanda ke hade da waɗannan yanayi an yi kuskuren saurin kuskuren zuciya. Tun da haƙarƙari, sabili da haka haɗin gizon ya motsawa tare da kowane numfashi, zafi yana da alaka da numfashi, musamman ma yana numfashi mai zurfi.
Sauran Dalili Mai Kyau na Raɗa Mimi
- Shingles : Lokacin da kwayar cutar kaji "ta sake sake" a cikin rarraba ciwon da yake ba da kirji, zai iya haifar da ciwo da kirji-dangane da wurin-jin zafi zai iya canzawa tare da jinji. Duk da yake shingles yawanci ya kunshi raguwa, zafi yakan fara saukowa ta kwanaki kadan, yana tabbatar da ganewar asali a farkon.
- Cutar da aka yi : Abun da ke faruwa saboda cututtuka da cutar ta fstroesophageal (GERD) ba a hade da numfashi ba, amma yana iya kara da numfashi mai zurfi.
Abun-cututtukan cututtuka
Akwai alamun bayyanar cututtuka waɗanda zasu iya faruwa tare da numfashi mai raɗaɗi wanda zai iya taimaka maka da likitan ku gano dalilin da kuke fama da ita. Wasu daga cikinsu sun haɗa da:
- Wani tari, ko tari mai kara ko tari mai tsauri
- Sauran nau'i na ciwon da ke fama da zafi daga cikin kirji, don ciwo da zafi, don ɗaukar jin zafi , don dawo da ciwo
- Rawancin numfashi
- Cutar da jini
- Girma
- Wheezing
- Rashin asarar rashin nauyi
Tambayoyin Doctor ku iya tambayarka
Bugu da ƙari, tambayar game da yiwuwar alaƙa da alamun da ke sama, likitanku zai tambaye ku:
- Shin kun, ko kun taba taba kyauta?
- Shin kuna da wani rauni ko cuta, ciki har da ƙananan rauni?
- Kuna da kamuwa da cututtuka irin na sanyi ko mura?
- Yaushe ne bayyanar cututtuka ta fara, kuma tsawon lokacin da suke faruwa?
- Shin kun taɓa samun irin wannan alama a cikin baya?
- Waɗanne matsalolin kiwon lafiya kuke da su?
- Wadanne yanayin kiwon lafiya ke gudana a cikin iyalinka?
- Shin kun fara sabon shirin motsa jiki, ko ku shiga wani aikin jiki wanda zai iya sanya damuwa a kan tsokoki da wasu sifofi a kirjinku?
- Shin bayyanar cututtuka na faruwa a duk lokacin, ko kawai a wasu lokuta, kamar zuwa waje lokacin sanyi?
Gwada Dokokin Doctor naka
Dangane da bayyanar cututtuka, akwai nau'i daban-daban gwaje-gwaje da likitanku zai iya bayar da shawarar. Wadannan sun haɗa da:
- Hakanan kirji: Ka tuna cewa rayukan rayuka na iya taimakawa wajen tantance yanayin, amma ba zai iya ware yanayin ba. Alal misali, embolus na huhu ko ciwon daji na huhu zai iya kasancewa duk da nauyin rayukan kirji. A gaskiya ma, ƙwayar cutar ƙwayar ƙwayar cuta ba ta da yawa a kan wani x-ray kuma ba a gano ba har sai sun isa mataki idan ba su da magani. Hannun da aka rasa a cikin tarkon yana da tsanani, kuma zai iya zama masifa idan ba a bincikar da shi ba da sauri.
- Rib x-haskoki.
- Samun iska-perfusion: Wannan gwaji ne don neman hujja na embolism na huhu.
- Ct scan Ct: A kirji CT scan za a iya amfani da su kimanta da dama nau'in yanayin dangantaka. Ana iya yin haka ne, don samun ƙarin ra'ayi mafi kyau game da haƙarƙarin da ƙananan haɓaka a kirji.
- CT angiography.
- Electrocardiogram (EKG)
- Echocardiogram: Za a iya yin wani echocardiogram (jarrabawar jarrabawar zuciyarka) don neman kumburi ko ruwa a cikin membranes dake rufe zuciya (pericarditis ko hadari pericardial).
- Oximetry: Wani tsinkaya shine gwajin da aka yi amfani dashi don auna matakin oxygen a cikin jininku. Wani lokaci yakan iya bayarwa alamu ga ƙwayar zuciya ko yanayin zuciya.
- Gwaje-gwajen aikin gwaji.
- A gwajin D-dimer.
Jiyya ga jin zafi na numfashi
Zaɓuɓɓukan magani don numfashi mai raɗaɗi zai dogara ne akan ainihin dalili. Yana da muhimmanci a sauraron jikinka idan kuna da ciwon zuciya na zuciya, kuma kada ku "rufe" alamun ku ta hanyar amfani da magungunan ciwo har sai kun gwada jarrabawa.
Ƙashin Ruwa a kan Raɗa da Ruwa
Kamar yadda muka gani a sama, akwai matsaloli masu yawa na numfashi mai zafi ko ciwo tare da numfashi mai zurfi wanda ke da mahimmanci ga wadanda ke da barazanar rai. Yana da muhimmanci mu tuna cewa wannan ciwo shine sigina daga jikinmu yana gaya mana cewa wani abu ba daidai ba ne. Zai iya zama takaici idan ba ka samu ganewar asali nan da nan, kamar yadda sau da yawa ke faruwa tare da ciwo irin wannan, amma ci gaba da magana da likitanka har sai kana da amsar. Ka tambayi likita ga likita ko samun ra'ayi na biyu idan har yanzu ba ka da bayanin dace don rashin jin daɗinka. Menene gaskiyar tare da numfashi mai raɗaɗi na gaskiya ne a kowace likita - yana da muhimmanci a zama mai ba da shawara a lafiyar ku don ku kasance lafiya.
> Sources:
> Berchuck, J., da S. Patel. Wani ilimin ilimin kimiyya na Pleuritic Chest. Journal of General Medicine . 2016. 31 (1): 138.
> Jany, B. Maganin ƙwayoyin cuta na Cutar Kusa. Ƙaddamarwa . 2017. 58 (1): 22-28.
> Reamy, B., Williams, P., da M. Odom. Pleuritic Chest Pain: Gyara ta hanyar Bambance-bambancen Bambancin. Aminiya na Yammacin Amirka . 2017. 96 (5): 306-312.
> Yan, G., Littlewood, A., da M. Latimer. Dalili marar kyau na Pleuritic Chest Pain a cikin Yara. BMJ Case Reports . 2016. Ci gaba: bcr2016217307.