Shin kana da gudan jini a cikin jijiyar hannu? (Axillo-Subclavian Vein Thrombosis) - Bari mu yi magana game da wannan!

Shin wani lokacin kana jin zafi mai tsanani a hannunka, kumburi, ko launin shuɗi? Ko kuma hannunka yana jin rauni ko nauyi? Waɗannan ba alamun da za a yi watsi da su ba ne. Yana iya zama gudan jini a babban jijiyar hannu ko hammatar hannu. A fannin likitanci, muna kiran wannan (Axillo-Subclavian Vein Thrombosis) ko (ASVT) . Kada ka damu, za mu yi magana game da wannan ta hanya mai sauƙi da za ka iya fahimta.

Menene wannan (Axillo-Subclavian Vein Thrombosis)?

A taƙaice dai, Axillo-Subclavian Vein Thrombosis (ASVT) shine lokacin da gudan jini ya fito a cikin ko dai jijiyar subclavian , babban jijiyar a kafadarku, ko kuma jijiyar axillary, wani jijiyar a hammatarku. Ku yi tunanin jijiyarku a matsayin bututun ruwa. Idan aka matse haƙarƙari ko guntun nama kusa da wannan jijiyar a kansa, zai iya toshe kwararar jini ya kuma haifar da gudan jini.

Sau da yawa wannan yanayin yana faruwa ne sakamakon rauni a hannunka na sama, ko kuma ta hanyar damuwa a hannunka sakamakon yawan motsi. Wasu mutane suna kiransa da Paget-Schroetter syndrome , yayin da wasu kuma ke kiransa da thrombosis mai haifar da ƙoƙari , wanda ke nufin "gujewar jini da ke faruwa sakamakon aiki."

Shin wannan (Deep Vein Thrombosis - DVT) ba kasafai ake samunsa ba?

Eh, za ku iya samun wannan matsalar. (ASVT) a zahiri wani nau'in cuta ne da ake kira (Deep Vein Thrombosis) ko (DVT) . (DVT) shine lokacin da gudan jini ya fito a cikin jijiyar da ke cikin jiki. Amma mafi yawan lokuta idan muka yi magana game da (DVT) muna magana ne game da gudan jini da ke fitowa a ƙafafu. Sau da yawa suna faruwa ne sakamakon abubuwa kamar kiba, rashin aiki na zahiri, tsufa, ko wasu cututtuka da suka shafi jijiyoyin jini.

Duk da haka, toshewar jini a hannu, wanda ake kira ASVT, sau da yawa yana faruwa ne sakamakon haɗari ko kuma saboda amfani da hannu na dogon lokaci. Alamomin da maganin waɗannan yanayi biyu na iya bambanta a wasu lokutan.

Wa ya fi yiwuwa ya kamu da wannan (ASVT)?

Duk da cewa kowa zai iya kamuwa da wannan cutar, wasu mutane suna cikin haɗarin kamuwa da ita. Waɗannan sun haɗa da:

• Kullum yana aiki, gabaɗaya yana cikin koshin lafiya .
• Matasa tsakanin shekaru 15 zuwa 45 .
• Mutanen da ke yin wasanni (misali masu yin wasan kwano mai sauri a wasan kurket, masu iyo, masu ɗaga nauyi) ko mutanen da ke aiki da ɗaga hannuwansu akai-akai (misali masu fenti, masu gyaran wutar lantarki, mutanen da ke yin ayyukan ɗaga nauyi). Kawai ka yi tunani, lokacin da kake aiki da ɗaga hannuwanka kuma ka karkace su iri ɗaya, ana matsa maka lamba a kan waɗannan jijiyoyin.
• Mutane masu wasu matsalolin da suka shafi zubar jini a cikin jini .

Akwai nau'ikan (ASVT) daban-daban?

