Ciwan huhu

Bugun jini na huhu wata cuta ce da ba ta dace ba a cikin huhu. Wannan tarin ruwa yana kaiwa ga gajeren numfashi.

Bugun ciki na huhu galibi yakan haifar da ciwan zuciya. Lokacin da zuciya ba ta iya yin famfo yadda ya kamata, jini na iya dawowa cikin jijiyoyin da ke ɗaukar jini ta huhu.

Yayinda matsawar cikin waɗannan jijiyoyin jini suka ƙaru, ana tura ruwa zuwa cikin sararin samaniya (alveoli) a cikin huhu. Wannan ruwan yana rage zirga-zirgar oxygen ta al'ada ta huhu. Wadannan abubuwa guda biyu sun hadu sun haifar da karancin numfashi.

Ciwon zuciya wanda ke haifar da cutar huhu na huɗu na iya faruwa ta hanyar:

• Ciwon zuciya, ko wata cuta ta zuciya da ke raunana ko taurin jijiyoyin zuciya (bugun zuciya)
• Bayar ko ƙuntataccen bawul na zuciya (mitral ko aortic bawul)
• Kwatsam, cutar hawan jini mai tsanani (hauhawar jini)

Hakanan kuma ciwon huhu na huhu zai iya faruwa ta:

• Wasu magunguna
• Exposureaukar tsawo
• Rashin koda
• Naruntatattun jijiyoyin da ke kawo jini a koda
• Lalacewar huhu sanadiyyar iskar gas mai guba ko kamuwa da cuta mai tsanani
• Babban rauni

Kwayar cututtukan huhu na huhu na iya haɗawa da:

• Cutar da jini ko kumfar jini
• Jin wahalar numfashi lokacin kwanciya (orthopnea)
• Jin "yunwar iska" ko "nutsar da ruwa" (Wannan yanayin ana kiransa "paroxysmal nocturnal dyspnea" idan hakan ya sa ka farka daga awanni 1 zuwa 2 bayan bacci da gwagwarmayar sauke numfashi.)
• Gurnani, gurnani, ko kuwwa tare da numfashi
• Matsalar magana a cikin jimloli cikakke saboda ƙarancin numfashi

Sauran cututtuka na iya haɗawa da:

• Damuwa ko rashin nutsuwa
• Rage cikin matakin farkawa
• Swellingafa ko kumburin ciki
• Fata mai haske
• Gumi (wuce gona da iri)

Mai ba da sabis na kiwon lafiya zai yi cikakken gwaji na jiki.

Mai ba da sabis ɗin zai saurari huhunku da zuciyarku tare da stethoscope don bincika:

• Mutuwar zuciya mara kyau
• Crackles a cikin huhu, wanda ake kira rales
• Heartara yawan bugun zuciya (tachycardia)
• Saurin numfashi (tachypnea)

Sauran abubuwan da za'a iya gani yayin jarabawar sun haɗa da:

• Swellingafa ko kumburin ciki
• Rashin daidaito na jijiyoyin wuyanka (wanda zai iya nuna cewa akwai ruwa da yawa a jikinka)
• Launi ko shuɗi mai launin shuɗi (pallor ko cyanosis)

Yiwuwar gwaje-gwaje sun haɗa da:

• Magungunan jini
• Matakan iskar oxygen (oximetry ko iskar gas)
• Kirjin x-ray
• Kammala ƙididdigar jini (CBC)
• Echocardiogram (duban dan tayi na zuciya) dan ganin ko akwai matsaloli game da jijiyar zuciya
• Electrocardiogram (ECG) don neman alamun bugun zuciya ko matsaloli game da bugun zuciya

Ciwan ciki na huhu kusan koyaushe ana kulawa dashi a ɗakin gaggawa ko asibiti. Wataƙila kuna buƙatar kasancewa a cikin sashin kulawa mai ƙarfi (ICU).

• Ana bayar da oxygen a cikin abin rufe fuska ko sanya kananan bututu na roba a hanci.
• Za'a iya sanya bututun numfashi a cikin bututun iska (trachea) saboda haka za'a iya haɗa ka da injin numfashi (injin iska) idan ba za ka iya numfashi da kyau da kan ka ba.

Yakamata a gano abin da ya haifar da kumburi da kuma magance shi da sauri. Misali, idan ciwon zuciya ya haifar da halin, dole ne a yi masa magani nan da nan.

Magungunan da za'a iya amfani dasu sun haɗa da:

• Diuretics wanda ke cire ruwa mai yawa daga jiki
• Magungunan da ke ƙarfafa tsokawar zuciya, sarrafa bugun zuciya, ko sauƙaƙa matsin lamba akan zuciya
• Sauran magunguna lokacin da gazawar zuciya ba shine sababin cutar huhu ba

Hangen nesa ya dogara da dalilin. Yanayin na iya samun sauki da sauri ko a hankali. Wasu mutane na iya buƙatar amfani da injin numfashi na dogon lokaci. Idan ba a magance shi ba, wannan yanayin na iya zama barazanar rai.

Jeka dakin gaggawa ko kiran 911 ko lambar gaggawa idan kuna da matsalar numfashi.

Allauki duk magungunan ku kamar yadda aka umurta idan kuna da wata cuta da za ta iya haifar da kumburin ciki ko huhun zuciya.

Biye da lafiyayyen abinci mai ƙarancin gishiri da mai, da kuma sarrafa sauran abubuwan haɗarinku na iya rage haɗarin haɓaka wannan yanayin.

Cunkoson huhu; Ruwan Huhu; Cunkoson huhu; Rashin zuciya - huhu na huhu

• Huhu
• Tsarin numfashi

Felker GM, Teerlink JR. Bincike da kuma kula da rashin saurin zuciya. 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: sura 24.

Matthay MA, Murray JF. Ciwan 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 62.

Rogers JG, O'Connor CM. Rashin zuciya: cututtukan cututtukan zuciya da ganewar asali. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 52.