Ciwon hanta mai giya

Cutar hanta mai giya ita ce lalata hanta da aikinta saboda shan giya.

Ciwon hanta na giya yana faruwa bayan shekaru na shan giya mai yawa. Yawancin lokaci, tabo da cututtukan cirrhosis na iya faruwa. Cirrhosis shine matakin ƙarshe na cutar hanta mai giya.

Cutar hanta mai haɗari ba ta faruwa a cikin duk masu shan giya mai ƙarfi. Samun damar kamuwa da cutar hanta ya haura tsawon lokacin da kuke sha da yawan giya da kuke sha. Ba lallai ne ku bugu ba don cutar ta faru.

Cutar ta zama ruwan dare ga mutane tsakanin shekara 40 zuwa 50. Maza sun fi fuskantar wannan matsalar. Koyaya, mata na iya kamuwa da cutar bayan ƙarancin shaye-shaye fiye da maza. Wasu mutane na iya samun haɗarin gado don cutar.

Zai yiwu babu alamun bayyanar, ko alamun na iya zuwa a hankali. Wannan ya dogara da yadda hanta ke aiki. Kwayar cututtukan na daɗa zama mafi muni bayan tsawon shan giya mai yawa.

Alamun farko sun hada da:

• Rashin kuzari
• Rashin cin abinci da rashi nauyi
• Ciwan
• 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 na ƙafafu (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
• Arami mai sauƙi da zubar jini mara kyau
• Rikicewa ko matsalolin tunani
• Launi mai launi ko mai laushi

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)

Gwaje-gwajen da za ku iya yi sun haɗa da:

• Kammala ƙididdigar jini (CBC)
• Gwajin aikin hanta
• Nazarin coagulation
• Gwajin hanta

Gwaje-gwaje don kawar da wasu cututtuka sun haɗa da:

• CT scan na ciki
• Gwajin jini don wasu dalilai na cutar hanta
• Duban dan tayi
• Elastography na duban dan tayi

SAUYIN YANAYI

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

• Dakatar da shan giya.
• Ku ci lafiyayyen abinci wanda bashi da gishiri.
• Yi allurar rigakafin cututtuka irin su mura, hepatitis A da hepatitis B, da pneumococcal pneumonia.
• Yi magana da mai baka game da dukkan magungunan da kake sha, haɗe da ganye da kari da magungunan kanti.

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

• Endoscopic jiyya don kara girman jijiyoyi a cikin esophagus (esophageal 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. Yin dashen hanta don cutar hanta ta giya ana la’akari da shi ne kawai ga mutanen da suka kauracewa shan barasa gaba daya tsawon watanni 6.

Mutane da yawa suna amfana daga shiga kungiyoyin tallafi don shaye-shaye ko cutar hanta.

Cutar hanta mai giya abar magani ce idan aka kama ta kafin ta haifar da mummunar lahani. Koyaya, ci gaba da shan giya mai yawa na iya rage tsawon rayuwar ku.

Cirrhosis yana kara lalata yanayin kuma yana iya haifar da rikitarwa mai tsanani. Idan akwai mummunar lalacewa, hanta ba zai iya warkewa ko komawa aiki na yau da kullun ba.

Matsaloli na iya haɗawa da:

• Rashin jini (coagulopathy)
• 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)

Tuntuɓi mai ba ka sabis idan ka:

• Ci gaba da alamun cutar hanta mai giya
• Ci gaba bayyanar cututtuka bayan dogon lokaci na yawan shan giya
• Kuna damu cewa shan giya na iya cutar da lafiyar ku

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
• Sabon rikicewa ko canjin wayewar kai, 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

Yi magana da kai tsaye ga mai baka game da shan giya. Mai ba da sabis na iya yi maka nasiha game da yadda giya ke da illa a gare ka.

Ciwon hanta saboda giya; Cirrhosis ko hepatitis - giya; Cutar sankara ta Laennec

• Cirrhosis - fitarwa

• Tsarin narkewa
• Hanta jikin mutum
• Hanta mai ƙyama - CT scan

Carithers RL, McClain CJ. Ciwon hanta mai giya. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 86.

Chalasani NP. Maganin giya da nonko-steatohepatitis. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 143.

Haines EJ, Oyama LC. Rashin hankali na hanta da biliary tract. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 80.

Hübscher SG. Ciwon hanta wanda ke haifar da giya. A cikin: Saxena R, ed. Hanyar Hanyar Hanyar Hanyar Hanyar Hanyar Hanya: Hanyar Bincike. 2nd ed. Philadelphia, PA: Elsevier; 2018: babi na 24.