Ciwon Eisenmenger

Ciwon Eisenmenger wani yanayi ne da ke shafar gudan jini daga zuciya zuwa huhu a cikin wasu mutanen da aka haife su da matsalolin tsarin zuciya.

Ciwon Eisenmenger wani yanayi ne wanda ke faruwa sakamakon yaɗuwar jini mara kyau wanda ya haifar da lahani a cikin zuciya. Mafi yawancin lokuta, ana haifar mutane da wannan yanayin tare da rami tsakanin ɗakunan famfo biyu - hagu da hagu na dama - na zuciya (nakasar ɓoye na ɓacin zuciya). Ramin yana bawa jini wanda tuni ya debi iskar oxygen daga huhu ya koma cikin huhun, maimakon fita zuwa sauran sassan jiki.

Sauran lahani na zuciya da zasu haifar da cutar Eisenmenger sun haɗa da:

• Lalacewar canjin Atrioventricular
• Defectunƙarar raunin atrial
• Ciwon zuciya na Cyanotic
• Patent ductus arteriosus
• Truncus arteriosus

A cikin shekaru da yawa, ƙarin yawan jini yana iya lalata ƙananan hanyoyin jini a cikin huhu. Wannan yana haifar da hawan jini a cikin huhu. A sakamakon haka, zubar jini yana komawa baya ta ramin da ke tsakanin ɗakunan famfo biyu. Wannan yana bawa jini mara kyau na oxygen damar tafiya zuwa sauran jikin.

Ciwon Eisenmenger na iya fara tasowa kafin yaro ya balaga. Koyaya, shima yana iya bunkasa yayin samartaka, kuma yana iya cigaba cikin samartaka.

Kwayar cutar sun hada da:

• Bluish lebe, yatsu, yatsun kafa, da fata (cyanosis)
• Undedunƙun hannu da ƙusoshin ƙafa (kwancen kafa)
• Nutsawa da ƙwanƙwasa yatsu da ƙafa
• Ciwon kirji
• Tari da jini
• Dizziness
• Sumewa
• Jin kasala
• Rashin numfashi
• Tsallakar bugun zuciya (bugun zuciya)
• Buguwa
• Kumburawa a cikin gidajen abinci wanda yawan sanadarin uric acid (gout) ya haifar

Mai ba da lafiyar zai bincika yaron. Yayin gwajin, mai bayarwa na iya samun:

• Heartwayar zuciya mara kyau (arrhythmia)
• Endsarshen yatsun hannu ko na ƙafa (ƙafa)
• Gunaguni na zuciya (ƙarin sauti lokacin sauraren zuciya)

Mai ba da sabis zai bincikar cutar Eisenmenger ta hanyar bincika tarihin mutum na matsalolin zuciya. Gwaje-gwaje na iya haɗawa da:

• Kammala ƙididdigar jini (CBC)
• Kirjin x-ray
• Binciken MRI na zuciya
• Sanya bakin bututu a jijiya don duba zuciya da jijiyoyin jini da auna matsin lamba (ciwon zuciya)
• Gwajin aikin lantarki a cikin zuciya (electrocardiogram)
• Duban dan tayi na zuciya (echocardiogram)

Adadin wadanda suka kamu da wannan cutar a Amurka ya ragu saboda likitoci yanzu suna iya ganowa da kuma gyara matsalar da wuri. Sabili da haka, ana iya gyara matsalar kafin lalacewar da ba za a iya kawar da ita ta auku ga ƙananan jijiyoyin huhu ba.

A wasu lokuta, mutanen da ke da alamomi na iya cire jini daga jiki (phlebotomy) don rage yawan jajayen ƙwayoyin jini. Mutum sai ya sami ruwa don maye gurbin jinin da ya ɓace (sauyawar ƙara).

Mutanen da suka kamu da cutar na iya karbar iskar oxygen, kodayake ba a san idan hakan ya taimaka wajen hana cutar ci gaba da munana ba. Bugu da kari, ana iya ba da magunguna da ke aiki don shakatawa da buɗe hanyoyin jini. Mutanen da ke da alamun rashin lafiya mai tsanani na iya ƙarshe buƙata dasawar huhu.

Ta yaya mutumin da abin ya shafa yake yi ya dogara da ko akwai wani yanayin rashin lafiya, da kuma shekarun da cutar hawan jini ta taso a huhu. Mutanen da ke da wannan yanayin na iya rayuwa shekara 20 zuwa 50.

Matsaloli na iya haɗawa da:

• Zuban jini (zubar jini) a cikin kwakwalwa
• Ciwon zuciya mai narkewa
• Gout
• Ciwon zuciya
• Hyperviscosity (zamewar jini saboda yayi kauri sosai da kwayoyin jini)
• Kamuwa da cuta (ƙurji) a cikin kwakwalwa
• Rashin koda
• Rashin jini ya kwarara zuwa kwakwalwa
• Buguwa
• Mutuwa kwatsam

Kirawo mai ba ku sabis idan yaranku sun fara bayyanar cututtukan Eisenmenger.

Yin aikin tiyata da wuri don gyara larurar zuciya na iya hana cutar Eisenmenger.

Hadadden Eisenmenger; Cutar Eisenmenger; Eisenmenger dauki; Eisenmenger ilimin lissafi; Cutar da ke cikin ciki - Eisenmenger; Ciwon zuciya na Cyanotic - Eisenmenger; Zuciyar haihuwar haihuwa - Eisenmenger

• Ciwon Eisenmenger (ko hadaddensa)

Bernstein D. Babban ka'idodin kula da cututtukan zuciya na ciki. 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 461.

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.