Hyperkalemic lokaci-lokaci inna
Hyperkalemic lokaci-lokaci inna (hyperPP) cuta ce da ke haifar da larurar lokaci-lokaci na rauni na tsoka kuma wani lokacin ya fi matakin al'ada na potassium cikin jini. Sunan likitanci don babban matakin potassium shine hyperkalemia.
HyperPP ɗayan rukuni ne na rikice-rikicen ƙwayoyin cuta waɗanda suka haɗa da cutar shan inna na lokaci-lokaci na hypokalemic da cututtukan lokaci na thyrotoxic.
HyperPP na haihuwa ne. Wannan yana nufin yana nan lokacin haihuwa. A mafi yawan lokuta, ana yin ta ne ta hanyar dangi (wadanda aka gada) a matsayin babbar cuta ta Autosomal. A wata ma'anar, mahaifi ɗaya ne ke buƙatar ƙaddamar da kwayar cutar da ke da alaƙa da wannan yanayin ga ɗansu don abin ya shafa.
Lokaci-lokaci, yanayin na iya zama sakamakon matsalar kwayar halittar da ba a gada ba.
An yi imanin cewa rashin lafiyar yana da alaƙa da matsaloli game da yadda jiki ke sarrafa matakan sodium da potassium a cikin ƙwayoyin halitta.
Dalilai masu haɗari sun haɗa da samun wasu familyan uwa tare da inna. Yana shafar maza da mata daidai.
Kwayar cututtukan sun hada da hare-hare na rauni na tsoka ko asarar motsi (inna) wanda ke zuwa ya tafi. Akwai ƙarfin tsoka na al'ada tsakanin hare-hare.
Hare-hare sukan fara ne tun suna yara. Sau nawa hare-haren ke faruwa ya bambanta. Wasu mutane suna da hare-hare da yawa a rana. Galibi ba su da ƙarfi sosai don buƙatar magani. Wasu mutane sun haɗu da myotonia, wanda ba za su iya sakin tsokoki nan da nan bayan amfani ba.
Rashin rauni ko inna:
- Mafi yawanci yakan faru a kafadu, baya, da kwatangwalo
- Hakanan na iya haɗa da hannaye da ƙafafu, amma baya shafar ƙwayoyin idanu da tsokoki waɗanda ke taimakawa tare da numfashi da haɗiyewa
- Mafi yawanci yakan faru yayin hutawa bayan aiki ko motsa jiki
- Zai iya faruwa akan farkawa
- Yana faruwa kuma a kashe
- Yawancin lokaci yakan ɗauki mintuna 15 zuwa awa 1, amma ƙila zai iya ɗauka har tsawon yini ɗaya
Igarairai na iya haɗawa da:
- Cin abinci mai yawa
- Huta bayan motsa jiki
- Bayyanawa ga sanyi
- Tsallake abinci
- Cin abinci mai wadataccen potassium ko shan magungunan da ke dauke da sinadarin potassium
- Danniya
Mai ba da sabis na kiwon lafiya na iya zargin hyperPP dangane da tarihin iyali na rashin lafiyar. Sauran alamun alamun cutar sune alamun rashin ƙarfi na tsoka wanda ya zo kuma ya tafi tare da sakamako na yau da kullun ko na babban gwajin potassium.
Tsakanin hare-hare, gwajin jiki ba ya nuna komai. A lokacin da tsakanin hare-hare, matakin jinin potassium na iya zama na al'ada ko na sama.
Yayin kai hari, karfin tsoka ya ragu ko baya nan. Kuma tsokoki suna yin rauni maimakon tsayawa da ƙarfi. Groupsungiyoyin tsoka kusa da jiki, kamar kafadu da ƙugu, suna da hannu fiye da hannu da ƙafafu.
Gwajin da za a iya yi sun hada da:
- Electrocardiogram (ECG), wanda ka iya zama al'ada lokacin kai hari
- Electromyography (EMG), wanda yawanci al'ada ce tsakanin hare-hare da abubuwan da basu dace ba yayin kai hare-hare
- Gwajin muscle, wanda na iya nuna rashin daidaito
Sauran gwaje-gwaje na iya yin oda don kawar da wasu dalilai.
Makasudin magani shine don taimakawa bayyanar cututtuka da hana ci gaba da kai hari.
Hare-hare ba safai suke da ƙarfi sosai ba don buƙatar maganin gaggawa. Amma bugun zuciya ba bisa ƙa'ida ba (arrhythmias na zuciya) na iya faruwa yayin hare-hare, wanda ake buƙatar magani na gaggawa. Rashin rauni na tsoka na iya zama mafi muni tare da kai hare-hare akai-akai, don haka magani don hana kai hare-haren ya kamata ya faru da wuri-wuri.
Glucose ko sauran carbohydrates (sugars) da aka bayar yayin hari na iya rage tsananin alamun alamun. Alli ko diuretics (kwayoyi na ruwa) na iya buƙatar a ba su ta jijiya don tsayar da hare-hare ba zato ba tsammani.
Wani lokaci, hare-hare sukan ɓace daga baya a rayuwa da kansu. Amma sake kai hari na iya haifar da raunin tsoka na dindindin.
HyperPP yana amsawa da kyau ga magani. Jiyya na iya hana, kuma yana iya ma juyawa, raunin rauni na tsoka.
Matsalolin kiwon lafiya waɗanda zasu iya zama saboda hyperPP sun haɗa da:
- Dutse na koda (sakamako mai illa na magani da ake amfani da shi don magance yanayin)
- Bugun zuciya mara tsari
- Raunin tsoka wanda a hankali ke ci gaba da zama mafi muni
Kira mai ba ku sabis idan ku ko yaranku suna da rauni na tsoka da ke zuwa da zuwa, musamman idan kuna da familyan uwanku waɗanda ke da cutar rashin lafiya lokaci-lokaci.
Jeka dakin gaggawa ko kiran lambar gaggawa (kamar 911) idan ka suma ko ka sami wahalar numfashi, magana, ko haɗiyewa.
Magungunan acetazolamide da thiazides suna hana kai hare-hare a lokuta da yawa. Potassiumarancin potassium, abinci mai ƙarancin carbohydrate, da motsa jiki mai sauƙi na iya taimakawa wajen hana kai hare-hare. Gujewa yin azumi, aiki mai wahala, ko yanayin sanyi shima na iya taimakawa.
Rashin lafiya na lokaci-lokaci - hyperkalemic; Iyalin hyperkalemic lokaci-lokaci inna; HyperKPP; HyperPP; Cutar Gamstorp; Magungunan shan-inna na lokaci-lokaci
- Magungunan atrophy
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Kerchner GA, Ptácek LJ. Channelopathies: episodic da rikicewar lantarki na tsarin juyayi. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SK, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 99.
Moxley RT, Heatwole C. Channelopathies: rikice-rikice na myotonic da nakasa lokaci-lokaci. A cikin: Swaiman KF, Ashwal S, Ferriero DM, et al, eds. Swaiman's Neurology na Yara: Ka'idoji da Ayyuka. Na 6 ed. Philadelphia, PA: Elsevier; 2017: babi na 151.