Ciwon Hemolytic-uremic

Shiga-kamar toxin samar E coli cututtukan hemolytic-uremic (STEC-HUS) cuta ce da galibi ke faruwa yayin da kamuwa da cuta a cikin tsarin narkewar abinci ya haifar da abubuwa masu guba.Waɗannan abubuwa suna lalata jajayen ƙwayoyin jini kuma suna haifar da rauni a koda.

Ciwon Hemolytic-uremic ciwo (HUS) sau da yawa yakan faru ne bayan kamuwa da cututtukan ciki tare da E coli kwayoyin cuta (Escherichia coli O157: H7). Koyaya, yanayin yana da alaƙa da wasu cututtukan ciki, ciki har da shigella da salmonella. Hakanan an danganta shi da cututtukan nongastrointestinal.

HUS ya fi yawa a cikin yara. Wannan shine mafi yawan dalilin rashin saurin koda a cikin yara. Yawancin cututtukan da ke faruwa an danganta su da naman alade na hamburger wanda ya gurɓata E coli.

E coli za a iya daukar kwayar cutar ta hanyar:

• Saduwa daga mutum daya zuwa wani
• Yin amfani da abincin da ba a dafa ba, kamar su kayan madara ko naman shanu

STEC-HUS ba za a rikita shi da HUS mara kyau ba (aHUS) wanda ba shi da alaƙa da cuta. Ya yi kama da wata cuta da ake kira thrombotic thrombocytopenic purpura (TTP).

STEC-HUS yakan fara ne da amai da gudawa, wanda kan iya zama jini. A cikin mako guda, mutumin na iya zama mai rauni da fushi. Mutane masu wannan matsalar na iya yin fitsari kasa da yadda aka saba. Fitsarin fitsari na iya kusan tsayawa.

Rushewar ƙwayoyin jini yana haifar da alamun rashin jini.

Alamun farko:

• Jini a cikin kujerun
• Rashin fushi
• Zazzaɓi
• Rashin nutsuwa
• Amai da gudawa
• Rashin ƙarfi

Daga baya bayyanar cututtuka:

• Isingaramar
• Rage hankali
• Urinearancin fitsari
• Babu fitowar fitsari
• Maɗaukaki
• Kwace - rare
• Fushin fata wanda yayi kama da ɗigon ja mai kyau (petechiae)

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Wannan na iya nuna:

• Hanta ko kumburin ciki
• Tsarin jijiyoyi suna canzawa

Gwajin dakin gwaje-gwaje zai nuna alamun cutar anemia da ƙarancin koda. Gwaje-gwaje na iya haɗawa da:

• Gwajin jini (PT da PTT)
• Cikakken rukunin rayuwa na iya nuna ƙara matakan BUN da creatinine
• Cikakke ƙididdigar jini (CBC) na iya nuna ƙarar ƙwanƙarin ƙwayar ƙwayar jini da rage ƙimar ƙwayoyin jinin jini
• Yawanci yawan platelet yana raguwa
• Yin fitsari na iya bayyana jini da furotin a cikin fitsarin
• Fitsarin furotin na fitsari na iya nuna yawan furotin a cikin fitsari

Sauran gwaje-gwaje:

• Al'adun kurarraji na iya zama tabbatacce ga wani nau'in E coli kwayoyin cuta ko wasu kwayoyin cuta
• Ciwon ciki
• Koda biopsy (a cikin wasu lokuta)

Jiyya na iya ƙunsar:

• Dialysis
• Magunguna, kamar su corticosteroids
• Gudanar da ruwaye da lantarki
• Yin ƙarin jini na cike da jan jini da platelets

Wannan cuta ce mai tsananin gaske ga yara da manya, kuma yana iya haifar da mutuwa. Tare da magani mai kyau, fiye da rabin mutane zasu warke. Sakamakon ya fi kyau ga yara fiye da manya.

Matsaloli na iya haɗawa da:

• Matsalar daskarewar jini
• Anaemia mai raunin jini
• Rashin koda
• Hauhawar jini da ke haifar da kamuwa, rashin hankali, da sauran matsalolin tsarin jijiyoyi
• Fewananan platelet (thrombocytopenia)
• Uremia

Kira mai ba ku sabis idan kun ci gaba bayyanar cututtukan HUS. Alamun gaggawa sun haɗa da:

• Jini a cikin buta
• Babu yin fitsari
• Rage faɗakarwa (sani)

Kirawo mai ba ku sabis idan kun taɓa fuskantar matsalar HUS kuma fitsarinku yana raguwa, ko kuma kun sami wasu sababbin alamun.

Kuna iya hana sanannen sanadi, E coli, ta hanyar dafa hamburger da sauran nama da kyau. Hakanan ya kamata ku guji haɗuwa da ruwa mara tsabta kuma ku bi hanyoyin wanke hannu da kyau.

KAI; STEC-HUS; Ciwon Hemolytic-uremic

• Tsarin fitsarin maza

Alexander T, Licht C, Smoyer WE, Rosenblum ND. Cututtukan koda da na fitsari na sama a cikin yara. 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: 72.

Mele C, Noris M, Remuzzi G. Hemolytic uremic ciwo. A cikin: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Kulawa mai mahimmanci Nephrology. 3rd ed. Philadelphia, PA: Elsevier; 2019: sura 50.

Schneidewend R, Epperla N, Friedman KD. Tsarin jini na thrombotic thrombocytopenic da kuma cututtukan uremic na uremic. A cikin: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Ka'idoji da Aiki. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 134.