Ese nawe ufite ibi bimenyetso? Reka twige ku ndwara ya Hemolytic Anemia mu magambo make!

Ese wumva unaniwe igihe cyose, cyangwa unaniwe cyane? Hari igihe wumva ufite ikibazo cyo guhumeka, cyangwa igituza cyawe kirimo gutera cyane? Hari uwakubwiye ko ibara ry'uruhu rwawe n'umweru by'amaso yawe byahindutse umuhondo? Ibi bintu bishobora kuba ibimenyetso by'indwara yitwa Hemolytic Anemia, tugiye kuvugaho uyu munsi. Ntugahangayike, tuzabivugaho uyu munsi mu buryo bworoshye kandi bworoshye. Kuko kumenya iyi ndwara ni ingenzi cyane kuri wowe n'umuryango wawe.

Anemia yo mu maraso ni iki? Mu magambo make...

Amaraso yacu arimo ubwoko bw'uturemangingo twitwa uturemangingo dutukura tw'amaraso. Ibi ni byo twita `(Uturemangingo dutukura tw'amaraso)`. Utu turemangingo dutukura tw'amaraso dutwara umwuka wa ogisijeni mu mubiri wacu wose. Tekereza ko tumeze nk'amakamyo mato akwirakwiza umwuka wa ogisijeni mu bice byose by'umubiri wacu. Ubusanzwe, uturemangingo dutukura tw'amaraso mu mubiri w'umuntu muzima tubaho iminsi igera ku 120. Nyuma y'ibyo, turapfa, hanyuma uturemangingo dushya tukavuka mu mwanya watwo. Iyi ni yo nzira isanzwe.

Ariko, mu ndwara yitwa Hemolytic Anemia, utwo turemangingo dutukura tw’amaraso turasenyuka cyangwa tukangirika mbere y’igihe cyatwo, ni ukuvuga mbere y’iminsi 120. Hanyuma bigenda bite? Umwongo wacu (ahantu imbere mu magufwa hakora utwo turemangingo) ntushobora gukora utwo turemangingo dushya dutukura kugira ngo dusubize ikibazo cy’ibura ryatwo, bivuze ko utwo turemangingo dusenyuka vuba kurusha uko twakozwe. Icyo gihe umubare w’uturemangingo dutukura tw’amaraso mu mubiri ugabanuka, kandi amaraso make, ni ukuvuga ibura ry’amaraso mu mubiri, ribaho. Hemolytic anemia ni ubwoko bw’amaraso make aterwa no gusenyuka kw’uturemangingo dutukura tw’amaraso.

Ese hari ubundi bwoko bw'amaraso adahagije?

Yego, hari impamvu nyinshi zitera kubura amaraso, cyangwa icyo twita "umubare muto w'amaraso."

• Hari igihe, iyo umubiri utakaje amaraso menshi bitewe n'igikomere cyangwa indwara, uturemangingo dutukura tw'amaraso dushobora kugabanuka.
• Hari n'igihe, kubura amaraso bishobora guterwa no kugabanuka k'umusaruro w'uturemangingo dutukura tw'amaraso cyangwa kutagira imiterere myiza, nko kubura icyuma gikozwe mu maraso.

Kubura amaraso mu maraso (hemolytic anemia) ntabwo bikunze kugaragara cyane nk'indwara zo kubura amaraso ziterwa n'izindi mpamvu, ariko nanone ni ikibazo twagombye kwitaho.

Bigenda bite iyo amaraso adakira neza mu maraso atavuwe?

Iki ni ikintu cy'ingenzi cyane. Hari abantu bashobora gutekereza bati “Ese bigenda bite iyo ufite amaraso make mu mubiri wawe?” Ariko, iyo amaraso make mu maraso akabije kandi ntavurwe neza, bishobora gutera ibibazo bikomeye by’umutima.

Ibi bivuze ko iyi ndwara ishobora kuba ikomeye, ndetse igatera umutima gucika intege, nko kutagira umutima uhagaze neza, indwara z'umutima n'umutima gucika intege. Niyo mpamvu atari byiza kuyifata nk'ikintu cyoroshye.

Ni nde ushobora kugira iyi ndwara?

Hari ubwoko butandukanye bwa anemia yo mu maraso. Ubwo bwoko bwose muri ubu bushobora kwibasira umuntu uwo ari we wese, mu kigero icyo ari cyo cyose, mu bwoko ubwo ari bwo bwose, kandi hatitawe ku gitsina.Ntugatekereze uti “Ntabwo bizambaho.” Ni byiza ko twese tubimenya.

Ni irihe tandukaniro riri hagati ya Hemolytic Anemia na Autoimmune Hemolytic Anemia (AIHA)?

