Alamomin kitse a hanta: ma'anar grade 1, 2 da 3, sabon suna MASLD, da abin da ke taimakawa

An gaya muku kuna da kitse a hanta a hoto, amma kuna jin lafiya? Haka aka saba. Ga abin da yake nufi, yadda likitoci ke duba ko yana da muhimmanci, da yadda ake kawar da shi.

An sabunta · Majiyoyi

Amsa a taƙaice

Mene ne alamomin kitse a hanta (fatty liver)?

Kitse a hanta yawanci ba ya kawo wata alama, kuma yawancin mutane suna gano shi ne daga hoto ko gwajin jini da aka yi saboda wani abu daban. Wasu mutane suna jin gajiya sosai ko ɗan ciwo marar ƙarfi ƙarƙashin haƙarƙarin dama. Alamomi kamar fata ko idanu masu launin rawaya, kumburin ciki ko ƙafafu, ƙaiƙayi da saurin samun shuɗin fata (bruising) suna bayyana ne kawai idan hanta ta yi tabo sosai (cirrhosis).

Bayanin lafiya ne, ba shawarar likita ba. Likitanku ya san cikakken halinku; ku tambaye shi game da sakamakonku.

Gefe da gefe

Kitse a hanta na farko da cirrhosis: yadda alamomin suka bambanta

Kitse a hanta na iya wucewa ta matakai huɗu, daga kitse kawai zuwa kumburi, tabo, kuma daga ƙarshe cirrhosis. Matakan farko yawanci shiru suke; alamomi galibi suna zuwa ne da cirrhosis. Ga bambance-bambancen da aka saba gani.

Abin da kuke lura da shiKitse a hanta (matakan farko)Cirrhosis (mataki na ƙarshe)
Yadda kuke jiYawanci babu komai; wani lokaci gajiya ko rashin jin daɗin jiki gaba ɗayaGajiya da rashin jin daɗin jiki kullum
CikiWani lokaci ɗan ciwo marar ƙarfi ko rashin jin daɗi ƙarƙashin haƙarƙarin damaCiwo, ko kumburin ciki saboda taruwar ruwa
Sha'awar abinci da nauyiYawanci daidai; sau da yawa ƙarin nauyi a kuguRashin sha'awar abinci, ramewa, tashin zuciya
Fata da idanuDaidaiFata ko idanu masu launin rawaya, ƙaiƙayi, ƙananan jijiyoyin jini ja masu kama da gizo-gizo, tafin hannu ja da tabo-tabo
Zubar jini da shuɗin fataDaidaiSaurin samun shuɗin fata ko zubar jini; amai da jini ko bayan gida baƙi gaggawa ne
Ƙafafu da tafin ƙafaDaidaiKumburin ƙafafu, idon sawu ko tafin ƙafa
TunaniDaidaiRuɗewa, wahalar maida hankali, harshe yana nauyi wajen magana
Shin zai iya gyaruwa?Eh: kitsen na iya tafiya da rage nauyi da rage barasaTabon na dindindin ne, amma magani na iya hana shi ƙara muni
Yadda ake gano shiGwajin jini da hoton ultrasound, sau da yawa kwatsamGwajin jini, hotuna da binciken ƙwararren likitan hanta

Kumburi (MASH) da tabo (fibrosis) suna tsakanin waɗannan biyun kuma yawanci ba sa kawo alamomi, don haka gwajin jini da hotuna, ba alamomi ba, ne ke nuna nisan da cutar ta yi.

Jerin alamomin kitse a hanta

Ku zaɓi abin da ya shafe ku. Katin zai nuna ko zaɓinku sun fi karkata zuwa kitse a hanta na farko da abubuwan da ke haddasa shi, ko zuwa alamomin hanta mai tabo sosai. Ba a ajiye ko aika komai ko'ina.

Jerin alamomin kitse a hanta

Alamomi 0 cikin 16 an zaɓa

Alamomin farko da abubuwan haɗari0/10
Alamomin lalacewar hanta mai tsanani0/6

Ku zaɓi duk abin da ya shafe ku.

