Ese ibi ni akaga no ku mpyiko zawe? (Indwara ya Renal Papillary Necrosis) Reka tubyigeho!

Ese uzi akazi k’impyiko ebyiri nto mu mubiri wacu? Mu by’ukuri, impyiko ni zo ngingo z’ingenzi ziyungurura imyanda kandi zigasukura amaraso mu mubiri wacu. Ariko, hari igihe izi mpyiko zishobora no kurwara indwara tutaziteze. Uyu munsi tugiye kuvuga ku ndwara ikomeye gato, ariko niba uyimenye, ishobora kugufasha kuyigenzura no kuyirinda.

Impyiko zikora gute? Indwara ya Renal Papillary Necrosis ni iki?

Mu magambo make, impyiko zacu ni nk'utuyunguruzo tubiri tw’ingenzi mu mubiri wacu. Akazi kazo k'ingenzi ni ukuyungurura imyanda idakenewe mu maraso no kuyisohora nk'inkari. Kugira ngo ibi bishoboke, amaraso yinjira mu mpyiko agaca mu miyoboro mito myinshi. Iyi myanda ivanwa mu gice cyo hanze cy'impyiko hanyuma ikagera hagati mu mpyiko, ari yo mpyiko . Dore ibice bifite ishusho nk'iy'umuyoboro. Isonga ry'iyi miyoboro, yitwa papilla y'impyiko, rikusanya inkari. Kuva aho, inkari zinyura mu miyoboro y'amaraso zijya mu ruhago hanyuma zigasohoka. Uko ni ko impyiko zacu zikora.

Indwara y’impyiko mu mitsi y’impyiko tuvuga ubu ni urupfu rw’uturemangingo n’uturemangingo turi hagati mu gice cy’impyiko (`Medulla`) na papilla y’impyiko (`Papilla y’impyiko`) navuze mbere. Tekereza gato, iyo utwo duce tudakora neza, akazi gakorwa n’impyiko ntigakora neza, si byo se? Kubera iyo mpamvu, impyiko zigenda zicika intege buhoro buhoro, kandi amaherezo zishobora gutuma impyiko zinanirwa gukora neza .

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Iyi ndwara (Renal Papillary Necrosis) ikunze kugaragara ku bantu barengeje imyaka 60. Abaganga banavuga ko abagore ari bo bafite amahirwe menshi yo kuyirwara kurusha abagabo.

Ni izihe mpamvu zitera Necrosis ya Renal Papillary?

Hari impamvu nyinshi z'ingenzi zitera iyi ndwara. Reka turebere hamwe izo ari zo.

• Diyabete Mellitus : Iyi ni yo mpamvu ikomeye kandi ikunze kugaragara. Abantu barwaye diyabete idagenzuwe neza baba bafite ibyago byinshi byo kwangirika kw'impyiko. Isukari nyinshi mu maraso mu gihe kirekire yangiza imiyoboro y'amaraso yoroshye mu mpyiko.
• Gukoresha imiti igabanya ububabare (NSAIDs) cyane : Niba ukoresha imiti igabanya ububabare kenshi (imiti idakoresha steroidal irwanya ububyimbirwe, cyangwa NSAIDs) nka aspirine, ibuprofen, cyangwa naproxen igihe kirekire utabanje kugisha inama muganga, ugomba kwitonda cyane. Kunywa byinshi muri ibi bishobora gutuma imitsi y'amaraso mu mpyiko ifungana kandi ikangiza papillae y'impyiko.
• Indwara y'uturemangingo tw'umusemburo: Iyi ni indwara iterwa n'uturemangingo. Muri iyi ndwara, imiterere y'uturemangingo dutukura tw'amaraso irahinduka kandi dushobora kwifata mu mitsi y'amaraso. Ibi bishobora kandi gutuma amaraso anyura mu mpyiko adakora neza (Renal Papillary Necrosis).

