Shin hannunka ya kumbura kwatsam ya yi shuɗi? Shin wannan zai iya zama Axillo-Subclavian Vein Thrombosis (ASVT)?

Ka yi tunanin kai matashi ne mai lafiya wanda ke buga wasan kurket, yana motsa jiki sosai a wurin motsa jiki. Amma ba zato ba tsammani hannunka ya fara ciwo, ya kumbura, kuma ya yi kama da shuɗi. Yawanci ana ɗaukarsa kamar wani abu kamar tsoka. Amma wannan na iya zama yanayi mafi tsanani, amma mai matuƙar magani. A yau muna magana ne game da irin wannan yanayin, 'Axillo-Subclavian Vein Thrombosis' ko ASVT a takaice.

A taƙaice dai, menene wannan ASVT?

A taƙaice dai, ASVT wani nau'in jini ne da ke samar da gudan jini a cikin babban jijiyar hannu, kamar jijiyar axillary ko kuma jijiyar subclavian. Wannan yawanci yana faruwa ne bayan rauni a hannunka ko kuma lokacin da ka yi amfani da hannunka da yawa kuma ka yi abu ɗaya akai-akai. Wannan yanayin kuma ana kiransa da Paget-Schroetter syndrome da thrombosis da aka haifar da ƙoƙari.

Shin wannan ma wani nau'in DVT ne? Menene bambanci?

Eh, ASVT kuma nau'in thrombosis ne na jijiyoyin jini masu zurfi (DVT). Amma idan muka saba jin labarin DVT, muna jin labarin toshewar jini da ke samuwa a ƙafafuwa. Yana faruwa ne sakamakon abubuwa kamar zama a wuri ɗaya na dogon lokaci, kiba, da tsufa. Amma wannan yanayin da ake kira ASVT ya bambanta da haka sosai.

Za ka iya fahimtar wannan bambanci cikin sauƙi daga teburin da ke ƙasa.

Wa ya fi kamuwa da wannan yanayin?

Duk da cewa wannan na iya zama abin mamaki, ASVT ya fi faruwa a cikin mutanen da ke da ƙoshin lafiya, masu lafiya, da kuma masu motsa jiki , musamman waɗanda ke tsakanin shekaru 15 zuwa 45.

Ka yi tunani game da mutane kamar haka:

• Mutanen da ke yin motsa jiki akai-akai ko wasanni da suka haɗa da ɗaga hannuwansu, kamar yin bowling cikin sauri a wasan kurket, yin wasan ƙwallon raga, yin iyo, ko ɗaga nauyi.
• Mutanen da ke aiki a ayyukan hannu, kamar masu fenti da masu gyaran wutar lantarki.
• Mutane masu fama da matsalar toshewar jini suma suna cikin hatsari.

Mene ne alamun wannan yanayin?

Alamomin ASVT galibi suna bayyana ba zato ba tsammani. Manyan alamomin sune:

• Jin zafi a hannu.
• Jijiyoyin da ke cikin hannaye suna kumbura kuma suna bayyana a sarari.
• Launin launin shuɗi na fatar hannu (Cyanosis).
• Jin nauyi ko gajiya a hannu.
• Kumburin hannu kwatsam (wannan shine mafi yawan alamun).

Menene ainihin dalilin ASVT?

Ga yadda yake aiki. Ka yi tunanin jijiyar jini (jini) a kafadarka kamar bututun ruwa. A kowane gefen wannan bututun, haƙarƙari da tsoka suna daure sosai. Idan ka yi wani motsa jiki ko aiki da ya haɗa da ɗaga hannunka, jijiyar za ta matse tsakanin wannan tsoka da haƙarƙarin, wanda hakan zai sa ta ji rauni.

Bayan lokaci, tabo nama yana fitowa a wurin da wannan rauni ya faru, yana ƙara rage jijiyar. Wannan yana takaita kwararar jini. A lokacin ne toshewar jini ya fara samuwa. Yanayin da ke haifar da toshewar wannan jijiyar ana kiransa da ciwon thoracic outlet syndrome (TOS).

Yaya za ka sami wannan, Likita?