Wannan jerin yana tsara alamomi da abubuwan haɗari zuwa wani tsari don likitanku. Ba zai iya gano kitse a hanta ko faɗin yawan tabon hanta ba: hakan na buƙatar gwajin jini da hotuna, kuma kitse a hanta na farko yawanci ba shi da wata alama kwata-kwata.

Mene ne kitse a hanta, kuma me ya sa yanzu ake kiransa MASLD?

Kitse a hanta (hanta mai kitse, fatty liver) yana nufin kitse ya taru a cikin hanta. Ita ce cutar hanta mai daɗewa da ta fi yawa a duniya, tana shafar fiye da 30% na mutane a duniya baki ɗaya, da kusan 24% na manya a Amurka.

Akwai manyan nau'i biyu:

  • Kitse a hanta mai alaƙa da nauyin jiki, suga a jini da kitse a jini (metabolic). Wannan shi ne nau'in da ya fi yawa.
  • Kitse a hanta saboda barasa, wanda galibi yawan shan barasa ne ke kawo shi.

Sababbin sunaye. A watan Yuni 2023 ƙungiyoyin likitocin hanta na ƙasashen duniya sun canza sunayen:

  • non-alcoholic fatty liver disease (NAFLD), wato kitse a hanta da ba na barasa ba, ya zama metabolic dysfunction-associated steatotic liver disease (MASLD), wato ciwon kitse a hanta mai alaƙa da matsalar sarrafa kuzari a jiki
  • non-alcoholic steatohepatitis (NASH), nau'in da hanta ke kumbura, ya zama metabolic dysfunction-associated steatohepatitis (MASH), wato kumburin hanta mai kitse mai alaƙa da matsalar sarrafa kuzari
  • MetALD na mutanen da ke da nau'in metabolic kuma suke shan barasa da yawa

Sababbin sunayen suna bayyana dalilin cutar maimakon abin da mutane ba sa yi, kuma sun cire kalmomin da wasu ke ganin suna ɓata suna. Rahotonku na iya amfani da kowane suna: NAFLD da MASLD cuta ɗaya ce.

Mene ne ma'anar kitse a hanta na grade 1, grade 2 da grade 3?

A rahoton hoton ultrasound, grade (mataki) yana bayyana yawan kitsen da ake gani a hanta. Kitse yana sa hanta ta yi haske a hoton.

Grade a ultrasoundAbin da yawanci yake nufi
Grade 1 (mild, ƙarami)Ɗan kitse kaɗan. Ruwan dare ne sosai, kuma shi ne mafi sauƙin kawarwa
Grade 2 (moderate, matsakaici)Kitse ya fi yawa; hanta ta yi haske a fili
Grade 3 (severe, mai tsanani)Kitse mai yawa; zurfafan sassan hanta suna da wuyar gani a hoton

Grade ba ɗaya yake da lalacewa ba. Ultrasound yana nuna kitse, ba kumburi ko tabo ba. Mai grade 1 na iya samun tabo, mai grade 3 kuma na iya rashin samun kowane tabo. Don haka ko wane grade ne, mataki na gaba iri ɗaya ne: makin gwajin jini (FIB-4) da wani lokaci hoto na musamman don duba tabo, tare da duba ciwon suga, cholesterol da hawan jini.

Shin kitse a hanta na grade 1 yana da haɗari? Shi kaɗai, yawanci ba haka ba, kuma yana iya tafiya. Amma alamar gargaɗi ce: abubuwan da ke sa kitse a hanta su ne ke ƙara haɗarin ciwon suga na nau'in 2 da ciwon zuciya.

Mene ne alamomin kitse a hanta?

Yawanci babu. Ana yawan kiran kitse a hanta cuta mai shiru. Yawancin mutane suna gano shi ne kwatsam, daga hoto ko gwajin jini da aka yi saboda wani abu daban.

