Nubwo twaba dufite ibicurane cyangwa tukumva tunaniwe gato, tuba tumenyereye kujya kwa muganga. Iyo tubikoze, akenshi, muganga yumva ibimenyetso byacu, akadusuzuma, akatwohereza muri laboratwari kugira ngo ahabwe amakuru arambuye. Bityo, gupima ibintu nk'amaraso n'inkari muri ubu buryo byabaye ikintu gisanzwe mu buzima bwacu. Ariko se wari uzi ko bitewe n'iterambere rya siyansi, uburyo ibi bizamini byo muri laboratwari bikorwa n'uburyo dusobanura ibisubizo byabyo nabyo bigenda bihinduka buhoro buhoro? Uyu munsi turaza kuvuga ku mpinduka zimwe na zimwe z'ingenzi ziherutse kubaho muri bimwe mu bizamini byo muri laboratwari dukora buri gihe.
Ikizamini cya Cholesterol (Umubare w'ibinure) - Ese nkeneye kwiyicisha inzara ubu?
Tekereza ko ufite imyaka irenga 40. Cyangwa ufite umubyibuho ukabije gato. Hanyuma ni ibisanzwe ko muganga agukorera ikizamini cyo gusuzuma cholesterol yawe. Ibi tubyita 'lipid profile '. Muri make, ibi bigenzura ubwoko bw'ibinure biri mu maraso yawe.
Iki kizamini cyibanda ku bintu bine by'ingenzi:
- Kolesteroli yose: Ingano yose ya kolesteroli mu maraso.
- HDL (High-Density Lipoprotein): Twese tuzi ko ibi ari " cholesterol nziza ". Uko ibi birushaho kuba byinshi, ni ko umutima uba mwiza.
- LDL (Lipoporoteyine yo hasi): Iyi ni "cholesterol mbi." Urugero rwinshi rw'iyi ngingo rwongera ibyago byo kurwara indwara nk'umutima na stroke .
- Triglycerides : Ubu ni ubundi bwoko bw'ibinure biboneka mu maraso.
Twari tuzi ko utagomba kurya cyangwa kunywa ikintu icyo ari cyo cyose mu masaha 8-12 mbere yo gukora iki kizamini. Abaganga benshi barabigiriye inama kuko bizeraga ko ibiryo turya bishobora kugira ingaruka kuri izi ngeso, cyane cyane triglycerides.
Ariko se impinduka nshya ni iyihe ubu?
Ubushakashatsi buherutse gukorwa bwagaragaje ko ku bantu benshi ,Si ngombwa kwiyiriza ubusa mbere yo gukora iki kizamini. Kubera ko ibiryo turya nta ngaruka nini bigira ku rugero rwa cholesterol (HDL na LDL). Ariko, bimwe mu biribwa birimo ibinure n'isukari bishobora kongera urugero rwa triglyceride by'igihe gito.
Ibi bivuze ko niba wakoze ikizamini utiriwe wiyiriza ubusa, kandi ibindi bipimo byawe bikaba bisanzwe ariko triglycerides zawe zikaba ziri hejuru cyane, muganga wawe azakubwira kongera kwiyiriza umunsi wo kwiyiriza ubusa. Ibi bizagufasha kumenya niba igipimo kiri hejuru koko cyangwa niba ari ukwiyongera kw'igihe gito guterwa no kurya.
Rero, ubutaha muganga wawe azakubaza gukora isuzuma ry’imirire y’ibinure, mubaze niba ukeneye kwiyiriza ubusa cyangwa utabikeneye. Akenshi, uzabasha kwirinda icyo kibazo cy’inzara kibabaza.
Ibizamini byo gupima diyabete
Diyabete ni indwara ikunze kugaragara mu gihugu cyacu. Hari umubare munini w'abantu bari mu mimerere yo kurwara diyabete mbere y'uko ikwirakwira, ni ukuvuga ko bafite ibyago byinshi byo kurwara diyabete. Kubwibyo, ni ngombwa cyane gupimwa neza kugira ngo iyi ndwara imenyekane hakiri kare.
Mu bihe byashize, uburyo bw'ingenzi bwo gupima diyabete bwari ugupima isukari mu maraso mu buryo bwo kwiyiriza ubusa (Fasting Blood Sugar) n'igipimo cyo kwihanganira isukari mu kanwa (OGTT) cyakorwaga amasaha abiri nyuma yo kunywa umuti wa glucose. Iki gipimo cya OGTT kiragoye gato. Ugomba kwiyiriza ubusa ijoro ryose, ukajya muri laboratwari mu gitondo, ukanywa ikinyobwa kirimo isukari, hanyuma utegereze amasaha abiri.
Ni ubuhe buryo bworoshye ubu? Ikizamini cya HbA1c!
Mu bihe bya vuba aha, kimwe mu bipimo bikunze gukoreshwa n'abaganga mu gusuzuma no kuvura diyabete ni Hemoglobin A1c , cyangwa HbA1c mu magambo ahinnye.
