Rhabdomyolysis

Rhabdomyolysis shine fashewar ƙwayar tsoka wanda ke haifar da sakin ƙwayoyin zaren tsoka cikin jini. Wadannan abubuwa suna cutar da koda kuma galibi suna lalata koda.

Lokacin da tsoka ta lalace, akan fitar da sunadarin myoglobin a cikin jini. Ana sarrafa shi daga jiki da koda. Myoglobin ya shiga cikin abubuwa waɗanda zasu iya lalata ƙwayoyin koda.

Rhabdomyolysis na iya haifar da rauni ko kuma duk wani yanayin da ke lalata jijiyoyin ƙashi.

Matsalolin da ka iya haifar da wannan cutar sun haɗa da:

• Rauni ko murkushe rauni
• Amfani da kwayoyi kamar su hodar iblis, amphetamines, statins, heroin, ko PCP
• Cututtukan ƙwayoyin tsoka
• Matsanancin zafin jiki
• Ischemia ko mutuwar ƙwayar tsoka
• Phospananan matakan phosphate
• Kamawa ko rawar jiki
• Exwazo mai ƙarfi, kamar su gudun fanfalaki ko calisthenics
• Tsarin tiyata na tsawon lokaci
• Rashin ruwa mai tsanani

Kwayar cutar na iya haɗawa da:

• Fitsari mai duhu, ja, ko cola
• Rage fitowar fitsari
• Babban rauni
• Musarfin tsoka ko ciwo (myalgia)
• Taushin tsoka
• Raunin jijiyoyin da abin ya shafa

Sauran alamun da zasu iya faruwa tare da wannan cuta:

• Gajiya
• Hadin gwiwa
• Kamawa
• Karuwar nauyi (ba da niyya ba)

Gwajin jiki zai nuna taushi ko lalacewar tsokoki.

Za a iya yin gwaje-gwaje masu zuwa:

• Matsayin Creatine kinase (CK)
• Maganin alli
• Maganin myoglobin
• Maganin sinadarin potassium
• Fitsari
• Fitsarin gwajin myoglobin

Wannan cutar na iya shafar sakamakon gwajin da ke gaba:

• CK isoenzymes
• Maganin creatinine
• Fitsararrun fitsari

Kuna buƙatar samun ruwa mai ɗauke da bicarbonate don taimakawa hana lalacewar koda. Kila iya buƙatar samun ruwa ta jijiya (IV). Wasu mutane na iya buƙatar wankin koda.

Mai kula da lafiyar ku na iya rubuta magunguna ciki har da maganin diuretics da bicarbonate (idan akwai isasshen fitsari).

Hyperkalemia da ƙananan ƙwayoyin calcium (hypocalcemia) ya kamata a bi dasu yanzunnan. Hakanan ya kamata a magance gazawar koda.

Sakamakon ya dogara da yawan lalacewar koda. Mutuwar gazawar koda yana faruwa a cikin mutane da yawa. Samun magani jim kaɗan bayan rhabdomyolysis zai rage haɗarin lalacewar koda ta dindindin.

Mutanen da ke da larurar sauƙin na iya komawa ga harkokin su na yau da kullun tsakanin weeksan makonni zuwa wata. Koyaya, wasu mutane suna ci gaba da samun matsaloli tare da gajiya da ciwon tsoka.

Matsaloli na iya haɗawa da:

• Cananan ƙwayar ƙwayar ƙwayar cuta
• M gazawar koda
• Rashin daidaituwar sinadarai mai cutarwa a cikin jini
• Shock (ƙananan jini)

Kirawo mai ba ku sabis idan kuna da alamun cutar rhabdomyolysis.

Rhabdomyolysis za a iya kauce masa ta:

• Shan ruwa mai yawa bayan motsa jiki mai wahala.
• Cire karin tufafi da nitsar da jiki cikin ruwan sanyi idan zafin ya faru.

• Ciwon jikin koda

Haseley L, Jefferson JA. Pathophysiology da etiology na ciwon koda mai rauni. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: sura 66.

O'Connor FG, Deuster PA. Rhabdomyolysis. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier; 2020: babi na 105.

Parekh R. Rhabdomyolysis. 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 119.