Idan akwai alamomi, ba su da takamaiman siffa:

  • jin gajiya sosai ko rashin jin daɗin jiki gaba ɗaya
  • ɗan ciwo marar ƙarfi ko rashin jin daɗi a saman gefen dama na ciki, ƙarƙashin haƙarƙari

Matakai huɗu (yawancin mutane ba sa wuce na farko):

  1. Kitse a hanta (steatosis): kitse a hanta, babu lalacewa
  2. MASH (a da ana kiransa NASH): hanta ta kumbura
  3. Fibrosis (tabon hanta): tabo, amma yawanci hanta tana aiki da kyau har yanzu
  4. Cirrhosis: tabo mai tsanani na dindindin

Alamomin cirrhosis, mataki na ƙarshe:

  • fata ko farin ido mai launin rawaya (shawara, jaundice)
  • kumburin ciki, ko kumburin ƙafafu, idon sawu ko tafin ƙafa
  • ƙaiƙayin fata, saurin samun shuɗin fata (bruising) ko zubar jini
  • rashin sha'awar abinci, ramewa, tashin zuciya
  • ƙananan jijiyoyin jini ja masu kama da gizo-gizo a fata, tafin hannu ja da tabo-tabo
  • ruɗewa, wahalar maida hankali ko harshe yana nauyi wajen magana
  • amai da jini ko bayan gida mai duhu sosai ko baƙi, wanda gaggawa ne

Me ke kawo kitse a hanta, kuma su wane ne ke samun sa?

Kitse a hanta yana da alaƙa sosai da yadda jiki ke sarrafa suga da kitse. Kun fi yiwuwar samun sa idan kuna da:

  • ƙiba, musamman kitse mai yawa a kugu da ciki
  • ciwon suga na nau'in 2, farkon ciwon suga (prediabetes) ko rashin amsa insulin (insulin resistance)
  • hawan jini, ko yawan cholesterol ko triglycerides
  • metabolic syndrome (da yawa daga cikin waɗannan tare)
  • PCOS
  • abinci marar lafiya ko ƙarancin motsa jiki
  • shekaru fiye da 50

A Amurka, ya fi yawa a tsakanin mutanen Hispanic. Yara ma na iya kamuwa: kusan 10% na yara a Amurka masu shekaru 2 zuwa 19 suna da shi.

Ba sai kun yi ƙiba ba. Mutane masu nauyi mai kyau na iya samun kitse a hanta, musamman idan suna da ciwon suga ko ƙarin kitse a kugu.

Barasa tana kawo nata nau'in kitse a hanta, kuma tana ƙara tsananta nau'in metabolic. Jagoranmu na PCOS yana bayani kan ɗaya daga cikin cututtukan hormone da ke da alaƙa da shi.

Yaya ake gano kitse a hanta, kuma ta yaya likitoci ke duba tabon hanta?

Ana yawan gano kitse a hanta kwatsam. Sai likitoci su duba muhimmancinsa:

  • Gwajin jini na hanta (ALT da AST). Sau da yawa suna hawa, amma suna iya zama daidai ko da akwai kitse a hanta ko tabo, don haka sakamako na daidai ba ya nufin babu cutar.
  • Hoton ultrasound yana nuna kitse a hanta kuma yana ba da grade. Hoton CT da MRI ma na iya nuna shi.
  • Makin tabon hanta (FIB-4), wanda ake lissafawa daga shekarunku, ALT, AST da yawan platelets. Maki ƙasa da 1.3 yana nufin da wuya a sami tabo mai tsanani; yawanci ana sake dubawa duk bayan shekara 1 zuwa 2. Maki mafi girma yana kai wa ga gwaji na gaba.
  • Hoto na musamman (elastography), kamar FibroScan, yana auna taurin hanta, ko kuma gwajin jini na ELF yana neman tabo.
  • Ɗaukar ɗan guntun hanta (biopsy), ƙaramin samfuri da ake ɗauka da allura, shi ne kawai gwajin da ke tabbatar da MASH. Ana buƙatarsa ne wani lokaci kawai.

Likitoci kuma suna duba cututtukan da ke tafiya tare da kitse a hanta: suga a jini (HbA1c), cholesterol da triglycerides, hawan jini da nauyi, kuma suna tambaya game da barasa.

Shin kitse a hanta yana da tsanani?

