Ese nawe ufite ibi bimenyetso? Wenda iyi ni Pellagra!

Ese hari igihe wumva udafite imbaraga, uhora uhura n'ibibazo byo mu gifu, rimwe na rimwe urwara impiswi? Si ibyo gusa, ahubwo ukagira n'ibibazo by'uruhu, ibimenyetso bidasanzwe, nibindi? Ibi mu by'ukuri bishobora kuba ibimenyetso by'indwara zitandukanye. Ariko, uyu munsi tugiye kuvuga ku ndwara itandukanye gato rimwe na rimwe ihurirana. Iyo ni indwara yitwa pellagra .

Pellagra ni iki?

Muri make, Pellagra ni indwara iterwa no kubura vitamine yitwa niacin , izwi kandi nka vitamine B3 . Iyi nayo ni ubwoko bw'imirire mibi. By'umwihariko, ni ukubura intungamubiri. Niacin ni ingenzi mu mikorere y'uturemangingo mu mubiri wacu. Rero iyo ari nke, ingaruka zayo zigaragara nk'ibimenyetso mu mubiri wacu wose, cyane cyane ahantu nko mu ruhu, mu kanwa, mu mara, no mu bwonko. Iyo itavuwe neza, Pellagra ishobora kwangiza imitsi burundu ndetse rimwe na rimwe igahitana n'urupfu. Ubu ushobora kwibaza niba buri wese abibona. Akenshi, umuntu urya indyo yuzuye abona ingano ikenewe ya niacin. Ariko, pellagra y'ibanze - iterwa no kubura niacin mu mirire - iracyari ikibazo gikomeye mu turere dukennye, tudafite ibiryo. Ariko, mu bihugu byateye imbere, nka Sri Lanka, kubura niacin akenshi biba bya kabiri bitewe n'izindi mpamvu. Ni ukuvuga ko hari izindi ndwara cyangwa ibintu bibuza imibiri yacu kwinjiza cyangwa gukoresha niacin neza.

Niacin ni iki? Kuki tuyikeneye?

Imibiri yacu ikoresha niacin kugira ngo ihindure karori mu biribwa turya mo ingufu. Tekereza ku biribwa turya nk'lisansi itera imbaraga imodoka yacu. Kugira ngo iyo lisansi ikore, igomba gutunganywa neza. Ibyo ni byo niacin ikora. Niacin tubona mu biribwa turya yinjizwa mu ngingo z'umubiri wacu binyuze mu mara yacu mato. Aho ngaho, iba coenzyme yitwa Nicotinamide Adenine Dinucleotide (NAD) . Iyi NAD ifasha enzyme zirenga 400 mu mikorere y'umubiri wacu. Muri make, iyi NAD ni yo kintu cy'ingenzi gifasha uturemangingo tw'umubiri wacu gukora ingufu (zitwa kandi Adenosine Triphosphate (ATP) ). Byongeye kandi, NAD igira uruhare mu mirimo myinshi y'ingenzi, nko gusana ADN no gutumanaho hagati y'uturemangingo.

Ni gute kubura niacin bigira ingaruka ku mubiri wanjye?

Kubera ko NAD ari ikintu cy'ingenzi mu gutanga ingufu ku turemangingo, iyo ibuze, ibanza kugira ingaruka ku mikorere ikeneye ingufu nyinshi cyangwa iri kwigabanyamo kabiri vuba. Ibyo bivuze uruhu rwawe, igice cy'igifu cyawe (kuva mu kanwa kawe kugera mu mara yawe), n'ubwonko bwawe. Abaganga bita ibimenyetso by'ingenzi bya pellagra "3 Ds":Impiswi, dermatitis, na dementia. Hari n'abashyiramo "D" ya kane: urupfu . Iyo idavuwe imyaka myinshi, ishobora gutera urupfu.

1. Impiswi (gucibwamo kw'igifu)

Impiswi ibaho iyo agace k'amara yawe (mucosa) kadasubira neza. Tekereza nk'igitambaro kirinda imbere mu mara yawe. Iyo kimaze kugenda, amara yawe ntashobora gusya neza ibiryo cyangwa ngo yirinde kwandura cyangwa gukomereka. Ibi bishobora gutuma habaho kubyimba kuva mu kanwa kawe kugera mu mara yawe. Ibi bishobora gutera ibimenyetso nko kubabara mu gifu, kuribwa mu gifu, ibisebe mu kanwa, n'ururimi rutukura kandi rubyimbye .

