Ruwan ruwa-Friderichsen

Waterhouse-Friderichsen ciwo (WFS) rukuni ne na alamomin cutar sakamakon gazawar glandon adrenal don yin aiki daidai sakamakon zubar jini cikin gland.

Glandan adrenal sune gland-siffa biyu-uku. Gland daya yana saman kowacce koda. Gland din adrenal yana samarwa da kuma fitar da wasu sinadarai daban daban wadanda jiki yake bukata suyi aiki daidai. Kwayoyin adrenal na iya kamuwa da cututtuka da yawa, kamar su cututtuka kamar WFS.

WFS yana faruwa ne ta hanyar kamuwa da cuta mai tsanani tare da kwayoyin meningococcus ko wasu kwayoyin, kamar:

• Rukunin B streptococcus
• Pseudomonas aeruginosa
• Streptococcus ciwon huhu
• Staphylococcus aureus

Kwayar cutar tana faruwa farat ɗaya. Hakan ya faru ne saboda kwayoyin cuta da ke girma (ninkawa) a cikin jiki. Kwayar cutar sun hada da:

• Zazzabi da sanyi
• Hadin gwiwa da ciwon tsoka
• Ciwon kai
• Amai

Kamuwa da kwayoyin cuta na haifar da zub da jini a cikin jiki duka, wanda ke haifar da:

• Rushewar jiki duka
• Yada yaduwar cutar cikin jijiyoyin jini wanda karamin dasassu ke yanke yankewar jini ga gabobin
• Hannun Septic

Zub da jini a cikin gland din yana haifar da rikicin adrenal, wanda ba a samar da isassun kwayoyin adrenal. Wannan yana haifar da bayyanar cututtuka kamar:

• Dizziness, rauni
• Rawan jini sosai
• Saurin bugun zuciya
• Rikicewa ko suma

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

Za ayi gwajin jini don tabbatar da kamuwa da kwayar cuta. Gwaje-gwaje na iya haɗawa da:

• Al'adar jini
• Kammala lissafin jini tare da banbanci
• Karatun jini

Idan mai samarda yana zargin kamuwa da cutar ta kwayar cutar meningococcus, sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• Lumbar huda don samo samfurin ruwan kashin baya don al'ada
• Biopsy na fata da tabo na Gram
• Nazarin fitsari

Gwaje-gwajen da za a iya ba da oda don taimakawa wajen gano mummunan rikicin adrenal sun haɗa da:

• ACTH (cosyntropin) gwajin motsawa
• Gwajin jinin Cortisol
• Sugar jini
• Gwajin jinin potassium
• Gwajin jinin sodium
• Jinin pH gwajin

Ana fara maganin rigakafi yanzun nan don magance cutar ta kwayan cuta. Hakanan za'a basu magungunan Glucocorticoid don magance karancin gland. Za a buƙaci jiyya mai goyan baya don sauran alamun.

WFS na mutuwa har sai an fara jinyar kwayar cutar nan da nan kuma aka ba da kwayoyi na glucocorticoid.

Don rigakafin WFS wanda kwayar cutar meningococcal ke haifarwa, ana samun rigakafi.

Cikakken meningococcemia - Ciwan Waterhouse-Friderichsen; Cikakken sepsis na maningococcal - Ciwan Waterhouse-Friderichsen; Zubar da jini adrenalitis

• Raunin sankarau a baya
• Adrenal gland hormone ɓoyewa

Stephens DS. Neisseria meningitides. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier Saunders; 2020: babi na 211.

Newell-Price JDC, Auchus RJ. Tsarin adrenal. 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 15.