Ese amaraso yawe afite fosifate nkeya? Reka tuvuge kuri iyi ndwara (Hypophosphatemia)!

Ushobora kuba warabonye ikintu cyitwa "Fosfeti" iyo urebye raporo y'amaraso, si byo se? Cyangwa wenda muganga yabikubwiye. Iyi fosfeti ni ingenzi cyane ku mubiri wacu. None se, bigenda bite iyo urugero rwa fosfeti rugabanutse mu maraso? Ni cyo twita `(Hypophosphatemia)`. Reka tubiganireho birambuye, mu buryo bworoshye, uyu munsi.

Fosifate nkeya bivuze iki? Ese ni `(Hypophosphatemia)`?

Mu magambo make, yego. Hypophosphatemia ni indwara aho urugero rw'imyunyungugu yitwa fosfeti mu maraso yawe ruba ruto. Fosfeti ni electrolyte ikenewe mu mikorere myinshi mu mibiri yacu. Ikora nk'umuyoboro mu mibiri yacu. Iyi ndwara ishobora kuba yoroheje cyangwa ikomeye. Ishobora kandi kubaho mu buryo butunguranye (bukabije) cyangwa nyuma y'igihe (budakira).

None se, iyi fosifate ni ingenzi mu mubiri gute?

Tekereza ukuntu iyi fosifate igira uruhare runini mu mibiri yacu!

• Kubaka amagufwa n'amenyo yacu no kuyakomeza: 85% bya fosifore mu mubiri wacu iri mu magufwa yacu. Ibi rero ni ingenzi ku magufwa akomeye.
• Gukomeza gukora neza kw'imitsi: Imitsi yacu ikenera fosfeti kugira ngo ikore neza.
• Bifasha imitsi gufunga: Iyo tugiye amaboko n'amaguru, kandi iyo umutima wacu ukubita, imitsi yacu irafunga, bityo ibi nabyo birafasha muri ibyo.

Iyi fosifore/fosifore tuyikura mu byo kurya.

Icy'ingenzi ni uko urugero rwa fosifore mu maraso yacu rufitanye isano itaziguye n'urugero rwa kalisiyumu. Ibyo byombi bikora mu buryo bunyuranye. Ni ukuvuga ko uko urugero rwa kalisiyumu mu maraso rwiyongera, urugero rwa fosifore rugabanuka. Ibi bibaho buri segonda. Hormone ya parathyroid (PTH), ikorwa n'uturemangingo twa parathyroid mu ijosi ryacu, igenzura urugero rwa kalisiyumu na fosifore.

Iyi ndwara (Hypophosphatemia) ikunze kugaragara gute?

Kubura fosfatemiya nke ni indwara ikunze kugaragara mu bipimo by'amaraso. Raporo zimwe na zimwe zigaragaza ko ifata abantu bagera kuri 5% muri Leta Zunze Ubumwe za Amerika. Akenshi, ntabwo ari indwara ikomeye kandi nta bimenyetso itera. Akenshi ikunze kuboneka ku buryo bw'impanuka.

Ariko, hypophosphatemia itunguranye kandi ikomeye (hypophosphatemia ikabije kandi ikomeye) ikunze kugaragara cyane ku bantu bafite indwara zimwe na zimwe. Urugero:

• Ku bantu babaswe n'inzoga `(indwara yo gukoresha inzoga)`
• Mu gihe cy'indwara ya diyabete iterwa na ketoacidosis (DKA)
• Mu gihe cy'ubwandu bukomeye, sepsis
• Ku bafite ubushye bukomeye

Abantu nk'aba bashobora kubona iki kibazo kugeza kuri 80%.

None se, ni ibihe bimenyetso bya `(Hypophosphatemia)`?

Ibimenyetso biterwa n'uburyo urugero rwa fosifate ruri hasi.

Hypophosphatemia yoroshye

Abantu bafite ikibazo cyo kubura fosfetimiya mu buryo bworoheje akenshi nta bimenyetso bagira , ariko bamwe bashobora kugira intege nke zoroheje z'imitsi n'umunaniro.

Iyo bikomeye (Hypophosphatemia ikomeye)

Ariko, niba urugero rwa fosifate ruri hasi cyane (hypophosphatemia ikomeye), ibimenyetso bikurikira bishobora kubaho, kandi ibi ntibikwiye gufatwa nk'ibisanzwe :

• Ububabare mu mitsi no mu magufwa
• Intege nke zikomeye z'imitsi
• Impinduka mu byiyumvo - urugero, kudashobora kwibanda ku byo umuntu atekereza, kurakara vuba
• Guhumeka cyangwa kunanirwa k'umutima
• Kumva ufite intege nke, kugabanuka k'uburyo bwo gusubiza ibintu mu buryo
• Kugira indwara yo kurwara (gufatwa n'icyorezo)

Ibi ni ingenzi cyane: Iyo indwara ya hypophosphatemia idavuwe vuba , ishobora gutera koma ndetse n'urupfu . Niba wowe cyangwa undi muntu uzi afite ibi bimenyetso bikomeye, ugomba guhita ujya kwa muganga uri hafi.