2. Dermatitis (Kugira uruhu rusa neza)

Pellagra ni ubwoko bwihariye bw'indwara y'uruhu yibasira uruhu, cyane cyane mu maso, mu ijosi, mu maboko, mu maguru, mu biganza no mu birenge, aho izuba rigera. Iyo uturemangingo twatakaje imbaraga, uturemangingo tw'uruhu tuba twiyumvamo cyane izuba. Mbere na mbere, uruhu ruhinduka umutuku rugasa n'aho rwatwitswe n'izuba. Nyuma, ahantu hahinduka habi, hakagira ibibyimba, ndetse rimwe na rimwe hashobora kugaragara uduce tw'umukara (hyper-pigmented plaques) . Kimwe mu bimenyetso by'iyi ndwara ni umugozi wijimye ukikije ijosi. Yitwa "Casal's collar." Iyi yitiriwe umuganga Don Gaspar Casal, wamenye iyi ndwara bwa mbere mu bahinzi bo muri Esipanye mu 1735.

3. Dementia (Kwangirika k'ubwonko n'imitsi)

Pellagra ni indwara ifata umubiri wose. Kubera ko buri selile mu mubiri itakaza imbaraga ikeneye kugira ngo ikore akazi kayo, amaherezo igira ingaruka ku bwonko no ku mitsi. Ibimenyetso bya mbere bishobora kutagaragara neza. Ushobora kumva unaniwe, utitaye ku byo ukora, kandi ukagorwa no kwibanda ku bintu . Cyangwa ushobora kugira ibimenyetso nko guhangayika no kwiheba . Uko igihe kigenda gihita, ibi bimenyetso bishobora gutera urujijo no kwibeshya . Mu bihe bikomeye, indwara yo kwiheba burundu ishobora kubaho, ndetse n'ibibazo by'imitsi nko kugorwa no kuringaniza no kugenda, imitsi kunyeganyega, no gutigita .

Ni hehe Pellagra ikunze kugaragara cyane?

Mu mateka, pellagra yagaragaye mu bantu bakennye ku isi yose, mu bihugu nka Burayi, Afurika, Aziya, na Amerika y'Epfo. Yakunze kugaragara mu bantu barya ibiryo bike cyane. Cyane cyane ku bantu bari bafite poroteyine nke kandi baryaga indyo ishingiye ku bigori. Ibi biterwa nuko niacin isaba poroteyine na aside amine kugira ngo umubiri winjire neza. Nubwo ibigori birimo niacin, iri mu buryo "bufatanye" umubiri wacu udashobora kuyinjiza byoroshye.

Muri Amerika yo Hagati n'iy'Amajyepfo, mu buryo busanzweIyo uteka tortillas mu bigori , ibigori bijugunywa mu mazi y'indimu nijoro. Ubu buryo busohora niacin mu bigori kandi bugatuma byoroha kubyinjiramo. Niyo mpamvu pellagra idakunze kuboneka muri utwo turere.

Muri iki gihe, Pellagra iraboneka gake cyane mu bihugu byateye imbere mu Burengerazuba bw'Iburengerazuba nka Amerika. Ibi biterwa no kongeramo umugati n'umuceri hamwe na niacin. Ariko, Pellagra y'ibanze iracyagaragara mu turere tudateye imbere ku isi, cyane cyane mu moko arya ibigori nk'ibyokurya by'ibanze. Iki kibazo kiracyari mu Buhinde, mu Bushinwa, no mu bice bimwe na bimwe bya Afurika. Nubwo Pellagra y'ibanze iboneka gake cyane mu bihugu nka Sri Lanka, twagombye guhangayikishwa na Pellagra iterwa n'impamvu za kabiri .

Ni ibihe bimenyetso bya Pellagra?

