Shin kana fuskantar tarin kitse a sassa daban-daban na jikinka? Bari mu koyi game da Lipodystrophy!

Shin ka taɓa ganin, ko ka taɓa ganin, asarar kitse kwatsam a wasu sassan jikinka, ko kuma ƙaruwar kitse da ba a so a wasu wurare? Wannan wani lokacin ba za a iya tunaninsa ba. A yau za mu yi magana game da wannan yanayin. A fannin likitanci, ana kiran wannan da Lipodystrophy . Kada ka damu, ko da yake sunan na iya yin kama da abin mamaki, bari mu yi magana a kai a sauƙaƙe.

Menene lipodystrophy?

A taƙaice dai, Lipodystrophy shine asarar nama gaba ɗaya ko wani ɓangare na kitse, abin da muke kira "kitse," a wasu wurare, ko kuma tarin kitse mara kyau a wurare daban-daban na jiki.

Ka yi tunanin kana rage kiba a wasu sassan jikinka, kamar hannuwanka da ƙafafunka, yayin da kake ƙara yawan kitse a wurare kamar fuska da wuyanka. Wannan shine abin da ke faruwa a Lipodystrophy. Akwai nau'ikan wannan yanayin daban-daban, wasu daga cikinsu kwayoyin halitta ne (watau, wani abu da aka haife mu da shi), yayin da wasu kuma ke tasowa daga baya sakamakon wasu cututtukan lafiya. Kowane nau'in yana shafar mutane daban-daban kuma yana da alamu daban-daban.

Me yasa kitse (nama mai kitse) yake da matukar muhimmanci ga jikinmu?

Yanzu za ka iya tunanin, "Da zarar kitse ya yi ƙasa, to, zai fi kyau." Amma a gaskiya ma, kitsen mai yana yin ayyuka masu mahimmanci da yawa a jikinmu. Duba:

• Ajiyar makamashi: A cikin waɗannan kyallen mai ne ake adana ƙarin adadin kuzari da muke samu daga abincin da muke ci a matsayin makamashi.
• Samar da kariya: Yana samar da kariya kamar matashin kai ga sassa daban-daban na jikinmu.
• Kula da ɗumi: Yana kiyaye zafin jiki kuma yana kare mu daga yanayin sanyi.
• Sakin Hormones: Ana samar da wasu muhimman hormones, kamar Leptin, kuma ana sake su cikin jini.
• Sarrafa kumburi: Haka kuma yana taimakawa wajen sarrafa kumburi a jiki.

Don haka, idan wannan kitse ya ɓace ko ya ajiye a wuri mai kyau saboda lipodystrophy, ba wai kawai kamanninmu yana canzawa ba, har ma da muhimman ayyukan rayuwa a cikin jiki suma suna da matsala. Mutane da yawa da ke fama da lipodystrophy suna cikin haɗarin kamuwa da cututtuka kamar ciwon suga da kuma rashin daidaituwar matakan cholesterol a cikin jini.

Akwai nau'ikan lipodystrophy?

Eh, za a iya raba lipodystrophy zuwa manyan nau'i biyu: na gado da kuma na haihuwa.

Nau'ikan Lipodystrophy na Halitta

Waɗannan nau'ikan gado ne, wato, nau'ikan da ke faruwa sakamakon maye gurbi na kwayoyin halitta.

• Ciwon Lipodystrophy na Haihuwa (CGL): Wannan shine ciwon Berardinelli-Seip.Wanda kuma aka sani da. Wannan yanayi ne mai matuƙar wuya. A cikin wannan, kitsen jiki kusan ko kuma ya ɓace gaba ɗaya. Wannan yana faruwa ne sakamakon wata nakasar kwayoyin halitta da ke akwai a lokacin haihuwa. Yawanci ana iya gano wannan yanayin a cikin shekarar farko ta rayuwa.
• Lipodystrophy na Iyali (FPLD): Wannan kuma cuta ce ta kwayoyin halitta. Duk da haka, sau da yawa ana gano ta daga baya a rayuwa. A cikin wannan yanayin, yaron yana rasa kitse galibi a ƙafafu da hannaye, kuma yana tara ƙarin kitse a fuska da wuya.

Nau'ikan Lipodystrophy da aka Samu

Waɗannan nau'ikan halittu ne da ke tasowa bayan an haife mu da kuma lokacin rayuwarmu saboda dalilai daban-daban.

