Ese wari uzi imitsi mito y'amaraso (capillaries) ifite 'amadirishya' mu mubiri wawe?

Ese wigeze wibaza akamaro k'imitsi mito y'amaraso iri mu mibiri yacu, yitwa capillaries? Hari imitsi mito ifite utwobo duto nk'amadirishya. Ibyo ni byo twita imitsi isanzwe. Uyu munsi, reka tuvuge kuri iyi mitsi itangaje y'amaraso, icyo iri, aho iri, icyo ikora, n'uko twayikomeza ubuzima bwiza.

Izi mashini zo mu mitsi zikozwe mu bwonko (capillaries) ni izihe?

Reka turebe icyo iyi miyoboro y'amaraso ikoze mu buryo bwa fenestrae ari cyo. Ijambo ry'ikilatini 'fenestrae' risobanura 'idirishya.' Rero iyi myobo mito iri muri iyi miyoboro y'amaraso, nk'amadirishya, ituma uduce duto na poroteyine, nk'amaraso, binyura mu ngingo zacu z'ingenzi n'uturemangingo. Mu magambo make, bikora nk'uburyo bwihariye bwo kuyungurura . Niho imibiri yacu ihana ibyo ikeneye n'aho idakeneye.

Ibi biri he mu mibiri yacu? Ni iyihe nshingano yabyo?

Noneho ushobora kwibaza uti 'Ibi biri he mu mibiri yacu? Bikora iki?' Imiyoboro y'amaraso iboneka mu mpyiko zacu, mu mara mato , mu impyiko, no mu ngirabuzimafatizo z'amaraso . Izi ngingo zikenera buri gihe guhanahana intungamubiri n'imyanda hagati y'imiyoboro y'amaraso n'ingirabuzimafatizo. Utwobo turi muri iyi miyoboro y'amaraso dutuma iyi myoboro yoroha cyane.

Ni uruhe ruhare rw'ibi mu mpyiko?

Utunyangingo tw’amaraso twa Fenestrated Capillaries ni ingenzi cyane ku mpyiko zacu. Impyiko zifite units zo kuyungurura zitwa nephrons . Tekereza gato, hari hafi miliyoni y’izi nephrons mu mpyiko imwe! Ese ibyo ntibitangaje? Muri buri nephron harimo itsinda ry’utunyangingo tw’amaraso twa fenestrated capillaries duteranye nk’umupira. Ibi byitwa glomerulus . Ibi nibyo bikora nk'akayunguruzo nyamukuru .

Si ibyo gusa, ahubwo hari n'izindi capillaries nyinshi zikikije imiyoboro iri muri nephrons. Izi zose hamwe zifasha impyiko kuyungurura imyanda iva mu maraso, gukora inkari, no kongera kwinjiza intungamubiri umubiri ukeneye. Ni nk'akayunguruzo k'amazi mu rugo rwacu, ariko karagoye cyane.

Ni gute ibi bifasha izindi nyunganizi?

• Mu mara mato: Iyi mitsi ifasha mu kwinjiza intungamubiri mu byo turya. Iyi myobo ituma ibintu nka vitamine na myunyungugu byinjira mu maraso byoroshye.
• Niba ufata pancreas: Ni ngombwa kongeramo imisemburo n'imisemburo mu maraso bifasha mu gusya ibiryo, cyane cyane isukari n'ibinure.
• Biturutse ku ngirabuzimafatizo z'imisemburo:Izi misemburo zohereza imisemburo mu mubiri wacu. Iyi misemburo igenzura ibintu byinshi, harimo n'ibyiyumvo byacu n'imikurire yacu. Izi misemburo nazo zikeneye ubufasha muri ibyo.

Ese izi capillaries zikozwe mu buryo bwa fenestrated zisa zite?

Tekereza uburyo utwo tunyangingo tw’amaraso ari duto. Utunyangingo twinshi dufite ubugari bwa mikorometero 3 cyangwa 4 gusa. Ni nk'ubunini bw'urushundura rw'igitagangurirwa! Ni tworoshye cyane, si byo se? Dufite ibice bibiri by'uturemangingo.