Dore ibimenyetso bimwe na bimwe by’indwara ya pellagra:

• Impiswi idashira , rimwe na rimwe ikavamo amaraso.
• Kubabara mu gifu no kudakora neza kw'igifu .
• Kubura ubushake bwo kurya , isesemi no kuruka .
• Uduheri tw'uruhu tujyana no kuribwa cyangwa kubabara uruhu .
• Ibisebe byo mu kanwa n'ururimi rutukura kandi rubyimbye.
• Umunaniro ukabije, intege nke, no gucika intege.
• Guhindagurika kw'amarangamutima, kwiheba.
• Ibimenyetso by'imitsi - urugero, gutigita no gucika intege mu maguru.
• Kudatekereza no kwiheba.

Ni izihe mpamvu zitera Pellagra?

Impamvu nyamukuru ni indyo nkeya irimo niacin. Tubona vitamine B3 (niacin) mu biribwa bitandukanye. Ariko, abantu bafite amahitamo make y'ibiribwa bashobora kuba badafite intungamubiri zimwe na zimwe. Pellagra ishobora no kurwara bitewe n'izindi mpamvu . Ni ukuvuga izindi ndwara zibuza umubiri wawe kwinjiza cyangwa gukoresha niacin neza. Ingero zimwe ni izi:

• Indwara zo mu gifu zitera kubura ubushobozi bwo kubyimba - urugero , indwara y'amara abyimba (IBD) cyangwaKurwara indwara yo mu mwijima.
• Indwara yo gukoresha inzoga: Kunywa inzoga nyinshi bishobora kwangiza ingingo nk'umwijima no kugabanya ubushobozi bw'umubiri bwo kwinjiza intungamubiri nka niacin. Ibi bishobora gutera imirire mibi.
• Kubagwa igifu: Nyuma yo kubagwa umubyibuho ukabije, amara ashobora kwangirika, bigatuma habaho kubura intungamubiri zitandukanye, harimo na niacin.
• Kubura amaraso mu mubiri kubera kubura icyuma: Umubiri nawo ukeneye icyuma kugira ngo uhindure niacin kandi ukoreshe.
• Indwara ya Hartnup: Iyi ni indwara iterwa n'uturemangingo. Ibuza umubiri kwinjiza aside amine. Izi aside amine ni ingenzi mu gukora vitamine.
• Indwara ya Kansinoyide: Muri ibi, umusaruro wa niacin ukorwa n'uturemangingo twa kanseri uragabanuka.
• Imiti imwe n'imwe: Imiti imwe n'imwe, cyane cyane imiti igabanya ububabare n'imiti ivura indwara za chimiotherapie, ishobora kubangamira imikorere ya niacin.
• Ubwandu bwa VIH: Ubwandu bwa VIH butera kugabanuka k'urugero rwa niacin mu mubiri.

Pellagra ipimwa ite?

Iyo ugiye kwa muganga, azagusuzuma akakubaza ibimenyetso byawe, amateka yawe y'uburwayi, n'imirire yawe. Niba bikekwa ko pellagra ihari, ikizamini cy'inkari gishobora gukorwa kugira ngo hemezwe ko irwaye. Ingano y'imiti imwe n'imwe mu nkari zawe ishobora kukwereka niba ufite niacin ihagije mu mubiri wawe. Muganga wawe ashobora kandi kuguha inyunganiramirire ya niacin kugira ngo arebe niba ifasha. Ubwo ni bumwe mu buryo bwo gusuzuma indwara.

Ni ubuhe buryo bwo kuvura Pellagra?

Pellagra iterwa no kubura niacin, cyangwa vitamine B3. Rero, uburyo bwiza bwo kuyivura ni ukongera umubiri wose intungamubiri zibura. Ibyo bivuze gutanga inyunganiramirire ya niacin. Abantu benshi batangira gukira vuba iyo batangiye kuyifata. Ariko, hashobora kuba hakenewe ubundi buvuzi ku bintu nk'ibisebe by'uruhu n'ibisebe byo mu kanwa.

Igikuru ni uko niba ufite pellagra bitewe n'impamvu ya kabiri, ni ukuvuga indi ndwara, ugomba no kuvura neza iyo ndwara ishingiyeho.

Ese hari ingaruka mbi zishobora guterwa n'ubuvuzi?

