Ubwo uherutse kubona raporo y'isuzuma ry'amaraso, ese yavuze ko uturemangingo tw'amaraso dutukura turi hejuru? Ni ibisanzwe kumva ufite ubwoba n'ubwoba iyo ubonye ikintu nk'icyo. Ushobora kwibaza uti: "Iki ni iki? Mfite indwara ikomeye?" Ariko ntugahangayike. Uyu munsi, turaganira kuri ibi mu buryo bworoshye, nk'uko wabibwira inshuti yawe.
Uku kwiyongera kw'uturemangingo dutukura tw'amaraso bivuze iki?
Mu magambo make, ibi bivuze ko umubare w'uturemangingo dutukura (RBC) mu maraso yawe uri hejuru y'ibisanzwe. Amaraso yacu agizwe ahanini n'ibice bitatu: uturemangingo dutukura, uturemangingo twera, na plaquettes. Akamaro nyamukuru k'uturemangingo dutukura ni ugutwara umwuka uvuye mu bihaha ukawujyana mu bindi bice by'umubiri.
Tekereza nk'imodoka ziri mu muhanda. Iyo imodoka zihagije, imodoka zigenda neza nta gucucikana. Mu buryo nk'ubwo, iyo hari uturemangingo dutukura duhagije, umwuka wa ogisijeni unyura mu mubiri wose. Ariko iyo umubare w'uturemangingo dutukura twiyongereye cyane, nk'uko umuhanda wuzuyemo imodoka, umubyigano w'imodoka, amaraso yacu arakomera. Ibi byitwa "Erythrocytosis" mu buryo bw'ubuvuzi. Iyo amaraso yiyongera, ibyago byo kubyimba kw'amaraso bishobora kwiyongera. Bishobora kandi kuba ikimenyetso cy'ikibazo cy'ubuzima.
Ni uturemangingo dutukura twinshi dufatwa nk'aho turi 'dufite'?
Abaganga bapima umubare w'uturemangingo tw'amaraso dutukura kugira ngo basobanukirwe ubuzima bwawe kandi bamenye indwara. Ubusanzwe, ibi bipimo bishobora gutandukana gato bitewe na laboratwari ikora ikizamini. Ariko muri rusange, ibipimo bisanzwe ni ibi bikurikira.
| Umuntu | Ingano isanzwe y'uturemangingo dutukura (kuri mikorolitiro imwe y'amaraso) |
|---|---|
| Abagabo | Miliyoni 4.7 kugeza kuri 6.1 |
| Abagore | Miliyoni 4.2 kugeza kuri 5.4 |
| Abana | Miliyoni 4.0 kugeza kuri 5.5 |
Akenshi, umubare munini w'uturemangingo dutukura mu maraso uboneka iyo hakozwe isuzuma ry'amaraso ku kindi kibazo cy'ubuzima. Ibi nibibaho, muganga azakugira inama yo gukora ibindi bipimo kugira ngo amenye icyabiteye.
Ni ibihe bimenyetso by'ubwiyongere bw'uturemangingo dutukura mu maraso?
Hari abantu bashobora kutagaragaza ibimenyetso nubwo umubare wabo w’uturemangingo dutukura mu maraso uba uri hejuru. Ariko hari abantu bashobora kugaragaza ibimenyetso bikurikira:
| Ibimenyetso | Ibisobanuro |
|---|---|
| Umunaniro/umunaniro | Umunaniro ukabije nta mpamvu. |
| Guhumeka bigoranye | Kumva mfite umwuka ubura nubwo waba ufite imbaraga nke. |
| Kuribwa umutwe no kutabona neza | Kuribwa umutwe kenshi no kutabona neza. |
| Ububabare bw'ingingo | Kubabara ingingo. |
| Uruhu ruryana | Uruhu rurashya, cyane cyane iyo umaze koga mu mazi ashyushye. |
| Ibibazo byo gusinzira | Kubura ibitotsi cyangwa kwiyongera kw'ingufu. |
Kuki umubare w'uturemangingo dutukura mu maraso wiyongera? Ni izihe mpamvu?
Hari impamvu nyinshi zishobora gutuma habaho umubare munini w'uturemangingo dutukura mu maraso. Ibi si ko buri gihe biba ikimenyetso cy'indwara ikomeye. Bishobora no guterwa n'ibintu bimwe na bimwe mu mibereho yacu. Reka turebe impamvu nyamukuru.
