Ese uturemangingo tw'amaraso dutukura ni duto? Ibi byitwa microcytic anemia!

Ese ukunze kumva unaniwe, unaniwe, cyangwa uzuzumwe iyo uhagaze? Ese uruhu rwawe rimwe na rimwe rusa n'aho rusa n'aho rusa n'aho rusa n'aho rusanzwe iyo wirebye mu ndorerwamo? Ntugafate nk'indwara y'umubiri gusa. Kuko, ibi bishobora kuba ibimenyetso by'ikibazo cy'uturemangingo tw'amaraso dutukura. Ikibazo benshi muri twe tuzi, ariko ntitukizi, cyitwa Microcytic Anemia .

Microcytic Anemia ni iki?

Mu magambo make, indwara yo kubura amaraso mu maraso (microcytic anemia) ni igihe uturemangingo tw’amaraso dutukura tuba duto kurusha uko bisanzwe. Kuki ibi bibaho? Impamvu nyamukuru ni uko poroteyine iri muri utwo turemangingo tw’amaraso dutukura twitwa hemoglobine igabanuka. Tekereza muri ubu buryo: hemoglobine imeze nk’imodoka itwara umwuka wa ogisijeni mu mibiri yacu. Rero iyo iyi modoka igabanutse, uturemangingo tw’amaraso dutukura ntitwitwara umwuka wa ogisijeni neza. Mu buryo nk’ubwo, iyo hemoglobine igabanutse, ibara ry’uturemangingo tw’amaraso dutukura naryo riragabanuka, bivuze ko tuba dufite hypochromic . Akenshi, uturemangingo tw’amaraso dutukura tw’abantu bafite ikibazo cyo kubura amaraso mu maraso (microcytic anemia) tuba dufite ibara ry’umukara.

Hari igihe abaganga bafata ko ari ikibazo cy’uburwayi, ndetse n’ikimenyetso cy’izindi ndwara zo kubura amaraso n’indwara z’amaraso. Bivurwa no gushaka icyabiteye no kuvura iyo mpamvu.

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

Iyo ufite iyi ndwara, ushobora kugira ibimenyetso bitandukanye. Si abantu bose babibona kimwe. Ariko ibimenyetso bikunze kugaragara birimo:

• Kumva unaniwe kandi nta buzima ufite igihe cyose, nk'aho umaze umunsi wose ukora.
• Kuzungera, kumva uzunguruka.
• Uruhu rwerurutse. Uruhu rwawe rushobora kuba rworoshye kurusha uko bisanzwe.
• Kumva umutima wawe urimo gutera cyane.
• Guhumeka bigoranye, nko gucika intege. Ndetse no gukora ikintu gito cyane bituma ucika intege.
• Uruhu rwumye.
• Uruhu rukomereka byoroshye. Ruhinduka ubururu nubwo rwakubiswe gato.

Kuki iyi ndwara yo kubura amaraso mu mubiri (microcytic anemia) ibaho?

Impamvu nyamukuru kandi ikunze gutera ibi ni ukubura icyuma . Wari uzi ko icyuma ari ingenzi mu gukora hemoglobin mu turemangingo dutukura tw'amaraso yacu? Rero, iyo nta cyuma gihagije, hemoglobin ntikorwa kandi uturemangingo dutukura tw'amaraso turagabanuka. Hari igihe ibintu bigize imiterere y'uturemangingo nabyo bishobora kubangamira iterambere ry'uturemangingo dutukura tw'amaraso.

Noneho, reka tuganire mu buryo burambuye ku mpamvu zimwe na zimwe z'ingenzi zigira ingaruka kuri ibi:

• Anemia yo kubura icyuma (IDA): Iyi ni anemia ya microcytic hypochromic anemia.Impamvu ikunze kugaragara cyane ya `(microcytic hypochromic anemia)` ni ukuva amaraso menshi (urugero, kuva amaraso menshi mu gihe cy'imihango ku bagore, cyangwa kuva amaraso bitewe n'igisebe gito mu mara) cyangwa guterwa no kutabona icyuma gihagije mu biryo turya. Tekereza, rimwe na rimwe mu ngo zacu, bamwe ntibarya imboga, inyama n'amafi neza. Cyangwa, iyo dufata ibintu nk'icyayi cy'amata hamwe n'ibiryo, umubiri ufata icyuma gito. Hanyuma dushobora kugira ikibazo cyo kubura icyuma.
• Thalassemia: Izi ni indwara z’amaraso zigira ingaruka ku bushobozi bw’umubiri bwo gukora hemoglobine n’uturemangingo dutukura tw’amaraso. Iyi ni indwara igaragara ku rugero runaka mu gihugu cyacu.
• Kubura amaraso mu mubiri bitewe n’indwara zidakira: Ubu bwoko bwa anemia bushobora kugaragara iyo ufite indwara y’igihe kirekire itera ububabare mu mubiri wawe. Ibi bivuze ko umubiri wawe udashobora gukoresha icyuma gifite. Urugero, harimo indwara zidakira, indwara ziterwa n’ubwiyongere bw’umubiri (nk’indwara zo mu bwonko ziterwa n’imitsi, indwara ziterwa n’imitsi), na kanseri.
• Kubura amaraso mu maraso: Iyi ni indwara idakunze kugaragara mu maraso. Ibi bivuze ko umwongo w'amagufwa yawe udashobora gukora uturemangingo dutukura dusanzwe. Ibi bivuze ko nubwo waba ufite icyuma, kidashobora gukoreshwa mu gukora hemoglobin.
• Uburozi bwa lead: Kubura amaraso mu mubiri bishobora no guterwa no kumara igihe kinini urya lead. Mu bihe byashize, lead yabonekaga mu marangi no mu bikinisho bimwe na bimwe. Ubu hari amategeko menshi abigengaho, ariko lead iracyaboneka mu bidukikije.

Uretse ibi, hashobora kubaho izindi mpamvu:

• Kutabona umuringa uhagije mu biribwa. Umuringa unafasha mu ihinduka ry'icyuma.
• Kubona zinc nyinshi mu biribwa cyangwa mu nyongeramusaruro. Gufata zinc nyinshi bishobora kugabanya ubushobozi bw'umubiri bwo kwinjiza icyuma.
• Imiti imwe n'imwe (cyane cyane iyo umuntu ayifata ku nama za muganga).
• Kunywa inzoga nyinshi . Inzoga zishobora gutera kubura intungamubiri.

Ni izihe ndwara zitera indwara yo kubyimba iterwa no kubura amaraso mu mubiri (microcytic anemia )?

Hari indwara nyinshi zitera ububyimbirwe mu mubiri. Iyo ububyimbirwe bumaze igihe kirekire , bishobora kugira ingaruka ku ikorwa ry’uturemangingo dutukura mu maraso, kandi bigatera indwara yo kubura amaraso mu buryo bwa microcytic. Urugero:

• Indwara z’ubudahangarwa bw’umubiri:Izi ni indwara aho ubudahangarwa bw'umubiri wacu bwibasira uturemangingo twacu. Urugero, harimo indwara zo mu mara ziterwa n'ububyimba (nk'indwara ya Crohn na colitis y'ibisebe), rubagimpande, na lupus.
• Kanseri
• Indwara y'impyiko idakira
• Indwara zidakira ( nk'igituntu)

Ibi nabyo bishobora gutera iki kibazo.

Ni gute indwara yo kubura amaraso mu buryo bwa microcytic ipimwa?

Abaganga bapima amaraso menshi cyane cyane kugira ngo bamenye iyi ndwara:

• Umubare wuzuye w'amaraso (CBC): Iki kizamini giha abaganga amakuru y'ingenzi ku rugero rwa hemoglobin yawe, umubare w'uturemangingo dutukura tw'amaraso, ndetse n'ikirenzeho, ingano y'uturemangingo dutukura tw'amaraso yawe. Niba MCV yawe (Ingano y'amaraso) iri munsi ya femtolita 80 (80 fL), bivuze ko ufite microcytosis (uturemangingo duto dutukura tw'amaraso).
• Gupima amaraso mu maraso (PBS): Ibi bikubiyemo gufata icyitegererezo cy'amaraso yawe ukagisuzuma ukoresheje mikorosikopi. Ibi bishobora gufasha kureba niba uturemangingo dutukura tw'amaraso yawe ari duto kurusha uturemangingo (microcytosis) cyangwa niba ari utubumbe duto (hypochromic) . Bishobora kandi gufasha kureba niba hari impinduka mu miterere y'uturemangingo dutukura tw'amaraso yawe.
• Inyigo z'icyuma: Ibi bizamini bikorwa kugira ngo harebwe uko umubiri wawe ubika kandi ugakoresha icyuma. Ikizamini cya Ferritin ( kikubwira ingano y'icyuma kiri mu mubiri wawe) n'ikizamini cy'ubushobozi bwose bwo gufata icyuma (TIBC) ni ibizamini bishobora kugufasha muri ibi.

Nyuma yo gusuzuma indwara ya microcytic anemia , muganga ashobora gukora ibindi bipimo (urugero: ikizamini cy’imyanya, endoscopi) kugira ngo amenye impamvu nyayo.

Ese indwara yo kubura amaraso mu mubiri (microcytic anemia) ivurwa ite?