Iyo imaze igihe kinini ihari (Hypophosphatemia idakira)

Abantu bafite urugero ruke rwa fosifate (`hypophosphatemia idakira`) bashobora kugira ibimenyetso nk'ibi:

• Ububabare mu magufwa
• Amagufwa yavunitse
• Intege nke
• Gukunda kurya

Abana bato bafite urugero ruke rwa fosifate mu gihe kirekire bashobora kugira ibimenyetso by'indwara yitwa rickets , birimo:

• Kugabanuka k'uburebure bitewe n'imyaka
• Amaguru ameze nk'aho agoramye
• Kwaguka kw'ibiganza n'uturemangingo bitewe n'impinduka mu magufwa

Niba wowe cyangwa umwana wawe mufite kimwe muri ibi bimenyetso, ni ngombwa cyane gushaka inama kwa muganga.

Ni izihe mpamvu za `(Hypophosphatemia)`?

Hari impamvu nyinshi zishobora gutuma iki kibazo kibaho. Impamvu ziratandukanye bitewe n'uko kiba cyoroheje cyangwa gikomeye, gitunguranye, cyangwa igihe kirekire.

Impamvu zitera hypophosphatemia iri hagati n'ikomeye

Kubura fosifate mu rugero ruciriritse kugeza ku rugero rukabije bishobora kubaho mu bihe bikurikira:

• Mu gihe cyo gukira indwara ya diyabete ya ketoacidosis (DKA)
• Kunywa inzoga no kureka inzoga
• Ubushye bukabije
• Indwara yo kongera kurya : Ibi biragoye kurushaho. Muri make, ni ugusubira mu biryo mu buryo butunguranye nyuma yo kwiyiriza ubusa, bigatera impinduka zikomeye, rimwe na rimwe zigashyira ubuzima mu kaga, mu rugero rw'amazi n'amashanyarazi mu mubiri.
• Alkalose ikomeye y'ubuhumekero: Ibi bibaho iyo nta gaze karuboni ihagije mu maraso.

Impamvu zitera hypophosphatemia y'igihe kirekire

• Ubwiyongere bw'urugero rw'imisemburo ya parathyroid, urugero nko mu ndwara ya ``Hyperparathyroidism``.
• Izindi misemburo idahwitse, nka Cushing's syndrome.
• Kubura Vitamine D.
• Kudakoresha neza ibiryo ni indwara ituma ibiryo bidakwirakwira neza bitewe n'imirire mibi n'ibibazo by'amara.
• Izindi mvururu zishingiye ku kutumvikana kw'amashanyarazi, nko kugabanuka kwa manyeziyumu (hypomagnesemia) na potasiyumu nkeya (hypokalemia).
• Uburyo bwo kuvura ikibazo cyo kubura icyuma ni ugutera icyuma mu miyoboro ya IV, cyane cyane ubwoko bwitwa ferric carboxymaltose (FCM). Ibi bikunze kubaho iyo icyuma gifatwa buri gihe muri ubu buryo.
• Gukoresha imiti igabanya ubukana bw'amaraso igihe kirekire.
• Gukoresha kenshi cyangwa cyane imiti igabanya ubukana bwa fosfeti, igurwa muri farumasi nta nama ya muganga. Harimo imiti igabanya ubukana irimo aluminiyumu, kalisiyumu na manyeziyumu.
• Uburozi butangwa n'umuti witwa theophylline, uhabwa abagore batwite.

Abantu bafite indwara y’impyiko ikomeye (cyane cyane abakoresha dialyse) bafata imiti yitwa "phosphate binders" hamwe n’amafunguro, banditswe n’inzobere mu mpyiko, kugira ngo bagabanye uburyo fosifate ikoreshwa mu kurya. Ibi bishobora kandi gutuma urugero rwa fosifate rugabanuka iyo bikoreshejwe igihe kirekire.

Iyi ndwara `(Hypophosphatemia)` ipimwa ite?

Ibi biroroshye cyane kubisuzuma. Muganga azakora isuzuma ry'amaraso kugira ngo arebe urugero rwa fosifate mu maraso yawe . Niba ingano ya fosifate mu maraso yawe iri munsi ya miligarama 2.5 kuri desilita imwe (mg/dL), bivugwa ko ufite "Hypophosphatemia".

Igipimo gisanzwe cya fosifate mu maraso ku bantu bakuru kiri hagati ya 2.5 na 4.5 mg/dL, naho ku bana, kiri hagati ya 4.5 na 6.5 mg/dL. Ariko, ibi bipimo bishobora gutandukana gato bitewe na laboratwari.

Kenshi na kenshi, cyane cyane mu gihe cy’indwara yo kubura fosfetimeya mu buryo bukabije, impamvu ishobora kumenyekana neza hashingiwe ku mateka y’ubuzima bwawe n’ibimenyetso by’uburwayi bwawe.