Ga yawancin mutane, a'a: kitse ne kawai a hanta, ba tare da kumburi ko tabo ba. Amma a wasu yana ƙaruwa a hankali:

  • MASH (kumburi) yana shafar ƙaramin kaso na masu kitse a hanta, kusan 1.5 zuwa 6.5% na manya a Amurka
  • fibrosis sannan cirrhosis na iya biyo baya cikin shekaru
  • cirrhosis na iya kai wa ga gazawar hanta, zubar jini a cikin jiki da ciwon daji na hanta

Idan makin tabonku ya fi girma, za a fi bibiyar ku sosai.

Babban haɗari ga yawancin mutane shi ne zuciya. Dalilan da ke sa kitse a hanta su ne ke ƙara haɗarin ciwon suga na nau'in 2, bugun zuciya (heart attack) da shanyewar ɓarin jiki (stroke). Kula da nauyi, suga a jini, hawan jini da cholesterol yana kare duka biyun.

Shin ana iya kawar da kitse a hanta, kuma me ke taimakawa?

Eh, musamman a matakan farko. Babban maganin shi ne canza salon rayuwa, kuma yana aiki:

  • Ku rage nauyi a hankali idan kuna da ƙiba. Rage 3 zuwa 5% na nauyin jikinku na iya rage kitse a hanta; 7 zuwa 10% na iya rage kumburi da tabo. Ku guji tsauraran abincin rage nauyi cikin gaggawa (crash diets): rage nauyi da sauri sosai na iya ƙara tsananta ciwon hanta.
  • Ku ƙara motsa jiki: aƙalla minti 150 na motsa jiki a mako, kamar tafiya da sauri. Motsa jiki yana taimakawa ko da nauyinku bai canja sosai ba.
  • Ku ci abinci mai lafiya da daidaito: ƙarin kayan lambu, 'ya'yan itace, hatsi marar sarrafawa (whole grains), wake da kifi, da rage abubuwan sha masu suga, alewa da abincin da aka sarrafa.
  • Barasa: kada ku wuce raka'a 14 a mako, a raba su a kwanaki da dama. Idan kuna da tabo, ko ciwon hanta saboda barasa, likitanku na iya ba ku shawarar daina gaba ɗaya.
  • Ku daina shan taba, kuma a yi maganin ciwon suga, hawan jini da cholesterol.

Magunguna: babu magani na kitse a hanta mai sauƙi. Ga MASH, ƙwararren likita na iya amfani da pioglitazone ko vitamin E ga wasu mutane. A Amurka, ana iya rubuta resmetirom (an amince da shi a 2024) da semaglutide (an amince da shi a 2025) don MASH mai tabo matsakaici zuwa mai tsanani, ba tare da cirrhosis ba, tare da abinci da motsa jiki.

Wane magani, kuma nawa, likitanku ne ke yanke shawara. Kada ku sha vitamin E mai yawan ƙarfi (high-dose), magungunan gargajiya ko kayan "wanke hanta" (liver detox) da kanku: wasu ƙarin sinadarai (supplements) na iya cutar da hanta. Ku tambayi likita ko mai harhaɗa magunguna (pharmacist) tukuna.

Lokacin ganin likita

Ku tsara ganin likita

  • An gaya muku kuna da kitse a hanta (kowane grade) a hoto, ko an sami hawan enzymes na hanta a gwajin jini: ku ga likitan iyali (GP) ko babban likita (general physician) cikin 'yan makonni masu zuwa don duba haɗarin tabon hanta (FIB-4), suga a jini, cholesterol da hawan jini.
  • Ƙiba tare da ciwon suga na nau'in 2, ko abubuwan haɗari da dama: ku nemi a duba hantarku a ganin likitan iyali (GP) na gaba.
  • An riga an gano kuna da kitse a hanta: ku je a duba ku aƙalla sau ɗaya a shekara, a yi gwajin hanta duk bayan shekara 2 zuwa 3, ko yadda likitanku ya ba da shawara.
  • Fata ko idanu masu launin rawaya: ku ga likita a yau. Kumburin ciki ko ƙafafu, ko ƙaiƙayi da ba ya tafiya: ku ga likita cikin 'yan kwanaki.
  • Shan fiye da raka'a 14 na barasa a mako kuma yana muku wuya ku rage: ku yi magana da likitanku; akwai taimako.

