Umurinzi w'inkari zawe ucecetse: Reka twige byose ku bijyanye n'umuyoboro w'inkari!

Twese dushobora kuba tutarumvise ijambo 'Urothelium' cyane mu biganiro byacu bya buri munsi, sibyo? Ariko se wari uzi ko iki ari igice gitangaje cy'umubiri wacu, cyane cyane inzira y'inkari , kigira uruhare runini cyane . Mu by'ukuri, iyi urothelium ikora nk'umurinzi udacecetse wicaye mu mubiri wacu kandi ukaturinda indwara zitandukanye na mikorobe. Rero, uyu munsi, muri iyi nkuru, turaganira ku cyo iyi urothelium ari cyo, uburyo ifasha ubuzima bw'umubiri wacu, n'indwara ishobora kugiraho ingaruka.

Urothelium ni iki mu by'ukuri?

Mu magambo make, urothelium ni uturemangingo turinda imbere mu nzira y'inkari zacu. Kimwe na plaster ku rukuta, itwikira imbere mu nzira y'inkari zacu. Igizwe n'uturemangingo twinshi. Akamaro k'ingenzi k'utu turemangingo ni ukurinda inkari (zitwa kandi inkari ) dusohora mu mubiri wacu ndetse n'udukoko dutandukanye twanduza indwara kwinjira mu maraso cyangwa mu zindi ngingo z'umubiri.

Ushobora kuba wibaza umubare w'izindi ngingo z'umubiri ziri mu mubiri. Yego, nibyo koko. Ariko, iyi urothelium ni `(epithelium)` yihariye cyane, bivuze urusobe rw'uturemangingo. Urugero, ntabwo ari nk'urusobe rw'ibihaha cyangwa amara yacu. Bigomba kureka ibintu nk'intungamubiri na ogisijeni bikinjira. Ariko, urothelium ntabwo ikeneye kubikora. Ariko, ifite ubushobozi budasanzwe! Ni ukuvuga ko ishobora kwaguka no gufunga buri gihe. Tekereza, uruhago rwawe rurushaho kuba runini iyo rwuzuye inkari, kandi rukongera kuba ruto iyo rudafite? Muri icyo gihe, iyi urothelium nayo irakura kandi igafunga muri ubwo buryo, igakomeza kurinda uruzitiro rwayo muri ubwo buryo. Ntabwo ari igitangaza?

Ni izihe serivisi urothelium itanga ku mubiri wacu?

Serivisi uru rugingo ruto rutanga ku mibiri yacu si ikintu gito. Reka turebe zimwe mu ngingo z'ingenzi:

• Kurinda ingingo zacu z'imbere inkari: Tekereza gato, inkari zacu zirimo aside nkeya. Iyo izi nkari zihuye n'ahantu hatuje muri twe, nko mu mitsi n'amaraso, zishobora kwangiza. Imwe mu nshingano z'ingenzi za urothelium ni ukuturinda ako kaga.
• Ubwirinzi ku ndwara zandura: Urothelium ikora nk'urukuta kugira ngo irinde mikorobe, nka bagiteri, kwinjira mu mubiri binyuze mu nzira y'inkari, akenshi yitwa 'Urinary Tract Infections (UTI)'.
• Gufasha mu kohereza ubutumwa: Iyo uruhago rwawe rwuzuye, wumva umeze ute uti "Nkeneye kwihagarika ubu ngubu?" Uko ni ko imitsi yacu itubwira ibirimo kuba mu ruruhago.Iyi urothelium inafasha kohereza ubutumwa ku mitsi.
• Kugenzura imiterere y'inkari: Bifasha kandi kugena urugero rw'amazi, imyunyu n'ibindi bintu biri mu nkari.
• Ubushobozi bwo kunanura no gufunga: Nkuko byavuzwe mbere, kugira ngo uruhago rushobore gufata inkari zitandukanye, rugomba kunanura no gufunga. Urothelium itanga ubufasha bwinshi kuri ibi.

Mu magambo make, urothelium ni nk'intwari itagira icyo ivuga ikora umurimo ukomeye, w'ingenzi kugira ngo uturemangingo tw'inkari zacu tubeho neza.

Urothelium iri he mu mubiri wacu?

Urothelium iherereye cyane cyane mu nzira yacu yo hasi y'inkari . Ni ukuvuga:

• Impyiko: Inkari zituruka mu mpyiko zitangira kugaragara hano.
• Ureters : Imiyoboro ibiri itwara inkari ziva mu mpyiko zijya mu ruhago.
• Inkari: Twese tuzi nk'agafuka gakusanya kandi kakabika inkari.
• Umuyoboro w'inkari : Umuyoboro utwara inkari mu ruhago ukazivana mu mubiri.

