Ese amagufwa yawe aragoyagoya kandi byoroshye kuyavunika? (Osteomalacia) Reka tubiganireho uyu munsi!

Ese hari igihe wumva ububabare mu magufwa yawe? Cyangwa wumva amagufwa yawe azavunika nubwo waba ugiye kubyimba gato? Impamvu ishobora kuba ari ikintu utatekerezaga. Uyu munsi tugiye kuvuga kuri Osteomalacia, indwara ikunze kugaragara ariko idakunze kugaragara mu bantu bakuru. Ikibaho muri ibi ni uko amagufwa yacu agenda yoroha buhoro buhoro kandi agacika intege.

None se osteomalacia ni iki?

Mu magambo make, osteomalacia ni indwara ituma amagufwa yawe yoroha, agatakaza imbaraga, kandi agacika vuba. Tekereza ku magufwa yahoze ameze nk'ibumba ryumye agahita yoroha nk'ibumba ry'ibumba ryashyizwe mu mazi.

Impamvu nyamukuru ibitera ni ukubura vitamine D. Vitamine D ni ingenzi kugira ngo umubiri wacu ushobore kwinjiza imyunyu ngugu yitwa kalisiyumu na fosifore. Iyi kalisiyumu na fosifore ni byo biha amagufwa yacu imbaraga n'ubukomere. Rero, iyo vitamine D idafite ihagije, amagufwa ntabwo yakira iyi myunyu ngugu neza. Hanyuma ntabwo iba nini bihagije ngo igire intege nke. Ibi bisa gato n'indwara yitwa rickets ibaho ku bana bato iyo vitamine D idafite ihagije. Mu ntangiriro, ushobora kutamenya ko ufite osteomalacia. Ariko uko igihe kigenda gihita, utangira kumva ububabare mu magufwa yawe. Cyane cyane mu gice cyo hasi cy'umubiri, ni ukuvuga mu kibuno no mu matako. Buhoro buhoro, ubu bubabare bushobora gukwirakwira mu mubiri wose. Rimwe na rimwe, ndetse no kugenda gato bishobora gutera ububabare. Ariko ibuka ko udakwiye kwihanganira ubu bubabare . Ushobora kubonana na muganga kugira ngo umenye impamvu kandi ubone ubuvuzi.

Ni ibihe bimenyetso bya osteomalacia?

Ikimenyetso nyamukuru cy'iyi ndwara ni ububabare bw'amagufwa . Ubu bubabare bukunze kugaragara mu kibuno, mu matako no mu maguru. Byongeye kandi, ibindi bimenyetso bishobora kuba birimo:

• Amagufwa avunika byoroshye cyane . Hari igihe no kugwa gato cyangwa gucika intege bishobora kuvunika igufwa.
• Kubabara imitsi, kunanuka, n'intege nke. Ibi bishobora kugaragara cyane nyuma yo kurangiza imyitozo ngororamubiri cyangwa imyitozo ngororamubiri.
• Kugorwa no kugenda, cyangwa guhindura uburyo ugenda (inzira) . Hari igihe ushobora kumva urimo gutakaza uburimbane bwawe mu gihe ugenda.
• Kubabara imitsi cyangwa kuribwa mu nda . Ibi bishobora kubaho cyane cyane mu biganza no mu birenge.
• Kumva urimo gucika intege cyangwa gushotora mu maguru. Ibi byitwa paresthesia mu buryo bw'ubuvuzi.
• Kugwa kenshi kurusha mbere.

Impamvu nyamukuru ibi ni iyihe?

Ikintu nyamukuru bigira ingaruka ku mikurire y'indwara ya osteomalacia ni ukubura vitamine D. Ibi akenshi biterwa no kutabona urumuri rw'izuba ruhagije . Nanone, kutabona vitamine D ihagije mu biribwa turya ni impamvu y'ibi. Wibuke ko vitamine D ari ingenzi mu kwinjiza kalisiyumu no kubungabunga amagufwa meza. Hari izindi mpamvu zigira ingaruka kuri ibi:

• Hari indwara zimwe na zimwe mu bijyanye n'igogora zishobora gutuma ibiryo bitajya mu buryo bukwiye (malabsorption) . Urugero, niba ufite indwara igabanya kwinjira mu mara.
• Kunanirwa kw'impyiko .
• Indwara y'umwijima.
• Gukoresha imiti imwe n'imwe yo kurwanya ifatwa ry'indwara igihe kirekire.
• Hari indwara zimwe na zimwe zidasanzwe ziterwa n'uturemangingo .

Ni nde ufite ibyago byinshi byo kurwara osteomalacia?

Iyo uruhu rwacu rushyizwe ku zuba, rukora vitamine D mu buryo busanzwe. Ariko, mu bihe nk'ibi, uruhu rwawe rushobora kudashobora gukora vitamine D ihagije:

• Niba utuye mu gace gakonje kandi gafite izuba ryinshi .
• Niba ukorera mu nzu umunsi wose.
• Niba wambaye imyenda itwikiriye igice kinini cy'umubiri wawe.
• Niba ufite ibara ryijimye ry'uruhu (uruhu rwijimye rukenera izuba ryinshi kugira ngo rukore vitamine D).

Nanone, ushobora kuba udafite vitamine D ihagije mu biribwa urya kubera impamvu nka:

• Niba utariye amata cyangwa ibikomoka ku mata .
• Niba ukurikiza indyo y’abatarya inyama gusa cyangwa abarya inyama gusa (ariko ibi ntabwo ari ikibazo niba ubiteguye neza).
• Niba ufite ikibazo kibuza umubiri wawe kwinjiza ibiryo neza (malabsorption), urugero nk'indwara ya Crohn cyangwa indwara ya Celiac.
• Urugero, niba uherutse kubagwa igifu , niba uherutse kubagwa igifu.

Uretse aba bantu, andi matsinda y’abantu afite ibyago byinshi byo kurwara osteomalacia:

• Ku bantu bafite umubyibuho ukabije .
• ImyakaKu bantu barengeje imyaka 65.
• Ku babyeyi batwite cyangwa bonsa .

Ni gute wasuzuma neza indwara ya osteomalacia?

Iyo ugiye kwa muganga, abanza gukora isuzuma ry’umubiri . Hanyuma, azabaza amateka y’ubuzima bw’umuryango wawe n’ubuzima bwawe bwite. Azabaza kandi indyo yawe n’imyitozo ngororamubiri. Hanyuma, bazagutegeka gupima amaraso kugira ngo barebe urugero rwa vitamine D, kalisiyumu, na fosifore mu maraso yawe . Niba ufite osteomalacia, urugero rwa vitamine D ruke ni cyo kimenyetso nyamukuru . Ariko, urugero rwa kalisiyumu cyangwa fosifore muke nabyo bishobora kuba ikimenyetso cy’iyo ndwara. Kugira ngo yemeze ko umurwayi arwaye, muganga wawe ashobora kandi kugenzura urugero rwa:

• Kreatinine
• Electrolyte
• Fosfati y'ibinyabutabire
• Imisemburo ya Parathyroid `(Imisemburo ya Parathyroid)`

Ibindi bizamini ushobora gukora birimo:

• Isuzuma ry'inkari mu masaha 24 kugira ngo harebwe ingano ya kalisiyumu mu nkari zawe.
• Imirasire ya X kugira ngo harebwe niba amagufwa afite intege nke cyangwa yavunitse.
• Isuzuma ry’ubucucike bw’igufwa ni ikizamini gipima ubucucike bw’amagufwa yawe kandi kigakurikirana uko amagufwa yatakaye.
• Uburyo bwo gusuzuma amagufwa ni uburyo bwo gufata agace gato k'igufwa no gusuzuma niba koko igufwa ryaroroshye.

Ni ubuhe buryo bwo kuvura osteomalacia?

Ubusanzwe indwara ya osteomalacia ivurwa na vitamine D, kalisiyumu, cyangwa fosifore . Muganga wawe ni we uzagufatira umwanzuro w'ingano y'ibi ukeneye. Niba ufite ibibazo byo kudakoresha neza imiti cyangwa ukaba uherutse kubagwa bariatric, ushobora gukenera gufata doze nyinshi za vitamine D na kalisiyumu. Nubwo izi nyongeramusaruro zishobora gufasha osteomalacia yawe, bishobora gufata amezi menshi kugira ngo ibimenyetso byawe birusheho kuba byiza.Bitewe n'uburemere bw'indwara yawe, ushobora gukenera gufata vitamine D igihe kirekire. Iyo uyihagaritse, osteomalacia ishobora kugaruka. Abantu bafite indwara nk'indwara y'umwijima cyangwa impyiko zishobora kubura bashobora gukenera ubuvuzi n'ubufasha bwiyongereye. Muganga wawe azasuzuma urugero rw'amaraso yawe buri gihe. Ushobora kandi guhabwa ubwoko bwihariye bwa vitamine D. Uretse ibi, ushobora kandi gukora ibi bikurikira kugira ngo ugabanye cyangwa ukosore ibimenyetso bya osteomalacia:

• Kwihanganira izuba bihagije .
• Irinde kurya ibiryo birimo vitamine D na kalisiyumu.
• Kwambara udukoresho two kugabanya cyangwa gukumira ubumuga bw'amagufwa.
• Mu bihe bikomeye cyane, kubagwa bishobora kuba ngombwa kugira ngo hakosorwe ubumuga bw'amagufwa.

Ese dushobora gukumira ikwirakwira rya osteomalacia?

