Bugun jini | |
---|---|
![]() | |
Description (en) ![]() | |
Iri |
cerebrovascular disease (en) ![]() ![]() general symptom (en) ![]() |
Field of study (en) ![]() |
neurology (en) ![]() neurosurgery (en) ![]() |
Physical examination (en) ![]() |
ROSIER scale (en) ![]() Orpington Prognostic Scale (en) ![]() |
Genetic association (en) ![]() |
ZFHX3 (en) ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Medical treatment (en) ![]() | |
Magani |
pentoxifylline (en) ![]() |
Identifier (en) ![]() | |
OMIM | 601367 |
DiseasesDB | 2247 |
MedlinePlus | 000726 |
eMedicine | 000726 |
MeSH | D020521 |
Bugun jini wani yanayi ne na likita wanda rashin kwararar jini zuwa kwakwalwa ke haifar da mutuwar kwayar halitta.[1] Akwai manyan nau'ikan shanyewar jiki guda biyu: ischemic, saboda karancin jini, da zubar jini, saboda zubar jini.[1] Dukansu suna sa sassan kwakwalwa su daina aiki yadda ya kamata.[1] Alamu da alamun bugun jini na iya haɗawa da rashin iya motsi ko jin a gefe ɗaya na jiki, matsalolin fahimta ko magana, diwanci, ko rasa hangen nesa a gefe ɗaya.[2][3] Alamu da alamu sukan bayyana nan da nan bayan bugun jini ya faru.[3] Idan alamun sun wuce sa'o'i ɗaya ko biyu, bugun jini shine harin ischemic na wucin gadi (TIA), wanda kuma ake kira ƙaramin bugun jini.[3] Hakanan ana iya haɗa bugun jini na jini da ciwon kai mai tsanani.[3] Alamomin bugun jini na iya zama na dindindin.[1] Rikice-rikice na dogon lokaci na iya haɗawa da ciwon huhu da asarar sarrafa mafitsara.[3]
Babban abin da ke haifar da bugun jini shine hawan jini.[4] Sauran abubuwan haɗari sun haɗa da shan taba, kiba, hawan jini cholesterol, ciwon sukari mellitus, TIA da ta gabata, cututtukan koda na ƙarshe, da fibrillation.[2][4][5] An sami bugun jini na ischemic yawanci ta hanyar toshewar magudanar jini, ko da yake akwai kuma ƙananan dalilai.[6][7][8] Ana haifar da bugun jini ta hanyar ko dai zubar jini kai tsaye zuwa cikin kwakwalwa ko kuma cikin sarari tsakanin mabudin kwakwalwa.[6][9] Jini na iya faruwa saboda karyewar aneurysm na kwakwalwa.[6] Ganowa yawanci dogara ne akan gwajin jiki kuma ana goyan bayan hoton likita kamar CT scan ko MRI scan.[10] CT scan na iya kawar da zubar jini, amma maiyuwa ba lallai ba ne ya kawar da ischemia, wanda da wuri ba ya nunawa akan CT scan.[11] Sauran gwaje-gwaje kamar na'urar lantarki (ECG) da gwaje-gwajen jini ana yin su don tantance abubuwan haɗari da kawar da wasu dalilai masu yiwuwa.[10] Ƙananan sukari na jini na iya haifar da irin wannan alamun.[10]
Rigakafin ya haɗa da raguwar abubuwan haɗari, tiyata don buɗe jijiyoyi zuwa kwakwalwa a cikin waɗanda ke da matsala ta kunkuntar carotid, da warfarin ko wasu magungunan kashe jini a cikin mutanen da ke da fibrillation.[2] Ana iya ba da shawarar aspirin ko statins don rigakafi.[2] Ciwon bugun jini ko TIA yakan buƙaci kulawar gaggawa.[1] An gano bugun jini na ischemic, idan an gano shi a cikin sa'o'i uku zuwa hudu da rabi, ana iya magance shi tare da magani wanda zai iya rushe jini.[2] Wasu cututtukan bugun jini suna amfana daga tiyata.[2] Magani don ƙoƙarin dawo da aikin da ya ɓace ana kiransa gyaran bugun jini, kuma yana faruwa a cikin sashin bugun jini; duk da haka, ba a samun waɗannan a yawancin duniya.[2]
A cikin 2013 kusan mutane miliyan 6.9 sun kamu da bugun jini kuma mutane miliyan 3.4 sun sami bugun jini.[12] A cikin 2015 akwai kusan mutane miliyan 42.4 waɗanda a da suka kamu da bugun jini kuma har yanzu suna raye.[13] Tsakanin 1990 zuwa 2010 adadin bugun jini da ke faruwa a kowace shekara ya ragu da kusan kashi 10% a cikin kasashen da suka ci gaba kuma ya karu da 10% a cikin kasashe masu tasowa.[14] A cikin 2015, bugun jini shine na biyu mafi yawan sanadin mutuwa bayan cutar jijiya, wanda ya yi sanadiyar mutuwar mutane miliyan 6.3 (11% na jimlar).[15] Kimanin mutane miliyan 3.0 ne suka mutu sakamakon shanyewar ischemic yayin da miliyan 3.3 suka mutu sakamakon bugun jini.[15] Kimanin rabin mutanen da suka yi fama da bugun jini suna rayuwa kasa da shekara guda.[2] Gabaɗaya, kashi biyu bisa uku na bugun jini ya faru a cikin waɗanda suka haura shekaru 65.[16]