Indwara z'impyiko n'amaraso make (Anemia muri CKD): Tumenye neza iby'iyi sano

Niba muganga wawe yarakubwiye ko urwaye indwara y’impyiko idakira (CKD), ushobora gutungurwa no kumva unaniwe cyane, ububabare wumva iyo uzamutse ingazi, no kubura imbaraga zo gukora ikintu icyo ari cyo cyose. Abantu benshi batekereza ko ibi ari bimwe mu bigize indwara y’impyiko. Ibyo ni ukuri, ariko impamvu nyamukuru y’ibi bimenyetso byinshi ishobora kuba igabanuka ry’amaraso mu mubiri wawe, ibyo tubyita mu buvuzi indwara yo kubura amaraso. Ni iyihe sano iri hagati y’impyiko no kugabanuka kw’amaraso mu mubiri? Uyu munsi, turaza kubiganiraho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Kuki abantu barwaye impyiko bagira amaraso make? Zimwe mu mpamvu z'ingenzi

Muri make, ogisijeni ni ingenzi kugira ngo buri karemangingo n'urugingo rw'umubiri wacu bibeho kandi bikore neza. Uturemangingo twacu dutukura dutwara ogisijeni y'agaciro iva mu bihaha mu mubiri wose. Poroteyine iri muri utwo turemangingo dutukura tw'amaraso yitwa hemoglobin niyo ifata ogisijeni.

Noneho tekereza, izi modoka zitwa uturemangingo tw’amaraso dutukura zirashaje kandi zikangirika nyuma y’igihe runaka. Kubwibyo, umubiri wacu uhora ukora uturemangingo dushya tw’amaraso dutukura kugira ngo twishyure iki kibazo. Uruganda rukora uturemangingo tw’amaraso dutukura ni uturemangingo tw’amagufwa yacu. Ariko, itegeko ryo "gutangira gukora uturemangingo tw’amaraso dutukura ubu" rihabwa uru ruganda rwitwa uturemangingo tw’amagufwa n’impyiko zacu. Iyo zangiritse kubera indwara y’impyiko, iyi gahunda yose iragenda nabi. Bibaho mu buryo butatu bw’ingenzi.

Impamvu ya 1: Kubura 'Ikirango' cyo gukora uturemangingo dutukura tw'amaraso

Uturemangingo twihariye mu mpyiko zacu duhora dukurikirana urugero rwa ogisijeni mu maraso yacu. Iyo umubare w'uturemangingo dutukura mu maraso yacu ugabanutse kandi urugero rwa ogisijeni rugabanuka, utwo turemangingo tubyumva maze tugasohora imisemburo yitwa erythropoietin (EPO) mu maraso. Iyi misemburo ya EPO ijya mu musemburo w'amagufwa ikayibwira iti "Sawa, reka dukore, tukore uturemangingo twinshi dutukura mu maraso."

Iyo urwaye indwara y’impyiko idakira (CKD), impyiko zawe zigenda zangirika buhoro buhoro. Kubera iyi ndwara, impyiko zawe ntizishobora kubona urugero rwa ogisijeni ruri hasi no gukora imisemburo ya EPO. Iyo EPO irangiye, umwotsi w’amagufwa ntusobanukirwa neza. Bityo, umusaruro w’uturemangingo dutukura tw’amaraso uragabanuka cyane. Iyo uturemangingo dushya dutukura tudashobora gukorwa ngo duhuze n’umubare w’abapfa, umubiri uba ufite ikibazo cyo kubura uturemangingo dutukura tw’amaraso, cyangwa kubura amaraso.

Impamvu ya 2: Kugabanuka k'ubuzima bw'uturemangingo dutukura tw'amaraso

Ubusanzwe, uturemangingo dutukura mu maraso ku muntu muzima tubaho iminsi igera kuri 120. Nyuma y'ibyo, turasenyuka tugasimburwa n'indi nshya.

Ariko bitewe n'uburozi bumwe na bumwe butera mu maraso y'umuntu urwaye impyiko, utwo turemangingo dutukura ntabwo tugira ahantu hakwiye ho kuba. Kubera iyo mpamvu, igihe cyo kubaho kwatwo kigabanuka kikagera ku minsi 70-80 . Ibyo bivuze ko aho gutegereza ko hakorwa uturemangingo dushya dutukura, utwa kera dupfa imburagihe. Iyi ni indi mpamvu yongera amaraso make.

Impamvu ya 3: Kubura feri n'intungamubiri

Icyuma ni cyo kintu cy'ingenzi gikenewe kugira ngo hakorwe uturemangingo tw'amaraso dutukura. Nta cyuma, hemoglobine ntishobora kuremwa. Nta hemoglobine, ogisijeni ntishobora gutwarwa.

Dukuramo icyuma gikomoka ku biribwa nk'imboga mbisi nk'amashaza, epinari, n'ibinyampeke byo mu gitondo bikungahaye ku ntungamubiri. Ariko hafi kimwe cya kabiri cy'abantu bafite indwara ikomeye y'impyiko bafite ikibazo cyo kubura icyuma gikomoka ku ntungamubiri. Hari impamvu nyinshi zishobora kubitera.

• Kutagira icyuma gihagije mu biribwa: Abarwayi b'impyiko bashobora rimwe na rimwe kugabanya indyo yabo, ibyo bikaba byatera kubura ibiryo birimo icyuma gikungahaye ku cyuma.
• Kugabanuka k'ubutare bushobora kwinjiza: Indwara z'impyiko zishobora kugabanya ubushobozi bw'umubiri bwo kwinjiza ubutare mu mara.
• Gutakaza amaraso: Gupima amaraso kenshi bituma umubiri utakaza amaraso buhoro buhoro. Nanone, iyo umuntu arimo gukora dialyse , umubiri utakaza amaraso n'icyuma muri icyo gikorwa.

Uretse feri, intungamubiri nka vitamine B12 na folate (Folate/Vitamine B9) nazo ni ingenzi kugira ngo uturemangingo dutukura tw’amaraso dukore neza. Bamwe mu barwayi b’impyiko nabo ntibagira izi ntungamubiri.

Ibindi bintu bigira ingaruka ku kubura amaraso

Uretse izi mpamvu nyamukuru, hari izindi mpamvu nyinshi zishobora kugira ingaruka ku kubura amaraso mu mubiri w’umurwayi w’impyiko.

• Kwandura indwara zikunze kugaragara
• Kubyimba mu mubiri igihe kirekire: Ibi bituma umubiri usohora imiti yitwa cytokines, igabanya imikorere y'umusemburo w'amagufwa.
• Imirire mibi

Ni nde uri mu kaga ko kurwara amaraso make cyane?

Si abantu bose bafite indwara y'impyiko bagira ikibazo cyo kubura amaraso mu buryo bumwe, ariko hari abantu bafite ibyago byinshi byo kurwara indwara y'impyiko.

• Niba uri umugore
• Niba urwaye diyabete
• Niba imikorere y'impyiko yawe yagabanutse cyane cyangwa idakora neza

Niba ufite ibimenyetso bya anemia (umunaniro, intege nke, uruhu rwerurutse, isereri), muganga wawe ashobora kugutegeka kubara amaraso yose no gupima urugero rw'icyuma cyawe. Ibi bizagena uburyo ukeneye bwo kuvurwa. Hariho uburyo bwo kuvura ibi, nko gukoresha ibinini bya feri no guterwa inshinge za hormone EPO.