Iyo dutekereje ku magufwa, tuyafata nk'ikintu gitanga imbaraga n'imbaraga ku mubiri, si byo se? Nibyo koko. Ariko se wari uzi ko mu magufwa yacu manini harimo ikintu gitangaje cyane, nk'uruganda ruzima? Ibyo ni byo twita umwotsi w'amagufwa, cyangwa mu Cyongereza `(Bone Marrow)`. Iki ni igice cy'ingenzi kandi cy'ingenzi cyane mu buzima bwacu. None rero uyu munsi, reka tuvuge kuri uyu mwotsi w'amagufwa mu magambo yoroshye.
Mu magambo make, iyi source y'amagufwa ni iki?
Umwongo w'amagufwa ni uturemangingo tworoshye kandi tumeze nk'umusemburo mu magufwa yacu. Mu by'ukuri, ni wo mwanya w'ingenzi mu gukora amaraso mu mibiri yacu. Uturemangingo tw'amaraso yawe twose, harimo uturemangingo dutukura, uturemangingo tw'amaraso twera, na plaquettes, bikorerwa muri uwo mwongo w'amagufwa.
Tekereza ko umworozi w'amagufwa ari uruganda runini rw'ikigo kinini. Uru ruganda niho umubiri ukora ubwoko butandukanye bw' "abakozi" (ni ukuvuga uturemangingo tw'amaraso) ukeneye kandi ukatwohereza mu mubiri wose binyuze mu miyoboro y'amaraso.
- Uturemangingo tw'amaraso dutukura: Izi ni "serivisi yo gutanga" itwara umwuka wa ogisijeni mu mubiri wose.
- Uturemangingo tw'amaraso: Izi ni "ingabo z'umubiri wacu" zirwanya mikorobe zitera indwara.
- Platelets: Iyi ni "itsinda rishinzwe gusana" rihagarika kuva amaraso iyo hari imvune ahantu runaka.
Ibi byose bikorerwa mu musokoro w'amagufwa. Si ibyo gusa, ahubwo n'umusokoro w'amagufwa unafasha mu kubika ibinure kugira ngo umubiri ubikoreshe igihe ubikeneye. Kubwibyo, ntabwo dushobora kubaho tudafite umusokoro w'amagufwa.
Ese wari uzi ko hari ubwoko bubiri bw'umusemburo w'amagufwa?
Yego, hari ubwoko bubiri bw'ingenzi bw'umusemburo w'amagufwa mu mibiri yacu. Butandukanywa n'ibara ryabwo. Ugereranyije, umuntu mukuru aba afite ibiro bigera kuri 2.5 by'ubwoko bwombi mu mubiri we.
Reka turebe ubwo bwoko bubiri.
| Ubwoko bw'umusemburo w'amagufwa | Imikorere n'ibisobanuro by'ingenzi |
|---|---|
| Umwobo w'amagufwa utukura | Uru nirwo ruganda rukora uturemangingo tw’amaraso. Mu buvuzi, iyi nzira tuyita (Hematopoiesis) . Uturemangingo dutukura tw’amaraso, uturemangingo tw’umweru tw’amaraso, na plaquettes bikorerwa mu turemangingo twihariye turi mu musemburo w’amagufwa utukura. |
| Umwobo w'amagufwa y'umuhondo | Ubu bwoko bugizwe ahanini n'ibinure. Inshingano yabwo nyamukuru ni ukubikira ibinure kugira ngo bikoreshwe mu gihe hakenewe ingufu. Nanone, uturemangingo tw'umubiri tubamo dushobora gufasha kubaka amagufwa, karitsiye, imitsi, n'uturemangingo tw'ibinure. |
Iyo tukiri bato, kugeza ku myaka 7, amagufwa yacu hafi ya yose aba agizwe n'umusemburo w'amagufwa utukura. Ibi biterwa nuko muri icyo gihe, umubiri uba ukeneye uturemangingo twinshi tw'amaraso kugira ngo ukure. Uko tugenda dukura, amwe muri ayo magufwa atukura ahinduka umusemburo w'amagufwa w'umuhondo.
