Reka twige ku ndwara ya C3G ifata impyiko zawe n'umuti mushya? (Iyongera kuri 3 Glomerulopathy)

Ntitwita cyane ku mpinduka zimwe na zimwe ziba mu mibiri yacu, si byo se? Ariko rimwe na rimwe izo mpinduka nto, urugero, ikintu nk'impinduka mu miterere y'inkari zawe, zishobora kuba ikimenyetso cy'ikibazo gikomeye cy'ubuzima kurusha uko ubitekereza. Uyu munsi tugiye kuvuga ku ndwara idasanzwe, ariko ijyanye cyane n'impyiko. Iyi yitwa Complement 3 Glomerulopathy, cyangwa C3G mu magambo ahinnye.

Mu magambo make, C3G ni iki?

Tekereza impyiko zawe nk'akayunguruzo gasukura amaraso mu mubiri wawe. Muri aka kayunguruzo harimo ibintu byiza cyane bisa n'urushundura byitwa glomeruli. Ibi ni byo biyungurura imyanda iva mu maraso hanyuma bikayisohora nk'inkari.

Twese dufite ubudahangarwa bw'umubiri mu mibiri yacu. Ni nk'ingabo zirwanira zirwanya mikorobe zinjira mu mibiri yacu. Imwe mu mbaraga zidasanzwe muri izi ngabo ni icyo twita sisitemu yuzuzanya. Ubusanzwe, izi mbaraga zidufasha, ariko mu mubiri w'umuntu urwaye indwara ya C3G, imikorere y'iyi sisitemu yuzuzanya irahungabana. Muri make, izi ngabo zirwanira zifite ikosa, maze zigatangira kwibasira akayunguruzo koroheje mu mpyiko zacu.

Iki gitero cyangiza akayunguruzo k’amaraso, maze ibintu nka poroteyine n’uturemangingo dutukura tw’amaraso bisanzwe biba biri mu maraso bitangira kwirunda mu nkari. Uko igihe kigenda gihita, uku kwangirika kuriyongera kandi imikorere y’impyiko igenda igabanuka buhoro buhoro, amaherezo bigatera impyiko kudakora neza ndetse bigasaba dialyse.

Ni ibihe bimenyetso by'iyi ndwara?

Si abantu bose barwaye indwara ya C3G bazagira ibimenyetso bimwe. Hari abantu bashobora kugira ibimenyetso byinshi muri ibi, abandi bakaba bafite kimwe cyangwa bibiri gusa.

Reka twige ku muti mushya witwa Fabhalta (Iptacopan)

Mu rwego rwo kuvura indwara ya C3G, abaganga bakunze gutanga imiti igenzura umuvuduko w'amaraso no kugabanya isohoka rya poroteyine mu nkari (nk'imiti igabanya ACE, ARBs). Banatanga imiti ivura cholesterol nyinshi. Hari n'igihe hakoreshwa imiti igenzura imikorere y'ubudahangarwa bw'umubiri (glucocorticoids, mycophenolate mofetil).

Ariko, Fabhalta ni umwihariko kuko ari wo muti wa mbere wemejwe mu kugabanya isohoka rya poroteyine mu nkari ku bantu bakuru barwaye indwara ya C3G.

Uyu muti ukora ute?

Wibuka ubwo buryo bwo kwirinda buvanze mu mubiri wacu (uburyo bwuzuzanya) navuze mbere? Umuti witwa Fabhalta ubuza imikorere ya poroteyine idasanzwe muri iyo ngabo yitwa Factor B. Mu by'ukuri, utuma ingabo zivanze zitera impyiko zazo zihagarara. Ibi bigabanya kwangirika kw'impyiko kandi bikagenzura poroteyine.

Nigute nkwiye gukoresha uyu muti?

Fabhalta ni kapsule uyifata ukoresheje umunwa. Ishobora gufatwa kabiri ku munsi, uri mu biribwa cyangwa utariye. Icy'ingenzi ni ukumira kapsule yose. Ntukayimene, ntuyishenye, ntuyijanjagure, cyangwa ngo uyiheke. Niba wabuze dose, uyifate vuba uko wibuka hanyuma ufate dose zisigaye nkuko bisanzwe.

Ingaruka mbi n'uburyo bwo kuzirwanya?

Kimwe n'indi miti iyo ari yo yose, Fabhalta ishobora kugira ingaruka mbi. Ingaruka mbi zikunze kugaragara ni ibimenyetso by'ibicurane, nko kuziba izuru, kuva amaraso mu mazuru , gukorora, kwitsamura no kubabara mu muhogo.

Ariko, hari ikintu kimwe gikomeye tugomba kwitondera cyane kuri uyu muti. Ni ukuvuga ko, kubera ko uyu muti ugenzura igice cy’uburyo bwuzuzanya, hari ibyago byo kwandura indwara zikomeye ziterwa n’ubwoko bumwe na bumwe bwa bagiteri (Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae type B). Izi ndwara zishobora no gushyira ubuzima mu kaga.

Kubwibyo, ugomba kuba uzi inkingo zose zikenewe (cyane cyane urukingo rwa meningitis na pneumonia) nibura ibyumweru bibiri mbere yo gutangira uyu muti. Muganga wawe azakugira inama kuri ibi.

Ibizamini n'ibindi bikenewe mu gihe cyo kuvurwa

• Ibipimo by'amaraso: Mu gihe ufata uyu muti, muganga wawe azakora ibizamini by'amaraso buri gihe kugira ngo arebe uko umubiri wawe witabira umuti. Fabhalta ishobora kongera urugero rwa cholesterol na triglyceride mu mubiri wawe, bityo uzakenera kubisuzuma buri gihe.
• Imikoranire n'indi miti: Indi miti ufata ishobora kugira ingaruka ku buryo Fabhalta ikora. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata, harimo na vitamine n'imiti y'ibimera. Hanyuma ni we ushobora guhitamo uburyo bwiza bwo kuvura.
• Gahunda yihariye yo Kwirinda: Kubera ibyago bikomeye byo kwandura uyu muti, utangwa muri gahunda yihariye yo kwikingira (REMS). Muganga wawe azakubwira ibyawo kandi aguhe ikarita y'umutekano. Ni ngombwa kubika ikarita yawe mu gihe cyose cy'ubuvuzi bwawe no mu byumweru bibiri nyuma yo guhagarika umuti.