Ka yi tunanin lokacin da ka canza rigar jaririnka, ko kuma lokacin da ka riƙe jaririnka, za ka lura da wani ƙamshi mai daɗi. Kamar ruwan maple syrup , ko kuma ƙamshi mai tsami . Ko da ba ka kula da shi da farko ba, idan wannan ƙamshin ya ci gaba da zuwa, al'ada ce ga kowace uwa ko uba su ji ɗan tsoro. A gaskiya ma, wannan ita ce babbar alama kuma mafi bayyananniyar alama ta cutar da ba kasafai ake samu ba amma tana da matuƙar muhimmanci a gane ta da wuri-wuri da ake kira 'Ciwon Urinary Disease' (MSUD).
A taƙaice dai, wannan matsala ce ta rayuwa. Wato, akwai matsala a cikin tsarin da ke tattare da shi wanda ke mayar da abincin da muke ci zuwa kuzari. Duk mun san yadda furotin yake da mahimmanci ga jikinmu. Waɗannan sunadaran sun ƙunshi ƙananan tubalan gini da ake kira amino acid. A cikin mutumin da ke da MSUD, jiki ba zai iya karya nau'ikan amino acid guda uku yadda ya kamata ba, wato leucine, isoleucine, da valine , sannan ya mayar da su makamashi. Wannan saboda enzymes da ake buƙata don wannan tsari ba a samar da su a jikinsu ba. To me zai faru to? Waɗannan amino acid marasa karyewa da kayayyakinsu suna fara taruwa a jiki da jini a matsayin guba . Waɗannan gubobi na iya lalata kwakwalwa da sauran gabobin jiki. Idan ba a yi magani ba, wannan yanayin ma na iya haifar da mutuwa. Saboda haka, yana da matuƙar muhimmanci a san wannan.
Me yasa irin wannan cuta mai wuya ke faruwa?
Cutar fitsari ta maple syrup cuta ce da ba kasafai ake samunta a cikin kwayoyin halitta ba. A duk duniya, kusan yara 185,000 ake haihuwarsu da wannan cuta.
Wannan yana faruwa ne sakamakon wasu sauye-sauye a cikin kwayoyin halittarmu. Waɗannan canje-canjen kwayoyin halitta suna hana jiki samar da enzymes da ake buƙata don wargaza amino acid guda uku da muka yi magana a kansu a baya. Wannan cuta ce ta kwayoyin halitta mai narkewa . Wannan yana nufin cewa domin jariri ya kamu da wannan cuta, uwa da uba dole ne su gaji kwayar halittar da ba ta da matsala.
Ka yi tunanin kai da abokin tarayyarka dukkanku masu ɗauke da wannan kwayar halitta mai lahani ne. Wannan yana nufin ba ka da alamun cutar, amma kana da kwayar halitta mai lahani a jikinka. Idan haka ne:
- Akwai yiwuwar kashi 25% na haihuwar jaririnka da MSUD.
- Akwai kashi 50% na yiwuwar jaririnka ya zama 'mai ɗauke da cutar', kamar kai, wanda ba zai nuna wata alama ba amma zai ɗauki kwayar halittar.
- Akwai kashi 25% na yiwuwar jaririn ba zai gaji wannan kwayar halitta mai lahani ba kwata-kwata kuma zai kasance cikin koshin lafiya.
Akwai nau'ikan wannan cuta daban-daban?
Eh, akwai manyan nau'ikan MSUD guda huɗu, waɗanda suka bambanta a tsanani da kuma lokacin da alamun ke ɗauka kafin su bayyana.
| Nau'in MSUD | Musamman da alamomi |
|---|---|
| MSUD na gargajiya | Wannan ita ce nau'in da aka fi sani kuma mafi tsanani . Jarirai masu wannan yanayin ko dai ba sa samar da enzymes da ake buƙata kwata-kwata, ko kuma ba sa samar da kaɗan. Alamomin yawanci suna bayyana a cikin kwanaki uku na farko na haihuwa. |
| Matsakaici MSUD | Waɗannan mutane suna samar da enzymes fiye da na gargajiya. Saboda haka, alamun ba su da tsanani sosai. Alamomin yawanci suna bayyana tsakanin watanni 5 zuwa shekaru 7 . |
| MSUD mai jinkiri | Waɗannan yaran suna girma kamar yadda aka saba. Alamomin suna bayyana ne kawai lokacin da jiki ke cikin damuwa, kamar zazzabi ko damuwa . A wasu lokutan kuma, suna bayyana cikin koshin lafiya. |
| MSUD mai amsawa ga Thiamine | Thiamine bitamin ne na B1. Wannan bitamin yana ƙara yawan ayyukan enzymes. Ana iya sarrafa alamun cutar idan aka ba marasa lafiya da wannan nau'in cutar yawan sinadarin thiamine da kuma abinci na musamman. |
Menene alamomin banda ƙamshin ruwan maple syrup?
Kamar yadda muka ambata a baya, alamar da ta fi bayyana ita ce warin da ke kama da ruwan 'ya'yan itace na maple ko sukari mai launin ruwan kasa. Wannan warin na iya fitowa daga fitsari , gumi , har ma da kakin kunne .