Ibi bivurwa hakoreshejwe uburyo bwo kuvura impamvu nyamukuru . Ni ukuvuga ko impamvu ya mbere yatumye ibi bimenyetso bigaragara iboneka kandi ikavurwa.

Urugero, niba ufite ikibazo cyo kubura icyuma gihagije, muganga wawe ashobora kuguha inyunganiramirire ya feri . Ibi bikunze gukenera gufatwa mu mezi menshi. Hari igihe, niba ibinini bigoye kwihanganira (nk'indwara zo mu gifu cyangwa impatwe), cyangwa niba umubiri wawe udafata icyuma neza (nk'indwara zimwe na zimwe zo mu mara), ushobora guhabwa icyuma gikozwe mu cyuma, amazi arimo icyuma, binyuze mu mitsi . Ibi bishobora gusubiza urugero rw'icyuma cyawe vuba.

Niba watakaje amaraso menshi mu buryo butunguranye, urugero rwa hemoglobin yawe rukagabanuka cyane, kandi ukaba ufite ikibazo gikomeye cyo kubura amaraso, ushobora gukeneraGuterwa amaraso nabyo bishobora kuba ngombwa.

Iyo indwara idakira ya microcytic anemia iterwa n'indwara idakira, iyo ndwara irakira iyo ivuwe. Ku ndwara za genetiki nka thalassemia, uburyo bwo kuyivura bushobora kuba butandukanye, kandi bushobora gusaba ubuvuzi bw'igihe kirekire.

Ese indwara yo kubura amaraso mu mubiri ishobora kwirindwa?

Mu by’ukuri, indwara yo kubura amaraso mu maraso (microcytic anemia) ibaho iyo hari ikintu kigira ingaruka ku bushobozi bw’umubiri wawe bwo gukora uturemangingo tw’amaraso dutukura dufite ubuzima bwiza. Rero, rimwe na rimwe ntidushobora kugenzura ibyo bintu.

Urugero, kubura icyuma gitera ubushyuhe ni impamvu ikunze kugaragara. Mu bihe bimwe na bimwe, kurya indyo ikungahaye kuri feri (inyama z'inka, inkoko, amafi, amagi, lentile, ibishyimbo bibisi, amashaza, amashaza yumye n'ibishyimbo, imboga z'icyatsi kibisi nka epinari, kale, imboga zo mu bwoko bwa collard, amateke n'imizabibu) bishobora gufasha mu gukumira kubura amaraso mu mubiri. Nanone, kurya ibiryo bikungahaye kuri vitamine C (nk'indimu, amacunga, tangerines, na guava) hamwe n'ibiryo bikungahaye kuri feri bishobora gufasha kongera uburyo icyuma gitera ubushyuhe. Ariko, rimwe na rimwe, indwara tudashobora kugenzura zishobora kubangamira ubushobozi bw'umubiri bwo kwinjiza icyuma cyangwa gukora uturemangingo dutukura tw'amaraso. Byinshi biterwa n'imimerere yawe bwite .

Bigenda bite iyo iki kibazo kibaye?

Uburyo ibi bikugiraho ingaruka biterwa n'icyateye indwara yo kubura amaraso mu mubiri (microcytic anemia ). Hari igihe bishobora kuba ikimenyetso cy'indwara ikomeye ikeneye kwitabwaho ubuzima bwose (nka thalassemia). Hari n'igihe bishobora kuba iby'igihe gito . Bishobora kandi gukira burundu hakoreshejwe ikintu cyoroshye nko gufata ibinini bya fer.

Iyo umuganga amaze kumenya impamvu, azagusobanurira uburyo izagira ingaruka ku buzima bwawe. Niba ufite gushidikanya cyangwa ubwoba ko ushobora kuba ufite indwara ikomeye, umuganga wawe ni we muntu mwiza wo kumenya neza. Azaguha ubufasha n'ubuyobozi ukeneye.

Nitwara nte?

Niba ufite ikibazo cyo kubura amaraso mu mubiri (microcytic anemia ), ikintu cyiza wakora ni ugukurikiza neza uburyo muganga wawe yakwivuza n'amabwiriza ye. Ni ngombwa gufata imiti ku gihe no kubahiriza gahunda za muganga wawe. Byongeye kandi, ibi bintu bishobora gufasha:

• Kurya indyo ikungahaye kuri fer (amahitamo meza ni inyama z'inka, inkoko, amafi, amagi, lentils, ibishyimbo bibisi, amashaza, ibishyimbo, broccoli, n'imboga z'icyatsi kibisi).
• Gerageza gusinzira bihagije . Umunaniro ni ikimenyetso gikomeye cy'iyi ndwara, bityo kuruhuka ni ngombwa.
• Nywa amazi menshi kugira ngo umubiri wawe udacika intege.
• Gerageza uko ushoboye kose kwirinda kwandura indwara ukoresheje gukaraba intoki kenshi, kuko kubura amaraso byongera ibyago byo kwandura indwara.
• Kugabanya cyangwa guhagarika burundu kunywa inzoga .

