Brain aneurysm gyara

Gyara ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa shine aikin tiyata don gyara sigar ciki. Wannan yanki ne mai rauni a cikin bangon jijiyoyin jini wanda ke sa jirgin ya kumbura ko balo ya fita kuma wani lokacin ya fashe (fashewa). Yana iya haifar da:

• Zub da jini a cikin ruwa mai kwakwalwa (CSF) a kewayen kwakwalwa (wanda kuma ake kira zubar jini na subarachnoid)
• Zuban jini a cikin kwakwalwa wanda ke samar da tarin jini (hematoma)

Akwai hanyoyi guda biyu da ake amfani dasu don gyara sigari:

• Ana yin kullun yayin bude kwanya.
• Gyara jijiyoyin jijiyoyin jiki (tiyata), galibi ana amfani da murfi ko murɗawa da stent (mesh tubes), hanya ce mai saurin cutarwa kuma hanya ce ta yau da kullun don magance ƙwayoyin cuta.

Yayinda ake yin sabon abu:

• An ba ku cikakken maganin rigakafi da bututun numfashi.
• Bude kai, kwanyar ka, da rufin kwakwalwar ka.
• Ana sanya ƙarar karfe a gindin (wuyan) jijiyoyin don hana shi fasawa (fashewa).

Yayinda ake gyaran jijiyoyin jijiyoyin jiki (tiyata) na jijiyoyin jiki:

• Kuna iya samun maganin sa barci na gaba ɗaya da bututun numfashi. Ko kuma, ana iya ba ku magani don shakatawa, amma bai isa ya sa ku barci ba.
• Ana yi wa catheter jagora ta hanyar karamin abin yankewa a cikin duwawarku zuwa jijiya sannan kuma zuwa ga jijiyar jini a cikin kwakwalwarku inda cutar take.
• An yi amfani da kayan abu mai banbanci ta hanyar catheter. Wannan yana bawa likitan damar duba jijiyoyin da jijiyoyin jikin dan adam akan mai saka idanu a dakin tiyata.
• Putananan wayoyi na ƙarfe ake sakawa a cikin mahaifa. Daga nan sai su shiga cikin ƙwallon raga. A saboda wannan dalili, ana kuma kiran aikin coiling. Jinin jini wanda ke samarwa a kusa da wannan murfin yana hana sakewar jini fashewa da zubar jini. Wani lokaci ana saka stents (tubes na raga) don riƙe murfin a wuri kuma a tabbata cewa jijiyar ta kasance a buɗe.
• Yayin da kuma bayan an gama aikin, ana iya ba ka sikari na jini, kamar su heparin, clopidogrel, ko asfirin. Wadannan magunguna suna hana daskararren jini daga haifar da shi.

Idan wani abu wanda yake cikin kwakwalwa ya balle (fashewa), to gaggawa ne da ke bukatar magani a asibiti. Sau da yawa ana karɓar fashewa tare da tiyata, musamman ma aikin tiyata na jijiyoyin jiki.

Mutum na iya samun cutar kututturewa ba tare da wani alamomi ba. Ana iya samun wannan nau'ikan kwayar halittar yayin da aka yi hoton MRI ko CT na kwakwalwa don wani dalili.

• Ba duk hanyoyin da ake samu ba ne suke bukatar magani nan take. Abubuwan farin ciki waɗanda ba su taɓa yin jini ba, musamman ma idan sun kasance kaɗan ƙwarai (ƙasa da 3 mm a babba mafi girma), ba sa buƙatar magani nan da nan. Waɗannan ƙananan ƙwayoyin halittar ba su da saurin fashewa.
• Likitanka zai taimaka maka ka yanke shawara ko ya fi dacewa a yi maka tiyata don toshewar jijiyoyin kafin ya iya buɗewa ko kuma sa ido kan yadda ake yin abu tare da maimaita hoto har sai tiyatar ta zama dole. Wasu ƙananan ƙwayoyin cuta ba za su taɓa buƙatar tiyata ba.

Hadarin maganin sa barci da tiyata gabaɗaya sune:

• Amsawa ga magunguna
• Matsalar numfashi
• Zub da jini, toshewar jini, ko cututtuka

Hadarin tiyatar kwakwalwa shine:

• Jigon jini ko zubar jini a ciki ko kewayen kwakwalwa
• Kumburin kwakwalwa
• Kamuwa da cuta a cikin kwakwalwa ko sassan da ke kewaye da ƙwaƙwalwar, kamar ƙwanƙwasa ko fatar kan mutum
• Kamawa
• Buguwa

Yin tiyata a kowane yanki na ƙwaƙwalwa na iya haifar da matsalolin da ka iya zama masu sauƙi ko masu tsanani. Suna iya ɗaukar ɗan lokaci kaɗan ko kuma ba za su tafi ba.

