Cutar cututtuka, Causes, da jiyya na SVC Ciwo
Ƙararren ciwon maganin ƙwaƙwalwar ƙwayar cuta (SVC syndrome) wata alama ce ta bayyanar cututtuka da ke haifar da jinin jini ta wurin ɓoye magunguna mafi girma (babban jini wanda ya dawo jini daga jiki ta jiki zuwa zuciyar) an katange shi. Wannan ciwo ne mai wahala da ke faruwa a kashi 2 zuwa 4 cikin dari na mutanen da ke fama da ciwon huhu na huhu, kuma a wasu lokuta shine alamar farko da ke haifar da ganewar asali.
Cutar cututtuka
Alamar cututtuka na SVC suna haifarwa ta hanyar gina matsa lamba a cikin tasirin mai girma fiye da rikici kuma zai iya haɗawa da:
- Kusar fuska, makamai, ko katako
- Difficulty numfashi ( dyspnea )
- Ƙara da veins a wuyansa da kirji
- Ciki da / ko tari da jini (hemoptysis)
- Ciwon kai
- Ƙunƙun zuma
- Girma
- Difficulty haɗiye (dysphasia)
- Tsarin Bluish yana fatar jiki ko fuskar jiki (cyanosis)
Lokacin da yake gaggawa
Ƙararren ciwon cava mafi girma zai iya faruwa a hankali a cikin mutane da yawa marasa lafiya, amma zai iya zama gaggawa na likita a cikin wasu yanayi. Idan dakatarwar cava mafi girma yana faruwa a hanzari, akwai yiwuwar wasu lokutan jinin jini (wanda ake kira jini ko ɗaukar jini) don saukar da ƙarar jini da ke faruwa. Mafi yawan damuwa shine huhu-ciwon ciwon daji-cutar SVC ciwo wanda ke haifar da tsangwama na trachea - iska wadda ke tafiya daga hanci zuwa babban mashi wanda ya shiga cikin huhu.
Idan kana fuskantar wani daga cikin wadannan bayyanar cututtuka yana da muhimmanci a yi alƙawari don ganin likitanka a nan gaba. Nazarin ya gaya mana cewa mutane da yawa tare da SVC ciwo na jira sosai kafin neman magani. Kuma ko da kun ji yana da dangantaka da ciwon daji, yana da muhimmanci a yi magana da likitanku.
Yawancin mutanen da suka mutu tare da SVC sun mutu daga ciwon daji - NOT SVC syndrome. Bugu da ƙari, akwai yanayin lafiya ba tare da ciwon daji wanda ke haifar da wannan matsala ba.
Dalilin
Abinda ya fi dacewa na ciwon SVC a yau shi ne matsawa na ɓoye magunguna (SVC) ta hanyar ciwon sukari. Kwancen caca mai mahimmanci abu ne mai laushi mai tausayi kuma ana iya sauke shi ta hanyar ciwon sukari da ke kusa. Magunguna na wutsiya, musamman ma wadanda ke girma a cikin ƙananan ƙwayar cuta, su ne mafi mawuyacin hali, sa'annan lymphomas na gaba. Sauran ƙwayoyin ciwon daji, irin su ciwon nono ga lymph nodes a cikin mediastinum (yankin kirji a tsakanin huhu) zai iya zama alhakin. Kadan ƙananan haɗari sun haɗa da ƙuƙwalwar jini a cikin SVC (sau da yawa na sakandare zuwa layi na tsakiya mai mahimmanci ko maɓallin pacemaker) ko cututtuka kamar tarin fuka.
Sanin asali
SVC ciwo yana jin damu da alamun da alamun bayyanar da aka ambata a sama. Harkokin rediyo irin su rayukan kirji ko CT scan zasu iya nuna kyama ko alamomi da ke nuna damuwa game da ciwo SVC. Sauran gwaje-gwaje, irin su MRI, duban dan tayi, ko samfurin (wani gwaji da aka yi amfani da dye ga rayuka x-ray) na iya bada shawarar. Idan likitanku wanda ake zargin ciwon daji yana haifar da bayyanar cututtuka (kuma kuna zama lafiya a kwaskwarima), ana buƙatar wasu gwaje-gwaje don gano cutar ciwon daji kafin a fara fara magani.
Ƙara koyo game da yadda ake gano ciwon huhu na huhu .
Jiyya
Yin jiyya na ciwo SVC ya dogara ne a babban ɓangare a kan hanyar. Idan bayyanar cututtuka sun kasance saboda mummunan turawa a kan ƙananan hanyoyi, hanyoyin da za a bi da ƙwayar cutar irin su chemotherapy da radiation far da ake amfani dashi. Dangane da ƙananan bayyanar cututtuka, ana iya sanya wani sutura don ɗaukar ƙuƙwalwar ajiya mai mahimmanci. Ƙwararrun jini zai iya amfani da shi don hana katsewa. A wasu lokuta masu wuya, tilasta aikin tiyata don hana shigowa.
Faɗakarwa
Sanarwar ƙwayar cutar SVC mai sauƙi ne kuma ya dogara ne akan ainihin dalilin.
Sources:
Cheng, S. Karfin ciwon maganin cutar shan magani: wani nazari na yau da kullum game da cutar ta tarihi. Kwayoyin Halitta a Bincike . 2009. 17 (1): 16-23.
Cibiyar Cancer ta Kasa. PDQ Cancer Information Summaries. Harkokin Cutar Cutar. Sashen Harkokin Kiwon Lafiyar Jama'a Updated 08/31/15. https://www.ncbi.nlm.nih.gov/books/NBK65834/#CDR0000352186__97
Cibiyar Cancer ta Kasa. Ƙungiyar Cutar Kasuwanci (PDQ). Ƙananan Vena Cava Syndrome. Sakon haƙuri. Updated 09/02/15. https://www.cancer.gov/about-cancer/treatment/side-effects/cardiopulmonary-pdq#section/all.
Nunnelee, J. Superior vena cava ciwo. Jarida na Ƙwararrun Ƙwararru . 2007. 25 (1): 2-5, aya 6.
Walji, N. Common mawuyacin yanayin yanayi: ganewar asali, bincike, da kuma gudanarwa. Jaridar Postgraduate Journal . 2008. 84 (994): 418-27.