Ciwon hawan jini mara kyau

Cutar rashin lafiya mai saurin lalacewa (MH) cuta ce da ke haifar da saurin saurin zafin jiki da kuma raunin jijiyoyin jiki yayin da wani mai cutar MH ya kamu da cutar gabaɗaya. MH ya wuce ta cikin dangi.

Hyperthermia na nufin yawan zafin jiki na jiki. Wannan yanayin ba daidai yake da hyperthermia daga gaggawa na gaggawa ba kamar su bugun zafin rana ko kamuwa da cuta.

MH ya gaji. Iyaye daya ne kawai za su dauki cutar don yaro ya gaji yanayin.

Zai iya faruwa tare da wasu cututtukan tsoka da aka gada, kamar su multiminicore myopathy da kuma babbar cuta ta tsakiya.

Kwayar cutar MH ta haɗa da:

• Zuban jini
• Fitsarin ruwan kasa mai duhu (saboda furotin na tsoka da ake kira myoglobin a cikin fitsarin)
• Ciwon tsoka ba tare da wani dalili ba, kamar motsa jiki ko rauni
• Rigarfin tsoka da taurin kai
• Tashi cikin zafin jiki zuwa 105 ° F (40.6 ° C) ko mafi girma

Ana yawan gano MH bayan an ba mutum maganin sa barci yayin tiyata.

Zai iya zama tarihin iyali na MH ko mutuwar da ba a bayyana ba yayin maganin sa barci.

Mutumin na iya samun azumin da yawanci rashin bugun zuciya.

Gwaje-gwaje don MH na iya haɗawa da:

• Karatun jini (PT, ko lokacin prothrombin; PTT, ko lokacin thromboplastin m)
• Bangaren sunadarai na jini, gami da CK (creatinine kinase, wanda ya fi girma a cikin jini yayin da tsoka ta lalace a yayin fadan rashin lafiya)
• Gwajin kwayoyin halitta don neman lahani a cikin kwayoyin halittar da ke da nasaba da cutar
• Gwajin tsoka
• Myoglobin na fitsari (furotin na tsoka)

Yayin wani abu na MH, ana ba da magani mai suna dantrolene. Narkar da mutum a cikin bargon sanyaya na iya taimakawa rage zazzaɓi da haɗarin matsaloli masu tsanani.

Don adana aikin koda yayin wani abu, mutum na iya karɓar ruwa ta jijiya.

Waɗannan albarkatun na iya samar da ƙarin bayani game da MH:

• Hyungiyar Hyperthermia mai mummunar cutar ta Amurka - www.mhaus.org
• Nationalungiyar forasa don Rare Rashin Lafiya - rarediseases.org/rare-diseases/malignant-hyperthermia
• NIH Tsarin Gida na Gida - ghr.nlm.nih.gov/condition/malignant-hyperthermia

Maimaitawa ko lokuta marasa magani na iya haifar da gazawar koda. Yanayin da ba a yi wa magani ba na iya zama na mutuwa.

Wadannan rikitarwa masu tsanani na iya faruwa:

• Yankewa
• Rushewar ƙwayar tsoka
• Kumburin hannaye da kafafu da matsaloli game da gudan jini da aikin jijiya (cututtukan daki)
• Mutuwa
• Cutar jini mara kyau da zubar jini
• Matsalar bugun zuciya
• Rashin koda
• Ruwan acid a cikin ruwaye na jiki (acidosis na rayuwa)
• Girman ruwa a cikin huhu
• Raunuka masu rauni ko nakasa (myopathy ko muscular dystrophy)

Idan kana bukatar tiyata, ka gaya wa likitan ka da likitan aikin ka kafin aikin tiyata idan:

• Ka sani cewa kai ko memba na danginku sun sami matsaloli game da maganin sa kai na baki ɗaya
• Ka sani kana da tarihin iyali na MH

Amfani da wasu magunguna na iya hana rikitarwa na MH yayin aikin tiyata.

Faɗa wa likitanka kafin yin tiyata tare da maganin rigakafi, idan kai ko kowa a cikin danginku suna da MH.

Guji magunguna masu kara kuzari kamar su hodar iblis, amphetamine (gudun), da annashuwa. Wadannan kwayoyi na iya haifar da matsaloli kama da MH a cikin mutanen da suke da saukin kamuwa da wannan yanayin.

Ana ba da shawara kan kwayar halitta ga duk wanda ke da tarihin iyali na rashin tabin hankali, dystrophy na muscular, ko MH.

Hyperthermia - m; Hyperpyrexia - m; MH

Americanungiyar (asar Amirka na Ma'aikatan Jinya. Shirye-shiryen rikice-rikicen rikice-rikicen cutar rashin lahani: bayanin matsayi. www.aana.com/docs/default-source/practice-aana-com-web-documents-(all)/malignant-hyperthermia-crisis-preparedness-and-treatment.pdf?sfvrsn=630049b1_8. An sabunta Afrilu 2018. An shiga Mayu 6, 2019.

Kulaylat MN, Dayton MT. Rikicin tiyata. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 12.

Zhou J, Bose D, Allen PD, Pessah IN. Mummunar hauhawar jini da cututtukan da suka shafi tsoka. A cikin: Miller RD, ed. Maganin rigakafin Miller. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 43.