Ciwon Ehlers-Danlos

Ciwon Ehlers-Danlos (EDS) rukuni ne na cututtukan gado waɗanda aka yiwa alama ta haɗuwa mai maƙarƙashiya, fata mai saurin mikewa (hyperelastic) wacce ke raɗa sauƙi, kuma cikin sauƙi lalacewar jijiyoyin jini.

Akwai manyan nau'ikan guda shida kuma aƙalla ƙananan nau'ikan EDS guda biyar.

Yawancin canje-canje na kwayar halitta (maye gurbi) yana haifar da matsaloli tare da collagen. Wannan shine kayan da ke ba da ƙarfi da tsari ga:

• Fata
• Kashi
• Maganin jini
• Gabobin ciki

Haɗin haɗin mahaukaci yana haifar da bayyanar cututtukan da ke hade da EDS. A wasu nau'o'in ciwo, fashewar gabobin ciki ko bawul na zuciya na iya faruwa.

Tarihin iyali yana da haɗari a wasu yanayi.

Kwayar cututtukan EDS sun haɗa da:

• Ciwon baya
• Hadin baki biyu
• Fata cikin sauƙi, rauni, da kuma miƙa fata
• Sauki mai sauƙi da warkar da rauni mara kyau
• Flat ƙafa
• Asedara motsi na haɗin gwiwa, haɗuwa da haɗuwa, farkon cututtukan zuciya
• Rarraba haɗin gwiwa
• Hadin gwiwa
• Rushewar wuri da membranes a lokacin daukar ciki
• Fata mai laushi da laushi
• Matsalar hangen nesa

Gwajin da mai ba da kiwon lafiya zai iya nunawa:

• Lalacewar ido (ido)
• Loosaramar haɗin gwiwa da haɗin gwiwa
• Bawon mitral a cikin zuciya baya rufewa sosai (mitral valve prolapse)
• Ciwon ɗumfa (periodontitis)
• Rushewar hanji, mahaifa, ko ƙwallon ido (ana gani ne kawai a cikin jijiyoyin jini na EDS, wanda ba safai ba)
• Fata mai laushi, siriri, ko mai kaushi sosai

Gwaje-gwajen don tantance cutar ta EDS sun haɗa da:

• Rubutun Collagen (wanda aka yi akan samfurin biopsy na fata)
• Gwajin gwajin maye gurbin kwayar halitta
• Echocardiogram (duban dan tayi)
• Lysyl hydroxylase ko aikin oxidase (don bincika haɓakar collagen)

Babu takamaiman magani don EDS. Ana kimanta matsalolin mutum da bayyanar cututtuka tare da kulawa yadda ya dace. Jinyar jiki ko kimantawa ta likita ƙwararren likita don gyaran jiki ana buƙata sau da yawa.

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

• Nationalungiyar ofasa ta Rashin Lafiya - rarediseases.org/rare-diseases/ehlers-danlos-syndrome
• Laburaren Magungunan (asar Amirka na Magunguna, Maganar Gidajen Gida - ghr.nlm.nih.gov/condition/ehlers-danlos-syndrome

Mutanen da ke da EDS gaba ɗaya suna da tsawon rayuwa. Hankali na al'ada ne.

Waɗanda ke da nau'ikan nau'ikan ƙwayoyin cuta na EDS suna cikin haɗarin ɓarkewar wani babban sashin jiki ko jijiyoyin jini. Wadannan mutane suna da babban haɗarin mutuwa kwatsam.

Matsaloli da ka iya faruwa na EDS sun haɗa da:

• Ciwon haɗin gwiwa na kullum
• Farkon-farkon amosanin gabbai
• Rashin raunukan raunuka don rufewa (ko dinkuna ya tsage)
• Rushewar wuri da membranes a lokacin daukar ciki
• Rushewar manyan jiragen ruwa, gami da ɓarkewar jijiyoyin jiki (kawai cikin jijiyoyin bugun jini na EDS)
• Rushewar gabobi mara kyau kamar mahaifa ko hanji (kawai a cikin jijiyoyin jini EDS)
• Rushewar ƙwallan ido

Kira don alƙawari tare da mai ba ku idan kuna da tarihin iyali na EDS kuma kuna damuwa game da haɗarinku ko kuna shirin fara iyali.

Kira don alƙawari tare da mai ba da sabis idan ku ko yaranku suna da alamun cutar EDS.

Ana ba da shawarar yin shawarwari game da kwayar halitta don iyaye masu zuwa tare da tarihin iyali na EDS. Waɗanda suke shirin kafa iyali ya kamata su san irin EDS ɗin da suke da shi da kuma yadda ake yada shi ga yara. Ana iya ƙayyade wannan ta hanyar gwaji da kimantawa da mai ba da sabis ko mai ba da shawara game da rayuwar mutum ya nuna.

Gano duk wani mawuyacin haɗarin kiwon lafiya na iya taimakawa hana rikitarwa mai tsanani ta hanyar yin taka tsantsan da sauye-sauyen rayuwa.

Krakow D. Cututtuka masu dacewa na kayan haɗin kai. A cikin: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Littafin Kelly da Firestein na Rheumatology. 10 ed. Philadelphia, PA: Elsevier; 2017: babi na 105.

Pyeritz RE. Cututtukan gado na kayan haɗi. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 260.