Ese nshobora gutanga umworo w'amagufwa? Kuki?
Yego rwose birashoboka. Ni ikintu cyiza cyane gukora kugira ngo urokore ubuzima. Mu ndwara zimwe na zimwe, cyane cyane kanseri y'amaraso, uturemangingo two mu musokoro w'amagufwa tuba tudasanzwe, bigatuma uturemangingo tw'amaraso tuzima tugabanuka kandi bigatuma uturemangingo twa kanseri tudasanzwe dukura vuba.
Mu bihe nk'ibi, iyo umuntu muzima akuye mu mubiri we ukamushyira mu mubiri we (Bone Marrow Transplant), umubiri w'umurwayi ushobora kongera gukora uturemangingo tw'amaraso tuzima.
Icyo bibaho muri ibi ni uko uturemangingo tw’umubiri tuzima, twakuwe ku muntu utanga amaraso muzima, twinjizwa mu maraso y’umurwayi. Hanyuma uturemangingo tujya gutura mu musokoro w’umurwayi tugatangira gukora uturemangingo tw’amaraso tuzima.
Ni izihe ndwara zigira ingaruka ku musemburo w'amagufwa?
Kubera ko umwongo w'amagufwa ari wo ubanza gukorwaho amaraso, indwara zitandukanye zifitanye isano n'amaraso zishobora kubaho iyo imikorere y'umuyongo w'amagufwa idafite akamaro. Reka turebe zimwe muri izo ndwara z'ingenzi.
| Indwara | Ibisobanuro byoroshye |
|---|---|
| Leukemia | Iyi ni kanseri ifata umwongo w'amagufwa n'amaraso. Uturemangingo two mu mwongo w'amagufwa turahinduka maze tugakora uturemangingo tw'amaraso tw'umweru twinshi tudafite aho tubogamiye. |
| Myeloma nyinshi | Ubwoko bwihariye bw'uturemangingo twitwa plasma cells mu musemburo w'amagufwa buhinduka kanseri kandi bugakura mu buryo butunguranye. |
| Anemia yo mu bwoko bwa Aplastic | Ikiba muri ibi ni uko umwobo w'amagufwa udakora uturemangingo tw'amaraso duhagije (umutuku, umweru, n'udupira tw'amaraso). Ni nk'aho uruganda rw'umumobo w'amagufwa ruhagaze gukora. |
| Polycythemia Vera | Ibi bibaho iyo umwobo w'amagufwa ukora uturemangingo twinshi dutukura tw'amaraso, bigatuma amaraso abyimba kandi bikongera ibyago byo kubyimba kw'amaraso. |
| Indwara ya Myelodysplastic | Iri ni itsinda ry'indwara. Muri ibi, uturemangingo tw'amaraso twakozwe n'umusemburo w'amagufwa tuba tumeze neza kandi ntidukora neza. Ingaruka zabyo ni uko umubare w'uturemangingo tw'amaraso tuzima mu mubiri ugabanuka. |
Ni ibihe bimenyetso bisanzwe by'izi ndwara?
Nubwo buri ndwara igira ibimenyetso byihariye iyo hari ikibazo ku musemburo w'amagufwa, ibi bikurikira ni ibimenyetso bisanzwe:
- Umunaniro n'umunaniro: Iyo udafite uturemangingo dutukura duhagije, umubiri ntubona umwuka wa ogisijeni ukeneye.
- Indwara zikunze kugaragara: Bitewe no kutagira uturemangingo tw’amaraso tw’umweru dufite ubuzima bwiza, ubudahangarwa bw’umubiri buragabanuka.
- Gukomereka no kuva amaraso byoroshye: Bitewe n'umubare muto wa platelets, ndetse n'igisebe gito bifata igihe kirekire kugira ngo amaraso ahagarike. Uruhu rushobora gukomereka byoroshye.
- Intege nke z'imitsi.
- Ubusa.
Niba ufite ibimenyetso nk'ibi, ni ngombwa cyane kubonana na muganga wawe vuba kugira ngo akugire inama.
Ni gute wagenzura ubuzima bw'umusemburo w'amagufwa?
