Effarancin iska
Effarancin juji shine tarin ruwa mai ruɓaɓɓu (CSF) wanda aka kama tsakanin farfajiyar ƙwaƙwalwa da rufin ƙwaƙwalwa na waje (yanayin ɗari). Idan wannan ruwan ya kamu, ana kiran yanayin a subdural empyema.
Duarancin iska wani yanki ne mai wahala na cutar sankarau da ƙwayoyin cuta ke haifarwa. Effaramar iska ta fi dacewa ga jarirai.
Hakanan zubar da ciki na iya faruwa bayan rauni na kai.
Kwayar cutar na iya haɗawa da:
- Hanyar waje na laushin jariri (bulging fontanelle)
- Wurare masu banƙyama a cikin ɗakunan kasusuwan kwanyar jariri
- Circumara kewaye da kai
- Babu kuzari (kasala)
- Zazzaɓi mai ɗorewa
- Kamawa
- Amai
- Rauni ko asarar motsi a ɓangarorin biyu na jiki
Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamun.
Don gano ƙarancin iska, gwaje-gwajen da za a iya yi sun haɗa da:
- CT scan na kai
- Ma'aunin girman kai (kewaya)
- Binciken MRI na kai
- Duban dan tayi
Yin aikin tiyata don zubar da jinin yakan zama dole. A wasu lokuta ba safai ba, ana buƙatar na'urar magudanar ruwa ta dindindin (shunt) don magudanar ruwa. Ana iya ba da magungunan rigakafi ta jijiya.
Jiyya na iya haɗawa da:
- Yin aikin tiyata don zubar da jinin
- Na'urar magudanar ruwa, ana kiranta shunt, an bar shi a wuri na ɗan gajeren lokaci ko mafi tsayi
- Magungunan rigakafi da ake bayarwa ta jijiya don magance kamuwa da cutar
Cikakken dawowa daga rarar iska ana tsammanin. Idan matsalolin tsarin juyayi suka ci gaba, gabaɗaya saboda cutar sankarau ne, ba zubar ruwa ba. Yawancin lokaci maganin rigakafi ba a buƙata.
Matsalolin tiyata na iya haɗawa da:
- Zuban jini
- Lalacewar kwakwalwa
- Kamuwa da cuta
Kira mai bada idan:
- Kwanan baya an kula da yaronka don cutar sankarau kuma alamun cutar na ci gaba
- Sabbin alamun ci gaba
De Vries LS, Volpe JJ. Kwayoyin cuta da ƙwayoyin cuta na intracranial. A cikin: Volpe JJ, Inder TE, Darras BT, et al, eds. Volpe's Neurology na Jariri. Na 6 ed. Philadelphia, PA: Elsevier; 2018: babi na 35.
Kim KS. Cutar sankarau da ta wuce lokacin haihuwa. A cikin: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin da Cherry's Littafin rubutu na cututtukan cututtukan yara. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 31.
Nath A. Cutar sankarau: kwayar cuta, kwayar cuta, da sauran su. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 412.