Rashin hawan jini na harkar jini shine yanayin da cutar ta hanta. Yana da wani irin cutar hawan jini (hauhawar jini), amma a maimakon rinjayar jiki duka, mafi rinjaye yana rinjayar layin da ke fitowa daga hanji zuwa hanta. Yana da matukar mahimmanci na ciwon hepatitis da ciwon hanta, kuma zai iya haifar da kumburi da zub da jini.
Gudun jini yana yalwace ta Harkar: Yadda ake aiki
Hanta yana karɓar jini daga asali biyu.
Fresh jini, yana fitowa daga zuciya, yana wadata bukatun hanta kanta. Har ila yau, saboda hanta yana tace magunguna da kuma matakai na gina jiki, jini daga hanji da wasu kwayoyin halitta na tsarin narkewa ya zo ta hanyar tashar tashar portal. Jinin da ke cikin tashar tashar ruwa yana gudana kai tsaye cikin hanta kuma yana iya yin hulɗa tare da hepatocytes (hanta Kwayoyin). Jinin yana ci gaba da hanta kuma ya sake komawa zuciya da huhu ta wurin daban-daban na tasoshin - jijiyoyi masu kwakwalwa.
Idan an katange hanya zuwa hanta daga hanji ko jinkirin saboda wasu hani, to, matsa lamba ya kara haɓaka a cikin hanyar portal venous. An bayyana wannan a gare ni ta hanyar yin tunanin tsarin mai amfani da kwayar wuta kamar shinge na katako da kuma tsangwama kamar yadda aka yi a cikin tiyo. Ka san daga gwaninta cewa matsa lamba yana ƙaruwa cikin ruwa. Irin wannan abu zai iya faruwa a cikin jikinmu, sai dai idan ba haka ba, ba kamar ruwa na ruwa ba, ƙwayoyinmu za su iya rushe lokacin da matsa lamba ke ginawa.
Wannan "layi" shi ne abin da ke taimakawa wajen maye gurbi kuma shine dalilin ascites, ko gina jiki.
Abin da ke haifar da haɗari?
Hanyoyin cirrhosis na iya haifar da fibrosis mai yawa. Fibrosis shine mafi mahimmanci na cutar hawan jini, ko da yake akwai wasu matsaloli masu yawa (irin su schistosomiasis, sarcoidosis, da kuma tarin fuka-fuka).
Cikakken ƙwayar fibrosis yana hana tsinkayen ruwaye ta hanta. Yin amfani da misalin da muka yi a sama, fibrosis shine "kink a cikin tiyo." Fibrosis yana kewaye da tasoshin a cikin hanta wanda ya sa ya fi wuya ga jini ya gudana. Yayin da jini da ruwaye suka yi kokarin tacewa ta hanyar hanta da aka hana, haɗin zai gina a cikin tashar tashar, yana haifar da ƙara matsaloli.
Mene Ne Matsalolin da Sakamakon Rashin Hawan jini yake?
Matsaloli mafi muhimmanci da ke haɗuwa da hawan jini sunadarai ne (haɗuwa da ruwa mai zurfi a cikin kyallen takarda ta rufe jikin da ganuwar ciki) da kuma varices (sunadarar daji tare da esophagus, ciki ko intestines da jini ya zubar da jini).
Daban iri suna kai tsaye ta hanyar karfin jini. Lokacin da aka hana jinin jini a cikin hanta, jinin za a iya tallafawa a cikin tsaka-tsakin tashar venous venous (tsarin kwayoyin da ke dauke da jini a tsakanin tsarin kwayar cutar da hanta) da kuma tsarin kwayoyin jini (tsarin kwayoyin da suka dawo jini zuwa zuciya). Hanya tsakanin wadannan tsarin guda biyu ƙananan ƙananan jini ne wanda ake kira capillaries. Wadannan tasoshin ba su iya tsayayya da ƙara yawan karfin jini kuma sun zama masu tasiri ko kuma sunadaba.
Ana iya ganin waɗannan tasoshin a gefen ɓangaren esophagus ko ciki a yayin da aka sani da endoscopy. Sun kasance masu sassauci da kuma hadarin jini.
Shin Rawanin Jigilar Harkokin Sanya Hoto?
Haka ne, saboda karfin hawan jini zai iya haifar da zub da jini. A lokuta da dama, waɗannan zubar da jini suna dauke da gaggawa gaggawa saboda ƙananan mutuwar (yawan mutanen da suka mutu) daga wani abu mai kwakwalwa na zubar jini yana kimanin kashi 70%. Kwayoyin jinsin halitta suna da yawa a cikin mutanen da ke da cirrhosis mai zurfi kuma an kiyasta cewa daya daga kowane mutum uku tare da bambancin zai haifar da zub da jini.
Ta yaya ake bincikar cutar hawan jini?
Duk wanda ke da cirrhosis da ke ci gaba za a kula dashi don inganta hawan jini, wanda yawanci ana bincikar shi ta wurin kasancewar ɗaya ko fiye da haka:
- Thrombocytopenia
- Splenomegaly (kara girma lambun)
- Ƙin yarda
- Samun daya daga cikin rikice-rikice na hauhawar jini (transites da esophageal varices)
Sources:
> Bacon, BR. Cirrhosis da ƙwayoyinsa. A cikin: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo, da Dokar Magungunan Harkokin Cikin Gida ta Harrison , 17th. New York, McGraw-Hill, 2008. 1976-1978.
> Crawford, JM. Hanya da Biliary Tract. A: V Kumar, AK Abbas, N Fausto (eds), Robbins da Cotran Pathologic Basis na cuta , 7e. Philadelphia, Elsevier Saunders, 2005. 883-885.
> Shah VH, Kamath PS. Rawanin jini da kuma Gastrointestinal Bleeding. A cikin: M Feldman, LS Friedman, LJ Brandt (eds), Gastrointestinal and Liver Liver , 8th. Philadelphia, Elsevier, 2006. 1899-1928.