Ese ntabwo ufata neza ibyo urya? Reka tuvuge kuri ibi (Malabsorption)!

Ese ukunze kugira ibibazo byo mu gifu? Ese rimwe na rimwe wumva uhaze kandi ufite umwuka? Cyangwa ukunze kurwara indwara yo kubyimba? Hari igihe dutekereza ko ibi ari ibintu bisanzwe, ibintu bibaho iyo ibiryo birimo ibirungo bike. Ariko, niba ibi bimenyetso bikomeje, bishobora kuba biterwa nuko umubiri wawe utarimo kwinjirira intungamubiri ukeneye mu byo urya. Mu buvuzi, iyi ndwara tuyita (Malabsorption).

Iki ni iki (Malabsorption)?

Mu magambo make, kubura ubushobozi bwo kubyibuha ni ijambo rusange risobanura kudashobora kwinjiza neza intungamubiri mu biribwa urya. Iyi si indwara imwe, ahubwo ni indwara ishobora guterwa n'ibintu byinshi. Tekereza nawe, iyo turya ibiryo, kugira ngo bitange imbaraga n'intungamubiri ku mibiri yacu, bigomba gusya neza no kwinjiza neza, si byo se?

Dushobora kugabanya inzira yo gusya ibiryo mo ibice bitatu:

1. Igice cya mbere: Gukata ibiryo neza no kubigabanyamo ibice bishobora kugogorwa.

2. Igice cya kabiri: Gufata intungamubiri zose umubiri ukeneye mu biribwa bisya.

3. Igice cya Gatatu: Gusohora imyanda isigaye nyuma y'uko ibintu byose byiza bimaze gushorwa.

Noneho, niba ufite ibibazo by'igogora, ikibazo gishobora kuba kiri muri kimwe muri ibi byiciro. Kubura ibiryo mu mubiri ni kimwe mu bigize icyiciro cya kabiri . Ibi bivuze ko nubwo ibiryo bigogorwa, intungamubiri ntizinjira mu mubiri. Ibi bishobora guterwa n'indwara nko kubura enzymes zibuza umubiri gugogora ibiryo bimwe na bimwe (urugero, bamwe ntibashobora gugogora amata) n'indwara zitandukanye zo mu mara zigira ingaruka ku buryo bwo gugogora.

Bigenda bite iyo habayeho kwiyongerera ubushobozi bwo kubyimbirwa?

Niba ufite ikibazo cyo kubura ibiryo mu mubiri, ushobora kugira ikibazo cyo kwinjiza intungamubiri zose, cyangwa ushobora kugira ikibazo cyo kwinjiza intungamubiri nkeya gusa. Ibintu udashobora kwinjiza bisohoka mu mwanda wawe bitaragogorwa. Abantu benshi bafite ikibazo cyo kubura ibiryo mu mubiri nabo bafite indwara nk'impiswi, zishobora gutuma iki kibazo cyo kwinjiza ibintu kirushaho gukomera. Ibi biterwa nuko iyo ufite ikibazo cyo kubura ibiryo, ibiryo binyura mu mara yawe vuba cyane, bityo intungamubiri ntizibone umwanya wo kwinjiza.

Mu gihe gito, kubura ibiryo bishobora gutera kubabara mu gifu no kumererwa nabi kuko bimwe mu biribwa bidashobora gugogorwa. Ariko uko igihe kigenda gihita, umubiri wawe uzatangira kugaragaza ibura ry’intungamubiri udashobora kwinjiza. Niba udafite intungamubiri nini - nka poroteyine, ibinure, na karubohidrati - uzatangira kubona ibimenyetso by’imirire mibi, nko gutakaza imitsi no kudakora neza k’ubudahangarwa bw’umubiri . Mu buryo nk’ubwo, niba udafite intungamubiri nini - nka vitamine na myunyungugu - amaso yawe, amagufwa, uruhu, n’umusatsi bishobora kugira ingaruka.

Ni ubuhe bwoko bw'ingenzi bwa malabsorption?

