Subclavian sata ciwo, wani nau'i na cututtuka na jijiyar jiki (PAD), wani ɓangare ne na alamar cututtuka da ake haifar da ɗarrawa a cikin ɗayan ɗakunan ƙararraki, ƙananan jigon da ke samar da makamai. Saboda yanayin wurin da ake rikici, jini ya kaucewa ("sace") daga kwakwalwa zuwa hannun hannu. Sakamakon haka, bayyanar cututtukan suturar cututtuka sun hada da alamun cututtuka kawai amma har da alamun cututtuka.
Bayani
Don fahimtar satar ƙwararrun ƙwararrun ƙwayar cuta, yana da amfani wajen sanin wani abu game da jikin mutum na jini a cikin kai da wuyansa. An fitar da jini a cikin ƙananan zuciya tare da kowace ƙyallen zuciya, a cikin kwandon daji - wata karusar dawakai-nau'i-nau'i ne a kan dutse da ke cikin wuyansa. Daga baka, dabbar ta fara tafiya zuwa ƙasa da kirji da ciki.
Jigon kwandon daji ya ba da jini mai tsanani wanda ya ba da makamai da kai - sassan layi da carotid arteries. Harsoyin subclavian suna tafiya a ƙarƙashin ƙasusuwan ƙasusuwan don su ba da jini ga kowane hannu. Kafin samar da makamai, duk da haka, kowane maganin sassaucin ƙwayar yana ba da wata maganin ƙwaƙwalwa, wanda ya ba da jini ga tushe na kwakwalwa.
A tushe na kwakwalwa, kalmomi biyu da carotid biyu suna sadarwa tare da juna a cikin wani tsarin daji mai suna Circle of Willis. The Circle of Willis yasa zubar da jinin daga ɗayan ɗigbin zuwa wani, a matsayin hanyar kare lafiyar kwakwalwa idan daya daga cikin carotid ko vertebral arteries ya kamata a katange.
Subclavian sata ciwo yana aiki kamar haka: atherosclerosis yana samar da wani rikici (ko dai dai dai ko cikakke) a cikin ɗaya daga cikin jigilar ƙwayoyin ƙararrawa kafin kafin cirewar maganin ƙwaƙwalwar vertebral. Kwayar jini zuwa ƙwaƙwalwar maganin ƙwayar cutar ta haka ta ragu. Saboda wannan dalili, an sake juya jini daga kwakwalwa, ta hanyar Circle of Willis, da abin da ya shafi maganin ƙwaƙwalwar ƙwayar cuta, da kuma komawa bayanan da ke ƙarƙashin ƙwayar.
Sabili da haka, tare da sukar suturar ƙwayar cuta na jini yana "sace" daga kwakwalwa don samar da hannun jini.
A sakamakon haka, ba wai kawai abin da aka sanya hannu ba yana da rage yawan jini, amma haka kwakwalwa.
Cutar cututtuka
Alamar cututtuka na satar suturar ƙwayar cuta ta dogara ne akan yadda ake rikicewa a cikin ƙwaƙwalwar ƙwaƙwalwa, kuma akan yawan aikin da hannu ya shafa.
Yawancin lokaci, babu wata alamar cututtuka a duk lokacin hutu. Amma, idan rikici ya isa sosai, lokacin da aka sanya hannun hannu, abubuwa biyu sun faru. Da farko, ƙwaƙwalwar hannu ta zama cikewa don oxygen, samar da claudication (mummunan zafi da damuwa). Amma mafi mahimmanci, ƙarin jini yana kaucewa daga kwakwalwa, kuma alamun daji na kwayoyin halitta ya faru ne saboda rashin jinin jini. Wadannan bayyanar cututtuka na iya haɗawa da tsabtace jiki , haɗawa (asarar sani), hangen nesa biyu da kuma sauran gangami na gani, kunna a kunne, da kuma vertigo .
Yayin da yanayin yaduwa ya kara ƙaruwa, bayyanar cututtuka yana faruwa tare da žasa da žasa motsa jiki.
Sanin asali
Don tantance suturar suturar ƙwararrun ƙwayar cuta, farko likita ya bukaci ya nema shi. Wannan bazai faru sai dai idan mai haƙuri ya kwatanta cututtuka da suka bada shawara akan wannan ganewar.
Da zarar ana satar suturar cizon sauro, duk da haka, yawanci ba shi da wuyar yin ganewar asali.
Saboda akwai rikici cikin rikici a cikin maganin ƙwaƙwalwar ƙwayar ƙwaƙwalwa, karfin jini a cikin hannun da aka shafa ya ragu. Sabili da haka yawancin bambanci a cikin karfin jini tsakanin makamai biyu. Hakanan ma an rage rudani a hannun hannu.
Ana iya tabbatar da ganewar asali ta gwaji marasa gwagwarmaya, kamar su MRI ko CT scan , ko kuma tare da samfurori (ƙirar).
Jiyya
Saboda ƙaddamar da suturar ƙwararrun ƙwayar cuta shine nau'i na PAD, ana bi da shi daidai da yadda duk an bi da PAD .
Kwayar cututtukan zuciya na asherosclerotic na ci gaba da cutar da ke shafar jini a ko'ina cikin jiki. Yana da mahimmanci a yi amfani da dukkan matakan da za a rage yawan haɗari da aka sani don jinkirin ci gaba da atherosclerosis, ciki har da dagewar shan taba , gudanarwa ta jini, kula da hauhawar jini, gudanar da nauyin nauyi, motsa jiki, da kuma kula da ciwon sukari.
Kwayoyin cututtuka na sassaucin raƙuman ƙwayar cuta mai sauƙi na iya inganta tare da irin wannan matakan. Idan bayyanar cututtuka sune mahimmanci ko mahimmanci, duk da haka, ana iya kulawa da kanta tare da hanya ta hanya, ko tare da angioplasty da stenting .
Sources:
Toole, JF, McGraw, CP. Sata sakonni. Annu Rev Med 1975; 26: 321.
Smith, JM, Koury, HI, Hafner, CD, Welling, RE. Subclavian sata sutura. Binciken da aka yi wa 59. J Cardiovasc Surg (Torino) 1994; 35:11.
Chatterjee S, Nerella N, Chakravarty S, Shani J. Angioplasty kadai tare da angioplasty da kuma tsigewa ga ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa - nazari na yau da kullum da ƙaddamarwa. Am J Ther 2013; 20: 520.