Yin tiyatar gaggawa bayan fashewar aneurysm

Duk lokuta na ciwon da ba ya karyewa yana buƙatar magani mai aiki, amma lokacin da aneurysm ya rushe, ana buƙatar tiyata na gaggawa.

Game da aortic aneurysm, ko na ciki ko thoracic, yana buƙatar tiyata na gaggawa lokacin da aka samu fashewa. Ba tare da gaggawar shiga tsakani ba, ruptured aneurysm kullum yana mutuwa a cikin thoracic aorta kuma kusan kullum yana mutuwa a cikin aorta na ciki.

Shawarar yin aiki a kan anerysm wanda ba a kwance ba a cikin aorta ya dogara da dalilai masu yawa da suka danganci yanayin mai haƙuri, shekaru, da kuma halaye na aneurysm kanta (girma da saurin ci gaba).

Don yin aiki a kan anerysm na aortic, akwai dabarun aiki guda biyu waɗanda za a zaɓa dangane da tsanani da wurin da aneurysm ke ciki.

Hanyar tiyata ta al'ada.

Yana buƙatar cire aneurysm bayan danne (amfani da karfi) na jijiya. An katse zagayawa a cikin aorta kuma za a maye gurbin sashin da ya lalace tare da prosthesis.

Aikin tiyata na endovascular

Hanya ce mai ƙanƙantar da kai wacce ta haɗa da shigar da bututun filastik (catheter) a cikin jijiya, yawanci a cikin ƙwanƙwasa, sannan tura wayar platinum ta cikin catheter zuwa wurin aneurysm. Zaren yana yin iskar a cikin aneurysm, yana rushe kwararar jini kuma yana haifar da gudan jini. An fi son tiyatar endovascular gabaɗaya fiye da tiyata na gargajiya, musamman saboda lokacin aiki da zaman asibiti ya fi guntu.

Yin aikin tiyata na endovascular, duk da haka, yana ɗaukar haɗari, ban da waɗanda galibi ake fuskanta yayin tiyata.

Aneurysms da ba su da yuwuwar fashewa ba a yi musu tiyata ta hanyar tiyata saboda yuwuwar lalacewar kwakwalwa sakamakon yuwuwar rikitarwar tiyata.

Sannan ana ba wa marasa lafiya shawara kan yadda za a saka idanu da kuma gyara, idan zai yiwu, abubuwan da ke kara haɗarin fashewar anerysm na kwakwalwa. Wannan ya shafi musamman kula da hawan jini. Lallai idan aka yiwa mutum cutar hawan jini, maganinsa da maganin hawan jini zai rage hadarin fashewa.

Lokacin da raunin da ya fashe a cikin kwakwalwa ya haifar da zubar jini na subachnoid, za a garzaya da majiyyaci asibiti a yi masa tiyata a kwakwalwa don rufe jijiyar da ta fashe, a kokarin hana zubar jini.

Maganin rashin aikin tiyata na kwakwalwar aneurysms tare da fashewa

Akwai jiyya na miyagun ƙwayoyi da ake samu don sauƙaƙa alamun alamun da sarrafa rikitarwa.

• Za a iya amfani da magungunan kashe zafi, irin su acetaminophen don magance ciwon kai.
• Calcium tashar blockers suna hana calcium shiga cikin sel a bangon tasoshin jini. Wadannan magunguna na iya rage kunkuntar hanyoyin jini (vasospasm) wanda zai iya zama rikitarwa na aneurysm. Ɗaya daga cikin waɗannan magungunan, nimodipine, ya bayyana yana rage haɗarin lalacewar kwakwalwa ta hanyar rashin isasshen jini bayan zubar jini na subachnoid.
• Ana iya amfani da magungunan kashe-kashe don magance kamewar da ke da alaƙa da aneurysm. Waɗannan kwayoyi sun haɗa da levetiracetam, phenytoin, da valproic acid.
• Maganin gyarawa. Lalacewa ga kwakwalwa da ke haifar da zubar jini na subarachnoid zai iya haifar da buƙatar farfadowa na fasaha na jiki, magana, da kuma aikin tiyata.

Shafukan sha'awa da tushe

Wuraren sha'awa:

Cerebral aneurysm: ma'anar, bayyanar cututtuka, jiyya (Kimiyya et Avenir)

Cerebral aneurysm (CHUV, Lausanne)

kafofin: 

Dr Helen Webberley. Aneurysm: Dalilai, Alamu da Jiyya. Labaran Likitan Yau, Maris 2016.

Aneurysm na kwakwalwa. Mayo Clinic, Satumba 2015.

Menene Aneurysm? Cibiyar Zuciya, Huhu, da Bool ta Ƙasa, avril 2011.