Ciwon mara

Ciwon mara daɗi yanayin da ba kasafai yake faruwa ba wanda yafi shafar ƙananan hanji. Wannan yana hana karamin hanji izinin barin abubuwan gina jiki su shiga cikin sauran jiki. Wannan shi ake kira malabsorption.

Cututtuka masu yawa suna faruwa ne ta hanyar kamuwa da wani nau'in ƙwayoyin cuta da ake kira Wroppleyma whipplei. Rikicin ya fi shafar fararen maza ne masu matsakaitan shekaru.

Cutar mara daɗi ba ta da yawa. Ba a san abubuwan haɗari ba.

Kwayar cutar galibi tana farawa ne a hankali. Hadin gwiwa shine mafi yawan alamun farko. Kwayar cututtukan cututtukan ciki (GI) galibi suna faruwa bayan shekaru da yawa. Sauran cututtuka na iya haɗawa da:

• Ciwon ciki
• Gudawa
• Zazzaɓi
• Duhun fata a cikin sassan jiki masu haske
  
• Hadin gwiwa a gwiwa, gwiwa, gwiwar hannu, yatsu, ko wasu yankuna
• Rashin ƙwaƙwalwar ajiya
• Canjin tunani
• Rage nauyi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Wannan na iya nuna:

• Landsara girman ƙwayar lymph
• Zuciyar zuciya
• Kumburi a cikin kayan jikin mutum (edema)

Gwaje-gwajen don gano cutar Whipple na iya haɗawa da:

• Kammala ƙididdigar jini (CBC)
• Polymerase chain reaction (PCR) test don bincika ƙwayoyin cuta masu haifar da cutar
• Psyaramin ƙwaƙwalwar ciki
• Babban GI endoscopy (kallon hanji tare da sassauƙa, bututu mai haske a cikin aikin da ake kira enteroscopy)

Wannan cutar na iya canza sakamakon gwajin da ke gaba:

• Matakan Albumin a cikin jini
• Kitsen da ba a sa shi ba a cikin kujerun
• Shanye hanjin wani nauin sukari (sha d-xylose)

Mutanen da ke da cutar Whipple suna buƙatar shan maganin rigakafi na dogon lokaci don warkar da duk wata cuta da ke cikin kwakwalwa da kuma tsarin juyayi na tsakiya. Ana ba da maganin rigakafin da ake kira ceftriaxone ta jijiya (IV). Wani kwayoyin na biye da shi (kamar su trimethoprim-sulfamethoxazole) ana ɗauke da baki har zuwa shekara 1.

Idan bayyanar cututtuka ta dawo yayin amfani da kwayoyin, ana iya canza magunguna.

Mai ba ku sabis ya kamata ya bi diddiginku a hankali. Alamomin cutar na iya dawowa bayan ka gama jinyar. Mutanen da ba su da abinci mai gina jiki kuma za su buƙaci ƙarin abubuwan abinci.

Idan ba a kula da shi ba, yanayin yakan fi saurin mutuwa. Jiyya na saukaka alamomi kuma yana iya warkar da cutar.

Matsaloli na iya haɗawa da:

• Lalacewar kwakwalwa
• Lalacewar bawul na zuciya (daga endocarditis)
• Karancin abinci
• Kwayar cutar ta dawo (wanda zai iya zama saboda juriya da kwayoyi)
• Rage nauyi

Kira mai ba ku sabis idan kuna da:

• Hadin gwiwa wanda baya tafiya
• Ciwon ciki
• Gudawa

Idan ana kula da ku don cutar Whipple, kira mai ba ku idan:

• Kwayar cututtukan suna daɗa muni ko basa inganta
• Kwayar cutar ta sake bayyana
• Sabbin alamun ci gaba

Hanjin lipodystrophy na hanji

Maiwald M, von Herbay A, Relman DA. Ciwon mara. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi 109.

Marth T, Schneider T. Cutar cuta. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 210.

Yammacin SG. Cututtukan tsarin da cututtukan arthritis alama ce. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 259.