Aneurysm a cikin kwakwalwa

Anurysm yanki ne mai rauni a cikin bangon jijiyoyin jini wanda ke haifar da jijiyar jini ta kumbura ko balan-balan. Lokacin da wata cuta ta faru a cikin jijiyoyin jini na kwakwalwa, akan kira shi cerebral, ko intracranial, aneurysm.

Abun ciki a cikin kwakwalwa yana faruwa yayin da akwai rauni yanki a bangon jijiyoyin jini. Wata sabuwar cuta ta iya kasancewa daga haihuwa (na haihuwa). Ko kuma, yana iya haɓaka daga baya a rayuwa.

Akwai nau'o'in ƙwaƙwalwar ƙwaƙwalwa da yawa. Mafi yawan nau'in da ake kira Berry aneurysm. Wannan nau'in na iya bambanta da girma daga millan milimita zuwa sama da santimita. Urananan ƙwayoyin berry na iya zama mafi girma fiye da santimita 2.5. Wadannan sunfi yawa ga manya. Berry aneurysms, musamman lokacin da akwai fiye da ɗaya, wasu lokuta ana barsu ta cikin dangi.

Sauran nau'ikan jijiyoyin jijiyoyin jiki sun hada da fadada dukkan jijiyoyin jini. Ko kuma, suna iya bayyana kamar balan-balan daga wani sashin jijiyoyin jini. Irin wannan maganin na iya faruwa a kowane jijiyoyin jini da ke samarwa kwakwalwa. Eningarfafa jijiyoyin jini (atherosclerosis), rauni, da kamuwa da cuta duk na iya cutar da bangon jijiyoyin jini kuma ya haifar da sanyin kwakwalwa.

Urwayoyin kwakwalwa na yau da kullun. Inayan cikin mutane hamsin suna da ƙwaƙwalwar ƙwaƙwalwa, amma ƙananan kaɗan daga cikin waɗannan ƙwayoyin cuta suna haifar da alamomi ko fashewa.

Hanyoyin haɗari sun haɗa da:

• Tarihin iyali na ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa
• Matsalolin likita kamar cututtukan koda polycystic, coarctation na aorta, da endocarditis
• Hawan jini, shan taba, barasa, da kuma amfani da kwayoyi ba bisa ka'ida ba

Mutum na iya samun sakewa ba tare da samun wata alama ba. Ana iya samun wannan nau'ikan kwayar halittar yayin da aka yi hoton MRI ko CT na kwakwalwa don wani dalili.

Sashin ƙwaƙwalwar ƙwaƙwalwa na iya fara zubar da ƙananan jini. Wannan na iya haifar da matsanancin ciwon kai wanda mutum zai iya bayyana shi da "mafi munin ciwon kai a rayuwata." Ana iya kiran shi tsawa ko ciwon kai na ƙoshin baya. Wannan yana nufin ciwon kai na iya zama alamar gargaɗi na fashewar gaba wanda zai iya faruwa kwanaki zuwa makonni bayan fara fara ciwon kai.

Hakanan cututtukan cututtuka na iya faruwa idan sigar motsa jiki ta matsa kan wasu sassan da ke kusa a cikin kwakwalwa ko kuma buɗewa (fashewa) kuma yana haifar da zub da jini a cikin kwakwalwa.

Kwayar cututtukan sun dogara da wurin da kwayar cutar take, ko ta karye, da kuma wani bangare na kwakwalwar da take turawa. Kwayar cutar na iya haɗawa da:

• Gani biyu
• Rashin gani
• Ciwon kai
• Ciwon ido
• Abun ciki
• Wuya wuya
• Ringing a cikin kunnuwa

Ba zato ba tsammani, tsananin ciwon kai alama ce guda ɗaya ta maye wanda ya fashe. Sauran alamun cututtukan ɓarkewar jijiyoyin jiki na iya haɗawa da:

• Rikicewa, ba kuzari, barci, wawanci, ko suma
• Fatar ido na faduwa
• Ciwon kai tare da jiri ko amai
• Raunin jijiyoyi ko wahalar motsa kowane sashi na jiki
• Jin ƙyama ko rage ji a jikin mutum
• Matsalar magana
• Kamawa
• Stiff wuya (lokaci-lokaci)
• Gani ya canza (hangen nesa biyu, rashin gani)
• Rashin hankali

SAURARA: Wani abu wanda ya fashe shine gaggawa na gaggawa. Kira 911 ko lambar gaggawa ta gida.

Gwajin ido na iya nuna alamun ƙara matsa lamba a cikin kwakwalwa, haɗe da kumburin jijiyar ido ko zubar jini a cikin tantanin ido. Gwajin asibiti na iya nuna motsin ido mara kyau, magana, ƙarfi, ko jin dadi.

Ana iya amfani da gwaje-gwajen masu zuwa don binciko wani ɓacin rai na ƙwaƙwalwa da kuma tantance dalilin zub da jini a cikin kwakwalwa:

• Cerebral angiography ko karkace CT scan angiography (CTA) na kai don nuna wuri da kuma girman da aneurysm
• Faɗa ta kashin baya
• CT scan na kai
• Lantarki (ECG)
• MRI na kai ko MRI angiogram (MRA)

Ana amfani da hanyoyi guda biyu na yau da kullun don gyara sigar motsa jiki.