Icy'ingenzi kurusha ibindi:Mbere yo gukora impinduka zikomeye – urugero, gutangira gufata ibinini bya fer buri munsi (utabanje kugisha inama muganga) – menya neza ko wagiye kwa muganga kugira ngo akugire inama. Ashobora kugufasha kumenya uburyo bwizewe kandi bwiza bwo koroshya kubaho ufite ikibazo cyo kudatunga amaraso mu mubiri.

Ni ryari ngomba kujya kwa muganga?

Ibimenyetso by'indwara zitera indwara ya microcytic anemia bishobora kwiyongera buhoro buhoro uko igihe kigenda gihita . Ushobora kutabona impinduka mu mubiri wawe ako kanya. Niyo mpamvu ari ngombwa kumenya ubuzima bwawe no kuvugana na muganga wawe niba ubonye impinduka (urugero: umunaniro udasanzwe, uruhu rwera, guhumeka bigoranye).

Kubura amaraso mu mubiri bishobora kuba nta kibazo, cyangwa bikaba ikimenyetso cy'indwara ishobora gutera ibibazo bikomeye by'ubuzima iyo itavuwe. Ni byiza kujya kwa muganga kugira ngo umenye neza icyateye ibimenyetso byawe. Uko ubimenye kare, niko byoroha kuvura.

Ni iki ngomba kubaza muganga?

Niba warafashwe na microcytic anemia , ni ibisanzwe kugira ibibazo byinshi. Ntutinye, baza muganga wawe ibi bintu:

• Impamvu y'uburwayi bwanjye ni iyihe?
• Ese amaraso yanjye ya microcytic anemia akabije gute? (Urugero rwa hemoglobin yanjye rumeze rute?)
• Ni ubuhe buryo bwo kuvura utanga inama?
• Nzamara igihe kingana iki nkeneye kuvurwa?
• Ni izihe ngaruka mbi zishobora guterwa n'ubuvuzi? Ni iki cyakorwa kuri zo?
• Ese indwara yanjye yo kubura amaraso mu maraso ishobora gusubizwa inyuma (gukira burundu)?
• Bizantwara igihe kingana iki kugira ngo ndusheho gukira kandi ibimenyetso byanjye bigashira?
• Ni izihe mpinduka ngomba kugira mu mirire yanjye?
• Ni ibihe bintu nkwiye kwitondera?

Abantu benshi basanze bafite ikibazo cyo kubura amaraso nyuma yo gupimwa amaraso buri gihe cyangwa bitewe n'ibimenyetso. Ni ibisanzwe kumva uhangayitse kandi ufite ubwoba iyo ubonye igisubizo nk'iki. Ariko ibuka ko iyi ari yo ntambwe ya mbere mu gukemura ikibazo cy'uburwayi cyateye ikibazo cyo kubura amaraso . Kubura icyuma gitera ubutare akenshi ni byo bikunze kugaragara. Ariko hari impamvu nyinshi zishobora kubaho. Menya neza ko ubaza muganga wawe icyo ibisubizo by'ibizamini byawe bivuze n'ingamba ugomba gutera nyuma yaho.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Rero, indwara ya Microcytic Anemia ni igihe uturemangingo dutukura tw’amaraso tuba duto. Impamvu nyamukuru ibitera ni ukugabanuka kwa hemoglobin. Kubura icyuma ni yo mpamvu ikunze kugaragara. Ariko, hashobora kubaho izindi mpamvu nka Thalassemia, kubyimba guterwa n’indwara zidakira.

Niba ufite ibimenyetso nko kunanirwa, isereri, uruhu rwera, cyangwa umunaniro, ugomba kujya kwa muganga. Ibi bishobora gupimwa hakoreshejwe ibizamini by'amaraso nka CBC na PBS. Uburyo bwo kuvura buterwa n'impamvu nyamukuru.

Ntugahangayike, iyi ndwara ishobora gukemurwa neza iyo uyisuzumye kandi ikavurwa neza. Ni ngombwa gukurikiza amabwiriza ya muganga wawe, kurya indyo yuzuye irimo icyuma gikungahaye ku butare, no kugira ingeso nziza zo kugira ubuzima bwiza . Niba ufite ikibazo cyangwa impungenge, vugana na muganga wawe. Ubuzima bwawe burakwiye!

` Kubura amaraso mu buryo bwa microcytic, kubura amaraso mu mubiri, uturemangingo dutukura tw'amaraso, hemoglobin, kubura icyuma, ibimenyetso, uburyo bwo kuvura