Zubar Ruwa A Cikin Pericardium

Zubar ruwa a cikin Pericardium (per-e-KAHR-dee-ul uh-FU-zhun) shine taruwar ruwa mai yawa a cikin tsarin da ke kewaye da zuciya (pericardium), wanda yake da layoyi biyu kuma kamar jaka.

Sararin da ke tsakanin wadannan layukan yawanci yana dauke da ruwa kadan. Amma idan pericardium ya kamu da cuta ko ya ji rauni, kumburi da zai biyo baya zai iya haifar da yawan ruwa. Ruwa kuma zai iya taruwa a kusa da zuciya ba tare da kumburi ba, kamar daga jini, wanda ke da alaka da cutar kansa ko bayan raunin kirji.

Zubar ruwa a cikin Pericardium na iya sa matsin lamba a kan zuciya, yana shafar yadda zuciya ke aiki. Idan ba a yi magani ba, yana iya haifar da gazawar zuciya ko mutuwa a wasu lokuta masu tsanani.

Zubar ruwa a cikin Pericardium bazai iya haifar da wata alama ko kuma wata matsala ba, musamman idan ruwan ya karu a hankali.

Idan alamun zubar ruwa a cikin Pericardium da kuma matsalolin suka bayyana, zasu iya hada da:

• Gajiyawar numfashi ko kuma wahalar numfashi (dyspnea)
• Rashin jin dadi yayin numfashi yayin kwanciya
• Ciwon kirji, yawanci a bayan ƙirjin ko kuma a gefen hagu na kirji
• Cika kirji
• Juyawa ko kuma jin suma
• Kumburi a ciki ko kuma kafafu

Kira 911 ko lambar gaggawa ta yankinku idan kun ji ciwon kirji wanda ya fi mintuna kaɗan, idan numfashinku yana da wahala ko kuma yana ciwo, ko kuma idan kun yi suma ba tare da dalili ba.

Ziyarci likitan ku idan kuna da ƙarancin numfashi.

Zubar ruwa a cikin Pericardium na iya faruwa sakamakon kumburi na pericardium (pericarditis) bayan rashin lafiya ko rauni. A wasu yanayi, zubar ruwa mai yawa na iya faruwa sakamakon wasu cututtuka. Toshewar ruwan Pericardium ko taruwar jini a cikin Pericardium na iya haifar da wannan yanayin.

Wasu lokutan ba za a iya tantance dalilin ba (pericarditis idiopathic).

Dalilan zubar ruwa a cikin Pericardium na iya haɗawa da:

• Cututtukan autoimmune, kamar rheumatoid arthritis ko lupus
• Ciwon daji na zuciya ko Pericardium
• Yaduwar ciwon daji (metastasis), musamman ciwon dajin huhu, ciwon dajin nono ko Hodgkin's lymphoma
• Ma'anar radiation don ciwon daji idan zuciya tana cikin yankin radiation
• Raunin kirji
• Kumburi na Pericardium bayan bugun zuciya ko bayan tiyatar zuciya ko hanya inda aka ji rauni ga layin zuciya
• Thyroid mara aiki (hypothyroidism)
• Amfani da wasu magunguna ko kamuwa da guba
• Cututtukan kwayar cuta, ƙwayoyin cuta, ƙwayoyin cuta ko ƙwayoyin cuta
• Ƙazantar jini sakamakon gazawar koda (uremia)

Hanyoyin da za su iya faruwa sakamakon pericardial effusion shine cardiac tamponade (tam-pon-AYD). A wannan yanayin, ruwan da ya yi yawa a cikin pericardium yana matsa lamba a kan zuciya. Matsi yana hana dakunan zuciya cika da jini sosai.

Cardiac tamponade yana haifar da rashin kwararar jini da kuma rashin iskar oxygen ga jiki. Cardiac tamponade na iya haifar da mutuwa kuma yana buƙatar gaggawar kulawar likita.

Don don pericardial effusion, likitan zai yi gwajin jiki kuma ya tambayi tambayoyi game da alamunka da tarihin lafiyarka. Zai iya sauraron zuciyarka da stethoscope. Idan likitanki yana tunanin kana da pericardial effusion, gwaje-gwaje zasu iya taimakawa wajen gano dalili.