Ku nemi taimakon gaggawa yanzu (ku kira lambar gaggawa ta yankinku) idan mutum yana da:

  • amai da jini, ko bayan gida mai duhu sosai, baƙi ko mai kama da kwalta
  • ruɗewa farat ɗaya, yawan barci ko harshe yana nauyi wajen magana, musamman ga wanda aka san yana da ciwon hanta
  • fata ko idanu masu launin rawaya tare da ciwon ciki mai tsanani, zazzaɓi mai zafi ko karkarwa
  • kumburin ciki tare da wahalar numfashi

Kitse a hanta cuta ce mai daɗewa da ake sarrafawa tsawon shekaru, kuma yawancin mutane ba sa kaiwa mataki na ƙarshe. Waɗannan alamomi su ne keɓaɓɓu da ba za su iya jira ba. Kada ku tuƙa kanku zuwa asibiti.

Kitse a hanta a hotonku, ko lambobin hanta da ba ku fahimta ba? Ku tattauna shi.

Saluvo tana sauraron alamominku da kalmominku da harshenku, tana yin tambayoyin da suka dace, kuma tana gaya muku wane likita za ku gani da kuma yaushe. Kuna da rahoton hoto ko gwajin jini na hanta tuni? Tana bayyana kowane ma'auni.

Tambaya game da alamomina

Farawa kyauta ne. Ku bayyana abin da kuke ji da kalmominku da harshenku.

Tambayoyin da mutane ke yi

  • Yawanci babu ko ɗaya. Yawancin mutane suna gano shi ne daga hoton ultrasound ko hawan enzymes na hanta a gwajin jini da aka yi saboda wani dalili. Wasu suna lura da gajiya ko ɗan ciwo marar ƙarfi ƙarƙashin haƙarƙarin dama. Fata ko idanu masu launin rawaya, kumburin ciki da ƙaiƙayi alamomin cirrhosis ne na ƙarshe, ba na kitse a hanta na farko ba.

  • Grade 1 a rahoton ultrasound yana nufin ƙaramin kitse a hanta (mild): ɗan kitse kaɗan yana sa hanta ta ɗan yi haske a hoton. Ruwan dare ne sosai kuma shi ne grade mafi sauƙin kawarwa. Grade yana nuna kitse, ba tabo ba, don haka likitanku na iya duba makin tabon hanta (FIB-4), suga a jini, cholesterol da hawan jini.

  • Shi kaɗai, yawanci ba haka ba, kuma yana iya tafiya da rage nauyi a hankali, ƙarin motsa jiki da rage barasa. Amma alamar gargaɗi ce: dalilan guda ne ke ƙara haɗarin ciwon suga na nau'in 2 da ciwon zuciya. Ku tambayi likitanku game da makin tabon hanta da duba suga a jini, cholesterol da hawan jini.

  • MASLD na nufin metabolic dysfunction-associated steatotic liver disease, wato ciwon kitse a hanta mai alaƙa da matsalar sarrafa kuzari a jiki. Shi ne sunan da ƙungiyoyin likitocin hanta na ƙasashen duniya suka bayar a watan Yuni 2023 ga abin da a da ake kira non-alcoholic fatty liver disease (NAFLD): kitse a hanta mai alaƙa da nauyi, suga a jini, hawan jini ko kitse a jini. Nau'insa mai kumburi, NASH, yanzu ana kiransa MASH. Cututtuka ne iri ɗaya da sababbin sunaye.

  • Eh, musamman da wuri. Rage 3 zuwa 5% na nauyin jikinku na iya rage kitse a hanta, kuma 7 zuwa 10% na iya rage kumburi da tabo. Motsa jiki akai-akai, abinci mai daidaito da rage barasa da abubuwan sha masu suga duk suna taimakawa. Ku rage nauyi a hankali: rage nauyi da sauri sosai na iya ƙara tsananta ciwon hanta. Tabon cirrhosis na dindindin ne, amma ana iya hana shi ƙara muni.

