Yaduwar farin ciki

Aaƙƙarwar ɓataccen ruwa shine tara ruwa tsakanin sifofin nama waɗanda suke layin huhu da kirjin kirji.

Jiki yana samar da ruwa mai narkewa cikin ƙananan don shafa mai saman pleura. Wannan shine sirarin sirara wanda yake layin kirji kuma yana kewaye huhu. Learancin farin ciki cuta ce mara kyau, tarin wannan ruwan.

Akwai nau'ikan nau'i guda biyu:

• Ana haifar da jujjuyawar juzuwar jiki ta hanyar malalar ruwa zuwa cikin sararin samaniya. Wannan daga ƙaruwa mai ƙarfi a cikin jijiyoyin jini ko ƙarancin furotin na jini. Rashin zuciya shine mafi yawan dalilin.
• Fitar da kwazo yana haifar da toshewar jijiyoyin jini ko magudanan ruwa, kumburi, kamuwa da cuta, cutar huhu, da ciwace-ciwace.

Abubuwa masu haɗari na ɓarnar ɓarna na iya haɗawa da:

• Shan sigari da shan giya, saboda wadannan na iya haifar da cututtukan zuciya, huhu da hanta, wanda ke haifar da zubewar iska
• Tarihin duk wata hulɗa da asbestos

Kwayar cututtuka na iya haɗawa da kowane ɗayan masu zuwa:

• Ciwon kirji, yawanci ciwo mai kaifi wanda ya fi muni tare da tari ko numfashi mai ƙarfi
• Tari
• Zazzabi da sanyi
• Hiccups
• Saurin numfashi
• Rashin numfashi

Wani lokaci babu alamun bayyanar.

Mai ba da lafiyar ku zai bincika ku kuma ya yi tambaya game da alamunku. Mai ba da sabis ɗin zai kuma saurari huhunku tare da stethoscope kuma ya taɓa (bugun kirji) kirjinku da na baya.

Chet CT scan ko x-ray na kirji na iya isa ga mai ba ku damar yanke shawara game da magani.

Mai ba ku sabis na iya son yin gwaje-gwaje a kan ruwan. Idan haka ne, ana cire samfurin ruwa tare da allura da aka saka tsakanin haƙarƙarin. Gwaje-gwaje akan ruwan za ayi don neman:

• Kamuwa da cuta
• Kwayoyin cutar kansa
• Matakan sunadarai
• Kwayar salula
• Acidity na ruwa (wani lokacin)

Gwajin jini da za a iya yi sun haɗa da:

• Kammala lissafin jini (CBC), don bincika alamun kamuwa da cuta ko ƙarancin jini
• Koda da hanta suna aikin gwajin jini

Idan ana buƙata, ana iya yin waɗannan gwaje-gwajen:

• Duban dan tayi na zuciya (echocardiogram) don neman gazawar zuciya
• Duban dan tayi da hanta
• Fitsarin furotin na fitsari
• Kwayar halitta ta huhu don neman cutar kansa
• Wucewa da bututu ta cikin iska don duba hanyoyin iska don matsaloli ko cutar kansa (bronchoscopy)

Makasudin magani shine:

• Cire ruwan
• Hana ruwa sake gini
• Ayyade kuma bi da dalilin haɓakar ruwa

Ana iya cire ruwan (thoracentesis) idan akwai ruwa mai yawa kuma yana haifar da matsewar kirji, numfashi, ko ƙarancin iskar oxygen. Cire ruwan yana bawa huhu damar faɗaɗa, yana sauƙaƙa numfashi.

Dole ne a kula da dalilin haifar da ruwa:

• Idan saboda rashin aiki ne na zuciya, zaka iya samun maganin diuretics (kwayoyi na ruwa) da sauran magunguna don magance raunin zuciya.
• Idan kuma saboda kamuwa da cuta ne, za a ba da maganin rigakafi.
• Idan daga cutar daji ne, cutar hanta, ko cutar koda, ya kamata a ba da magani ga wadannan yanayin.
  

A cikin mutanen da ke da cutar kansa ko kamuwa da cuta, ana yin amfani da ruɓaɓɓen sau da yawa ta hanyar yin amfani da bututun kirji don huɗa ruwan da kuma magance abin da ya sa shi.

A wasu lokuta, ana yin kowane ɗayan jiyya masu zuwa:

• Chemotherapy
• Sanya magani a kirji wanda yake hana ruwa sake yin gini bayan an zubo
• Radiation far
• Tiyata

Sakamakon ya dogara da cutar mai asali.

Matsalolin zubar da jijiyoyin jiki na iya hadawa da:

• Lalacewar huhu
• Kamuwa da cuta da ke juyawa zuwa ɓarna, wanda ake kira empyema
• Iska a cikin ramin kirji (pneumothorax) bayan magudanar ruwa
• Fuskar farin ciki (tabon rufin huhu)

Kira mai ba ku sabis ko ku je ɗakin gaggawa idan kuna da:

• Kwayar cututtukan ƙwayoyin cuta
• Ofarancin numfashi ko wahalar numfashi kai tsaye bayan ƙwayar cuta

Ruwa a cikin kirji; Ruwa a kan huhu; Ruwan farin ciki

• Huhu
• Tsarin numfashi
• Leoƙarin farin ciki

Blok BK. Thoracentesis. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 9.

Broaddus VC, Haske RW. Yaduwar farin ciki. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 79.

McCool FD. Cututtuka na diaphragm, bangon kirji, pleura da mediastinum. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 92.