Occunƙwasa mai ɓarna - koda

Mutuwar jijiyar koda wata kwatsam, mummunan toshewar jijiyar da ke bayar da jini ga koda.

Kodan na bukatar samar da jini mai kyau. Babban jijiya ga koda ana kiransa jijiyar koda. Rage gudan jini ta jijiyar koda yana iya cutar da aikin koda. Cikakken toshewar jini zuwa cikin koda na iya haifar da gazawar koda dindindin.

Occunƙarar ɓarkewar jijiyoyin jijiyoyin wuya na iya faruwa bayan rauni ko rauni a ciki, gefe, ko baya. Jigilar jini da ke tafiya ta cikin jini (emboli) na iya kwana a cikin jijiyar koda.Yankunan almara daga bangon jijiyoyin na iya zama sako-sako (da kan su ko yayin aiwatarwa). Wannan tarkacen na iya toshe babban jijiyar koda ko ɗayan ƙananan jiragen ruwa.

Haɗarin toshewar jijiyar koda yana ƙaruwa ga mutanen da ke da wasu cututtukan zuciya, wanda ke sa su iya haifar da daskarewar jini. Wadannan sun hada da mitral stenosis da atrial fibrillation.

Narrowuntataccen jijiyar ƙwayar koda ana kiransa renal artery stenosis. Wannan yanayin yana ƙara haɗarin toshewar kwatsam.

Kila ba ka da alamun bayyanar lokacin da koda ɗaya ba ta aiki saboda ƙodar ta biyu za ta iya tace jini. Koyaya, hawan jini (hauhawar jini) na iya zuwa kwatsam kuma yana da wahalar sarrafawa.

Idan sauran koda ba ya aiki sosai, toshewar jijiyar koda yana iya haifar da alamun rashin saurin koda. Sauran cututtukan cututtukan zuciya na jijiyoyin koda sun hada da:

• Ciwon ciki
• Ragowar fitowar fitsari kwatsam
• Ciwon baya
• Jini a cikin fitsari
• Flank zafi ko ciwo a gefe
• Alamomin hawan jini kamar ciwon kai, sauya hangen nesa, da kumburi

Lura: Zai yiwu babu zafi. Ciwo, idan ya kasance, mafi yawa yakan taso ba zato ba tsammani.

Mai ba da kiwon lafiya ba zai iya gano matsalar ba tare da gwaji kawai sai dai idan kun ci gaba da gazawar koda.

Gwajin da zaka iya buƙata sun haɗa da:

• Duplex Doppler duban dan tayi gwaji na jijiyoyin koda don gwada gudan jini
• MRI na jijiyoyin koda, wanda ke iya nuna karancin gudan jini ga koda da cutar ta shafa
• Tarihin Renal yana nuna ainihin wurin da aka toshe kayan
• Duban dan tayi don duba girman koda

Sau da yawa, mutane ba sa buƙatar magani. Jigilar jini na iya samun mafi kyau a kan kansu a kan lokaci.

Kuna iya samun magani don buɗe jijiyar idan an gano toshewar da sauri ko kuma yana shafar koda kawai mai aiki. Jiyya don buɗe jijiyoyin na iya haɗawa da:

• Magungunan narkewar kayan ɗaki (thrombolytics)
• Magungunan da ke hana jini yin daskarewa (masu hana daukar ciki), kamar warfarin (Coumadin)
• Gyaran tiyata na jijiyar koda
• Shigar da bututu (catheter) a cikin jijiyar koda don buɗe toshewar

Kuna iya buƙatar wankin lokaci na ɗan lokaci don magance ƙarancin ƙwayar koda. Za'a iya buƙatar magunguna don rage yawan cholesterol idan toshewar ta kasance saboda daskarewa daga abin da aka sa a cikin jijiyoyin jini.

Lalacewa ta ɓoyewar jijiyoyin jiki na iya wucewa. Koyaya, a mafi yawan lokuta, yana dindindin.

Idan koda daya ce ta kamu da cutar, koda mai lafiya na iya daukar nauyin tace jini da samar da fitsari. Idan kana da koda guda daya mai aiki, toshewar jijiyoyin jiki yana haifar da matsalar gazawar koda. Wannan na iya bunkasa cikin ciwan koda koda yaushe.

Matsaloli na iya haɗawa da:

• Ciwon koda
• Ciwon koda na kullum
• Hawan jini
• Ciwon hawan jini mara kyau

Kira mai ba da sabis idan:

• Ka daina samar da fitsari
• Kuna jin kwatsam, mummunan ciwo a baya, flank, ko ciki.

Nemi taimakon gaggawa na gaggawa kai tsaye idan kana da alamun bayyanar ɓoyayyiyar hanya kuma suna da koda guda ɗaya mai aiki.

A lokuta da dama, ba za a iya hana cutar ba. Hanya mafi mahimmanci don rage haɗarin ka shine dakatar da shan sigari.

Mutanen da ke cikin haɗarin ɓullo da jini na iya buƙatar shan magungunan hana daskarewa. Stepsaukar matakai don kula da cututtukan da suka danganci atherosclerosis (taurarewar jijiyoyi) na iya rage haɗarinku.

Romananan cututtukan ƙwaƙwalwar ƙwayar cuta; Enalunƙarar ƙwaƙwalwar ƙwaƙwalwa; Acunƙarar ƙwayar jijiyar koda; Embolism - ƙwaƙwalwar koda

• Ciwon jikin koda
• Koda - jini da fitsari suna gudana
• Gudanar da jinin koda

DuBose TD, Santos RM. Ciwon jijiyoyin jini na koda. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 125.

Myers DJ, Myers SI. Rikicin tsarin: koda. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: babi na 44.

Ruggenenti P, Cravedi P, Remuzzi G. vasananan ƙwayoyin cuta da ƙwayoyin cuta na koda. A cikin: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner da Rector na Koda. 10 ed. Philadelphia, PA: Elsevier; 2016: babi na 35.

Watson RS, Cogbill TH. Atherosclerotic koda jijiyoyin jini stenosis. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 12th ed. Philadelphia, PA: Elsevier; 2017: 1041-1047.