Zimwe mu ndwara zo mu mara, nka Celiac Disease na Inflammatory Alawel Disease (IBD), zishobora gutera ibibazo mu kwinjiza intungamubiri z'ubwoko bwose. Mu bindi bihe, ushobora kugira ibibazo byo kwinjiza intungamubiri runaka gusa. Dore zimwe muri izo ndwara:

Karubohidrati ntizinjira neza mu mubiri.

Hari abantu bumva ko hari isukari imwe cyangwa nyinshi (isukari). Ushobora kubibona cyane cyane nk'umwuka , kubyimba, no kubabara mu nda . Karubohidrati zidashyirwa mu mara yawe mato ziterwa na bagiteri ziri mu mara yawe manini. Izi bagiteri zihindura umwuka na aside irike y'uruhererekane rugufi. Uwo mwuka utera umwuka mu nda yawe, kandi aside irike y'uruhererekane rugufi ishobora gutuma amenyo yawe arushaho kubyibuha.

Ibinure ntibishyirwa mu mubiri neza

Ubu kandi ni ubwoko busanzwe bwo kubura ubushobozi bwo kubyimbirwa. Bushobora kugira impamvu nyinshi. Ibinure bitajya mu mara mato bijya mu mara mato, bigatera amacandwe asa n'ibinure. Ibi kandi twita steatorrhea. Ubu bwoko bw'amacandwe ni amavuta, afite amazi, kandi anuka nabi . Ashobora kuba afite ibara ryoroheje kandi akareremba mu mazi. Kubera ko ibinure bidakwirakwira neza, uburyo bwo kwinjiza vitamine zishonga mu mavuta (vitamine A, D, E, na K) nabwo buragabanuka.

Kudafata neza aside y'ibinure

Hari igihe ibinure bidashobora kwinjiza kubera ko agasabo k'inkari, imiyoboro y'inkari, cyangwa umwijima bidatanga inyo ihagije. Ariko hari igihe impamvu iba ari ikindi kintu. Hanyuma, aside y'inkari itajyamo iguma mu mara mato ikajya mu mara manini. Iyi ngaruka mbi yitwa Bile Acid Malabsorption. Umunyu w'inkari usigaye muri ubu buryo wongera isohoka ry'amazi mu mara manini, bigatera impiswi igihe kirekire .

Poroteyine ntizinjira neza mu mubiri

Muri rusange, keretse niba udashobora kwihanganira ubwoko runaka bwa poroteyine, ni ukuvuga kudashobora kuyisya, ni gake cyane kugira ibibazo byo kuyisya gusa. Ingero z'ibi ni ukudashobora gusya poroteyine iri mu mata no kudashobora gusya ibiryo birimo gluten.

Ni ibihe bimenyetso bigaragara iyo umuntu adafite ubushobozi bwo kubyimbirwa?

Mu ntangiriro, kubura ubushobozi bwo kubyimbirwa bishobora gusa nkaho ari ikibazo cyo kubura ibiribwa. Ibimenyetso bishobora kuba birimo:

• Kubabara mu gifu.
• Kubyimba, kuzuza igifu.
• Gutembera kenshi k'umwuka (gas).
• Isesemi no kuruka.
• Impiswi.
• (Steatorrhea) - Imyanya y'ibinure, amavuta, rimwe na rimwe ihinduka ibara, ireremba.

Uko igihe kigenda gihita, ibimenyetso by'imirire mibi bitangira kugaragara.

Intungamubiri z'ingenzi zishobora kumera gutya:

• Kugabanya ibiro utabigambiriye.
• Gutakaza imitsi, kugabanya ibiro.
• Indwara zikunze kugaragara (ziterwa n'ubudahangarwa buke bw'umubiri).
• Uruhu ruhinduka ubururu nubwo rwaba rufite agasebe gato.
• Uruhu rwumye, ibisebe by'uruhu.
• Umusatsi wumye, gutakaza umusatsi.
• Kubura amazi mu mubiri (kubura amazi mu mubiri).
• (Edema) - Kubyimba k'umubiri (biterwa no kubika amazi mu mubiri).
• Anemia - uburibwe, intege nke, isereri.
• Kurakara buri gihe, kutagira icyo ushishikajwe na cyo, umunaniro.
• Guhagarika cyangwa guhagarara mu mihango ku bagore (Amenorrhea).
• Kudindira mu mikurire y'abana.

