Glomus jugulare ƙari

Ciwan ciki na jugulare shine ƙari na ɓangaren ɗan lokaci a cikin kwanyar wanda ya ƙunshi tsarin kunne na tsakiya da na ciki. Wannan kumburin na iya shafar kunne, saman wuya, gindin kwanyar, da jijiyoyin da ke kewaye da jijiyoyi.

Ciwon mara da ke tsiro ya girma a cikin ƙashin ƙwanƙolin kankara, a wani yanki da ake kira jugular foramen. Ramwararrun raman wasa ne kuma inda jijiya da jijiyoyi masu mahimmanci suka fita daga kwanyar.

Wannan yankin yana dauke da zaren jijiya, wanda ake kira glomus. A yadda aka saba, waɗannan jijiyoyi suna amsa canje-canje a yanayin zafin jiki ko bugun jini.

Wadannan cututtukan suna yawan faruwa ne daga baya a rayuwa, kusan shekaru 60 ko 70, amma suna iya bayyana a kowane zamani. Ba a san musabbabin ciwon tumo na jugulare ba. A mafi yawan lokuta, babu sanannun abubuwan haɗarin. Cutar kumburin Glomus an haɗa ta da canje-canje (maye gurbi) a cikin kwayar halittar da ke da alhakin enzyme succinate dehydrogenase (SDHD).

Kwayar cutar na iya haɗawa da:

• Matsalar haɗiye (dysphagia)
• Dizziness
• Matsalar ji ko asara
• Jin bugun jini a kunne
• Rashin tsufa
• Jin zafi
• Rauni ko raunin motsi a fuska (ciwon jijiya na fuska)

Glomus jugulare an gano shi ta hanyar gwajin jiki da gwajin hoto, gami da:

• Cerebral angiography
• CT dubawa
• Binciken MRI

Cutar cututtukan Glomus jugulare ba kasafai suke cutar kansa ba kuma ba sa yaduwa zuwa wasu sassan jiki. Koyaya, ana iya buƙatar magani don taimakawa bayyanar cututtuka. Babban magani shine tiyata. Yin aikin tiyata yana da wuyar sha’ani kuma mafi yawan lokuta likitocin jijiyoyi ne, likitan kai da na wuyan wuyansa, da likitan kunne (neurotologist).

A wasu lokuta, ana yin aikin da ake kira embolization kafin aikin tiyata don hana kumburin jini daga jini sosai yayin aikin.

Bayan tiyata, ana iya amfani da maganin radiation don magance kowane ɓangare na ciwowar da ba za a iya cire shi gaba ɗaya ba.

Wasu cututtukan cututtukan duniya ana iya magance su ta hanyar tiyata na stereotactic.

Mutanen da suka yi tiyata ko kuma radiation suna da kyau su yi kyau. Fiye da kashi 90% na waɗanda ke da cutar ciwan jiki sun warke.

Rikice-rikicen da suka fi yawan yawa sune saboda lalacewar jijiyoyi, wanda ƙwarjin kansa ko lalacewar zai iya haifar da shi yayin aikin tiyata. Lalacewar jijiya na iya haifar da:

• Canja cikin murya
• Matsalar haɗiyewa
• Rashin ji
• Shan inna na fuska

Kira mai ba da sabis na kiwon lafiya idan kun:

• Suna samun matsala tare da ji ko haɗiye
• Ci gaba bugun jini a cikin kunnenka
• Ka lura da dunƙule a wuyanka
• Lura da wasu matsaloli game da tsokoki a fuskarka

Paraganglioma - glomus jugulare

Marsh M, Jenkins HA. Neoplasms na lokaci-lokaci da tiyata a kwance. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 176.

Rucker JC, Thurtell MJ. Neuropathies na kwanyar mutum. 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 104.

Zanotti B, Verlicchi A, Gerosa M. Glomus ƙari. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 156.