Rashin jinin na Vitamin K na jinin haihuwa

Rashin jinin Vitamin K (VKDB) na jariri cuta ce ta jini a cikin jarirai. Mafi yawan lokuta yakan bunkasa ne a cikin kwanakin farko da makonnin rayuwa.

Rashin bitamin K na iya haifar da mummunan zub da jini ga jarirai sabbin haihuwa. Vitamin K na taka muhimmiyar rawa wajen daskare jini.

Yara jarirai galibi suna da ƙananan matakin bitamin K saboda dalilai daban-daban. Vitamin K baya motsawa cikin sauki daga mahaifa daga uwa zuwa jariri. A sakamakon haka, sabon haihuwa ba shi da bitamin K mai yawa yayin haihuwa. Hakanan, kwayoyin da ke taimakawa yin bitamin K basu kasance ba har yanzu a cikin ɓangaren ƙwayar ciki na jariri. A ƙarshe, babu bitamin K sosai a cikin madarar uwa.

Yaranku na iya haɓaka wannan yanayin idan:

• Ba a ba da allurar rigakafin bitamin K a lokacin haihuwa (idan ana bayar da bitamin K ta baki maimakon a matsayin harbi, dole ne a ba shi fiye da sau ɗaya, kuma bai bayyana yana da tasiri kamar harbin ba).
• Kuna shan wasu magungunan rigakafi ko rage jini.

An haɗu da yanayin zuwa gida uku:

• Farkon farawa VKDB yana da wuya. Yana faruwa ne a cikin awanni na farko bayan haihuwa kuma cikin awanni 48. Yawanci galibi ana samun hakan ne ta hanyar amfani da magungunan hana kamuwa da cuta ko wasu magunguna, gami da mai rage jini da ake kira Coumadin, yayin daukar ciki.
• Cutar ta gargajiya ta fara faruwa tsakanin kwanaki 2 zuwa 7 bayan haihuwa. Ana iya gani a cikin jarirai masu shayarwa waɗanda ba su karɓi bitamin K ba a cikin makon farko bayan haihuwa, kamar waɗanda waɗanda aka jinkirta ciyarwa a farkon. Hakanan yana da wuya.
• Ana ganin ƙarshen VKDB a cikin jarirai tsakanin makonni 2 da watanni 2. Hakanan ya fi zama ruwan dare a yara waɗanda ba su sami allurar bitamin K ba.

Hakanan jarirai da jarirai masu fama da matsaloli masu zuwa wadanda suka shafi tsarin ciki sunada yiwuwar haifar da wannan matsalar:

• Rashin Alpha1-antitrypsin
• Biliary atresia
• Celiac cuta
• Cystic fibrosis
• Gudawa
• Ciwon hanta

Yanayin yana haifar da zub da jini. Yankunan da ake yawan zubar jini sun hada da:

• Azzakarin yaro, idan anyi masa kaciya
• Yankin maɓallin ciki
• Maganin ciki (haifar da jini a hanjin cikin jariri)
• Cusunshin ƙanshi (kamar rufin hanci da baki)
• Wuraren da aka sami sandar allura

Hakanan akwai:

• Jini a cikin fitsari
• Isingaramar
• Karɓar jiki (rawar jiki) ko halayyar al'ada

Za a yi gwajin daskare jini.

Ana tabbatar da cutar idan harbin bitamin K ya dakatar da zubar jini da lokacin daskare jini (lokacin prothrombin) da sauri ya zama na al'ada. (A cikin karancin bitamin K, lokacin prothrombin ba al'ada bane.)

Ana bada Vitamin K idan jini ya tashi. Jarirai masu jini mai zafin gaske na iya buƙatar jini ko ƙarin jini.

Hangen nesa yakan zama mafi muni ga jariran da ke fama da cutar farkon lokaci fiye da sauran siffofin. Akwai yawan zub da jini a cikin kwanyar (zubar jini intracranial) hade da yanayin farkon-farkon.

Matsaloli na iya haɗawa da:

• Zuban jini a cikin kwanyar (zubar jini ta intracranial), tare da yiwuwar lalacewar kwakwalwa
• Mutuwa

Kira mai ba da sabis na kiwon lafiya idan jaririnku yana da:

• Duk wani zubar jini da ba a bayyana ba
• Kamawa
• Halin ciki

Samu likita na gaggawa kai tsaye idan alamun sun tsananta.

Ana iya yin rigakafin kamuwa da cutar ta farko ta hanyar ba da maganin bitamin K ga mata masu juna biyu waɗanda ke shan magungunan rigakafin kamuwa. Don hana siffofin gargajiya da na ƙarshen-farkon, Kwalejin Ilimin Yammacin Amurka ta ba da shawarar bai wa kowane jariri bitamin K nan da nan bayan haihuwa. Saboda wannan aikin, karancin bitamin K yanzu ba safai a cikin Amurka ba banda yara waɗanda ba sa karɓar bitamin K.

Ciwon jini na jariri (HDN)

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Cibiyoyin Kula da Rigakafin Cututtuka (CDC). Bayanan kula daga filin: ƙarshen rashi bitamin K rashin jini a cikin jarirai waɗanda iyayensu suka ƙi prophylaxis na bitamin K - Tennessee, 2013. MMWR Morb Mutuwa Wkly Rep. 2013; 62 (45): 901-902. PMID: 24226627 www.ncbi.nlm.nih.gov/pubmed/24226627.

Greenbaum LA. Rashin Vitamin K. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 66.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Rikicin jini. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 66.

Sankar MJ, Chandrasekaran A, Kumar P, Thukral A, Agarwal R, Paul VK. Prophylaxis na Vitamin K don rigakafin zub da ƙarancin bitamin K: nazari na yau da kullun. J Perinatol. 2016; 36 Gudanar da 1: S29-S35. PMID: 27109090 www.ncbi.nlm.nih.gov/pubmed/27109090.