Ciwan Cirrhosis

Cirrhosis yana raunin hanta da rashin aikin hanta. Mataki ne na karshe na cutar hanta mai ɗorewa.

Cirrhosis shine mafi yawan lokuta sakamakon ƙarshen cutar hanta na yau da kullun wanda ya haifar da dogon lokaci (na kullum) cutar hanta. Abubuwan da ke haifar da cutar hanta mai ci gaba a cikin Amurka sune:

• Hepatitis B ko cutar hepatitis C.
• Shan barasa.
• Kirkirar kitse a cikin hanta wanda ba a haifar da shan giya mai yawa (wanda ake kira nonalcoholic fatty liver fat [NAFLD] and nonalcoholic steatohepatitis [NASH]). Yana da alaƙar kusa da kasancewa kiba, da ciwon hawan jini, da ciwon sukari ko pre-diabetes, da kuma yawan ƙwayar cholesterol.

Kadan sanadin sanadin cirrhosis ya hada da:

• Lokacin da kwayoyin rigakafi suka yi kuskuren ƙwayoyin hanta na al'ada don mamayewa da cutarwa
• Bile duct cuta
• Wasu magunguna
• Cututtukan hanta sun sauka cikin dangi

Babu alamun bayyanar, ko alamun na iya zuwa a hankali, ya danganta da yadda hanta ke aiki. Sau da yawa, ana gano shi kwatsam lokacin da ake yin x-ray don wani dalili.

Alamun farko sun hada da:

• Gajiya da asarar kuzari
• Rashin cin abinci da rashi nauyi
• Ciwan ciki ko ciwon ciki
• Ananan, jan gizo-gizo kamar jini a gizo akan fata

Yayinda hanta ke kara muni, alamun cutar na iya haɗawa da:

• Ruwan ruwa a cikin kafafu (edema) da kuma cikin ciki (ascites)
• Launi mai launin rawaya a cikin fata, ƙwayoyin mucous, ko idanu (jaundice)
• Redness akan tafin hannu
• A cikin maza, rashin ƙarfin jiki, raguwar ƙwayoyin cuta, da kumburin nono
• Aramar sauƙi da zub da jini mara kyau, galibi galibi daga jijiyoyin kumbura a cikin hanyar narkewar abinci
• Rikicewa ko matsalolin tunani
• Launi mai launi ko mai laushi
• Zuban jini daga babba ko ƙananan hanji

Mai ba da lafiyar ku zai yi gwajin jiki don neman:

• Liverara girman hanta ko baƙin ciki
• Tissuearfin ƙwayar nono
• Ciki ya kumbura, sakamakon yawan ruwa
• Dabino jajaye
• Jan jini kamar gizo-gizo kamar jini a fata
• Testananan ƙwararru
• Maganganun jijiyoyi a bangon ciki
• Idon rawaya ko fata (jaundice)

Kuna iya samun gwaje-gwaje masu zuwa don auna aikin hanta:

• Kammala lissafin jini
• Prothrombin lokaci
• Gwajin aikin hanta
• Matakan albumin jini

Sauran gwaje-gwaje don bincika lalacewar hanta sun haɗa da:

• Lissafin lissafi (CT) na ciki
• Hanyoyin fuska ta maganadisu (MRI) na ciki
• Endoscopy don bincika jijiyoyi mara haɗari a cikin esophagus ko ciki
• Duban dan tayi

Kuna iya buƙatar biopsy na hanta don tabbatar da ganewar asali.

SAUYIN YANAYI

Wasu abubuwan da zaku iya yi don taimakawa kula da cutar hanta sune:

• Kada ku sha barasa.
• Ku ci wani lafiyayyen abinci wanda yake ƙarancin gishiri, mai, da kuma mai sauƙin sauƙi.
• Yi allurar rigakafin cututtuka irin su mura, hepatitis A da B, da kuma cutar pneumonia pneumonia.
• Yi magana da mai baka game da dukkan magungunan da kake sha, haɗe da ganye da kari da magungunan kanti.
• Motsa jiki.
• Kula da matsalolin matsalolin ku na rayuwa, kamar hawan jini, ciwon sukari, da babban cholesterol.

