Shin jaririnka yana yawan kamuwa da zazzaɓi da ba a bayyana ba? Wannan yana iya faruwa ne saboda SAIDs (Cututtukan kumburi na tsarin jiki)!

Shin ƙaramin yaronka yana samun zazzaɓi a kowane lokaci? Wani lokaci yana samun zazzaɓi sau ɗaya ko sau biyu a wata, amma likitoci sun ce babu kamuwa da cuta, wato, babu ƙwayar cuta ko ƙwayoyin cuta a jiki. A irin waɗannan lokutan, a matsayinka na uwa ko uba, kana da hankali sosai don jin tsoro da damuwa sosai. "Me yasa wannan ke faruwa da ɗana?" Wataƙila ka yi tunani sau dubu. Wataƙila dalilin wannan shine wani abu da ba ka taɓa ji ba a da. A yau, za mu yi magana game da SAIDs (Ciwon kumburi na Tsari), waɗanda ke da wahalar fahimta kuma suna iya haifar da zazzaɓi akai-akai. A da, ana kiran waɗannan da `(Ciwon Zazzaɓi na Lokaci)` ko `(Ciwon Zazzaɓi Mai Sauƙi)`.

Menene waɗannan SAIDs (Cututtukan Kumburin Jiki)?

A taƙaice dai, SAIDs rukuni ne na cututtuka da ke faruwa sakamakon matsala ko matsalar sarrafawa a cikin tsarin garkuwar jikinmu na halitta . Abin da ke faruwa shi ne, ba tare da wani dalili na waje ba, wato, ƙwayar cuta ko ƙwayoyin cuta, jiki kawai yana haifar da kumburi. Shi ya sa wannan zazzabin da ake yawan samu ke faruwa.

Yanzu za ka iya tunanin, "Shin wannan yana ɗaya daga cikin waɗannan Cututtukan da ke da Alaƙa da Kai?" A'a, waɗannan biyun sun ɗan bambanta. A cikin Cututtukan da ke da Alaƙa da Kai, misali, a cikin cututtuka kamar Rheumatoid Arthritis ko Lupus, tsarin garkuwar jikinmu yana kai hari ga ƙwayoyin halittarsa ​​masu lafiya cikin kuskure. Amma a cikin SAIDs, matsalar tana tare da tsarin garkuwar jiki na asali.

Kwayoyin cutar SAID sun fi na cututtukan da ke da garkuwar jiki yawa. Mafi yawan lokuta, waɗannan cututtuka na gado ne , ma'ana suna faruwa ne sakamakon maye gurbi ko bambancin kwayoyin halitta.

Waɗannan SAIDs yawanci (amma ba koyaushe ba) suna farawa ne lokacin da yaronka yake jariri ko jariri . Yaron zai sami aukuwa ko hare-haren cutar a wasu lokutan. A lokacin waɗannan aukuwa, zazzaɓi da sauran alamu na iya bayyana. Duk da haka, tsakanin waɗannan "hare-haren," yaron na iya rashin alamun cutar. Babu magani ga SAIDs, amma sau da yawa akwai magunguna masu tasiri don magance alamun.

Wadanne manyan nau'ikan SAIDs ne?

Masu bincike sun gano nau'ikan SAIDs kusan 60, kuma ana gano ƙarin. Ga wasu daga cikin nau'ikan da suka fi yawa:

• Zazzabin Bahar Rum na Iyali (FMF): Wannan shine mafi yawan cututtukan zazzaɓi da aka gano ta hanyar halitta, waɗanda ke sake dawowa. Yana iya haifar da kumburi mai zafi a cikin ciki, ƙirji, da haɗin gwiwa na yaron.
• Zazzaɓin lokaci-lokaci, aphthous-stomatitis, pharyngitis, adenitis (PFAPA): Wannan yawanci yana farawa ne a cikin ƙananan yara, yawanci kafin shekaru 4. Duk da haka, a wasu yara, wannan yanayin na iya ɓacewa bayan shekaru 10.
• Ciwon zazzabi na lokaci-lokaci da ke da alaƙa da ciwon tumor necrosis factor (TRAPS): Wannan na iya faruwa tun daga ƙuruciya zuwa samartaka, wani lokacin kuma har zuwa girma.
• Rashin ƙarancin Mevalonate kinase (MKD): A da, an san shi da Hyper-IgD syndrome, wannan yawanci yakan fara ne kafin yaron ya kai shekara ɗaya.
• Cututtukan kumburi masu alaƙa da NLRP3: Wannan a da ana kiransa da cututtukan lokaci-lokaci masu alaƙa da Cryopyrin (CAPS). Akwai wasu nau'ikan guda uku a cikin wannan.
• Cutar Still da ta fara tasowa daga manya (AOSD): Kamar yadda sunan ya nuna, wannan cutar tana farawa ne tun daga lokacin girma. Ita ce nau'in cutar da ake kira systemic juvenile idiopathic arthritis (JIA).
• Cutar granulomatous mai alaƙa da NOD-2 (Blau syndrome): Wannan kuma yawanci yana farawa ne kafin ya kai shekara 4. Yana shafar fatar yaron, idanu, da kuma haɗin gwiwa.

