Cutar hepatocerebral

Hepatocerebral degeneration cuta ce ta ƙwaƙwalwa da ke faruwa a cikin mutane da cutar hanta.

Wannan yanayin na iya faruwa a kowane yanayi na samuwar hanta, gami da tsananin ciwon hanta.

Lalacewar hanta na iya haifar da haɓakar ammoniya da wasu abubuwa masu guba a jiki. Wannan yana faruwa lokacin da hanta baya aiki yadda yakamata. Ba ya rushewa da kawar da waɗannan sunadarai. Abubuwa masu guba na iya lalata ƙwayar kwakwalwa.

Areasananan keɓaɓɓun kwakwalwa, kamar basal ganglia, suna iya samun rauni daga gazawar hanta. Ganglia na asali suna taimakawa sarrafa motsi. Wannan yanayin shine nau'in "wanda ba Wilson bane". Wannan yana nufin cewa lalacewar hanta ba ta haifar da ajiyar tagulla a cikin hanta ba. Wannan babban fasalin cutar Wilson ne.

Kwayar cutar na iya haɗawa da:

• Wahalar tafiya
• Rashin ilimin aiki
• Jaundice
• Ciwan jijiyoyi (myoclonus)
• Rigidity
• Girgiza hannu, kai (rawar jiki)
• Fizgewa
• Movementsungiyoyin jiki marasa sarrafawa (chorea)
• Rashin tafiya (ataxia)

Alamomin sun hada da:

• Coma
• Ruwa a cikin ciki wanda ke haifar da kumburi (ascites)
• Zubar da jini na cikin hanji daga faɗaɗaɗɗun jijiyoyi a cikin bututun abinci (ɓarkewar ɓarkewa)

Nazarin tsarin juyayi (neurological) na iya nuna alamun:

• Rashin hankali
• Movementsungiyoyi marasa son yi
• Rashin kwanciyar hankali

Gwajin gwaje-gwaje na iya nuna matakin ammoniya a cikin jini da aikin hanta mara kyau.

Sauran gwaje-gwaje na iya haɗawa da:

• MRI na kai
• EEG (na iya nuna jinkirin jinkirin raƙuman kwakwalwa)
• CT scan na kai

Jiyya na taimakawa rage sinadarai masu guba waɗanda ke tashi daga gazawar hanta. Yana iya haɗawa da maganin rigakafi ko magani kamar lactulose, wanda ke rage matakin ammoniya a cikin jini.

Maganin da ake kira farfajiyar sarkar amino acid na iya:

• Inganta bayyanar cututtuka
• Komawar kwakwalwa

Babu takamaiman magani game da cututtukan neurologic, saboda lalacewar hanta ne da ba za a iya sakewa ba ya haifar da shi. Abun hanta na iya warkar da cutar hanta. Koyaya, wannan aikin bazai iya kawar da alamun lalacewar kwakwalwa ba.

Wannan yanayin na dogon lokaci ne (na yau da kullun) wanda ke iya haifar da bayyanar cututtukan ƙwayoyin cuta (neurological).

Mutumin na iya ci gaba da zama da muni har ya mutu ba tare da dasa masa hantar ba. Idan anyi dasawa da wuri, cututtukan jijiyoyin jiki na iya canzawa.

Matsalolin sun hada da:

• Rashin lafiya mai zafi
• Babban lalacewar kwakwalwa

Kira mai ba da sabis na kiwon lafiya idan kuna da wasu alamun cutar hanta.

Ba shi yiwuwa a hana dukkan nau'ikan cutar hanta. Koyaya, ana iya hana giya da giya mai saurin yaduwa.

Don rage haɗarin kamuwa da giya ko cutar hanta:

• Guji halaye masu haɗari, kamar su amfani da miyagun ƙwayoyi na IV ko jima'i mara kariya.
• Kar a sha, ko a sha kawai a cikin matsakaici.

Samuwa na yau da kullun (Wanda ba Wilson ba) lalacewar hanta; Ciwon hanta; Tsarin kwakwalwa

• Hanta jikin mutum

Garcia-Tsao G. Cirrhosis da kuma bayanansa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 153.

Haq IU, Tate JA, Siddiqui MS, Okun MS. Bayanin asibiti game da rikicewar motsi.A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 84.