Ciwon rashin ƙarfi na kiba (OHS)

Ciwon rashin ƙarfi na hypoventilation (OHS) yanayi ne a cikin wasu mutane masu kiba a ciki wanda ƙarancin numfashi ke haifar da ƙananan oxygen da matakan carbon dioxide mafi girma a cikin jini.

Ba a san ainihin dalilin OHS ba. Masu bincike sunyi imanin sakamakon OHS daga lahani a cikin kulawar kwakwalwa akan numfashi. Wuce nauyi a jikin bangon kirji kuma yana sanya wuya ga tsokoki su ja cikin numfashi mai zurfi da numfashi cikin sauri. Wannan yana kara dagula kwakwalwar kwakwalwa. A sakamakon haka, jinin ya ƙunshi carbon dioxide da yawa kuma bai isa isashshen oxygen ba.

Babban alamun cutar OHS saboda rashin bacci kuma sun haɗa da:

• Rashin ingancin bacci
• Barcin bacci
• Baccin rana
• Bacin rai
• Ciwon kai
• Gajiya

Kwayar cututtukan ƙananan iskar oxygen (hypoxia na yau da kullun) na iya faruwa. Alamomin cutar sun hada da karancin numfashi ko jin kasala bayan karamin kokari.

Mutanen da ke da OHS galibi suna da nauyi sosai. Gwajin jiki na iya bayyana:

• Launin Bluish a lebe, yatsu, yatsun kafa, ko fata (cyanosis)
• Fata mai ja
• Alamomin gazawar zuciya mai dama (cor pulmonale), kamar kumbura ƙafafu ko ƙafafu, gajeren numfashi, ko jin kasala bayan ɗan ƙoƙari
• Alamomin yawan bacci

Gwaje-gwajen da aka yi amfani dasu don taimakawa gano asali da tabbatar da OHS sun haɗa da:

• Gas na jini na jini
• Kirjin x-ray ko CT scan don yin sarauta da wasu abubuwan da ka iya haifar
• Gwajin aikin huhu (gwajin aikin huhu)
• Nazarin bacci (polysomnography)
• Echocardiogram (duban dan tayi na zuciya)

Masu ba da kiwon lafiya za su iya gaya wa OHS daga toshewar bacci saboda mutumin da ke da OHS yana da babban matakin iskar carbon dioxide a cikin jininsa lokacin da ya farka.

Jiyya ya haɗa da taimakon numfashi ta amfani da injina na musamman (samun iska). Zaɓuɓɓukan sun haɗa da:

• Rashin iska mai aiki da iska kamar ci gaba mai tasiri na iska (CPAP) ko matsin lamba na iska mai ƙarfi (BiPAP) ta hanyar abin rufe fuska wanda ya dace da hanci ko hanci da baki (galibi don bacci)
• Maganin Oxygen
• Taimako na numfashi ta hanyar buɗewa a cikin wuyansa (tracheostomy) don lokuta masu tsanani

An fara jiyya a asibiti ko a matsayin maras lafiya.

Sauran jiyya suna nufin asarar nauyi, wanda zai iya juyawa OHS.

Ba tare da magani ba, OHS na iya haifar da matsaloli mai tsanani na zuciya da jijiyoyin jini, rashin ƙarfi mai tsanani, ko mutuwa.

Rikicin OHS da ya shafi rashin bacci na iya haɗawa da:

• Bacin rai, tashin hankali, bacin rai
• Riskarin haɗari ga haɗari ko kuskure a wurin aiki
• Matsaloli na kusanci da jima'i

OHS na iya haifar da matsalolin zuciya, kamar:

• Hawan jini (hauhawar jini)
• Bugun zuciya mai dama (cor pulmonale)
• Hawan jini a huhu (hauhawar jini)

Kira mai ba ku sabis idan kun gaji sosai da rana ko kuma kuna da wasu alamun alamun da ke nuna OHS.

Kula da lafiya mai nauyi kuma guji kiba. Yi amfani da maganin ka na CPAP ko BiPAP kamar yadda mai aikin ka ya tsara.

Ciwon Pickwickian

• Tsarin numfashi

Malhotra A, Powell F. Rashin lafiyar kulawar iska. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 80.

Mokhlesi B. Kiba-hypoventilation ciwo. A cikin: Kryger M, Roth T, Dement WC, eds. Ka'idoji da Aikin Magungunan bacci. Na 6 ed. Philadelphia, PA: Elsevier; 2017: babi na 120.

Mokhlesi B, Masa JF, Brozek JL, et al. Bincike da gudanar da cutar rashin kaifin cuta. Jagoran aikin likitancin Amurka na Thoracic Society. Am J Respir Masu Kula da Kulawa. 2019; 200 (3): e6-e24. PMID: 31368798 www.ncbi.nlm.nih.gov/pubmed/31368798.