Ubuso bw'imbere bw'ibi bice byose butwikiriwe n'uru rwego rwitwa urothelium.

Ni ibihe bice by'uruti rw'umuyoboro w'amaraso (urothelium)?

Urothelium si urwego rumwe rw'uturemangingo. Ishobora kandi kugabanywamo ibice bitatu by'ingenzi, buri kimwe gifite umurimo wihariye.

1. Uturemangingo tw'urukiramende rwo hejuru/uturemangingo tw'umuhengeri

Uru ni urwego rw'uturemangingo ruri hejuru ya urothelium, uruhande ruhura n'inkari. Izi kandi zitwa ``uturemangingo tw'umbrella`` . Ibi biterwa nuko utu turemangingo tuba dufite ishusho nk'umutaka, kandi buri karemangingo k'umutaka gatwikira uturemangingo twinshi mu rundi ruhande ruri munsi yarwo.

Ikintu cyihariye kuri izi selile z’umuhengeri ni uko zishobora guhindura imiterere yazo. Iyo uruhago rwuzuye, izi selile zirahinduka, kandi iyo uruhago rudafite ikintu, zisubira ku shusho yazo ya mbere. Izi selile ziba zifatanye cyane. Niyo mpamvu inkari na mikorobe bitava mu mubiri.

Iyo mikorobe yanduye uru rusobe rw'inkari ku buryo butunguranye, utwo turemangingo tw'umuhengeri turapfa kandi tugakoranira mu nzira y'inkari. Hanyuma, utwo turemangingo twombi hamwe n'udukoko twose bisohoka mu mubiri hamwe n'inkari. Nanone, hari poroteyine zitwa 'receptors' muri uru rusobe rw'inkari. Kimwe na antene. Izi zishobora kuburira uturemangingo tw'umubiri wacu ku mikorobe zinjira mu mubiri.

2. Icyiciro cyo hagati

Iki ni igice cyo hagati cya urothelium. Gishobora kandi kugira uturemangingo twinshi. Iyo uruhago rwuzuye, umubare w'utwo duce uragabanuka. Utwo turemangingo two hagati tuba tunini kurusha uturemangingo tw'ibanze turi hepfo, ariko tukaba duto kurusha uturemangingo tw'umuhengeri turi hejuru. Utwo turemangingo bigira uruhare runini mu gusana urothelium iyo yangiritse . Bishobora kandi gusimbuza uturemangingo tw'umuhengeri niba bibaye ngombwa.

3. Urusobe rw'ibanze

Uru ni urwego ruri munsi ya urothelium. Ni ukuvuga urwego rwegereye cyane ingingo zacu, imitsi, n'imitsi y'amaraso. Utu turemangingo ni two turemangingo duto cyane muri urothelium. Inshingano yatwo nyamukuru ni ugufasha izindi selile muri urothelium kongera kwiyubaka no kwisana. Kimwe n'imizi y'ikimera, niho selile nshya zikurira.

Ni izihe ndwara zigira ingaruka ku gice cy'imbere cy'umuyoboro w'amaraso (urothelium)?

Kimwe n'ibice byose by'umubiri wacu, urothelium ishobora kugira ingaruka ku ndwara zitandukanye. Iby'ingenzi ni ibi bikurikira:

• Kanseri: Kanseri y'umuyoboro w'inkari ni yo kanseri ikunze kugaragara cyane mu ruhago. Ishobora gutangirira mu ruhago gusa, ahubwo no mu gice cy'impyiko, mu muyoboro w'inkari, cyangwa mu miyoboro y'inkari.
• Interstitial cystite: Iyi ni indwara irangwa no kubabara igihe kirekire, umuvuduko, cyangwa kumererwa nabi mu ruhago. Abaganga bemeza ko kwangirika kwa urothelium bishobora gutera iyi ndwara.
• Kutagira imyitozo ngororamubiri cyangwa kudakora neza kw'inkari: Hari igihe, ibindi bibazo mu mikorere y'inkari, nk'amabuye y'impyiko, bishobora gutera impinduka mu mikorere y'inkari. Ibi bishobora gutuma umubiri wohereza ibimenyetso bitari byo kugira ngo uruhago ruvemo. Ibi bishobora gutera inkari nyinshi (inkari zikora cyane) cyangwa kuva amaraso mu nkari (inkari zisohoka mu buryo butaziguye).

Ni ibihe bimenyetso bisanzwe by'indwara ziterwa na urothelium?

