Mediastinitis

Mediastinitis shine kumburi da haushi (kumburi) na yankin kirji tsakanin huhu (mediastinum). Wannan yankin yana dauke da zuciya, manyan jijiyoyin jini, bututun iska (trachea), bututun abinci (esophagus), glandon ciki, lymph nodes, da kayan hadewa.

Mediastinitis yawanci yakan samo asali ne daga kamuwa da cuta. Yana iya faruwa ba zato ba tsammani (m), ko kuma yana iya haɓaka sannu a hankali kuma ya zama mafi muni a tsawon lokaci (na yau da kullum). Mafi yawan lokuta yakan faru ne ga mutumin da kwanan nan yayi maƙasudin ƙarshen ciki ko tiyata.

Mutum na iya samun hawaye a cikin hancinsu wanda ke haifar da mediastinitis. Abubuwan da ke haifar da hawaye sun hada da:

• A hanya kamar endoscopy
• Yin amai mai karfi ko akai akai
• Rauni

Sauran dalilai na mediastinitis sun hada da:

• Cutar fungal da ake kira histoplasmosis
• Radiation
• Kumburin lymph nodes, huhu, hanta, idanu, fata, ko wasu kyallen takarda (sarcoidosis)
• Tarin fuka
• Numfashi a cikin anthrax
• Ciwon daji

Hanyoyin haɗari sun haɗa da:

• Cututtukan mahaifa
• Ciwon suga
• Matsaloli a cikin babin hanjin ciki na sama
• Yin aikin tiyata a kirji ko na ƙarshe
• Karfin garkuwar jiki

Kwayar cutar na iya haɗawa da:

• Ciwon kirji
• Jin sanyi
• Zazzaɓi
• Janar rashin jin daɗi
• Rashin numfashi

Alamun mediastinitis a cikin mutanen da suka yi aikin tiyata kwanan nan sun haɗa da:

• Kirji taushin kirji
• Rashin malalewar rauni
• Bangon kirji mara ƙarfi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamomi da tarihin lafiya.

Gwaje-gwaje na iya haɗawa da:

• Chet CT scan ko MRI scan
• Kirjin x-ray
• Duban dan tayi

Mai bayarwa na iya saka allura a yankin kumburi. Wannan don samo samfurin don aikawa don tabo gram da al'ada don ƙayyade nau'in kamuwa da cuta, idan akwai.

Kuna iya karɓar maganin rigakafi idan kuna da kamuwa da cuta.

Kuna iya buƙatar tiyata don cire yankin na kumburi idan an toshe hanyoyin jini, ƙoshin iska, ko esophagus.

Ta yaya mutum yayi daidai ya dogara da dalilin da tsananin mediastinitis.

Mediastinitis bayan tiyata kirji yana da tsanani. Akwai haɗarin mutuwa daga yanayin.

Matsalolin sun hada da masu zuwa:

• Yada kamuwa da cutar zuwa hanyoyin jini, jijiyoyin jini, kashi, zuciya, ko huhu
• Ararfafawa

Scarring na iya zama mai tsanani, musamman lokacin da yake haifar da shi ta hanyar mediastinitis na yau da kullun. Scargewa zai iya tsoma baki tare da aikin zuciya ko huhu.

Tuntuɓi mai ba da sabis idan an yi maka tiyata a kirji ka ci gaba:

• Ciwon kirji
• Jin sanyi
• Magudanar ruwa daga rauni
• Zazzaɓi
• Rashin numfashi

Idan kana da cutar huhu ko sarcoidosis kuma ci gaba da ɗayan waɗannan alamun, duba mai ba da sabis kai tsaye.

Don rage haɗarin ɓarkewar meditastinitis dangane da tiyata a kirji, ya kamata a kiyaye raunuka masu tsabta a bushe bayan tiyata.

Yin maganin tarin fuka, sarcoidosis, ko wasu yanayi masu alaƙa da mediastinitis na iya hana wannan rikitarwa.

Ciwon kirji

• Tsarin numfashi
• Matsakaici

Cheng GS, Varghese TK, Park DR. Pneumomediastinum da mediastinitis. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin rubutu na Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 84.

Van Schooneveld TC, Rupp ME. Mediastinitis. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 85.