Hari igihe iyo turebye raporo y'amaraso, tubonamo amagambo tutazi, si byo se? Iyo umuganga avuze ijambo nk'iri, twumva dufite amatsiko, ndetse tunatinya gato. Rimwe muri ayo mazina ni 'Heinz Bodies'. None rero uyu munsi, reka tuganire ku byo ibi ari byo koko, ese ni indwara, cyangwa ikimenyetso cy'indwara. Iyo usobanukiwe neza, ubwoba bwawe buzashira.
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Mu magambo make, izi Heinz Bodies ni iki?
Mu magambo make, Heinz Bodies si indwara. Ni ikimenyetso gusa cy'uko uturemangingo tw'amaraso dutukura twangiritse. Nk'uko iyo tubonye ikintu cyacitse mu modoka, tuba tuzi ko cyakubiswe ahantu runaka, kandi ni ko bimeze.
Utu duce duto ku tunyangingo dutukura tw'amaraso yacu. Tuboneka gusa n'abaganga (cyane cyane abahanga mu by'indwara) iyo bakoresheje irangi ryabugenewe bakatureba bakoresheje mikorosikopi. Utu duce mu by'ukuri tugizwe na poroteyine yitwa hemoglobine yangiritse. Rero, kubibona mu isuzuma ry'amaraso bivuze ko hari ikibazo kiri mu tunyangingo dutukura tw'amaraso. Bishobora kuba ikimenyetso cy'indwara nk'amaraso make.
Reka dusobanukirwe uburyo ibi bikorwa?
Kugira ngo tubisobanukirwe, tugomba kubanza kumenya bike ku ngirabuzimafatizo zacu zitukura.
Tekereza ku turemangingo dutukura tw'amaraso nk'isosiyete itwara umwuka uhumeka mu mibiri yacu yose. Umutwaro uri muri iyi modoka itwara umwuka ni hemoglobine. Iyi hemoglobine niyo itwara umwuka uhumeka ikawutwara mu bihaha ikawujyana mu bice byose by'umubiri. Iyi hemoglobine niyo iha amaraso yacu ibara ry'umutuku.
Ubusanzwe, ingirabuzimafatizo mu mubiri wacu igira nucleus. Ariko, ingirabuzimafatizo itukura ikuze ntabwo igira nucleus. Kubwibyo, ishobora kuba irimo za miriyoni za molekile za hemoglobin.
Iyo ku mpamvu runaka izi hemoglobine zangiritse (kwangirika kwa oxidative) , ntizikora neza. Ziraterana zigaterana. Ibyo bice bya hemoglobine byangiritse, twabyita Heinz Bodies. Iyo ibi bibaye, uturemangingo dutukura tw'amaraso ntidushobora gutwara ogisijeni neza. Nanone, dutangira kwangirika no gusenyuka vuba kurusha uko bisanzwe. Mu buvuzi, uku gusenyuka vuba kw'uturemangingo dutukura tw'amaraso byitwa hemolysis .
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View Clinical Details →Ni ibihe bimenyetso bishobora kubaho iyo Heinz Bodies ihari?
Ibimenyetso ntabwo biterwa n’umubiri wa Heinz Bodies, ahubwo biterwa n’indwara itera ibi, ari yo gabanuka ry’uturemangingo dutukura mu maraso (anemia). Niba umubare w’uturemangingo dutukura mu maraso ari muto cyane, ushobora kutagira ibimenyetso na gato. Akenshi, ibi bimenyetso biterwa n’uko umubiri wawe utabona umwuka uhagije wa ogisijeni.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Umunaniro | Kumva unaniwe cyane nubwo nta kintu na kimwe ukora. |
| Kuzungera | Kumva umeze nk'uzungera no kubura uburinganire. |
| Uruhu rwerurutse | Uruhu n'iminwa byera bitewe no kubura amaraso. |
| Umutima utera vuba (Tachycardia) | Umutima utera cyane, ukumva igituza cyawe kirimo gutera cyane. |
| Kugorwa no guhumeka (Dyspnea) | Guhumeka nabi, kumva nta cyo umaze nubwo wakoresha imbaraga nke. |
| Jaundice | Ibara ry'umuhondo w'uruhu n'umweru w'amaso. |
| Splenomegali | Kwaguka k'uruhago, bikuraho uturemangingo tw'amaraso dutukura twangiritse. |
Ubibona ute?
