Cutar cutar hanta mai narkewa

Wadatacce

• Kwayar cututtuka
• Dalilin
• Hanyoyin haɗari
• Yadda ake tantance shi
• Shin cututtukan hanta mai haɗari marasa haɗari na iya haifar da rikitarwa?
• Zaɓuɓɓukan magani
• Menene hangen nesa game da cutar hanta mai haɗari?

Mene ne cututtukan hanta mai haɗari?

Shan giya da yawa zai iya haifar da tarin kitse a cikin hanta. Zai iya haifar da tabo na hanta, wanda aka sani da cirrhosis. Aikin Hanta yana raguwa gwargwadon yawan tabo da ke faruwa. Kitsen mai mai maiko zai iya taruwa a cikin hanta idan kun sha kadan ko babu giya. An san wannan azaman cutar hanta mai haɗari (NAFLD). Hakanan yana iya haifar da cirrhosis.

Canje-canjen salon sau da yawa na iya taimaka wa NAFLD daga yin muni. Amma, ga wasu mutane, yanayin na iya haifar da matsalolin hanta mai barazanar rai.

NAFLD da cutar hanta mai maye (ALD) sun faɗi ƙarƙashin kalmar laima na cutar hanta mai ƙima. An bayyana yanayin a matsayin hepatatic steatosis lokacin da kashi 5 zuwa 10 na nauyin hanta ya zama mai.

Kwayar cututtuka

A yawancin lokuta na NAFLD, babu alamun bayyanar cututtuka. Lokacin da bayyanar cututtuka ta kasance, yawanci sun haɗa da:

• zafi a gefen dama na sama na ciki
• gajiya
• kara hanta ko saifa (galibi likita ne ke lura da ita yayin gwaji)
• ascites, ko kumburi a cikin ciki
• jaundice, ko raunin fata da idanu

Idan NAFLD ya ci gaba zuwa cirrhosis, alamun cututtuka na iya haɗawa da:

• rikicewar hankali
• zubar jini na ciki
• riƙe ruwa
• asarar aikin hanta mai kyau

Dalilin

Ba a fahimci ainihin abubuwan da ke haifar da NAFLD ba. Akwai alamun haɗi tsakanin cutar da juriya na insulin.

Insulin shine hormone. Lokacin da tsokoki da tsokoki suke buƙatar glucose (sukari) don kuzari, insulin yana taimakawa buɗe ƙwayoyin don karɓar glucose daga jininku. Hakanan insulin yana taimakawa hanta adana yawan glucose.

Lokacin da jikinku ya haɓaka haɓakar insulin, yana nufin ƙwayoyinku ba sa amsa insulin yadda ya kamata su yi. A sakamakon haka, yawan kiba ya ƙare a cikin hanta. Wannan na iya haifar da kumburi da ciwon hanta.

Hanyoyin haɗari

NAFLD yana rinjayar kimanin kashi 20 cikin ɗari na yawan jama'a. Rashin ƙarfin insulin ya bayyana shine mafi haɗarin haɗarin haɗari, kodayake zaku iya samun NAFLD ba tare da kasancewa insulin juriya ba.

Mutanen da zasu iya haifar da juriya na insulin sun hada da mutanen da suke da kiba ko kuma suke rayuwa mara kyau.

Sauran abubuwan haɗarin NAFLD sun haɗa da:

• ciwon sukari
• babban matakan cholesterol
• matakan triglyceride mai girma
• amfani da corticosteroids
• amfani da wasu magunguna don cutar kansa, gami da Tamoxifen don ciwon nono
• ciki

Hanyoyin cin abinci mara kyau ko asarar nauyi kwatsam na iya haifar da haɗarin NAFLD.

Yadda ake tantance shi

NAFLD yawanci bashi da alamun bayyanar. Don haka, ganewar asali sau da yawa yakan fara ne bayan gwajin jini ya sami matakan-sama da-al'ada na hanta enzymes. Gwajin gwajin jini na yau da kullun na iya bayyana wannan sakamakon.

Babban matakan enzymes na hanta na iya bayar da shawarar wasu cututtukan hanta. Likitanku zai buƙaci fitar da wasu sharuɗɗa kafin bincika NAFLD.

Wani duban dan tayi na hanta na iya taimakawa wajen bayyana kitse mai yawa a cikin hanta. Wani nau'in duban dan tayi, wanda ake kira transient elastography, yana auna karfin hanta ka. Starfin ƙarfi ya nuna mafi girma rauni.

Idan waɗannan gwaje-gwajen basu da matsala, likitanku na iya ba da shawarar hanta biopsy. A wannan gwajin, likita ya cire karamin samfurin kayan hanta tare da allura da aka saka ta ciki. Ana nazarin samfurin a cikin dakin gwaje-gwaje don alamun kumburi da tabo.

Idan kana da alamun bayyanar cututtuka kamar ciwon ciki na dama, jaundice, ko kumburi, ga likita.

Shin cututtukan hanta mai haɗari marasa haɗari na iya haifar da rikitarwa?

Babban haɗarin NAFLD shine cirrhosis, wanda zai iya iyakance hanta hanta yin aikinta. Hantar ku tana da mahimman ayyuka masu yawa, gami da:

• samar da bile, wanda ke taimakawa wajen fasa kitse da cire sharar jiki
• shan magani da gubobi
• daidaita matakan ruwa a jiki ta hanyar samar da furotin
• sarrafa haemoglobin da adana baƙin ƙarfe
• canza ammoniya a cikin jininka zuwa cutar yoya mara lahani
• adanawa da sakin glucose (sukari) kamar yadda ake buƙata don kuzari
• samar da cholesterol, wanda ya zama dole domin lafiyar salula
• cire kwayoyin cuta daga jini
• samar da abubuwan kariya don yaki da cututtuka
• daidaita yaduwar jini

Cutar cirrhosis wani lokaci na iya ci gaba zuwa kansar hanta ko gazawar hanta. A wasu lokuta, ana iya magance gazawar hanta ta hanyar magunguna, amma yawanci ana buƙatar dasa hanta.

Matsaloli masu sauƙi na NAFLD na iya haifar da babbar matsalar hanta ko wasu matsaloli. Don maganganu masu sauƙi, ganewar asali da canjin rayuwa suna da mahimmanci don kiyaye lafiyar hanta.

Zaɓuɓɓukan magani

Babu takamaiman magani ko hanya don magance NAFLD. Madadin haka, likitanku zai ba da shawarar sauye-sauye masu muhimmanci game da rayuwa. Wadannan sun hada da:

• rasa nauyi idan kayi kiba ko kiba
• cin abinci mafi yawancin 'ya'yan itace, kayan lambu, da hatsi
• motsa jiki aƙalla minti 30 kowace rana
• sarrafa cholesterol da matakan glucose na jini
• guje wa shan giya

Har ila yau, yana da mahimmanci a bin diddigin likita da bayar da rahoton duk wani sabon alamun cutar.

Menene hangen nesa game da cutar hanta mai haɗari?

Idan zaku iya canza salon rayuwa da aka bada shawara da wuri, zaku iya kiyaye lafiyar hanta mai kyau na dogon lokaci. Kuna iya ma iya kawar da lalacewar hanta a farkon matakan cutar.

Ko da baka ji wasu alamu daga NAFLD ba, wannan ba yana nufin cutar hanta ba ta riga ta faru. Don rage haɗarin ka, bi rayuwa mai kyau kuma a yi aikin jini a kai a kai, gami da gwajin enzyme na hanta.