Epidural ƙurji

Abun ƙwayar epidural tarin tarin fuka ne (ƙwayoyin cuta) da ƙwayoyin cuta tsakanin murfin waje na kwakwalwa da lakar kashin baya da ƙasusuwan kwanyar kai ko kashin baya. Rashin ƙwayar yana haifar da kumburi a yankin.

Epidural abscess cuta ce wacce ba kasafai ake samun ta ba sakamakon kamuwa da cuta a yankin tsakanin kasusuwan kokon kai, ko kashin baya, da kuma membran din da ke rufe kwakwalwa da laka (meninges). Wannan kamuwa da cuta ana kiranta ɓoyayyen ɓoyayyen ciki idan yana cikin ƙwanƙwan kai. An kira shi ƙwanƙwasa ƙwayar jijiya idan an same shi a cikin yankin kashin baya. Mafi yawansu suna cikin kashin baya.

Yawan kashin baya yawanci kwayoyin cuta ne ke haifar dashi amma mai yiwuwa naman gwari ne zai haifar dashi. Hakan na iya zama saboda wasu cututtukan da ke cikin jiki (musamman kamuwa da cutar yoyon fitsari), ko ƙwayoyin cuta da suka bazu cikin jini. A wasu mutane, kodayake, babu wani tushen kamuwa da cuta.

Wani ƙwayar cuta a cikin kwanyar ana kiranta ɓoyayyen ɓarin ciki. Dalilin na iya zama ɗayan masu zuwa:

• Cututtukan kunne na kullum
• Sinusitis na kullum
• Raunin kai
• Mastoiditis
• Yin aikin tiyata kwanan nan

Wani ƙwayar ƙwayar kashin baya ana kiransa ƙwayar ƙarancin kashin baya. Ana iya ganin shi a cikin mutane tare da ɗayan waɗannan masu zuwa:

• Idan anyi aikin tiyata ko wata hanyar cin zali da ta shafi kashin baya
• Cututtukan jini
• Tafasa, musamman a bayan ko fatar kai
• Cututtukan kasusuwa na kashin baya (vertebral osteomyelitis)

Mutanen da suke yin allurar kwayoyi suma suna cikin haɗarin gaske.

Cesswayar ƙwayar jijiyoyin jijiyoyin jiki na iya haifar da waɗannan alamun:

• Tinunƙasar cikin hanji ko mafitsara
• Matsalar yin fitsari (riƙe fitsari)
• Zazzabi da ciwon baya

Cutar ɓacin ciki na intracranial na iya haifar da waɗannan alamun:

• Zazzaɓi
• Ciwon kai
• Rashin nutsuwa
• Tashin zuciya da amai
• Jin zafi a wurin aikin tiyata da ya ƙara ƙaruwa (musamman idan zazzabi ya kasance)

Kwayoyin cututtuka na jijiyoyi sun dogara da wurin da ƙwayar take kuma yana iya haɗawa da:

• Rage karfin motsa kowane bangare na jiki
• Rashin jin dadi a kowane yanki na jiki, ko canje-canje mara kyau a cikin jin dadi
• Rashin ƙarfi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki don neman asarar ayyuka, kamar motsi ko motsawa.

Gwajin da za a iya yi sun hada da:

• Al'adun jini don bincika ƙwayoyin cuta a cikin jini
• Kammala ƙididdigar jini (CBC)
• CT scan na kai ko kashin baya
• Lambatu na kumburi da jarrabawa daga cikin kayan
• MRI na kai ko kashin baya
• Nazarin fitsari da al'ada
  

Manufar magani ita ce warkar da cutar kuma rage haɗarin lalacewar dindindin. Jiyya yawanci hada da maganin rigakafi da tiyata. A wasu lokuta, ana amfani da maganin rigakafi kadai.

Maganin rigakafi yawanci ana bayarwa ta jijiya (IV) na aƙalla makonni 4 zuwa 6. Wasu mutane suna buƙatar ɗaukar su na dogon lokaci, dangane da nau'in ƙwayoyin cuta da kuma yadda cutar ta kasance mai tsanani.

Ana iya buƙatar aikin tiyata don magudana ko cire ƙurar. Hakanan ana yawan yin aikin tiyata don rage matsin lamba a kan laka ko kwakwalwa, idan akwai rauni ko lalacewar jijiyoyi.

Gano asali da magani sosai yana inganta damar kyakkyawan sakamako. Da zarar rauni, inna, ko canjin yanayi ya faru, damar dawo da aikin da aka rasa zai ragu sosai. Tsarin jiji na dindindin ko mutuwa na iya faruwa.

Matsaloli na iya haɗawa da:

• Abswayar kwakwalwa
• Lalacewar kwakwalwa
• Ciwon ƙashi (osteomyelitis)
• Ciwon baya na kullum
• Cutar sankarau (kamuwa da cututtukan membran da ke rufe kwakwalwa da laka)
• Lalacewar jijiya
• Komawa daga kamuwa da cuta
• Cessarfin ƙashi

Rashin ƙwayar cutar epidural gaggawa ce ta gaggawa. Jeka dakin gaggawa ko kira lambar gaggawa na cikin gida (kamar su 911) idan kana da alamun rashin lafiyar ƙwayar jijiyar baya.

Jiyya na wasu cututtukan, kamar cututtukan kunne, sinusitis, da cututtukan jini, na iya rage haɗarin ɓarkewar ɓarin ciki. Gano asali da magani yana da mahimmanci don hana rikitarwa.

Cessunƙari - epidural; Absarfin ƙashi

Kusuma S, Klineberg EO. Cututtuka na kashin baya: ganewar asali da maganin cututtukan diski, osteomyelitis, da ɓarna. A cikin: Steinmetz MP, Benzel EC, eds. Yin aikin tiyata na Benzel. 4th ed. Philadelphia, PA: Elsevier; 2017: babi na 122.

Tunkel AR. Emparfafa jikin mutum, ɓarnawar ɓarna, da maganin intromranial thrombophlebitis. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Bennett's Ka'idoji da Aiki na Cututtuka masu Cutar, Updatedaukaka Sabunta. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 93.