Kubera ko indwara idakira ikunze guterwa n'indi ndwara, muganga wawe ashobora gusaba ibindi bipimo kugira ngo amenye impamvu kandi asuzume ubuzima bwawe muri rusange. Ibi bishobora kuba birimo:

• Ibindi bipimo by'amaraso: Ibipimo by'imikorere y'impyiko, ibipimo by'amaraso ya kalisiyumu, ibipimo by'amaraso ya Vitamine D.
• Isuzuma ry'inkari.
• Wenda gupima amashusho.

Ni ubuhe buryo bwo kuvura `(Hypophosphatemia)`?

Uburyo bw'ingenzi bwo kuvura ni ukuvura impamvu nyamukuru y'iki kibazo, ariko nanone bigasubiza urugero rwa fosifate mu maraso.

Abantu bafite ikibazo cyo kubura fosfetimiya yoroheje kugeza ku iringaniye bakunze guhabwa ibinini bisimbura fosfeti mu kanwa. Muganga wawe ashobora kandi kukugira inama yo kurya ibiryo birimo fosfeti nyinshi.

Ariko, iyo indwara ikomeye, fosifate itangwa mu mitsi (binyuze mu muyoboro wa IV) .

Ese hari icyo twakora kugira ngo hirindwe iki kibazo?

Birumvikana ko atari ko indwara zose za hypophosphatemia zishobora kwirindwa, cyane cyane izikomeye kandi zitunguranye. Ariko, kurya indyo yuzuye kandi yuzuye bishobora gufasha mu kwirinda urugero rworoheje rwa fosifore.

Ni ibihe biribwa birimo fosifore nyinshi?

• Inyama, amafi n'izindi poroteyine: Ibice nk'amagi, inkoko, itunguru, ingurube, amafi yo mu nyanja n'umwijima.
• Ibikomoka ku mata: amata, foromaje, foromaje y'akataraboneka, yawurute.
• Imbuto n'imbuto: amande, cashews, imbuto za Brezili, imbuto z'ibihaza, imbuto za sesame.

Icy'ingenzi: Mbere yo guhindura byinshi mu mirire yawe, banza uganire na muganga cyangwa inzobere mu mirire.

Niba ufite ikibazo kigushyira mu kaga ko kubura fosfetimiya, nko kuba ufite ikibazo cyo kubura amaraso mu mubiri, kuba ufite ibibazo byo kubura vitamin D, cyangwa kubura vitamine D, ni ngombwa kujya kwa muganga wawe buri gihe no gukurikiza gahunda yawe yo kwivuza. Ibi bishobora gufasha kwirinda ko fosfetimiya ibura fosfetimiya.

Ni iki kizaba mu gihe kizaza? (Ibibazo)

Uko iyi ndwara igaragara biterwa niba ari nto cyangwa ikomeye, itangiye mu buryo butunguranye, cyangwa imaze igihe kirekire. Indwara zoroheje akenshi zikira neza iyo zivuwe, bivuze ko zishobora gukira. Ariko, indwara zikomeye kandi zitunguranye zishobora gutera ingorane zikomeye iyo zitavuwe vuba.

Ese ingorane zishobora guterwa na `(Hypophosphatemia)`?

Yego, iyo itavuwe, cyane cyane iyo habayeho igabanuka ry'umusemburo wa fosifate (hypophosphatemia idakira), indwara yitwa osteomalacia ishobora kuvuka. Muri make, iki ni cyo gihe amagufwa aba yoroshye kandi akavunika byoroshye .

Nkuko byavuzwe mbere, niba ufite ibimenyetso bikomeye bya hypophosphatemia, nko kubabara imitsi bitazwi ndetse n'impinduka mu miterere y'imitekerereze, ni ngombwa cyane kujya kwa muganga uhegereye vuba bishoboka.

Amaherezo, ibuka ibi.

Rero, iyi fosifate twavuze uyu munsi ni "electrolyte" y'ingenzi cyane mu maraso yacu. Kugabanuka gato kwa fosifate (``hypophosphatemia yoroshye``) bishobora kugaragara mu isuzuma ry'amaraso kandi si ikintu gikwiye guhangayikishwa. Nibibaho, muganga wawe azakubwira kurya ibiryo byinshi birimo fosifate nyinshi.

Ariko, niba ufite ikibazo cy’uburwayi cyangwa ingeso igushyira mu kaga ko kubura fosifore cyane, nko kunywa inzoga nyinshi cyangwa kutabasha kubyibuha mu mara, ni byiza kuganiriza muganga wawe kuri ibyo. Mubaze uburyo bwo kwirinda indwara ya hypophosphatemia n’ibimenyetso ugomba kwitondera. Wibuke ko muganga wawe ari inshuti yawe magara mu rugendo rwawe rw’ubuzima. Bashobora kugufasha.

"Hypophosphatemia, fosfeti, fosfeti, elektroliti, fosfeti nkeya, isuzuma ry'amaraso, imirire, fosfeti, fosfeti, isuzuma ry'amaraso, imirire