Urusobe rw'imbere rw'uturemangingo rwitwa uturemangingo tw'imbere . Urusobe rw'inyuma rwitwa uturemangingo tw'imbere . Hari igihe abaganga babyita uturemangingo tw'imbere .

Utunyangingo tw’amaraso turangwa n’utwenge duto turi mu gice cyatwo cy’imbere. Buri mwobo (cyangwa 'idirishya') ufite utwenge duto. Ukora nk'agapfundikizo , umupfundikizo muto ushobora gufungurwa no gufungwa. Uru runyangingo rutuma utuntu tunini (nk'imyunyu ngugu) tunyura muri utwo twobo byoroshye.

Ni izihe ndwara zigira ingaruka kuri izi capillaries?

Rero, ndetse n'imitsi yo mu bwonko ifite imiterere idasanzwe, ikora akazi gakomeye, rimwe na rimwe ishobora kurwara indwara.

• Indwara y'impyiko idakira (CKD): Abantu bafite iyi ndwara bakunze kugira ibibazo kuri izi capillaries. By'umwihariko, capillaries zo mu mpyiko zishobora kwangirika. Ibi bifasha mu kuyungurura imyanda iva mu mpyiko. Kubura Vitamine D, kubyimba, n'indwara zitandukanye bishobora kwangiza izi capillaries no kugabanya ubucucike bwazo. Abaganga bita iyi capillary rarefaction . Iyo ibi bibaye, capillaries zawe ntizikora neza. Ibi bishobora gutera umuvuduko ukabije w'amaraso , ari wo muvuduko ukabije w'amaraso, n'ibindi bibazo by'ubuzima.
• Izindi ndwara z'impyiko: Izindi ndwara z'impyiko, nka glomerulonephritis, zishobora no kugira ingaruka ku buryo bwose bwo kuyungurura impyiko. Mu by'ukuri indwara z'impyiko zirakunze kugaragara. Iyo zitavuwe neza, zishobora gutuma impyiko zinanirwa gukora neza .

Nta n'umwe muri twe wifuza kugira ibibazo by'impyiko, bityo ni ngombwa kubimenya.

• Indwara yo kuzana amaraso mu mitsi yo mu bwoko bwa Systemic Capillary Leak Syndrome (SCLS): Iyi ni indwara idasanzwe, ariko ishobora gushyira ubuzima mu kaga. Itera kwangirika kw'inkuta z'imitsi yo mu bwoko bwa capillaries. Ibi bishobora gutuma umuvuduko w'amaraso ugabanuka mu buryo butunguranye.

Ni gute twakomeza kubungabunga iyi mitsi yo mu bwonko ifite ubwiza?

Noneho ushobora kuba urimo kwibaza uti 'Niba ibi ari ingenzi cyane, twabikora dute kugira ngo bikomeze kubaho neza?' Mu by'ukuri, kugira ngo ibi bice by'amaraso bikomeze kubaho neza, tugomba kwita ku buzima bwacu muri rusange . Ibi bice by'amaraso bifasha sisitemu nyinshi mu mubiri wacu gukora neza. Ni bimwe mu bigize urusobe rw'amaraso . Iyo sisitemu ikubiyemo indi miyoboro yose y'amaraso, imitsi, n'imitsi.

Ubwoko butandukanye bw'indwara z'imitsi , cyangwa indwara zijyanye n'imitsi, zishobora kugira ingaruka ku mikorere y'ubwoko bwose bw'imitsi ifunganye. Rero, hari ibintu bike dushobora gukora kugira ngo twirinde izi ndwara n'ibindi bibazo by'ubuzima:

• Ni ingenzi gukora imyitozo ngororamubiri no gukomeza gukora siporo. Gukora imyitozo ngororamubiri buri munsi ni ingenzi cyane.
• Kurya indyo yuzuye, kugabanya inzoga, no guhitamo ibiryo bitanga ubuzima bwiza ku mutima. Iki ni ikintu abantu bose bavugaho muri iki gihe, ariko ni ingenzi cyane.
• Kugumana ibiro byiza. Niba ufite umubyibuho ukabije cyangwa ubyibushye cyane , gerageza kugabanya ibiro.
• Niba ufite indwara zidakira nka diyabete n'umuvuduko ukabije w'amaraso , ni ngombwa kuzigenzura neza. Ugomba gukurikiza amabwiriza ya muganga witonze.
• Niba unywa itabi, rekera aho. Iki si ikintu cyo gufatanwa uburemere, ni cyo ntandaro y'indwara nyinshi.