Uretse izi mpamvu z'ingenzi, hari izindi ndwara nyinshi zishobora gutera Necrosis ya Renal Papillary:

• Indwara y'umwijima idakira
• Pyelonephritis, indwara iterwa na bagiteri mu mpyiko (ishobora kwangiza papillae y'impyiko)
• Igituntu cy'impyiko, indwara yibasira impyiko zitari mu bihaha
• Indwara yo kuvura impyiko (amaraso afunganye mu mitsi itwara amaraso ava mu mpyiko)
• Kuziba k'inkari (urugero, bitewe n'amabuye y'inkari)
• Vasculitis, ni ukubyimba kw'imitsi y'amaraso

Igikuru ni uko atari buri wese ufite imwe cyangwa nyinshi muri izi mpamvu uzarwara (Renal Papillary Necrosis). Ariko ibyago ni byinshi.

Ese ibi bigira ingaruka ku mpyiko zombi?

Yego, bivugwa ko mu bantu bagera kuri barindwi kuri icumi , iyi ndwara (Renal Papillary Necrosis) ifata impyiko zombi .

Ni ibihe bimenyetso bya (Renal Papillary Necrosis)?

Mu ntangiriro z'iyi ndwara, nta bimenyetso bishobora kubaho . Niyo mpamvu bigoye kuyimenya no kuyivura hakiri kare. Tekereza ko nta kibazo ufite, ariko impyiko zawe zishobora kuba zarangiritse imbere. Ariko, birashoboka kandi ko ibi byamenyekana ku buryo butunguranye mu gihe upima indi ndwara.

Ariko, iyo indwara (Renal Papillary Necrosis) irushijeho gukomera, ibimenyetso nk'ibi bishobora kugaragara:

• Kubabara mu gihe cyo kunyara (Dysuria)
• Umuriro n'ubukonje (cyane cyane iyo bijyana n'ubwandu)
• Amaraso mu nkari (`Hematuria`) - Ingano y'amaraso ishobora kugaragara n'amaso (inkari zishobora guhinduka umutuku cyangwa umukara), cyangwa ikaba nto cyane ku buryo ishobora kubonwa gusa hifashishijwe mikorosikopi.
• Gukenera kunyara kenshi nijoro (`Nocturia`)
• Ubwiyongere budasanzwe bw'umubare w'uturemangingo tw'amaraso twera mu nkari (`Pyuria`) - ibi bivuze ko inkari zishobora kumera nk'ibibyimba, kandi inkari zishobora kugaragara nk'ibicu.
• Ububabare bukabije ku mpande zombi z'umugongo, hagati y'imbavu n'amagufwa yo mu kibuno (aho impyiko ziri). Ubu bubabare bushobora kuza mu buryo butunguranye cyangwa bukiyongera buhoro buhoro.
• Indwara zikunze kugaragara mu nzira y'inkari.

Ni gute indwara ya Renal Papillary Necrosis ipimwa?

Abaganga bazakora ibizamini byinshi kugira ngo bamenye iyi ndwara (Renal Papillary Necrosis). Nyuma yo kumva ibimenyetso byawe n'amateka y'ubuzima bwawe, bashobora gutumiza ibizamini nka:

• Isuzuma ry'imiti y'uruhinja: Ibi bikubiyemo gupimwa impyiko za X-ray, CT scan, cyangwa MRI. Mbere yo gupimwa, uzahabwa irangi ryihariye (irangi) binyuze mu mitsi. Ibi bifasha kubona neza ahantu impyiko zangiritse n'impinduka mu ijosi.
• Gupima ureteroskopiya : Ibi bikubiyemo gushyiramo umuyoboro muto kandi woroshye (ufite kamera ku mpera) unyuze mu muyoboro w'inkari kugira ngo urebe neza imbere mu ruhago, mu miyoboro y'inkari n'impyiko. Ibi bituma imiterere y'udusabo tw'inkari igaragara neza.
• Gupima impyiko : Muri iki kizamini, agace gato k'umubiri gakurwa mu mpyiko hakoreshejwe urushinge rwihariye, kagasuzumwa hifashishijwe mikorosikopi. Ibi bishobora gufasha kumenya niba uturemangingo twapfuye cyangwa niba uturemangingo twarangiritse.

