Wata rana, Ronit (ba sunansa na gaskiya ba) ya fara jin ciwon ciki, ƙarancin numfashi da gajiya, sai ya je wurin likita don a yi masa gwajin jini. Duk da haka, ba ta taɓa tsammanin cewa cikin awanni 24 za a kai ta asibiti don a yi mata dialysis ba saboda matsalar koda mai tsanani.
Ba shakka, ba ta yi tsammanin cewa duk wannan ya faru ne saboda ta gyara gashinta a ranar da ta gabata ba.
Kamar yadda yake a Ronit, mata 26 a Isra'ila (matsakaicin ɗaya a kowane wata) ana kwantar da su a asibiti saboda matsalar koda mai tsanani bayan an yi musu aikin gyaran gashi.
Wasu daga cikin waɗannan matan sun bayyana cewa suna iya murmurewa da kansu. Duk da haka, wasu suna buƙatar maganin dialysis.
Wasu za su ce a cikin dubban mata a Isra'ila waɗanda ke gyara gashin kansu kowace shekara, "kaɗan" mata 26 ne ke fama da matsalar koda. Matsalar koda (misali). (Tushe: Wikimedia Commons)
A martanin da na mayar, na 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 fatan samun rauni a jiki ga kowa. Wannan farashi ne da bai kamata kowa ya biya don yin aikin kwalliya mai sauƙi ba.
A shekarun 2000, rahotannin alamun da ke haifar da gyaran gashi da ke ɗauke da formaldehyde sun fara bayyana. Wannan ya faru ne saboda shaƙar hayaki da mai gyaran gashi ke yi 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 formaldehyde ba, suna ɗauke da wani abu daban: glyoxylic acid.
Wannan acid yana shiga fatar kai, wanda ke da wadataccen jijiyoyin jini. Da zarar ya shiga jini, sinadarin glyoxylic acid yana tarwatsewa zuwa oxalic acid da calcium oxalate, waɗanda ke sake shiga jini kuma daga ƙarshe suna barin jiki ta cikin kodan a matsayin wani ɓangare na fitsari.
Wannan da kansa ba wani abu ne na rashin lafiya ba, duk mutane suna bin wannan tsari zuwa wani mataki kuma yawanci ba shi da lahani. Amma idan aka fallasa shi da yawan sinadarin glyoxylic acid, oxalic acidosis na iya faruwa, wanda ke haifar da gazawar koda.
A lokacin da aka yi wa matan da suka sami matsalar koda bayan sun gyara gashinsu, an sami tarin sinadarin calcium oxalate a cikin ƙwayoyin koda.
A shekarar 2021, wata yarinya 'yar shekara uku ta gwada shan maganin gyaran gashi. Ta ɗanɗana shi ne kawai amma ba ta haɗiye shi ba, domin yana da ɗaci sosai, amma sakamakon haka, yarinyar ta sha ɗan ƙaramin adadin 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 gyaran gashi da ke dauke da sinadarin glyoxylic acid kuma suna da darajar pH kasa da 4.
Amma wata matsala kuma ita ce bayanan da ke kan lakabin kayayyakin gyaran gashi ba koyaushe abin dogaro ba ne kuma gaskiya ne. A shekarar 2010, an sanya wa wani samfuri lakabi a Ohio a matsayin wanda ba shi da formaldehyde, amma a zahiri yana ɗauke da formaldehyde kashi 8.5 cikin ɗari. A shekarar 2022, wani samfurin Isra'ila ya yi iƙirarin cewa ba shi da formaldehyde kuma yana ɗauke da glyoxylic acid kashi 2% kawai, amma a zahiri yana ɗauke da formaldehyde ppm 3,082 da glyoxylic acid 26.8%.
Abin sha'awa, ban da shari'o'i biyu na oxalic acidosis a Masar, duk shari'o'in oxalic acidosis a duniya sun samo asali ne daga Isra'ila.
Shin tsarin metabolism na hanta ya bambanta da abin da ke faruwa a duniya? Shin kwayoyin halittar mata na Isra'ila da ke wargaza glyoxylic acid ɗan "lalata" ne? Shin akwai alaƙa tsakanin adadin calcium oxalate da kuma yawan cutar kwayar halitta ta hyperoxaluria? Shin za a iya ba wa waɗannan marasa lafiya magani iri ɗaya da na marasa lafiya da ke da hyperoxaluria nau'in 3?
Ana ci gaba da nazarin waɗannan tambayoyin, kuma ba za mu san amsoshin ba tsawon shekaru da yawa. Har zuwa lokacin, bai kamata mu bar kowace mace a Isra'ila ta yi kasadar lafiyarta ba.
Haka kuma, idan kuna son gyara gashinku, akwai wasu kayayyaki mafi aminci a kasuwa waɗanda ba su ɗauke da glyoxylic acid ba kuma Ma'aikatar Lafiya ce ta ba da lasisi. Wannan zai taimaka muku kula da gashinku madaidaiciya da lafiyayyen jiki. Domin duk mun san cewa kyawun gaske yana fitowa daga ciki.