Eh, akwai manyan nau'ikan ASVT guda biyu:

1. Babban ASVT:Wannan shine nau'in da aka fi sani, wanda ke faruwa sakamakon motsi mai ƙarfi da maimaitawa na hannu.

2. ASVT na biyu: Wannan yana faruwa ne sakamakon wasu na'urorin likitanci da aka dasa a saman ƙirjinka. Misali:

• (Cetheter na jijiyoyin tsakiya) (bututu da aka saka a cikin babban jijiyar)
• (Defibrillator) (na'urar da ke dawo da aikin zuciya)
• (Na'urar bugun zuciya) (na'urar da ke sarrafa bugun zuciya)
• (Tashar magunguna) (Ƙaramar na'ura da aka sanya a ƙarƙashin fata don ba da magani)

Waɗannan na'urori kuma suna iya sa jijiyoyin jini su matse kuma su samar da gudan jini.

Yaya aka saba da (ASVT)?

A gaskiya ma, ASVT ba cuta ce da ta zama ruwan dare gama gari ba. A cewar kididdiga, tana faruwa a cikin mutum ɗaya ko biyu a cikin kowace 100,000 a kowace shekara. Duk da haka, kashi 10% zuwa 20% ne kawai na dukkan DVTs a saman gaɓoɓin jiki ke haifar da ASVT. Don haka, daga wannan mahangar, adadi ne mai mahimmanci.

Menene alamun (ASVT)?

Idan kana da ASVT, za ka iya fuskantar ɗaya ko fiye daga cikin waɗannan alamun:

• Ciwon hannu: Farawa kwatsam, wani lokacin mai tsanani.
• Jijiyoyin da ake gani a hannuwa: Jijiyoyin na iya bayyana suna kumbura saboda takaita kwararar jini.
• Launin fata mai launin shuɗi (Cyanosis): Fatar da ke hannun na iya canzawa zuwa shuɗi. Wannan yana nufin akwai ƙarancin iskar oxygen.
• Jin nauyi ko gajiya a hannu: Za ka iya samun wahalar ɗagawa ko motsa hannunka.
• Kumburin hannu kwatsam: Hannuwa ya fara kumbura ba zato ba tsammani.

Abu mafi mahimmanci, a wasu lokuta (10% - 20%) wannan gudan jini na iya fita daga jijiyar, ya ratsa ta cikin jinin, sannan ya yi tafiya zuwa huhu. Wannan ana kiransa da Pulmonary Embolism (PE) . Wannan yanayi ne mai matukar hatsari . Yana iya haifar da mummunan lalacewa ga huhu, har ma yana iya zama barazana ga rayuwa. Saboda haka, idan ka fara fuskantar ɗaya daga cikin waɗannan alamun, ya kamata ka ga likita ba tare da ɓata lokaci ba.

Me yasa wannan (ASVT) ke faruwa?

Kamar yadda muka ambata a baya, babban dalilin shine yawan motsa hannu. Ka yi tunanin, kana ɗaga nauyi ko kuma kana yin wasanni akai-akai. Sannan tsokoki da ke kewaye da kafadarka da hammatarka na iya gajiya da kumbura. Waɗannan tsokoki da suka kumbura na iya matse jijiyoyin jini a wurin (musamman jijiyoyin subclavian ko axillary).

Bayan lokaci, wannan matsin lamba na iya lalata bangon jijiyar kuma ya sa tabo ya fito. Sai jijiya ta yi tauri daga ciki, ta rage yawan jinin da zai iya ratsa ta. Wannan na iya haifar da rashin kyawun kwararar jini da kuma karuwar haɗarin toshewar jini. Wannan yanayin wani lokaci ana kiransa da Thoracic Outlet Syndrome (TOS).Ana kuma kiransa. Yana nufin cewa sararin da ke saman ƙirji (maɓallin thoracic) ya yi ƙanƙanta, wanda ke haifar da matsi ga jijiyoyin jini da jijiyoyi.

