Ciwon ciki na ciki

Aorta shine babban jijiyar jini wanda ke bayarda jini zuwa ga ciki, ƙashin ƙugu, da ƙafafu. Ciwon mara na ciki yana faruwa yayin da wani yanki na aorta ya zama babba ko kuma balan-balan.

Ba a san takamaiman abin da ke haifar da cutar sankara ba. Yana faruwa ne saboda rauni a bangon jijiyar.Abubuwan da zasu iya haɓaka haɗarin samun wannan matsalar sun haɗa da:

• Shan taba
• Hawan jini
• Jima'i namiji
• Abubuwan da ke haifar da kwayar halitta

Ciwon mara na ciki a galibi ana ganin shi cikin maza sama da shekaru 60 waɗanda ke da ɗaya ko fiye da haɗarin haɗari. Girman cutar da jijiyoyin jikin mutum, da alama zai iya fashewa ko yagewa. Wannan na iya zama barazanar rai.

Maganin jijiyoyin jiki na iya bunkasa a hankali tsawon shekaru, galibi ba tare da wata alama ba. Kwayar cututtukan na iya zuwa da sauri idan sigar ta sake fadada cikin sauri, hawaye na buɗewa ko zubar jini a cikin bangon jirgi (rarraba aortic).

Kwayar cututtuka na fashewa sun hada da:

• Jin zafi a ciki ko baya. Ciwo na iya zama mai tsanani, kwatsam, mai naci, ko na yau da kullun. Yana iya yaduwa zuwa makwancin gwaiwa, gindi, ko ƙafa.
• Wucewa yayi.
• Clammy fata.
• Dizziness.
• Tashin zuciya da amai.
• Saurin bugun zuciya.
• Shock.

Mai ba da lafiyar ku zai binciki cikin ku kuma ya ji motsin ƙafafun ku. Mai ba da sabis na iya nemo:

• Kulli (taro) a cikin ciki
• Jin zafi a cikin ciki
• Tianƙara ko m ciki

Mai ba ku sabis na iya samun wannan matsalar ta yin gwaje-gwaje masu zuwa:

• Duban dan tayi na ciki lokacin da aka fara zargin isowar mahaifa
• CT scan na ciki don tabbatar da girman sigar ciki
• CTA (ƙididdigar ƙirar ƙirar ƙira) don taimakawa tare da tsara tiyata

Ana iya yin kowane ɗayan waɗannan gwaje-gwajen lokacin da kake fama da alamun bayyanar.

Kuna iya samun ciwon sanyin aortic na ciki wanda baya haifar da wasu alamu. Mai ba da sabis ɗinku na iya yin odar duban dan tayi na ciki don yin dubura ga wani abu na sakewa.

• Yawancin maza masu shekaru tsakanin 65 zuwa 75, waɗanda suka sha sigari yayin rayuwarsu yakamata suyi wannan gwajin sau ɗaya.
• Wasu mazan tsakanin shekaru 65 zuwa 75, wadanda basu taba shan taba ba yayin rayuwarsu na iya bukatar wannan gwajin lokaci daya.

Idan jini yana gudana a cikin jikinku daga wata kwayar halitta, zaku buƙaci tiyata nan da nan.

Idan maimaitawar tayi karama kuma babu alamun alamun cutar:

• Ba a cika yin tiyata ba.
• Dole ne ku da mai ba da sabis ku yanke shawara idan haɗarin yin tiyata ya fi ƙarancin haɗarin zubar jini idan ba ku da tiyata.
• Mai ba da sabis naka na iya son bincika girman kwayar cutar tare da gwajin duban dan tayi duk bayan watanni 6.

A mafi yawan lokuta, ana yin tiyata ne idan kwayar halittar tayi girma fiye da inci 2 (santimita 5) a fadin ko girma cikin sauri. Manufar shine ayi tiyata kafin rikitarwa ta taso.

Akwai tiyata iri biyu:

• Buɗe gyara - Ana yin babban yankan ciki. An maye gurbin jirgi mara kyau tare da dasawa da aka yi da kayan mutum.
• Ftaƙƙarfan jijiyoyin jijiyoyin zuciya - Ana iya yin wannan aikin ba tare da yin babban yanka a cikinka ba, don haka zaka iya murmurewa cikin sauri. Wannan na iya zama mafi aminci idan kuna da wasu matsalolin lafiya ko kuma sun manyanta. A wasu lokuta ana iya yin gyaran jijiyoyin jiki don yoyo ko zubar jini.

Sakamakon yakan fi kyau idan kuna da tiyata don gyara kwayar cutar kafin ta fashe.

Lokacin da ciwon sanyin ciki ya fara tsagewa ko fashewa, to gaggawa ce ta likita. Kusan 1 cikin 5 mutane ke tsira daga raunin ciki.

Je zuwa asibitin gaggawa ko kira 911 idan kuna jin ciwo a cikin ciki ko baya wanda yake da kyau sosai ko baya tafiya.

Don rage haɗarin cutar sakewa:

• Ku ci abinci mai kyau na zuciya, motsa jiki, ku daina shan taba (idan kuna shan sigari), kuma ku rage damuwa.
• Idan kana da cutar hawan jini ko suga, ka sha magungunan ka kamar yadda mai baka ya fada maka.

Mutanen da suka wuce shekaru 65 waɗanda suka taɓa shan sigari ya kamata a yi duban duban dan tayi sau ɗaya.

Aneurysm - kayan kwalliya; AAA

• Gyaran jijiyoyin ciki na ciki - bude - fitarwa
• Aortic aneurysm gyara - endovascular - fitarwa

• Rushewar azaba - x-ray
• Ciwon mara

Braverman AC, Schermerhorn M. Cututtuka na aorta. 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 63.

Colwell CB, Fox CJ. Ciwon ciki na ciki. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 76.

LeFevre ML; Tasungiyar Servicesungiyar Ayyukan rigakafin Amurka. Nunawa game da cututtukan ciki na ciki: Bayanin shawarar kungiyar Preungiyar Rigakafin Amurka. Ann Intern Med. 2014; 161 (4): 281-290. PMID: 24957320 www.ncbi.nlm.nih.gov/pubmed/24957320.

Woo EW, Damrauer SM. Abun ciki na ciki: buɗe tiyata. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: babi na 71.