Ese urugero rwa albumin yawe ruri hasi? Reka tuvuge ku bijyanye no kubura albuminemia!

Ese hari igihe wumva unaniwe kandi unaniwe? Cyangwa ubona amaguru yawe n'utuguru tubyimba? Ibi bishobora kuba ibimenyetso by'urugero ruto rwa poroteyine yitwa albumin mu mubiri wawe. Uyu munsi, reka tuvuge kuri iyi ndwara yitwa hypoalbuminemia mu buryo bworoshye ushobora gusobanukirwa.

Hypoalbuminemia ni iki?

Muri make, hypoalbuminemia ni igihe umubiri wawe udakora poroteyine ihagije yitwa albumin , cyangwa iyo uyitakaje cyane mu nkari cyangwa mu mwanda wawe. Iyi poroteyine ikorwa n'umwijima wacu. Ibuza amazi kuva mu mitsi yacu y'amaraso kugera mu ngingo zacu. Itwara kandi ibintu by'ingenzi nka vitamine, enzymes, na hormones mu mibiri yacu yose. Tekereza gato, albumin igize 50% bya poroteyine yose mu maraso yacu. Rero, iyo urugero rwa albumin yawe ruri hasi, imisemburo n'ibindi bintu by'ingenzi ntibishobora kugera aho bigomba kujya kugira ngo bikore akazi kabyo neza. Urabyumva?

Ni nde wibasirwa cyane n'iki kibazo? Ni iki gikunze kugaragara?

Kubura amaraso menshi mu mubiri ni indwara ikunze kugaragara ku barwayi bari mu bitaro ndetse n'abafite indwara zishobora gushyira ubuzima bwabo mu kaga nko kunanirwa k'umutima, imirire mibi, ubushye bukabije, n'indwara z'impyiko. Nta myaka ntarengwa ihari yo kugira ngo albumine ibe nke mu maraso. Ariko, ikunze kugaragara cyane ku bantu barengeje imyaka 70.

Ubushakashatsi bumwe bwagaragaje ko abantu barenga 70% bari mu bitaro barengeje imyaka 70 bafite ikibazo cyo kubura amaraso menshi mu mubiri. Akenshi ni ikimenyetso cy'indi ndwara. Ibi bivuze ko iyo igaragaye, ishobora no gukoreshwa mu kumenya indwara yateye iyi ndwara.

Ni gute indwara yo kubura amaraso menshi mu mubiri wanjye igira ingaruka ku mubiri wanjye?

Bitewe n'icyateye iki kibazo, uburyo kigira ingaruka kuri buri muntu bushobora gutandukana. Urugero, iyo umwana muto cyangwa umwana muto agize ikibazo cyo kubura amaraso mu mubiri, umubiri we ushobora gutinda gukora imisemburo ikura. Hanyuma, bashobora kudakura kugeza ku burebure bujyanye n'imyaka yabo.

Ku bantu barengeje imyaka 70, ibimenyetso by'iyi ndwara bishobora kuba birimo intege nke n'umunaniro . Bashobora kugwa byoroshye no kugira impanuka. Iyo ibi bimenyetso bigaragaye mu buryo butunguranye, bishobora kuba ikimenyetso cy'indi ndwara isanzwe. Ikintu cyiza ni uko iyo indwara isanzwe ivuwe, urugero rwa albumin mu maraso rushobora gusubira ku rugero rusanzwe.

Ni ibihe bimenyetso by'indwara yo kubura amaraso mu mubiri (hypoalbuminemia)?

Ibimenyetso bishobora gutandukana bitewe n'impamvu ituma urugero rwa albumine mu mubiri wawe rugabanuka. Umuntu ufite ikibazo cyo kubura albuminemia ashobora kugira ibimenyetso nk'ibi bikurikira:

• Kumva unaniwe igihe cyose
• Intege nke z'imitsi
• Jaundice (ni ukuvuga umuhondo w'uruhu n'amaso)
• Kubyimba amaguru n'uturemangingo
• Inkari zijimye cyangwa/cyangwa kwihagarika kenshi
• Guhumeka bigoranye
• Gukunda kurya

Akenshi, ibi bimenyetso bifitanye isano n'indwara z'umwijima, impyiko, umutima, cyangwa indwara z'imirire mibi. Kuvura indwara y'ibanze bishobora gufasha gusubiza urugero rwa poroteyine ya albumin ku rugero rusanzwe.

Kuki habaho hypoalbuminemia? Ni izihe mpamvu?

