Shin ƙaramin yaronka wani lokacin yana kamuwa da zazzabi ba tare da mura ko wata cuta ba? Shin zazzaɓin yana zuwa, ya ragu cikin 'yan kwanaki, sannan ya sake bayyana bayan 'yan kwanaki? Wasu iyaye suna fuskantar irin waɗannan abubuwan. Don haka a yau za mu yi magana game da irin wannan sanadin zazzaɓin da ake yawan samu, wanda ke da wahalar samu. Ana kiran wannan SAIDs (Ciwon kumburi na Tsari) . A da, ana kiran wannan da `(Ciwon Zazzaɓi na Lokaci)` ko `(Ciwon Zazzaɓi Mai Sauƙi)`.
Mene ne waɗannan SAIDs? Bari mu fahimce shi a taƙaice!
A taƙaice dai, SAIDs rukuni ne na cututtuka waɗanda ke faruwa sakamakon rashin aiki ko matsalar tsari a cikin tsarin garkuwar jikinmu . A wannan yanayin, ba tare da wata cuta ta waje ba (kamar ƙwayar cuta ko ƙwayoyin cuta), jikinmu yana haifar da kumburi kawai. Kamar dai tsarin tsaron jikinmu yana shiga cikin mawuyacin hali.
Ka yi tunani a kai, muna da ƙungiyar sojoji a cikin jikinmu (wato tsarin garkuwar jiki). Aikinsu shine yaƙi da ƙwayoyin cuta masu haifar da cututtuka idan sun shigo. Amma a cikin jikin wani da ke ɗauke da SAIDs, waɗannan sojoji wani lokacin suna jin haushi kawai suna haifar da matsaloli a cikin jiki.
Yanzu za ka iya mamakin ko wannan wani abu ne kamar `(cututtukan garkuwar jiki)` (wato, cututtukan garkuwar jiki). Misali, `(cututtukan rheumatoid arthritis)` ko `(lupus)` iri ɗaya ne. A'a, waɗannan biyun sun ɗan bambanta. A cikin cututtukan garkuwar jiki, abin da ke faruwa shine tsarin garkuwar jiki da aka samu ko kuma wanda ke daidaitawa 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 SAIDs sun fi na cututtukan da ke da alaƙa da garkuwar jiki yawa . Yawancinsu ana gado su ne , ma'ana maye gurbi ko bambancin kwayoyin halitta ne ke haifar da su.
SAIDs yawanci suna farawa ne tun suna jarirai ko kuma tun suna ƙanana . Amma ba koyaushe haka lamarin yake ba. Yaronka na iya samun kamuwa da zazzabi da sauran alamu. Yaronka na iya rashin alamun cutar a tsakanin hare-hare. Babu maganin SAIDs. Duk da haka, akwai magunguna da za su iya taimakawa wajen magance alamun cutar a mafi yawan lokuta.
Wadanne manyan nau'ikan SAIDs ne?
Masu bincike sun gano nau'ikan SAIDs kusan 60, kuma ana gano wasu. Bari mu dubi wasu daga cikin nau'ikan da aka fi sani.
- Zazzabin Bahar Rum na Iyali (FMF): Wannan shine mafi yawan cututtukan zazzaɓi da aka gada ta hanyar gado, kuma masu sake dawowa. Yana iya haifar da kumburi mai zafi a cikin ciki, ƙirji, da haɗin gwiwa na yaro .
- Zazzaɓin lokaci-lokaci, aphthous-stomatitis, pharyngitis, adenitis (PFAPA): Wannan yawanci yana farawa ne a cikin ƙananan yara kafin su kai shekara 4. Wannan yanayin na iya raguwa kwatsam bayan shekara 10.
- Ciwon da ke da alaƙa da ƙwayoyin cuta na Tumor necrosis factor (TRAPS): Wannan na iya faruwa a lokacin ƙuruciya, samartaka, har ma a lokacin girma.
- Rashin ƙarancin Mevalonate kinase (MKD): A da ana kiransa da hyper-IgD syndrome, wannan yawanci yakan fara ne a jarirai 'yan ƙasa da shekara 1.
- 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): Wannan nau'in ciwon arthritis ne da ke farawa daga manya zuwa manya (JIA).
- Cutar granulomatous mai alaƙa da NOD-2 (Blau syndrome): Wannan yawanci yana farawa kafin shekara 4. Yana shafar fatar yaron, idanu, da haɗin gwiwa .
Mene ne alamomin SAIDs? Ta yaya za mu gane su?
Alamomin SAIDs yawanci suna farawa ne tun suna ƙanana. Alamar da aka fi sani kuma mafi shahara ita ce zazzaɓin lokaci-lokaci ko na lokaci-lokaci . Mutane yawanci ba sa nuna alamun cutar a tsakanin hare-hare. Duk da haka, akwai wasu alamu da suka shafi kowace irin SAID.
Bari mu dubi takamaiman alamun nau'ikan SAID da aka tattauna a sama:
- FMF: Wannan na iya haifar da ciwo mai tsanani a cikin ciki, ƙirji, da haɗin gwiwa na yaron, tare da kumburi . Wani lokaci, kurji na iya tasowa a ƙafafu ko idon sawu. Ka yi tunanin, yaro ba zato ba tsammani ya kamu da ciwon ciki da zazzaɓi. Idan iyaye suka damu suka kai su asibiti, za su iya tunanin cewa ciwon appendicitis ne. Amma sai ya lafa ya dawo bayan 'yan kwanaki.
- PFAPA: Wannan na iya haifar da alamu kamar ciwon makogwaro, ciwon baki, da kumburin ƙwayoyin lymph a wuya .
- TARKO: Wannan na iya haifar da sanyi, ciwon tsoka a ƙirji da hannaye , da kuma kuraje masu zafi da ke farawa a hannaye da ƙafafu kuma suna yaɗuwa a ko'ina cikin jiki.
- MKD: A cikin wannan maZa ka iya jin rashin lafiya idan kana jin sanyi, ciwon kai, ciwon ciki, rashin cin abinci, da kuma alamun mura.
- Cututtukan NLRP3: Waɗannan na iya haifar da alamu kamar kuraje a fata, ciwon kai, rashin lafiya, ciwon gaɓɓai, da jajayen idanu (conjunctivitis) .
- AOSD: Wannan yanayi ne da ke yawan haifar da kuraje a fata, ciwon gaɓɓai, da ciwon tsoka . Wasu mutane kuma na iya fuskantar ciwon makogwaro, ciwon ciki, gajiya mai tsanani, da ciwon jiki.
- Ciwon Blau: Wannan na iya haifar da raunuka a fata a hannun jaririnka, ƙafafu, ko jikinsa . Hakanan yana iya haifar da ciwon gaɓoɓi da ciwon ido .
Me yasa waɗannan SAIDs ke faruwa? Menene ke haifar da hakan?
Yawancin SAIDs cututtuka ne na kwayoyin halitta . Wato, kowace cuta tana faruwa ne ta hanyar bambancin (bambanci) a cikin takamaiman kwayar halitta.
Bari mu kalli kwayoyin halittar da ke tasiri ga manyan nau'ikan SAID da dama:
- FMF: Wannan yana faruwa ne sakamakon kwayar halitta mai suna `(MEFV gene)`. Wannan kwayar halitta tana ba da umarni kan yadda ake yin furotin mai suna `(pyrin)`.
- PFAPA: Ba a gano ainihin dalilin hakan ba tukuna .
- TARKUNAN: Wannan yana faruwa ne sakamakon wata kwayar halitta da ake kira `(TNFRSF1A gene)`. Wannan shine abin da ke ba da umarni don yin furotin da ake kira `(tumor necrosis factor receptor - TNFR)`.
- MKD: Dalilin wannan shine kwayar halitta da ake kira `(MVK gene)`. Wannan yana ba da umarni ga samar da furotin da ake kira `(mevalonic kinase)`.
- Cututtukan NLRP3: Wannan yana faruwa ne ta hanyar kwayar halitta mai suna `(NLRP3 gene)`. Wannan yana ba da umarni don yin furotin mai suna `(cryopirin)`.
- AOSD: Ba a gano ainihin dalilin hakan ba tukuna .
