Rhabdomyolysis: menene menene, manyan alamun cututtuka da magani

Wadatacce

• Babban bayyanar cututtuka
• Yadda za a tabbatar da ganewar asali
• Abin da ke haifar da rhabdomyolysis
• Yadda ake yin maganin
• Matsaloli da ka iya faruwa

Rhabdomyolysis wani mummunan yanayi ne wanda ke lalata halaye na tsoka, wanda ke haifar da sakin abubuwan da ke cikin ƙwayoyin tsoka a cikin jini, kamar su calcium, sodium da potassium, myoglobin, creatinophosphokinase da enzyme pyruvic transaminase (TGP). Yawancin waɗannan abubuwa a cikin jini na iya haifar da rashin ƙarfi, rage fitsari, gajiyawar tsoka da gazawar koda, idan ba a gano ba kuma ba a yi magani ba.

Da yake abubuwan da aka saki suna da guba mai yawa, yana da mahimmanci a fara magani da wuri-wuri, kuma ana ba da shawarar zuwa asibiti ko ɗakin gaggawa da zarar ana tsammanin rhabdomyolysis. Rhabdomyolysis na iya faruwa saboda aiwatar da ayyukan motsa jiki mai tsauri da tsawan lokaci ko kuma sakamakon rauni kai tsaye ko kai tsaye ga wata tsoka a cikin jiki, kuma yana da mahimmanci gano musabbabin don a fi mayar da hankali ga maganin.

Babban bayyanar cututtuka

Kwayar cututtukan cututtuka na rhabdomyolysis na iya bambanta gwargwadon adadin enzymes da ke fitowa daga cikin ƙwayoyin tsoka, mafi yawan alamun bayyanar sune:

• Ciwon tsoka;
• Rashin ƙarfi;
• Matsalar motsa ƙafafunka ko hannunka;
• Clearfin tsoka;
• Hadin gwiwa;
• Fitsari a cikin adadi kaɗan kuma mai duhu sosai, kwatankwacin launin coca-cola.

Baya ga waɗannan alamun, alamun na gaba ɗaya na iya bayyana, kamar zazzaɓi, tashin zuciya, ciwon ciki, jin gajiya gaba ɗaya, amai, rikicewa da tashin hankali. Tunda alamomin sun banbanta dangane da dalilin, da jikin kowane mutum, zai iya zama da wahala a gano wani yanayi na rhabdomyolysis.

Saboda haka, don gano cutar rhabdomyolysis da hana rigakafin, yana da muhimmanci a je asibiti don takamaiman gwaje-gwaje don gano cutar, ta yadda zai yiwu a fara magani mafi dacewa.

Yadda za a tabbatar da ganewar asali

Likita ne ke gano asalin cutar rhabdomyolysis bayan tantance alamun mutum da tarihin lafiyarsa. Bugu da kari, likitan ya ba da shawarar yin gwajin jini da na fitsari don duba adadin wutan lantarki da ke yawo a cikin jini, da kuma narkar da myoglobin, creatine phosphokinase da TGP. Ta hanyar nazarin fitsari, likita na iya tantance yawan myoglobin, wanda ke da mahimmanci a san iyakar rhabdomyolysis kuma idan akwai alamun da ke nuna gazawar koda.

Myoglobin yana daya daga cikin manyan gwaje-gwajen da likita ya nema, saboda mafi girman lalacewar zaren tsoka, mafi girman adadin myoglobin ana sakashi cikin jini da fitsari, yana barin shi duhu sosai. Bugu da kari, mafi girman adadin myoglobin da aka saki, mafi girman damar toshewa daga tubules na koda, wanda zai iya haifar da rauni na tubular kuma, saboda haka, rashin saurin koda. Ara koyo game da myoglobin.

Abin da ke haifar da rhabdomyolysis

Rhabdomyolysis yawanci yakan faru ne saboda aikin motsa jiki mai tsauri da tsawan lokaci, wanda ke haifar da tsananin tsoka. Sauran dalilai na rhabdomyolysis sune:

• Haɗari masu tsanani, kamar yawan faɗuwa ko haɗarin zirga-zirga;
• Dogon amfani da wasu magunguna, musamman antipsychotics ko statins;
• Amfani da kwayoyiyawanci hodar iblis, heroin ko amphetamines;
• Immoarfafawa na tsawon lokaci saboda suma ko rashin lafiya;
• Cututtuka, wanda zai iya haifar da tarin gubobi a jiki, wanda shine babban dalilin rhabdomyolysis a cikin yara;
• Cututtukan tsoka, kamar su myopathy da polio;
• Canji a cikin zafin jikin mutum.

Bugu da kari, rhabdomyolysis na iya faruwa sakamakon yawan shan giya, girgizar lantarki, cututtukan rayuwa da bugun jini.

Yadda ake yin maganin

Lokacin da rhabdomyolysis ba shi da wata matsala, yawanci yakan daidaita tsakanin 'yan kwanaki zuwa makonni. Duk da haka, a wasu lokuta yana iya zama dole don a yi magani tare da mutumin da aka shigar da shi asibiti don a gudanar da magani kai tsaye a cikin jijiyar don kauce wa matsaloli masu tsanani na cutar, kamar rashin ruwa a jiki ko gazawar koda, sakamakon tsoka da yawa vata cikin jini.

Bugu da ƙari, yana da mahimmanci gano dalilin rhabdomyolysis don fara maganin da ya dace, idan ya cancanta. Don haka, idan amfani da kowane irin magani ne yake haifar da shi, misali, ya kamata ka daina shan shi ka canza zuwa wani magani bisa ga shawarar likita.

Tsawan lokacin jiyya ya banbanta dangane da musabbabin yanayin halittar da kuma canjin marasa lafiyar, kuma a yayin da ake kwance a asibiti ya zama dole a sanya shi a kirji don tantance yawan fitsarin a rana da kuma yin wasu gwaje-gwajen kodar don tabbatar da cewa aikin koda bai shafeshi ba. Ana barin mai haƙuri yawanci lokacin da gwaje-gwajen suka kasance na al'ada kuma babu haɗarin ɓarkewar koda.

A lokuta mafiya tsanani, wanda kodan suka fara samar da fitsari kadan, likita na iya rubuta wankin koda don taimakawa aikin kodar, tare da kawar da abubuwa masu yawa daga cikin jini wanda ka iya sanyawa magani wahala.

Matsaloli da ka iya faruwa

Babban mawuyacin hali da rikitarwa na rhabdomyolysis shine bayyanar lalacewar koda, wanda zai iya kawo ƙarshen haifar da gazawar koda. Koyaya, kasancewar saura a cikin jini shima yana haifar da ƙaruwa cikin matakan potassium da phosphorus a cikin jiki, wanda zai iya kawo ƙarshen tasirin tasirin aikin zuciya.

A cikin mawuyacin yanayi, wata cuta da aka sani da cututtukan daki na iya tasowa, wanda ke haifar da yaduwar jini a cikin wani yanki na jiki, kamar ƙafafu, hannu ko wasu tsokoki na ciki, wanda ke haifar da mutuwar nama. Fahimci menene cututtukan daki.