• Ana yin dagulewa yayin aikin tiyatar kwakwalwa (craniotomy).
• Ana yin gyaran gyaran jijiyoyin jiki sau da yawa. Yawanci ya haɗa da murɗawa ko murɗawa da stent. Wannan hanya ce mai saurin mamayewa kuma mafi yawan hanyoyin magance cutar sanyin hanji.

Ba duk hanyoyin da ake samu ba ne suke bukatar magani nan take. Waɗanda suke ƙananan kaɗan (ƙasa da mm 3) ba za su iya buɗewa ba.

Mai ba ku kiwon lafiya zai taimaka muku yanke shawara ko ba shi da lafiya a yi muku tiyata don toshewar jijiyoyin kafin ku buɗe. Wasu lokuta mutane ba su da lafiya sosai don yin tiyata, ko kuma yana da haɗari sosai don magance cutar ta birin saboda wurin da take.

Wani ɓarkewar jijiyoyin jiki wata cuta ce ta gaggawa da ke buƙatar kulawa kai tsaye. Jiyya na iya ƙunsar:

• Kasancewa cikin sashin kulawa na asibiti (ICU)
• Cikakken hutun kwanciya da hana aiki
• Zubar da jini daga yankin kwakwalwa (magudanar bututun iska)
• Magunguna don hana kamuwa
• Magunguna don kula da ciwon kai da hawan jini
• Magunguna ta cikin jijiya (IV) don hana kamuwa da cuta

Da zarar an gyara sigar, za a iya buƙatar magani don hana bugun jini daga spasm na jijiyoyin jini.

Yadda za ku yi kyau ya dogara da abubuwa da yawa. Mutanen da ke cikin mawuyacin hali bayan ɓarkewar jijiyoyin jiki ba sa yin kamar waɗanda suke da alamun rashin ƙarfi mai tsanani.

Ragewar jijiyoyin jiki sanannu yakan mutu. Daga cikin waɗanda suka rayu, wasu ba su da wata nakasa ta dindindin. Wasu kuma suna da matsakaiciyar cuta.

Matsalolin anurysm a cikin kwakwalwa na iya haɗawa da:

• Pressureara matsi a cikin kwanyar
• Hydrocephalus, wanda ke faruwa sakamakon tarin ruwa mai ruɓuɓɓuka a cikin ƙoshin kwakwalwa
• Rashin motsi a sassan jiki daya ko fiye
• Rashin jin dadi na kowane bangare na fuska ko jiki
• Kamawa
• Buguwa
• Zubar da jini na Subarachnoid

Je zuwa dakin gaggawa ko kira 911 ko lambar gaggawa ta gida idan kuna da ciwon kai kwatsam ko mai tsanani, musamman ma idan kuna da tashin zuciya, amai, kamuwa, ko wata alama ta tsarin damuwa.

Har ila yau kira idan kuna da ciwon kai wanda baƙon abu ne a gare ku, musamman idan ya kasance mai tsanani ko mafi munin ciwon kai koyaushe.

Babu wata sananniyar hanyar da za'a hana birry aneurysm daga kafa. Yin maganin cutar hawan jini na iya rage damar da wata kwayar cutar data kasance zata fashe. Gudanar da abubuwan haɗari don atherosclerosis na iya rage yiwuwar wasu nau'o'in ƙwayoyin cuta.

Mutanen da aka san suna da cutar sakewa na iya buƙatar ziyarar likita akai-akai don tabbatar da cewa cutar ba ta canza girma ko fasali ba.

Idan an gano sabbin hanyoyin da ba a sanya su cikin lokaci ba, ana iya magance su kafin haifar da matsaloli ko sa ido tare da daukar hoto na yau da kullun (yawanci kowace shekara).

Shawarwarin da za a yi don gyara ɓarkewar jijiyoyin kwakwalwa ba bisa ƙa'ida ba ya dogara da girma da wurin da ke cikin cutar, da kuma shekarun mutum da kuma lafiyar sa gaba ɗaya.

Aneurysm - kwakwalwa; Cutar ƙwaƙwalwar ƙwaƙwalwa; Aneurysm - intracranial

• Brain aneurysm gyara - fitarwa
• Ciwon kai - menene za a tambayi likitan ku

• Cutar ƙwaƙwalwar ƙwaƙwalwa
• Cutar ƙwaƙwalwar ƙwaƙwalwa

Yanar gizo Associationungiyar Stungiyar rowararraki ta Amurka. Abin da ya kamata ku sani game da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-know-about-cerebral-aneurysms#.Wv1tfUiFO1t. An sabunta Disamba 5, 2018. Iso ga Agusta 21, 2020.

Cibiyar Nazarin Neurowararrun Neurowararrun andwararraki da Yanar gizo. Cerebral aneurysms takardar gaskiya. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. An sabunta Maris 13, 2020. An shiga Agusta 21, 2020.

Szeder V, Tateshima S, Duckwiler GR. Intracranial aneurysms da subarachnoid zubar jini. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 67.

Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. Sharuɗɗa don kula da marasa lafiya tare da rikicewar rikicewar intracranial: jagora ga ƙwararrun likitocin kiwon lafiya daga Heartungiyar Zuciya ta Amurka / Stungiyar Baƙin Amurka. Buguwa. 2015: 46 (8): 2368-2400. PMID: 26089327 pubmed.ncbi.nlm.nih.gov/26089327/.