Atrial myxoma

Xwayar cuta ta atrial myxoma cuta ce mara ciwo a saman hagu ko dama na zuciya. Mafi yawanci yana girma akan bangon da ke raba bangarorin biyu na zuciya. Wannan bango ana kiransa atrial septum.

Myxoma shine asalin ciwon zuciya (zuciya). Wannan yana nufin cewa ciwon ya fara cikin zuciya. Yawancin cututtukan zuciya suna farawa a wani wuri.

Orsananan cututtukan zuciya kamar myxomas suna da wuya. Kimanin kashi 75% na myxomas suna faruwa ne a hagu na zuciyar. Suna yawanci farawa a bangon da ke raba ɗakunan sama biyu na zuciya. Suna iya faruwa a wasu shafukan intra-cardiac kuma. Atrial myxomas wani lokacin ana danganta shi da yanayin toshewar bawul da fibrillation na atrial.

Myxomas sun fi yawa a cikin mata. Kimanin 1 cikin 10 na myxomas suna wucewa ta wurin dangi (sun gaji). Wadannan kumburin ana kiransu myxomas na iyali. Suna faruwa a cikin fiye da ɗaya ɓangaren zuciya a lokaci guda, kuma galibi suna haifar da alamomin a ƙuruciyarsu.

Yawancin myxomas ba za su haifar da bayyanar cututtuka ba. Wadannan ana gano su sau da yawa lokacin da aka yi nazarin hoto (echocardiogram, MRI, CT) don wani dalili.

Kwayar cutar na iya faruwa a kowane lokaci, amma galibi suna tafiya tare da canjin yanayin jiki.

Kwayar cutar myxoma na iya haɗawa da:

• Matsalar numfashi lokacin kwanciya kwance ko gefe ɗaya ko ɗayan
• Numfashi mai wahala yayin bacci
• Ciwon kirji ko matsewa
• Dizziness
• Sumewa
• Jin dadin jin zuciyar ka (bugun zuciya)
• Breatharancin numfashi tare da aiki
• Bayyanar cututtuka saboda embolism na ƙari abu
  

Alamomin da alamun myxomas na atrial na sau da yawa suna yin mitical stenosis (rage bawul tsakanin atrium na hagu da na hagu). Daidai myxomas na dama yana da alamun bayyanar har sai sun girma sun zama manya (inci 5 faɗi, ko 13 cm).

Sauran cututtuka na iya haɗawa da:

• Fata ta Bluish, musamman a yatsun hannu (Raynaud sabon abu)
• Tari
• Vatunƙwasa ƙusoshin tare da kumburin nama mai laushi (ƙwanƙwasa) na yatsunsu
• Zazzaɓi
• Yatsun hannu masu canza launi akan matsi ko tare da sanyi ko damuwa
• Janar rashin jin daɗi (malaise)
• Hadin gwiwa
• Kumburi a kowane sashe na jiki
• Rage nauyi ba tare da gwadawa ba

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya saurari zuciyarku ta hanyar stethoscope. Ana iya jin sautunan zuciya marasa kyau ko gunaguni. Waɗannan sautunan na iya canzawa lokacin da ka canza yanayin jiki.

Gwajin hoto na iya haɗawa da:

• Kirjin x-ray
• CT scan na kirji
• ECG
• Echocardiogram
• Nazarin Doppler
• Zuciya MRI
• Hannun hagu na zuciya
• Dama zuciya angiography

Hakanan zaka iya buƙatar gwajin jini gami da:

• Cikakken ƙidayar jini (CBC) - na iya nuna karancin jini da ƙara farin ƙwayoyin jini
• Erythrocyte sedimentation rate (ESR) - na iya ƙaruwa

Ana buƙatar yin aikin tiyata don cire ƙari, musamman ma idan yana haifar da alamun gazawar zuciya ko embolism.

Ba tare da magani ba, myxoma na iya haifar da embolism (ƙwayoyin cuta ko ƙwanƙwasa jini wanda ya karye kuma yayi tafiya a cikin jini). Wannan na iya haifar da toshewar gudan jini. Yanki na ƙwayar cuta na iya motsawa zuwa kwakwalwa, ido, ko wata gabar jiki.

Idan ƙari ya girma a cikin zuciya, zai iya toshe magudanar jini, yana haifar da alamun toshewa.

Matsaloli na iya haɗawa da:

• Arrhythmias
• Ciwan huhu
• Tsarin jiki
• Toshewar bugun zuciya

Cardiac ƙari - myxoma; Ciwon zuciya - myxoma

• Ciwon hawan jini na hagu
• Dama myxoma

Lenihan DJ, Yusuf SW, Shah A. Tumurai masu shafar tsarin zuciya da jijiyoyin jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 95.

Tazelaar HD, Maleszewski JJ. Umanƙano na zuciya da pericardium. A cikin: Fletcher CDM, ed. Binciken Ciwon Tarihi na Tumors. 5th ed. Philadelphia, PA: Elsevier; 2021: babi na 2.