Ufite intege nke? Ufite amaraso make? Ibi bishobora kuba indwara ya Macrocytic Anemia!

Ese uhora wumva unaniwe? Hari igihe wumva udafite imbaraga kandi bikakugora guhumeka? Ibi bishobora kuba atari umunaniro gusa. Hashobora no kuba hari ikibazo gito ku turemangingo dutukura tw'amaraso mu mubiri wawe. Uyu munsi, turaganira kuri iyi ndwara yitwa Macrocytic Anemia.

Macrocytic Anemia ni iki?

Muri make, Macrocytic Anemia ni indwara y'amaraso aho umwongo wawe utanga uturemangingo dutukura tudasanzwe . Tekereza nk'uduto mu mibiri yacu dutwara umwuka wa ogisijeni. Ariko utwo turemangingo dutukura tunini ni nk'udutomangingo tunini ariko tudakora. Nta ntungamubiri uturemangingo dutukura dusanzwe dukeneye kugira ngo dukore neza. Iyi si indwara ikomeye, ariko iyo idavuwe neza, ishobora gutera ibibazo bikomeye by'ubuzima. Urabyumva?

Ni ubuhe bwoko bw'ingenzi bwa anemia ya macrocytic?

Hari ubwoko bubiri bw'ingenzi bwa anemia ya macrocytic. Ibi bibaho iyo umubiri wawe ubuze intungamubiri zimwe na zimwe. Reka turebe ibyo ari byo.

1. Kubura amaraso mu buryo bwa Megaloblastic macrocytic anemia

Ubu ni bwo bwoko bukunze kugaragara cyane. Bubaho iyo utabonye vitamine B12 cyangwa vitamine B9 (folate) ihagije. Udafite izi ntungamubiri, umwotsi wawe ntushobora gukora uturemangingo tw’amaraso dutukura dufite ubuzima bwiza. Ibyo bivuze ko uturemangingo tugendana umwuka wa ogisijeni mu mubiri wawe. Tekereza nk'umuntu ukora nta biryo. Ikindi ni uko uturemangingo tudasanzwe dukora muri ubu buryo dupfa mbere y'uko uturemangingo dusanzwe tugera. Bityo umubare w'uturemangingo tw'amaraso dutukura mu mubiri uragabanuka.

2. Kubura amaraso mu buryo bwa macrocytic non-megaloblastic

Ubwo bwoko bushobora kugaragara iyo ufite izindi ndwara zigira ingaruka ku bushobozi bw'umubiri wawe bwo kwinjiza intungamubiri. Ibi bivuze ko nubwo warya neza, umubiri wawe ntubona intungamubiri ukeneye. Hari indwara zimwe na zimwe zishobora kubitera.

Indwara zitera indwara yo kubura amaraso mu buryo butari ubwa megaloblastic macrocytic anemia

Hari impamvu nyinshi z'ingenzi zibitera:

• Indwara ya Myelodysplastic: Mu by'ukuri iyi ni itsinda ry'indwara. Ikibaho hano ni uko hari ikibazo kiri mu musokoro w'amagufwa yawe kandi ntushobora gukora uturemangingo tw'amaraso tuzima. Ni nk'imashini yangiritse mu ruganda idashobora gukora ibintu byiza.
• Indwara yo gukoresha inzoga: Iyo unyoye inzoga nyinshi, umubiri wawe uhagarika kwakira Vitamine B12. Iki ni ikibazo ku bantu benshi. Hari abantu bibwira ko kunywa bike ari byiza, ariko iyo unyoye cyane niho ibibazo bivuka.
• Hypothyroidism:Iyi ni indwara igira ingaruka ku mikorere ya tiroyide. Iyi mvubura nto iri mu ijosi ryacu igenzura imikorere myinshi y'umubiri. Rero iyo idakora neza, indwara nk'iyi ishobora kubaho.

Kuki habaho kubura amaraso mu maraso (macrocytic anemia)?

Nkuko mubibona, iyi ndwara iterwa ahanini no kubura vitamine B12 na/cyangwa folate (vitamine B9), ari ingenzi mu gukora uturemangingo tw’amaraso dutukura dufite ubuzima bwiza, cyangwa se n’izindi ndwara zibuza umubiri kwinjiza izi ntungamubiri. Muri make, "ibikubiye" bikora uturemangingo tw’amaraso dutukura ntibihagije, cyangwa umubiri ntushobora kubyinjiza.

Abaganga babibona bate?

