Ese uva amaraso menshi cyane uvuye mu gisebe gito? Reka twige ku isuzuma rya Fibrinogen!

Uribuka igihe wagwaga ukavunika ivi ukina ukiri umwana? Igihe mama wawe yahageraga, agasiga umuti, agasiga sima, kuva amaraso byarahagararaga nyuma y'igihe runaka. Ibyo ni ibisanzwe. Ariko rimwe na rimwe, ndetse n'igikomere gito cyane ntigihagarika kuva amaraso igihe kirekire, sibyo? Cyangwa hari abantu bashobora kubona ko umubiri wabo urimo guhinduka ubururu ahantu runaka. Impamvu y'ibintu nk'ibi ishobora kuba ibura rya poroteyine yihariye mu maraso yacu. Uyu munsi, turimo kuvuga ku isuzuma ry'amaraso rikomeye cyane abantu benshi batari barigeze bumva, ariko ni ikintu turimo gusuzuma.

Mu magambo make, fibrinogen ni iki?

Reka tubivuge dutya. Fibrinogen ni ubwoko bwihariye bwa poroteyine ikorerwa mu mwijima wacu. Ni nk'"plasta karemano" y'umubiri wacu. Iyo ufite igikomere cyangwa igikomere ahantu hose ku mubiri wawe, iyi poroteyine ya fibrinogen irahita yinjira ikagufasha guhagarika kuva amaraso.

Tekereza ko iyo ukomeretse ahantu runaka mu mubiri wawe, fibrinogen imeze nk''simenti'' iza gufunga igikomere. Iyi poroteyine, hamwe n'izindi selile mu maraso (platelets), bikora urushundura ruzengurutse igikomere ikagifunga. Icyo gihe kuva amaraso bihagarara. Iyi nzira tuyita ubwivumbure bw'amaraso . Tekereza rero, bigenda bite iyo iyi 'simenti' cyangwa poroteyine ya fibrinogen igabanutse mu maraso yacu? Nk'uko udashobora kubaka urukuta udafite sima, biragoye guhagarika kuva amaraso ndetse no mu gikomere gito.

Ni mu bihe ibihe muganga yagira inama yo gupima iki kizamini?

Ubusanzwe, umuganga ntabwo ahita ategeka iki kizamini cya fibrinogen. Iyo urebye bimwe mu bimenyetso umubiri wawe ugaragaza cyangwa ukagereranya n'ibindi bipimo, ni bwo utangira gukeka. Reka turebe ibyo bimenyetso.

Uretse ibimenyetso nk'ibi, muganga ashobora gusaba iki kizamini kubera izindi mpamvu nyinshi.

• Ibitagenda neza mu bindi bipimo by'amaraso: Niba ibisubizo by'ibizamini bipima uburyo amaraso yawe yihuta cyane, nka Prothrombin Time (PT) na Activated Partial Thromboplastin Time (APTT) , bitagenda neza, ushobora gusabwa gukora iki kizamini cya fibrinogen kugira ngo umenye impamvu.
• Indwara nkeka ko amaraso ashobora kuvura: Niba muganga wawe akeka ko ufite ikibazo cyo kuvura amaraso.
• Indwara zikomeye: Iki kizamini ni ngombwa mu gihe cy'indwara zikomeye nka Disseminated Intravascular Coagulation (DIC) .
• Gukuramo inda inshuro nyinshi: Ibi bishobora no gushyirwa mu bizamini byakozwe kugira ngo hamenyekane impamvu y’abagore bakuramo inda inshuro nyinshi.
• Indwara z'urukozasoni: Iyo hari umuntu wo mu muryango ufite ibibazo byo kuvura amaraso.

Ese hari ubwoko bw'ibura rya fibrinogen?

Yego. Iyi ndwara ishobora kugabanywamo ubwoko butatu bw'ingenzi. Ubusanzwe iterwa n'impamvu za genetiki, ni ukuvuga ibintu by'uruhererekane.

Witegura ute iki kizamini?

