Saboda magani na TPA zai iya haifar da fashewar fashewar cututtuka na ƙwaƙwalwa, yana da muhimmanci a fahimci abin da ke faruwa a cikin kwakwalwa a yayin da ake bugun jini na wutsiya . Amma na farko, bari mu tattauna bugun jini a gaba ɗaya.
Bayani
Rashin ciwo wani cuta ne wanda yake rinjayar tasirin da ke haifar da cikin kwakwalwa. Wannan shine dalilin mutuwar mutum 5 da kuma babbar hanyar rashin lafiya a Amurka.
Wani fashewa yana faruwa a lokacin da kullun jini dauke da oxygen da kayan abinci zuwa kwakwalwa an katange shi ta hanyar jini ko burts (ko ruptures). Lokacin da wannan ya faru, ɓangaren kwakwalwa ba zai iya samun jini (da oxygen) yana buƙata ba, don haka shi ne kuma ƙwayoyin kwakwalwa sun mutu.
Hanyoyin
Kwaƙwalwar wata kwayar halitta ce mai mahimmanci wanda ke sarrafa nau'ukan jiki. Idan annoba ya faru kuma jini ba zai iya isa yankin da ke sarrafa wani aikin jiki ba, wannan ɓangaren jiki ba zai yi aiki kamar yadda ya kamata ba.
Dalili na Hadarin
- Shekaru - Dama na samun ciwon bugun jini kamar ninki biyu na kowane shekarun rayuwa bayan shekaru 55. Yayinda yake fama da ciwo a cikin tsofaffi, yawancin mutane a karkashin 65 kuma suna fama da ciwon sukari.
- Girmanci (tarihin iyali) - Zai yiwu ya zama mafi girma idan akwai iyaye, iyaye, 'yar'uwa ko ɗan'uwa.
- Race - 'yan Afirka na Afirka suna da mummunar haɗari da mutuwa daga fashewa fiye da Caucasians. Wannan ya rabu saboda ƙwayoyin cuta suna da haɗari mafi girma na cutar hawan jini, da ciwon sukari, da kuma kiba.
- Jima'i (jinsi) - A kowace shekara, mata suna da ƙari fiye da maza, kuma fashewa ya kashe mata fiye da maza. Amfani da kwayoyin kwantar da haihuwa, haihuwa, tarihin preeclampsia / eclampsia ko ciwon sukari, da amfani da maganin rigakafi, da kuma shan taba, da kuma maganin hormone post-menopausal zai iya haifar da cutar ta musamman ga mata.
- Rigar farko, TIA ko ciwon zuciya - Rashin ciwon bugun jini ga wanda ya rigaya yana da shi sau da yawa ne na mutumin da ba shi da. Harkokin ƙaddamarwa ne na yau da kullum suna "faɗakarwar annoba" wanda ke haifar da bugun jini kamar kamuwa da cututtuka amma ba ta lalacewa. TIA suna da karfi masu hangen nesa na annoba. Mutumin da ke da daya ko fiye da TIA kusan kusan sau 10 yana iya samun ciwon bugun jini fiye da wanda yake da shekaru da kuma jima'i wanda ba shi da. Gane da kuma magance TIA zai iya rage yawan haɗarin babban fashewa. TIA ya kamata a dauke shi gaggawa gaggawa kuma ya biyo baya tare da ma'aikatan kiwon lafiya. Idan kana da ciwon zuciya, kana da babbar haɗari na ciwon bugun jini, ma.
Mene ne Conversion Hemorrhagic?
Wani bugun jini yana haifar da yaduwar jini zuwa wani ɓangare na kwakwalwa, wanda zai haifar da babban sashi na nama don zama jin yunwa, kuma sassan da ke yankin sun fara mutuwa. A tsawon lokaci, ƙananan ƙwayoyin suna barin su don samun tsira ta hanyar jiyya, kuma bayan da yawancin kwayoyin sun mutu, maganin bugun jini ba shi da taimako kuma zai iya juya fashewar ischemic a cikin wani bashin jini . An san wannan taron ne a matsayin fasalin fashewar jini.
Yaya wannan zai yiwu? Yawancin maganin cututtuka na ƙwaƙwalwar ƙaddarawa shine nufin mayar da jini zuwa yanki mai ƙaddarawa ta hanyar narkewa da jini.
Amma bayan 'yan sa'o'i kadan bayan wani ɓangaren kwakwalwa ya mutu, ya rasa ikonsa na riƙe da jini a cikin arteries, yana kara yawan hadarin cewa cutar zazzaɓin jini zai faru idan an sake dawo da jini. Irin wannan zub da jini a cikin nama marar lahani ana kiransa fassarar hemorrhagic. Kimanin kashi 6 cikin 100 na duk wani mummunar cutar da aka yi tare da tPA na ciki, wani jini mai karfi mai tsanani-rikitacciyar maganin, ya fuskanci fasalin fashewar jini.
Wannan batu na fassarar halayya yana daya daga cikin dalilan da ya sa magungunan TPA da magungunan irin wannan cututtuka za a iya amfani dashi a cikin wani lokaci bayan bayan bayyanar cututtuka .
Sources:
{Ungiyar {asashen Amirka. http://www.strokeassociation.org/STROKEORG/AboutStroke
Gatz Thomalla, MD; Jan Sobesky, MD; Martin Kharmann, MD; Jochen B. Fiebach, MD; Jens Fiehler, MD; Olivier Zaro Weber, MD; Anna Kruetzelmann, MD; Thomas Kucinski, MD; Michael Rosenkranz, MD; Joachim Kama, MD Peter D. Schellinger, MD, PhD Biyu Tales: Juyin Halitta amma Ba Saduwa da Hutun Bayanai Bayan Thrombolysis Yayi Magana da Girma da Duration of Ischemia MRI Nazarin marasa lafiya marasa lafiya waɗanda aka magance tare da jiki mai rauni Plasminogen Activator cikin 6 Hours Cire 2007; 38 : 313.