Mawallafi: Louise Ward
Ranar Halitta: 11 Fabrairu 2021
Sabuntawa: 20 Nuwamba 2024
Anonim
ATTR Amyloidosis: Kwayar cututtuka, Ganowar asali, da Jiyya - Kiwon Lafiya
ATTR Amyloidosis: Kwayar cututtuka, Ganowar asali, da Jiyya - Kiwon Lafiya

Wadatacce

Bayani

Amyloidosis cuta ce da ba kasafai ake samunta ba yayin da ake samun furotin na amyloid a jiki. Wadannan sunadarai na iya ginawa a cikin jijiyoyin jini, kasusuwa, da manyan gabobin jiki, wanda zai haifar da matsaloli masu yawa.

Wannan yanayin mai rikitarwa ba shi da magani, amma ana iya sarrafa shi ta hanyar jiyya. Ganewar asali da magani na iya zama ƙalubale saboda alamomin da dalilan sun bambanta tsakanin nau'o'in amyloidosis. Hakanan alamun cutar na iya ɗaukar dogon lokaci kafin su bayyana.

Karanta don koyo game da ɗayan nau'ikan da aka fi sani: amyloid transthyretin (ATTR) amyloidosis.

Dalilin

ATTR amyloidosis yana da alaƙa da haɓakar haɓaka da haɓaka nau'in amyloid da ake kira transthyretin (TTR).

Jikinku yana nufin ya sami adadin TTR na halitta, wanda hanta ke yin sa da farko. Lokacin da ya shiga cikin jini, TTR yana taimakawa safarar hormones da bitamin A cikin jiki.


Wani nau'in TTR ana yin shi a cikin kwakwalwa. Yana da alhakin yin ruwa mai ruɓaɓɓen ciki.

Iri na ATTR amyloidosis

ATTR wani nau'in amyloidosis ne, amma kuma akwai wasu nau'ikan ATTR.

Gado, ko dangin ATTR (hATTR ko ARRTm), ana gudanar dasu a cikin dangi. A gefe guda kuma, an sami (wanda ba gado ba) ATTR a matsayin "nau'in-daji" ATTR (ATTRwt).

ATTRwt yana da alaƙa da tsufa, amma ba lallai bane ya kasance tare da wasu cututtukan jijiyoyin.

Kwayar cututtuka

Kwayar cutar ATTR ta bambanta, amma na iya haɗawa da:

  • rauni, musamman ma a ƙafafunku
  • kumburi kafa da idon kafa
  • matsanancin gajiya
  • rashin bacci
  • bugun zuciya
  • asarar nauyi
  • matsalar hanji da fitsari
  • low libido
  • tashin zuciya
  • cututtukan rami na carpal

Mutanen da ke da amyloidosis na ATTR suma sun fi kamuwa da cututtukan zuciya, musamman tare da nau'in ATTR na daji. Kuna iya lura da ƙarin alamun cututtukan zuciya, kamar:

  • ciwon kirji
  • rashin tsari ko saurin bugun zuciya
  • jiri
  • kumburi
  • karancin numfashi

ATTR ganewar asali

Binciken ATTR na iya zama ƙalubale da farko, musamman tunda yawancin alamunsa suna kwaikwayon wasu cututtuka. Amma idan wani a cikin danginku yana da tarihin ATTR amyloidosis, wannan ya taimaka ya jagoranci likitanku don gwada nau'in amyloidosis. Baya ga alamun cututtukanku da tarihin lafiyar ku, likitanku na iya yin oda game da gwajin kwayar halitta.


Nau'in ATTR na daji na iya zama da ɗan wahalar tantancewa. Reasonaya daga cikin dalilai shi ne saboda alamun sun yi kama da gazawar zuciya.

Idan ana zargin ATTR kuma ba ku da tarihin iyali na cutar, likitanku zai buƙaci gano kasancewar amyloids a jikinku.

Wata hanyar yin hakan ita ce ta hanyar binciken sikan nukiliya. Wannan hoton yana duba wuraren ajiyar TTR a cikin kashinku. Gwajin jini na iya ƙayyade ko akwai ajiyar kuɗi a cikin jini. Wata hanyar gano asali irin wannan ATTR shine ta hanyar daukar karamin samfuri (biopsy) na kayan halittar zuciya.

Jiyya

Akwai maƙasudai biyu don maganin amyloidosis na ATTR: dakatar da ci gaba da cutar ta hanyar iyakance adadin TTR, da rage tasirin da ATTR ke da shi a jikinka.

Tunda ATTR da farko yana shafar zuciya, jiyya don cutar suna mai da hankali kan wannan yanki da farko. Likitanku na iya ba da umarnin yin amfani da diuretics don rage kumburi, da kuma masu rage jini.

Yayinda alamomin ATTR ke yawan kwaikwayon na cututtukan zuciya, mutanen da ke da wannan yanayin ba sa iya shan magunguna cikin sauƙi waɗanda aka yi niyya don cututtukan zuciya.


Waɗannan sun haɗa da masu toshe tashar calcium, beta-blockers, da masu hana ACE. A zahiri, waɗannan magunguna na iya zama cutarwa. Wannan shine ɗayan dalilai da yawa da yasa ainihin ganewar asali yana da mahimmanci daga farawa.

Ana iya bada shawarar dashen zuciya don lokuta masu tsanani na ATTRwt. Wannan lamarin musamman idan kuna da yawan lalacewar zuciya.

Tare da maganganun gado, dasawar hanta zai iya taimakawa dakatar da haɓakar TTR. Koyaya, wannan yana taimakawa ne kawai a binciken asali. Hakanan likitan ku na iya yin la'akari da hanyoyin maganin ƙwayoyin cuta.

Duk da yake babu magani ko magani mai sauƙi, yawancin sababbin magunguna a halin yanzu suna cikin gwaji na asibiti, kuma ci gaban jiyya suna kan sararin samaniya. Yi magana da likitanka don ganin idan gwajin asibiti ya dace maka.

Outlook

Kamar sauran nau'ikan amyloidosis, babu magani ga ATTR. Jiyya na iya taimakawa rage ci gaban cuta, yayin da kula da alamun zai iya inganta rayuwar ku gaba ɗaya.

HATTR amyloidosis yana da mafi kyaun hangen nesa idan aka kwatanta da sauran nau'in amyloidosis saboda yana cigaba a hankali.

Kamar kowane irin yanayin lafiya, da zarar kayi gwaji kuma an gano maka ATTR, shine mafi kyawun hangen nesa. Masu bincike suna ci gaba da ƙarin koyo game da wannan yanayin, don haka a nan gaba, za a sami mahimman sakamako ga duka ƙananan nau'ikan.

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