Ese wigeze wumva indwara ya atrophic gastritis, indwara ituma igifu kigabanuka? Reka tuganire!

Hari igihe ushobora kumva igifu kikurya, cyangwa ukabura ubushake bwo kurya, cyangwa ukumva wuzuye mu nda, si byo se? Ahari impamvu yabyo ntabwo yoroshye nkuko ubyibwira. Uyu munsi tugiye kuvuga ku ndwara yimbitse gato, ariko ishobora kuba ingenzi ku bantu benshi. Iyo ni indwara yitwa Atrophic Gastritis . Ntugahangayike, tuzayivugaho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Igisebe cy'umugongo gikabije ni iki?

Muri make, indwara ya atrophic gastritis ni indwara aho igice cy'igifu cyawe, igice cy'igifu, kigenda gishonga buhoro buhoro kandi kikabyimba cyane. Tekereza nk'urukiramende rurinda igifu imbere mu gifu cyawe. Ibi nibyo birinda igice cy'igifu aside ikomeye mu gifu cyawe. Muri atrophic gastritis, uru rukiramende rurangirika rugacika ruto.

Ikindi kintu kidasanzwe ni uko muri iki kibazo, zimwe mu ngirabuzimafatizo zo mu nda yawe zitangira kumera nk'iziri mu mara mato. Ibi byitwa "intestinal metaplasia" mu buryo bw'ubuvuzi. Ibyo bivuze ko ngirabuzimafatizo zo mu nda yawe zisa n'iziri mu mara yawe.

Hari ubwoko bubiri bw'ingenzi bw'ibi, sibyo?

Yego, uvuze ukuri. Hari ubwoko bubiri bw'ingenzi bwa gastritis itera gucika intege. Reka turebe ibyo ari byo.

1. Indwara ya gastritis iterwa n'ibidukikije (EMAG)

Ubu ni ubwoko bumwe. Abaganga babwita `(Environmental Metaplastic Atrophic Gastritis)` cyangwa mu magambo ahinnye EMAG . Impamvu nyamukuru ibitera ni ukwandura bagiteri `H. pylori` (Helicobacter pylori).

Tekereza, mu nda yawe hari ururenda rw'amacandwe rurinda, nk'umutaka w'imvura. Ibi nibyo birinda inkuta z'igifu imitobe y'igifu ifasha mu gusya ibiryo. Ariko iyo iyi bagiteri yitwa 'H. pylori' ije, ikora nk'aho irimo gutobora uwo mutaka. Hanyuma izo aside zisanzwe zitangira kurya inkuta z'igifu. Iyo ibi bibaye uko imyaka igenda ihita, uturemangingo tw'igifu turangirika, igice cy'imbere kiragabanuka, maze imiterere ya EMAG iravuka.

2. Gastritis itera indwara ya autoimmune atrophic (AAG)

Ubu ni ubwoko bwa kabiri. Byitwa `(Autoimmune Atrophic Gastritis)` cyangwa AAG mu magambo ahinnye. Hari igihe byitwa `(Autoimmune Gastritis - AIG)`.

Noneho reba, dufite itsinda ry'abashinzwe kurinda. Ubwo ni bwo buryo bwacu bw'ubudahangarwa bw'umubiri. Akazi kabo ni ukurwanya mikorobe zitera indwara. Ariko rimwe na rimwe, nk'aho bari kwibasira imwe mu zabo ku bw'ikosa, aba bashinzwe kurinda umubiri batangira kwibasira uturemangingo twacu tuzima. Ibyo ni byo biba muri AAG. Aha, uturemangingo tw'ubudahangarwa bw'umubiri twibasira uturemangingo tuzima mu rukuta rw'inda yacu.

Ese hari ingaruka ziterwa n'ubwo bwoko bwose muri ubu?

Yego, EMAG na AAG byombi bishobora kongera ibyago byo kurwara ibibyimba bito mu gifu cyawe. Ibi byitwa ``Neuroendocrine Tumors - NETs''. Ariko, akenshi, izi NETs si kanseri (ntizitera kanseri) , bivuze ko nta ngaruka mbi zifite. Ariko, EMAG na AAG byombi bishobora kongera ibyago byo kurwara kanseri y'igifu. Kubwibyo, ni ngombwa kubimenya.