Wani lokaci, ASVT na iya faruwa ne sakamakon rashin daidaituwa a haƙarƙarin farko, ko canje-canje a cikin tsokoki ko jijiyoyin da ke kewaye da jijiyoyin a cikin hammata da yankin kafada.

Ta yaya likita ke gano wannan (ASVT)?

Idan ka je wurin likita mai alamun da aka ambata a baya, zai fara duba ka. Likitan zai iya ganin abubuwa kamar kumburi a hannunka, canjin launi, da kuma kumburin jijiyoyin jini a hankali.

Bayan haka, kuna buƙatar yin wasu gwaje-gwaje don tabbatar da cewa:

• (Duplex ultrasound): Wannan shine gwaji na farko da ake yi. Yana amfani da raƙuman sauti don duba kwararar jini a cikin jijiyoyin jini da kuma ganin ko akwai wani gudan jini. Wannan gwaji ne mai sauƙi kuma mara zafi.
• venography na hanyar catheter: Wani lokaci ana yin wannan gwajin. A cikin wannan gwajin, ana wuce ƙaramin bututu mai siriri (catheter) ta cikin jijiya zuwa inda ake tsammanin ɗigon jini ne, sannan a yi allurar fenti ta musamman a cikin jijiya ta cikin catheter. Sannan ana ɗaukar hotunan X-ray don ganin inda jijiyar ta toshe da kuma girman ɗigon jini.
• (CTA - kwamfuta tomography angiography): Wannan yayi kama da CT scan, amma yana duba musamman ga jijiyoyin jini. Haka kuma ana yin sa ta hanyar allurar rini.
• (MRA - magnetic resonance angiography): Gwaji wanda ke amfani da na'urar duba jini ta MRI don duba jijiyoyin jini.

Waɗannan gwaje-gwajen na iya tantance ko akwai yanayin (ASVT), inda yake, da kuma yadda yake da tsanani.

Menene maganin (ASVT)?

Abu mafi kyau shine, akwai magunguna masu inganci ga ASVT. Babban maganin ana kiransa thrombolysis ko thrombolytic therapy .

Wannan ya ƙunshi allurar maganin da ke narkar da gudan jini sannan ya cire shi, kamar yadda aka ambata a baya, kai tsaye zuwa cikin jijiyar inda gudan jini yake ta cikin ƙaramin bututu (catheter) . Wannan yana narkar da gudan jini kuma yana dawo da kwararar jini a cikin jijiyar.

A wasu lokutan, wannan maganin (thrombectomy) yana tare da wani abu da ake kira (thrombectomy) . Wato, cire gudan jini, ko dai ta hanyar injiniya ko ta hanyar ƙaramin tiyata.

Bayan waɗannan jiyya, za a ba ku magungunan rage jini, kamar Warfarin ko wasu magunguna na zamani, na tsawon watanni da dama don hana sake samun gudan jini. Yana da matuƙar muhimmanci a sha wannan maganin daidai lokacin da likitanka ya gaya maka.

Bugu da ƙari, likita zai kuma ba ku shawarwari masu zuwa:

• A rage amfani da hannun da abin ya shafa har sai alamun sun ragu gaba ɗaya.
• Ka ɗaga hannuwanka kaɗan idan zai yiwu (ɗaga hannu).
• Jiyya ta jikiDuba. Wannan zai taimaka maka sake samun motsi da ƙarfi a hannunka.
• Sanya hannun matsewa (kamar safa mai matsewa) a kan hannun da abin ya shafa. Wannan zai taimaka wajen rage kumburi da inganta zagayawar jini.

Shin tiyata za ta zama dole?

A wasu lokuta, eh. Ana iya ba da shawarar yin tiyata don cire toshewar gaba ɗaya da kuma rage haɗarin sake haifar da gudan jini. Wannan tiyatar ta ƙunshi cire toshewar. Misali, ana iya cire wani yanki na haƙarƙarin farko ko wani yanki na nama da ke haifar da toshewar. Wannan yana ba da damar jini ya gudana cikin sauƙi ta cikin jijiyar.