MAGUNGUNA DAGA LIKITANKA

• Magungunan ruwa (diuretics) don kawar da haɓakar ruwa
• Vitamin K ko kayan jini don hana yawan zubar jini
• Magunguna don rikicewar hankali
• Maganin rigakafi don cututtuka

SAURAN MAGUNGUNA

• Magungunan endoscopic don faɗaɗa jijiyoyi a cikin esophagus (varices)
• Cire ruwa daga ciki (paracentesis)
• Sanya kayan aiki na yau da kullun (TIPS) don gyara magudanar jini a cikin hanta

Lokacin da cirrhosis ya ci gaba zuwa ƙarshen cutar hanta, ana iya buƙatar dasa hanta.

Sau da yawa zaku iya sauƙaƙa damuwar rashin lafiya ta hanyar haɗuwa da ƙungiyar tallafawa cutar hanta wanda membobinta ke raba abubuwan da suka dace da matsaloli.

Cutar cirrhosis tana faruwa ne sakamakon tabin hanta. A mafi yawan lokuta, hanta ba zata iya warkewa ko komawa zuwa aikinta ba da zarar lalacewa tayi tsanani. Cutar cirrhosis na iya haifar da rikitarwa mai tsanani.

Matsaloli na iya haɗawa da:

• Rashin jini
• Ruwan ruwa a cikin ciki (ascites) da kamuwa da ruwa (na kwayar cutar kwayar cuta)
• Manyan jijiyoyi a cikin esophagus, ciki, ko hanji wanda ke zubda jini cikin sauki (esophageal varices)
• Pressureara matsa lamba a cikin jijiyoyin jini na hanta (hauhawar jini ta ƙofar)
• Ciwon koda (ciwon mara na hepatorenal)
• Ciwon hanta (cututtukan hanta na hanta)
• Rikicewar hankali, canji a matakin farkawa, ko suma (cututtukan hanta)

Kira mai ba ku sabis idan kun ci gaba bayyanar cututtuka na cirrhosis.

Nemi taimakon gaggawa na gaggawa kai tsaye idan kana da:

• Ciwon ciki ko kirji
• Ciwan ciki ko hauhawa wanda yake sabo ko kwatsam sai yayi muni
• Zazzabi (zafin jiki ya fi 101 ° F ko 38.3 ° C)
• Gudawa
• Rikicewa ko canjin jijjiga, ko kuma ya kara munana
• Zubar jini na bayan gida, amai, ko jini a cikin fitsarin
• Rashin numfashi
• Amai fiye da sau daya a rana
• Fata mai launin rawaya ko idanu (jaundice) wacce ke sabo ko ta yi muni da sauri

KADA KA sha giya. Yi magana da mai ba ka idan kana damuwa game da shan ka. Auki matakai don hana kamuwa da cutar hepatitis B ko C ko kuma isar da shi ga wasu mutane.

Ciwan hanta; Ciwon hanta na kullum; Liverarshen cutar hanta; Rashin hanta - cirrhosis; Ascites - cirrhosis

• Cirrhosis - fitarwa

• Gabobin tsarin narkewar abinci
• Tsarin narkewa
• Ciwan hanta - CT scan

Garcia-Tsao G. Cirrhosis da kuma bayanansa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 144.

Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. ACG Clinic Guideline: cutar hanta mai giya. Am J Gastroenterol. 2018; 113 (2): 175-194. PMID: 29336434 pubmed.ncbi.nlm.nih.gov/29336434/.

Wilson SR, Withers CE. Hanta. A cikin: Rumack CM, Levine D, eds. Binciken Duban dan tayi. 5th ed. Philadelphia, PA: Elsevier; 2018: babi na 4.