SVC toshewa

SVC toshewa shine taƙaitawa ko toshewar babban vena cava (SVC), wanda shine babbar jijiya ta biyu a cikin jikin mutum. Cava mafi girma yana motsa jini daga saman rabin jiki zuwa zuciya.

SVC toshe shi yanayi ne mai wuya.

Mafi yawan lokuta ana haifar da cutar kansa ko ƙari a cikin mediastinum (yankin kirji ƙarƙashin ƙashin ƙirji da tsakanin huhu).

Sauran nau'ikan cutar kansa da zasu iya haifar da wannan matsalar sun hada da:

• Ciwon nono
• Lymphoma
• Ciwon daji na huhu (cutar huhu da ke shimfidawa)
• Ciwon kwayar cutar
• Ciwon kansa na thyroid
• Thymus ƙari

Hakanan toshewar SVC kuma ana iya haifar dashi ta yanayin rashin daidaito wanda ke haifar da tabo. Waɗannan sharuɗɗan sun haɗa da:

• Histoplasmosis (wani nau'in fungal kamuwa da cuta)
• Kumburin jijiya (thrombophlebitis)
• Cututtukan huhu (kamar tarin fuka)

Sauran dalilan toshewar SVC sun haɗa da:

• Aortic aneurysm (faɗaɗa jijiyar da ta bar zuciya)
• Jigilar jini a cikin SVC
• Pericarditis mai rikitarwa (matse siririn rufin zuciya)
• Hanyoyin maganin radiation don wasu yanayin kiwon lafiya
• Ara girman ƙwayar thyroid (goiter)

Catheters da aka sanya a cikin manyan jijiyoyin hannu da wuya na iya haifar da daskarewar jini a cikin SVC.

Kwayar cututtukan na faruwa ne yayin da wani abu ya toshe jinin da ke gudana zuwa zuciya. Kwayar cututtukan na iya farawa farat ɗaya ko a hankali, kuma suna iya tsanantawa lokacin da kuka lanƙwasa ko kwance.

Alamomin farko sun hada da:

• Kumburi a kusa da ido
• Kumburin fuska
• Kumburin fararen idanu

Kumburin zai iya zama mafi muni a farkon safiya kuma ya tafi da tsakiyar safiya.

Mafi yawan alamun cututtukan sune ƙarancin numfashi (dyspnea) da kumburin fuska, wuya, akwati, da hannu.

Sauran alamun bayyanar sun haɗa da:

• Rage jijjiga
• Dizziness, suma
• Ciwon kai
• Fushin fuska ja ko kunci
• Dabino mai ja
• Memwayoyin mucous masu launin ja (a cikin hanci, baki, da sauran wurare)
• Redness canzawa zuwa launin shuɗi daga baya
• Jin azanci kai ko kunne
• Gani ya canza

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki, wanda zai iya nuna ƙarin jijiyoyin fuska, wuya, da kirji na sama. Hawan jini yawanci yana da yawa a cikin makamai kuma yana da ƙananan ƙafafu.

Idan ana tuhuma kansar huhu, ana iya yin maganin sankarau. A yayin wannan aikin, ana amfani da kyamara don kallo a cikin hanyoyin iska da huhu.

Ana iya ganin toshewar SVC akan:

• Kirjin x-ray
• CT scan na kirji ko MRI na kirji
• Magungunan jijiyoyin jini (nazarin jijiyoyin jini)
• Doppler duban dan tayi (gwajin rawan motsi na jijiyoyin jini)
• Radionuclide ventriculography (nazarin nukiliya na motsi zuciya)

Makasudin magani shine don kawar da toshewar.

Za a iya amfani da diuretics (kwayoyi na ruwa) ko magungunan kashe kumburi (kwayoyi masu kare kumburi) don rage kumburi na ɗan lokaci

Sauran zaɓuɓɓukan jiyya na iya haɗawa da radiation ko ƙarancin magani don rage ƙwayar cuta, ko tiyata don cire ƙwayoyin. Ba a cika yin tiyata don tsallake matsalar. Sanya shinge (bututun da aka sanya a cikin jijiyar jini) don buɗe SVC ana iya yin shi.

Sakamakon ya bambanta, ya danganta da dalilin da yawan toshewar.

Toshewar SVC wanda ƙari ya haifar alama ce da ke nuna cewa kumburin ya bazu, kuma yana nuna ƙarancin hangen nesa.

Maƙogwaron na iya toshewa, wanda zai iya toshe hanyoyin iska.

Pressureara matsin lamba na iya haɓaka a cikin kwakwalwa, wanda ke haifar da canjin matakan sani, tashin zuciya, amai, ko sauya hangen nesa.

Kirawo mai ba ku sabis idan kun ci gaba bayyanar cututtukan toshewar SVC. Matsalolin suna da nauyi kuma wani lokacin na iya zama m.

Gaggauta magance wasu cututtukan likita na iya rage haɗarin haɓaka toshewar SVC.

Babban toshewar ƙusa; Ciwon mara mai ƙyama

• Zuciya - sashi ta tsakiya

Gupta A, Kim N, Kalva S, Reznik S, Johnson DH. Ciwon mara mai ƙyama. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier; 2020: babi na 53.

Kinlay S, Bhatt DL. Jiyya na cututtukan zuciya da ke hana yaduwar jijiyoyin jiki. 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 66.