Ni ibisanzwe kumva ufite ubwoba gato iyo ubonye 'enzymes z'umwijima' zirimo kwiyongera, cyangwa enzymes z'umwijima ziri hejuru, mu isuzuma ry'amaraso. Ushobora gutekereza uti "Ese umwijima wanjye ufite ikibazo?" Ariko ntugahangayike. Akenshi, iyi ni indwara y'igihe gito. Reka tubiganireho mu magambo yoroheje uyu munsi.
Izi enzymes z'umwijima ni izihe?
Muri make, enzymes z'umwijima ni poroteyine zidasanzwe ziboneka mu mwijima wacu. Zifasha imibiri yacu gukora imirimo myinshi y'ingenzi, nk'abakozi bo mu nganda.
Zimwe mu nshingano z'ingenzi z'iyi enzymes ni:
- Bifasha mu gukora inyo.
- Bakora ibintu bikenewe kugira ngo amaraso avure.
- Ibintu nk'ibiryo n'imiti turya birasenyagurika ku buryo umubiri ushobora kubyinjiramo.
- Irasenya kandi igakuraho uburozi bwinjira mu mubiri.
- Bifasha mu kurwanya indwara zandura.
Hari ubwoko bwinshi bw'ingenzi bwa enzymes z'umwijima dukunze kubona muri raporo z'amaraso:
- Alanine transaminase (ALT)
- Aspartate transaminase (AST)
- Fosfati y'ibinyabutabire (ALP)
- Gamma-glutamyl transferase (GGT)
Tekereza umwijima wacu nk'umupira w'amaguru. Izi enzymes ziri muri uwo mpira w'amaguru. Iyo habayeho kwangirika k'umwijima, nko gukomereka cyangwa kwandura, agapira k'amaguru kazavamo gato maze enzymes zikavamo mu maraso. Icyo gihe ni bwo ikizamini cy'amaraso kizagaragaza ko urugero rw'izi enzymes ruri hejuru.
Kuki muganga arimo gupima ibi?
Muganga wawe ashobora gutegeka ko umwijima wawe upimwa (LFT) mu gihe usanzwe usuzuma buri mwaka, cyane cyane niba ufite ibyago byo kwangirika k'umwijima (urugero, kunywa inzoga nyinshi, diyabete) cyangwa niba ufite ibimenyetso by'indwara y'umwijima.
Ariko ibuka ko imisemburo yongerewe mu mubiri atari ko buri gihe bivuze ko hari indwara ikomeye. Hari igihe ibi bishobora kuba iby'igihe gito .
Ni izihe mpamvu nyamukuru zituma urugero rw'imisemburo ruzamuka?
Hari impamvu nyinshi zishobora gutuma imisemburo y'umwijima izamuka. Zimwe ni nto cyane, izindi zikaba zikomeye cyane. Reka turebe impamvu nyamukuru zibitera.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Indwara y'umwijima urimo ibinure | Iyi ni impamvu ikunze kugaragara muri iki gihe. Ishobora guterwa no kunywa inzoga ndetse n'izindi mpamvu zitari izisindisha (umubyibuho ukabije, diyabete). |
| Imiti imwe n'imwe | Ibintu nk'imiti igabanya cholesterol (urugero: statins), imiti igabanya ububabare (urugero: gufata parasetamol nyinshi), imiti imwe n'imwe igabanya ubukana bw'indwara, hamwe n'imiti igabanya igicuri bishobora gutuma imisemburo yiyongera. |
| Indwara za Hepatite | Kubyimba umwijima guterwa n'ubwoko butandukanye bwa virusi. Urugero: `Hepatite A`, `Hepatite B`, `Hepatite C`. Byongeye kandi, hari indwara yitwa `Alcoholic Hepatite` iterwa n'inzoga n'`Autoimmune Hepatite` iterwa n'ikibazo mu budahangarwa bw'umubiri. |
| Ikoreshwa ry'inzoga | Kunywa inzoga nyinshi cyangwa igihe kirekire byangiza umwijima mu buryo butaziguye. |
| Vitamine zimwe na zimwe n'inyongeramusaruro z'ibimera | Gufata imiti imwe n'imwe y'ibimera utabanje kugirwa inama na muganga, nka vitamine A cyangwa icyuma birenze urugero, nabyo bishobora kwangiza umwijima. |
Ese hari izindi mpamvu zirenze izi?
Yego, hari izindi mpamvu zishobora kubaho. Ntabwo zikunze kugaragara cyane, ariko ni ngombwa kuzimenya.
- Hemochromatosis: Kwiyongera cyane kw'icyuma mu mubiri.
- Indwara ya Cirrhose: Umwijima ukomera cyane, ukagira inkovu, kandi ugatakaza imikorere.
- Imiterere ya kanseri: Kanseri igaragara mu mwijima cyangwa ikwirakwira rya kanseri iturutse ahandi ijya mu mwijima.
- Indwara ya Celiac: Indwara ya poroteyine gluten.
- Indwara ya Wilson:Kurundanya umuringa mwinshi mu mubiri.
