Fibrorosis na Retroperitoneal

Retroperitoneal fibrosis cuta ce wacce ba kasafai ake samun toshe tubabbun (ureters) wadanda ke daukar fitsari daga koda zuwa mafitsara ba.

Fibrorosis na Retroperitoneal yana faruwa yayin da ƙarin ƙwayoyin fibrous suke samuwa a cikin yankin bayan ciki da hanji. Naman suna yin taro (ko talakawa) ko taurin fibrotic mai tauri. Yana iya toshe bututun da ke daukar fitsari daga koda zuwa mafitsara.

Dalilin wannan matsalar galibi ba a sani ba. An fi samun hakan ga mutanen da ke da shekaru 40 zuwa 60. Maza sun ninka yiwuwar kamuwa da cutar sau biyu kamar na mata.

Alamun farko:

• Jin zafi a cikin ciki wanda ke ƙaruwa tare da lokaci
• Jin zafi da canjin launi a ƙafafu (saboda raguwar gudan jini)
• Kumburin kafa daya

Daga baya bayyanar cututtuka:

• Rage fitowar fitsari
• Babu fitowar fitsari (anuria)
• Tashin zuciya, amai, canje-canje a yanayin tunanin mutum sakamakon lalacewar koda da gina sinadarai masu guba cikin jini
• Jin zafi mai tsanani tare da jini a cikin kujerun (saboda mutuwar ƙwayar hanji)

CT scan na ciki shine hanya mafi kyau don nemo taro na baya.

Sauran gwaje-gwajen da zasu iya taimakawa wajen gano wannan yanayin sun haɗa da:

• BUN da gwajin jini na creatinine
• Pyelogram na jijiyoyin jini (IVP), ba kamar yadda aka saba amfani dashi ba
• Koda duban dan tayi
• MRI na ciki
• CAT dubawa na ciki da kuma retroperitoneum

Hakanan za'a iya yin biopsy na taro don kawar da cutar kansa.

Ana fara gwada Corticosteroids. Wasu masu ba da kiwon lafiya kuma suna ba da magani wanda ake kira tamoxifen.

Idan maganin corticosteroid ba ya aiki, ya kamata a yi biopsy don tabbatar da cutar. Sauran magunguna don murƙushe tsarin garkuwar jiki na iya yin oda.

Lokacin da magani bai yi aiki ba, ana buƙatar tiyata da daskararru (magudanar bututu).

Hangen nesa zai dogara da girman matsalar da yawan lalacewar koda.

Lalacewar koda na iya zama na ɗan lokaci ko na dindindin.

Rashin lafiyar na iya haifar da:

• Ci gaba da toshewar bututun da ke fitowa daga koda a bangare daya ko duka biyu
• Rashin ciwon koda

Kirawo maaikatan ku idan kuna da ciwon ciki ko ciwon mara na gefe da fitsarin da yake fita.

Yi ƙoƙari ka guji amfani da magunguna na dogon lokaci wanda ya ƙunshi methysergide. Wannan miyagun ƙwayoyi an nuna shi don haifar da fibrosis retroperitoneal. Methysergide wani lokaci ana amfani dashi don magance ciwon kai na ƙaura.

Idiopathic retroperitoneal fibrosis; Cutar Ormond

• Tsarin fitsarin maza

Comperat E, Bonsib SM, Cheng L. Renal ƙashin ƙugu da ureter. A cikin: Cheng L, MacLennan GT, Bostwick DG, eds. Urologic Mutuwar Hoto. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 3.

Nakada SY, Mafi kyawun SL. Gudanar da toshewar hanyoyin fitsari na sama. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters, CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 49.

O'Connor OJ, Maher MM. Yankin urinary: bayyani game da jikin mutum, dabaru da kuma batutuwa masu jujjuyawa. A cikin: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Tsarin Rigakafin Hikimar Grainger & Allison: Littafin rubutu na likitancin hoto. Na 6 ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: babi na 35.

Shanmugam VK. Vasculitis da sauran cututtukan arteriopathies. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: sura 137.

Juyawa RH, Mizell J, Badgwell B. Bangon ciki, umbilicus, peritoneum, mesenteries, omentum, da retroperitoneum. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier Saunders; 2017: babi na 43.