Imirire mibi ku ntungamubiri ishobora kumera gutya:

• Kutabona neza nijoro (kubura Vitamine A).
• Amagufwa adakomeye, ububabare bw'amagufwa (kubura Vitamine D).
• Kuva amaraso mu ishinya, kuva amaraso mu mazuru (kubura Vitamine K).
• Ururimi rutukura, ibisebe ku rurimi (kubura Vitamine B12).
• Kudatungana, kugira intege nke, isereri (kubura vitamine).

Ni izihe mpamvu nyamukuru zitera kubura ubushobozi bwo kubyimbirwa?

Kudafata imiti mu buryo busanzwe bishobora kuba iby'igihe gito, nko mu gihe ufite agakoko ko mu gifu cyangwa ibicurane byo mu gifu. Ariko kudafata imiti mu buryo busanzwe biterwa n'indwara umaze igihe kinini urwaye. Hari impamvu nyinshi zitera kudafata imiti mu buryo busanzwe, ariko muri rusange zigwa mu byiciro bike.

Kwangirika k'urura ruto

Intungamubiri nyinshi zinjira mu mara mato (zimwe zinjira no mu mara manini). Uduce tw’ururenda two mu mara yawe tugira uruhare mu gusohora imisemburo yo mu gifu no kwinjiza ibiryo mu maraso yawe. Ariko, uru rurenda rushobora kwangirika bitewe no kubyimba (enteritis) no gukomereka. Uku kwangirika gushobora kuba ukw’igihe gito (gukomeye) cyangwa igihe kirekire (kudakira). Hari impamvu nyinshi zibitera:

• Indwara zandura nka Whipple's Disease na Tropical Sprue.
• Indwara zo mu mara ziterwa n'ubushyuhe (IBD) nka Ulcerative Colitis na Crohn's Disease.
• Indwara ziterwa n'ubwiyongere bw'umubiri nk'indwara ya Celiac.
• Gukoresha imiti imwe n'imwe cyane.
• Indwara yo gukoresha inzoga.
• Ubuvuzi bushingiye ku mirasire na chimiotherapie.
• (Syndrome y'amara magufi) - Ubugufi bw'amara mato.
• (Gukura cyane kwa bagiteri mu mara mato - SIBO) - Gukura cyane kwa bagiteri mu mara mato.
• Ikorwa ryinshi rya aside yo mu gifu mu ndwara nka Zollinger-Ellison Syndrome.

Indwara z'indurwe, indwara z'umwijima,

Pancreas yawe, umwijima, n'agasabo bikorana n'amara yawe mato kugira ngo bigufashe gusya ibiryo. Pancreas ikora imisemburo y'ingenzi mu igogora. Umwijima n'agasabo bibyara kandi bikabika inyo. Iyi nyo ni ingenzi mu gusya ibinure. Iyo ibiryo biriwe, izi ngingo zirekura imyanda yazo mu mara mato. Ariko, iyo izi ngingo zidakora neza bitewe n'indwara runaka, amara mato ntashobora gusya no kwinjiza ibiryo neza. Ingero:

• Kudakora neza kw'imisemburo ya Pancreatic.
• (Cystic Fibrosis).
• Kuziba kw'imiyoboro y'inkondo y'umura.
• Indwara z'umusonga.
• Indwara y'umwijima.

Indwara z'imitsi

Ibinure byinjira mu mara yawe mato mu maraso binyuze mu miyoboro ya limfu. Iyo iyi miyoboro izibye bitewe n'indwara z'imiyoboro ya limfu, ibinure bishobora kugabanuka. Lymphangiectasia yo mu mara na Lymphoma ni ingero ebyiri z'ibi.

