Entwayar ƙwayar cuta ta jijiyoyin jini

Magungunan jijiyoyin jijiyoyin jini (MVT) shi ne daskarewar jini a ɗaya ko fiye daga cikin manyan jijiyoyin da ke malalar da jini daga hanji. Mafi mahimmancin jijiyoyin jijiyoyin jiki galibi yana da hannu.

MVT gudan jini ne wanda ke toshe jini a cikin jijiya. Akwai irin wadannan jijiyoyi guda biyu wadanda jini ke fita daga hanjinsu. Yanayin ya tsayar da zagawar jini na hanjin kuma zai iya haifar da illa ga hanjin.

Ba a san ainihin dalilin MVT ba. Koyaya, akwai cututtuka da yawa waɗanda zasu iya haifar da MVT. Yawancin cututtuka suna haifar da kumburi (ƙonewa) na kyallen takarda kewaye da jijiyoyin, kuma sun haɗa da:

• Ciwon ciki
• Ciwon ciki
• Diverticulitis
• Ciwon hanta tare da cirrhosis
• Hawan jini a cikin jijiyoyin hanta
• Yin aikin ciki ko rauni
• Pancreatitis
• Ciwon hanji mai kumburi
• Ajiyar zuciya
• Rashin protein na C ko S
• Polycythemia vera
• Tsarin mahimmanci na thrombocythemia

Mutanen da ke da cuta wanda ke sa jini ya kasance mai haɗuwa tare (ƙuƙasa) suna da haɗari mafi girma ga MVT. Magungunan haihuwa da magungunan estrogen suma suna ƙara haɗari.

MVT ya fi dacewa ga maza fiye da mata. Ya fi shafar tsofaffi ko manya.

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Ciwon ciki, wanda na iya zama mafi muni bayan cin abinci da ƙari
• Kumburin ciki
• Maƙarƙashiya
• Gudawar jini
• Zazzaɓi
• Hannun Septic
• Bleedingananan zubar da jini na ciki
• Amai da jiri

CT scan shine babban gwajin da ake amfani dashi don tantance MVT.

Sauran gwaje-gwaje na iya haɗawa da:

• Angiogram (nazarin yadda jini ke gudana zuwa hanji)
• MRI na ciki
• Duban dan tayi da jijiyoyin jini

Ana amfani da sikanin jini (galibi heparin ko magunguna masu alaƙa) don magance MVT lokacin da babu haɗin jini. A wasu lokuta, ana iya ba da magani kai tsaye cikin gudan jini ya narkar da shi. Wannan hanya ana kiranta thrombolysis.

Kadan sau da yawa, ana cire gudan tare da wani nau'in tiyata da ake kira thrombectomy.

Idan akwai alamu da alamomin kamuwa da cuta mai tsanani da ake kira peritonitis, ana yin tiyatar cire hanji. Bayan tiyata, ana iya buƙatar gyaran kafa (buɗewa daga ƙaramar hanji cikin jaka a kan fata) ko kuma maganin kwalliya (buɗewa daga kan hanji zuwa cikin fata) ana iya buƙata.

Outlook ya dogara da dalilin thrombosis da duk wata lalacewar hanji. Samun magani kan sanadin kafin hanjin ya mutu na iya haifar da sauki.

Ischemia na hanji cuta ne mai rikitarwa na MVT. Wani bangare ko duk hanjin ya mutu saboda rashin wadataccen jini.

Tuntuɓi mai ba da sabis na kiwon lafiya idan kuna da mawuyacin yanayi ko maimaita lokuta na ciwon ciki.

MVT

Cloud A, Dussel JN, Webster-Lake C, Indes J. Mesenteric ischemia. A cikin: Yeo CJ, ed. Tiyatar Shackelford na Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 87.

Feuerstadt P, Brandt LJ. Ischemia na hanji. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 118.

Roline CE, Kashe RF. Rashin lafiyar ƙananan hanji. 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 82.