Indwara ikomeye ishobora gutuma impyiko zihagarara gukora mu buryo butunguranye! (Acute Tubular Necrosis)

Twese tuzi ko impyiko ari ingingo z'ingenzi cyane ziyungurura imyanda iva mu mibiri yacu kandi zigafasha mu kubungabunga uburinganire bw'amazi n'imyunyu mu mubiri. Ariko se bigenda bite iyo amaraso agana muri izi mpyiko ahagaze mu buryo butunguranye, cyangwa iyo zitabonye umwuka uhagije wa ogisijeni? Uyu munsi turimo kuvuga ku ndwara ikomeye ishobora kubaho. Iyi yitwa Acute Tubular Necrosis, cyangwa ATN mu magambo ahinnye.

Mu magambo make, ni iki kivugwa mu ndwara ya Acute Tubular Necrosis (ATN)?

Iri zina rishobora kumvikana nk'irigoye gato, ariko reka tubikomeze byoroshye. Mu mpyiko zacu, dufite utunyangingo duto dufite ishusho nk'iy'umuyoboro dusukura amaraso. Tuyita "utunyangingo." Akamaro k'iyi miyoboro ni ukuyungurura imyanda, amazi atari ngombwa, n'umunyu mu maraso yacu no kubikura mu mubiri nk'inkari.

Mu ndwara yitwa Acute Tubular Necrosis, ingano y'amaraso na ogisijeni bigera mu mpyiko igabanuka mu buryo butunguranye, bigatuma utu tunyangingo duto twangirika maze uturemangingo turimo tugapfa. Iyo utu tunyangingo twangiritse, impyiko ntizishobora gukora akazi kazo neza. Ibi bituma imyanda, amazi menshi n'umunyu byiyongera mu mubiri. Ibi bishobora gutuma impyiko zinanirwa gukora neza .

Ni izihe mpamvu nyamukuru zitera iki kibazo?

Tekereza impyiko nk'ikimera. Nk'uko ikimera gipfa kidafite amazi, impyiko nazo zipfa zidafite amaraso na ogisijeni. Hari ibyiciro bibiri by'ingenzi by'impamvu za ATN.

1. Amaraso adatembera neza ajya mu mpyiko:

• Indwara yihutirwa, nko kurwara indwara y'umutima cyangwa indwara yo mu bwonko, ishobora gutuma umuvuduko w'amaraso mu mubiri ugabanuka mu buryo butunguranye, bigatuma amaraso atembera mu mpyiko agabanuka.
• Bitewe no kuva amaraso menshi mu gihe cyo kubagwa bikomeye cyangwa impanuka ikomeye.
• Umuvuduko w'amaraso muke uterwa no kubura amazi cyangwa kwandura indwara zikomeye (sepsis).

2. Kwinjira kw'ibintu bihumanya mu mpyiko:

• Irangi ritandukanye ni irangi riterwa mu mubiri mu gihe cy'ibizamini bimwe na bimwe, nko gupimwa na X-ray cyangwa CT scan.
• Amwe mu miti igabanya ubukana bw'indwara zo mu mutwe n'imiti igabanya ubukana bw'indwara .
• Kunywa ibindi binyabutabire by’uburozi.

Ibi bintu bishobora kwangiza mu buryo butaziguye sisitemu yoroshye y'imiyoboro y'impyiko bigatuma idakora neza.

Ni nde uri mu kaga gakomeye ko kurwara ATN?

Hari abantu bafite ibyago byinshi byo kurwara iyi ndwara kurusha abandi. Reka turebe abo ari bo.

Ni ibihe bimenyetso by'ibi?

Ibimenyetso bya ATN bishobora kugaragara mu buryo butunguranye. Ni ngombwa kubimenya.

Ni gute umuganga abimenya?