Bitewe n'uburwayi
- Umutima unanirwa: Iyo umutima ugize intege nke, ntuba ushobora kohereza umwuka uhagije mu mubiri. Kugira ngo umubiri ubyishyure, utangira gukora uturemangingo twinshi dutukura tw’amaraso.
- Indwara y'umutima ivukanwa: Iterwa n'ubusembwa bumwe na bumwe mu mutima buboneka igihe umuntu avuka.
- Polycythemia Vera: Iyi ni kanseri idasanzwe mu maraso aho umworera w'amagufwa ukora uturemangingo dutukura tw'amaraso mu buryo butunguranye.
- Ibibyimba mu mpyiko: Biterwa no gukora cyane imisemburo (Erythropoietin) ituma impyiko zikora uturemangingo tw’amaraso dutukura.
- Indwara z'ibihaha: Indwara nka 'COPD' na 'Emphysema' zigabanya ingano ya ogisijeni umubiri wakira. Kugira ngo ibi bibe byakwishyurwa, umubiri ukora uturemangingo twinshi dutukura tw'amaraso.
- Hypoxia: Indwara iyo ari yo yose aho urugero rwa ogisijeni mu maraso ruba ruri hasi.
- Indwara yo gucika intege mu gihe cyo gusinzira: Indwara yo guhumeka ihagarara kenshi mu gihe cyo gusinzira. Ibi kandi bigabanya urugero rwa ogisijeni mu mubiri kandi byongera umusaruro w'uturemangingo dutukura mu maraso.
Ingaruka z'imibereho yacu
- Kunywa itabi: Monoxide ya karuboni mu mwotsi w'itabi ifata hemoglobine, poroteyine itwara ogisijeni mu maraso. Ibi bigabanya ubushobozi bw'amaraso bwo gufata ogisijeni. Umubiri wishyura utwo turemangingo dutukura tw'amaraso.
- Kuba mu misozi miremire: Tekereza ko uri kwimuka uva i Colombo ujya i Nuwara Eliya. Ogisijeni iri mu kirere mu misozi miremire ni nke. Kugira ngo ubigereho, umubiri wawe wongera umusaruro w’uturemangingo dutukura tw’amaraso mu buryo busanzwe.
- Gukoresha imiti yongera imbaraga: Bamwe mu bakinnyi bakoresha imiti ya anabolic steroid cyangwa erythropoietin, ishobora kongera umusaruro w’uturemangingo dutukura mu buryo bw’ubukorano.
Ese stress ishobora gutuma uturemangingo dutukura tw’amaraso twiyongera?
Yego. Ubushakashatsi bwagaragaje isano iri hagati y’imihangayiko n’uturemangingo tw’amaraso. Imihangayiko myinshi ishobora kongera umubare w’uturemangingo dutukura tw’amaraso, utunyangingo tw’amaraso tubiri, ubwoko bw’uturemangingo tw’amaraso twera, na plaquettes.
Ubwiyongere bw'uturemangingo dutukura mu maraso buvurwa bute?
Igikuru ni uko ubuvuzi bushingira ku mpamvu nyamukuru ituma habaho ubwinshi bw'uturemangingo dutukura mu maraso. Ni ngombwa cyane gushaka impamvu no kuyivura aho kugabanya gusa ubwinshi bw'uturemangingo dutukura mu maraso.
Urugero, niba ufite indwara yitwa `Polycythemia Vera`, muganga wawe ashobora kukwandikira umuti nka `(Hydroxyurea)` wo kugenzura ikorwa ry'uturemangingo dutukura tw'amaraso. Nanone, hari igihe hakoreshwa uburyo bwitwa `Therapeutic Phlebotomy`. Ibi bikubiyemo gukura amaraso make mu mubiri wawe mu bihe bitandukanye, kimwe no gutanga amaraso, kugira ngo ugenzure umubare w'uturemangingo dutukura tw'amaraso yawe.
Bityo rero, niba umubare w'uturemangingo dutukura mu maraso yawe uri hejuru, ugomba kubonana na muganga wawe bakaganira kuri ibyo. Ni we uzashaka impamvu nyayo maze agahitamo uburyo bwo kwivuza ukeneye.
Ni iki twakora kugira ngo wirinde kwiyongera kw'uturemangingo dutukura mu maraso?
Nubwo ibi bidashobora kwirindwa buri gihe, hari ibintu byinshi dushobora gukora kugira ngo tugabanye ibyago:
- Nywa amazi menshi: Kunywa nibura ibirahuri 8-10 by'amazi ku munsi bishobora gufasha kugabanya kuvura amaraso.