Kubura amaraso menshi mu mubiri mu by’ukuri ni ikimenyetso cy’indi ndwara. Ni ukuvuga ko ari ingaruka z’indi ndwara. Ibintu by’ingenzi bishobora kuyitera ni ibi bikurikira:

• Indwara z'umwijima : Urugero, indwara nka cirrhose.
• Umutima unanirwa
• Imirire mibi cyangwa kubura vitamine
• Indwara y'ububyimbirwe bw'amara
• Indwara z'impyiko : Urugero, indwara nka nephrotic syndrome.
• Indwara zandurira mu mubiri

Uretse ibi, hashobora kubaho izindi mpamvu:

• Umuhangayiko ukomeye
• Indwara ya tiroyide
• Diyabete (Diabete Mellitus)
• Indwara z'ubudahangarwa bw'umubiri nka lupus

Iyi ndwara ishobora no kugaragara ku bantu baherutse kwakirwa mu bitaro, cyane cyane aba:

• Nahawe amazi avuye mu muyoboro w'amaraso
• Niba warabazwe
• Iyo hakoreshwaga icyuma gifasha guhumeka
• Niba hakenewe imashini ikoresha cardiopulmonary bypass machine (CBM)

Muganga wawe azasuzuma buri gihe urugero rwa albumin yawe kugira ngo arebe neza ko ikibazo kirimo kuvurwa neza.

Ibi bipimwa gute?

Muganga wawe azagufata ikizamini cy'amaraso maze akore ikizamini cy'amaraso cya albumin kugira ngo apime ingano ya albumin mu mubiri wawe. Iki kizamini gishobora kumenya niba urugero rwa albumin mu maraso yawe ruri hejuru, rusanzwe, cyangwa ruri hasi. Niba urugero ruri hasi ugereranije n'ibisanzwe, gishobora kuba ikimenyetso cy'indwara runaka.

Bitewe n'ibimenyetso byawe, muganga wawe ashobora gusuzuma urugero rwa albumine yawe gusa, cyangwa ashobora gukora ibizamini bitandukanye, nko gusuzuma imikorere y'umwijima n'impyiko n'ingano y'intungamubiri, cyangwa gusuzuma imikorere y'umwijima.

Ushobora kandi gupimwa microalbuminuria cyangwa gupimwa igipimo cya albumin-to-creatinine kugira ngo urebe niba ufite albumin mu nkari zawe. Ibi bizamini bishobora gufasha kumenya niba impyiko zawe zikora neza cyangwa niba zarangiritse.

Igipimo gisanzwe cya albumin ni ikihe?

Ubusanzwe, urugero rwa alubuminine mu maraso y'umuntu muzima rugomba kuba hagati ya garama 3.5 na 5.5 kuri desilita imwe (g/dL) . Ikintu cyose kiri munsi y'iki gipimo gishobora kuba ikimenyetso cy'indwara runaka.

Ni gute indwara yo kubura amaraso menshi mu mubiri (hypoalbuminemia) ivurwa?

Uburyo bwo kuvura hypoalbuminemia buratandukanye bitewe n'icyatuma urugero rwa poroteyine yawe ya albumin rugabanuka. Muri make, kuvura indwara yateye hypoalbuminemia bishobora gufasha kugarura urugero rwa albumin yawe ku buryo busanzwe. Ubuvuzi bushobora kuba burimo:

• Kurya indyo yuzuye ijyanye n'imirire mibi n'indwara z'umutima.
• Gufata imiti y'umuvuduko w'amaraso ivura indwara z'impyiko cyangwa indwara y'umutima.
• Gufata imiti yica udukoko kugira ngo utwike cyane.
• Gufata imiti igabanya ububyimbirwe (NSAIDs) ku bubyimbirwe.
• Dialysis ku ndwara y'impyiko.

Muganga wawe azakurikirana neza ubu buryo bwo kuvura akurikirana ibimenyetso byawe kandi arebe niba urugero rwa poroteyine yawe ya albumin rwiyongera.

Ese kunywa inzoga bigira ingaruka ku rugero rwa albumin?

Yego, kunywa inzoga bishobora kongera ibimenyetso bya hypoalbuminemia. Kubwibyo, niba ufashwe n'iyi ndwara, muganga wawe ashobora kukugira inama yo kwirinda inzoga.

Ni iki nkwiye kurya mu gihe mfite albumin nkeya?

Kubura amaraso menshi mu mubiri bishobora guterwa n’imirire mibi cyangwa kubura vitamine. Gufata vitamine (cyane cyane vitamine D) no kurya indyo yuzuye irimo poroteyine (urugero, inyama zitarimo ibinure, amafi, imbuto nk'ibitoki, ubunyobwa, amande, amagi), hamwe n’ibikomoka ku mata (amata, yawurute, foromaje) na karubohidrati zuzuye (umugati, umuceri) bishobora gufasha kongera ingano y’ibinure mu mubiri wawe.

Tekereza kuri ibi, nk'uko amatafari akenewe kugira ngo wubake inzu, poroteyine ni ingenzi ku mubiri wacu. Albumine ni imwe muri poroteyine y'ingenzi. Rero ni ingenzi cyane kwita ku mirire yawe kugira ngo umubiri wawe uyibone.

