Cutar hanta mai haɗari

Cutar hanta mai narkewar ƙwaya (NAFLD) ita ce tarin kitse a cikin hanta wanda BAYA shan ta yawan shan barasa. Mutanen da suke da shi ba su da tarihin yawan shan giya. NAFLD yana da alaƙa da kasancewa kiba.

Ga mutane da yawa, NAFLD ba sa bayyanar cututtuka ko matsaloli. Wani nau'I mafi munin cutar ana kiransa marasa giyar steatohepatitis (NASH). NASH na iya haifar da gazawar hanta. Hakanan zai iya haifar da ciwon hanta.

NAFLD sakamakon sakamako ne na fiye da al'ada na kitse a cikin hanta. Abubuwan da zasu iya jefa ku cikin haɗari sun haɗa da ɗayan masu zuwa:

• Kiba ko kiba Mafi girman nauyin ki, mafi girman haɗarin
• Prediabetes (insulin juriya).
• Rubuta ciwon sukari na 2.
• Babban cholesterol.
• Babban triglycerides.
• Hawan jini.

Sauran abubuwan haɗarin na iya haɗawa da:

• Rage nauyi mai nauyi da rashin cin abinci
• Yin aikin tiyatar ciki
• Ciwon hanji
• Wasu magunguna, irin su masu toshe tashar kalsiyami da wasu magunguna na kansar

NAFLD yana faruwa a cikin mutanen da basu da sanadin abubuwan haɗari.

Mutanen da ke da NAFLD galibi ba su da wata alama. Lokacin da bayyanar cututtuka ta faru, mafi yawan abubuwan sun hada da:

• Gajiya
• Jin zafi a cikin babba na dama

A cikin mutanen da ke da NASH waɗanda ke da lahani na hanta (cirrhosis), alamun cututtuka na iya haɗawa da:

• Rashin ƙarfi
• Rashin ci
• Ciwan
• Fata mai launin rawaya da idanu (jaundice)
• Itching
• Girman ruwa da kumburi a kafafu da ciki
• Rikicewar hankali
• GI yana zub da jini

Ana samun NAFLD galibi yayin gwajin jini na yau da kullun waɗanda ake amfani dasu don ganin yadda hanta ke aiki.

Kuna iya samun gwaje-gwaje masu zuwa don auna aikin hanta:

• Kammala lissafin jini
• Prothrombin lokaci
• Matakan albumin jini

Mai ba ka kiwon lafiya na iya yin odar wasu gwaje-gwaje na hoto, gami da:

• Duban dan tayi don tabbatar da cutar ta NAFLD
• MRI da CT

Ana buƙatar biopsy na hanta don tabbatar da ganewar asali na NASH, mafi tsananin nau'in NAFLD.

Babu takamaiman magani don NAFLD. Manufar shine a sarrafa abubuwan haɗarinku da kowane yanayin kiwon lafiya.

Mai ba ku sabis zai taimake ku fahimtar yanayinku da zaɓin lafiya waɗanda zasu iya taimaka muku kula da hanta. Waɗannan na iya haɗawa da:

• Rashin nauyi idan kiba tayi.
• Cin lafiyayyen abinci mai ƙarancin gishiri.
• Ba shan giya ba.
• Kasancewa cikin motsa jiki.
• Kula da yanayin lafiya kamar su ciwon suga da hawan jini.
• Yin allurar rigakafin cututtuka irin su hepatitis A da hepatitis B
• Sauke matakan cholesterol da triglyceride.
• Shan magunguna kamar yadda aka umurta. Yi magana da mai baka game da dukkan magungunan da kake sha, haɗe da ganye da kari da magungunan kanti.

Rashin nauyi da kuma kula da ciwon sukari na iya jinkirta ko wani lokacin ya juya ajiyar mai a cikin hanta.

Yawancin mutane da ke da NAFLD ba su da matsalar lafiya kuma ba sa ci gaba da haɓaka NASH. Rashin nauyi da yin zaɓin rayuwa mai kyau na iya taimakawa hana manyan matsaloli masu tsanani.

Ba a san dalilin da ya sa wasu mutane ke haɓaka NASH ba. NASH na iya haifar da cirrhosis.

Yawancin mutane da ke da NAFLD ba su san suna da shi ba. Duba likitan ku idan kun fara samun alamomin da ba a saba gani ba kamar su gajiya ko ciwon ciki.

Don taimakawa hana NAFLD:

• Kula da lafiya mai nauyi.
• Ku ci abinci mai kyau.
• Motsa jiki a kai a kai.
• Iyakance yawan shan barasa.
• Yi amfani da magunguna yadda ya kamata.

Hanta mai ƙoshi; Steatosis; Nonalcoholic steatohepatitis; NASH

• Hanta

Chalasani N, Younossi Z, Lavine JE, et al. Binciken asali da gudanarwa na cutar hanta mai haɗari: jagora daga practiceungiyar Amurka don nazarin cutar hanta. Hepatology. 2018; 67 (1): 328-357. PMID: 28714183 www.ncbi.nlm.nih.gov/pubmed/28714183.

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Cin abinci, abinci, da abinci mai gina jiki don NAFLD da NASH. www.niddk.nih.gov/health-information/liver-disease/nafld-nash/eating-diet- rashin abinci mai gina jiki. An sabunta Nuwamba 2016. An shiga Afrilu 22, 2019.

Torres DM, Harrison SA. Cutar hanta mai haɗari. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 87.