• Lipodystrophy na Musamman (AGL): Wanda aka fi sani da Lawrence syndrome , wannan yanayin yana haifar da asarar kitse, yawanci a fuska, wuya, hannaye, da ƙafafu. Wannan asarar kitse na iya faruwa da sauri, cikin 'yan makonni, ko a hankali cikin watanni ko shekaru. Yawanci yana farawa ne a lokacin ƙuruciya ko samartaka, amma yana iya faruwa a kowane zamani. Akwai dalilai da dama da ke haifar da AGL.
• Lipodystrophy na Partial (APL): Wannan yanayin da aka fi sani da Barraquer-Simons syndrome yana haifar da asarar kitse a hankali daga fuska, wuya, hannaye, da ƙirji a lokacin ƙuruciya. Wasu mutane kuma suna iya samun kitse mai yawa a wurare kamar ciki, ƙafafu, da gindi. Sau da yawa ana danganta APL da cututtukan da ke shafar garkuwar jiki .
• Maganin hana kamuwa da cutar HIV mai ƙarfi (HAART) wanda ke haifar da lipodystrophy (LD-HIV): Wannan nau'in lipodystrophy yana faruwa ne a cikin mutanen da suka kamu da cutar HIV bayan sun sami maganin hana kamuwa da cutar HIV mai ƙarfi (HAART) wanda ya haɗa da masu hana cutar HIV-1 protease . Faruwar wannan yanayin ya dogara ne akan ƙarfin da tsawon lokacin maganin. Mutanen da ke ɗauke da cutar LD-HIV galibi suna fuskantar asarar kitse a hankali daga hannayensu, ƙafafunsu, da fuska. Wasu mutane kuma suna iya samun kitse mai yawa a fuska, wuya, baya, da kugu.
• Lipodystrophy na Gida: Wannan shine lokacin da kitse ke ɓacewa a wani ƙaramin yanki na jiki kawai. Misali, wannan yanayin na iya faruwa lokacin da aka yi allurar magunguna (kamar insulin) a wuri ɗaya akai-akai. Yana kama da ƙaramin rami, amma fatar da ke saman ta yawanci ba ta da matsala.

Shin Lipodystrophy da Lipoatrophy iri ɗaya ne?

Lipodystrophy kalma ce ta gabaɗaya don rarraba kitse mara kyau. Hakanan yana da alaƙa da Lipoatrophy , wanda ke nufin asarar kitse. Wasu masana kimiyya da likitoci suna amfani da kalmomin biyu don bayyana yanayin iri ɗaya. A taƙaice dai, Lipoatrophy wani ɓangare ne na Lipodystrophy.

Su waye suka fi kamuwa da wannan ciwon? Yaya aka saba kamuwa da shi?

Yawancin nau'ikan lipodystrophy suna farawa tun suna yara, amma nau'ikan da aka samu suma suna iya tasowa a cikin manya.

Banda lipodystrophy da HAART ke haifarwa (LD-HIV) , wasu nau'ikan lipodystrophy da ake samu sun fi shafar mata. Saboda kamuwa da cutar HIV ya fi yawa a cikin maza, LD-HIV ma ya fi yawa a cikin maza.

Gabaɗaya, lipodystrophy ba kasafai yake faruwa ba. Duk da haka, nau'ikan lipodystrophy da ake samu (na tsawon rai) suna ƙara zama ruwan dare saboda illolin wasu magunguna.

Ta yaya lipodystrophy ke shafar jikina?

Kowane nau'in lipodystrophy yana shafar jiki ta hanyoyi daban-daban, amma akwai manyan abubuwa guda biyu da suka zama ruwan dare: asarar kyallen nama da rashin sinadarin leptin .

Tasirin rasa nama mai kitse a jiki

Nau'in kitsenmu ya ƙunshi ƙwayoyin halitta da ake kira adipocytes . Kowace ƙwayar adipocyte tana ɗauke da kusan kashi 90% na digo na lipid. Waɗannan ƙwayoyin adipocytes suna adana kitse (triglycerides). Lokacin da waɗannan ƙwayoyin kitse suka lalace saboda lipodystrophy, ba sa iya adana kitse yadda ya kamata.

