Rhabdomyolysis kalma ce ta gaba ɗaya da ke nuna lalacewar ƙwayar tsoka. Akwai dalilai da yawa don wannan rhabdomyolysis, wanda sakamakon su ya fi girma ko ƙasa da mahimmanci dangane da asalin cutar.

Kalmar rhabdomyolysis ta ƙunshi juzu'i -lyse ma'ana halaka, shine kalmar rhabdomyo- ƙira tsoka mai ƙwanƙwasa, wato duk tsokar jikin mutum ban da tsokar zuciya (myocardium) da tsokar tsoka (amfani don dabarun motsa jiki ba tare da son rai ba kamar ƙwarewar motsin hanji ko na jijiyoyin jini).

Lokacin da aka lalata ƙwayoyin tsoka, ana sakin ƙwayoyin da yawa cikin jini. Ofaya daga cikin waɗannan shine enzyme wanda ke wanzu a cikin ƙwayoyin tsoka. Yana da creatine phosphokinase, wanda ake kira mafi sauƙaƙe kamar CPK. An gwada wannan kwayoyin a cikin aikin yanzu. Mafi girman sashi, mafi girma rhabdomyolysis.

Abubuwan da ke haifar da rhabdomyolysis sun bambanta. Za mu ci gaba a nan jerin abubuwan da ba a kammala ba na abubuwan da ke haifar da rhabdomyolysis:

Tashin hankali / matsawa

Matsewar wata gabobi, alal misali murkushe ciwo, wanda mutum ya makale a ƙarƙashin mota ko a ƙarƙashin baraguzan girgizar ƙasa, yana haifar da rhabdomyolysis wanda galibi yana da tsanani.

Tsawaitar da kai tsaye yana haifar da matsewar tsoka wanda zai iya haifar da rhabdomyolysis (asarar sani, tiyata na dogon lokaci, da sauransu).

Wucewar tsoka

• Rikicin farfadiya
• Ayyukan motsa jiki da yawa (marathon, ultra-trail)

Cututtuka

• Viral: mura
• Kwayoyin cuta: legionellosis, tularemia
• Parasitic: zazzabin cizon sauro, trichinellosis

Zazzabi mai tsanani

• Neuroleptic m ciwo
• Zazzabin cizon sauro
• M hyperthermia

Mai guba

• barasa
• Cocaine
• Heroin
• Amintattun abubuwa

Magungunan

• Neuroleptics
• Statins

Autoimmune

• Polymyosite
• Dermatomyositis

Genetics

A wasu lokuta, mahallin a bayyane yake, misali lokacin murkushe gabobin jiki ko tsawaita suma.

A wasu lokuta, alamun lalacewar tsoka na iya zama da wahalar gani. Ciwon tsoka na iya haɗawa da nau'in nau'in taurin-ƙarfi ko ciwon tsoka a tafin hannu. Ana iya samun kumburin tsoka wanda zai iya haifar da ciwon sashi. Wani lokaci alamar tsoka kawai shine jin rauni na tsoka.

Wani lokaci alamar ga likita shine canjin launin fitsari. A zahiri, myoglobin da ƙwayoyin tsoka ke fitarwa yana canza launin fitsari ja yana juye launin ruwan kasa (daga Ice-Tea zuwa Coca-Cola).

Ana tabbatar da ganewar rhabdomyolysis ta hanyar gwajin CPK. Muna magana game da rhabdomyolysis idan CPKs sun ninka na al'ada sau biyar.

Babban mawuyacin halin rhabdomyolysis shine rashin gazawar koda. Wannan yana da yawa amma mun lura da guba na myoglobin da tarawa a cikin tubules na koda wanda ke haifar da toshewar fitsarin. Rashin gazawar koda na iya kasancewa tare da wasu rikice -rikice na rayuwa ciki har da hyperkalemia. Hyperkalemia shine karuwar potassium a cikin jini. Wannan rikitarwa na iya haifar da mutuwa idan ba a mayar da sinadarin potassium zuwa matakan al'ada cikin jini da wuri -wuri. Wannan sau da yawa yana buƙatar amfani da dialysis.

Sauran sakamakon, wanda muka riga muka ambata shine ciwon sashin jiki. Yana da tashin hankali na sassan muscular. Ana bayyana wannan ta hanyar tsananin ciwo mai zafi da kumburin tsoka. Rushewar tiyata da ake kira “sallama aponeurotomy” yakamata a yi shi da wuri, da zarar an tabbatar da ciwon sashi.

Kamar yadda muka gani a baya, dalilan rhabdomyolysis sun bambanta. A bayyane yake maganin ya dogara da dalilin.

Gabaɗaya, maganin rhabdomyolysis yana da nufin gujewa rikitarwa.

Don gujewa munanan gazawar koda, yakamata a tabbatar da isasshen ruwa don ruwa ya zama yanayin haɗari ga matsalolin koda. A cikin mawuyacin hali ya zama dole a bincika akai -akai cewa potassium a cikin jini yana cikin iyakokin al'ada. A ƙarshe, sa ido kan ciwon tsoka yana ba da damar bayar da shawarar ciwon sashi.

A ƙarshe, zamu iya tantance cewa akwai rhabdomyolysis da rhabdomyolysis. M rhabdomyolysis ta hanyar matsewar gabobi, alal misali, na iya haifar da mutuwa. Sabanin haka, rhabdomyolysis yayin mura shine kawai “epiphenomenon” wanda babu wanda zai damu da shi. Cututtukan da ke da alaƙa da rhabdomyolysis sun kasance ba safai ake samun su ba, yawan motsa jiki ya fi yawa. Koyaushe kuyi tunani game da shi kuma ku kawo rhabdomyolysis a gaban ciwon tsoka mai ban mamaki ko canza launin ja-launin ruwan kasa na fitsari.