Ese iyi ndwara yo kubura amaraso mu mubiri itera umunaniro uhoraho? (Pernicious Anemia)

Ese uhora wumva unaniwe? Ese wumva ufite intege nke ndetse no nyuma yo kugenda igihe gito? Ese wumva udafite ubushake bwo kurya, kandi usa n'uwanduye? Akenshi, ntabwo twita cyane kuri ibi bintu, twibwira ko ari ibisanzwe. Ariko, hashobora kuba hari impamvu ikomeye inyuma y'ibi. Uyu munsi, turimo kuvuga ku ndwara ikomeye ariko ishobora kuvurwa iterwa no kubura vitamine B12. Iyi ndwara twita Pernicious Anemia .

Mu magambo make, Pernicious Anemia ni iki?

Anemia mbi ni imwe mu mpamvu zikomeye zitera kubura vitamine B12. Mu by'ukuri, iyi ni indwara y’ubwiyongere bw’umubiri . Noneho ushobora kuba wibaza icyo indwara y’ubwiyongere bw’umubiri ari cyo. Muri make, akazi k’ingenzi k’ubudahangarwa bw’umubiri wacu ni ukurwanya abajura b’abanyamahanga no kuturinda indwara. Ariko, muri iki kibazo, ubudahangarwa bwacu bw’umubiri butangira kwibasira uturemangingo twacu tuzima.

Hari ikintu nk'icyo kibaho muri Pernicious Anemia. Ubudahangarwa bwacu bw'umubiri bwibasira uturemangingo tumwe na tumwe two mu mara (igifu). Utwo turemangingo dukora poroteyine yihariye yitwa Intrinsic Factor ifasha umubiri kwinjiza vitamine B12. Iyo iyi poroteyine ibuze, uko twarya vitamine B12 kose, ntabwo yinjizwa n'umubiri ahubwo irapfa ubusa.

Vitamine B12 ni ingenzi cyane ku mubiri wacu. By'umwihariko, ni ingenzi cyane mu gukora uturemangingo dutukura tw'amaraso, dutwara umwuka wa ogisijeni mu maraso. Rero, iyo vitamine B12 ibuze, gukora uturemangingo dutukura tw'amaraso tuzima biragabanuka. Ibi ni byo twita anemia .

Iyi ndwara igira ingaruka zite ku mubiri wanjye?

Kubura amaraso mu mubiri bishobora kugira ingaruka ku mikorere y'umubiri itandukanye.

• Uduce tw’igogora: Kugira isesemi, kubyimba inda no kugabanya ibiro bishobora kubaho.
• Udutsi two mu bwonko: Iki nicyo kintu giteje akaga cyane. Gishobora gutera intege nke z'imitsi, gucika intege mu ngingo, kwibagirwa, ndetse no kwibagirwa.
• Umutima: Ushobora kugira umutima utera cyane cyangwa umutima utera nabi.
• Ubuzima muri rusange: Kunanirwa no gucika intege buri gihe ni byo bimenyetso by'ingenzi.

Iyi ndwara ikunze kugaragara cyane hagati y’imyaka 60 na 80, cyane cyane mu bantu bakomoka mu Burayi bw’Amajyaruguru.

Ni ibihe bimenyetso bya Pernicious Anemia?

Kimwe mu bintu bidasanzwe kuri ibi ni uko bishobora gufata imyaka myinshi kugira ngo ibimenyetso bigaragare. Ibi biterwa nuko umubiri wacu ubikira vitamine B12 mu mwijima kandi ukayikoresha buhoro buhoro. Ubu bubiko bushobora gufata imyaka 3-5 kugira ngo bushire. Nubwo bimeze bityo, bifata igihe kinini kugira ngo ibimenyetso bigaragare.

Uko urugero rwa Vitamine B12 rugabanuka, ibimenyetso birushaho gukomera. Ushobora kubisobanukirwa neza uhereye ku mbonerahamwe iri hepfo.

Ese hari izindi mpamvu zitera indwara yo kubura amaraso mu mubiri (Pernicious Anemia)?

Yego. Uretse indwara y’ubwiyongere bw’umubiri yitwa Pernicious Anemia, umubiri ushobora kudashobora kwinjiza Vitamine B12 kubera izindi mpamvu.

• Kubagwa igifu: Iyo hakozwe igikorwa cyo gukuraho igice cy'igifu cyangwa igifu cyose (urugero: kubagwa igifu kidakoresha umubyibuho ukabije), uturemangingo dufasha kwinjiza vitamine B12 turabura.
• Kubagwa amara mato: Gukuraho igice cy'amara mato bigabanya ubushobozi bwo kwinjiza vitamine B12.
• Bagiteri nto zo mu mara: Mu ndwara yitwa Small Intestinal Bagiteri Overgrowth (SIBO) , bagiteri mbi zikurira mu mara mato zikarya Vitamine B12 mbere yuko umubiri uyinjiza.
• Imiti imwe n'imwe: Imiti imwe n'imwe ivura diyabete, igicuri, na antibiyotike zimwe na zimwe ishobora kugira ingaruka ku rugero rwa Vitamine B12.
• Indwara z'inzoka zo mu bwoko bwa Tape: Kurya amafi adatetse neza kandi yanduye bishobora gutera indwara z'inzoka zo mu bwoko bwa Tape. Izi ndwara zirya vitamine B12.
• Indyo: Abantu barya ibikomoka ku bimera gusa cyangwa bakurikiza indyo ishingiye ku bimera bashobora kubura vitamine B12 ihagije mu ndyo yabo.
• Izindi ndwara: Indwara z’igogora nk’indwara ya Celiac cyangwa indwara ya Crohn zituma bigorana kwinjiza Vitamine B12.
• Indwara z'imisemburo: Abantu bafite indwara zo kwirema umubiri nka hypoparathyroidism n'indwara ya Graves bafite ibyago byinshi byo kurwara amaraso mabi.

Ubibona ute, Muganga?

Niba ufite ibi bimenyetso, ni ngombwa kubonana na muganga wawe. Azagusuzuma, afate amateka y'ubuzima bwawe, kandi agutegeke ibipimo byinshi kugira ngo yemeze ko ufite ikibazo.

• Ikizamini cya Vitamine B12: Iki gipimo gipima ingano ya Vitamine B12 iri mu maraso.
• Umubare wuzuye w'amaraso (CBC): Ibi bishobora kugaragaza ubwoko n'uburemere bw'amaraso mu maraso.
• Ibindi bipimo byihariye by'amaraso: Ibizamini nka Reticulocyte count, LDH, Serum bilirubin, MMA, Homocysteine ​​​​level, nibindi, bitanga amakuru arambuye ku kubura vitamine B12 n'imikorere y'umusemburo w'amagufwa.
• Ikizamini cy’umubiri urwanya indwara: Iki kizamini gipima amaraso kugira ngo harebwe niba hari uturemangingo twibasira uturemangingo tw’igifu n’ibintu bitera indwara.
• Indwara yo mu cyiciro cyo hejuru cya Endoscopy:Kamera isa n'umuyoboro (endoscope) inyuzwa mu kanwa hanyuma agace k'igifu kagasuzumwa.

Ivurwa ite? Ese izakira?

Hari uburyo bwo kuvura ibi, kandi iyo ni yo nkuru nziza! Kubera ko umubiri wawe udashobora kwinjiza vitamine B12, muganga wawe azabanza kukwandikira inshinge za vitamine B12 . Izi nshinge zishyirwa mu mitsi, bityo zigahita zijya mu maraso yawe zitanyuze mu gifu.

Iyo urugero rwa vitamine B12 yawe rumaze gusubira ku rugero, ushobora kugirwa inama yo gukomeza gufata ibinini bya vitamine B12 ku gipimo cyo hejuru (B12 ikoreshwa mu kanwa). Muganga wawe azakomeza gukurikirana ikibazo cyawe no guhindura uburyo uvurwa.

Uzatangira kumva uhumurijwe cyane mu minsi mike uhereye igihe utangiye kuvurwa. Ariko, bishobora gufata ibyumweru byinshi kugira ngo ibimenyetso byawe bishire burundu kandi uzumva umeze neza.

Ariko ibuka ko kwangirika kw'imitsi bishobora kudakira burundu nubwo haba hari vitamine B12. Kubwibyo, ni ngombwa cyane gusuzuma indwara no gutangira kuyivura hakiri kare.

Nitwara nte?

Niba ufite ikibazo cyo kudatunga amaraso (Pernicious Anemia), uzakenera gufata vitamine B12 ubuzima bwawe bwose, nk'uko muganga yabigutegetse. Ni ngombwa.

Niba ufite ikibazo cy’ibura rya B12 bitewe n’izindi mpamvu, guhindura indyo yawe nabyo bishobora gufasha. Ibiribwa bikungahaye kuri Vitamine B12 birimo:

• Inyama nk'inyama z'inka, umwijima, inkoko n'amafi
• Amagi n'ibikomoka ku mata (amata, yawurute, foromaje)
• Ibinyampeke bya mu gitondo birimo Vitamine B12 yongewemo
• Ibikomoka kuri soya birimo Vitamine B12 yongewemo

Ni byiza kuvugana na muganga wawe akakugira inama ku mirire ikubereye.