Jirgin jini yana yin amfani da shi yana da mahimmanci ga rayuwa. Lokacin da raunin jini ya lalace ta hanyar raunin rauni, ƙwayar halittar jini na al'ada ta tabbatar da cewa asarar jini zai iyakance. Bugu da ƙari kuma, jinin jini wanda yake samuwa a shafin ciwon rauni yana samar da matakin farko na jiki don warkar da rauni.
Duk da haka, idan jini ya kunshi lokacin da bai dace ba, matsaloli mai tsanani zai iya haifar da shi saboda jini zai iya haifar da mummunan lalacewa ga gabar da aka ba (ko kuma ta ɗaga) ta hanyar jirgin da aka katange.
Wannan shine dalilin da ya sa yake bincikar kwayar jini-yiwu tare da lab da jarrabawar hoto - yana da mahimmanci.
Lokacin da za a tantance Cikin Gida
Yana da mahimmanci don gano tantancewar da wuri na thrombus ko embolus, nau'i biyu na jini, saboda kowane nau'i na da babban tasiri na samar da lalacewar nama. Yin nasiha daidai yana da mahimmanci don kafa mafi tasiri.
Harkokin lafiya na yau da kullum da suke da yawa saboda ko dai thrombus ko embolus sun hada da:
- Tashi , wanda aka fi sau da yawa ya sa ko dai ta hanyar thrombosis na ɗaya daga cikin arteries wanda yake ba da kwakwalwa, ko kuma abin da yake tafiya zuwa kwakwalwa (mafi sau da yawa daga zuciya).
- Zuciyar zuciya , wanda kusan kusan sabili da raguwa da takalma na atherosclerotic , wanda ke haifar da wani thrombus ya zama cikin maganin jini.
- Kwararru mai ɓarkewa (DVT) , jini wanda ya ƙunshi cikin daya daga cikin manyan jijiyoyi na kafa, cinya ko ƙashin ƙugu.
- Abolus wanda ake amfani da shi , wanda jini ne yake tafiya zuwa ga huhu, yawanci daga wani ɓarna mai zurfi.
- Sauran yanayi, ciki har da thrombosis daga cikin manyan kwayoyin da ke kwantar da hanta (ƙananan ƙwayar magunguna), thrombosis daga cikin kwayar da take tsabtace koda (ƙananan ƙwayar cuta), da kuma kunshe da jini a hannu ko kafa.
Tare da kowane daga cikin waɗannan yanayi, kafin a iya gudanar da maganin tasiri mai kyau, yana da muhimmanci a nuna fiye da shakka cewa jinin jini yana haifar da matsala.
Labaran Lab
Labaran gwaji don bincikar kwayar jini zai iya jaraba don aikin hauka kuma ya ba da alamomi wanda zai taimaka maka cikin jiki ya rage ku ganewar asali.
D-Dimer Test Blood
D-dimer jini gwajin gano ko akwai kwanan nan ya kasance wani nau'i na nau'i na clotting aiki a cikin wani wuri a cikin jini. Wannan gwaji shine mafi amfani wajen taimaka wa likitoci su sanya shakku akan cewa ko dai DVT ko hoton mahaukaci ya faru.
Cardiac Biomarkers
Ana amfani da masu amfani da kwayar cutar Cardiac don tantance cututtukan zuciya. Wadannan gwaje-gwaje na jini ba su bincikar suturar jini ba; a maimakon haka, sun gano ko akwai lalacewar tsoka-wanda kusan kusan lalacewa ne ta hanyar tayar da ƙwaƙwalwar ƙwayar jijiyar zuciya, tare da ƙaddamar da ƙwararrayi na ƙarshe.
Gwaje-gwajen Hoto
Kwararka zai umarci samfurin nazarin hoto wanda ya tsammanin ya cancanta don yin kwaskwarima daidai. Tambayi likita abin da jarrabawar za ta bayyana, kuma tabbatar da kawo damuwa da kake da shi game da hanya.
