Duk abin da ya kamata ku sani Game da Cholestasis

Wadatacce

• Kwayar cututtuka
• Dalilin cholestasis
• Magunguna
• Cututtuka
• Cholestasis na ciki
• Dalili da abubuwan haɗari
• Ganewar asali
• Jiyya
• Outlook

Menene cholestasis?

Cholestasis cuta ce ta hanta. Yana faruwa lokacin da guduwar bile daga hanta ya ragu ko ya toshe. Bile shine ruwa wanda hanta ke samarwa wanda yake taimakawa narkewar abinci, musamman ma kitse. Lokacin da aka canza kwararar bile, zai iya haifar da tarin bilirubin. Bilirubin wani launi ne wanda hanta ke fitarwa kuma yake fita daga jikinka ta hanyar bile.

Akwai nau'ikan cholestasis iri biyu: cikin ƙwayoyin cuta ta cikin intrahepatic da kuma karin ƙwayoyin cuta. Intrahepatic cholestasis ya samo asali ne a cikin hanta. Zai iya faruwa ta hanyar:

• cuta
• kamuwa da cuta
• amfani da miyagun ƙwayoyi
• cututtukan kwayoyin cuta
• tasirin hormonal akan kwararar bile

Hakanan ciki na iya ƙara haɗarin ku ga wannan yanayin.

Raarin cholestasis na ƙari yana haifar da shinge na zahiri ga bututun bile. Toshewa daga abubuwa kamar gallstones, cysts, da ciwace-ciwacen daji suna ƙuntata kwararar bile.

Karanta don ƙarin koyo game da wannan yanayin.

Kwayar cututtuka

Dukkanin nau'ikan cholestasis suna haifar da alamun guda ɗaya:

• jaundice, wanda yake yin launin ruwan fata da fari da idanunku
• fitsari mai duhu
• kujeru mai haske
• zafi a cikin ciki
• gajiya
• tashin zuciya
• wuce gona da iri

Ba kowa da ke da cututtukan ƙwayoyin cuta ke da alamomi ba, kuma manya da ke fama da cututtukan ƙwayoyin cuta na yau da kullun ba tare da wata alama ba.

Dalilin cholestasis

Hakan zai iya haifar da dalilai masu yawa.

Magunguna

Hantar ku tana taka muhimmiyar rawa wajen inganta magunguna. Wasu magunguna sun fi wahalar da hanta ta narke fiye da wasu kuma mai guba ne ga hanta. Wadannan magunguna sun hada da:

• wasu maganin rigakafi, irin su amoxicillin (Amoxil, Moxatag) da minocycline (Minocin)
• anabolic steroids
• wasu cututtukan cututtukan nonsteroidal (NSAIDs), kamar ibuprofen (Advil, Motrin IB)
• maganin hana daukar ciki
• wasu magungunan rigakafi
• wasu magungunan antifungal
• wasu magungunan tabin hankali
• wasu magungunan antimicrobial

Ya kamata koyaushe ku sha magunguna kamar yadda aka umurce ku, kuma kada ku daina shan magungunan da likitanku ya tsara ba tare da fara magana da su ba.

Cututtuka

Wasu cututtukan cututtukan cuta ko ƙonewa ga bututun bile, wanda ke haifar da cututtukan ciki. Yanayin sun hada da:

• cututtuka daga ƙwayoyin cuta irin su HIV, hepatitis, cytomegalovirus, da Epstein-Barr
• cututtukan ƙwayoyin cuta
• wasu cututtukan autoimmune, irin su cirrhosis na farko, wanda zai iya haifar da garkuwar jikinka ta kai farmaki da lalata bututun bile
• rikicewar kwayoyin halitta, kamar cutar sikila
• wasu cututtukan kansa, kamar su hanta da cutar sankara, da kuma cutar sankarau

Cholestasis na ciki

Intrahepatic cholestasis na ciki, wanda kuma ake kira obstetric cholestasis, an kiyasta yana faruwa a cikin juna biyu 1 zuwa 2 na 1,000 a Amurka. Mafi yawan alamun da ake samu na obstetric cholestasis shine itching ba tare da kurji ba. Wannan yana faruwa ne ta hanyar tarawar bile acid a cikin jini.

Cutar gabaɗaya tana faruwa ne a ƙarshen watanni uku na ƙarshe na ciki. Hakanan za'a iya haɗuwa da:

• jaundice
• kodadde kujeru
• fitsari mai duhu
• ciwon ciki
• tashin zuciya

Duba likita idan kuna da itching a ciki. Wasu magunguna marasa magani, kamar su antihistamines ko anti-itch creams waɗanda ke ƙunshe da cortisone, yawanci basu da tasiri don magance wannan yanayin kuma suna iya cutar da jaririn da ba a haifa ba. Madadin haka, likitanku na iya tsara magungunan da ke taimakawa tare da ƙaiƙayi amma ba zai cutar da jaririn ba.

Dalili da abubuwan haɗari

Cholestasis wanda ke faruwa yayin daukar ciki na iya zama yanayin gado. Idan mahaifiyarka ko 'yar'uwarka suna da wannan yanayin a lokacin da suke da ciki, ƙila ka sami ƙarin haɗari don kuma haifar da cututtukan mahaifa.

Hakanan hormones na ciki na iya haifar da wannan yanayin. Wancan saboda suna iya shafar aikin gallbladder ɗinka, suna barin ƙwanƙwasa ya tashi ya gudana a cikin jini.

Mata masu ɗauke da yawa suna cikin haɗarin haɗarin cututtukan haihuwa.

Ganewar asali

Likitanku zai yi tambayoyi game da tarihin lafiyarku. Hakanan zaku sami gwajin jiki. Ana iya yin odar gwaje-gwajen jini don gwada hanta enzymes da ke nuna cholestasis. Idan sakamakon gwaji ba al'ada bane, likitanku na iya yin odar gwaje-gwajen hotunan kamar duban dan tayi ko MRI. Hakanan likitan ku na iya yin biopsy na hanta.

Jiyya

Mataki na farko don magance cholestasis shine muyi maganin dalilin. Alal misali, idan an ƙaddara cewa magani yana haifar da yanayin, likitanku na iya bayar da shawarar wani magani daban. Idan toshewa kamar gallstones ko ƙari yana haifar da ajiyar bile, likitanku na iya ba da shawarar a yi masa tiyata.

A mafi yawan lokuta, cututtukan mahaifa suna warwarewa bayan haihuwa. Matan da suka ci gaba da haihuwa lokacin haihuwa ya kamata a kula dasu bayan ciki.

Outlook

Cholestasis na iya faruwa a kowane zamani, kuma a cikin maza da mata. Saukewa ya dogara da tsananin yanayin lamarin kafin a fara gano shi. Wani abin kuma shi ne asalin abin da ke haifar da cutar da yadda za a iya magance ta. Misali, ana iya cire gallstone, wanda hakan yake magance cutar da gaske. Idan yanayin ya lalace sakamakon lalacewar hanta, murmurewa na iya zama da wahala.

Kuna iya yin thingsan abubuwa kaɗan don rage haɗarinku ga cututtukan ƙwayoyin cuta:

• Yi rigakafin cutar hepatitis.
• Kada ku yi amfani da giya.
• Guji amfani da magungunan ƙwayoyin cuta na nishaɗi.

Duba likita nan da nan idan kun yi tsammanin cutar kwalara. Jiyya na farko na iya haɓaka damarku don cikakken murmurewa.