Saukewar Aortic

Rawanin motsa jiki shine cututtukan bawul na zuciya wanda bawul aortic baya rufewa sosai. Wannan yana ba da damar jini ya gudana daga aorta (mafi girman jijiyar jini) zuwa cikin hagu (wani sashi na zuciya).

Duk wani yanayi da zai hana bawul aortic rufewa gaba daya yana iya haifar da wannan matsalar. Lokacin da bawul din ba ya rufe duka hanyar, wasu jini na dawowa duk lokacin da zuciya ta buga.

Lokacin da jini mai yawa ya dawo, dole ne zuciya ta yi aiki tuƙuru don tilasta isasshen jini don biyan bukatun jiki. Chamberarfin ɗakin hagu na zuciya yana faɗaɗawa (dilatles) kuma zuciya tana bugawa da ƙarfi sosai (bugun buguwa). Bayan lokaci, zuciya ta kasa samun damar isar da isasshen jini ga jiki.

A baya, zazzabin rheumatic shine babban dalilin sake farfadowa da kayan ciki. Yin amfani da maganin rigakafi don magance cututtukan ƙwayar cuta ya sa zazzaɓin rheumatic ya zama gama gari. Sabili da haka, sake dawo da aortic yafi yawa saboda wasu dalilai. Wadannan sun hada da:

• Ciwon mara
• Rabawar Aortic
• Matsalar bawul na haihuwa (ba da haihuwa), kamar bawul din bicuspid
• Endocarditis (kamuwa da bugun zuciya)
• Hawan jini
• Ciwon Marfan
• Ciwo na Reiter (wanda aka fi sani da cututtukan zuciya mai amsawa)
• Syphilis
• Tsarin lupus erythematosus
• Bala'i ga kirji

Rashin ƙarancin Aortic ya fi zama ruwan dare ga maza tsakanin shekara 30 zuwa 60.

Yanayin ba shi da alamun bayyanar shekaru da yawa. Kwayar cutar na iya zuwa a hankali ko kwatsam. Suna iya haɗawa da:

• Pulara bugun jini
• Ciwon kirji kama da angina (ba safai ba)
• Sumewa
• Gajiya
• Palpitations (ji na bugun zuciya)
• Ofarancin numfashi tare da aiki ko lokacin kwance
• Farka da gajeren numfashi dan lokaci bayan bacci
• Kumburin kafafu, kafafu, ko ciki
• Ba daidai ba, da sauri, tsere, bugawa, ko bugun buguwa
• Raunin da zai iya faruwa da aiki

Alamomin na iya haɗawa da:

• Gunaguni na zuciya wanda za'a iya ji ta hanyar stethoscope
• Beatingarfin bugun zuciya sosai
• Bobbing kai a cikin lokaci tare da bugun zuciya
• Hard bugun jini a cikin makamai da kafafu
• Pressureananan jini na diastolic
• Alamomin ruwa a cikin huhu

Ana iya ganin sauyin yanayi a cikin gwaji kamar su:

• Aortic angiography
• Echocardiogram - duban dan tayi na zuciya
• Hannun bugun zuciya
• MRI ko CT scan na zuciya
• Transthoracic echocardiogram (TTE) ko transesophageal echocardiogram (TEE)

X-ray na kirji na iya nuna kumburin ɓangaren ƙananan zuciya na hagu.

Gwajin gwaje-gwaje ba zai iya tantance rashin isasshen aortic ba. Koyaya, suna iya taimakawa kawar da wasu dalilai.

Kila ba ku buƙatar magani idan ba ku da alamun bayyanar ko kawai alamun bayyanar. Koyaya, kuna buƙatar ganin mai ba da sabis na kiwon lafiya don echocardiogram na yau da kullun.

Idan hawan jininka yayi yawa, kuna iya buƙatar shan magungunan hawan jini don taimakawa jinkirin lalacewar yanayin sake dawowa.

Za a iya ba da maganin diuretics (kwayoyi na ruwa) don alamun cututtukan zuciya.

A da, yawancin mutane masu matsalar bawul na zuciya an ba su maganin rigakafi kafin aikin hakori ko wata hanya mai cutarwa, kamar su maganin ciki. An ba da maganin rigakafin ne don hana kamuwa da cututtukan zuciya. Koyaya, ana amfani da maganin rigakafi sau da yawa sau da yawa.

Kila iya buƙatar iyakance ayyukan da ke buƙatar ƙarin aiki daga zuciyar ku.Yi magana da mai baka.

Yin aikin tiyata don gyara ko sauya bawul aortic yana gyara yanayin gyaran kafa. Shawarwarin maye gurbin bawul aortic ya dogara da alamun ku da yanayin aikin ku na zuciyar ku.

Hakanan zaka iya buƙatar tiyata don gyara aorta idan ta faɗaɗa.

Yin aikin tiyata na iya warkar da rashin wadatar jiki da sauƙaƙe alamomin, sai dai idan ci gaban zuciya ko wasu matsaloli sun taso. Mutanen da ke da angina ko ciwan zuciya saboda rashin saurin gyara jiki suna yin talauci ba tare da magani ba.

Matsaloli na iya haɗawa da:

• Heartarfin zuciya mara kyau
• Ajiyar zuciya
• Kamuwa da cuta a cikin zuciya

Kira mai ba da sabis idan:

• Kuna da alamun bayyanar cututtuka na aortic.
• Kuna da rashin wadatar jiki kuma alamun ku sun kara tsanantawa ko sabbin alamu sun bunkasa (musamman ciwon kirji, wahalar numfashi, ko kumburi).

Kula da hawan jini yana da matukar mahimmanci idan kuna cikin haɗarin sake farfadowa da motsa jiki.

Bayyanar bawul aortic; Rashin Aortic; Bawul na zuciya - aortic regurgitation; Cutar rashin lafiya - aortic regurgitation; AI - rashin isasshen kayan aiki

• Rashin Aortic

Carabello BA. Ciwon zuciya na rashin lafiya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 66.

Lindman BR, Bonow RO, Otto CM. Ciwon bawul aortic. 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 68.

Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA / ACC ta ƙaddamar da sabuntawa na jagorancin 2014 AHA / ACC don kula da marasa lafiya tare da cututtukan zuciya na zuciya: rahoto na Kwalejin Kwalejin Cardiology ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan Sharuɗɗan Ayyukan Clinical. Kewaya. 2017; 135 (25): e1159-e1195. PMID: 28298458 pubmed.ncbi.nlm.nih.gov/28298458/.

Otto CM. Urgaukaka regvitation. A cikin: Otto CM, ed. Littafin rubutu na Clinical Echocardiography. Na 6 ed. Philadelphia, PA: Elsevier; 2018: babi na 12.