Idan likitanka ya gaya maka cewa kana da Ciwon Koda na Kullum (CKD), za ka iya mamakin jin gajiya mai tsanani akai-akai, ciwon da kake ji lokacin da kake hawa matakala, da kuma rashin kuzarin yin komai. Mutane da yawa suna tunanin cewa wannan wani ɓangare ne na cututtukan koda. Wannan gaskiya ne, amma babban abin da ke haifar da waɗannan alamomin na iya zama raguwar adadin jini a jikinka, wanda muke kira da rashin jini a likitanci. Menene alaƙar da ke tsakanin kodan da raguwar jini a jiki? A yau, za mu yi magana game da wannan a sauƙaƙe, ta hanyar da za ka iya fahimta.
Me yasa mutanen da ke fama da cutar koda ke da ƙarancin jini? Wasu daga cikin manyan dalilan
A taƙaice dai, iskar oxygen tana da matuƙar muhimmanci ga kowace ƙwayar halitta da gabobin jikinmu su rayu kuma su yi aiki yadda ya kamata. Kwayoyin jininmu masu ja suna ɗauke da wannan iskar oxygen mai tamani daga huhu a ko'ina cikin jiki. Sunadaran da ke cikin waɗannan ƙwayoyin jinin ja da ake kira haemoglobin shine abin da ke ɗaurewa da iskar oxygen.
Yanzu ka yi tunanin, waɗannan motocin da ake kira jajayen ƙwayoyin halitta suna tsufa kuma suna lalacewa bayan wani lokaci. Saboda haka, jikinmu yana ci gaba da yin sabbin ƙwayoyin jini don rama wannan ƙarancin. Masana'antar da ke yin waɗannan ƙwayoyin jini ja ita ce ƙashin ƙashinmu. Duk da haka, umarnin "fara yin jajayen ƙwayoyin halitta yanzu" ana ba wa wannan masana'anta da ake kira ƙashin ƙashi ta ƙodanmu. Idan sun lalace saboda cutar koda, wannan tsari gaba ɗaya yana tafiya ba daidai ba. Yana faruwa ta hanyoyi uku masu mahimmanci.
| Mummunan asarar jini | A takaice dai... |
|---|---|
| Rage sinadarin EPO | Koda ba ta sake samar da 'siginar' da ke gaya wa bargon ƙashi ya samar da ƙwayoyin jinin ja. |
| Takaitaccen tsawon rai na ƙwayoyin jinin ja | Kwayoyin jinin ja da ke samuwa a jiki suna mutuwa da sauri fiye da yadda aka saba. |
| Rashin sinadarin gina jiki | Jiki ba shi da sinadaran gina jiki da ake buƙata don samar da ƙwayoyin jinin ja (ƙarfe, bitamin B12, folate). |
Dalili na 1: Rashin 'Siginar' don yin ƙwayoyin jinin ja
Kwayoyin halitta na musamman a cikin kodanmu suna ci gaba da lura da matakin iskar oxygen a cikin jininmu. Idan adadin jajayen ƙwayoyin halitta a cikin jininmu ya ragu kuma matakan iskar oxygen suka ragu, waɗannan ƙwayoyin suna jin hakan kuma suna sakin wani hormone da ake kira erythropoietin (EPO) cikin jini. Wannan hormone na EPO yana zuwa ga bargon ƙashi ya ce masa, "To, bari mu fara aiki, mu ƙara samar da ƙarin jajayen ƙwayoyin halitta."
Idan kana da cutar koda ta yau da kullun (CKD), kodanka yana lalacewa a hankali. Saboda wannan lalacewar, kodanka ba za su iya gano ƙarancin iskar oxygen ba kuma su samar da hormone EPO. Idan EPO ya ɓace, bargon ƙashi ba ya fahimtar saƙon. Don haka samar da sabbin ƙwayoyin jinin ja yana raguwa sosai. Idan ba za a iya samar da sabbin ƙwayoyin jinin ja don ci gaba da adadin da ke mutuwa ba, jiki yana rasa ƙwayoyin jinin ja, ko kuma anemia.
Dalili na 2: Rage tsawon rayuwar ƙwayoyin jinin ja
Yawanci, ƙwayar jinin ja a cikin mutum mai lafiya tana rayuwa na kimanin kwanaki 120. Bayan haka, ana lalata ta kuma a maye gurbinta da sabo.