Abaganga bapima iyi Heinz Bodies bakoresheje ikizamini cyitwa peripheral blood smear . Ibi bikubiyemo gufata igitonyanga gito cy'amaraso mu rutoki rwawe ukagisiga ku kirahuri, ukongeraho irangi ryihariye, hanyuma ukagisuzuma ukoresheje mikorosikopi.
Igitangaje cyane ni uko izi selile zitukura zifite Heinz Bodies rimwe na rimwe zisa n'aho umuntu yarumye igice cy'ingirabuzimafatizo. Izi selile tuzita "selile ziruma".
Dore uko bikora: Iyo uturemangingo dutukura twangiritse tunyura mu dusabo twacu, uturemangingo dukora nk'akayunguruzo. "Turarya" Heinz Bodies yangiritse. Uturemangingo dutukura dusigaye dusa n'igice cy'ibiryo umuntu yaryagaguye.
Ni izihe ndwara nyamukuru Heinz Bodies igaragaramo?
Ubu tuzi ko Heinz Bodies ari ikimenyetso cy'indwara. Dore zimwe mu ndwara z'ingenzi zigaragaramo.
| Indwara | Ibisobanuro byoroshye |
|---|---|
| Anemia yo mu maraso | Kubura amaraso biterwa no gusenyuka no kwangirika kw'uturemangingo dutukura tw'amaraso ku muvuduko wihuse kurusha uko tukorwa. |
| Ubuke bwa G6PD | Iyi ni indwara iterwa n'uturemangingo (genetique). Kubura enzyme G6PD byongera ibyago byo kwangirika kw'uturemangingo dutukura tw'amaraso. |
| Alpha-thalassemia | Iyi nayo ni indwara iterwa n'uturemangingo. Muri iki gihe, umubiri ntushobora gukora hemoglobine nziza. |
| Udusimba twagutse | Udusimba tugomba gukora cyane kugira ngo dukureho uturemangingo twinshi tw’amaraso atukura twangiritse, bigatuma twiyongera. |
Kuki izi Heinz Bodies ziba? Ni izihe mpamvu?
Hari impamvu nyinshi z'ingenzi zishobora kwangiza hemoglobin.
- Guhura n'imiti imwe n'imwe n'ibinyabutabire: Urugero, imiti imwe n'imwe ivura indwara zo mu nzira y'inkari (UTIs) n'imiti ivura ibibembe.
- Kubura imyunyu ngugu: Kubura imyunyu ngugu mu mubiri, cyane cyane selenium.
- Ibyokurya byihariye ku bantu bafite ikibazo cy’ubukene bwa G6PD: Iyo umuntu ufite ikibazo cy’ubukene bwa G6PD ariye ibiryo nk’ibishyimbo bya fava , uturemangingo tw’amaraso ye dutukura dushobora kwangirika kandi Heinz Bodies ishobora kwirema.
Kuvura no kwirinda
Iki ni ikibazo abantu benshi bafite. Nta buryo bwihariye bwo kuvura Heinz Bodies. Kuko atari indwara, ahubwo ni ikimenyetso cy'indwara. Icy'ingenzi ni ukumenya indwara itera iyi ndwara no kuyivura. Muganga wawe azakora ibizamini bikenewe, amenye neza icyayiteye, kandi aguhe uburyo bwo kuyivura bukwiye.
Ese bishobora kwirindwa? Yego, rimwe na rimwe birashoboka.
Urugero, niba uzi ko ufite ikibazo cyo kubura G6PD, ugomba kwirinda kurya ibishyimbo bya fava burundu. Nanone, iyo ufata imiti y’indi ndwara iyo ari yo yose, ni ngombwa cyane kumenyesha muganga wawe ko ufite ikibazo cyo kubura G6PD. Muri ubwo buryo, muganga wawe ashobora kukwandikira umuti utazakugirira nabi.
Ubutumwa bwo kujyana mu rugo
- Heinz Bodies si indwara, ni ikimenyetso gusa cy'uko uturemangingo tw'amaraso dutukura twangiritse.
- Ibi bigaragazwa binyuze mu isuzuma ryihariye rikorerwa ku gitonyanga cy'amaraso (Peripheral Blood Smear).
- Ibi bishobora guterwa n'indwara z'uturemangingo nko kubura G6PD, thalassemia, cyangwa imiti imwe n'imwe.
- Nta buryo bwihariye bwo kuvura Heinz Bodies. Ubuvuzi bugamije kuvura indwara yabuteye.
- Niba ufite izina nk'iri muri raporo y'amaraso yawe, ntugahangayike, hita ubonana na muganga wawe kandi ubiganireho. Azaguha inama zose ukeneye.
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