Nephrocalcinosis

Nephrocalcinosis cuta ne wanda a cikin sa akwai alli mai yawa da aka ajiye a cikin koda. Abu ne gama gari a jariran da basu isa haihuwa ba.

Duk wata cuta da ke haifar da babban ƙwayar alli a cikin jini ko fitsari na iya haifar da nephrocalcinosis. A cikin wannan matsalar, alli yana ajiyewa a cikin ƙwayar koda kanta. Mafi yawan lokuta, duka koda suna shafar.

Nephrocalcinosis yana da dangantaka da, amma ba daidai yake da, duwatsun koda (nephrolithiasis).

Yanayin da zai iya haifar da nephrocalcinosis sun hada da:

• Syndome na Alport
• Ciwon Bartter
• Na kullum glomerulonephritis
• Haɗuwa ta iyali
• Medullary soso koda
• Primary hyperoxaluria
• Jectionin yarda dashi
• Renal tubular acidosis (RTA)
• Enalunƙarar ƙwayar ƙwayar cuta

Sauran abubuwan da ke haifar da nephrocalcinosis sun hada da:

• Cutar guba na ethylene glycol
• Hypercalcemia (ƙari mai yawa a cikin jini) saboda hyperparathyroidism
• Amfani da wasu magunguna, kamar acetazolamide, amphotericin B, da triamterene
• Sarcoidosis
• Tarin fuka na koda da cututtuka masu alaƙa da cutar kanjamau
• Vitamin D mai guba

Mafi yawan lokuta, babu alamun farko na nephrocalcinosis fiye da yanayin da ke haifar da matsalar.

Mutanen da suke da duwatsun koda na iya samun:

• Jini a cikin fitsari
• Zazzabi da sanyi
• Tashin zuciya da amai
• Tsanani mai zafi a yankin ciki, ɓangarorin baya (flank), makwancin gwaiwa, ko ƙwanji

Daga baya alamun cututtukan da suka danganci nephrocalcinosis na iya kasancewa tare da gazawar koda na dogon lokaci (na kullum).

Ana iya gano cutar ta Nephrocalcinosis lokacin da alamun rashin isasshen koda, gazawar koda, toshewar uropathy, ko kuma duwatsun fitsari.

Gwajin hoto na iya taimakawa wajen gano wannan yanayin. Gwajin da za a iya yi sun hada da:

• CT scan na ciki
• Duban dan tayi

Sauran gwaje-gwajen da za a iya yi don tantancewa da ƙayyade tsananin cututtukan haɗuwa sun haɗa da:

• Gwajin jini don bincika matakan alli, phosphate, uric acid, da parathyroid hormone
• Yin fitsari don ganin lu'ulu'u da bincika jajayen ƙwayoyin jini
• Tarin fitsari na awa 24 don auna acidity da matakan kalsiyam, sodium, uric acid, oxalate, da citrate

Manufar magani ita ce ta rage alamomin kuma a hana yawan alli daga ginawa a koda.

Jiyya zai ƙunshi hanyoyi don rage ƙananan matakan ƙwayar calcium, phosphate, da oxalate a cikin jini da fitsari. Zaɓuɓɓukan sun haɗa da yin canje-canje a cikin abincinku da shan magunguna da kari.

Idan kun sha magani wanda ke haifar da asarar alli, mai ba ku kiwon lafiya zai gaya muku ku daina shan shi. Kada ka daina shan kowane magani kafin magana da mai baka.

Sauran cututtukan, gami da duwatsun koda, ya kamata a kula da su yadda ya dace.

Abin da ake tsammani ya dogara da rikitarwa da kuma dalilin cutar.

Yin magani mai kyau na iya taimakawa wajen hana ƙarin ajiya a cikin koda. A mafi yawan lokuta, babu wata hanyar cire adibas ɗin da suka riga suka samu. Yawancin adadin kalsiyam a cikin kodan KADA koyaushe suna nufin mummunar lalacewar koda.

Matsaloli na iya haɗawa da:

• Ciwon koda
• Ciwon koda na tsawon lokaci
• Dutse na koda
• Uropathy mai lalacewa (mai tsanani ko na yau da kullun, na gefe ɗaya ko na biyu)

Kira mai ba ku sabis idan kun san kuna da cuta wanda ke haifar da yawan ƙwayoyin calcium a cikin jini da fitsarinku. Har ila yau kira idan kun ci gaba bayyanar cututtuka na nephrocalcinosis.

Gaggauta lura da cututtukan da ke haifar da nephrocalcinosis, gami da RTA, na iya taimaka hana shi daga ci gaba. Shan ruwa mai yawa don kiyaye koda da zubar ruwa zai taimaka wajen hana ko rage samuwar dutse shi ma.

• Dutse na koda - abin da za a tambayi likita

• Tsarin fitsarin maza

Bushinsky DA. Dutse na koda. A cikin: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 32.

Chen W, Monk RD, Bushinsky DA. Nephrolithiasis da nephrocalcinosis. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 57.

Tublin M, Levine D, Thurston W, Wilson SR. Koda da fitsari. A cikin: Rumack CM, Levine D, eds. Binciken Duban dan tayi. 5th ed. Philadelphia, PA: Elsevier; 2018: babi na 9.

Vogt BA, Springel T. Koda da sashin fitsari na jariri. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 93.