Amma saboda wasu guba da ke taruwa a cikin jinin mutumin da ke fama da cutar koda, waɗannan ƙwayoyin jinin ja ba su da muhalli mai kyau don rayuwa a ciki. Sakamakon haka, tsawon rayuwarsu ya ragu zuwa kimanin kwanaki 70-80 . Wannan yana nufin, maimakon jiran a samar da sabbin ƙwayoyin jinin ja, tsofaffin suna mutuwa da wuri. Wannan wani dalili ne da ke ƙara yawan rashin jini.
Dalili na 3: Rashin ƙarfe da abubuwan gina jiki
Iron shine babban sinadari da ake buƙata don samar da abin da ake kira jajayen ƙwayoyin jini. Ba tare da ƙarfe ba, ba za a iya samar da hemoglobin ba. Ba tare da hemoglobin ba, ba za a iya ɗaukar iskar oxygen ba.
Muna samun ƙarfe daga abinci kamar kayan lambu masu ganye kamar wake, alayyafo, da hatsi masu ƙarfi na karin kumallo. Amma kusan rabin mutanen da ke fama da cutar koda mai tsanani suna da ƙarancin ƙarfe. Akwai dalilai da yawa da ke haifar da hakan.
- Rashin isasshen sinadarin iron daga abinci: Masu fama da cutar koda a wasu lokutan suna iya rage abincinsu, wanda hakan na iya haifar da rashin abinci mai sinadarin iron.
- Rage shan ƙarfe: Ciwon koda na iya rage ƙarfin hanji na shan ƙarfe.
- Ragewar jini: Gwaje-gwajen jini akai-akai suna sa jiki ya rasa jini a hankali. Haka kuma, idan wani yana yin dialysis , jiki yana rasa wasu jini da ƙarfe yayin wannan aikin.
Baya ga sinadarin iron, sinadarai masu gina jiki kamar bitamin B12 da folate (Folate/Vitamin B9) suma suna da mahimmanci don samar da ƙwayoyin jinin ja. Wasu masu fama da cutar koda suma suna da ƙarancin waɗannan sinadaran.
Wasu abubuwan da ke shafar anemia
Baya ga waɗannan manyan dalilai, wasu abubuwa da dama na iya shafar rashin jinin mai fama da cutar koda.
- Cututtuka masu yawan faruwa
- Kumburi na yau da kullun a jiki: Wannan yana sa jiki ya saki sinadarai da ake kira cytokines, waɗanda ke rage aikin bargon ƙashi.
- Rashin ingantaccen abinci mai gina jiki
Idan kana da rashin jini saboda cutar koda, yana iya zama saboda ɗaya ko haɗuwa da waɗannan abubuwan. Don haka, ya fi kyau kada ka firgita ka yi magana da likitanka don gano ainihin dalilin.
Wanene ke cikin haɗarin kamuwa da cutar anemia?
Ba duk wanda ke fama da cutar koda zai fuskanci irin wannan adadin rashin jini ba, amma wasu mutane suna cikin haɗarin kamuwa da cutar.
- Idan ke mace ce
- Idan kana da ciwon suga
- Idan aikin kodanka ya ragu sosai ko kuma bai yi aiki ba
Idan kana da alamun rashin jini (gajiya, rauni, fatar jiki mai haske, jiri), likitanka zai iya ba da umarnin a yi cikakken ƙidayar jini da gwaje-gwaje don duba matakan ƙarfen da ke cikin jininka. Wannan zai tantance irin maganin da kake buƙata. Akwai magunguna don wannan, kamar ƙwayoyin ƙarfe da allurar hormone EPO.
Saƙon Ɗauka Gida
- Akwai alaƙa ta kud da kud tsakanin cututtukan koda na yau da kullun (CKD) da rashin jini, wanda zai iya zama babban dalilin gajiyar da kake ji.
- Babban dalili shi ne cewa kodan da suka lalace suna rage samar da sinadarin EPO, wanda ke nuna musu cewa suna yin jajayen ƙwayoyin jini.
- Bugu da ƙari, lalata ƙwayoyin jinin ja da sauri da kuma rashin sinadarai masu gina jiki kamar ƙarfe da bitamin B12 na iya haifar da rashin jini.
- Idan kana da alamun rashin jini ko kuma kana zargin kana da shi, ka tabbata ka yi magana da likitanka. Akwai magunguna masu tasiri sosai don magance shi.
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