Ni ryari twagombye kubonana na muganga ku bijyanye n'izi capillaries?

Ntabwo akenshi tujya kwa muganga dutekereza ku mitsi yo mu bwonko. Ariko, iyo habayeho ibimenyetso bimwe na bimwe, bishobora guterwa n'ikibazo cy'iyi mitsi yo mu bwonko ifite amenyo.

Ibimenyetso by'indwara y'impyiko:

Ugomba kwihutira gushaka inama kwa muganga, cyane cyane niba ugaragaza ibimenyetso by'indwara z'impyiko. Reba niba ufite ibi bimenyetso:

• Impinduka mu nkari: Ibi bishobora kuba amaraso mu nkari (hematuria) , poroteyine mu nkari (proteinuria) , cyangwa gukenera kunyara kenshi.
• Umunaniro uhoraho, kugorwa no kwibanda ku bintu, cyangwa kugorwa no gusinzira.
• Ibiryo nta buryohe bwabyo.
• Iyo hari kubyimba cyangwa kubyimba hafi y'amaso, komeza iminsi irenga mike.
• Kubabara imitsi.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, nyamuneka jya kwa muganga vuba. Nubwo rimwe na rimwe ibi ari ibisanzwe, ni ngombwa kumenya ikibazo cy'impyiko hakiri kare.

Ibimenyetso bya Syndrome yo Kuvunika mu Mitsi yo mu Mutwe (SCLS):

Iyo ndwara idakunze kugaragara cyane yavuzwe mbere, Systemic Capillary Leak Syndrome (SCLS), aho umuvuduko w'amaraso ugabanuka mu buryo butunguranye. Iki ni ikibazo cyihutirwa cy'ubuvuzi. Niba umuvuduko w'amaraso wawe ugabanutse mu buryo butunguranye kandi ukaba ufite kimwe mu bimenyetso bikurikira, ugomba guhita ubonana na muganga cyangwa ukajya mu cyumba cyita ku barwayi b'ingorabahizi:

• Kubabara mu gifu no kugira isesemi.
• Gukorora no kumva nk'aho igituza gifunganye.
• Kubyimba (edema), cyane cyane mu maguru no mu maboko.
• Umunaniro ukabije.
• Umutwe.
• Kubabara umutwe, isereri no gucika intege.

Ubutumwa twifuza kujyana mu rugo

Yego, ndatekereza ko usobanukiwe neza n'iyi mitsi mito y'amaraso twavuzeho uyu munsi. Wibuke ko iyi mitsi mito y'amaraso ifite amadirishya ari ingenzi cyane mu mikorere y'amaraso yacu. Ni ingenzi mu kuyungurura imyanda iva mu mpyiko zacu, gukora inkari, kwinjiza intungamubiri mu mara yacu, no kohereza imisemburo mu mubiri wacu wose.

Rero, kugira ngo utu tunyangingo duto tw’amaraso dukomeze kugira ubuzima bwiza, tugomba kwita ku buzima bwacu muri rusange . Kurya indyo yuzuye, kugira ibiro bizima, gukomeza gukora siporo, no kwisuzumisha buri gihe nk'uko muganga yabidusabye. Ibi bintu bizagira akamaro gakomeye ku 'madirishya' yacu mato ndetse no ku mubiri wacu wose. Urabyumva?

Niba ufite ibindi bibazo kuri ibi, ntutindiganye kuvugana na muganga w'umuryango wawe. Azashobora kuguha amakuru arambuye.

` Imiyoboro y'amaraso, imiyoboro y'amaraso, impyiko, nephrons, imiyoboro y'amaraso, ubuzima