Ciwan jini na huhu

Ciwan hawan jini shine hawan jini a jijiyoyin huhu. Yana sanya gefen dama na zuciya aiki fiye da yadda aka saba.

Hannun dama na zuciya yana harba jini ta cikin huhu, inda yake karbar iskar oxygen. Jini yakan koma bangaren hagu na zuciya, inda ake harba shi zuwa sauran jiki.

Lokacin da kananan jijiyoyin jini (huhun jini) na huhu suka zama kunkuntar, ba za su iya daukar jini mai yawa ba. Lokacin da wannan ya faru, matsa lamba na haɓaka. Wannan ana kiran sa hauhawar jini.

Zuciya tana buƙatar yin aiki tuƙuru don tilasta jini ta cikin tasoshin yaƙi da wannan matsi. Bayan lokaci, wannan yana sa hannun dama na zuciya ya zama babba. Wannan yanayin ana kiransa rashin ƙarfin zuciya na dama, ko cor pulmonale.

Ciwan hawan jini na huɗu na iya faruwa ta hanyar:

• Cututtukan da ke lalata huhu, kamar su scleroderma da cututtukan zuciya na rheumatoid
• Launin haihuwa na zuciya
• Cutar jini a cikin huhu (huhun huhu)
• Ajiyar zuciya
• Ciwon bugun zuciya
• Cutar HIV
• Levelsananan matakan oxygen a cikin jini na dogon lokaci (na kullum)
• Ciwon huhu, kamar COPD ko huhu na huhu ko kuma duk wani mummunan yanayin huhu
• Magunguna (alal misali, wasu kwayoyi masu cin abinci)
• Barcin barcin mai cutarwa

A cikin wasu al'amuran da ba kasafai suke faruwa ba, ba a san dalilin hauhawar jini na huhu ba. A wannan halin, ana kiran yanayin idiopathic pulmonary arterial hauhawar jini (IPAH). Idiopathic yana nufin ba a san dalilin cuta ba. IPAH ya fi shafar mata fiye da maza.

Idan hauhawar jini na huhu sanadiyyar sanannen magani ko yanayin rashin lafiya, ana kiran sa hauhawar jini na huhu.

Ofarancin numfashi ko sauƙin kai yayin aiki galibi alama ce ta farko. Mai saurin bugun zuciya (bugun zuciya) na iya kasancewa. Yawancin lokaci, bayyanar cututtuka na faruwa tare da aiki mai sauƙi ko ma yayin hutawa.

Sauran cututtukan sun hada da:

• Gwanin kafa da kumburi
• Launin Bluish na lebe ko fata (cyanosis)
• Ciwon kirji ko matsa lamba, galibi a gaban kirji
• Dizziness ko suma
• Gajiya
• Sizeara girman ciki
• Rashin ƙarfi

Mutanen da ke fama da hauhawar jini na huhu galibi suna da alamun bayyanar da ke zuwa da tafi. Suna bayar da rahoton ranaku masu kyau da marasa kyau.

Mai ba da lafiyarku zai yi gwajin jiki kuma ya yi tambaya game da alamunku. Jarabawar na iya samun:

• Mutuwar zuciya mara kyau
• Jin bugun jini a kashin mama
• Zuciyar zuciya tana a gefen dama na zuciya
• Veananan jijiyoyi fiye da al'ada a cikin wuya
• Kumburin kafa
• Hanta da kumburin ciki
• Numfashi na al'ada yana yin sauti idan hauhawar jini na huhu ne idiopathic ko kuma saboda cututtukan zuciya na cikin gida
• Rashin numfashi mara kyau idan hawan jini daga huhu yake daga wasu cututtukan huhu
  

A farkon matakan cutar, gwajin na iya zama na al'ada ko kusan na al'ada. Yanayin na iya ɗaukar watanni da yawa don tantancewa. Asthma da wasu cututtuka na iya haifar da irin wannan alamun kuma dole ne a hana shi.

Gwajin da za'a iya yin oda sun hada da:

• Gwajin jini
• Cardiac catheterization
• Kirjin x-ray
• CT scan na kirji
• Echocardiogram
• ECG
• Gwajin aikin huhu
• Nazarin huhun nukiliya
• Tsarin jini na huhu
• Gwajin tafiya na minti 6
• Nazarin bacci
• Gwaji don bincika matsalolin autoimmune

Babu magani don hauhawar jini. Manufar magani ita ce sarrafa alamun da kuma hana ƙarin huhun huhu. Yana da mahimmanci don magance cututtukan likita waɗanda ke haifar da hauhawar jini na huhu, kamar ƙarancin barci mai hanawa, yanayin huhu, da matsalolin bawul na zuciya.

Yawancin zaɓuɓɓukan magani don hauhawar jini na jijiyoyin jini suna nan. Idan an rubuta muku magunguna, ana iya ɗauka ta baki (ta baka), a karɓa ta jijiya (ta jijiya, ko ta IV), ko a hura (inhaɗa).

Mai ba ku sabis zai yanke shawarar wane magani ne mafi kyau a gare ku. Za a sanya muku ido sosai yayin jiyya don lura da illoli da kuma ganin yadda kuke amsa maganin. KADA KA daina shan magungunan ka ba tare da yin magana da mai baka ba.

Sauran jiyya na iya haɗawa da:

• Magungunan rage jini don rage haxin jini, musamman idan kana da IPAH
• Maganin Oxygen a gida
• Huhu, ko a wasu lokuta, dasawar huhu, idan magunguna ba sa aiki

Sauran mahimman bayanai don bi:

• Guji daukar ciki
• Guji ayyukan motsa jiki masu nauyi da dagawa
• Guji yin tafiya zuwa wurare masu tsayi
• A samu allurar rigakafin mura a kowace shekara, da kuma wasu alluran kamar na rigakafin cutar Nimoniya
• Dakatar da shan taba

Yadda za ku yi daidai ya dogara da abin da ya haifar da yanayin. Magunguna don IPAH na iya taimakawa jinkirin cutar.

Yayinda cutar ta tsananta, kuna buƙatar yin canje-canje a cikin gidan ku don taimaka muku zagayawa cikin gida.

Kira mai ba da sabis idan:

• Kuna fara haɓaka ƙarancin numfashi lokacin da kuke aiki
• Breatharancin numfashi yana ƙara muni
• Kuna ci gaba da ciwon kirji
• Kuna ci gaba da wasu alamun

Pulmonary jijiyoyin jini; Hawan jini na farko na huhu na huhu; Hawan jini na farko na iyali; Idiopathic huhun jini na jini; Matsalar jini ta huhu; PPH; Matsalar jini ta huhu; Cor pulmonale - hauhawar jini na huhu

• Tsarin numfashi
• Hawan jini na farko na huhu
• Zuciya-huhu dashi - jerin

Chin K, Channick RN. Ciwan jini na huhu. 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 58.

Mclaughlin VV, Humbert M. Ciwan hawan jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 85.