Amma akwai wasu alamomi da yawa banda wannan warin. Waɗannan sun bambanta dangane da nau'in cutar da kuma mutumin.
Alamomin cutar ga jarirai (MSUD na gargajiya)
Idan ba a yi maganin waɗannan jarirai ba, waɗannan jarirai na iya nuna alamun kamar:
- Rashin natsuwa akai-akai, rashin haushi
- Wahala ko ƙin shan madara
- Barci mara kyau ko jin baƙin ciki a kowane lokaci
- Wahalolin numfashi
- Jijiyoyin tsoka ko kuma bugun jiki
- Komawa
Gargaɗi: Waɗannan yanayi ne masu matuƙar tsanani da gaggawa. Idan jaririnku yana da ɗaya daga cikin waɗannan alamun, kada ku jinkirta ko da minti ɗaya ku ga likita nan da nan ko ku kai shi Sashen Gaggawa (ETU) na asibiti mafi kusa.
Alamomin cutar ga yara da manya manya da kuma manya
A cikin nau'ikan da ke da matsakaicin yanayi, na lokaci-lokaci, da kuma waɗanda ke da amsawa ga thiamine, alamun na iya bayyana a kowane zamani. Suna iya bayyana ko ƙara muni a lokacin zazzabi, rashin lafiya, ko damuwa.
- Ciwon ciki da amai
- Rashin ci da kuma asarar nauyi
- Rashin ƙarfi ko rashin iko yayin tafiya
- Ƙungiyoyin da ba na son rai ba
- Jawabin da ba a fahimta ba
- Rashin sani ko wahalar zama a faɗake
Yaya ake gane cutar?
A ƙasashe da yawa da suka ci gaba, gwajin jarirai ya haɗa da gwajin MSUD. Saboda haka, ana iya gano nau'in da aka saba gani cikin 'yan kwanaki da haihuwa. A Sri Lanka, ana kuma gwada jarirai don cututtuka daban-daban. Tunda wannan cuta ba kasafai take faruwa ba, ba dukkan jarirai za a iya gwada ta don wannan cutar ba.
Duk da haka, likita zai iya zargin wannan yanayin idan ya lura da alamun jaririn, musamman warin da ke tattare da shi. Sannan, ana yin gwaje-gwaje na musamman na jini da fitsari don tabbatar da ganewar cutar. Waɗannan gwaje-gwajen na iya duba yawan matakan amino acid masu matsala a cikin jini da fitsari. A wasu lokuta, ana amfani da gwajin kwayoyin halitta don tabbatar da yanayin.
Wadanne magunguna ne ake amfani da su? Shin zai yiwu a warkar da shi gaba ɗaya?
Babban burin magance wannan cuta shine a sarrafa matakan amino acid masu cutarwa da ke taruwa a jiki.
Babban maganin shine abinci na musamman wanda dole ne a bi shi tsawon rayuwa.Wannan ya ƙunshi iyakance abincin furotin (misali, nama, kifi, ƙwai, kayayyakin kiwo, da wasu hatsi) waɗanda ke da yawan amino acid masu matsala (leucine, isoleucine, da valine). A lokaci guda, ana samar da wasu abubuwan gina jiki da ake buƙata don girma, kamar foda madara da kari na musamman. Ana aiwatar da wannan tsarin abinci a ƙarƙashin kulawar likita da likitan abinci .
A lokuta inda alamun suka yi tsanani, ana buƙatar a kwantar da shi a asibiti kuma a yi amfani da wasu magunguna.
- Ba wa jiki abinci mai gina jiki da ake buƙata ta hanyar jijiya (IV) saline ko bututu na musamman.
- Sarrafa matakan amino acid a cikin jini ta hanyar ba da glucose ko insulin ta hanyar IV.
- Domin cire gubar da ta taru a cikin jini cikin sauri, a tace jinin (wata hanya kamar dialysis).
Maganin wannan cuta na dindindin shine dashen hanta. Idan aka dasa hanta daga mutum mai lafiya, hanta tana samar da enzymes da ake buƙata, wanda hakan ke ba wa majiyyaci damar rayuwa ta yau da kullun ba tare da wani ƙuntatawa na abinci ba.
Saƙon Ɗauka Gida
- MSUD cuta ce mai matuƙar wuya, amma mai tsanani ta hanyar kwayoyin halitta.
- Idan fitsari, gumi, ko kakin kunne na jaririnka yana da ƙamshi mai daɗi, kamar ruwan maple syrup, zai iya zama babban alama.
- Gano cutar da wuri da kuma magani yana da matuƙar muhimmanci domin hana lalacewar kwakwalwa da sauran gabobin jiki na dindindin.
- Babban maganin shine abinci na musamman wanda dole ne a bi shi tsawon rayuwa.
- Idan ka lura da ɗaya daga cikin alamomin da aka ambata a cikin wannan labarin, musamman ga jariri , da fatan za ka ga likitanka nan da nan. Da zarar an gano cutar da wuri, sakamakon zai fi kyau.
Cutar Maple Syrup ta Fitsari, MSUD, Cututtukan Halitta, Cututtukan Yara, Cututtukan Metabolic, Amino Acid, Ƙanshin Fitsari na Jariri
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