Yego, dushobora gukumira ibi muri rusange. Hari ibintu bibiri by'ingenzi tugomba gukora:

• Kubona urumuri rw'izuba ruhagije ku mubiri .
• Kubona vitamine D na kalisiyumu bihagije mu biribwa turya.

Bitewe n'aho utuye n'igihe cy'umwaka, ushobora kubona vitamine D ihagije ukoresheje izuba gusa. Muri rusange, umuntu ufite uruhu rwiza agomba kumara iminota 10 kugeza kuri 15 mu cyumweru, iminsi ibiri cyangwa itatu mu cyumweru. Abantu bafite uruhu rwijimye bashobora gukenera kumara igihe kinini ku zuba. Ariko ibi bigomba kuba ari urumuri rw'izuba rutaziguye . Izuba ry'izuba rinyura mu madirishya cyangwa urumuri rw'izuba rugwa ku myenda ntibishobora gutanga vitamine D ihagije. Ariko, si byiza kuguma ku zuba igihe kirekire udafite amavuta yo kwisiga . Kuko izuba ryinshi ryiyongera ibyago byo kurwara kanseri y'uruhu . Kubwibyo, ni byiza kubaza muganga wawe igihe ugomba kumara ku zuba. Ntabwo uzabona vitamine D yose ukeneye mu biribwa gusa. Ariko bishobora gufasha. Hari bimwe mu biribwa birimo vitamine D mu buryo busanzwe. Urugero:

• Amafi afite amavuta: nka tuna, salmon, sardine, mackerel.
• Ifi y'umukororombya yitwa trout.
• Inyama zitukura.
• Umwijima w'inyama z'inka.
• Ibihumyo.
• Umuhondo w'igi.
• Amavuta y'umwijima w'ifi ya cod.

Hari ibindi biribwa bifite vitamine D yongewemo mu buryo bw'ubukorano (ibiribwa bikungahaye ku ntungamubiri). Vugana na muganga wawe ku isoko ikubereye. Ariko, ibiryo bitandukanye bifite ibyiza n'ibibi byabyo, bityo ugomba kubitekerezaho. Niba ugitekereza ko utabona vitamine D ihagije mu zuba n'ibiribwa, muganga wawe ashobora kukugira inama yo gufata inyongeramusaruro.

Ni iki cyizere cyo gukira ku muntu urwaye osteomalacia?

Iyo iyi ndwara ifashwe hakiri kare kandi ikavurwa neza (nk'inyongeramusaruro) , abantu benshi bazatangira gukira mu byumweru bike. Ariko, bishobora gufata amezi agera kuri atandatu kugira ngo amagufwa yawe akire kandi yongere gukomera .

Ni gute nakwita ku magufwa yanjye?

Uko tugenda dusaza, ni ko birushaho kuba ingenzi kwita ku magufwa yacu. Dore bimwe mu bintu ushobora gukora kugira ngo ukomeze kugira ubuzima bwiza:

• Kurya ibiryo bihagije birimo vitamine D na kalisiyumu.
• Shaka urumuri rw'izuba ruhagije .
• Komeza kugira ibiro byiza by'umubiri bikubereye.
• Kora imyitozo ngororamubiri ihoraho .
• Ntunywe itabi .
• Niba unywa inzoga , gabanya urugero runaka .

Ni ryari ngomba kujya kwa muganga?

Niba ufite ububabare mu magufwa, cyangwa kimwe mu bimenyetso bya osteomalacia twavuze mbere, hita ubonana na muganga . Ashobora gusuzuma urugero rw'amaraso yawe kugira ngo amenye niba iyi ndwara yaraguteye.

Ni ibihe bibazo ngomba kubaza muganga?

Bishobora kuba byiza kubaza ibi bibazo igihe ugiye kwa muganga wawe:

• Ese inyongeramusaruro zo mu mirire zonyine zirahagije mu kuvura osteomalacia?
• Ni ubuhe buryo bundi bwo kuvura wagira inama?
• Ni ibihe bikorwa nkwiye kwirinda kugeza nduhutse?
• Ni ubuhe bwoko bw'imyitozo ngororamubiri bushobora gufasha kuvura cyangwa gukumira iyi ndwara?
• Ni iki kindi nakora kugira ngo wirinde ko iki kibazo cyangira ingaruka mu gihe kizaza?

Ibintu by'ingenzi ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Niba kandi urimo kugira ububabare mu gice cyo hasi cy'umubiri wawe, cyane cyane mu magufwa yawe, bishobora kuba indwara ya osteomalacia. Impamvu nyamukuru ibitera ni ukubura vitamine D. Kubwibyo, ni ngombwa cyane kubona izuba rihagije no kurya ibiryo birimo vitamine D. Niba ibimenyetso bikomeje, menya neza ko wagiye kwa muganga. Ashobora kumenya niba ububabare bw'amagufwa yawe buterwa no kubura vitamine D kandi akagufasha kuba umuntu ufite amagufwa mazima.