Iyo umuganga akeka ko ufite ikibazo mu musemburo wawe w'amagufwa, hari ibizamini bibiri bishobora kubyemeza. Ibi bizamini byombi bikunze gukorwa hakoreshejwe umuti ugabanya ububabare, bityo ntuzumva ububabare bwinshi.
1. Guhumeka kw'amagufwa: Muri ibi, urushinge rwihariye rukoreshwa mu gukuraho icyitegererezo cy'amazi n'uturemangingo mu magufwa. Iki cyitegererezo kirageragezwa kugira ngo hamenyekane ubwoko bw'uturemangingo turi mu magufwa kandi niba ari ibisanzwe cyangwa bidasanzwe.
2. Gupima ububabare bw'amagufwa:Muri ibi, agace gato k'urushinge rw'umusemburo w'amagufwa gafatwa hakoreshejwe urushinge runini gato. Ibi bidufasha gusobanukirwa neza imiterere y'uturemangingo mu musemburo w'amagufwa, ndetse n'ubwoko n'ingano by'uturemangingo.
Nyuma y'iki kizamini, hashobora kubaho ububabare n'ibisebe aho urushinge rwashyizwe mu minsi mike. Ariko ibyo ni ibisanzwe.
Ni iki twakora kugira ngo umwotsi w'amagufwa ukomeze kubaho neza?
Kubera ko umwongo w'amagufwa ari wo shingiro ry'amagufwa yacu, amaraso n'imitsi, gukora ibintu bifasha kugira ibyo bice bizima nabyo ni byiza ku mwongo w'amagufwa.
- Kurya ibiryo bikungahaye kuri poroteyine: Shyiramo ibiryo bikungahaye kuri poroteyine nk'inyama zidafite ibinure, amafi, ibishyimbo, imbuto z'ubunyobwa, amata n'amagi mu ifunguro ryawe. Poroteyine ni ingenzi mu kubaka uturemangingo tuzima.
- Wite ku mavuta n'imyunyu ngugu yawe: Ubutare, vitamine B9 (aside folike), na vitamine B12 ni ingenzi cyane mu gutuma amaraso avuka. Rya ibiryo bikungahaye kuri ibi (imboga, inyama, imbuto). Ariko banza ubaze muganga wawe mbere yo gufata ibinini bya vitamine.
- Gucunga izindi ndwara: Hari indwara zishobora kugira ingaruka ku mikorere y'umusemburo w'amagufwa, bityo ni ngombwa kubona ubuvuzi bukwiye ku zindi ndwara zose ushobora kuba ufite.
- Ubuzima bwiza: Imyitozo ngororamubiri ihagije, gusinzira neza, n'indyo yuzuye ni ingirakamaro ku buzima bwa buri gice cy'umubiri, harimo n'umusemburo w'amagufwa.
Umworo w'amagufwa ni nk'intwari ituje ariko idafite akamaro mu mubiri wacu. Ni inshingano zacu kubimenya no kwita ku buzima bwacu.
Ubutumwa bwo kujyana mu rugo
- Umwongo w'amagufwa ni wo ruganda rukora uturemangingo tw'amaraso (uturemangingo dutukura, uturemangingo tw'amaraso twera, n'uturemangingo tw'amaraso).
- Hari ubwoko bubiri bw'umusemburo w'amagufwa, umutuku n'umuhondo. Amaraso akorwa ahanini mu musemburo w'amagufwa utukura.
- Muri kanseri y'amaraso nka kanseri y'amaraso, imikorere y'umusemburo w'amagufwa irahungabana. Gutera umwobo w'amagufwa mu buryo bwiza bishobora kuba ubuvuzi burokora ubuzima kuri bene abo barwayi.
- Ni ngombwa gushaka inama kwa muganga mu gihe ugaragaje ibimenyetso nko kunanirwa kenshi, kurwara kenshi, cyangwa gukomereka byoroshye.
- Indyo yuzuye ikungahaye kuri poroteyine na vitamine hamwe n'ubuzima bwiza bifasha mu kubungabunga ubuzima bw'umusemburo w'amagufwa.

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