Thoracic aortic ƙwaƙwalwar ajiya

Tashin hankali wani ɓarna ce ta bazuwa ko haɗuwa da wani ɓangaren jijiya saboda rauni a bangon jijiyar jini.

Urwayar thoracic aortic aneurysm tana faruwa a cikin sashin babbar jijiyar jiki (aorta) wanda ya ratsa cikin kirji.

Mafi sanadin sanadin bugun jijiyoyin jiki shine taurin jijiyoyi. Wannan matsalar ta fi faruwa ga mutanen da ke da yawan cholesterol, hawan jini na dogon lokaci, ko kuma masu shan sigari.

Sauran abubuwan haɗarin haɗarin ƙwayoyin cuta sun haɗa da:

• Canje-canjen da shekaru suka haifar
• Rashin haɗin nama kamar Marfan ko Ehlers-Danlos syndrome
• Kumburi na aorta
• Rauni daga faɗuwa ko haɗarin abin hawa
• Syphilis

Aneurysms yana haɓaka sannu a hankali tsawon shekaru. Yawancin mutane ba su da alamomi har sai sigar motsa jiki ta fara zuba ko fadada.

Kwayar cututtuka sau da yawa fara ba zato ba tsammani lokacin da:

• Sakin jijiyoyin yana girma da sauri.
• Hawaye ya sake budewa (wanda ake kira rupture).
• Zubar jini yana gudana tare da bangon aorta (rarraba aortic).

Idan kwayar halittar ta matsa akan tsarin da ke kusa, wadannan alamun na iya faruwa:

• Rashin tsufa
• Matsalar haɗiya
• Numfashi mai karfi (stridor)
• Kumburi a wuya

Sauran cututtuka na iya haɗawa da:

• Kirji ko ciwon baya na sama
• Clammy fata
• Tashin zuciya da amai
• Saurin bugun zuciya
• Jin azaba mai zuwa

Jarabawar jiki galibi al'ada ce sai dai idan fashewa ko ɓarna ya faru.

Ana gano yawancin ƙwayoyin cuta na thoracic aortic akan gwajin gwaje-gwajen da aka yi don wasu dalilai. Wadannan gwaje-gwajen sun hada da x-ray, echocardiogram, ko CT scan ko MRI. Wani hoton CT na kirji yana nuna girman aorta da kuma daidai wurin da jijiyar.

Aortogram (wani hoto ne na musamman na hotunan x-ray da aka yi lokacin da aka saka fenti a cikin aorta) zai iya gano sigar motsa jiki da duk wani reshe na aorta da zai iya shiga.

Akwai haɗarin da idan kwayar cutar ta iya buɗewa (fashewa) idan ba ku da tiyata don gyara ta.

Maganin ya dogara da wurin da ake samun sabuwa. Aorta an yi ta sassa uku:

• Kashi na farko yana motsawa zuwa sama zuwa kan kai. An kira shi aorta mai hawa.
• Yankin tsakiyar yana lankwasa. Ana kiran sa baka.
• Kashi na karshe yana motsawa zuwa ƙasa, zuwa ƙafa. An kira shi aorta mai saukowa.

Don mutanen da ke da alamun sakewa zuwa aorta ko baka mai ƙarfi:

• An ba da shawarar yin aikin tiyata don maye gurbin aorta idan jijiyoyin sun fi santimita 5 zuwa 6 girma.
• Ana yanka a tsakiyar kashin kirji.
• An maye gurbin aorta da filastik ko kuma dinkakken zane.
• Wannan babban aikin tiyata ne wanda ke buƙatar na'urar huhu na huhu.

Ga mutanen da ke da wata alamari na sauka aorta:

• Ana yin babban tiyata don maye gurbin aorta tare da daskararren yadudduka idan jijiyoyin sun fi santimita 6 girma.
• Ana yin wannan aikin ta hanyar yankewa a gefen hagu na kirji, wanda zai iya zuwa cikin ciki.
• Ndoaddamar da jijiyoyin jijiyoyin jiki wani zaɓi ne mara haɗari. Stent ƙarami ne ƙaramin ƙarfe ko bututun filastik wanda ake amfani da shi don buɗe jijiya a buɗe. Za'a iya sanya stents cikin jiki ba tare da yanke kirji ba. Koyaya, ba duk mutanen da ke da tasirin ƙwayoyin cuta ba ne 'yan takara don ɗorawa.

Hangen nesa na mutanen da ke fama da cutar sankarar kwakwalwa ya dogara da wasu matsalolin likita, kamar cututtukan zuciya, hawan jini, da ciwon sukari. Wadannan matsalolin na iya haifar ko ba da gudummawa ga yanayin.

Babban rikitarwa bayan tiyatar aortic na iya haɗawa da:

• Zuban jini
• Cutar kamuwa da cuta
• Ciwon zuciya
• Bugun zuciya mara tsari
• Lalacewar koda
• Shan inna
• Buguwa

Mutuwa jim kaɗan bayan aikin ya auku a cikin 5% zuwa 10% na mutane.

Matsalolin bayan turawar jijiyoyin ciki sun hada da lalacewar jijiyoyin jini da ke samar da kafa, wanda na iya bukatar wani aiki.

Faɗa wa mai kula da lafiyar ku idan kuna da:

• Tarihin iyali na cututtukan nama (kamar Marfan ko Ehlers-Danlos ciwo)
• Kirji ko rashin jin daɗi

Don hana atherosclerosis:

• Kula da hawan jini da matakan lipid na jini.
• KADA KA shan taba.
• Ku ci abinci mai kyau.
• Motsa jiki a kai a kai.

Aortic aneurysm - maganin ƙwaƙwalwa; Syphilitic sabuwar cuta; Aneurysm - maganin thoracic

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

• Ciwon mara
• Rushewar azaba - x-ray

Acher CW, Wynn M. Thoracic da thoracoabdominal aneurysms: bude aikin tiyata. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: babi na 77.

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.

Lederle FA. Cututtukan aorta. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 69.

Singh MJ, Makaroun MS. Thoracic da thoracoabdominal aneurysms: maganin endovascular. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: babi na 78.