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata igihe kugira ngo uvure indwara yateye hypoalbuminemia. Ariko, ushobora kongera urugero rwa poroteyine yawe ya albumin mu buryo busanzwe uhindura imibereho yawe, nko kunoza indyo yawe . Muganga wawe azaguha gahunda y'ubuvuzi yihariye ku ndwara yawe kandi izagufasha kumva umeze neza. Gira kwihangana kandi ukurikize uburyo wavuwe.

Ni gute wagabanya ibyago byo kubura amaraso menshi mu mubiri?

Ushobora gukora ibi kugira ngo ugabanye iyi ngaruka:

• Kurya indyo yuzuye irimo amata, poroteyine, na karubohidrati byuzuye , cyangwa gufata inyunganiramirire kugira ngo wongere poroteyine na karori mu ndyo yawe.
• Kuraho cyangwa kugabanya ibiryo birimo sodiyumu cyangwa umunyu mwinshi.
• Gufata imiti cyangwa guhabwa imiti kugira ngo ugenzure indwara zishingiye ku buzima (urugero: diyabete, umuvuduko ukabije w'amaraso).
• Kugabanya cyangwa guhagarika burundu kunywa inzoga.

Bigenda bite iyo ngize ikibazo cyo kubura amaraso menshi mu mubiri (hypoalbuminemia)?

Bitewe n'impamvu ituma albumin yawe igabanuka, kuvura iyi ndwara bishobora kugabanya ibimenyetso bya hypoalbuminemia no gusubiza urugero rwa poroteyine yawe muri albumin ku rugero rusanzwe.

Ariko, iyo itavuwe, hypoalbuminemia ishobora gushyira ubuzima mu kaga. Ibimenyetso bitavuwe bishobora gutera indwara nka:

• Imirire mibi iterwa no kubura ubushake bwo kurya.
• Kurushaho kumera nabi kw'indwara y'umwijima cyangwa impyiko .
• Umutima unanirwa (Kunanirwa k'umutima - kugabanuka k'amaraso mu miyoboro y'amaraso) .

Kudakomeza kwangirika kw'amaraso mu mubiri, cyane cyane ku bantu bari mu bitaro no mu cyumba cyita ku barwayi barembye, ni ikimenyetso cy'indwara ikomeye. Muganga wawe azahita avura iyo ndwara kugira ngo hirindwe ingaruka zishobora gushyira ubuzima mu kaga. Kubwibyo, ni byiza kujya kwa muganga vuba bishoboka niba ufite ibimenyetso.

Ni ryari ngomba kujya kwa muganga?

Niba ugaragaje ibimenyetso byo kubura amaraso menshi mu mubiri (hypoalbuminemia), hita ubonana na muganga. Cyane cyane:

• Niba igikomere cyawe cyo kubagwa kitarakira, kirimo umutuku, cyangwa kirimo gusohora amazi yera cyangwa y'umuhondo (ibi bishobora gusobanura ubwandu).
• Niba ukunda kunyara cyangwa niba ibara ry'inkari zawe ritandukanye n'iryasanzwe.
• Niba ufite ikibazo cyo kubura ubushake bwo kurya no kunywa bikakugora.
• Niba amaguru yawe n'utuguru twawe byarabyimbye.

Niba ufite ikibazo cyo guhumeka nabi, ububabare mu gatuza, cyangwa wumva umutima wawe utera cyane cyangwa utari mu buryo busanzwe, jya kwa muganga ako kanya cyangwa uhamagare 911. Ibi bishobora kuba ari ikibazo cyihutirwa, bityo ntutinde.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga wawe, ntugatinye kubaza ibibazo ufite. Ushobora kubaza ibibazo nk'ibi:

• "Muganga, utekereza ko ari iki gituma albumin yanjye igabanuka?"
• "Ese hari ingaruka mbi ku miti itangwa kugira ngo ivure indwara yateye ibi?"
• "Niba mfite ikibazo cyo kubura amaraso mu mubiri, ni kangahe nkwiye gusuzuma urugero rw'amaraso mu mubiri wanjye?"
• "Ni izihe mpinduka nkwiye gukora ku mirire yanjye kugira ngo nongere urugero rwa albumin yanjye?"
• "Ese hari ibintu byihariye ngomba kwitondera mu buzima bwanjye bwa buri munsi mfite iyi ndwara?"

Ubutumwa bwa nyuma bwo kujyana mu rugo

Kubura amaraso menshi mu maraso ni ikimenyetso cy'ingenzi cyo kuburira muganga wawe ku ndwara yateye kugabanuka kwa poroteyine albumin mu maraso yawe. Kurikiza uburyo muganga akugira inama yo kugenzura indwara yateye kubura amaraso menshi mu maraso no kugufasha kumva umeze neza no gucunga ibimenyetso byawe. Ntukigere wirengagiza ibimenyetso. Gushaka ubufasha bwa muganga hakiri kare bishobora kugufasha gukira vuba no kwirinda ingorane zikomeye. Ni ngombwa kwita ku buzima bwawe bwite.

` Kubura amaraso make mu mubiri, albumin, poroteyine, umwijima, indwara z'impyiko, imirire mibi, ibimenyetso