Ni nde ufite amahirwe menshi yo guteza imbere iyi EMAG?

Abantu bafite ibyago byinshi byo kurwara indwara ya gastritis iterwa n’ibidukikije (EMAG) barimo:

• Ku bantu bo mu bwoko bwa Aziya cyangwa Abesipanyoli.
• Ku bantu barengeje imyaka 70.
• Ku bantu barya ibiryo birimo umunyu mwinshi.
• Ku bafite ubwandu bwa `H. pylori`.
• Ku batuye ahantu hahurira abantu benshi (kuko ibi bishobora gutuma indwara ya `H. pylori` ikwirakwira).
• Ku banywa itabi.

None se ni nde ufite amahirwe menshi yo guteza imbere AAG?

Hari abantu bafite ibyago byinshi byo kurwara gastritis itera indwara ya autoimmune atrophic gastritis (AAG). Abo ni:

• Ku bagore (kurusha abagabo).
• Ku bakomoka muri Amerika y'Epfo cyangwa iy'Amajyaruguru y'Uburayi.
• Niba hari umuntu wo mu muryango wigeze kugira AAG (hashobora kuba hari isano iri hagati y’umurage).
• Ku bafite impinduka zimwe na zimwe mu ngirabuzimafatizo.
• Ku bantu bafite izindi ndwara ziterwa n’ubwiyongere bw’umubiri. Urugero:
• Indwara ya Addison
• Indwara za tiroyide ziterwa n'ubwikora (urugero: indwara ya Hashimoto, indwara ya Graves)
• Diyabete yo mu bwoko bwa 1
• Vitiligo

Ibi bibazo bikunze kugaragara gute?

Imibare ituruka muri Leta Zunze Ubumwe za Amerika ivuga ko hafi 15% by'abaturage barwaye indwara ya gastritis itera gucika intege (AG) . Bivugwa kandi ko umubare w'abandura AAG ushobora kuba uri hagati ya 0.5% na 2%. Iyi ndwara nayo iragaragara muri Sri Lanka.

Ni izihe mpamvu zihariye zatumye habaho ishingwa rya EMAG?

Nkuko twabivuze, impamvu nyamukuru ya EMAG ni ukwandura bagiteri `H. pylori`. Iyi bagiteri ikunze kwanduzwa mu bwana. Hari uburyo butandukanye ishobora kwanduzwamo. Ubu buryo ni ubu:

• Binyuze mu gukora ku mwanda (umwanda).
• Binyuze mu biribwa.
• Binyuze mu macandwe.
• Mu kuruka.
• Ku mazi.

Ibyo bivuze ko ari ingenzi cyane kwita ku isuku kugira ngo wirinde iyi mikorobe.

Ni izihe mpamvu za AAG?

Ikigaragara muri AAG ni uko uturemangingo tw’umubiri wacu - ubwoko bwa poroteyine iturinda indwara - twibasira uturemangingo tw’igifu cyacu dufite ubuzima bwiza.

Ikindi kintu ni uko izi antibody rimwe na rimwe zishobora kwibasira poroteyine yihariye yitwa `Intrinsic factor` ikorwa n'uturemangingo tw'igifu cyacu. Iyi `Intrinsic factor` ni vitamine B12.Ni ingenzi cyane ko umubiri uyifata. Rero, niba "Intrinsic factor" ibuze, umubiri wacu ntuzabasha gufata Vitamine B12 neza. Ibi bizabuza umubiri gukora uturemangingo tw'amaraso dutukura, bishobora gutera ubwoko bwihariye bwa anemia bwitwa "Pernicious anemia". Iyo Vitamine B12 idahagije, ishobora no kwangiza imitsi (neuropathy).

Ni ibihe bimenyetso bya EMAG?