Mene ne alamun SAIDs?

Alamomin SAIDs yawanci suna farawa ne tun daga ƙuruciya. Babban kuma mafi yawan alamun cutar ita ce zazzaɓin lokaci-lokaci ko na episodic . Kamar yadda aka ambata a baya, yaron yana iya samun lafiya a lokacin da babu zazzabi. Duk da haka, akwai wasu alamomin da suka shafi kowace irin SAID:

• A cikin FMF: Ciki, ƙirji, da haɗin gwiwa na yaron na iya zama masu zafi da kumbura. Wani lokaci, akwai kuraje a fata a ƙafafu ko idon sawu.
• A cikin PFAPA: Ciwon makogwaro, ciwon baki, kumburin ƙwayoyin lymph a wuya. Waɗannan su ne manyan alamun.
• A CIKIN TARKO: Jiki na iya yin sanyi da zazzaɓi. Yaron yana iya samun ciwon tsoka a jiki da hannaye. Kurajen fuska masu zafi na iya bayyana, wanda zai iya yaɗuwa daga hannuwa zuwa ƙafafu sannan zuwa ga jiki.
• A cikin MKD: Kuna iya fuskantar alamun mura kamar sanyi, ciwon kai, ciwon ciki, rashin ci, da sauran alamu.
• A cikin cututtukan NLRP3: kurajen fata, ciwon kai, rashin lafiya, ciwon gaɓoɓi, da kumburin ido (conjunctivitis) na iya faruwa.
• A cikin AOSD: kurajen fata, ciwon gaɓɓai, ciwon tsoka. Wasu mutane kuma na iya fuskantar ciwon makogwaro, ciwon ciki, gajiya, da kuma jin rauni.
• A cikin cutar Blau: Jaririn zai iya samun raunuka a fata a hannuwa, ƙafafu, ko tsakiyar sashe. Haka kuma yana iya fuskantar ciwon gaɓoɓi da ciwon ido.

Ka yi tunanin, ƙaramar 'yar Nalini tana fama da zazzabi mai tsanani na tsawon kwana uku zuwa huɗu a kowane wata tsawon watannin da suka gabata. Tare da haka, tana kuma samun ƙananan raunuka a bakinta da ƙuraje a wuyanta. Lokacin da ta nuna wa likita, sai ya ce yana iya zama PFAPA.

Mene ne musabbabin SAIDs?

Yawancin SAIDs cututtuka ne na kwayoyin halitta . Wannan yana nufin cewa kowace daga cikin waɗannan cututtukan suna faruwa ne sakamakon bambancin kwayoyin halittarmu. Ga nau'ikan SAIDs da suka fi yawa da kuma kwayoyin halittar da ke shafar su:

• FMF: Kwayar halitta da ake kira `(MEFV)`. Wannan kwayar halitta tana ba da umarni ga samar da furotin `(pyrin)`.
• PFAPA: Ba a gano ainihin kwayar halittar da ke shafar wannan ba tukuna.
• TARKO: Kwayar halitta da ake kira `(TNFRSF1A)`. Nan ne umarnin yin furotin `(tumor necrosis factor receptor - TNFR)` ya fito.
• MKD: Kwayar halittar `(MVK)`. Wannan yana ba da umarni ga samar da furotin da ake kira `(mevalonic kinase)`.
• Cututtukan NLRP3: Kwayar halitta da ake kira `(NLRP3)`. Wannan yana ba da umarni don yin furotin da ake kira `(cryopirin)`.
• AOSD: Har yanzu ba a san ainihin dalilin hakan ba.
• Ciwon Blau: Kwayar halitta `(NOD2)`. Wannan yana ba da umarni ga samar da furotin `(NOD2)`.