Alamun kwakwalwa da matsalolin juyayi (jijiyoyin jiki) sun haɗa da:

• Hali canje-canje
• Rikicewa, matsalolin ƙwaƙwalwa
• Rashin daidaituwa ko daidaituwa
• Numfashi
• Matsaloli lura da abubuwa kusa da ku
• Matsalar magana
• Matsalar hangen nesa (daga makanta zuwa matsaloli tare da hangen nesa)
• Raunin jijiyoyi

Ana yin wannan aikin sau da yawa azaman gaggawa. Idan ba gaggawa bane:

• Faɗa wa maikatan lafiyar ku waɗanne magunguna ko ganye kuke sha kuma idan kuna yawan shan giya.
• Tambayi mai ba ku maganin da yakamata ku sha a safiyar tiyatar.
• Yi ƙoƙari ka daina shan taba.
• Bi umarnin kan rashin cin abinci da shan abin kafin aikin.
• Theauki magungunan da mai bayarwa ya gaya muku ku sha da ɗan ƙaramin shan ruwa.
• Zuwanka asibiti akan lokaci.

Dakatarwar asibiti don gyaran jijiyoyin jijiyoyin jiki na iya zama kwana 1 zuwa 2 idan babu zub da jini kafin ayi tiyata.

Dakatarwar asibiti bayan an gama aikin gyaran jiki da kuma sassakar cutar yawanci kwana 4 zuwa 6 ne. Idan akwai zubar jini ko wasu matsaloli, kamar kunkuntar jijiyoyin jini a cikin kwakwalwa ko tarin ruwa a cikin kwakwalwa, zaman asibiti na iya zama makonni 1 zuwa 2, ko sama da haka.

Wataƙila kuna da gwajin gwajin jijiyoyin jini (angiogram) a cikin kwakwalwa kafin a tura ku gida, kuma wataƙila sau ɗaya a shekara don fewan shekaru.

Bi umarnin kan kula da kanka a gida.

Tambayi likitanku idan zai kasance lafiya a gare ku don yin gwajin hoto kamar angiogram, CT angiogram, ko MRI scans na kai a nan gaba.

Bayan tiyata mai nasara don sake jini, baƙon abu ne ga shi sake jini.

Hangen nesa ya kuma dogara ko lalacewar kwakwalwa ta faru ne daga zubar jini kafin, lokacin, ko bayan tiyata.

Yawancin lokaci, tiyata na iya hana ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa.

Wataƙila kuna da jijiyoyi fiye da ɗaya ko kuma muryar da aka murda zata iya dawowa. Bayan gyaran gyare-gyare, kuna buƙatar ganin mai ba ku a kowace shekara.

Gyaran ƙwayoyin cuta - cerebral; Cutar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa; Coiling; Saccular aneurysm gyara; Berry aneurysm gyara; Fusiform aneurysm gyara; Rarraba gyaran sabuwa; Gyara jijiyoyin jijiyoyin jiki - kwakwalwa; Zubar da jini na subarachnoid - anurysm

• Brain aneurysm gyara - fitarwa
• Yin tiyatar kwakwalwa - fitarwa
• Kula da jijiyoyin tsoka ko spasms
• Sadarwa tare da wani tare da aphasia
• Sadarwa tare da wani tare da dysarthria
• Rashin hankali da tuki
• Dementia - halayyar mutum da matsalolin bacci
• Dementia - kulawar yau da kullun
• Rashin hankali - kiyaye lafiya a cikin gida
• Epilepsy a cikin yara - fitarwa
• Bugun jini - fitarwa
• Matsalar haɗiya

Altschul D, Vats T, Unda S. Magungunan jijiyoyin jijiyoyin kwakwalwa. A cikin: Ambrosi PB, ed. Sabon Bugawa Cikin Cutar Cerebrovascular - Bincike Mai Ingantacce. www. IntechOpen; 2020: chap: 11. An sake duba Agusta 1, 2019. An shiga Mayu 18, 2020.

Yanar gizo Associationungiyar Stungiyar rowararraki ta Amurka. Abin da ya kamata ku sani game da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-know-about-cerebral-aneurysms#. An sabunta Disamba 5, 2018. Iso zuwa Yuli 10, 2020.

Le Roux PD, Winn HR. Yin shawarar tiyata don maganin cututtukan cikin intracranial. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 379.

Cibiyar Nazarin Neurowararrun Neurowararrun andwararraki da Yanar gizo. Cerebral aneurysms takardar gaskiya.www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. An sabunta Maris 13, 2020. An shiga 10 ga Yuli, 2020.

Spears J, Macdonald RL. Gudanar da aikin yau da kullun na zubar jini na jini. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 380.