Niba ufite ibi bimenyetso, muganga wawe abanza kugusuzuma akakubaza ibimenyetso byawe. Hanyuma, azagutegeka ibizamini byinshi kugira ngo yemeze ko ari indwara. Ubusanzwe, umuganga w’indwara z’impyiko (umuganga w’inzobere mu ndwara z’impyiko) azakora ubushakashatsi bwimbitse kuri iyi ndwara.

• Gupima amaraso: Ibi ahanini bigenzura urugero rw'imyanda mu maraso. Bisuzuma urugero rwinshi rw'ibintu nka 'Blood Urea Azote (BUN)' na 'Creatinine' mu maraso. Urugero rwinshi rw'ibi bishobora kugaragaza ko impyiko zidakora neza. Binasuzuma urugero rw'umunyu nka 'potassium' mu maraso.
• Ibizamini by'inkari: Icyitegererezo cy'inkari zawe gifatwa kigasuzumwa hakoreshejwe mikorosikopi. Muri ATN, ibice by'uturemangingo tw'impyiko twangiritse bishobora kugaragara mu nkari.
• Gupima impyiko: Hari ubwo, iyo impamvu nyayo y’indwara itabonetse, agace gato cyane k’urugingo gakurwa mu mpyiko kagasuzumwa. Ibi bishobora gufasha kumenya neza ibyangiritse byatewe n’uturemangingo tw’impyiko.

Ivurwa ite?

Intego nyamukuru yo kuvura ATN ni ukuvura impamvu nyamukuru . Urugero, niba ari indwara, imiti igabanya ubukana itangwa, cyangwa niba ari umuvuduko w'amaraso uri hasi, isubizwa mu buryo busanzwe. Kuvura impamvu nyamukuru biha impyiko amahirwe yo gukira ubwazo.

Hagati aho, kora ibi bikurikira kugira ngo ushyigikire umubiri wawe kugeza impyiko zawe zikize:

• Indyo: Kugira ngo wirinde gushyira imbaraga nyinshi ku mpyiko, uzabwirwa kugabanya ibinyobwa, umunyu (sodium), n'ibiribwa bikungahaye kuri potasiyumu (nk'imineke n'amacunga) .
• Imiti: Imiti igabanya ubukana bw'amaraso ishobora gutangwa kugira ngo ifashe mu gukura amazi menshi mu mubiri. Imiti ishobora kandi gutangwa kugira ngo igenzure urugero rwa potasiyumu mu maraso.
• Dialysis: Niba imikorere y'impyiko yangiritse cyane kandi imyanda ikaba yarakusanyije ku rugero ruteje akaga, ushobora gukenera dialysis kugira ngo amaraso yawe yezwe by'agateganyo kugeza igihe impyiko zawe zikize.

Igihe cyo gukira kiratandukanye bitewe n'umuntu ku giti cye. Umuntu muzima udafite izindi ndwara zikomeye ashobora gukira mu minsi mike cyangwa ibyumweru bike. Ariko, bishobora gufata igihe kirekire kugira ngo umuntu ufite izindi ndwara akire.

Ese iki kibazo gishobora kwirindwa?

Nubwo rimwe na rimwe bigorana kwirinda ATN, hari ibintu byinshi dushobora gukora kugira ngo tugabanye ibyago.

• Niba ufite indwara zidakira nka diyabete, umuvuduko ukabije w'amaraso, indwara z'umutima, cyangwa indwara y'umwijima , zifate neza nk'uko muganga agusaba .
• Niba uri gupimwa hakoreshejwe irangi ritandukanye, nywa amazi menshi mbere na nyuma. Ibi bizafasha impyiko gukura imiti mu mubiri wawe vuba.
• Ntugafate imiti igabanya ububabare igurishwa na muganga nka ibuprofen na naproxen utabanje kugisha inama muganga, cyane cyane niba usanzwe ufite indwara z'impyiko. Iyi miti ishobora kwangiza impyiko zawe.
• Niba uterwa amaraso, menya neza ko ubwoko bw'amaraso yawe buhuye.