- Ciwon Blau: Wannan yana faruwa ne sakamakon kwayar halitta mai suna `(NOD2 gene)`. Wannan yana ba da umarni ga samar da furotin mai suna `(NOD2)`.
Shin waɗannan SAIDs ɗin za su iya haifar da wasu matsaloli?
Eh, wannan na iya haifar da matsaloli idan ba a yi maganin da ya dace ba . Idan kumburi ya ci gaba a jiki, zai iya haifar da wata cuta da ake kira "amyloidosis". Wato, wani nau'in furotin yana cikin kodanmu. Wannan na iya haifar da lalacewa ta dindindin ga kodan . Shi ya sa yake da mahimmanci a gano cutar da wuri kuma a nemi magani.
Ta yaya likita zai gano wannan yanayin SAIDs?
A gaskiya ma, gano waɗannan cututtukan da ke haifar da kumburi a jiki na iya zama ɗan ƙalubale , domin alamunsu na iya yin kama da wasu cututtuka masu tsanani kamar lupus ko ciwon daji kamar lymphoma. Saboda haka, yana da mahimmanci a ga likita wanda ke da horo na musamman a kan cututtukan kumburi, likitan rheumatologist, don gano da kuma kula da lafiyar ɗanku yadda ya kamata.
Likitan rheumatologist na ɗanka zai yi amfani da abubuwa da dama don gano cutar SAIDs. Zai tambaye ka game da alamun ɗanka da kuma ko wani a cikin iyalinka yana da waɗannan yanayi (tarihin iyali). Likitan zai iya zargin cewa ɗanka yana da ciwon zazzabi na lokaci-lokaci idan:
- Idan yaron yana yawan zazzabi .
- Idan akwai wani a cikin iyali da ke da tarihin yawan zazzabi kamar wannan .
- Idan yaron yana cikin ƙungiyar mutanen da ke fama da zazzaɓin lokaci-lokaci kamar wannan .
Wadanne gwaje-gwaje ake yi don wannan?
Domin tabbatar da ganewar cutar, likitan rheumatologist na ɗanka zai iya ba da shawarar gwaje-gwaje da dama. Waɗannan na iya haɗawa da:
- Gwaje-gwajen dakin gwaje-gwaje: Ana iya amfani da gwaje-gwaje kamar "C-reactive protein (CRP)" da "cikakken adadin jini (CBC)" don duba kumburi a jiki. Waɗannan gwaje-gwajen suna da kyau a lokacin "haɗarin" zazzaɓi kuma suna komawa daidai lokacin da "haɗarin" ya ƙare.
- Gwajin fitsari: Ana iya yin gwajin furotin na fitsari don duba yawan furotin a cikin fitsari. A cikin MKD, gwajin fitsari wanda ke duba acid na halitta (acids dauke da sinadarin carbon guda ɗaya) na iya nuna matakan mevalonic acid masu yawa.
- Gwajin Halittar Halitta: Wannan zai iya duba bambance-bambancen kwayoyin halitta. Duk da haka, wasu yara da ke dauke da cutar SAIDs ba za a iya gano bambance-bambancen kwayoyin halitta ba, wanda hakan zai iya haifar da sakamakon gwaji mara kyau.
Menene maganin waɗannan SAIDs?
Maganin SAIDs ya bambanta dangane da nau'in da tsananin cutar . Babu maganin waɗannan yanayi. Duk da haka , ana iya magance alamun cutar da magani . Idan yaronka yana samun ƴan hare-hare kaɗan a shekara, za ka iya ba shi magungunan rage radadi kamar magungunan hana kumburi marasa steroidal (NSAIDs) don taimakawa rage alamun cutar. Duk da haka, idan cutar ta fi tsanani, likitanka zai iya ba da shawarar wasu zaɓuɓɓukan magani.
Ga wasu daga cikinsu:
- FMF: Ana iya amfani da magani mai suna `(colchicine)` don magance wannan. Wannan yana rage kumburi. Idan yaron ba zai iya shan colchicine ba, ana iya gwada wani nau'in magani mai suna `(biologic)` da ake kira `(canakinumab)`.
