Wata rana, Ronit (ba sunansa na gaskiya ba) ya kamu da ciwon ciki, ƙarancin numfashi da gajiya, sai ya je wurin likita don a yi masa gwajin jini. Duk da haka, ba ta yi tsammanin cikin kwana ɗaya za a tura ta asibiti don a yi mata dialysis ba saboda matsalar koda mai tsanani.
Ba shakka, ba ta yi tsammanin duk wannan ya faru ne saboda ta gyara gashinta a ranar da ta gabata ba.
Kamar Ronit, mata 26 a Isra'ila, matsakaicin mace ɗaya a kowane wata, ana kwantar da su a asibiti saboda matsalar koda mai tsanani bayan an yi musu gyaran gashi.
Wasu daga cikin waɗannan matan sun bayyana cewa suna iya murmurewa da kansu. Wasu kuma suna buƙatar maganin dialysis.
Wasu za su ce daga cikin dubban mata a Isra'ila da ke gyara gashin kansu kowace shekara, "kaɗan" mata 26 ne ke fama da matsalar koda.
Ga wannan ina nuna cewa gazawar koda da ke buƙatar dialysis yana da matuƙar tsanani kuma yana barazana ga rayuwa.
Marasa lafiya za su gaya maka cewa ba sa son kowa ya fuskanci mummunan rauni a asibiti. Wannan farashi ne da bai kamata kowa ya biya don yin aikin kwalliya mai sauƙi ba.
A shekarun 2000, an fara samun alamun cutar daga na'urorin gyaran gashi da ke ɗauke da formalin. Wannan ya faru ne saboda hayakin da mai gyaran gashi ke shaƙa yayin gyaran gashi.
Waɗannan alamomin sun haɗa da ƙaiƙayin ido, matsalolin numfashi, kurajen fuska, ƙarancin numfashi, da kumburin huhu.
Amma yayin da magungunan gyaran gashi na zamani ba su ƙunshi formalin ba, suna ɗauke da wani abu daban: glyoxylic acid.
Wannan acid yana shiga ta fatar kan mutum mai yawan jijiyoyin jini. Da zarar ya shiga jini, ana raba glyoxylate zuwa oxalic acid da calcium oxalate, waɗanda ke sake shiga jini sannan daga ƙarshe su bar jiki ta cikin kodan a cikin fitsari.
Ba wani abu ne mai ban mamaki ba, duk mutane suna fuskantar sa har zuwa wani mataki, kuma yawanci ba shi da lahani. Amma idan aka fallasa shi da yawan sinadarin glyoxylic acid, gubar oxalic acid na iya faruwa, wanda ke haifar da gazawar koda.
An gano tarin sinadarin calcium oxalate a cikin ƙwayoyin koda yayin gwajin koda na matan da suka sami matsalar koda bayan sun gyara gashinsu.
A shekarar 2021, wata yarinya 'yar shekara uku ta yi ƙoƙarin shan maganin gyaran gashi. Ta ɗanɗana shi kawai amma ba ta haɗiye shi ba saboda yana da ɗaci, amma hakan ya sa yarinyar ta haɗiye ɗan ƙaramin abu a bakinta. Sakamakon ya kasance gazawar koda mai tsanani wanda ke buƙatar dialysis, ba mutuwa ba.
Bayan wannan lamari, Ma'aikatar Lafiya ta haramta bayar da lasisi ga duk kayayyakin kula da gashi kai tsaye da ke dauke da sinadarin glyoxylic acid mai pH kasa da 4.
Amma wata matsala kuma ita ce bayanan da ke kan lakabin kayayyakin gashi madaidaiciya ba koyaushe abin dogaro ba ne ko kuma cikakken gaskiya. A shekarar 2010, an yiwa wani samfurin Ohio lakabi da babu formalin, amma a zahiri yana ɗauke da kashi 8.5% na formalin. A shekarar 2022, Isra'ila ta yi iƙirarin cewa samfurin ba shi da formalin kuma yana ɗauke da kashi 2% na glyoxylic acid, amma a zahiri yana ɗauke da formalin ppm 3,082 da kuma 26.8% glyoxylic acid.
Abin sha'awa, ban da shari'o'i biyu na oxalic acidosis a Masar, duk shari'o'in oxalic acidosis a duniya sun fito ne daga Isra'ila.
Shin metabolism na hanta a cikin mata a "Isra'ila" ya bambanta da sauran duniya? Shin kwayar halittar glyoxylic acid ta ɗan yi kama da "mara hankali" a cikin matan Isra'ila? Akwai alaƙa tsakanin adadin calcium oxalate da yawan hyperoxaluria? Shin za a iya ba wa waɗannan marasa lafiya magani iri ɗaya da na waɗanda ke da hyperoxaluria na nau'in 3?
Ana ci gaba da bincike kan waɗannan tambayoyin kuma ba za mu san amsoshinsu ba tsawon shekaru masu zuwa. Har zuwa lokacin, bai kamata mu bar kowace mace a Isra'ila ta yi kasadar lafiyarta ba.
Haka kuma, idan kana son gyara gashinka, akwai wasu kayayyaki mafi aminci a kasuwa waɗanda ba su da sinadarin glyoxylic acid kuma suna da lasisi mai inganci daga Ma'aikatar Lafiya.