A wasu lokutan Lipodystrophy, wannan kitsen da ya ɓace yana ajiyewa ba daidai ba a cikin wasu kyallen jikinmu, misali, a cikin hanta, pancreas, ko tsoka. Wannan na iya haifar da matsalolin lafiya kamar:

• Ciwon hanta mai kitse / ciwon hanta
• Yawan insulin a cikin jini da kuma yawan insulin a cikin jini (hyperinsulinemia)
• Ciwon suga (Diabetes Mellitus)
• Ƙara matakan triglycerides a cikin jini (hypertriglyceridemia)
• Ciwon pancreas
• Ciwon metabolism
• Cutar jijiyoyin zuciya

Amma ku tuna, ba duk wanda ke da cutar lipodystrophy ne zai kamu da waɗannan yanayi ba. Wasu na iya samun nau'ikan da ba su da sauƙi, yayin da wasu kuma na iya samun nau'ikan da suka fi tsanani.

Illolin Rashin Leptin a Jiki

Yayin da mutanen da ke fama da lipodystrophy ke rasa kitse, suna kuma rasa wasu hormones, musamman hormone leptin .

Leptin wani sinadari ne da ƙwayoyin kitse ke samarwa. Yana taimaka mana mu kiyaye nauyin jiki na yau da kullun na dogon lokaci. Shin ka san yadda? Ta hanyar sa mu ji daɗi da kuma sarrafa yunwarmu. Masana kimiyya har yanzu suna binciken leptin. Sun yi imanin cewa leptin yana shafar metabolism ɗinmu, aikin tsarin endocrine , da aikin garkuwar jiki .

Mutanen da ke fama da lipodystrophy na iya fuskantar raguwar matakan leptin, wanda zai iya haifar da yunwa mai yawa, juriya ga insulin, da sauran matsalolin lafiya.

Mene ne alamun lipodystrophy?

Saboda akwai nau'ikan lipodystrophy da yawa, alamun cutar suma sun bambanta sosai.

Alamar da ta fi yawa ita ce raguwar kitse a wasu sassan jiki, yayin da a lokaci guda kuma, tarin kitse mara kyau ko wanda ba a so a wasu sassan jiki.

Misali, mutanen da ke fama da cutar lipodystrophy (APL) a hankali suna rasa kitse a fuska, wuya, hannaye, da ƙirji a lokacin ƙuruciya. Wasu mutanen da ke fama da APL kuma suna iya ƙara yawan kitse a wurare kamar ciki, ƙafafu, da gindi.

Dangane da nau'in lipodystrophy da kake da shi da kuma shekarunka, ƙila ba za ka lura da wata babbar matsala ta lafiya ba tsawon shekaru. Duk da haka, nau'ikan lipodystrophy da yawa suna haifar da hauhawar cholesterol a cikin jini, triglycerides, da sukari (glucose). Likitanka zai iya gano waɗannan ta hanyar gwaje-gwajen jini na yau da kullun, kamar su lipid panel da kuma na'urar metabolism ta asali .

Wasu nau'ikan lipodystrophy, musamman lipodystrophy na ɓangare, na iya zama da wahala a gano su. Saboda haka, yana da mahimmanci a ga likita idan kai ko ɗanka suka sami sabbin alamu ko kuma idan wata alama da ke akwai ta tsananta, ba tare da la'akari da dalilin ba.

Mene ne ke haifar da lipodystrophy?

Abubuwan da ke haifar da lipodystrophy sun bambanta dangane da ko an haife shi ne ko kuma an same shi.

Dalilan Ciwon Halittar Jini (Genetic Lipodystrophy)

Nau'ikan kwayoyin halitta na lipodystrophy - wato lipodystrophy na gama gari (CGL) da lipodystrophy na iyali (FPLD) - wasu sauye-sauyen kwayoyin halitta ne ke haifar da su.

Sauyin kwayoyin halitta canji ne a cikin jerin DNA ɗinmu. Jerin DNA ɗinmu shine abin da ke ba ƙwayoyin halittarmu bayanan da suke buƙata don yin ayyukansu. Don haka, idan wani ɓangare na wannan jerin DNA bai cika ko ya lalace ba, za mu iya samun alamun cutar kwayar halitta.