Reka tubisobanure gato. Amikoroheya yo mu maraso (AIHA) ni indwara aho ubudahangarwa bwacu bw'umubiri (uburyo buturinda indwara) bugaragaza ko uturemangingo dutukura tw'amaraso ari "umwanzi" wacu. Hanyuma bukora uturemangingo two gusenya uturemangingo. Ibi bituma uturemangingo dutukura tw'amaraso dusenyuka bigatera kubura amaraso.

Ku bijyanye no kubura amaraso mu maraso muri rusange, bishobora guterwa n'ibintu bitandukanye, birimo imiterere y'uturemangingo, indwara zandura, n'imiti imwe n'imwe. `AIHA` ni ubwoko bwihariye bwa kubura amaraso mu maraso.

Ni izihe mpamvu zitera indwara ya Hemolytic Anemia?

Hari impamvu nyinshi z'ingenzi zitera iki kibazo. Reka tubirebe imwe imwe.

1. Imiterere y'umurage

Hari igihe ibi bishobora kuba ari ibintu bikomoka ku miterere y'umubiri, bivuze ko ari ibintu biva mu bisekuru bijya mu bindi.

• Anemia ya Sickle Cell: Iyi ni indwara aho uturemangingo dutukura tw’amaraso tuba tudasanzwe turi uruziga, ahubwo tugafata imiterere idasanzwe nk’iya sickle. Utwo turemangingo tudasanzwe dufata imitsi mito y’amaraso mu gahu kandi tugacika byoroshye.
• Thalassemia: Iyi nayo ni indwara y’amaraso ivuka mu buryo bw’umurage. Muri iki gihe, umubiri ukora uturemangingo dutukura tudasanzwe. Nanone turangirika vuba cyane. Ushobora kuba uzi ko hari abarwayi ba thalassemia mu gihugu cyacu.
• Kubura G6PD: Iyi ni indwara iterwa na genetiki. G6PD ni enzyme irinda uturemangingo dutukura tw’amaraso. Iyo iyi enzyme ari nke, uturemangingo dutukura tw’amaraso turangirika byoroshye iyo duhuye n’indwara zimwe na zimwe cyangwa imiti.

2. Kwandura indwara

Indwara zimwe na zimwe, nk'indwara zandura, zishobora gutera amaraso make mu maraso.

• Malariya: Muri iyi ndwara iterwa n'umubu, udukoko twa malariya twinjira mu maraso yacu. Iyo idavuwe neza, malariya ishobora gutera amaraso make mu maraso.
• Umuriro wo mu misozi miremire: Iyi ni indwara yandurira mu mikorobe (Rickettsia rickettsii).
• Indwara ya Haemophilus influenzae: Iyi ni indwara iterwa na bagiteri H. influenzae.
• VIH (Virusi itera indwara ya SIDA (syndrome y’ubudahangarwa bw’umubiri iterwa n’abantu ). Abantu banduye VIH nabo bashobora kurwara indwara yo kubura amaraso mu maraso.

3. Imiti imwe n'imwe

Kubura amaraso mu maraso bishobora no guterwa n’ingaruka mbi z’imiti imwe n’imwe. Ariko, si buri wese ufata iyi miti uzarwara iyi ndwara. Muganga wawe azasuzuma amateka y’ubuzima bwawe maze arebe niba uyu muti ukubereye.

Ingero zimwe na zimwe:

• `Penicillin` (umuti urwanya udukoko)
• `Quine` (umuti uvura malariya)
• Methyldopa (umuti uvura umuvuduko ukabije w'amaraso)
• Sulfonamides (irwanya mikorobe)

4. Izindi mpamvu

Byongeye kandi, hari igihe uturemangingo dutukura dushobora guturika, urugero nko guterwa amaraso n'ubwoko bw'amaraso budahuye.

Ni ibihe bimenyetso bya Hemolytic Anemia?

Ibi bimenyetso bishobora kuba byoroshye cyane kuri bamwe, ndetse bikaba bikomeye ku bandi. Bishobora kugaragara mu buryo butunguranye cyangwa bigakura buhoro buhoro uko igihe kigenda gihita. Ibimenyetso by'ingenzi bishobora kugaragara ni ibi bikurikira:

• Jaundice: Iyi ni ihinduka ry'umuhondo ry'uruhu, sclera, n'uturemangingo tw'amaraso (nk'imbere mu kanwa). Ibi bibaho iyo hari ukwiyongera kw'amaraso y'ikintu cyitwa bilirubin, kivuka iyo uturemangingo dutukura tw'amaraso twangiritse.
• Kubura umwuka: Iyo uturemangingo dutukura dutwara umwuka wa ogisijeni mu mubiri wose tugabanutse, ushobora kumva unaniwe guhumeka no kumva urimo guhumeka umwuka.
• Umunaniro: Kumva unaniwe igihe cyose kandi ntugire icyo ukora. Ushobora kumva unaniwe cyane ku buryo utabasha no gukora imirimo ya buri munsi.
• Tachycardia: Kumva umutima utera cyane. Iyo umutima utera cyane, ntubona umwanya wo kuzuza amaraso neza, kandi ntushobora guha umubiri umwuka wa ogisijeni ukeneye.
• Umuvuduko w'amaraso uri hasi cyane ugereranije n'uko byari byitezwe.
• Hematuria: Amaraso mu nkari . Ibi bikunze kugaragara cyane ku bantu bafite ikibazo cyo kubura amaraso mu nkari.
• Kwaguka kw'udusimba cyangwa Umwijima: Udusimba n'umwijima ni byo bigira uruhare mu kuyungurura no gusenya uturemangingo tw'amaraso dutukura twavunitse kandi dushaje mu mibiri yacu. Iyo uturemangingo tw'amaraso dutukura twavunitse cyane, utwo turemangingo dushobora kubyimba no kwaguka kuko tugomba gukora cyane.

Ese kubura amaraso bishobora kuba ikibazo cyihutirwa cy’ubuvuzi?

Yego, rimwe na rimwe indwara yo kubura amaraso ishobora kuba ikibazo cyihutirwa. Tuyita indwara yo kubura amaraso mu buryo bwihuse. Ibi bibaho iyo utakaje amaraso menshi mu buryo butunguranye, cyangwa iyo uturemangingo tw’amaraso dutukura dutangiye kwangirika vuba cyane. Ibi ni iby’abantu nka:

• Ushobora kumva ufite intege nke cyane .
• Umutima ushobora kumva usa n'aho utera cyane kandi vuba .
• Guhumeka bishobora kugorana .

Iyo ibi bimenyetso bitunguranye, bishobora kuba ari ikibazo cyihutirwa. Muri icyo gihe, icyiza ni ugushaka inama kwa muganga ako kanya.

Wamenya ute ko ufite ikibazo cyo kubura amaraso mu maraso?

Niba ufite ibi bimenyetso, nubonana na muganga, azakora ibi bikurikira:

• Amateka yawe yose y'ubuvuziBibaze. By'umwihariko, babaze niba hari umuntu wo mu muryango wigeze kugira ikibazo cyo kubura amaraso.
• Bazakubaza niba hari indwara uherutse kwandura cyangwa imiti ufata , kuko ishobora gutera amaraso make mu maraso.
• Hazakorwa isuzuma ry’umubiri , rikareba ibimenyetso by’amaraso make, umuhondo, no kubyimba kw’umwobo cyangwa umwijima.

Ni ibihe bipimo byo gusuzuma indwara?

Ubusanzwe abaganga bakora ibizamini byinshi by'amaraso kugira ngo bamenye niba amaraso afite amaraso menshi. Bashobora kandi gupima ibimenyetso bya genetiki kugira ngo barebe niba ari umurage.

Ibizamini by'Amaraso by'ibanze:

Ikintu cya mbere ugomba gukora ni ukureba niba ibimenyetso byawe koko biterwa no kubura amaraso.

• Umubare wuzuye w'amaraso (CBC): Ibi bigenzura umubare w'uturemangingo dutukura tw'amaraso, uturemangingo twera tw'amaraso, na plaquettes mu maraso yawe, ingano y'uturemangingo dutukura tw'amaraso yawe, urugero rwa hemoglobine, poroteyine itwara ogisijeni, na hematocrit, ibi bipima umwanya uturemangingo dutukura tw'amaraso yawe dufite mu maraso yawe.

Ibindi Bipimo Byihariye:

Iyo CBC yemeje ko amaraso adahagije, hakorwa ibindi bipimo kugira ngo hamenyekane neza ubwoko bw'amaraso adahagije, niba ari amaraso adahagije.