Iki ni cyo gice cyiza kurusha ibindi. Ubusanzwe iki kizamini ntigisaba imyiteguro idasanzwe . Ntabwo ugomba kwiyiriza ubusa cyangwa ngo ukore ikindi kintu icyo ari cyo cyose.

Indi nama ni ukunywa amazi menshi mbere yo kujya kwipimisha. Ibi bizorohereza cyane umuntu ufata amaraso kubona imitsi yawe no kuyikuramo amaraso kuko imitsi yawe izaba yuzuye.

Ni iki kibaho mu gihe cyo gupimwa? Ese birababaza?

Ibi ni nko kwipimisha amaraso buri gihe. Nta mpamvu yo gutinya ufite.

1. Ubwa mbere, umuforomo cyangwa umuganga azahitamo umutsi ukubereye mu kuboko kwawe, hafi y'inkokora yawe.

2. Hanyuma usukure neza ahantu hameze nk'inzoga.

3. Hanyuma, urushinge ruto rushyirwa mu mutsi hanyuma amaraso akenewe agakusanyirizwa mu muyoboro muto.

4. Iyo amaraso amaze gukururwa, urushinge rurakurwaho hanyuma agace k'ipamba cyangwa agatambaro k'ipamba gashyirwa hejuru y'aho hantu hanyuma kagakandagirwa hasi.

Igikorwa cyose kimara iminota mike gusa. Hari ukumva urushinge ruto ruruma, ariko rushira mu masegonda make.

Iyo ikizamini kirangiye, ushobora gutaha ugakomeza imirimo yawe isanzwe. Nta kibazo kiri muri ibyo. Aho urushinge rwashyizwe hashobora kuba hari ubururu gato cyangwa hakaba hari ububabare buto. Ibi bizashira burundu mu munsi umwe cyangwa ibiri. Ibi ni ibisanzwe.

Raporo isobanura iki?

Amaraso yawe azapimwa muri laboratwari kandi ingano ya fibrinogen iri muri yo izapimwa. Ubusanzwe, urugero rwa fibrinogen ku muntu mukuru muzima rugomba kuba hagati ya garama 2 na 4 kuri litiro (2-4 g/L) cyangwa miligarama 200 na 400 kuri desilitiro (200-400 mg/dL) .

Niba ibisubizo by'ikizamini cyawe biri munsi y'urugero rusanzwe, bishobora gusobanura:

• Ufite ikibazo cyo kubura fibrinogen.
• Umusaruro wa fibrinogen waragabanutse bitewe n'indwara y'umwijima.
• Imirire mibi ikabije.

Iyo ibisubizo biri hejuru y’ibisanzwe, bishobora guterwa n’ubwandu, kanseri, indwara z’umutima, cyangwa ubwoko bumwe bw’ububyimbirwe mu mubiri.

Ni iki wakora niba fibrinogen ari nke?

Niba ibisubizo by'ibizamini byawe byemeza ko urugero rwa fibrinogen rwawe ruri hasi, muganga wawe azaguha uburyo bwo kuvura bukenewe. Ubuvuzi buzaterwa n'uburyo urugero rwa fibrinogen rwawe ruri hasi, imiterere y'ibimenyetso byawe, ndetse n'ubuzima bwawe muri rusange.

Ubusanzwe uburyo bw'ingenzi bwo kuvura ni ugutanga imiti ya fibrinogen binyuze mu muti wa saline (uterwa mu mitsi - IV). Ibi bishobora gutangwa buri munsi cyangwa buri wundi munsi.

Ubu buvuzi butangwa cyane cyane mu gihe hari ibyago byinshi byo kuva amaraso. Urugero:

• Nyuma y'impanuka ikomeye.
• Mbere y'uko habaho kubagwa guteganyijwe.
• Igihe cyangwa nyuma yo kubyara umwana.

Ubu buryo bwo kuvura bushobora gusubiza urugero rwa fibrinogen mu maraso yawe ku rugero rusanzwe no gukumira kuva amaraso menshi.