Ese twagombye kwitondera ibyo turya n'ibyo tunywa iyo turwaye goutte? Reka tubimenye neza!

Muraho neza! Kuri ubu, twese tuzi neza ko ubuzima bwiza buhera ku byo turya n'ibyo tunywa buri munsi, si byiza se? Rimwe na rimwe, twisanga dufite uburwayi butunguranye bw'ingingo butubuza kugenda neza cyangwa gukora imirimo yacu ya buri munsi uko bikwiriye. Umwe muri ubu burwayi abantu benshi bakunze kwibazaho cyane ni indwara ya goutte (gout), izwi cyane ku buryo itera ububabare bukaze mu ngingo, cyane cyane ku mano manini y'ikirenge. Ariko se, wigeze wibaza impamvu yabyo? Cyangwa se wigeze utekereza niba ibyo ushyira mu nda buri munsi bifite aho bihuriye n'ubwo bubabare? Nibyo koko, ibyo turyabigira uruhare runini cyane. Reka rero uyu munsi dusangire ibiganiro kuri iyi ngingo, twige hamwe uburyo dushobora kwitwararika mu mirire yacu tugana ku buzima bwiza kandi burambye hano iwacu mu Rwanda.

Indyo ifite purine nkeya ni iki?

Nubwo twaba tuvuga iki, abenshi muri mwe muribaza muti: "Ese iyi purine twumva buri gihe ni iki nyine?" Purine ni ibintu bisanzwe biboneka mu ngirangingo z'umubiri ndetse no mu byo turya bitandukanye. Iyo umubiri wacu usenye izi purine, ubyazaaside ya uric. Iyo rero urwego rw'iyi aside ruzamutse cyane mu maraso, ishobora kwegerana ikiremamo udukingirizo cyangwa uduhuri tw'utubumbe tw'umunyu mu ngingo zacu, bigateza ububabare budasanzwe. Ni nko kuvuga ngo iyo winjije ibintu byinshi umubiri utabasha gushungura ngo bisohoke, birigwizamo bikaba bibi.

Mu buryo bworoshye, indyo ifite purine nkeya (low-purine diet) ni gahunda y'imirire igabanya cyane cyangwa ikakuraho burundu ibiribwa bifite urwego rwinshi rw'izi purine, bityo igafasha umubiri kugabanya urwego rw'aside ya uric mu maraso. Ariko se, wari uziko tutagomba kwanga ibiribwa byose ahubwo tugomba kumenya guhitamo ibitugirira akamaro? Ubundi se, ntabwo ari byiza ko twiga gutegura amafunguro yacu mu buryo burinzwe? Turabizi neza ko mu ngo zacu dukunda kurya ibintu bitandukanye, ariko hari ibyo tugomba kugabanya twitonze.

Ni ibihe biribwa n'ibinyobwa byongera indwara ya goutte?

Hano niho hantu h'ingenzi cyane tugomba kwitondera. Hari ibiribwa bimwe na bimwe dusangira cyangwa dukunda cyane ariko byongera cyane ibyago byo kurwara goutte cyangwa bikayibyutsa niba isanzwe irimo. Reka tubicamo kabiri ngoubisobanukirwe neza:

• Inyama zitukura n'inyama z'imbere mu matungo: Inyama z'inka, ihene, ingurube, ndetse n'umwijima, impyiko, n'umutima zifite purine nyinshi cyane.
• Amafi amwe n'amwe n'ibikomoka mu nyanja: Nka sardine, makoreri (mackerel), na za kofi zo mu nyanja. Nubwo amafi aba meza ku mutima, ku barwayi ba goutte hari ayo bagomba kwitwararikamo.
• Ibinyobwa birimo isukari nyinshi na gaz: Nk'ibyo tubona mu maduka bicuruzwa mu macupa cyangwa imiteja irimo isukari nyinshi, bikangiza ubuzima bw'impyiko zacu zishinzwe gusohora uyu mwanda.
• Inzoga n'ibindi binyobwa bisindisha: Cyane cyane inzoga y'ingano (beer) kuko ifata uruhare runini mu gutuma umubiri utabasha gusohora aside ya uric mu buryo bworoshye.

Urabona rero ko rimwe na rimwe ibyo dukunda kurya bishobora kutugiraho ingaruka tutabizi, si byiza se? Ni yo mpamvu dukwiye guhora twitondera ibyo twinjiza mu mibiri yacu.

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None se ni iki cyiza umuntu urwaye goutte ashobora kurya?

Nubwo hari ibyo twabuze cyangwa twagabanyije, ntibivuze ko tugomba kwicwa n'inzara! Oya rwose. Hari ibiribwa byinshi kandi byiza cyane biboneka iwacu dushobora kurya tukagirira ubuzima bwiza. Reka turebere hamwe ibyo dushobora kwihitiramo:

• Ibinyampeke byuzuye: Amateke, ibijumba, imyumbati, n'amasaka bifasha umubiri gutanga imbaraga zitabonekamo izo ngorane zose.
• Amata n'ibikomoka kuri yo bifite amavuta make (Low-fat dairy): Nka yawurute (yoghurt) cyangwa amata make y'amavuta, kuko byagaragaye ko bifasha umubiri gusohora aside ya uric mu nkari.
• Imbuto n'imboga nshya: Cyane cyane indimu n'amacungwa bituma umubiri ubasha gushungura neza, n'imboga nka epinari cyangwa poharo ku rugero rwiza.
• Amazi menshi: Kunywa amazi ahagije buri munsi ni ryo banga rya mbere rifasha impyiko gukora neza no gusohora aside ya uric mu mubiri utabagombeye imiti gusa.

Iyi mbonerahamwe ikurikira iragufasha gusobanukirwa neza itandukaniro riri hagati y'ibiribwa bikwiye kwirindwa n'ibyo wakoresha:

Ni izihe nyungu z'iyi ndyo?

Kubahiriza iyi ndyo ifite purine nkeya bifite akamaro kanini cyane ku buzima bwacu. Icya mbere, bigabanya cyane ububabare n'ibibyimba mu ngingo bya cya gihe cya goutte yatumaga udashobora no kwambara ikato cyangwa kwegama hasi. Icya kabiri, birinda ko indwara yakura ikangiza imitsi n'ingingo ku buryo buhoraho. Icya gatatu, bituma umubiri wawe ugira ubuzima bwiza muri rusange, ukagabanya n'ibyago byo kurwara umuvuduko ukabije w'amaso, indwara z'umutima, cyangwa Diyabete kuko imirire myiza iha umubiri amahoro. Ubwo rero, ntabwo ari uguhagarika ibyiza ahubwo ni ukurya neza ngo ubuzima burambe!

Ese nta ngaruka mbi ziri muri iyi ndyo?

Buri gihe iyo tuvuze guhindura imirire, abantu benshi bibaza niba nta ngaruka byabatera. Ku ndyo ifite purine nkeya, ntabwo ari mbi mu buryo bw'umubiri, ariko bisaba ubushishozi. Niba wihutira gukuraho burundu ibintu byose by'intungamubiri utagishije inama muganga, ushobora kwisanga wabuze intungamubiri zimwe na zimwe nk'iz'ubwoko bw'ibyubaka umubiri (proteins). Ni yo mpamvu dusaba ko igihe cyose ushaka guhindura imirire yawe bikabije, ugomba kubaza abaganga b'inzobere cyangwa abajyanama b'ubuzima b'aho dukorera hano mu Rwanda kugira ngo bagufashe gutegura indyo yuzuye itagira icyo yangiza.