Kudashobora gusya ibiryo bimwe na bimwe (Kutabasha kwihanganira ibiryo)

Kudashobora gusya ibinyasukari cyangwa poroteyine zimwe na zimwe bishobora kuba ingaruka mbi z'indwara zo mu mara. (Urugero ni ukudashobora gusya fructose). Ariko rimwe na rimwe abantu bavuka badafite imisemburo ikenewe kugira ngo basya intungamubiri zimwe na zimwe. (Urugero rwiza rw'ibi ni ukudashobora gusya lactose - Kudashobora kwihanganira Lactose).

Wamenya ute ko ufite ikibazo cyo kubura ubushobozi bwo kubyibuha?

Kimwe n’izindi ndwara nyinshi zo mu mara, gusuzuma indwara yo kubura amaraso ni inzira igenda buhoro buhoro. Muganga wawe azabanza kugusuzuma no gusuzuma amateka y’ubuzima bwawe n’ibimenyetso by’uburwayi bwawe. Kubura amaraso bishobora gukeka ko ari indwara idakira yo mu mara cyangwa niba warigeze kubagwa.

Kubura ibiryo biryoshye no kurya nabi bishobora gukekanwa cyane iyo hagaragaye ibimenyetso bimwe na bimwe, nka steatorrhea yavuzwe haruguru (imyanya y'ibinure) no gucibwamo bidashira, cyangwa kubura amaraso no gutakaza imitsi bigaragara. Ariko, rimwe na rimwe, ibi ntibigaragara cyane. Muganga wawe azagukorera ibizamini bikwiye kugira ngo amenye impamvu nyayo ikubangamiye.

Ni ibihe bipimo bikoreshwa mu gusuzuma indwara yo kubura ubushobozi bwo kubyimbirwa?

• Ibizamini by'Ubuhumekero: Ikizamini cya hydrogen breath gishobora gufasha mu gusuzuma indwara nko kutihanganira lactose, ibibazo byihariye by'igogora rya karubohidrati, na SIBO (kwiyongera cyane kwa bagiteri zo mu mara mato).
• Isuzuma ry'imyanya: Isuzuma ry'imyanya rishobora gupima ingano y'ibinure biri mu mwanya wawe kandi rigafasha mu gusuzuma ko ibinure bidahagije. Rishobora kandi kumenya ibintu nk'indwara zandurira mu mitsi n'imikorere mibi ya pancreas.
• Gupima amaraso: Ibi bishobora kugaragaza ibimenyetso by'ibura ry'intungamubiri runaka rishobora guterwa no kubura ubushobozi bwo kubyimbirwa n'indwara zimwe na zimwe nka Celiac Disease.
• Ikizamini cy'ibyuya: Iki ni ikizamini cyihariye cyo gusuzuma indwara (Cystic Fibrosis).
• Ibizamini byo Gupima Indwara: Muganga wawe ashobora gushaka kureba ingingo z'igifu cyawe kugira ngo arebe niba hari ibimenyetso. Ibi bishobora kuba birimo gupimwa na X-ray, Endoscopic Ultrasound, cyangwa Video Capsule Endoscopy.
• Isuzuma ry'amara mato:Muganga ashobora gushaka gufata icyitegererezo cy'uturemangingo tw'amara yawe mato kugira ngo tuyapimwe muri laboratwari. Iyi biopsy ishobora gushakisha ibimenyetso by'uko agace k'amara yawe kangiritse (mucosa). Iki cyitegererezo gishobora gufatwa mu gihe cyo gupima indwara.

Indwara yo kubura ubushobozi bwo kubyimbirwa ivurwa ite?

Hari impamvu nyinshi zishobora gutera kubura ubushobozi bwo kubyibuha, kandi ingaruka zishobora guterwa n’ibi ni nyinshi. Uburyo bwo kuvura buzagenwa hashingiwe kuri izi mpamvu.

Kugira ngo uvure ingaruka zo kubura umwuka uhagije, ushobora gukenera inyongeramusaruro mu mirire . Zishobora gutangwa mu kanwa, binyuze mu muyoboro (kugaburira mu muyoboro), cyangwa mu mitsi (IV - mu mitsi). Ushobora kandi gukenera gufata imisemburo yihariye yo mu gifu. Ibi bishobora guterwa no kuba udashobora gusya ibiryo runaka cyangwa ko pancreas yawe idakora neza. Niba ufite ikibazo cyo kudakura umwuka uhagije mu gifu, ushobora guhabwa ikintu cyitwa sequestrant ya bile acid kugira ngo igufashe kwirinda impiswi.

