Dysautonomia na dangi

Dysautonomia na iyali (FD) cuta ce ta gado wacce ke shafar jijiyoyi a cikin jiki duka.

FD yana gudana ta cikin dangi (wanda aka gada). Dole ne mutum ya gaji kwafin kwayar cutar da ta lalace daga kowane mahaifa don haɓaka yanayin.

FD yana faruwa sau da yawa a cikin mutanen asalin Yammacin Yammacin Turai (yahudawan Ashkenazi). Yana haifar da canji (maye gurbi) zuwa kwayar halitta. Yana da wuya a cikin yawancin jama'a.

FD yana shafar jijiyoyi a cikin tsarin juyayi mai zaman kansa. Wadannan jijiyoyin suna sarrafa ayyukan yau da kullun kamar su hawan jini, bugun zuciya, zufa, hanji da zubar mafitsara, narkewa, da azanci.

Bayyanar cututtukan FD suna kasancewa a lokacin haihuwa kuma suna iya ƙara muni cikin lokaci. Kwayar cutar ta bambanta, kuma na iya haɗawa da:

• Matsalar haɗiye jarirai, wanda ke haifar da cutar huhu ko ci gaban mara kyau
• Tsare-tsaren numfashi, wanda ke haifar da suma
• Maƙarƙashiya ko gudawa
• Rashin jin zafi da canje-canje a yanayin zafi (na iya haifar da rauni)
• Bushewar idanu da rashin hawaye yayin kuka
• Rashin daidaito da tafiya mara kyau
• Kamawa
• Ba shi da laushi, yanayin harshen harshe da ƙarancin dandano da raguwa a ma'anar dandano

Bayan shekaru 3, yawancin yara suna fuskantar rikice-rikicen ikon kansu. Waɗannan lokuta ne na amai tare da hawan jini, bugun zuciya, zazzabi, da zufa.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki don neman:

• Rashin ragowa ko raguwa
• Rashin amsa bayan karɓar allurar histamine (yawanci ja da kumburi zai faru)
• Rashin hawaye tare da kuka
• Muscleananan ƙwayar tsoka, mafi sau da yawa a cikin jarirai
• Mai tsananin karkatar da kashin baya (scoliosis)
• Ananan yara bayan karɓar wasu ɗigon ido

Akwai gwajin jini don bincika maye gurbin kwayar halitta wanda ke haifar da FD.

FD ba zai iya warkewa ba. Ana nufin jiyya don gudanar da alamun cutar kuma yana iya haɗawa da:

• Magunguna don taimakawa hana kamuwa
• Ciyarwa a madaidaiciyar hanya da kuma ba da rubutaccen tsari don hana reflux na gastroesophageal (ruwan ciki da abinci da ke dawowa, wanda ake kira GERD)
• Matakan don hana ƙananan jini lokacin tsayawa, kamar ƙara shan ruwa, gishiri, da maganin kafeyin, da sanya safa mai roba
• Magunguna don kula da amai
• Magunguna don hana bushewar idanu
• Jiki na kirji
• Matakan don kariya daga rauni
• Bayar da wadataccen abinci da ruwa
• Yin aikin tiyata ko haɗuwar kashin baya don magance matsalolin kashin baya
• Kula da cutar huhu

Waɗannan ƙungiyoyi na iya ba da goyan baya da ƙarin bayani:

• Nationalungiyar forasa don Rare Rashin Lafiya - rarediseases.org
• NLM Tsarin Gida na Gida - ghr.nlm.nih.gov/condition/familial-dysautonomia

Ci gaba a cikin ganewar asali da magani yana ƙara yawan rayuwa. Kimanin rabin yaran da aka haifa da FD za su yi shekaru 30.

Kira mai ba ku sabis idan bayyanar cututtuka ta canza ko ta ƙara muni. Mai ba da shawara kan kwayar halitta zai iya taimaka ya koya muku game da yanayin kuma ya umurce ku da tallafawa kungiyoyin da ke yankinku.

Gwajin halittar DNA ya zama daidai ga FD. Ana iya amfani dashi don bincikar mutanen da ke cikin yanayin ko waɗanda ke ɗauke da kwayar halitta. Hakanan za'a iya amfani dashi don ganewar asali kafin lokacin haihuwa.

Mutanen Yammacin Turai na Yammacin Turai da dangi masu tarihin FD na iya son neman shawarar ƙirar idan suna tunanin samun yara.

Ciwon Riley-Day; FD; Nau'in III wanda ya gaji gado da kuma kwakwalwa ta jiki - nau'in III (HSAN III); Rikice-rikicen kai - dangin dysautonomia

• Chromosomes da DNA

Katirji B. Rashin lafiyar jijiyoyi na gefe. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi 107.

Sarnat HB. Neuropathies masu zaman kansu. A cikin: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Littafin koyar da ilimin yara. 20th ed. Philadelphia, PA: Elsevier; 2016: babi na 615.

Wapner RJ, Dugoff L. Ciwon haifuwa na cututtukan ciki. A cikin: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy da Resnik na Maganin Uwar-Gida: Ka'idoji da Ayyuka. 8th ed. Philadelphia, PA: Elsevier; 2019: sura 32.