Iyo ufashe umuti nk'uko muganga wawe yabigutegetse, inyunganiramirire ya niacin akenshi ntabwo itera ingaruka mbi zikomeye. Ariko, iyo urenze urugero, hari ingaruka zimwe na zimwe zishobora kubaho. Ariko, umuntu ufite ikibazo mu mubiri we ntabwo byoroshye kugikoresha. Iyo bibaye, ibi bikurikira bishobora kubaho:

• Gutera uruhu ku mazi.
• Kuryarya no gushyuha kw'ibisebe.
• Kubyimba no kudashyira mu gifu.
• Kuribwa umutwe no kuzungera.

Ni gute wakwirinda Pellagra?

Kurya indyo yuzuye ni bwo buryo bworoshye bwo kugumana imirire myiza. Niba amahitamo y'ibiribwa ari make, ibiryo bikungahaye ku ntungamubiri n'inyongeramusaruro bishobora gufasha. Miligarama zigera kuri 15 za niacin ku munsi zirahagije ku muntu mukuru muzima. Iyi ngano ikunze kuboneka mu nyongeramusaruro ya vitamine B-complex. Bimwe mu biribwa bikungahaye kuri niacin birimo:

• Umwijima w'inyama z'inka
• Beterave (Beterave)
• Umusemburo w'inzoga
• Umugati n'ibinyampeke bikungahaye ku ntungamubiri
• Amafi afite amavuta, nka salmon na tuna
• Ubunyobwa
• Ibirayi
• Inkoko
• Umuceri
• Imbuto z'ibihwagari
• Isosi ya Spaghetti

Niba ufite indwara idakira ituma ushobora kurwara pellagra, ganira na muganga wawe ku buryo bwo kuyirinda mu gihe kirekire. Ibi bishobora kuba birimo guhindura imirire yawe, inyongeramusaruro, cyangwa imiti ufata.

Bifata igihe kingana iki kugira ngo umuntu akire Pellagra?

Iyo utangiye gufata inyunganiramirire ya niacin, abantu benshi batangira kumva bameze neza mu minsi mike. Ibimenyetso by'igifu (nk'impiswi) bikunze kumera neza mbere , akenshi mu cyumweru cya mbere. Ibisebe byo ku ruhu no mu kanwa bishobora gufata ibyumweru bibiri kugira ngo bikire. Hari indwara zikomeye zishobora kumara igihe kirekire. Kwangirika gukomeye kw'imitsi no kwiheba bishobora kudakira. Kugira ngo hirindwe ko habaho inyunganiramirire y'ibanze, abaganga bakugira inama yo gukomeza indyo yuzuye. Ibura rya niacin rikunze kujyana n'izindi ntungamubiri nkeya. Ibi byose bishobora gukosorwa n'indyo nziza. Kuvura pellagra ya kabiri bishobora kugorana gato. Nubwo inyunganiramirire zishobora gufasha, niba umubiri udashobora gutunganya niacin neza, ubwo bufasha bushobora kuba budahagije. Muri ibyo bihe, gukira biterwa no kumenya no kuvura indwara nyamukuru yateye pellagra. Ibi bishobora kuba inzira ndende, bitewe n'indwara.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Nubwo pellagra y’ibanze yakuweho cyane mu bihugu byateye imbere, iracyahari mu bantu bakennye bafite ibiryo bike. Mu bihugu nk'ibyacu, ibura rya niacin rya kabiri riracyari ikibazo giterwa no kunywa inzoga n'indwara zimwe na zimwe (cyane cyane izibangamira uburyo intungamubiri zinjira mu mubiri).

Igikuru ni ukwibuka ko nubwo imirire itangirira ku biribwa, irangirira mu mubiri.Ibintu byinshi mu mubiri wawe bigomba gukora neza. Niba ufite ibimenyetso bigaragaza ko hari ikibazo, cyane cyane niba ufite ibibazo mu buryo bw'igogora, menya neza ko wagisha inama kwa muganga. Ndetse no kubura vitamine nkeya bishobora kugira ingaruka zikomeye ku buzima bwawe. Rero, fungura indyo yuzuye, ubeho ubuzima bwiza, kandi usure muganga vuba bishoboka niba ufite ikibazo.

Pellagra, niacin, vitamine B3, kubura intungamubiri, indwara z'uruhu, impiswi, kwiheba