Ciwon Bartter

Bartter ciwo wani rukuni ne na ƙananan yanayi wanda ke shafar kodan.

Akwai larurorin jiji guda biyar da aka sani da alaƙa da cutar Bartter. Yanayin yana nan lokacin haihuwa (na haihuwa).

Yanayin ya samo asali ne daga nakasar da ke cikin kodar ta sake dawo da sodium. Mutanen da cutar ta Bartter ta shafa suna rasa sodium mai yawa ta cikin fitsari.Wannan yana haifar da hauhawar matakin hormone aldosterone, kuma yana sa kodan su cire potassium mai yawa daga jiki. Wannan an san shi da ɓarnatarwar potassium.

Yanayin kuma yana haifar da rashin daidaiton alamomin cikin jini wanda ake kira hypokalemic alkalosis, wanda ke haifar da alli mai yawa a cikin fitsari.

Wannan cuta galibi tana faruwa ne tun yarinta. Kwayar cutar sun hada da:

• Maƙarƙashiya
• Yawan karuwar kiba ya fi na sauran yara masu kamanceceniya da jinsi (rashin ci gaban)
• Ana buƙatar yin fitsari fiye da yadda aka saba (yawan fitsari)
• Pressureananan hawan jini
• Dutse na koda
• Craarfafa tsoka da rauni

Ciwan Bartter galibi ana zarginsa yayin gwajin jini ya sami ƙarancin potassium a cikin jini. Ba kamar sauran cututtukan cututtukan koda ba, wannan yanayin baya haifar da hawan jini. Akwai halin karkata zuwa hawan jini. Gwajin gwaje-gwaje na iya nuna:

• Babban matakan potassium, calcium, da chloride a cikin fitsari
• Babban matakan hormones, renin da aldosterone, a cikin jini
• Charamar chloride
• Alkalosis na rayuwa

Waɗannan alamu da alamomin guda ɗaya na iya faruwa a cikin mutanen da ke shan diuretics da yawa (kwayoyi na ruwa) ko na shafawa. Za'a iya yin gwajin fitsari dan kauda wasu dalilai.

Ana iya yin duban dan tayi na kodan.

Ana magance cututtukan Bartter ta cin abinci mai wadataccen potassium ko shan abubuwan ƙarin potassium.

Mutane da yawa suma suna buƙatar gishiri da magnesium kari. Ana iya buƙatar magani wanda ke toshe ikon koda don kawar da potassium. Hakanan za'a iya amfani da babban allurai na cututtukan cututtukan cututtukan nonsteroidal (NSAIDs).

Yaran da ke fama da gazawar girma na iya girma daidai da magani. Bayan lokaci, wasu mutanen da ke da cutar za su kamu da ciwon koda.

Kira mai ba da sabis na kiwon lafiya idan ɗanka ya kasance:

• Samun ciwon jiji
• Ba girma sosai ba
• Yin fitsari akai-akai

Batar da sinadarin potassium; Rashin narkar da gishiri

• Gwajin matakin Aldosterone

Dixon BP. Rashin daidaito na jigilar jigilar jini: Bartter ciwo. A cikin: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi 549.1

Guay-Woodford LM. Nephropathies na gado da rashin ci gaban hanyoyin urinary. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 119.

Dutsen DB. Rashin lafiya na ma'aunin potassium. A cikin: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner da Rector na Koda. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 17.