- Gabanya ibintu nk'ikawa n'ibinyobwa birimo isukari: Ibi ni imiti igabanya ubushyuhe itera kubura amazi mu mubiri kandi ishobora gutuma amaraso yiyongera.
- Irinde kunywa itabi burundu: Iki ni kimwe mu bintu byiza ushobora gukora.
- Imyitozo ngororamubiri: Imyitozo ngororamubiri ihoraho ni myiza cyane ku mutima no ku mitemberere y'amaraso.
- Ntugafate ibinini bya fer keretse ubikeneye: Ntugafate ibinini bya fer keretse muganga wawe abigusabye, kuko fer ari intungamubiri y'ingenzi mu gukora uturemangingo dutukura tw'amaraso.
- Niba ufite ikibazo cyo kudasinzira neza: Koresha ibikoresho nka `CPAP` neza nk'uko muganga wawe yabigutegetse.
- Niba ufite indwara y'umutima: Kurikiza gahunda yo kuvura yaguhaye neza.
Ubutumwa bwo kujyana mu rugo
- Ntugatinye niba ubonye umubare w'uturemangingo dutukura (RBC) twinshi ku maraso yawe. Ariko ntukabirengagize.
- Ubwiyongere bw'uturemangingo dutukura tw'amaraso bivuze ko amaraso arushaho kwiyongera kandi ibyago byo kubyimba kw'amaraso bikiyongera.
- Ibi bishobora guterwa n'imibereho nk'itabi no gutura ahantu hari imisozi miremire, ndetse n'indwara z'umutima, indwara z'ibihaha, cyangwa kanseri zimwe na zimwe.
- Igikuru ni ukubonana na muganga ako kanya ukamenya impamvu nyayo.
- Ubuvuzi buterwa n'impamvu nyamukuru. Kugumana ubuzima bwiza bishobora kugabanya ibyago.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 'Umubare munini w'uturemangingo dutukura mu maraso / Polycythemia' ni iki?
Ubusanzwe, amaraso yacu agomba kuba afite uturemangingo dutukura two gutwara umwuka wa ogisijeni. Ariko muri iyi ndwara, bitewe n'ikibazo gikomeye kiri mu mubiri/umusemburo w'amagufwa, umubare w'uturemangingo dutukura wiyongeraho ibihumbi icumi (RBC/Hematocrit iri hejuru), ikaba ari indwara yica aho amaraso 'arushaho kuba menshi/akomeye nk'ubuki' (Hyperviscosity) aho kuba amazi. Ibi bitera kubyimba kw'amaraso kandi umurwayi ashobora kugira indwara y'umutima/stroke igihe icyo ari cyo cyose agapfa!
💬 Ni izihe mpamvu nyamukuru zitera kwiyongera kw'amaraso no kwiyongera kw'uturemangingo dutukura tw'amaraso (Polycythemia)?
Hari impamvu ebyiri z'ingenzi zibitera: 1) Polycythemia ya kabiri - Ibi bibaho kuko unywa itabi ryinshi, urwaye indwara y'umutima/ibihaha (COPD), cyangwa ufite ubumuga bwo guhumeka mu gihe cyo gusinzira! Hanyuma ubwonko bugira ubwoba kuko umubiri uba wifuje ogisijeni kandi bugasaba impyiko gukora uturemangingo dushya (EPO release). 2) Polycythemia Vera (PV) - Iyi ni 'Kanseri y'amaraso / indwara y'umusemburo w'amagufwa'! Nta mpamvu, umusemburo w'amagufwa urekura uturemangingo tw'amaraso dutukura ibihumbi mirongo mu maraso.
💬 Ni ibihe bimenyetso biteje akaga by’uko amaraso maremare yo mu maraso afite umubyimba mwinshi? Ni ryari wagombye kujya kwa muganga?
Ibimenyetso bikomeye ni ukubabara umutwe (biterwa n'umuvuduko ukabije w'amaraso), kutabona neza, no kwishimagura umubiri wose nyuma yo kwiyuhagira/gutanga amazi ashyushye! Nanone, mu maso hahora hatukura cyane (Plethora). Ariko, niba 1) igituza kirimo kwishimagura/gukanda, 2) uhita unanirwa guhumeka, 3) ukuboko cyangwa ukuguru biracika intege ugatakaza ubwenge (ibimenyetso bya stroke), ugomba kujya kwa muganga vuba kuko amaraso ashobora kugabanuka (amaraso agabanuka/Thrombose)!
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