  • Ya bambanta. Kitse a hanta na iya fara raguwa cikin makonni zuwa watanni na rage nauyi a hankali da ƙarin motsa jiki, kuma sake yin hoto ko gwajin jini na iya nuna canjin. Kumburi da tabo suna ɗaukar lokaci mai tsawo kafin su gyaru, idan sun gyaru. Ku yi ƙoƙarin yin canje-canje a hankali masu ɗorewa maimakon neman mafita cikin gaggawa, kuma ku tambayi likitanku lokacin sake dubawa.

  • Yawanci ba ya kawowa. Wasu mutane suna jin ɗan ciwo marar ƙarfi ko rashin jin daɗi a saman gefen dama na ciki, ƙarƙashin haƙarƙari. Ciwon ciki mai tsanani, musamman tare da fata ko idanu masu launin rawaya ko zazzaɓi, ba irin na kitse a hanta ba ne kuma yana buƙatar likita cikin gaggawa, domin yana iya zama matsalar jakar bile (gallbladder) ko wata matsala daban.

  • Eh. Mutane masu nauyi mai kyau na iya samun kitse a hanta, musamman tare da ciwon suga na nau'in 2, hawan jini, yawan kitse a jini ko ƙarin kitse a kugu. Gwaje-gwajen da shawarwarin iri ɗaya ne: makin tabon hanta, duba suga a jini da cholesterol, motsa jiki akai-akai, abinci mai daidaito da rage barasa.

  • Abinci mai lafiya da daidaito: kayan lambu masu yawa, 'ya'yan itace, hatsi marar sarrafawa, wake, kifi da nama marar kitse, tare da rage abubuwan sha masu suga, alewa, abincin carbohydrate da aka tace, da abincin da aka sarrafa ko aka soya. Babu abinci guda da ke warkar da kitse a hanta. Rage yawan abincin da kuke ci kaɗan gaba ɗaya, don ku rage nauyi a hankali idan kuna buƙata, shi ne mafi muhimmanci. Ku yi hattara da kayan 'wanke hanta' (liver detox).

  • Kada ku wuce raka'a 14 a mako, a raba su a kwanaki da dama, tare da wasu kwanaki babu barasa. Barasa tana ƙara lalacewar, don haka ƙasa ya fi kyau. Idan kuna da tabo (fibrosis ko cirrhosis) ko ciwon hanta saboda barasa, likitanku na iya ba ku shawarar daina gaba ɗaya. Idan ragewa yana da wuya, ku nemi taimakon likitanku.

  • Eh. Enzymes na hanta (ALT da AST) sau da yawa suna hawa idan akwai kitse a hanta, amma suna iya zama daidai ko da akwai kitse ko tabo. Shi ya sa likitoci ke amfani da hoton ultrasound don ganin kitsen, da makin tabon hanta (FIB-4), elastography ko gwajin ELF don neman tabo, maimakon dogaro da enzymes na hanta kaɗai.

  • Eh, sosai. Rashin amsa insulin (insulin resistance) yana taimakawa wajen sa kitse a hanta, kuma kitse a hanta yana sa suga a jini ya fi wuyar sarrafawa. Mutane da yawa masu ciwon suga na nau'in 2 suna da kitse a hanta, kuma sun fi yiwuwar samun tabo. Idan kuna da ɗaya, yana da kyau a duba ku don ɗayan: gwajin HbA1c don ciwon suga, da makin FIB-4 don hanta.

  • Eh. Kusan 10% na yara a Amurka masu shekaru 2 zuwa 19 suna da kitse a hanta, galibi yana da alaƙa da ƙarin nauyi. Yawanci ba shi da alamomi. Idan yaro yana da ƙiba, likita na iya duba hantarsa tare da suga a jini da kitse a jini. Kyawawan halaye a iyali, ƙarin motsa jiki da rage abubuwan sha masu suga sun fi taimakawa.

Gwaje-gwajen da ke taimakawa

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