Inkuru nziza ni uko hari abantu bashobora kutagira ibimenyetso nubwo baba bafite indwara ya gastritis idakira. Ariko, iyo EMAG itewe n'ubwandu bwa H. pylori, ibimenyetso nka:

• Kubabara mu nda yo hejuru.
• Kubura amaraso mu mubiri bitewe no kubura icyuma.
• Ibiryo nta buryohe bwabyo.
• Isesemi no kuruka.
• Ibisebe byo mu gifu cyangwa mu mara mato.
• Kuba unanutse nta mpamvu.

Ni ibihe bimenyetso bya AAG?

Kimwe na EMAG, bamwe mu bantu bafite AAG bashobora kutagira ibimenyetso. Ariko, iyo AAG iteye kubura vitamine B12, ibimenyetso bijyanye no kubura amaraso no kwangirika kw'imitsi bishobora kubaho. Ibimenyetso birimo:

• Kubabara mu gituza.
• Kuzunguza, kubabara mu mutwe, intege nke.
• Umutima utera cyane.
• Urujijo rwo mu mutwe, nko kurota nk'umuntu udafite ubwenge.
• Isesemi no kuruka.
• Uruhu rwerurutse.
• Gutera kw'umutima vuba.
• Kumva ijwi rituruka mu matwi (Tinnitus).
• Kubura ibyiyumvo no kubura ibyiyumvo mu ngingo.

Umuganga abimenya ate? (Isuzuma)

Iyo ugaragaje ibimenyetso nk'ibi, muganga azabanza kukubaza ibibazo no kugukorera isuzuma ry'umubiri, harimo no gukubita inda yawe kugira ngo arebe niba hari ububabare.

Iyo hakekwa ko gastritis itera atrophic, muganga ashobora kukugira inama yo gupima amaraso menshi, urugero:

• Umubare w’uturemangingo dutukura tw’amaraso umeze neza (urugero ruto rushobora gutera kubura amaraso).
• Urugero rw'icyuma.
• Ubwoko bw'uturemangingo tw'umubiri (cyane cyane niba bikekwa ko hari AAG).
• Urugero rwa Gastrin, imisemburo ifasha mu gukora aside yo mu gifu.
• Ingano ya 'Pepsinogen', poroteyine ikorwa n'uturemangingo tw'igifu.
• Urugero rwa Vitamine B12.

Byongeye kandi, muganga ashobora no gukora endoscope .

• Ibi bisaba gushyiramo umuyoboro muto (endoscope) ufite kamera inyujijwe mu kanwa kugira ngo urebe neza imbere mu nda yawe. Ntugahangayike, uzasinzira cyangwa uhabwe akaruhuko mbere yo kubagwa, bityo ntuzumva umerewe nabi.
• Muri iki gihe, agace gato k'urugingo rwo mu nda gashobora gufatwa kugira ngo hakorwe biopsy. Ibi bishobora kwemeza niba gastritis idafite ubushobozi bwo kuvura indwara ndetse niba bagiteri H. pylori ihari.
• Ibi bishobora kandi gusuzuma ibibyimba nka ``Neuroendocrine tumors - NETs'' twavuze mbere.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvurwa buterwa n'uko ufite EMAG cyangwa AAG.

Uburyo bwo kuvura EMAG

• Iyo hari ubwandu bwa H. pylori, imiti yica udukoko itangwa.
• Imiti igabanya aside yo mu gifu irashobora gutangwa.
• Ni ngombwa kandi gukurikirana ikibazo binyuze mu gupima endoskopi buri gihe.

Uburyo bwo kuvura AAG

• Niba urugero rwa vitamine B12 ruri hasi, ushobora gukenera inshinge za vitamine B12 kugira ngo wongere urugero rwazo.
• Iyo urugero rw'icyuma ruri hasi, imiti y'icyuma ishobora guterwa mu mitsi .

Niba ubonye utubyimba duto twitwa NETs mu gihe cyo gupima indwara, muganga wawe ashobora kubikuraho icyarimwe. Ibi byitwa endoscopic mucosal resection. Nkuko twabivuze mbere, utu dubyimba akenshi ntabwo ari kanseri (ntitubabaza). Ariko, ni byiza kubisuzumisha buri myaka ibiri.

Ni gute wagabanya ibyago byo kurwara indwara ya gastritis itagira imbaraga (AG)?

