Ciwon koda

Rashin ciwon koda shine saurin (kasa da kwana 2) na rashin ikon kodar ka wajen cire almubazzaranci da taimakawa daidaita ruwaye da wutan lantarki a jikin ka.

Akwai dalilai da yawa da zasu iya haifar da cutar koda. Sun hada da:

• Necrosis mai saurin gaske (ATN; lalacewar ƙwayoyin tubule na kodan)
• Ciwon koda na autoimmune
• Jinin jini daga cholesterol (cholesterol emboli)
• Rage gudan jini saboda ƙarancin jini, wanda zai iya haifar da ƙonewa, rashin ruwa a jiki, zubar jini, rauni, gigicewar juji, rashin lafiya mai tsanani, ko tiyata
• Cutar da ke haifar da daskarewa a cikin jijiyoyin jinin koda
• Cututtukan da ke cutar da koda kai tsaye, kamar su pyelonephritis ko septicemia
• Rikici na ciki, gami da ɓarnawar mahaifa ko previa
• Tsananin fitsarin
• Miyagun kwayoyi kamar su hodar iblis da jarumtaka
• Magunguna ciki har da magungunan da ba na cututtukan steroidal ba (NSAIDs), wasu maganin rigakafi da magungunan hawan jini, bambancin jijiyoyin jini (fenti), wasu kansar da kwayoyi masu kanjamau

Kwayar cututtukan cututtukan koda da yawa na iya haɗawa da ɗayan masu zuwa:

• Kujerun jini
• Warin numfashi da ƙarfen ɗanɗano a cikin baki
• Bruising a sauƙaƙe
• Canje-canje a yanayin hankali ko yanayi
• Rage ci
• Rage jin dadi, musamman a hannu ko ƙafa
• Gajiya ko raunin motsi
• Ciwan mara (tsakanin haƙarƙari da ƙugu)
• Girgiza hannu
• Zuciyar zuciya
• Hawan jini
• Tashin zuciya ko amai, na iya ɗaukar kwanaki
• Hancin Hanci
• Hiccups mai dorewa
• Zubar da jini na tsawan lokaci
• Kamawa
• Rashin numfashi
• Kumburi saboda ajiyar jiki cikin ruwa (ana iya gani a kafafu, duwawu, da ƙafa)
• Canjin fitsari, kamar kaɗan ko babu fitsari, yawan yin fitsari da dare, ko fitsarin da yake tsayawa gaba ɗaya

Mai ba da sabis na kiwon lafiya zai bincika ku.

Gwaje-gwajen da aka yi don a duba yadda kododinku suke aiki sun hada da:

• BUN
• Yarda da halittar
• Maganin creatinine
• Maganin sinadarin potassium
• Fitsari

Sauran gwaje-gwajen jini za'a iya yin su domin gano musabbabin gazawar koda.

Koda ko duban dan tayi shine gwajin da aka fi so don binciko toshewar hanyoyin fitsari. X-ray, CT scan, ko MRI na ciki kuma suna iya bayyana ko akwai toshewar wani abu.

Da zarar an gano musabbabin, makasudin magani shi ne taimakawa kodan ku su sake yin aiki tare da hana ruwa da kuma datti yin gini a jikin ku yayin da suke warkewa. Yawancin lokaci, dole ne ku kwana a asibiti don magani.

Adadin ruwan da za ku sha zai iyakance ga yawan fitsarin da za ku iya samarwa. Za a gaya muku abin da za ku iya kuma ba za ku ci ba don rage yawan toxin da kodan za su cire koyaushe. Abincinku na iya buƙatar zama mai ƙarancin carbohydrates da ƙarancin furotin, gishiri, da potassium.

Kuna iya buƙatar maganin rigakafi don magance ko hana kamuwa da cuta. Ana iya amfani da kwayoyi na ruwa (diuretics) don taimakawa cire ruwa daga jikinka.

Za a ba da magunguna ta wata jijiya don taimaka wajan kula da ƙwayar potassium ɗin jinin ku.

Kuna iya buƙatar dialysis. Wannan magani ne da ke yin abin da kododin lafiya ke yi koyaushe - kawar da jiki daga lalatattun abubuwa, ƙarin gishiri, da ruwa. Dialysis zai iya cetar da ranka idan matakan potassium sun haɗu da haɗari. Hakanan za'a yi amfani da dialysis idan:

• Yanayin hankalinku ya canza
• Kuna ci gaba da cutar pericarditis
• Kuna riƙe ruwa da yawa
• Ba za ku iya cire kayan sharar nitrogen daga jikinku ba

Dialysis galibi zai zama gajere. A wasu lokuta, lalacewar koda yana da girma har ana bukatar wankin koda har abada.

Kira wa masu samar maka idan fitsarinka ya yi jinkiri ko ya tsaya ko kuma kana da wasu alamun rashin saurin koda.

Don hana mummunan ƙwayar koda:

• Matsalolin lafiya kamar su hawan jini ko ciwon suga ya kamata a sarrafa su da kyau.
• Guji magunguna da magungunan da zasu iya haifar da rauni a koda.

Rashin koda; Rashin koda; Rashin koda - m; ARF; Koda rauni - m

• Ciwon jikin koda

Molitoris BA. Ciwon koda mai tsanani. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 112.

Oh MS, Briefel G. Kimantawa game da aikin koda, ruwa, wutan lantarki, da daidaiton tushen acid. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 14.

Weisbord SD, Palevsky PM. Rigakafin da kula da mummunan rauni na koda. A cikin: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner da Rector na Koda. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 29.