- PFAPA: Ana iya ba da maganin steroids (yawanci prednisone) don rage tsawon lokacin "harin PFAPA." A wasu yara, cimetidine, maganin da ake amfani da shi don magance ciwon ciki, shi ma yana iya taimakawa wajen magance alamun.
- TARKO: Wani magani da ake kira "canakinumab" sau da yawa yana da tasiri ga wannan. Haka kuma, ana iya rage alamun ta hanyar amfani da magungunan hana kumburi da likita ya rubuta, kamar "glucocorticoids".
- MKD:Canakinumab magani ne mai inganci ga MKD. Ba da magungunan NSAIDs ko steroids yayin "hari" na iya taimakawa.
- Cututtukan NLRP3: Ana amfani da magungunan immunomodulators kamar canakinumab, rilonacept, da anakinra cikin nasara don wannan.
- AOSD: Ana amfani da nau'ikan magungunan rage kumburi daban-daban don AOSD. Misalan sun haɗa da steroids, magungunan rage radadi masu canza cututtuka (DMARDs), da kuma magungunan halittu.
- Ciwon Blau: Dangane da alamun yaronka, yana iya gwada magungunan rage garkuwar jiki, magungunan hana ciwon tumor necrosis factor (TNF), da/ko magungunan ido na waje.
Shin waɗannan sharuɗɗan SAIDs na dindindin ne? Ko kuwa za su tafi?
Wasu cututtukan da ke shafar numfashi suna shafar numfashi har tsawon rayuwa . Wasu kuma na iya ɗaukar shekaru kaɗan suna ɓacewa idan sun tsufa. Wasu cututtuka suna shafar numfashi har tsawon rayuwa, amma da zarar sun kai ga haka, yawan kamuwa da cutar na iya raguwa. Likitan yaronka zai iya ba ka takamaiman bayani game da yanayin da yake ciki.
Renon yaro mai cutar kumburin jiki na iya zama ƙalubale. Idan kana da SAID, zaka iya amfani da abubuwan da ka fuskanta don inganta kula da ɗanka. Hakanan zaka iya amfani da abubuwan da ka fuskanta don taimaka wa ɗanka ya daidaita da wannan yanayin na tsawon rayuwarsa.
Abu mafi mahimmanci shine a nemi magani daga ƙwararrun ƙwararru waɗanda suka san game da SAIDs. Irin waɗannan likitoci za su iya taimakawa wajen sarrafa alamun ɗanku da kuma taimaka masa ya sami mafi kyawun lokacin yarinta.
Saƙon Ƙarshe na Ɗauka Gida
Don haka, ina fatan kuna da wasu ra'ayoyi game da SAIDs da muka yi magana a kansu a yau. Ku tuna, idan yaronku yana da zazzabi mai yawan gaske, wanda ba a bayyana shi ba, to ku yi magana da likita game da shi . Kada ku yi watsi da shi kawai, kuna tunanin cewa al'ada ce.
- SAIDs rukuni ne na cututtuka waɗanda galibi ke haifar da zazzabi kuma matsala ce da ke tattare da garkuwar jiki.
- Waɗannan galibi suna faruwa ne ta hanyar gado kuma suna farawa tun suna ƙanana.
- Duk da cewa babu maganin da zai iya warkar da wannan matsalar har abada, akwai magunguna da za su iya magance alamun cutar.
- Yana da matuƙar muhimmanci a nemi ingantaccen ganewar asali da magani daga ƙwararren likita (likitan cututtukan rheumatologist).
- Idan aka fara magani da wuri, za a iya hana matsaloli kamar amyloidosis kuma yaron zai iya rayuwa ta yau da kullun.
Idan kuna da wasu tambayoyi game da wannan, kada ku yi jinkirin tambayar likitan iyali ko likitan yara.
` SAIDs, Cututtukan Kumburin Jiki, Zazzabi Mai Yawa, Cututtukan Halitta, Zazzabi a Yara, Tsarin Garkuwar Jiki, Likitan Rheumatologist











💬 Comments (0)
Har yanzu ba a buga sharhi ba. Ƙara bayanin ku anan a karon farko.
Ƙara sharhin ku