CAH Symptoms Can Mimic PCOS
Yayin da ake nazarin ganewar asalin polycystic ovary syndrome ( PCOS ), ya zama likita ga likita don la'akari da lokacin da aka fara yin tsohuwar ƙwaƙwalwar jini (CAH), kuma. Wannan shi ne saboda wadannan cututtuka biyu suna nuna irin wannan bayyanar.
Farawa na farko Abun ciki na ciki
Abune mai matsananciyar hanzarin jini shine haɗuwa da cututtuka wadanda ke da maɓallin ƙwaƙwalwa a jikin jiki.
Kwayoyin cututtukan da suke bayarwa a lokacin haihuwar (yanayin haihuwa) suna shafar yawancin enzymes da ake buƙata don haifar da hawan haɗari mai haɗari.
Kusan kashi 95 cikin dari na sharuɗɗa na CAH suna haifar da rashin rashin lafiya 21-hydroxylase. Jiki ba zai iya samun cikakken isasshen maɗauran nau'i biyu na adon kwayoyin steroid-cortisol da aldosterone-lokacin da enzyme 21-hydroxylase ya ɓace ko aiki a ƙananan matakin. Wannan yana kawar da ma'auni mai kyau na hormones, hana maganin dacewa da aldosterone da cortisol, kuma cutar ta fara farawa da torogens (hormones steroids), wanda zai haifar da halin namiji a cikin mata. A cikin wannan nau'i na CAH, ma'aunin gishiri za a iya canzawa sosai, wanda zai haifar da zubar da jini, zazzagewa, da kuma canji na zuciya.
Yayinda yawancin marasa lafiya suke bincikar su ba da daɗewa ba bayan haihuwar su, akwai irin wannan cutar da ke tasowa daga baya a rayuwa, yawanci a lokacin yaro ko kuma tsofaffi-ana kiran shi maras balaga ko na farko CAH.
Wadannan mutanen suna ɓacewa kawai wasu daga cikin enzymes da suke da muhimmanci don samar da cortisol. Aldosterone ba shi da tasiri, don haka wannan nau'i na cutar ba shi da mawuyacin hali fiye da nau'i na haihuwa kuma yana nuna alamun bayyanar da aka saba saba wa PCOS, kamar:
- Farkowar tasowa na gashi
- Halin kwanakin hajji mara kyau
- Hirsutism (maras so ko wuce jikin jikin gashi)
- Abubuwa mai tsanani (a fuskar da / ko jiki)
- Matsarar haihuwa a cikin kashi 10 zuwa kashi 15 cikin dari na mata matasa da CAH
Binciken asalin CAH
Anyi amfani da hyperplasia na al'ada ta al'ada ta kwayoyin halitta. Yahudawa na gabashin Turai (Ashkenazi) suna da haɗari ga samun wannan cuta, idan aka kwatanta da yawan jama'a. Tun da CAH wani cututtuka ne da ba zafin rai ba, duka iyaye dole ne su ɗauki nau'in halayen enzyme don ba da shi ga yaro.
Dangane da rarrabawar yanayin yanayin, mutane da yawa sun san hadarin a cikin iyalinsu kuma sun sanar da likita game da buƙatar nazarin kwayoyin halitta. Dikita na iya ci gaba da fitsari da gwaje-gwajen jini don bincika matakan cortisol maɗaurai ko wasu matakan hormonal. Ƙara yawan halayen androgen kuma za'a iya la'akari da lokacin yin ganewar asali. Tarihin tarihin iyali da jarrabawa na jiki ma wajibi ne don likita ya yi cikakken ganewa.
Jiyya Zɓk
Kwayoyin maganin haihuwar haihuwa suna da tasiri sosai wajen daidaita tsarin motsa jiki, rage ƙwayar kuraje, da kuma wani lokacin hasara gashi. Idan wannan ba tasiri ba wajen magance cututtuka, ko likita na jin cewa kwayoyin hana haihuwa ba su dace da kai ba, zai iya yin la'akari da baka magani.
Duk da haka, magani bai sabawa rayuwa ba.
Ga mutanen da ke da CAH mai kyau tare da raunin aldosterone, magani kamar fludrocortisone (Florinef) zai riƙe gishiri cikin jiki. Ƙananan jarirai suna karɓar gishiri mai zurfi (kamar lakaran da aka lalata ko mafita), alhali kuwa marasa lafiya marasa lafiya na al'ada na CAH suna cin abinci mai daɗi.
Magungunan miyagun ƙwayoyi da kuma tsarin su ne yawanci don fahimtar lafiyar likitanka kuma yana dogara ne akan tsananin rashin lafiya.
> Source:
> Gidauniyar Ƙunƙasar Ƙunƙarar Kasashe. Abun da ke ciki ta jiki (CAH).