• Abubuwan da ke haifar da lipodystrophy na asali (CGL): Nau'in CGL 1 zuwa 4 ana haifar da su ne ta hanyar maye gurbi a cikin kwayoyin halittar AGPAT2, BSCL2, CAV1 , da CAVIN1 . Waɗannan kwayoyin halittar suna da mahimmanci don girma da aikin ƙwayoyin da ke adana kitse (adipocytes) a cikin kyallen jikinmu. Sauye-sauye a cikin waɗannan kwayoyin halittar suna shafar tsari da aikin adipocytes. Yaro mai CGL yana gadar waɗannan maye gurbi daga iyayensa. Ko da iyaye biyu suna da kwafin kwayar halittar da aka canza, yawanci ba sa nuna alamun cutar.
• Dalilan Lipodystrophy na Iyali (FPLD): Sauye-sauye a cikin kwayoyin halitta da dama na iya haifar da FPLD. Mafi yawan shine LMNA.Sauye-sauye a cikin kwayar halitta mai suna LMNA. Kwayar halittar LMNA da sauran kwayoyin halitta da ke cikin FPLD suna umurtar adipocytes su adana kitse da kuma samar da furotin daban-daban waɗanda suke da mahimmanci don adana kitse. Idan maye gurbi ya faru a cikin ɗayan waɗannan kwayoyin halitta, girma, tsari, ko aikin adipocytes suna da mummunan tasiri. Yawancin lokuta na FPLD ana gado su ne a cikin tsarin autosomal dominant . Wannan yana nufin cewa samun kwafin kwayar halittar da aka canza a cikin kowace tantanin halitta ya isa ya haifar da cutar. Wani lokaci, mutumin da ke da FPLD yana gadar maye gurbi daga ɗayan iyayensa da abin ya shafa. A wasu lokuta, sabbin maye gurbi a cikin kwayar halitta suna haifar da su, kuma suna iya faruwa ko da babu wanda ke cikin iyali da ya taɓa kamuwa da cutar a da.

Dalilan da ke haifar da Lipodystrophy

Lipodystrophy da ake samu na iya faruwa ne ta hanyar magunguna, halayen autoimmune , ko kuma dalilan da ba su da alaƙa da juna . Duk da cewa babu wani tushen kwayoyin halitta kai tsaye da ke haifar da lipodystrophy da ake samu, wasu masu bincike sun yi imanin cewa wasu mutane na iya samun yanayin kwayoyin halitta na haifar da lipodystrophy da ake samu.

• Dalilan da ke haifar da Lipodystrophy na Musamman (AGL): AGL na iya faruwa bayan kamuwa da cuta ko kuma bayan kamuwa da cuta a tsarin garkuwar jiki. Cututtukan da ke da alaƙa da AGL sun haɗa da:
• Kamuwa da cuta (Kamuwa da cuta/varicella)
• kyanda
• Tari mai tsanani (pertussis)
• Ciwon Diphtheria
• Namoniya
• Ciwon Osteomyelitis
• Mononucleosis (Mononucleosis / mono)

Ba tabbas ba ne cewa za ku kamu da AGL kawai saboda kuna da waɗannan cututtukan.

Cututtukan autoimmune da ke da alaƙa da AGL sun haɗa da:

• Ciwon thyroid na Autoimmune
• Ciwon hanta na Autoimmune
• Ciwon daji na matasa
• Rheumatoid amosanin gabbai
• Ciwon Sjogren
• Anemia na hemolytic na Autoimmune

Idan kana da waɗannan cututtukan garkuwar jiki, ba za a iya cewa tabbas za ka kamu da AGL ba.

A mafi yawan lokuta, ba za a iya gano musabbabin AGL ba (idiopathic).

• Dalilan da ke Haifar da Ciwon Lipodystrophy (APL): Masana kimiyya sun yi imanin cewa tsarin garkuwar jikinmu yana lalacewa ta hanyar lalata ƙwayoyin kitse da gangan. Fiye da kashi 80% na mutanen da ke fama da APL suna da Ciwon Complement 3 a cikin jininsu.Akwai ƙarancin sinadarin furotin da ake kira complement factor. Wannan furotin yawanci yana cikin martanin tsarin garkuwar jikinmu. Mutanen da ke fama da APL galibi suna da wani abu mai hana garkuwar jiki da ake kira complement 3-nephritic factor a cikin jininsu. Autoantibody wani furotin ne da ke cikin tsarin garkuwar jiki wanda ke kai hari da lalata kyallen jiki cikin kuskure.

• Abubuwan da ke haifar da lipodystrophy (LD-HIV) da maganin hana cutar kansa (HAART) ke haifarwa: Masana kimiyya har yanzu ba su da tabbas game da dalilin da ya sa HAART, wanda ke ɗauke da masu hana cutar HIV-1 protease, ke haifar da lipodystrophy.

