Rarraba ƙwayar tubular acidosis

Distal renular tubular acidosis cuta ce da ke faruwa yayin da kodan ba su cire asid daga cikin jini yadda ya kamata cikin fitsari ba. A sakamakon haka, yawan acid ya kasance a cikin jini (wanda ake kira acidosis).

Lokacin da jiki yayi ayyukanta na yau da kullun, yakan samar da acid. Idan ba a cire wannan ruwan ko cire shi ba, to jinin ya zama da yawa. Wannan na iya haifar da rashin daidaiton lantarki a cikin jini. Hakanan yana iya haifar da matsaloli tare da aikin yau da kullun na wasu ƙwayoyin.

Kodan na taimakawa wajen sarrafa sinadarin acid na jiki ta hanyar cire acid daga cikin jini da fitar da shi cikin fitsari.

Distal renular tubular acidosis (nau'in I RTA) yana faruwa ne sakamakon lahani a cikin tubes na koda wanda ke haifar da acid a cikin jini.

Nau'in I RTA ya samo asali ne ta yanayi daban-daban, gami da:

• Amyloidosis, haɓakar furotin mara kyau, wanda ake kira amyloid, a cikin kyallen takarda da gabobi
• Cutar cuta, ɓarnar ɓarna a cikin jikin wani nau'in abu mai ƙanshi
• Babban matakin alli a cikin jini
• Cutar sikila, jajayen ƙwayoyin jini waɗanda suke kama da sihiri suna ɗaukar sikila ko jinjirin wata
• Ciwon Sjögren, rashin lafiya na autoimmune wanda glandon da ke samar da hawaye da miyau suka lalace
• Tsarin lupus erythematosus, cuta mai kashe kansa wanda tsarin garkuwar jiki yayi kuskuren afkawa da lafiyayyen nama
• Cutar Wilson, cuta ce ta gado wacce akwai jan ƙarfe da yawa a cikin kyallen takarda
• Amfani da wasu magunguna, kamar su amphotericin B, lithium, da analgesics

Kwayar cututtukan ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ta haɗa da ɗayan masu zuwa:

• Rikicewa ko raguwar faɗakarwa
• Gajiya
• Rashin ci gaban yara
• Breathingara yawan numfashi
• Dutse na koda
• Nephrocalcinosis (alli da yawa da aka ajiye a kodan)
• Osteomalacia (taushin ƙasusuwa)
• Raunin jijiyoyi

Sauran cututtuka na iya haɗawa da:

• Ciwon ƙashi
• Rage fitowar fitsari
• Ara yawan bugun zuciya ko bugun zuciya mara tsari
• Ciwon tsoka
• Jin zafi a baya, flan, ko ciki
• Rashin lafiyar kwarangwal

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamunku.

Gwajin da za'a iya yin oda sun hada da:

• Gas na jini na jini
• Jikin sunadarai
• Fitsarin pH
• Gwajin Acid-load
• Gwajin jiko na Bicarbonate
• Fitsari

Ana iya ganin alamun kalsiyam a cikin kodan da duwatsun koda a kan:

• X-haskoki
• Duban dan tayi
• CT dubawa

Makasudin shine a dawo da daidaiton ruwan acid da daidaiton lantarki a jiki. Wannan zai taimaka wajen magance rikicewar kashi da kuma rage sinadarin calcium a cikin kodan (nephrocalcinosis) da kuma duwatsun koda.

Yakamata a gyara asalin abin da ke haifarda cututtukan koda koda za'a iya gano shi.

Magungunan da za'a iya ba da umarni sun haɗa da citrate na potassium, sodium bicarbonate, da turezide diuretics. Wadannan sune magungunan alkaline wadanda suke taimakawa gyara yanayin acid din jiki. Sodium bicarbonate na iya gyara asarar potassium da alli.

Dole ne a magance wannan cuta don rage tasirinsa da rikitarwa, wanda na iya zama na dindindin ko na barazanar rai. Yawancin lokuta suna samun sauƙi tare da magani.

Kirawo mai ba ku sabis idan kuna da alamun bayyanar cututtukan ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta.

Nemi taimakon likita kai tsaye idan ka ci gaba da alamun gaggawa kamar:

• Rage hankali
• Kamawa
• Decreaseara ƙwarai a cikin faɗakarwa ko fuskantarwa

Babu rigakafin wannan cuta.

Renal tubular acidosis - distal; Renal tubular acidosis type I; Rubuta I RTA; RTA - distal; Na gargajiya RTA

• Ciwon jikin koda
• Koda - jini da fitsari suna gudana

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.

Dixon BP. Renal tubular acidosis. 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 na 547.

Seifter JL. Rikicin Acid-base. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi 110.