Niba ufite ibi bimenyetso, ikintu cya mbere muganga cyangwa umuforomo azakora ni ukugusuzuma no kukubaza ibimenyetso byawe. Bazakubaza igihe umaze wumva unaniwe, uko indyo yawe imeze, ndetse niba hari izindi ndwara ufite. Hanyuma bashobora gutumiza ibizamini by'amaraso, nka:

• Umubare wuzuye w'amaraso (CBC): Iki ni ikizamini cy'ibanze cy'amaraso gikunze gukorwa. Kigenzura umubare w'uturemangingo dutukura tw'amaraso yawe, umubare w'uturemangingo tw'umweru tw'amaraso, n'umubare wa platelets. Kinasuzuma niba uturemangingo dutukura tw'amaraso yawe twagutse mu ndwara ya macrocytic anemia ndetse n'urugero rwa hemoglobine yabo.
• Gupima amaraso mu maraso (PBS): Iki ni ikizamini cyihariye. Bitandukanye n'ibindi bipimo by'amaraso, abaganga bafata icyitegererezo cy'amaraso yawe, bakayasiga ku kirahuri, bakayasiga irangi, hanyuma bakayareba munsi ya mikorosikopi kugira ngo barebe uturemangingo tw'amaraso. Ibi bituma babona imiterere, ingano, n'ibara ry'uturemangingo. Uturemangingo tunini dutukura tw'amaraso (macrocytes) dushobora kugaragara neza.
• Umubare wa reticulocytes: Reticulocytes ni uturemangingo dushya tw’amaraso dutukura tudakuze. Ni nk’uturemangingo tw’ “abana” tuba mu musokoro w’amagufwa hanyuma tukarekurwa mu maraso. Iki kizamini kireba niba umusokoro w’amagufwa yawe utanga uturemangingo dutukura dufite ubuzima bwiza buhagije. Iki kizamini gishobora kuguha igitekerezo cy’uburyo umusokoro w’amagufwa yawe ukora uturemangingo dushya mu rwego rwo guhangana n’indwara yo kubura amaraso.

Hamwe n'ibi bizamini, ibizamini bitandukanye bishobora gukorwa kugira ngo harebwe urugero rwa Vitamine B12 na folate, bibaye ngombwa.

Ibi bivurwa bite?

Uburyo bwo kuvura buterwa n'impamvu nyamukuru y'iyi ndwara. Abaganga bazagerageza gufasha umwongo wawe kongera gukora uturemangingo tw'amaraso dutukura dufite ubuzima bwiza.

Tekereza, ufite iyi ndwara kuko utarya neza, cyangwa kuko indyo yawe idafite Vitamine B12 cyangwa Folate.Birashoboka. Abantu benshi barya inyama bashobora kubura Vitamine B12, kuko iboneka cyane cyane mu biribwa by’inyamaswa. Niba ari uko bimeze, muganga wawe ashobora kuguha inyongeramusaruro zirimo iyi ntungamubiri, haba mu buryo bw’ibinini cyangwa wenda mu inshinge. Ushobora kubwirwa gufata izi nyongeramusaruro kugeza igihe ibizamini by’amaraso byemejwe ko uturemangingo tw’amaraso dutukura dufite ubuzima bwiza.

Hari igihe abantu barya neza, ariko hari ikibazo kibuza umubiri kwinjiza izo ntungamubiri . Urugero, ibi bishobora guterwa n'ibibazo bimwe na bimwe byo mu gifu. Muri ibyo bihe, muganga ashobora no kuguha inyunganiramirire.

Igikuru ni ukuvura impamvu nyamukuru.

Urugero, hari abantu bafite ibibazo by’uburwayi (nk’indwara ya myelodysplastic) bibuza umubiri kwinjiza intungamubiri z’ingenzi. Muri icyo gihe, iyo ndwara igomba kuvurwa. Niba ufite hypothyroidism, gufata imiti yo kuyivura nabyo bishobora kugufasha kugabanya amaraso yawe.

Abantu benshi barwara iyi ndwara yo kubura amaraso mu mubiri bitewe nuko banywa inzoga nyinshi. Niba ari uko bimeze, muganga wawe ashobora kukwohereza ku buvuzi no kuguha inama kugira ngo bagufashe kugenzura ikoreshwa ryawe ry'inzoga. Ibi ntabwo byoroshye, ariko bishobora gukorwa ukoresheje ubufasha.

Ese ibi bishobora kwirindwa ko bitabaho?

