Dubin-Johnson ciwo

Dubin-Johnson ciwo (DJS) cuta ce da ta shiga ta cikin iyalai (waɗanda aka gada). A wannan yanayin, kuna iya samun laushin jaundice a cikin rayuwa.

DJS cuta ce mai saurin rikitarwa. Don gadon yanayin, dole ne yaro ya sami kwafin kwayar cutar da ta lalace daga iyayen biyu.

Ciwo yana rikitar da ikon jiki don motsa bilirubin ta hanta cikin bile. Lokacin da hanta da saifa suka lalace jajayen kwayoyin jini, ana samar da bilirubin. Bilirubin yakan shiga cikin bile, wanda hanta ke samarwa. Daga nan sai ya gudana cikin bututun bile, ya wuce gallbladder, kuma zuwa cikin tsarin narkewar abinci.

Lokacin da ba'a shigar da bilirubin yadda yakamata zuwa cikin bile ba, yakan taso ne a cikin hanyoyin jini. Wannan yakan sa fata da fararen idanu su zama rawaya. Wannan shi ake kira jaundice. Yawan bilirubin mai tsananin gaske na iya lalata kwakwalwa da sauran gabobi.

Mutanen da ke da DJS suna da ƙarancin jaundice na rayuwa wanda zai iya zama mafi muni ta hanyar:

• Barasa
• Magungunan haihuwa
• Abubuwan muhalli waɗanda ke shafar hanta
• Kamuwa da cuta
• Ciki

Jaundice mai sauƙi, wanda bazai bayyana ba har sai balaga ko girma, shine mafi yawan lokuta alamun kawai na DJS.

Gwaje-gwaje masu zuwa na iya taimakawa gano asali na wannan ciwo:

• Gwajin hanta
• Matakan enzyme na hanta (gwajin jini)
• Jini bilirubin
• Matakan kwafin fitsari, ciki har da matakin kwaroron roba na I

Babu takamaiman magani da ake bukata.

Kasancewar hangen nesa yana da kyau. DJS gabaɗaya baya gajarta tsawon rayuwar mutum.

Matsalolin baƙon abu bane, amma na iya haɗa da masu zuwa:

• Ciwon ciki
• Ciwon mara mai tsanani

Kira mai ba da sabis na kiwon lafiya idan ɗayan masu zuwa ya faru:

• Jaundice yana da tsanani
• Jaundice yana kara lalacewa akan lokaci
• Hakanan kuna da ciwon ciki ko wasu alamomi (wanda yana iya zama alama ce cewa wata cuta tana haifar da jaundice)

Idan kuna da tarihin dangi na DJS, shawarwarin kwayoyin halitta na iya taimaka idan kun shirya haihuwar yara.

• Gabobin tsarin narkewar abinci

Korenblat KM, Berk PD. Gabatarwa ga mai haƙuri tare da jaundice ko gwajin hanta mara kyau. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 138.

Lidofsky SD. Jaundice. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 21.

Roy-Chowdhury J, Roy-Chowdhury N. Bilirubin metabolism da rikicewarta. A cikin: Sanyal AJ, Terrault N, eds. Zakim da Boyer's Hepatology: Littafin Rubutu na Ciwon Hanta. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 58.