Kuvura impamvu nyamukuru itera indwara yo kubura ibiryo bishobora kugorana cyane. Niba ari ukwihanganira ibiryo gusa, ushobora gusa gukenera guhindura indyo yawe. Ubwandu bworoheje bushobora kuvurwa na antibiyotike. Ariko indwara z'igihe kirekire zisaba ubuvuzi bwihariye. Hari igihe nta muti wihuse uboneka, ariko guhindura imibereho bishobora gufasha kugenzura ibimenyetso.

Ese kubura ubushobozi bwo kubyimbirwa bizakira?

Ibi biterwa no kumenya impamvu nyayo no kuyivura neza. Hari impamvu zoroshye kuvura kurusha izindi. Iyo umaze kumenyekana, muganga wawe azagusobanurira ibisobanuro birambuye ku ndwara yawe. Kenshi na kenshi, guhindura imibereho yawe bishobora kugufasha kuvura iyo ndwara (malabsorption) n'ibimenyetso byayo.

Abantu benshi rimwe na rimwe bagira ibibazo byo kudakora neza mu gifu, kubyimba, umwuka no gucibwamo. Iyo ikintu urya kitakubereye, ushobora kugira ibimenyetso by'igihe gito, ariko akenshi birashira ubwabyo. Ubu bwoko bwo kudakora neza mu gifu nta mpungenge bufite. Ariko niba uhora ugira ibi bimenyetso, bishobora kuba ikimenyetso cy'ikintu gikomeye kurushaho. Impiswi ikomeje ni ikintu ugomba guhora uhangayikishijwe na cyo.

Kurya ibiryo bitararyoshye bishobora kuba impamvu ihishe itera imirire mibi. Kubera ko imirire mibi ikura buhoro buhoro, ushobora kutayibona kugeza igihe ibaye ikomeye cyane, cyane cyane niba uri umuntu urya neza. Ibi ni bibi cyane ku bana. Bakeneye indyo nyinshi kugira ngo bakure kandi bakure neza, kandi bashobora kutabasha kukubwira ibimenyetso byabo. Niba umwana wawe agaragaza ibimenyetso byo kubabara mu nda kenshi, cyane cyane kwituma mu myanya ndangagitsina, ni ngombwa kujya kwa muganga kugira ngo barebe neza ko nta kibazo afite cyo kurya ibiryo bitararyoshye.

Ni ubuhe butumwa twifuza kujyana muri iyi nkuru?

Noneho rero, ubu tuzi ko kubura ubushobozi bwo gufata intungamubiri mu mubiri ari ijambo rusange risobanura kudashobora kwinjiza intungamubiri mu byo turya. Hari impamvu nyinshi zishobora kubitera, kandi ibimenyetso bishobora gutandukana bitewe n'umuntu ku wundi.

• Niba uhura n'ibimenyetso nko kubabara mu gifu kenshi, impiswi, kubyimba, no kugabanya ibiro utabigambiriye , ntukabivuge gusa nk'umuntu udashaka ibiribwa.
• Kurya ibiryo bitararyoshye bishobora gutera imirire mibi , bishobora kugira ingaruka mbi nyinshi ku mubiri.
• Niba wowe cyangwa umwana wawe mukomeje kugira ibi bimenyetso, menya neza ko mukeneye ubufasha kwa muganga .
• Iyo isanzwe igaragaye neza kandi ikavurwa neza, iyi ndwara irashobora gukemurwa.

Wibuke ko ari ngombwa kumva icyo umubiri wawe ukubwira. Nubwo bishobora gusa nkaho ari ibintu bito, rimwe na rimwe bishobora kuba intangiriro y'ikintu kinini. Kubwibyo, kwita ku buzima bwawe ni cyo kintu cy'ingenzi kurusha ibindi.

Kubura ibiryo , kubura intungamubiri, igogora, impiswi, imirire mibi, kubura vitamine, kubabara mu gifu