Dangane da alamun cutar, idan likitanka ya yi zargin hakan, zai yi odar gwaje-gwaje da dama don tabbatar da cutar bayan an yi masa gwajin jiki.

• Duplex ultrasound: Wannan ita ce gwajin da aka fi amfani da shi. Yana amfani da raƙuman sauti don duba yadda jini ke gudana a cikin jijiyoyin jini da kuma ganin ko akwai wani gudan jini.
• Ɗaukar hoton jini ta hanyar amfani da catheter: Ana saka ƙaramin bututu (catheter) a cikin jijiya, ana allurar fenti na musamman, sannan a ɗauki hoton X-ray don ganin inda gudan jinin yake da kuma yadda jijiyar ta toshe.
• CTA (computerized tomography angiography): CT scan yana ɗaukar hotunan jijiyoyi dalla-dalla.
• MRA (magnetic resonance angiography): Gwajin jijiyoyin jini ta amfani da na'urar duban MRI.

Menene hanyoyin magance wannan?

ASVT wata cuta ce da dole ne a yi mata magani. Jinkirin magani ba shi da kyau. Babban hanyar magani ita ce 'Thrombolysis'.

Hanyoyin magani

• Thrombolysis (narkewar gudan jini): Wannan ya ƙunshi ba da maganin da ke narke gudan jini kai tsaye zuwa cikin jijiyar inda gudan jini yake ta hanyar bututu mai kama da cannula (catheter).
• Gyaran jini (cire gudan jini): Wani lokaci likitoci suna cire wannan gudan jini ta hanyar ƙaramin tiyata.
• Maganin rage radadi a jini: Bayan an cire gudan jini, za a ba ku maganin rage radadi a jini na tsawon watanni da dama domin hana sake samun gudan jini.

Tare da wannan maganin, likita zai ba ku wasu shawarwari.

• Kwantar da hannun har sai alamun sun ragu.
• Riƙe hannun sama ana kiransa da "hannun ɗagawa".
• Magana zuwa ga maganin motsa jiki.
• Sanya wani abin rufewa na musamman kamar bandeji (hannun matsewa) a hannu.

A wasu lokutan, ana cire ƙaramin tsoka ko wani ɓangare na haƙarƙarin farko da ke toshe jijiyar ta hanyar tiyata don ba da damar jijiyar ta gudana cikin 'yanci.

Yaya yanayin yake bayan magani?

Wannan shine mafi mahimmanci. Idan aka gano cutar ASVT da wuri kuma aka fara magani da wuri, sakamakon zai yi nasara sosai. Bincike ya nuna cewa akwai nasarar da ke tsakanin kashi 90% zuwa 95%.

Duk da haka, wasu mutane na iya kamuwa da wata matsala da ake kira "post-thrombotic syndrome (PTS)." Wannan yana nufin cewa alamun kamar ciwo, nauyi, da kumburi a hannu suna ci gaba da wanzuwa ko da bayan magani. Saboda haka, yana da matukar muhimmanci a bi umarnin likita daidai.

Za a iya hana wannan yanayi?

Ko da yake ba za a iya hana shi gaba ɗaya ba, akwai abubuwa da yawa da za ku iya yi don rage haɗarin.

• Kada ka yi motsa jiki mai ƙarfi ko aiki na dogon lokaci, kuma ka ɗauki hutu tsakanin lokacin.
• Yi motsa jiki kafin da kuma bayan motsa jiki don shimfiɗa tsokoki na hannunka.
• Kada ka ɗaga nauyi wanda tsokokinka ba za su iya ɗauka ba.
• Yi ƙoƙarin amfani da hannunka mara rinjaye duk lokacin da zai yiwu.

Yaushe ya kamata in ga likita?

Ga likita nan da nan idan alamun farko na ASVT suka fara bayyana (kumburi kwatsam, ciwo, da kuma shuɗin hannu). Haka kuma, idan waɗannan alamun suka bayyana, a ɗauke su a matsayin gaggawa kuma a je sashin kula da gaggawa na asibiti (ETU) nan da nan.

• Ciwon ƙirji
• Wahalar numfashi (dyspnea)
• Jinkiri