Labari mai daɗi shine yawancin mutanen da suka fara maganin cutar HIV yanzu ba sa damuwa da yawan lipodystrophy, saboda sabbin magungunan HIV suna rage yiwuwar kamuwa da cutar.

Yaya za a san idan kuna da lipodystrophy?

Idan kana da alamun cutar lipodystrophy, likitanka zai yi maka gwajin jiki, ya tambaye ka tarihin lafiyarka da tarihin lafiyar iyalinka, sannan ya yi odar wasu gwaje-gwaje don tabbatar da ganewar cutar da kuma ganin ko akwai wasu dalilai na bayyanar cutar.

Wadanne gwaje-gwaje ake amfani da su don gano cutar lipodystrophy?

Likitanka zai iya yin odar gwaje-gwaje da dama don gano cutar lipodystrophy da/ko don ganin ko akwai wasu dalilai da ke haifar da alamun cutar. Waɗannan sun haɗa da:

• Duban MRI na jiki gaba ɗaya (Magnetic Resonance Imaging): MRI yana amfani da babban maganadisu, raƙuman rediyo, da kwamfuta don yin hotunan gabobi da sauran sassan jikinka dalla-dalla. Likitanka zai iya yin odar wannan gwajin don tantance yadda kitse ke kasancewa da kuma yadda yake a jikinka.
• Cikakken Tsarin Metabolic: Wannan gwajin jini ne wanda ke auna abubuwa 14 daban-daban a cikin jininka. Yana ba da muhimman bayanai game da daidaiton sinadarai da metabolism na jikinka. Likita zai duba musamman matakan sukari na jini (glucose) da enzymes na hanta .
• Lipid Panel: Wannan kuma gwajin jini ne. Yana auna adadin ƙwayoyin kitse da ake kira lipids a cikin jininka. Wannan gwajin yawanci ya haɗa da ma'aunin cholesterol guda huɗu da ma'aunin triglyceride. Lipodystrophy sau da yawa yana haifar da matakan cholesterol marasa kyau.
• Gwajin Leptin: Wannan yana auna matakin leptin a cikin jininka. Idan kana da lipodystrophy kuma matakan leptin ɗinka sun yi ƙasa da na al'ada, wannan zai iya ba ka ɗan ra'ayi game da yadda jikinka zai mayar da martani ga maganin maye gurbin leptin.
• Gwajin Halittar Halitta: Idan likitanka yana zargin cewa kana da nau'in Lipodystrophy na gado (na halitta), zai iya ba da shawarar gwajin kwayoyin halitta don tabbatar da ganewar cutar.
• Binciken koda:Wannan ya ƙunshi cire samfurin ƙwayar koda ta hanyar tiyata sannan a duba ta da na'urar hangen nesa (microscope). Likitanka zai iya yin odar wannan gwajin don ganin ko kodanka sun kamu da cutar lipodystrophy.

Menene hanyoyin magance lipodystrophy?

Maganin da kuma kula da lipodystrophy ya dogara da takamaiman nau'in da kake da shi, da kuma ko kana da wasu cututtuka masu alaƙa da shi, kamar ciwon suga ko kuma rashin isasshen matakin cholesterol.

Ana amfani da hanyoyi da yawa don magance lipodystrophy:

• Maganin maye gurbin Leptin: Likitanka zai iya rubuta maka wani nau'in hormone na roba mai suna metreleptin . Mutanen da ke fama da lipodystrophy galibi suna da ƙarancin leptin. Wannan hormone yana taimakawa wajen daidaita metabolism na jiki kuma yana iya rage yawan cholesterol da triglyceride.
• Maganin ciwon suga da juriyar insulin: Idan kana da juriyar insulin da/ko ciwon suga saboda lipodystrophy, likitanka zai iya rubuta maka magunguna kamar pioglitazone, metformin, sulfonylureas , ko thiazolidinediones don magance shi. Wasu mutanen da ke fama da lipodystrophy suma suna iya buƙatar shan insulin na roba don magance ciwon suga. Hakanan zaka iya buƙatar duba matakan sukari na jini akai-akai a gida da na'urar auna sukari .
• Sarrafa matakan triglyceride da cholesterol: Magungunan da aka ambata a baya waɗanda ke taimakawa wajen magance ciwon suga sau da yawa suna taimakawa wajen rage yawan cholesterol. Likitanka kuma zai iya rubuta statins , kamar rosuvastatin da pravastatin . Mutanen da ke da yawan triglyceride na iya buƙatar shan ƙarin abubuwan da suka samo asali daga fiber acid ko n-3 polyunsaturated fatty acids , kamar waɗanda ake samu a cikin man kifi.
• Tiyata da hanyoyin gyaran fuska: Mutanen da ke fama da lipodystrophy a wurare masu laushi kamar fuska, ƙirji, da al'aura, za a iya yi musu tiyatar gyaran fuska don inganta kamanninsu da kuma kwarin gwiwar kansu. Likitocin filastik na iya yin dashen kyallen adipose na kai tsaye, sake gina fuska ta amfani da flaps kyauta, da silicone ko wasu dashen. Haka kuma suna iya amfani da hanyoyin cire liposuction ko tiyata don cire kitse da ba a so a wurare kamar haɓa ko bayan wuya (wanda galibi ake kira "buffalo hump" ).

