Cutar da ke cikin jini (ICH) wani nau'in bugun jini ne mai barazanar rai wanda ya hada da zubar jini a cikin kwakwalwar kwakwalwa. Abubuwan da suka faru kamar hauhawar jini sun sanya babban matsin lamba akan ƙananan jijiyoyin da ke ba da jini da oxygen zuwa kwakwalwa. Yawan karfin jijiyoyin jiki suna sanya wadannan jijiyoyin su fashe kuma a karshe su toshe samar da jini, wanda zai haifar da lalacewar kwayar halitta.

Cutar bugun jini kamar ta jini a cikin mahaifa (ICH) tana tasowa yayin da kwakwalwa bata karbar isasshen jini da oxygen, wanda za'a kawo babban rauni, hauhawar jini or gyaran jini. Wannan shi ne gaggawa na likita da ke buƙatar gudanarwa a nan gaba wanda zai iya haɗawa da magunguna, tiyata, ko abubuwa masu sauƙi don rage hawan jini; duk da haka, sakamakon ragewar saukar karfin jini zuwa zubar jini tsakanin jini ba a san shi sosai ba.

Binciken kan cutar sankara na ciki (ICH)

Nazarin Anderson, C. et. al. (2013) yayi la'akari da ingancin shiga tsakanin Cutar Hawan Jini (ICH) ta hanyan saurin saukar da jini inda ya shafi yanayin mahalarta da siffofin asibiti. A gefe guda kuma, an tantance tsananin bugun jikinsu ta hanyar Glasgow Coma Scale (GCS) da Cibiyoyin Kula da Lafiya na Lafiya na kasa (NIHSS) bayanan kwalliyar, a awowi 24 da a kwana 7 ko a lokacin sallamarsu asibiti.

Yayin ƙididdigar bayanan asali, CT scan na kwakwalwa ko MRI an yi shi ne don tabbatar da bugun jini wanda ya dace da tsarin dabarun zamani da ke gudana. Bayan haka, a cikin kwanaki 28 ko kwana 90, masu aikin sun biyo su ta waya ko kuma ta wani ma'aikacin gida wanda bai san aikin kungiyar ba. Wadancan marasa lafiyar da basu iya karbar maganin da aka ce ba ko kuma basu iya bin ka'idodin ba an bi su cikakke, haka kuma an haɗa bayanan su a cikin binciken gwargwadon 'niyyar kula da' ka'idodin.

Abin da aka tabbatar yayin binciken akan Cutar Tsinkayar ciki (ICH)

A cikin binciken, masu binciken sun rarraba marasa lafiya 2839 ba tare da bata lokaci ba wadanda suke da tarihin zubar jini na cikin jini a cikin awanni 6 da suka gabata kuma wadanda suka daukaka hawan jini. An fi so su karɓar magani mai ƙarfi don rage karfin jininsu tare da burin rage matakin systolic na <140 mmHg a cikin awa 1 ko kulawar da aka ba da shawara game da jagora tare da burin matakin systolic na <180 mmHg.

Sakamakon farko shine mutuwa ko babban nakasassu, wanda aka bayyana a matsayin maki 3 zuwa 6 akan sikelin Matsin da aka daidaita (ci 0 ya nuna babu alamun bayyani, maki na 5 yana nuna rauni mai rauni, kuma ci 6 ya nuna mutuwa) a Kwana 90. Har ila yau, an ƙaddamar da ƙayyadaddun ƙaddarar ƙaddamar da sakamako na modin Rankin har ila yau an kwatanta ƙimar mummunan sakamako a tsakanin ƙungiyoyin biyu. Daga cikin mahalarta 2794 waɗanda za a iya tantance sakamakon farko, 719 na 1382 mahalarta (52.0%) suna karɓar magani sosai, idan aka kwatanta da 785 na 1412 (55.6%) suna karɓar magani-da aka ba da shawarar, suna da babban sakamakon farko.).

Mutuwar mutum ya kasance 11.9% a cikin rukunin da ke karɓar magani mai mahimmanci kuma kashi 12.0% a cikin rukuni suna karɓar magani da aka ba da shawara. Abubuwa masu haɗari marasa haɗari sun faru a cikin 23.3% da 23.6% na marasa lafiya a cikin rukunin biyun bi da bi.

A ƙarshe, a cikin marasa lafiya tare da ciki na ciki, saurin zubar da jini ba shi da tasiri don rage ƙimar babban sakamako na mutuwa ko rashin ƙarfi mai ƙarfi. Koyaya, wani bincike na yau da kullun na ƙididdigar darajar Rankin ya nuna ingantaccen sakamako na aiki tare da raguwar hawan jini.

CIGABA DA KARATUN KARATUN:

Craig S. Anderson, MD, Ph.D., Emma Heeley, Ph.D., Yining Huang, MD, Jiguang Wang, MD, Christian Stapf, MD, Candice Delcourt, MD, Richard Lindley, MD, Thompson Robinson, MD, Pablo Lavados, MD, MPH, Bruce Neal, MD, Ph.D., Jun Hata, MD, Ph.D., Hisatomi Arima, MD, Ph.D., et al., Ga mai binciken INTERACT2

 

KARANTA ALSO:

Ruwan jini: Sabon Bayanin Kimiyya don Bincike a Mutum

 

Shin saukar karfin jini zai rage hadarin cututtukan zuciya da koda ko bugun jini?

 

Cincinnati Kwayar Cutar Kwayar cuta. Matsayinta a Sashin gaggawa

 

Babban haɗarin bugun jini ga tsofaffin ƙwayoyin cuta tare da raunin lafiyar kwakwalwa

 

Rashin ciwo shine matsala ga mutane tare da dogon lokacin aiki

 

Jirgin asibiti na farko na Australiya - Sabon yankin don ceton rayuka