Muri make, ibi bipima ingano y'isukari (glucose) ifatanye na poroteyine yitwa hemoglobine mu turemangingo dutukura tw'amaraso yawe. Kubera ko uturemangingo dutukura tw'amaraso tugira igihe cy'iminsi 90-120, iki kizamini gishobora kuguha ishusho nziza y'ikigereranyo cy'isukari mu maraso yawe mu mezi 2-3 ashize . Ntabwo ari ngombwa ko ushonje ibi, kandi bishobora gukorwa igihe icyo ari cyo cyose cy'umunsi.
Ariko hari "ariko" gato kuri ibi...
Nubwo ikizamini cya `HbA1c` cyoroshye cyane kandi cyizewe, biherutse kugaragara ko ibisubizo bishobora kuba atari ukuri 100% ku bantu bafite indwara zimwe na zimwe. Ibi bishobora kuba ukuri cyane cyane ku bantu bafite indwara zigira ingaruka ku turemangingo dutukura tw’amaraso .
Urugero:
- Anemia: Ni indwara ikunze kugaragara cyane mu bagore bo mu gihugu cyacu. Mu bwoko bumwe na bumwe bw'amaraso adahagije, agaciro ka `HbA1c` gashobora kugaragara ko kari hejuru cyangwa kari hasi kurusha uko kari mu by'ukuri.
- Indwara y'uturemangingo tw'umusemburo:Mu ndwara nk'izi, agaciro ka HbA1c gashobora no guhinduka bitewe n'impinduka mu turemangingo dutukura tw'amaraso.
Ibi ntibivuze ko ikizamini cya `HbA1c` kitari cyiza. Ariko, si byiza gushingira ibyemezo byawe ku mubare umwe gusa kuri raporo yawe ya laboratwari. Cyane cyane niba agaciro ka `HbA1c` kawe kari hagati y’urugero rusanzwe n’urw’igisukari, muganga wawe azasuzuma izindi ndwara, nko kubura amaraso, kandi ashobora kukugira inama yo gupima izindi ndwara, nko kwiyiriza isukari mu maraso, nibiba ngombwa.
Gupima inkari - Ese buri wese yagombye kubikora buri mwaka?
Abantu benshi bamenyereye gupimwa inkari burundu (urinalysis) nibura rimwe mu mwaka. Twatekereje ko byaba ari isuzuma rusange ry’indwara z’inkari n’imikorere myiza y’impyiko.
Ariko ubu ibintu birahindutse!
Amabwiriza y’ubuzima yemewe ku isi ubu atanga inama ko nta kamaro gake mu gupima inkari nk'isuzuma ryoroshye mu gihe nta bimenyetso bihari . Ahubwo, birahagije gukora iki kizamini gusa iyo hari ibimenyetso bihari.
| Amahirwe | Icyo abantu basaba ubu |
|---|---|
| Niba ufite ibimenyetso by'inkari: (urugero: kwandura indwara zo mu nkari, ububabare, kwihagarika kenshi, impumuro mbi) | Ni ingenzi cyane gukora isuzuma ry'inkari. |
| Mu rwego rwo kwisuzumisha ubuzima buri gihe , nta bimenyetso na bimwe | Ubusanzwe si ngombwa gupima inkari. |
| Niba uri umubyeyi utwite | Gupima inkari kenshi ni itegeko nk'igice cy'ibizamini bisanzwe mu gihe cyo gutwita. |
None se ugenzura imikorere y'impyiko ute?
Ubu abaganga bishingikiriza cyane cyane ku isuzuma ry'amaraso kugira ngo barebe uko impyiko zikora neza. Byitwa `eGFR (igipimo cyagenwe cyo kuyungurura Glomerular)`. Ibi akenshi ni bimwe mu bigize isuzuma ry'amaraso rya `Basic Metabolic Panel` dukora. Ibi bitanga igitekerezo cy'imikorere y'impyiko neza kuruta isuzuma ry'inkari.
Ubutumwa bwo kujyana mu rugo
- Kolesteroli (Umubare w'ibinure bikomoka ku maraso): Akenshi, ntugomba kwiyiriza ubusa kuri iki gipimo. Ariko, saba inama kwa muganga wawe.
- Diyabete (HbA1c): Iki ni ikizamini cyiza kikubwira urugero rw'isukari mu maraso yawe mu mezi 2-3 ashize. Ariko, ibisubizo bishobora gutandukana gato bitewe n'indwara nk'amaraso make.
- Gupima inkari: Niba udafite ibimenyetso (keretse niba utwite), nta mpamvu yo gukora iki kizamini. Ikizamini cy'amaraso cya eGFR ni cyo cyiza kurushaho mu gusuzuma imikorere y'impyiko.
- Icy'ingenzi kurushaho: Ntugatinye cyangwa ngo ufate ibyemezo ukurikije imibare iri muri raporo yawe ya laboratwari. Muganga wawe, uzi amateka yawe y'ubuzima, ni we wenyine ushobora gusobanukirwa icyo asobanura. Buri gihe ganira na muganga wawe ku bisubizo by'ibizamini byawe.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment