Ese ukunze kumva unaniwe, urwana n'ibibazo by'igogora bihoraho, cyangwa uhura n'impiswi zidasobanutse? Ese ubona impinduka zidasanzwe ku ruhu cyangwa uhura n'ibibazo byo kwibagirwa? Nubwo ibi bimenyetso bishobora kuba bifitanye isano n'indwara zitandukanye, bishobora kuba bigaragaza ikibazo cy'ubuzima cyihariye, akenshi kidakunze kwitabwaho. Uyu munsi, turimo kuvuga ku ndwara izwi nka Pellagra .
Pellagra ni iki?
Muri make, Pellagra ni indwara iterwa no kutarya Niacin bihagije, izwi kandi nka Vitamine B3 . Ubu ni ubwoko bw'imirire mibi—cyane cyane, kubura intungamubiri. Umubiri wawe ukeneye Niacin kugira ngo ugire imikorere myiza y'uturemangingo. Iyo urugero rw'iyi ndwara rugabanutse, ingaruka zigaragara mu mubiri wawe wose, cyane cyane mu ruhu, mu kanwa, mu nzira y'igogora no mu bwonko. Iyo hatabayeho ubufasha bukwiye bw'abaganga, Pellagra ishobora kwangiza imitsi burundu kandi, mu bihe bikomeye, ishobora no kwica.
Ushobora kwibaza niba ibi bigira ingaruka kuri buri wese. Ubusanzwe, abarya indyo yuzuye bahabwa Niacin ihagije. Pellagra y'ibanze—iterwa no kubura indyo—igaragara cyane mu turere tudakunda kurya neza. Ariko, mu turere twateye imbere, harimo na Sri Lanka, kubura Niacin akenshi bituruka ku mpamvu z'inyongera. Ibi bivuze ko izindi ndwara cyangwa ibintu bitera impanuka biri kubuza umubiri wawe kwinjiza cyangwa gukoresha Niacin unywa.
Niacin ni iki, kandi kuki uyikeneye?
Tekereza kuri Niacin nk'inyongeramusaruro ituma "moteri" y'umubiri wawe ikora neza. Nk'uko moteri ikenera lisansi itunganyijwe kugira ngo ikore, ni ko n'umubiri wawe ukeneye Niacin kugira ngo ikore neza karori ukoresha.
Iyo Niacin imaze kwinjira mu mara mato, ihinduka coenzyme y'ingenzi yitwa Nicotinamide Adenine Dinucleotide (NAD) . NAD ishyigikira imisemburo irenga 400 mu mubiri wawe. Muri make, NAD ni ingenzi mu gukora ingufu z'uturemangingo zizwi nka Adenosine Triphosphate (ATP) . Uretse gukora ingufu, NAD ni ingenzi mu gusana ADN no gutumanaho kw'uturemangingo.
Ni gute kubura Niacin bigira ingaruka ku mubiri wawe?
Kubera ko NAD ari ingenzi ku ngufu z'uturemangingo, ikibazo cyo kubura kigaragara mu buryo busaba ingufu nyinshi cyangwa ihindagurika ryihuse ry'uturemangingo: uruhu rwawe, igice cy'igifu cyawe, n'ubwonko bwawe. Abaganga bakunze kuvuga ibimenyetso by'ingenzi bya Pellagra nka "3 Ds": Impiswi, Dermatitis, na Dementia. Bamwe bongeraho "D" ya kane: Urupfu . Iyo idavuwe igihe kirekire, ingaruka zishobora kuba mbi.
1. Impiswi (gucibwamo kw'igifu)
Impiswi ibaho iyo igice cy’igogora cyawe kidashoboye kongera kumera neza. Iyo udafite iyi nzitizi irinda, amara yawe arwana no gusya ibiryo no kwirinda kwandura no gukomeretsa. Ibi bitera ububabare buhoraho mu gice cyose cy’igogora, bikagaragara nk'ububabare bwo mu nda, kubabara mu gifu, ibisebe mu kanwa, n'ururimi rutukura rubyimbye.
2. Dermatitis (Kugira uruhu rusa neza)
Pellagra itera uruhu rwihariye, cyane cyane ahantu hagaragara urumuri rw'izuba nko mu maso, mu ijosi, mu maboko no mu birenge. Iyo uturemangingo tudafite imbaraga zihagije, uturemangingo tw'uruhu tuba twanzwe n'urumuri rwa UV. Mu ntangiriro, uruhu rushobora kugaragara nk'umutuku kandi rugatwikwa n'izuba, amaherezo rugahinduka nk'urubura, rugahinduka ibisebe, maze hakagira uduce twijimye cyane . Ikimenyetso cy'ikimenyetso ni agatambaro k'umukara gakikije ijosi kazwi nka "Casal's collar," kitiriwe umuganga Don Gaspar Casal, wamenye iyi ndwara bwa mbere mu 1735.
3. Dementia (Kwangirika k'ubwonko n'imitsi)
Kubera ko Pellagra igira ingaruka ku ikorwa ry'ingufu muri buri turemangingo, amaherezo igira ingaruka ku bwonko no ku mitsi. Ibimenyetso bya mbere bishobora kuba bitagaragara, nko kunanirwa guhoraho, kutita ku byo umuntu akora (kutagira icyo ashishikajwe), cyangwa kugorwa no kwibanda ku bintu. Ushobora kandi kugira imihangayiko cyangwa kwiheba.Uko igihe kigenda gihita, ibi bimenyetso bishobora kwiyongera bikavamo urujijo no kwibeshya. Mu bihe bikomeye, indwara yo kwibagirwa burundu ishobora kubaho, hamwe n'ubumuga bw'imitsi nko kutagira uburinganire bwiza, imitsi ihindagurika, imitsi ihungabana, no gutitira.
Ni hehe Pellagra ikunze kugaragara cyane?
Mu mateka, Pellagra yari isanzwe mu baturage bari bafite indyo nkeya, cyane cyane abakoresha ibigori cyane nk'ifunguro ry'ibanze batabona inyongeramusaruro zikungahaye kuri poroteyine. Nubwo ibigori birimo Niacin, bibaho mu buryo "bufatanye" umubiri w'umuntu udashobora kwinjiza byoroshye.
Muri Amerika yo Hagati n'iy'Amajyepfo, uburyo gakondo bwo gutunganya ibigori mu ma tortillas burimo kwinika ibinyampeke mu mazi y'indimu. Ubu buryo burekura Niacin ifatanye, bigatuma iboneka mu buryo bw'umubiri. Kubera iyo mpamvu, Pellagra ( Pellagra ) ikunze kugaragara muri utwo turere.
Muri iki gihe, kongera imbaraga mu kurya ibiryo by’ibanze nk'ifu n'umuceri byagabanyije cyane Pellagra y'ibanze mu bice byinshi by'isi. Ariko, nubwo bidakunze kubaho, tugomba gukomeza kuba maso ku mpamvu za kabiri zitera Pellagra. Niba ukeka ko ufite ibi bimenyetso, hamagara ibitaro bikwegereye cyangwa serivisi zihutirwa vuba.
Ni ibihe bimenyetso bya Pellagra?
Dore ibimenyetso bisanzwe ushobora kubona kuri Pellagra:
- Impiswi idashira , rimwe na rimwe ishobora kuba amaraso.
- Kubabara mu nda no kutagira impumuro nziza.
- Kubura ubushake bwo kurya , isesemi no kuruka .
- Uruhu ruryana cyangwa uduheri tubabaza ku ruhu .
- Ibisebe byo mu kanwa n'ururimi rutukura cyane kandi rubyimbye.
- Umunaniro mwinshi, intege nke, no kumva umeze nk'umuntu urwaye indwara yo mu mutwe.
- Ihindagurika ry'amarangamutima n'ihungabana.
- Ibimenyetso by'imitsi - urugero, gutitira mu maguru cyangwa gucika intege.
- Kureba kure n'ibimenyetso by'indwara yo kwibagirwa.
Ni izihe mpamvu zitera Pellagra?
Impamvu nyamukuru ni indyo idafite niacin ihagije (Vitamine B3). Nubwo tubona niacin mu biribwa bitandukanye, abantu bafite ubushobozi buke bwo kubona indyo yuzuye bashobora kubura.
Byongeye kandi, ushobora kurwara pellagra bitewe n'izindi mpamvu . Ibi bivuze ko umubiri wawe udashobora kwinjiza cyangwa gukoresha niacin neza bitewe n'uburwayi runaka. Ingero zirimo:
- Indwara zo mu gifu zitera kubura ubushobozi bwo kubyimba – nka IBD cyangwa Cirrhosis y'umwijima.
- Indwara yo gukoresha inzoga: Kunywa inzoga nyinshi byangiza ingingo nk'umwijima, bikabangamira uburyo intungamubiri z'ingenzi nka niacin zifata umubiri, bigatera imirire mibi muri rusange.
- Kubagwa igifu: Nyuma yo kubagwa, kwangirika k'uruti rw'amara bishobora kubangamira uburyo intungamubiri z'ingenzi zinjiramo, harimo na niacin.
- Kubura icyuma gifite uburibwe: Umubiri wawe ukeneye icyuma kugira ngo uhindure neza kandi ukoreshe niacin.
- Indwara ya Hartnup: Indwara y’uturemangingo aho umubiri ugorwa no kwinjiza aside amine zimwe na zimwe zikenewe kugira ngo hakorwe vitamine.
- Indwara ya kanseri:Uturemangingo tumwe na tumwe twa kanseri dushobora kugabanya umusaruro wa niacin mu mubiri.
- Imiti imwe n'imwe: Cyane cyane imiti imwe n'imwe igabanya ububabare bw'imitsi n'imiti ya chimiotherapie ishobora kubangamira imikorere ya niacin.
- Kwandura agakoko gatera SIDA: Agakoko gatera SIDA gashobora gutuma urugero rwa niacin mu mubiri rugabanuka.
Pellagra ipimwa ite?
Iyo ugiye kwa muganga, bazagusuzuma, barebe ibimenyetso byawe, amateka y'ubuzima bwawe, n'imirire yawe. Niba muganga wawe akeka ko hari pellagra, ashobora gutegeka ko upimwa inkari kugira ngo bapime urugero runaka rw'ibinyabutabire, ibyo bikaba bifasha kumenya niba umubiri wawe ubona niacin ihagije. Muganga wawe ashobora kandi kukwandikira inyongeramusaruro za niacin kugira ngo arebe niba ibimenyetso byawe byarushijeho kwiyongera; ubu bushakashatsi bwo kuvura ni ubundi buryo busanzwe bwo gusuzuma bukoreshwa muri Nirogi Lanka no mu yandi mavuriro.
Ni ubuhe buryo bwo kuvura Pellagra?
Kubera ko pellagra iterwa no kubura niacin (Vitamine B3), uburyo bwiza bwo kuvura ni ukunoza intungamubiri zibura binyuze mu nyongeramusaruro za niacin. Abantu benshi batangira kumva bakize vuba iyo ubuvuzi butangiye. Ariko, ushobora gukenera kwitabwaho by'inyongera ku bimenyetso bya kabiri nk'ibisebe byo ku ruhu cyangwa mu kanwa.
Icy'ingenzi kurushaho, niba indwara ya pellagra iterwa n'indi ndwara, ugomba guhabwa ubuvuzi bukwiye kuri iyo ndwara y'uburwayi.
Ese hari ingaruka mbi zishobora guterwa n'ubuvuzi?
Iyo ufashe imiti igabanya ubukana bw'ibinure mu mubiri (nicaine) nk'uko muganga yabigutegetse, ntabwo itera ingaruka mbi zikomeye. Ingaruka mbi zikunze kubaho iyo umuntu arengeje urugero rw'imiti, ibyo bikaba bidashoboka ku muntu ufite ikibazo cyo kubura ibinure. Iyo bibaye, bishobora kuba birimo:
- Gutera uruhu ku mazi.
- Kuryarya cyangwa gushyuha.
- Kubyimba no kudashyira mu gifu.
- Kuribwa umutwe no kuzungera.
Ni gute wakwirinda Pellagra?
Kurya indyo yuzuye ni bwo buryo bworoshye bwo kugira imirire ihagije. Niba ufite amahitamo make y'ibiribwa, ibiryo bikungahaye ku ntungamubiri n'inyongeramusaruro bishobora gufasha. Umuntu mukuru ufite ubuzima bwiza akenera hafi 15mg ya niacin buri munsi, muri rusange itangwa n'inyongeramusaruro ya vitamine B-complex.
Ibiribwa bikungahaye kuri niacin birimo:
- Umwijima w'inyama z'inka
- 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 ibyago byo kurwara pellagra birushaho kwiyongera, vugana na muganga wawe ku ngamba zo kwirinda indwara mu gihe kirekire, zishobora kuba zirimo guhindura indyo yawe, inyongeramusaruro, cyangwa imiti usanzwe ukoresha.
Bifata igihe kingana iki kugira ngo umuntu akire Pellagra?
Iyo utangiye gufata imiti igabanya ubukana bwa niacin, abantu benshi babona impinduka mu minsi mike. Ibimenyetso byo mu gifu (nk'impiswi) akenshi bihita bishira , akenshi mu cyumweru cya mbere. Ibisebe byo ku ruhu no mu kanwa bishobora gufata ibyumweru bibiri kugira ngo bikire. Indwara zikomeye zishobora gufata igihe kirekire. Icyitonderwa: kwangirika gukomeye k'ubwonko no kwiheba rimwe na rimwe bishobora kudakira.
Abaganga basaba gukomeza indyo yuzuye kugira ngo hirindwe indwara ya pellagra y’ibanze mu gihe kizaza. Ibura rya Niacin rikunze guhura n’izindi ntungamubiri nkeya, zose zishobora gukemurwa n’indyo nziza.
Kuvura pellagra ya kabiri biragoye cyane. Nubwo inyongeramusaruro zifasha, zishobora kuba zidahagije niba umubiri wawe udashobora gutunganya niacin neza. Muri ibi bihe, gukira biterwa gusa no kumenya no kuvura indwara isanzwe, ishobora kuba inzira y'igihe kirekire.
Ubutumwa bwa nyuma bwo kujyana mu rugo
Nubwo pellagra y’ibanze irandura cyane mu turere twateye imbere, iracyari ikibazo ku baturage bafite ubushobozi buke bwo kubona ibiryo. Muri sosiyete yacu, ibura rya niacin rya kabiri rikomeje kuba ikibazo giterwa no gukoresha inzoga nabi ndetse n’indwara z’ubuzima—cyane cyane izigira ingaruka ku ikoreshwa ry’intungamubiri. Niba ukeka ko ufite ibi bimenyetso, shaka ubuyobozi bw’inzobere mu bitaro byo hafi yawe vuba.
Ikintu cy'ingenzi ugomba kwibuka ni uko nubwo imirire itangirana n'ibyo urya, ibikorwa by'imbere mu mubiri wawe ni byo bigena imibereho myiza yawe. Umubiri wawe wishingikiriza ku mikorere y'imbere igoye kugira ngo ukomeze kugira ubuzima bwiza. Niba ubonye ibimenyetso bikureba—cyane cyane ibibazo bijyanye n'igogora—shaka inama z'abaganga b'inzobere. Ndetse no kubura vitamine nkeya bishobora kugira ingaruka zikomeye ku buzima bwawe. Kubwibyo, ibande ku kurya indyo yuzuye, ugire ubuzima bwiza, kandi uganire na muganga vuba niba ufite ikibazo cy'ubuzima.
Pellagra, Niacin, Vitamine B3, Kubura intungamubiri, Indwara z'uruhu, Impiswi, Dementia
