Ciwon ciki na yoyon fitsari

Ciwon ciki na huhu fistula haɗari ne mara kyau tsakanin jijiya da jijiya a cikin huhu. A sakamakon haka, jini yana ratsa huhu ba tare da samun isashshen oxygen ba.

Ciwon fistulas na jijiyoyin jini yawanci sakamakon rashin ci gaba ne na jijiyoyin jini na huhu. Mafi yawanci suna faruwa ne a cikin mutane masu fama da cututtukan cututtukan jini (HHT). Wadannan mutane galibi suna da jijiyoyin jini mara kyau a wasu sassa na jiki.

Fistulas kuma na iya zama rikitarwa na cutar hanta ko raunin huhu, kodayake waɗannan dalilai ba su da yawa.

Mutane da yawa ba su da alamun bayyanar. Lokacin da bayyanar cututtuka ta faru, zasu iya haɗawa da:

• Jini mai jini
• Rashin numfashi
• Matsalar motsa jiki
• Hancin Hanci
• Ofarancin numfashi tare da aiki
• Ciwon kirji
• Bullar fata (cyanosis)
• Sandare yatsun hannu

Mai ba da sabis na kiwon lafiya zai bincika ku. Jarabawar na iya nuna:

• Magungunan jini mara kyau (telangiectasias) akan fata ko ƙwayoyin mucous
• Sauti mara kyau, ana kiransa gunaguni lokacin da aka sanya stethoscope akan bututun jini mara kyau
• Oxygenaran oxygen lokacin aunawa tare da bugun bugun ƙarfe

Gwajin da za a iya yi sun hada da:

• Gas na jini, tare da kuma ba tare da oxygen ba (yawanci maganin oxygen ba ya inganta gas ɗin jini kamar yadda ake tsammani)
• Kammala ƙididdigar jini (CBC)
• Kirjin x-ray
• Kirjin CT
• Echocardiogram tare da nazarin kumfa don bincika aikin zuciya da kimantawa don kasancewar shunt
• Gwajin aikin huhu
• Perfusion radionuclide lung scan don auna numfashi da zagayawa (perfusion) a duk yankuna na huhu
• Pulmonary arteriogram don duba jijiyoyin huhu

Numberananan mutanen da ba su da alamun bayyanar cututtuka na iya buƙatar magani. Ga mafi yawan mutanen da ke fama da cutar yoyon fitsari, maganin da za a zaba shi ne toshe cutar yoyon fitsari yayin aiwatar da wani abu (embolization)

Wasu mutane na iya buƙatar tiyata don cire tasoshin da ba su dace ba da ƙwayoyin huhu na kusa.

Lokacin da cututtukan hanta suka haifar da cututtukan hanta, magani shine dasa hanta.

Hangen nesa ga mutane tare da HHT ba shi da kyau kamar waɗanda ba su da HHT. Ga mutane ba tare da HHT ba, tiyata don cire tasoshin mara haɗari yawanci yana da kyakkyawan sakamako, kuma da alama yanayin ba zai dawo ba.

Ga mutanen da ke da cutar hanta a matsayin dalilin, hangen nesa ya dogara da cutar hanta.

Matsaloli na iya haɗawa da:

• Zuban jini a cikin huhu
• Bugun jini saboda tarin jini wanda ke tafiya daga huhu zuwa hannaye, ƙafafu, ko kwakwalwa (rikicewar rikicewar jini)
• Kamuwa da cuta a cikin kwakwalwa ko bawul na zuciya, musamman ma marasa lafiya da HHT

Kira mai ba ku sabis idan kuna yawan zubar jini ko wahalar numfashi, musamman idan ku ma kuna da tarihin kanku ko na iyali na HHT.

Saboda HHT galibi kwayoyin ne, rigakafin ba kasafai yake yiwuwa ba. Shawarwarin kwayoyin halitta na iya taimakawa a wasu lokuta.

Rashin daidaito na arteriovenous - na huhu

Shovlin CL, Jackson JE. Rashin lafiyar jijiyoyin jiki. 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 61.

Stowell J, Gilman MD, Walker CM. Hanyar nakasawar ciki. A cikin: Shepard JO, ed. Hoto Thoracic: Bukatun. 3rd ed. Philadelphia, PA: Elsevier; 2019: sura 8.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Cutar cututtukan ciki a cikin baligi da haƙuri na yara. 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 75.