Rashin abinci mai gina jiki da kumburi

Rashin abinci mai gina jiki – kumburi hadaddun ( ciwo ) ( MICS ), kuma aka sani da rashin abinci mai gina jiki – kumburi – cachexia ciwo, shi ne na kowa yanayi a cikin m cututtuka irin na kullum koda cuta (inda kuma aka sani da uremic tamowa ko gina jiki – makamashi tamowa ) da kuma na kullum zuciya gazawar . 

MICS siffa ce ta likitanci da ke nuna kasancewar duka rashin abinci mai gina jiki da kumburi a cikin mutum. Wasu sun ayyana wannan a matsayin ƙananan matakin albumin a cikin jini (alamar nazarin halittu na rashin abinci mai gina jiki) tare da matakin haɓakar ƙwayar ƙwayar cuta mai suna C-reactive protein (CRP), amma sauran alamomin bincike na rashin abinci mai gina jiki da kumburi kuma sun wanzu kuma babu yarjejeniya game da ma'auni na bincike.  A cikin marasa lafiya a kan dialysis, MICS yana da alaƙa da haɗarin mutuwa, ko da yake aikin tsinkaya na MICS a cikin wasu yanayin kiwon lafiya na yau da kullum ba a fahimta sosai.   A cikin binciken binciken lura da yawan jama'a, kasancewar MICS yana da alaƙa da haɗarin 1.57 na haɗarin mutuwa a cikin marasa lafiya na dialysis. Haɗuwa da MIC da raguwar matsayi na aiki yana da alaƙa da haɗarin mutuwa na 3.44 wanda ya haɗa da haɗarin mutuwa na 4 sau da yawa daga kamuwa da cuta ko cututtukan zuciya.  A cikin yawan jama'a dangane da binciken lura da mutanen da ke fama da dialysis a Japan, MIC yana da alaƙa da haɗarin haɗari na cututtukan zuciya (wanda aka bayyana a matsayin bugun zuciya da ke buƙatar asibiti, ciwon zuciya, ko bugun jini (saboda rashin jini zuwa sassan kwakwalwa ko zubar da jini a cikin kwakwalwa)) da kuma kasusuwa . 

Ba a san yaɗuwar MIC ba. A cikin nazarin yawan jama'a game da dialysis, yawan MIC ya bambanta tsakanin 16 da 27% dangane da ƙasar da aka yi nazari (Jamus da Japan suna da mafi ƙasƙanci na MIC a 16% kowanne da Sweden da United Kingdom suna da mafi girma a 27 da 26% bi da bi). Jimlar adadin MIC a cikin wannan binciken yawan jama'a (a duk ƙasashen da aka yi nazarin) ya kasance 19%. Kanda, Eiichiro; Lopes, Marcelo Barreto; Tsuruya, Kazuhiko; Hirakata, Hideki; Iseki, Kunitoshi; Karaboyas, Angelo; Bieber, Brian; Jacobson, Stefan H.; Dasgupta, Indranil; Robinson, Bruce M. (15 January 2021). "The combination of malnutrition-inflammation and functional status limitations is associated with mortality in hemodialysis patients". Scientific Reports. 11 (1): 1582. Bibcode:2021NatSR..11.1582K. doi:10.1038/s41598-020-80716-0. PMC 7811014. PMID 33452326.

A cikin marasa lafiya a kan dialysis, an sami wasu shawarwari da aka ba da shawarar da za su iya inganta matakan abinci mai gina jiki da matsayi na aiki, amma tasirin su akan mace-mace a cikin wadanda ke da MICS ba a san su ba. Ƙungiyoyin kiwon lafiya da yawa suna ba da shawarar motsa jiki na yau da kullum, duka motsa jiki na motsa jiki da ƙarfin anaerobic, a cikin waɗanda ke kan dialysis. Wannan na iya haɗawa da motsa jiki yayin zaman dialysis.  An nuna ƙarin kayan abinci mai gina jiki tare da abubuwan sha na furotin na whey ko waken soya don rage alamun kumburi (ta haka yawan MICS) da kuma inganta sigogin aiki (kamar saurin tafiya) a cikin marasa lafiya akan dialysis amma fa'idar mace-mace da ke da alaƙa da MICS ba ta da tabbas. 

 Manazarta