• Ikizamini cya Coombs (Ikizamini cya Antiglobulin kitaziguye): Iki kizasuzuma niba nta ndwara yo kubura amaraso mu mubiri iterwa n’umubiri (AIHA).
• Umubare wa reticulocytes: Reticulocytes ni uturemangingo dutukura tw’amaraso tudakuze. Iki kizamini kigenzura niba umwongo w’amagufwa urimo gukora uturemangingo dutukura tw’amaraso tuzima.
• Ikizamini cya Haptoglobin: Haptoglobin ni poroteyine ikurwa mu turemangingo dutukura tw’amaraso twangiritse. Ingano nke y’iyi poroteyine igaragaza ko uturemangingo dutukura tw’amaraso turimo kuvunika.
• Lactate Dehydrogenase (LDH): LDH ni enzyme iboneka mu turemangingo dutukura tw'amaraso. Urugero ruri hejuru rwa LDH rugaragaza ko uturemangingo dutukura twinshi tw'amaraso turimo kwangirika.
• Bilirubin idafatanye: Bilirubin ikorwa iyo uturemangingo dutukura tw’amaraso twangiritse. Iki kizamini gipima ingano ya bilirubin idafatanye ikorwa n’umwijima. Ingano nyinshi y’ibi ni ikimenyetso cy’uko uturemangingo dutukura twinshi cyane turimo gusenyuka.
• Gupima amaraso mu gice cyo hanze: Ibi bikubiyemo gufata ikizamini cy'amaraso no kuyareba ukoresheje mikorosikopi kugira ngo urebe niba imiterere n'ingano by'uturemangingo dutukura bitameze neza.
• Hemoglobin Electrophoresis: Ibi bisesengura poroteyine hemoglobin. Bifasha kumenya indwara nka thalassemia na sickle cell.

Anemia yo mu maraso ivurwa ite?

Uburyo bwo kuvura buragenwaBiterwa n'icyateye iyi ndwara n'uburemere bw'ibimenyetso byawe.

Urugero, niba umuganga wawe atekereza ko ufite amaraso menshi adahagije, ashobora kubanza kuguha amaraso kugira ngo atume uturemangingo tw’umutuku wawe duhagarara neza. Hanyuma, bazashakisha kandi bavure impamvu nyamukuru itera amaraso adahagije (urugero: ubwandu, ingaruka z’imiti, indwara uvukana).

Ni gute wagabanya ibyago byo kugira ikibazo cyo kubura amaraso mu maraso?

Hari ibintu byinshi bishobora gutera anemia yo mu maraso tudashobora kugenzura. Urugero, bishobora guterwa n'imvune cyangwa indwara umuntu avukana.

Ariko, ikintu cy'ingenzi ushobora gukora ni ukuganira na muganga vuba bishoboka niba ubonye ibimenyetso bya anemia. Ibi bishobora kugufasha kumenya iyo ndwara no gutangira kuvurwa vuba, bikagabanya ibyago byo kurwara indwara zikomeye.

Ni iki nakwitega mu gihe mfite ikibazo cyo kubura amaraso mu maraso?

Ibi bishobora gutandukana bitewe n'umuntu ku giti cye. Hari igihe amaraso make mu maraso ashobora kuba ikimenyetso cy'indwara ikomeye ishobora gusaba kuvurwa igihe kirekire.

Hari n'igihe bishobora guterwa n'indwara cyangwa imiti. Muri ibyo bihe, kuvura indwara cyangwa guhindura imiti bishobora gukiza burundu iyo ndwara.

Nikwitaho nte? / Nigute nafata neza ubuzima bwanjye?

Abaganga bashobora kuvura indwara yawe yo kubura amaraso mu maraso. Umaze gukira, ibi bintu bishobora kugufasha kugira ubuzima bwiza no gukumira ko iyi ndwara isubira ukundi:

• Kurya indyo yuzuye ikungahaye kuri vitamine B12, C, na B9 (aside folic). Ushobora kandi kuvugana n'inzobere mu by'imirire kugira ngo umenye byinshi ku biribwa bifasha uturemangingo tw'amaraso dutukura gukomera.
• Nywa amazi menshi uko umubiri wawe ukeneye.
• Imyitozo ngororamubiri buri gihe. Ariko, gisha inama muganga wawe ku bijyanye n'uburyo bwo gukora imyitozo ngororamubiri mu buryo butekanye.
• Irinde kwandura. Karaba intoki zawe kenshi kandi wirinde abantu barwaye.
• Andika ibimenyetso byawe. Niba hari impinduka mu bimenyetso byawe, bwira muganga wawe.

Muri make, ibintu tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Kubura amaraso mu maraso ni indwara ibaho iyo uturemangingo tw’amaraso dutukura twangiritse. Ishobora guterwa n’ibintu bigize imiterere y’umubiri, indwara zandura, cyangwa imiti imwe n’imwe. Impamvu iyo ari yo yose, muganga wawe azashakisha impamvu nyamukuru akayivura. Gutangira kuvurwa hakiri kare bishobora gutuma habaho itandukaniro hagati yo koroherwa cyangwa kumera nabi.

Ibimenyetso bya anemia yo mu maraso bishobora kugaragara nk'indwara isanzwe, itari ikomeye cyane. Ariko, uzi umubiri wawe neza.Niba indwara isanzwe ifata igihe kirekire kuruta uko bisanzwe kugira ngo ikire, cyangwa niba ugaragaje ibimenyetso bishya kandi bidasanzwe, ntabwo bitinda kuvugana na muganga. Guhabwa ubufasha bwihuse bishobora kugufasha gukira vuba!

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