Kugira ngo wirinde kwandura H. pylori, bishobora gutera EMAG, ugomba kwitondera cyane isuku. Cyane cyane:

• Nyuma yo guhindura ipantaro.
• Nyuma yo kujya mu bwiherero.
• Mbere yo kurya.

Menya neza ko woza intoki zawe neza n'isabune. Shyira abana bawe akamenyero ko gukaraba intoki buri gihe.

Ariko, nta kintu na kimwe twakora kugira ngo wirinde ko indwara y’ubwiyongere bw’umubiri yitwa AAG ibaho. Ariko, ni ngombwa kumenya ibimenyetso byayo, gushaka inama kwa muganga vuba bibaye ngombwa, no gukurikirana iyo ndwara.

Bigenda bite iyo ubayeho ufite iyi ndwara? (Outlook)

Nubwo nta muti uhari wo kuvura indwara ya atrophic gastritis, abantu benshi bashobora kubaho ubuzima busanzwe, butagira ibimenyetso. Hari abantu bashobora gukenera gufata Vitamine B12 cyangwa inyunganiramirire ya fer ubuzima bwabo bwose.

Umubare muto w'abantu bafite iyi ndwara, bafite ibyago byinshi byo kuyirwara, akenshi bagomba gukorerwa endoscope buri myaka itatu kugeza kuri itanu (endoscopic surveillance). Nyamara, nubwo hari ibyago byo kurwara kanseri y'igifu muri aba bantu, ni bike cyane. Abantu bafite ibyo bibyimba byitwa NETs nabo bashobora gukenera gukorerwa igenzura, ariko akenshi ntibaba kanseri.

Wakwitwara ute niba ufite EMAG?

Niba ufite EMAG, ushobora gukora ibi kugira ngo ugabanye ingorane:

• Niba unywa itabi, rekera aho rwose.
• Menya indyo igenzurwa n'umunyu (sodium).
• Reba umuganga w’indwara zo mu nda hanyuma ugenzure ikibazo cyawe buri gihe .

Wiyitaho ute niba ufite AAG?

Niba ufite vitamine B12 nkeya, ushobora kongeramo ibiryo bikungahaye kuri B12 mu ndyo yawe. Urugero:

• Inyama z'inka
• Ibimera by'inka
• Amagi
• Amafi afite amavuta (nk'amafi ya salmon, mackerel, na sardine)
• Ibinyampeke bikungahaye ku nkunga
• Amata
• Yawurute

Nanone kandi, abantu barwaye AAG bagomba gukomeza kubonana na muganga w’indwara zo mu nda kugira ngo akurikirane ikibazo kandi agire impinduka zikenewe mu kuvura.

Ubutumwa bwo kujyana mu rugo

Indwara ya Atrophic gastritis ni indwara ituma igice cy'igifu kiba gito kandi kikabyimba. Hari ubwoko bubiri: EMAG, iterwa na H. pylori infection, na AAG, iterwa n'ikibazo cy'ubudahangarwa bw'umubiri.

• Ibimenyetso ntibigaragara kimwe kuri buri wese. Bishobora kuba birimo kubabara mu gifu, kubura ubushake bwo kurya, no kubura vitamine B12.
• Ibi bishobora gupimwa neza gusa binyuze mu gupima amaraso no gupima indwara hakoreshejwe endoscope.
• Ubuvuzi burimo imiti ya H. pylori, inshinge za vitamine B12, n'icyuma.
• Abantu benshi bashobora kubaho ubuzima busanzwe. Ariko, ni ingenzi cyane gukomeza kuvugana na muganga no gukorerwa ibizamini n'ubuvuzi bikenewe.

Niba ufite ibindi bibazo kuri ibi, cyangwa niba wumva ufite ibi bimenyetso, nyamuneka gana muganga kugira ngo akugire inama. Ntugahangayike, hari ibisubizo kuri byose!

` Indwara yo mu nda itagira amazi, Indwara yo mu nda itagira amazi, Kubyimba igifu, Igifu, H. pylori, Vitamine B12, Anemia, Endoscopy, Indwara yo mu nda