Niba hari ikibazo kigira ingaruka ku musemburo wawe wa urothelium, ushobora kugira ibimenyetso nk'ibi:

• Amaraso mu nkari (hematuria): Inkari zishobora kugaragara nk'umutuku, umutuku, cyangwa umukara.
• Inkari zirimo ibicu: Inkari zidasobanutse neza kandi zifite ibara ryijimye.
• Ububabare bwo mu nda: Kumva ububabare mu nda yo hasi.
• Kunyara bibabaza cyangwa kenshi: Gushya, kubabara iyo uri kunyara , cyangwa gukenera kunyara kenshi kurusha uko bisanzwe.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza cyane gushaka inama kwa muganga.

Ni ibihe bipimo muganga wawe ashobora gukora?

Niba ufite ibimenyetso bifitanye isano na urothelium, muganga wawe ashobora gukora kimwe cyangwa byinshi muri ibi bikurikira:

• Isesengura ry'inkari: Ibi bigenzura ko inkari zawe zitarimo uturemangingo tw'amaraso, bagiteri, cyangwa ibindi bintu bidasanzwe.
• Ibizamini by'imikorere y'impyiko: Ibizamini by'amaraso cyangwa inkari bishobora kuguha ishusho y'uko impyiko zawe zikora neza.
• Gupima amaraso: Gupima amaraso bishobora gutanga amakuru ku bibera mu mubiri.
• Igitambaro cyo mu muyoboro w'inkari: Hari igihe hafatwa icyitegererezo cy'amazi ava mu muyoboro w'inkari hanyuma kigapimwa.
• Ibizamini byo gupima: Kugira ngo hamenyekane neza indwara zimwe na zimwe, hashobora gukorwa ibizamini nka ultrasound scan, MRI (magnetic resonance imaging scan), cyangwa CT (computed tomography).

Byongeye kandi, niba hakekwa kanseri cyangwa ubwandu, hashobora gufatwa icyitegererezo cy’ingingo (biopsy) hanyuma kigapimwa.

Ese ni ibisanzwe ko inkari zijya mu miyoboro y'amaraso?

Hari igihe raporo y'ibizamini by'inkari yawe ishobora kuvuga ngo "uturemangingo tw'inkari turahari." Ntugatinye niba ubibonye. Ni ibisanzwe ko uturemangingo tumwe na tumwe tw'inkari dusohokana n'inkari zawe. Kuko, nk'uko twabiganiriyeho mbere, utu turemangingo turapfa kandi tugasenyuka mu buryo busanzwe.

Ariko, hari igihe zimwe na zimwe utwo turemangingo dushobora kurekurwa cyane. Urugero:

• Iyo habayeho ihungabana (kubagwa mu nkari, gucibwa ibuye mu mpyiko).
• Niba hari ubwandu.
• Iyo hari kanseri cyangwa ikwirakwira ritari kanseri (ritari ryiza).

Niba raporo ivuga ko uturemangingo tw’umura "tutari twiza" cyangwa "tugaragara nabi", ntabwo biba bivuze kanseri. Ariko, niba ufite ikibazo ku bijyanye na raporo y’ibizamini byawe cyangwa raporo y’indwara, menya neza ko wavuganye na muganga wawe.

Dysplasia y'umuyoboro w'inkari wo mu ruhago ni iki?

Dysplasia ni indwara aho uturemangingo two mu gice cy’imbere cy’umubiri (urothelium) tuba tumeze nk’utudasanzwe hifashishijwe mikorosikopi. Ibi ntibivuze ko uturemangingo tuzaba kanseri. Ariko, umuntu ufite iyi ndwara ashobora kugira ibyago byo kurwara kanseri mu gihe kizaza. Kubwibyo, abaganga nibayimenya bazayiyitaho cyane.

Amaherezo, ibintu byo kwibuka

Abantu benshi bashobora kuba batarigeze bumva ijambo "urothelium" mbere. Ariko ubu uzi akamaro k'igice cy'umubiri wacu kandi ni ingenzi cyane. Utu tunyangingo twihariye tuturinda mikorobe n'ibintu byangiza mu nkari.

Rero, niba ufite ibimenyetso bifitanye isano n'inkari zawe (urugero: amaraso mu nkari zawe, ububabare iyo uri kunyara, kwihagarika kenshi), cyangwa niba ufite impungenge ku buzima bw'inkari zawe, ntutindiganye kubibwira muganga wawe. Inkari nziza ni ingenzi kugira ngo ubeho neza!

Urothelium , Urwungano rw'inkari, Inkari, Ubwandu bw'inkari, UTI, Impyiko, Uturemangingo tw'uturemangingo, Ibimenyetso by'inkari