Me za mu iya yi don hana ci gaban (ASVT)?

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

• Koyaushe motsa tsokoki a hannunka a hankali kuma ka yi motsa jiki kamar shimfiɗawa .
• Kada ka yi wa tsokoki aiki fiye da kima a kowane lokaci .
• Idan kana ɗaga nauyi ko kuma kana motsa jiki da ƙarfi, ka ɗan huta a tsakanin .
• Duk lokacin da zai yiwu, yi ƙoƙarin yin aiki da hannunka mara rinjaye . (misali, idan kana hannun dama, yi amfani da hannun hagu idan zai yiwu).

Yaya yanayin zai kasance bayan magani?

Yawancin mutanen da ke fama da ASVT suna samun sauƙi bayan an yi musu magani. Bincike ya nuna cewa idan aka gano cutar kuma aka yi mata magani da wuri, da zarar alamun suka fara, akwai nasarar kashi 90% zuwa 95% .

Duk da haka, wasu mutane na iya kamuwa da wata matsala da ake kira Post-thrombotic Syndrome (PTS) . A cikin wannan, alamun kamar ciwo na dogon lokaci, nauyi, da kumburi a hannun da abin ya shafa na iya ci gaba. Saboda haka, yana da mahimmanci a bi umarnin likitan ku ko da bayan magani.

Yaushe ya kamata mu ga likita da wuri-wuri?

Idan ka lura da ɗaya daga cikin alamun farko na ASVT, nemi shawarar likita nan da nan . Kada ka ɓata lokaci, musamman idan ka fuskanci ɗaya daga cikin waɗannan:

• Ciwon ƙirji
• Jin kasala a hannuwa ko ƙafafuwa
• Wahalar numfashi (dyspnea)

Waɗannan na iya zama alamun yanayi mai haɗari kamar pulmonary embolism (PE).

(ASVT) Idan haka ne, waɗanne tambayoyi ya kamata ka yi wa likitan?

Idan likitanka ya gaya maka cewa kana da ASVT, yana da kyau ka yi wasu tambayoyi kamar haka:

• Wadanne canje-canje na salon rayuwa zan iya yi don rage haɗarin toshewar jini?
• Zan iya ci gaba da motsa jiki da kuma yin aikin hannu?
• Me zan iya yi don hana sake kamuwa da gudawa a jini?
• Har yaushe kake buƙatar shan maganin rage jini?

Abu mafi mahimmanci da za a tuna (Saƙon Ɗauka Gida)

Ina fatan yanzu kun fahimci abin da muka tattauna a yau (Axillo-Subclavian Vein Thrombosis - ASVT). A taƙaice:

• (ASVT) shine lokacin da gudan jini ya fito a babban jijiyar hannu ko hammata.
• Wannan yakan faru ne saboda ana amfani da hannu akai-akai, yana kuma gajiyarwa.
• Za ka iya zargin hakan idan ka fuskanci alamun kamar ciwo kwatsam, kumburi, da kuma launin shuɗin fata a hannunka.
• Thrombolysis (magani don narkar da gudan jini) da kuma cire gudan jini (cire gudan jini) su ne manyan hanyoyin magance su.
• Abu mafi mahimmanci shine a gano cutar da wuri sannan a fara magani. Idan ka yi haka, kana da damar samun cikakkiyar lafiya.

Idan kana da waɗannan alamomin, kada ka ji tsoro ka je wurin likita ba tare da ɓata lokaci ba. Ka kasance cikin koshin lafiya!

' Tsarin jijiyoyin axillo-subclavian', ASVT, gudan jini, jijiyoyin hannu, ciwon kafada, kumburin hannu, DVT, Embolism na huhu, ciwon Paget-Schroetter