Yaya ake gano cututtukan da ke haifar da zubar jini a ƙarƙashin ƙasa?


Marubuci: Magaji   

Ana iya gano cututtukan da ke haifar da zubar jini ta hanyar amfani da hanyoyin da ke ƙasa:
1. Ciwon jini mai kama da na roba (Aplastic anemia)
Fatar tana bayyana a matsayin tabo na zubar jini ko manyan raunuka, tare da zubar jini daga mucosa na baki, mucosa na hanci, datti, conjunctiva, da sauran wurare, ko kuma a cikin mawuyacin yanayi na zubar jini a cikin gabobin jiki. Ana iya haɗuwa da alamun kamar rashin jini da kamuwa da cuta. Binciken dakin gwaje-gwaje ya nuna mummunan cutar pancytosis a cikin adadin jini, raguwar yawan bargon ƙashi a wurare da yawa, da raguwar granulocytes, jajayen ƙwayoyin jini, da megakaryocytes.
2. Ciwon myeloma da yawa
Zubar da jini a hanci, zubar jini a cikin hanci, da tabon fata masu launin shunayya, tare da lalacewar ƙashi a bayyane, matsalar koda, rashin jini, kamuwa da cuta, da sauran alamu.
Yawan jini sau da yawa yana nuna rashin lafiyar ƙwayoyin halitta; Yaɗuwar ƙwayoyin plasma mara kyau a cikin ƙashi, tare da bayyana tarin ƙwayoyin myeloma; Babban abin da ke haifar da wannan cuta shine kasancewar furotin M a cikin jini; Tsarin fitsari na iya haɗawa da furotin, hematuria, da fitsari mai siffar tubular; Ana iya yin ganewar asali bisa ga sakamakon hotunan raunukan ƙashi.
3. Ciwon sankarar jini mai tsanani
Zubar jini galibi yana faruwa ne sakamakon ecchymosis na fata, zubar jini a hanci, zubar jini a cikin hanci, yawan haila, kuma yana iya faruwa a sassa daban-daban na jiki, tare da faɗaɗa ƙwayoyin lymph, taushin sternum, har ma da alamun cutar sankarar jini ta tsarin jijiyoyi na tsakiya.
Yawancin marasa lafiya suna nuna ƙaruwar ƙwayoyin jinin fararen jini a cikin adadin jininsu da kuma yawan ƙwayoyin nukiliya a cikin bargon ƙashinsu, galibi sun ƙunshi ƙwayoyin halitta na asali. Gano cutar sankarar bargo ba abu ne mai wahala ba bisa ga bayyanar cututtuka, halayen jini da ƙashi.
4. Ciwon jini a jijiyoyin jini
Fitar jini galibi yana faruwa ne sakamakon fata da mucous membranes, kuma yana shafar maza da mata. Mata matasa marasa lafiya na iya nuna yawan haila wanda ke raguwa da shekaru. Ana iya gano cutar bisa ga kasancewar ko rashin tarihin iyali, zubar jini kwatsam ko rauni, ko ƙaruwar zubar jini bayan tiyata, tare da bayyanar cututtuka da gwaje-gwajen dakin gwaje-gwaje.
5. Yaɗuwar coagulation a cikin jijiyoyin jini
Akwai cututtuka masu tsanani, ciwace-ciwacen daji masu illa, raunin tiyata da sauran abubuwan da ke haifar da su, waɗanda ke haifar da zubar jini kwatsam da kuma zubar jini da yawa. Lamura masu tsanani na iya haifar da zubar jini a cikin kwakwalwa da kuma a cikin kwakwalwa. Tare da alamun girgiza ko gazawar gabobi kamar huhu, koda, da kwakwalwa.
Gwajin gwaji ya nuna cewa ƙwayoyin platelets <100X10 μL, abun ciki na fibrinogen a cikin plasma <1.5g/L ko>4g/L, gwajin 3P mai kyau ko FDP a cikin plasma>20mg/L, matakan D-dimer masu girma ko masu kyau, da kuma gajarta ko tsawaita PT na fiye da daƙiƙa 3 na iya tabbatar da ganewar asali.