- Indwara ya tiroyide.
- Imiterere y'imitsi.
Ni ibihe bimenyetso by'iyi ndwara?
Ikintu cy'ingenzi hano ni uko abantu benshi batagira ibimenyetso na bimwe . Imisemburo y'umwijima iri hejuru iboneka gusa iyo hakozwe isuzuma ry'amaraso ku yindi mpamvu.
Ariko, niba impamvu y’iyi enzymes ari ukwangirika k’umwijima, ibimenyetso bikurikira bishobora kubaho.
| Ibimenyetso | Ibisobanuro |
|---|---|
| Jaundice | Ibara ry'umuhondo ry'amaso n'uruhu. |
| Inkari z'ibara ryijimye | Gufata ibara ryijimye risa n'iry'icyayi. |
| Intebe z'amabara y'umukara | Ihinduka ibara ry'umukara, nk'ibara ry'ibumba. |
| Kubabara mu gifu | Kumva ububabare, cyane cyane mu ruhande rw'iburyo rw'inda, munsi y'imbavu. |
| Umunaniro uhoraho | Kumva unaniwe igihe cyose nta mpamvu. |
| Kuryarya | Kuryarya ku ruhu. |
| Kubura ubushake bwo kurya, isesemi, no kuruka | Kubura ubushake bwo kurya no kugira isesemi. |
Nkore iki ubu? Ni ubuhe buryo bwo kuvura?
Iyo ikizamini cy'amaraso yawe kigaragaje ko hari imisemburo myinshi, ikintu cya mbere muganga wawe azakora ni ukukubaza amateka yawe yose. Azakubaza ibintu byose, harimo imiti ufata, inyongeramusaruro, n'ingeso mbi z'inzoga.
Inkuru nziza ni uko hafi kimwe cya gatatu cy'abantu bafite imisemburo yo mu mubiri basubira mu buzima busanzwe mu byumweru bibiri kugeza kuri bine, nta muti bavuwe.
Rero, muganga wawe ashobora kukubwira kongera gupimwa amaraso mu byumweru bike. Niba urugero rwa enzyme yawe rukiri hejuru, azagutegeka ko hakorwa ibindi bipimo kugira ngo hamenyekane impamvu.
- Ibindi bipimo by'amaraso: Gushaka ibintu nka virusi za hepatite.
- Gupima: Gupima mu nda hifashishijwe ultrasound, gupima mu buryo bwa CT, cyangwa MRI.
- Kohereza umuganga w’inzobere: Ushobora gusabwa kubonana n’umuganga w’inzobere mu ndwara z’umwijima, uzwi nka 'Hepatologist'.
Ubuvuzi bushingira gusa ku ndwara yateye kwiyongera kwa enzyme. Niba impamvu ari umuti, umuti uzahindurwa. Niba impamvu ari umwijima w'ibinure, hazagirwa inama yo guhindura imibereho (kugabanya ibiro, gukora imyitozo ngororamubiri). Kubwibyo, uburyo bwo kuvura buzatandukana bitewe n'umuntu ku giti cye.
Ni iki twakora kugira ngo umwijima ukomeze kugira ubuzima bwiza?
Nubwo tudashobora gukumira indwara zimwe na zimwe, hari byinshi dushobora gukora kugira ngo turinde uru rugingo rw'agaciro rwitwa umwijima wacu.
- Irinde kunywa inzoga cyangwa uzigabanye nk'uko muganga yabigutegetse.
- Kurya indyo yuzuye kandi ifite ubuzima bwiza . Gabanya ibiryo birimo amavuta menshi, isukari n'ifu.
- Siporo buri gihe. Ndetse no kugenda n'amaguru iminota 30 ku munsi ni ikintu cyiza cyane.
- Genzura ibiro by'umubiri wawe. Umubyibuho ukabije ni imwe mu mpamvu zikomeye zitera umwijima ubyibushye.
- Niba urwaye diyabete, genzura neza urugero rw'isukari mu maraso yawe .
- Ntugakoreshe umuti uwo ari wo wose, vitamine, cyangwa ibikomoka ku bimera muganga wawe atabigusabye. Bwira muganga wawe ibyo ufata byose.
- Ukingiwe Hepatite A na B.
- Ntugakoreshe inshinge, imashini zogosha, nibindi byakoreshejwe n'abandi.
Ubutumwa bwo kujyana mu rugo
- Ntugatinye iyo ubonye enzymes nyinshi z'umwijima mu isuzuma ry'amaraso yawe. Akenshi, ni indwara y'igihe gito.
- Imisemburo iri hejuru ishobora guterwa n'ibintu bitandukanye, nko imiti, imirire, n'indwara zandura ziterwa na virusi.
- Abantu benshi ntibagira ibimenyetso na bimwe.
- Igikuru ni ukuganira kuri ibi na muganga wawe mu buryo bweruye. Azaguha ubuyobozi ukeneye.
- Gukurikiza ubuzima bwiza ni bwo buryo bwiza bwo kurinda umwijima wawe.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.