Masana kimiyya har yanzu suna da abubuwa da yawa da za su koya game da yadda ake magancewa da kuma sarrafa lipodystrophy. Yayin da suke ƙara gano sarkakiyar hanyoyin rayuwa, ƙarin zaɓuɓɓukan magani na iya samuwa.

Za a iya hana lipodystrophy?

A mafi yawan lokuta, ba za a iya hana lipodystrophy ba.

Ba za a iya hana nau'ikan kwayoyin halitta na lipodystrophy ba, domin suna faruwa ne sakamakon maye gurbi na kwayar halitta da aka gada. Idan kuna shirin haihuwa, ku fahimci haɗarin samun ɗa mai yanayin kwayar halitta kuma ku yi magana da likitanku game da gwajin kwayoyin halitta.

Ciwon lipodystrophy da ake samu galibi yana faruwa ne sakamakon kamuwa da cuta ko kuma cututtukan garkuwar jiki. Duk da cewa wasu cututtuka, kamar su ciwon kyanda da tari mai tsanani, ana iya hana su ta hanyar allurar riga-kafi, amma ba za a iya hana wasu cututtuka da cututtukan garkuwar jiki da ke da alaƙa da ciwon lipodystrophy da ake samu ba.

Menene hasashen cutar lipodystrophy?

Fahimtar cutar lipodystrophy ya dogara ne akan nau'in lipodystrophy da kake da shi, da kuma ko kana da wasu yanayi ko rikitarwa masu alaƙa, kamar ciwon suga, matsalolin hanta ko koda.

Gyaran kwalliya na wuraren da kitse mai yawa da wuraren da kitse ya wuce kima yana taimakawa wajen inganta rayuwar mutanen da ke fama da lipodystrophy.

Idan kai ko ɗanka an gano kana da cutar lipodystrophy, yi magana da likitanka game da abin da za ka yi tsammani da kuma yadda za ka iya magance matsalar.

Yaushe ya kamata ku ga likita game da lipodystrophy?

Idan ka lura cewa kitsen jikinka ko ɗanka yana ci gaba da raguwa a wasu wurare, ko kuma kitsen yana ƙaruwa a wasu wurare, yi magana da likitanka.

Idan kai ko ɗanka an gano kana da cutar Lipodystrophy, ya kamata ka riƙa ganawa da ƙungiyar likitocinka akai-akai domin tabbatar da cewa maganinka yana aiki yadda ya kamata a gare ka.

A ƙarshe, abubuwan da za a tuna

Lipodystrophy cuta ce mai matuƙar wahala amma mai tsanani. Duk da cewa babu magani, wasu magunguna na iya taimakawa wajen magance alamunta da kuma wasu cututtuka da ke tattare da ita, kamar su ciwon suga da kuma rashin isasshen sinadarin cholesterol.

Maganin ya bambanta sosai daga mutum zuwa mutum. Saboda haka, ƙungiyar likitocinku za ta yi aiki tare da ku don ƙirƙirar tsari mafi kyau a gare ku. Kada ku ji tsoron yin tambayoyi ga likitanku. Suna nan don taimaka muku. Wannan ilimin tabbas zai taimaka muku rayuwa mai kyau!

lipodystrophy , kitsen mai, leptin, kwayoyin halitta, samu, ciwon sukari, cholesterol, triglyceride, HIV, cututtukan metabolism