Rubutun dan tayi
Ƙwararrawar gwajin dan tayi ta gwaji shine jarrabawar bazuwa wanda za'a iya yi a cikin gado wanda yake da amfani sosai a bincikar DVT.
V / Q Scan
Binciken jita-jita mai iska (V / Q scan) jarrabawa ne ta amfani da yatsin rai na rediyo domin nazarin jini zuwa ga huhu, don gano ko an kwashe jini na jini mai kwalliya.
CT Scan
CT scan wani fasahar x-ray ne wanda ke da kwamfuta wanda zai iya nuna adadi mai zurfi na cikakken bayani. CT scan yana da amfani da gaske a tabbatar da cewa an samu bugun jini ta hanyar amintattun kayan aiki ko wani ɓangaren motsa jiki, kuma shine sauƙin gwaji na farko da aka yi amfani da ita wajen bincikar bugun jini. CT dubawa na iya taimakawa wajen tabbatar da embolus na wucin gadi.
MRI Scan
Kamar yadda CT ya yi nazari, ana iya amfani da kwayoyin cutar ta MRI don gano kullun a cikin jini. Wadannan gwaje-gwaje sun fi wuyar yin aiki fiye da CT, don haka lokacin da lokaci ya kasance na CT scans an yi amfani da shi sau da yawa.
Angiography ko Hotography
Wadannan su ne fasaha na catheterization wanda aka yayyafa wani yatsin wuta a cikin jirgi mai jini wanda ake zargin jini kuma ana daukar hasken rana don gane jini.
Za'a iya amfani da angiography na kwakwalwa don gano asali da alamar kwalliya; Zane-zane don bincikar DVT. Na gode da kasancewar CT da kwarewar MRI, ana buƙatar waɗannan gwaje-gwaje masu haɗari don dalilai na ganowa da yawa fiye da yadda suka kasance a baya don gano asali ko ɓoye.
Echocardiography
Ana yin amfani da ƙwaƙwalwar ƙwayoyin murya a cikin marasa lafiya wanda suka sami alamu da ke fama da maganin-musamman a cikin mutanen da suka kamu da bugun jini. Don samun shiga maganin, a kusan kowane lokuta wani kunya zai kasance ko dai ya fito cikin zuciya ko tafiya ta cikin zuciya.
Kodayyar echocardiogram zai iya gano thrombus wanda ya samo a cikin zuciya (yawanci a cikin hagu na hagu a cikin mutumin da ke da filastillation , ko a cikin hagu na hagu a cikin mutumin da ke fama da cututtukan zuciya ). Kodayyar echocardiogram na iya gane ƙwayar zuciya na iya ba da izinin haɗi don shiga cikin zuciya, irin su oval brevet .
> Sources:
> Yankunan JM, Davis J, Girson L, et al. Transthoracic Echocardiography For Diagnosing Pulmonary Embolism: A Review System da Meta-Analysis. J Am Soc Echocardiogr 2017; 30: 714. Doi: 10.1016 / j.echo.2017.03.004.
> Gibson NS, Schellong SM, Kheir DY, et al. Tsaro da Sensitivity Biyu Daban dan tayi Manufofin A marasa lafiya tare da Clinically ake zargi da laifi Deep Venous Thrombosis: Nazarin Bincike mai yiwuwa. J Thromb Haemost 2009; 7: 2035. Doi: 10.1016 / j.echo.2017.03.004.
> Stein PD, Yaekoub AY, Matta F, et al. Amsawa na Gwajiyar Harkokin Jiki na Cit a Ct Pommonary Angiography. Ajr Am J Roentgenol 2010; 194: 1263. Doi: 10.2214 / AJR.09.3410.
> Weitz JI, Fredenburgh JC, Eikelboom JW. Wani gwaji a cikin: D-Dimer. J Am Coll Cardiol 2017; 70: 2411. Doi: 10.2214 / AJR.09.3410.