Gwaje-gwajen da za a iya yi don gano ko tabbatar da pericardial effusion sun hada da:

computed tomography (CT) da Magnetic resonance imaging (MRI) scans zasu iya gano pericardial effusion, kodayake ba a saba amfani da su don neman yanayin ba. Duk da haka, ana iya gano pericardial effusion lokacin da aka yi wadannan gwaje-gwajen don wasu dalilai.

• Echocardiogram. Ana amfani da sauti don kirkirar hotunan zuciya yayin motsi. Echocardiogram yana nuna dakunan zuciya da yadda zuciya ke fitar da jini. Gwajin zai iya taimakawa wajen tantance yawan ruwa tsakanin bangarorin biyu na pericardium. Echocardiogram kuma na iya nuna raguwar aikin zuciya saboda matsin lamba a kan zuciya (tamponade).
• Electrocardiogram (ECG ko EKG). Wannan gwajin da sauri kuma ba shi da ciwo yana auna aikin lantarki na zuciya. Ana sanya abubuwan manne (electrodes) a kirji kuma a wasu lokuta a hannaye da kafafu. Wayoyi suna haɗa electrodes zuwa kwamfuta, wanda ke nuna sakamakon gwajin. Likitan zuciyarka ko wani likita na iya neman alamu masu nuna cardiac tamponade.
• Chest X-ray. Hoton X-ray na kirji yana ba likita damar duba girma da siffar zuciya. Chest X-ray na iya nuna alamun zuciya mai girma idan effusion din ya yi girma.

Maganin zubar ruwa a cikin pericardium ya dogara da:

Idan ba ku da cardiac tamponade ko kuma babu wata matsala ta gaggawa ta cardiac tamponade, likitan ku na iya rubuta daya daga cikin magungunan da ke ƙasa don magance kumburi na pericardium:

Likitan ku na iya ba da shawarar hanyoyin cire zubar ruwa a cikin pericardium ko hana tarin ruwa a nan gaba idan:

Hanyoyin cire ruwa ko tiyata don magance zubar ruwa a cikin pericardium na iya haɗawa da:

• Yawan tarin ruwa

• Abinda ya haifar da zubar ruwa a cikin pericardium

• Kasancewar ko haɗarin cardiac tamponade

• Aspirin

• Magungunan hana kumburi marasa steroid (NSAIDs), kamar ibuprofen (Advil, Motrin IB, da sauransu)

• Colchicine (Colcrys, Mitigare)

• Corticosteroid, kamar prednisone

• Magunguna ba su gyara zubar ruwa a cikin pericardium ba

• Babban zubar ruwa yana haifar da alamun kuma yana ƙara haɗarin cardiac tamponade

• Kuna da cardiac tamponade

• ** Cire ruwa (pericardiocentesis).** Likita yana amfani da allura don shiga cikin sararin pericardium sannan ya saka karamin bututu (catheter) don cire ruwa. Ana amfani da dabarun daukar hoto, yawanci echocardiography, don jagorantar aikin. Yawanci, ana barin catheter a wurin don cire ruwa a cikin sararin pericardium na 'yan kwanaki don taimakawa wajen hana tarin ruwa a nan gaba. Ana cire catheter lokacin da duk ruwan ya kare kuma bai sake taruwa ba.

• ** Bude tiyata ta zuciya.** Idan akwai jini a cikin pericardium, musamman saboda sabuwar tiyata ta zuciya ko wasu abubuwan da ke haifar da matsala, ana iya yin buɗe tiyata ta zuciya don cire ruwa a cikin pericardium da gyara duk wata lalacewa. A wasu lokuta, likitan tiyata na iya ƙirƙirar hanya wacce ke ba da damar ruwa ya fita kamar yadda ake buƙata zuwa cikin ciki, inda za a iya sha.

• ** Cire pericardium (pericardiectomy).** Idan zubar ruwa a cikin pericardium ya ci gaba da faruwa duk da hanyoyin cire ruwa, likitan tiyata na iya ba da shawarar cire duk ko wani ɓangare na pericardium.