Ciwon jijiyoyin jini

Magungunan jijiyoyin jini fistula haɗari ne mara kyau tsakanin ɗayan jijiyoyin jijiyoyin jini da ɗakin zuciya ko wata jijiya ta jini. Jijiyoyin jijiyoyin jini sune jijiyoyin jini wadanda ke kawo jini mai wadataccen oxygen zuwa zuciya.

Fistula yana nufin haɗuwa mara kyau.

Ciwon jijiyoyin jijiyoyin jini sau da yawa na haihuwa ne, ma'ana cewa yana nan lokacin haihuwa. Yawanci yakan faru ne yayin da ɗayan jijiyoyin jijiyoyin jini suka kasa samarwa da kyau. Wannan galibi yana faruwa ne lokacin da jariri ke girma a cikin mahaifar. Jijiyoyin jijiyoyin jiki suna haɗuwa ba daidai ba zuwa ɗayan ɗakunan zuciya (atrium ko ventricle) ko wani jijiyoyin jini (alal misali, jijiyar huhu).

Ciwon jijiyoyin jijiyoyin jini na iya ci gaba bayan haihuwa. Yana iya faruwa ta hanyar:

• Kamuwa da cuta wanda ke raunana bangon jijiyoyin zuciya da zuciya
• Wasu nau'ikan tiyatar zuciya
• Raunin zuciya daga haɗari ko tiyata

Maganin jijiyoyin jijiyoyin jini fistula yanayi ne wanda ba safai ake samun sa ba. Yaran da aka haifa tare da shi wani lokaci suma suna da wasu lahani na zuciya. Waɗannan na iya haɗawa da:

• Ciwon zuciya na hagu na hagu (HLHS)
• Pulmonary atresia tare da cikakkiyar septum

Yara jarirai masu wannan yanayin galibi ba su da wata alama.

Idan bayyanar cututtuka ta faru, zasu iya haɗawa da:

• Zuciyar zuciya
• Rashin jin daɗi na kirji ko ciwo
• Gajiya mai sauƙi
• Rashin cin nasara
• Azumi ko bugun zuciya mara kyau (bugun zuciya)
• Rashin numfashi (dyspnea)

A mafi yawan lokuta, ba a gano wannan yanayin har sai daga baya a rayuwa. Mafi yawan lokuta akan gano shi yayin gwajin wasu cututtukan zuciya. Koyaya, mai ba da sabis na kiwon lafiya na iya jin gunaguni na zuciya wanda zai haifar da ganewar asali tare da ƙarin gwaji.

Babban jarabawa don tantance girman yoyon fistula shine angiography na jijiyoyin jini. Wannan gwajin x-ray ce ta musamman ta zuciya ta amfani da fenti don ganin yadda da inda jini ke gudana. Ana yin shi sau da yawa tare da ƙwaƙwalwar ƙwaƙwalwar zuciya, wanda ya haɗa da wucewa na bakin ciki, sassauƙan bututu a cikin zuciya don kimanta matsa lamba da gudana a cikin zuciya da jijiyoyin kewaye da jijiyoyin.

Sauran gwaje-gwajen bincike na iya haɗawa da:

• Duban dan tayi na zuciya (echocardiogram)
• Amfani da maganadisu don ƙirƙirar hotunan zuciya (MRI)
• CAT scan na zuciya

Smallananan ƙwayar cuta wanda ba ya haifar da bayyanar cututtuka sau da yawa ba zai buƙatar magani ba. Wasu kananan yoyon fitsari zasu rufe da kansu. Sau da yawa, koda basu rufe ba, ba zasu taɓa haifar da alamomi ko buƙatar magani ba.

Yaran da ke da babban fistula zasu buƙaci ayi tiyata don rufe mahaɗin mara kyau. Likita ya rufe shafin da faci ko dinki.

Wani zaɓi na jiyya yana toshe buɗewa ba tare da tiyata ba, ta amfani da waya ta musamman (murfin) wanda aka saka a cikin zuciya tare da dogon, siririn bututun da ake kira catheter. Bayan aiwatarwa a cikin yara, yoyon fitsari galibi zai rufe.

Yaran da ke yin tiyata yawanci suna da kyau, kodayake ƙananan kashi na iya buƙatar sake yin tiyata. Yawancin mutane masu wannan yanayin suna da rayuwa daidai.

Matsalolin sun hada da:

• Heartwayar zuciya mara kyau (arrhythmia)
• Ciwon zuciya
• Ajiyar zuciya
• Budewa (fashewa) na yoyon fitsari
• Rashin isashshen oxygen a zuciya

Matsalolin sun fi faruwa ga tsofaffi.

Magungunan jijiyoyin jini fistula galibi ana bincikar ta yayin gwajin daga mai ba ku. Kirawo mai ba da sabis idan jaririnku yana da alamun alamun wannan yanayin.

Babu wata hanyar da aka sani don hana wannan yanayin.

Ciwon zuciya na haihuwa - ciwon jijiyoyin jini; Ciwon haihuwa - ciwon jijiyoyin jini

• Magungunan jijiyoyin zuciya
• Ciwon jijiyoyin jini

Basu SK, Dobrolet NC. Hanyoyin lahani na tsarin zuciya. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 75.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Cututtukan zuciya na Acyanotic: cututtukan shunt na hagu-zuwa-dama. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 453.

Therrien J, Marelli AJ. Cutar cututtukan ciki na manya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 61.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Cutar cututtukan ciki a cikin baligi da haƙuri na yara. 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 75.