Antiphospholipid Syndrome: Menene shi, Dalili da Magani

Wadatacce

• Babban alamu da alamomi
• Abin da ke haifar da ciwo
• Yadda ake ganewar asali
• Yadda ake yin maganin
• Jiyya yayin daukar ciki

Antiphospholipid Antibody Syndrome, wanda aka fi sani da Hughes ko SAF ko SAAF kawai, wata cuta ce mai saurin kamuwa da cuta wanda ke da alaƙa da sauƙin samar da thrombi a cikin jijiyoyi da jijiyoyin jini waɗanda ke tsoma baki tare da daskarewar jini, wanda zai haifar da ciwon kai, wahalar numfashi da bugun zuciya, misali.

Dangane da dalilin, ana iya rarraba SAF zuwa manyan nau'ikan uku:

1. Na farko, wanda babu takamaiman dalili a cikinsa;
2. Secondary, wanda ke faruwa sakamakon wata cuta, kuma yawanci yana da alaƙa da Tsarin Lupus Erythematosus. APS na Secondary kuma na iya faruwa, kodayake yana da wuya, ana alakanta shi da wasu cututtukan cikin jiki, kamar su scleroderma da rheumatoid arthritis, misali;
3. Bala'i, wanda shine mafi tsananin nau'in APS wanda aka samar da thrombi a cikin a kalla shafuka daban daban 3 a ƙasa da sati 1.

APS na iya faruwa a kowane zamani kuma a cikin jinsi biyu, duk da haka ya fi faruwa ga mata tsakanin shekaru 20 zuwa 50. Dole ne babban likita ko likita mai cutar rheumatologist ya tabbatar da magani kuma da nufin hana samuwar tudu da kuma hana rikice-rikice, musamman lokacin da matar take da ciki.

Babban alamu da alamomi

Babban alamu da alamun APS suna da alaƙa da canje-canje a cikin aikin coagulation da abin da ya faru na thrombosis, manyan sune:

• Ciwon kirji;
• Wahalar numfashi;
• Ciwon kai;
• Ciwan ciki;
• Kumburi na babba ko na kasa;
• Rage cikin yawan platelets;
• Zubar da ciki kwatsam ko canje-canje a cikin mahaifa, ba tare da wani dalili ba.

Bugu da kari, mutanen da suka kamu da cutar ta APS sun fi fuskantar matsalar koda, ciwon zuciya ko bugun jini, alal misali, saboda samuwar sinadarin thrombi wanda ke kawo cikas ga zirga-zirgar jini, yana sauya yawan jini da yake kaiwa ga gabobin. Fahimci menene thrombosis.

Abin da ke haifar da ciwo

Antiphospholipid Antibody Syndrome wani yanayi ne na autoimmune, wanda ke nufin cewa garkuwar jiki da kanta ta afkawa ƙwayoyin jiki. A wannan yanayin, jiki yana samar da antiphospholipid antibodies wanda ke kai hari ga phospholipids da ke cikin ƙwayoyin mai, wanda ke sauƙaƙa don jini ya taru ya samar da thrombi.

Ba a san takamaiman dalilin da yasa garkuwar jiki ke samar da wannan nau'in antibody ba tukuna, amma an san cewa yanayi ne mai saurin faruwa ga mutanen da ke da wasu cututtukan da ke cikin jiki, kamar su Lupus, misali.

Yadda ake ganewar asali

Ganewar cutar Antiphospholipid Antibody Syndrome an bayyana ta kasancewar aƙalla ƙa'idodi na asibiti da na asibiti, wato, kasancewar alamun alamun cutar da gano aƙalla mutum mai sarrafa kansa a cikin jini.

Daga cikin ka’idojin asibiti da likitan ya yi la’akari da su akwai rikice-rikice na jijiyoyin jini ko jijiyoyin jini, faruwar zubar da ciki, haihuwar da wuri, cututtukan da suka shafi cikin jiki da kuma kasancewar abubuwan da ke tattare da cutar ta thrombosis. Dole ne a tabbatar da waɗannan ƙa'idodi na asibiti ta hanyar hoto ko gwajin awon.

Game da ka'idojin dakin gwaje-gwaje sune kasancewar a kalla nau'ikan nau'ikan antiphospholipid antibody, kamar su:

• Lupus maganin hana daukar ciki (AL);
• Anticardiolipin;
• Anti beta2-glycoprotein 1.

Dole ne a kimanta waɗannan magungunan a lokuta biyu daban-daban, tare da tazarar aƙalla watanni 2.

Don ganewar asali ya zama tabbatacce ga APS, ya zama dole a tabbatar da waɗannan ƙa'idodin ta hanyar binciken da aka yi sau biyu tare da tazarar aƙalla watanni 3.

Yadda ake yin maganin

Kodayake babu wani magani da zai iya warkar da APS, yana yiwuwa a rage haɗarin samuwar jini kuma, sakamakon haka, bayyanar rikice-rikice irin su thrombosis ko infarction, ta hanyar yawan amfani da magungunan ƙwayoyin cuta, kamar Warfarin, wanda yake na baka amfani, ko Heparin, wanda shine don amfani da jini.

Mafi yawan lokuta, mutanen da ke dauke da APS wadanda ke shan magani tare da masu ba da magani suna iya gudanar da rayuwa kwata-kwata, yana da muhimmanci kawai a riƙa yin alƙawura a kai a kai tare da likita don daidaita ƙwayoyin magunguna, a duk lokacin da ya zama dole.

Koyaya, don tabbatar da nasarar maganin, har yanzu yana da mahimmanci a guji wasu halaye da zasu iya lalata tasirin maganin rigakafi, kamar yadda ake cin abinci tare da bitamin K, kamar alayyafo, kabeji ko broccoli, misali. Bincika wasu abubuwan kiyayewa da yakamata kuyi yayin amfani da maganin hana yaduwar jini.

Jiyya yayin daukar ciki

A wasu takamaiman lamura, kamar lokacin ciki, likita na iya ba da shawarar cewa a yi maganin tare da allurar Heparin da ke da alaƙa da Aspirin ko kuma wata rigakafin Immunoglobulin, don hana faruwar rikice-rikice kamar zubar da ciki, misali.

Tare da kulawa mai kyau, akwai babban dama cewa mace mai ciki da APS zata sami ciki na al'ada, amma duk da haka ya zama dole mai kula da lafiyar ya sa mata ido sosai, tunda tana cikin haɗarin ɓarin ciki, haihuwar da wuri ko pre-eclampsia. Koyi yadda ake gane alamomin cutar yoyon fitsari.