Kubera ko hari impamvu nyinshi zitera indwara yo kubura amaraso mu buryo bwa macrocytic, biratugora kwirinda zimwe mu ndwara zisanzwe. Ariko, niba udafite iyo ndwara yihariye, hari intambwe nyinshi ushobora gutera kugira ngo ugabanye, ndetse wenda no gukumira iyi ndwara:

• Ite ku buzima bwawe muri rusange: Ibimenyetso bya macrocytic anemia bishobora kuba byoroshye mu ntangiriro, ariko bishobora kwiyongera uko igihe kigenda gihita. Nubona impinduka mu mubiri wawe, nko kunanirwa cyane, umunaniro, kubabara mu gituza, cyangwa uruhu rwerurutse , vugana na muganga wawe vuba. Ntugatekereze gusa ko "wari uhuze cyane muri iyi minsi."
• Kurya indyo yuzuye: Akenshi, ikintu gikomeye kibitera ni ukutabona vitamine B12 cyangwa folate ihagije. Kubwibyo, ni ngombwa cyane kurya indyo yuzuye kandi ifite intungamubiri.
• Ibyokurya bikungahaye kuri vitamine B12: inyama, amafi, amagi, amata n'ibikomoka ku mata (yawurute, foromaje).
• Ibiribwa bikungahaye kuri folate: Imboga z'icyatsi, imboga z'amababi (epinari, kale, salade), ibishyimbo, ibishyimbo, lentile, amacunga, ubunyobwa.

Gerageza gushyira ibi mu mafunguro yawe.

Bigenda bite iyo ngize Macrocytic Anemia?

Abantu benshi bakira iyi ndwara yo kubura amaraso nyuma yo gufata inyunganiramirire ya vitamine. Ni ukuvuga ko umusaruro uba mwiza.Ariko, iteganyagihe ry’umuntu ufite ikibazo cy’uburwayi gishingiye ku ndwara ye bwite n’imiterere ye bwite. Muganga wawe azagusobanurira ibi.

Nitwara nte?

Niba ufite iyi ndwara, ushobora gukora ibi bikurikira kugira ngo wite ku buzima bwawe:

• Fata imiti y’inyongera yanditswe na muganga wawe neza neza mu gihe cy’ubuvuzi. Ibi ni ingenzi cyane. Hari abantu bahagarika gufata imiti yabo iyo bumvise bameze neza, bityo ntukabikore.
• Tegura akamenyero ko kurya neza kugira ngo ubone vitamine B12 na folate bihagije. Ushobora kandi gusaba inama ku nzobere mu by'imirire.
• Niba wumva ibimenyetso byawe byo kubura amaraso bigarutse (urugero, kumva unaniwe, kumva unaniwe), hita ubonana na muganga wawe.
• Niba kunywa inzoga ari ikibazo, shaka ubufasha bwo kubigenzura.

Nkuko mubibona, abantu barwara indwara ya macrocytic anemia iyo batabonye intungamubiri zihagije zifasha imibiri yabo gukura neza kw'uturemangingo dutukura tw'amaraso. Ibi bishobora kubaho ku bantu bakurikiza indyo runaka cyangwa bafite indwara zimwe na zimwe. Wibuke ko indwara ya macrocytic anemia atari indwara ikomeye, ariko ishobora gutera ibibazo bikomeye by'uburwayi iyo itavuwe. Kurya indyo yuzuye bishobora kugufasha kwirinda iyi ndwara. Niba uhangayikishijwe n'ibi, vugana na muganga wawe. Ashobora gusuzuma indwara yawe no kukugira inama y'uburyo bwo kunoza indyo yawe. Niba ufite indwara ya macrocytic anemia, muganga wawe ashobora kukwandikira inyongera kugira ngo zigufashe kongera intungamubiri zibura. Azanagufasha kugira ingeso nziza.

Ubutumwa bwa nyuma bwo kujyana mu rugo

• Kubura amaraso mu maraso ni indwara ituma umwobo w'amagufwa ukora uturemangingo dutukura tudasanzwe.
• Impamvu nyamukuru zibitera ni ukubura vitamine B12 cyangwa folate (vitamine B9) cyangwa ibibazo byo kuyifata.
• Bishobora kandi guterwa n'indwara nko kunywa inzoga nyinshi no kudakora neza kw'imitsi.
• Niba ubonye ibimenyetso nko kunanirwa kenshi, kugorwa no guhumeka, no kugira uruhu rwerurutse, shaka inama kwa muganga.
• Iyi ndwara ikunze kuvurwa n'indyo ikwiye no gufata inyongeramusaruro zanditswe na muganga.
• Niba hari ikibazo cy’uburwayi cyihishe inyuma , ni ngombwa kukivura.

Wite ku buzima bwawe, urye indyo yuzuye, kandi ntukibagirwe kujya kwa muganga niba ubona ikintu gitandukanye!

Kubura amaraso mu maraso, kubura amaraso mu maraso, vitamine B12, folate, uturemangingo dutukura tw'amaraso, umworera w'amagufwa, kubura intungamubiri