Shin kana da PBC? Yana da matuƙar muhimmanci a san waɗannan matsalolin (Babban Ciwon Biliary Cholangitis)

Hanta wani abu ne mai ban mamaki. Yana yin ruwa mai suna 'bile' wanda ke taimaka mana mu narke abincin da muke ci mai kitse. Amma a cikin wanda ke da wata cuta mai suna Primary Biliary Cholangitis (PBC), hanyoyin da ke ɗauke da wannan bile sun lalace. Wannan yana sa bile ɗin bai gudana yadda ya kamata ba kuma ya toshe a cikin hanta. Bayan lokaci, wannan bile da ya toshe zai iya taurare ya zama duwatsu ya haifar da cututtuka. Daga ƙarshe, wannan bile ɗin ya dawo ya haifar da tabo a cikin hanta. Wannan shine ainihin yanayin PBC.

Amma kada ku damu. Akwai magunguna masu kyau waɗanda zasu iya taimakawa wajen cire bile daga hanta da kuma rage samuwar waɗannan tabo. Duk da haka, idan ba a yi wa PBC magani yadda ya kamata ba, ko kuma idan cutar ta ƙara tsanani, wasu matsaloli na iya faruwa. A yau, za mu yi magana game da matsalolin da suka fi yawa na PBC da kuma yadda za a magance su.

Cirrhosis, wani yanayi mai tsanani

Ciwon daji (cirrhosis) shine lokacin da aka maye gurbin ƙwayoyin halitta masu lafiya a cikin hanta da tabo. A taƙaice dai, hanta tana taurare a hankali zuwa dutse. Wannan yanayin yana faruwa ne a matakan ƙarshe na PBC. A wannan lokacin, hanta ta riga ta lalace sosai.

A da, ana kiran PBC da 'babban ciwon hanta'. Wannan ya faru ne saboda yadda matsalar cirrhosis ke da alaƙa da wannan cuta.

Yaya ake magance wannan?

Likitan ku zai rubuta muku magani don magance wannan matsalar.

• Sau da yawa, maganin farko shine magani da ake kira ursodeoxycholic acid (Ursodiol) . Wannan yana aiki ta hanyar cire bile daga hanta da kuma rage lalacewar hanta.
• Idan ba ka jin daɗi sosai da wannan maganin kaɗai ba, likitanka zai iya ba da shawarar shan wani magani da ake kira obeticholic acid (Ocaliva) ban da shi.
• Bugu da ƙari, an amince da amfani da sabbin magunguna kamar elafibranor (Iqirvo) da seladelpar (Livdelzi) a yanzu tare da ursodeoxycholic acid.
• Wani zaɓi kuma shine nau'in magunguna da ake kira fibrates . Duk da cewa an amince da waɗannan don rage kitsen jini (lipids), an gano cewa suna aiki sosai ga marasa lafiya na PBC waɗanda ba sa amsawa da kyau ga ursodeoxycholic acid. Ta wannan hanyar, idan likita ya yi amfani da magani don wani yanayi daban da wanda aka amince da shi, muna kiransa amfani da 'ba tare da laƙabi ba'.

Duk da haka, komai irin maganin da za ka yi amfani da shi, idan tabon da ke cikin hanta ya yi yawa kuma hanta ba ta iya aiki ba, mafita ɗaya tilo ita ce a yi wa hanta dashen.Kawai. Abin da ake yi a can shi ne a cire hanta da ta lalace a dasa ta da hanta daga mai bayarwa mai lafiya.

Ƙara matsin lamba a cikin jijiya a cikin hanta (Hawan jini na Portal)

Wannan wata babbar matsala ce. Bari mu fahimci wannan. Muna da babban jijiyoyin jini wanda ke kawo jini zuwa hanta. Wannan shine abin da muke kira 'jijiyoyin portal'.

Yanzu, idan tabo ya fito a cikin hanta saboda yanayin cirrhosis da muka yi magana a kai a baya, kwararar jini ta wannan 'jini mai shiga' yana toshewa. Kamar cunkoson ababen hawa a kan hanya, jinin ba zai iya gudana yadda ya kamata ba kuma ya makale a cikin wannan jijiya. Yayin da jinin ke taruwa kamar haka, matsin lamba a cikin wannan jijiya yana ƙaruwa a hankali. Likitoci suna kiran wannan yanayin hawan jini na portal .

Me yasa wannan yake da haɗari? Wannan hawan jini na iya sa jijiyoyin jini masu laushi a cikin jiki su fashe, wanda ke haifar da zubar jini a cikin jiki . Saboda haka, yana da matukar muhimmanci a magance wannan da sauri.

Bari mu fahimci waɗannan rikitarwa guda biyu daga teburin da ke ƙasa.

Menene hanyoyin magance wannan?

Likitanka zai iya rubuta magunguna, kamar beta-blockers, don rage matsin lamba a cikin wannan 'hanyar portal'. Waɗannan na iya sarrafa hawan jininka na ɗan lokaci.

Amma ku tuna, magani ɗaya tilo kuma mafi ɗorewa wanda zai iya dakatar da hauhawar jini gaba ɗaya shine dashen hanta.Kawai. Domin kuwa tushen wannan shine lalacewar hanta da cirrhosis ke haifarwa. Tunda ba za a iya gyara wannan lalacewar ba, mafita ta ƙarshe ita ce a cire hanta da ta lalace a maye gurbinta da sabuwa.

PBC cuta ce da za a iya shawo kanta sosai idan aka yi mata magani da shawarwari masu kyau. Saboda haka, idan kana da wannan cutar, kada ka firgita, ka ci gaba da tuntuɓar likitanka akai-akai, kuma ka bi maganin da aka rubuta maka daidai. Wannan ita ce hanya mafi kyau don kare kanka daga irin waɗannan matsalolin.