Cutar jijiyoyin jijiyoyin zuciya

Cutar jijiyoyin jijiyoyin zuciya
Description (en)
Iri	carotid artery disease (en) Arterial dissections (en)
Field of study (en)	vascular surgery (en)
Identifier (en)
ICD-10-CM	I77.71
ICD-9-CM	443.21
DiseasesDB	2145
Disease Ontology ID	DOID:9348

Carotid artery dissection wani yanayi ne mai tsanani wanda ke haifar da hawaye a daya daga cikin manyan jijiyoyin carotid guda biyu a wuyansa, yana ba da damar jini ya shiga bangon jijiya kuma ya raba yadudduka (rarraba). Wannan rabuwa na iya haifar da samar da jini, ƙuntata jijiya, da ƙuntataccen jini zuwa kwakwalwa, wanda zai iya haifar da bugun jini. Alamomin sun bambanta dangane da girman da kuma wurin da aka yi wa dissection kuma suna iya haɗawa da kwatsam, ciwon kai mai tsanani, wuyansa ko ciwon fuska, canje-canje na hangen nesa, gashin ido mai raguwa (Ciwon Horner), da alamun bugun jini kamar rauni ko Rashin ƙarfi a gefe ɗaya na jiki, wahalar magana, ko asarar daidaitawa.

Carotid artery dissection na iya faruwa ba zato ba tsammani ko kuma ya haifar da rauni, gami da ƙananan raunuka, wasu yanayin kiwon lafiya, ko ayyukan da suka shafi motsi na wuyansa. Yana da babban dalilin bugun jini a cikin matasa da manya masu matsakaicin shekaru. Ana gano yanayin ne ta hanyar nazarin hotuna, kamar su ultrasound, magnetic resonance imaging (MRI), magnetic resonation angiography (MRA), ko computed tomography angiography (CTA), wanda ke taimakawa wajen ganin jijiyoyin jini da gano abnormalities.

Gudanar da cututtukan jijiyoyin carotid ya dogara da tsananin da alamun. Zaɓuɓɓukan magani galibi sun haɗa da magunguna kamar anticoagulants ko magungunan antiplatelet don hana samar da jini da rage haɗarin bugun jini. A lokuta masu tsanani, ana iya buƙatar aikin tiyata ko shigar da jini, kamar stenting ko Angioplasty, don dawo da jini mai kyau. Binciken farko da magani suna da mahimmanci don inganta sakamakon, kodayake hangen nesa na iya bambanta dangane da girman dissection da kasancewar rikitarwa.

Bayyanawa

Carotid artery dissection (ko cervical artery dissecture) shine rabuwa da yadudduka a cikin bango na jijiyoyin carotid, wanda ke ba da jini mai wadataccen iskar oxygen ga kwakwalwa. Yana da muhimmiyar dalilin bugun jini a cikin matasa.

Arteries carotid sune manyan jijiyoyin jini a wuyan da ke cikin ƙananan tasoshin da ake kira arteries na waje da na ciki. A cikin cututtukan jijiyoyin carotid, fashewa a cikin bango na jijiyoyi yana ba da damar jini ya gudana tsakanin yadudduka na jijiyoyin, wanda ke haifar da yiwuwar ƙuntatawa, rage yawan jini, ko kuma samar da jini, wanda zai iya haifar da bugun jini.

Alamomi da alamomi

Ana iya raba alamomi da alamun cututtukan jijiyoyin carotid zuwa nau'ikan ischemic da wadanda ba na ischemic ba:

Alamomin da ba na ischemic ba:

• Ciwon wuyansa da ciwon kai, wani lokacin yana kara karfi
• Rage girman ɗalibai tare da raguwar gashin ido na sama (Horner syndrome)
• Tinnitus mai saurin ji

Alamomi da alamun ischemic:

• Rashin hangen nesa na ɗan lokaci
• Ciwon Ischemic

Dalilan da suka haifar

Dissagewa a cikin ultrasound

Abubuwan da ke haifar da cututtukan jijiyoyin carotid za a iya rarraba su cikin nau'o'i biyu: na kai tsaye ko na rauni.

Dissection may occur after direct physical trauma, traffic collision, strangulation, or any phenomenon that causes hyperextension of the neck. They can also happen spontaneously.

Ba zato ba tsammani

Da zarar an yi la'akari da abin da ba a saba gani ba, ƙwaƙwalwar ƙwaƙwalwa ta ƙwaƙwalyar ƙwayar ƙwayar cuta ta ƙwayar ƙwaƙwalwarsa ta ƙwayar cutaa ta ƙwayar cutar ƙwayar ƙwace ƙwayar ƙwaya ta ƙwayar ajiya ta ƙwaƙwalwa.

Abubuwan da suka faru na cututtukan jijiyoyin carotid na kai tsaye ba su da yawa, kuma an bayar da rahoton cewa adadin abubuwan da suka faru don cututtuken jijiyoyin carotides na ciki sun kasance kusan 2.6 zuwa 2.9 a cikin 100,000. Kodayake abin da ya faru ba shi da yawa, shi ne dalilin mafi yawan bugun jini a cikin matasa.

Nazarin lura da rahotanni na shari'a da aka buga tun farkon shekarun 1980 sun nuna cewa marasa lafiya da ke fama da cututtukan jijiyoyin carotid na ciki na iya samun tarihin bugun jini a cikin danginsu da / ko cututtuken ƙwayoyin cuta na gado, kamar Marfan syndrome, Ehlers-Danlos syndrome, autosomal dominant polycystic kidney disease, pseudoxanthoma elasticum, Fibromuscular dysplasia, da Osteogenesis imperfecta type I.[1] An kuma lura da cututtukan da suka shafi IgG4 da suka shafi jijiyar carotid a matsayin sanadin.[2]

Koyaya, kodayake haɗin kai tare da cututtukan ƙwayoyin cuta ya wanzu, yawancin mutanen da ke da cututfukaki na jijiyoyi ba su da rikice-rikice na ƙwayoyin ƙwayoyin. Har ila yau, rahotanni game da yaduwar cututtukan ƙwayoyin cuta na gado a cikin mutanen da ke da cututtukani na kai tsaye suna da bambanci sosai, daga 0% zuwa 0.6% a cikin binciken daya zuwa 5% zuwa 18% a cikin wani binciken.[1]

Akwai ƙarin shaidu cewa ƙwaƙwalwar ƙwaƙwalwa ta ciki na carotid na iya haɗawa da Tsarin styloid (wanda aka sani da ciwon Eagle lokacin da tsarin sty loongated ke haifar da alamomi).[1][2]