Cikakkun bayanai game da waɗannan kwayoyin halitta na iya zama kamar abu mai rikitarwa a gare ku. A taƙaice dai, waɗannan kwayoyin halitta suna shafar samar da wasu sunadarai waɗanda ke sarrafa kumburi a jikinmu. Shi ya sa jiki ke ƙirƙirar yanayin kumburi ba tare da wani dalili ba.

Me zai iya faruwa idan ba a yi wa SAIDs magani yadda ya kamata ba?

Yana da matuƙar muhimmanci a sami magani mai kyau ga waɗannan SAIDs. Domin idan kumburin jiki ya ci gaba, wata cuta da ake kira `(amyloidosis)` na iya faruwa. Wannan yana nufin cewa wani nau'in furotin yana cikin kodanmu, wanda zai iya haifar da lalacewa ta dindindin ga kodan . Saboda haka, idan akwai alamu, yana da matuƙar muhimmanci a nemi shawarar likita ba tare da yin watsi da su ba.

Ta yaya likitoci ke gano cutar SAIDs?

Gano cutar SAIDs na iya zama ƙalubale domin alamun na iya kama da na wasu cututtuka masu tsanani, kamar lupus ko lymphoma. Saboda haka , ya fi kyau a ga likitan rheumatologist, likita wanda ke da horo na musamman kan cututtukan kumburi , don gano da kuma kula da lafiyar ɗanku daidai.

Likitan rheumatologist na yaronka zai duba abubuwa da dama domin gano cutar SAIDs. Zai tambaye ka game da alamun cutar da kuma ko wani a cikin iyalinka yana da tarihin mura akai-akai. Likitan zai iya zargin wannan yanayin idan:

• Idan yaron yana yawan zazzabi .
• Idan wani a cikin iyali yana da tarihin yawan zazzabi .
• Idan yaron ya fito daga ƙabila, to zai fi fuskantar zazzaɓi akai-akai kamar haka.

Wadanne gwaje-gwaje ake amfani da su?

Domin tabbatar da ganewar cutar, likitan rheumatologist na ɗanka zai iya ba da shawarar gwaje-gwaje da dama. Wasu daga cikinsu sun haɗa da:

• Gwaje-gwajen dakin gwaje-gwaje: Gwaje-gwajen jini kamar su `(C-reactive protein - CRP)` da `(Cikakken adadin jini - CBC)` na iya duba kumburi a jiki. Waɗannan gwaje-gwajen suna `(positive)` idan kana da zazzabi kuma suna komawa daidai lokacin da zazzabin ya ragu.
• Gwajin fitsari: Ana duba fitsari don ganin yawan furotin. A cikin yanayin MKD, ana kuma duba fitsari don ganin yawan sinadarin acid na halitta da ake kira "mevalonic acid".
• Gwajin Halittar Halitta: Gwajin Halittar Halitta na iya duba bambance-bambancen kwayoyin halitta da aka ambata a sama. Duk da haka, wasu yara da ke da SAIDs ba za a iya gano bambance-bambancen kwayoyin halitta ba, don haka sakamakon gwajin na iya zama mara kyau.

Menene maganin da ake yi wa SAIDs?

Maganin SAIDs ya dogara ne da nau'in da tsananin yanayin . Babu magani ga waɗannan yanayi, amma magunguna na iya taimakawa wajen sarrafa alamun ɗanka . Idan ɗanka yana samun ƴan hare-hare kaɗan a shekara, yawanci zaka iya magance alamun ta hanyar amfani da magungunan rage radadi da magungunan hana kumburi marasa steroidal (NSAIDs). Duk da haka, idan yanayin ya fi tsanani, likitanka zai iya ba da shawarar wasu magunguna:

• FMF: Ana iya magance wannan da magani mai suna `(Colchicine)` don rage kumburi. Idan ba za a iya ba wa yaron `(Colchicine)` ba, za ku iya gwada wani nau'in magani mai suna `(biologic)` mai suna `(Canakinumab)`.
• PFAPA: Magungunan steroid kamar prednisone na iya rage tsawon lokacin "harin" PFAPA. Cimetidine, magani ne da ake ba wa wasu yara don ciwon ciki, kuma yana iya taimakawa wajen rage alamun.
• TARKO: Maganin `(Canakinumab)` yana da tasiri sosai ga TARKO. Haka kuma, ana iya magance alamun ta hanyar amfani da magungunan hana kumburi kamar `(glucocorticoids)` da likita ya rubuta.
• MKD: `(Canakinumab)` magani ne mai inganci ga MKD. `(NSAIDs)` ko `(steroids)` na iya taimakawa yayin "hari".
• Cututtukan NLRP3: An yi amfani da magungunan immunomodulators kamar Canakinumab, Rilonacept, da Anakinra cikin nasara don magance cututtukan da suka shafi NLRP3.
• AOSD: Ana amfani da magunguna daban-daban na rage kumburi kamar su steroids, magungunan rage radadi (DMARDs), da kuma magungunan halittu don magance AOSD.
• Ciwon Blau: Dangane da alamun yaron, ana iya gwada magungunan rage garkuwar jiki, magungunan hana ciwon tumor necrosis factor (TNF), da/ko magungunan ido na waje.

Karanta game da waɗannan magunguna na iya sa ka ji ɗan tsoro. Amma ka tuna, duk waɗannan magunguna ana ba su ne a ƙarƙashin kulawar likita mai tsauri, ta hanyar da ta fi dacewa da yaron. Saboda haka, yana da mahimmanci a bi maganin daidai yadda likita ya ce.

Shin matsayin SAIDs zai tafi?

Wasu cututtukan SAIDs suna da alaƙa da rayuwa . Wasu kuma na iya ɗaukar shekaru kaɗan su tafi idan sun tsufa . Wasu cututtuka na iya ɗaukar tsawon rai, amma bayan wani lokaci, yawan hare-haren na iya raguwa kuma alamun na iya zama ƙasa da tsanani. Likitan ku zai yi muku bayani dalla-dalla game da yanayin ɗan ku.

Kula da yaro mai fama da SAID na iya zama ƙalubale. Idan kai da kanka ka taɓa SAID, za ka iya amfani da gogewarka don taimakawa wajen kula da yaronka. Fahimtarka kuma tana da mahimmanci wajen taimaka wa yaronka ya rayu da wannan yanayin na tsawon rayuwarsa.

Abu mafi mahimmanci shine neman magani daga likitoci masu ƙwarewa waɗanda suka san game da SAIDs. Suna iya taimakawa wajen sarrafa alamun ɗanka da kuma taimaka masa ya sami mafi kyawun lokacin yarinta.

Muhimman abubuwan da ya kamata a tuna (Saƙon Kai Gida)

To, bari mu sake duba wasu muhimman abubuwan da ya kamata ku tuna daga abin da muka tattauna a kai:

• Idan yaronka yana da zazzabi mai yawan gaske wanda ba a san dalilinsa ba , to yana iya zama alamar SAID.
• Ba kamuwa da cuta ke haifar da SAIDs ba, a'a matsala ce da tsarin garkuwar jiki.
• Waɗannan cututtuka ne da ba kasafai ake samun su ba waɗanda galibi ke faruwa ne sakamakon kwayoyin halitta .
• Alamomin na iya bambanta dangane da nau'in SAID, amma yawan zazzabi shine babban alamar .
• Yana da mahimmanci a ga likitan Rheumatologist don samun ingantaccen ganewar asali da magani.
• Duk da cewa magani ba zai iya warkar da cutar gaba ɗaya ba, ana iya sarrafa alamun sosai .
• Kada ka yi watsi da alamun cutar, domin suna iya haifar da lalacewar koda idan ba a yi maganinsu ba.

Idan kuna da wasu tambayoyi game da wannan, kada ku yi jinkirin yin magana da likitan iyali ko likitan rheumatologist. Za su iya taimaka muku sosai.

` SAIDs, cututtukan zazzabi na lokaci-lokaci, zazzabi mai maimaitawa, cututtukan kumburi na auto-inflammatory, zazzabi, zazzabi a cikin yara, cututtukan gado