Gupima amaraso n'inkari

Byongeye kandi, ibizamini by'amaraso n'inkari kugira ngo harebwe imikorere y'impyiko nabyo ni ingenzi cyane:

• Ikizamini cya azote ya urea mu maraso (BUN) : Iki gipimo cy'ingano ya azote ya urea mu maraso. Iyi ni imyanda. Iki gipimo kiriyongera mu maraso iyo impyiko zidakora neza.
• Ikizamini cya Creatinine : Creatinine ni indi myanda ikorwa mu gihe imitsi ikora neza. Ubusanzwe isohoka mu mpyiko. Iyo urugero rwayo ruri hejuru mu maraso, bigaragaza ko impyiko zidakora neza.
• Igipimo cya Glomerular Filtration (eGFR) giteganyijwe : Ibi bibarwa hashingiwe ku bintu nk'urugero rwa creatinine mu maraso yawe, imyaka, igitsina, n'ingano y'umubiri wawe. Igipimo cya eGFR kikwereka ingano y'amaraso impyiko zawe ziyungurura ku munota. Uko iki gipimo kiba kiri hasi, niko impyiko zawe zikora nabi.
• Gupima inkari : Ibi bikubiyemo gufata icyitegererezo cy'inkari no kuzisuzuma mu buryo bw'amaso (ibara, ubuziranenge), hakoreshejwe mikorosikopi (ku bijyanye n'uturemangingo tw'amaraso, uturemangingo tw'amashyira, bagiteri, imyanda ya papillary), no mu buryo bwa shimi (ku bijyanye na poroteyine, isukari). Hari igihe ibice by'udusimba tw'impyiko nabyo bishobora kugaragara hifashishijwe mikorosikopi.
• Igipimo cya poroteyine/creatinine mu nkari : Ibi bipima ingano ya poroteyine iri mu nkari. Impyiko nziza zisohora poroteyine nke cyane. Poroteyine nyinshi mu nkari ni ikimenyetso cy'uko impyiko zangiritse.

Ni izihe ngorane zishobora guterwa na (Renal Papillary Necrosis)?

Iyo iyi ndwara (Renal Papillary Necrosis) idavuwe neza, ishobora kwiyongera ndetse igatera ingorane zikomeye.

• Indwara y'impyiko idakira (CKD) : Bitewe n'uko impyiko zangiritse buri gihe, imikorere yazo igabanuka buhoro buhoro, bigatera indwara zidakira z'impyiko.
• Kunanirwa kw'impyiko: Iyo indwara irushijeho gukomera, impyiko zishobora kudakora neza, bivuze ko zishobora kunanirwa gukora impyiko.
• Kugira ngo ubeho, ushobora gukenera gusukura amaraso yawe ukoresheje imashini ( dialyse ) cyangwa gusigwa impyiko .
• Byagaragaye kandi ko iyi ndwara yongera ibyago byo kurwara ubwoko bwa kanseri yitwa kanseri y’impinduka mu turemangingo, ikura mu mpyiko cyangwa mu muyoboro w’inkari.
• Hari kandi ibyago byo kwandura indwara ikomeye (sepsis).

Indwara ya Renal Papillary Necrosis ivurwa ite?

Nta buryo bwihariye bwo kuvura indwara ya Renal Papillary Necrosis. Uburyo bw'ingenzi bwo kuvura ni ukuvura impamvu nyamukuru y'iyi ndwara . Urugero:

• Niba biterwa na diyabete, ni ngombwa kugenzura diyabete neza.
• Niba biterwa no gukoresha imiti ya NSAID, hagarika gufata iyo miti.
• Niba byatewe n'ubwandu, muhe imiti yica udukoko.
• Niba hari ikibazo mu nzira y'inkari, kigomba gukurwaho.

Intego y'ibanze ni ukugabanya kwangirika kw'impyiko no kubungabunga imikorere y'impyiko uko bishoboka kose.

Kugira ngo ubuvuzi bugende neza biterwa n’ingano y’indwara y’impyiko n’icyateye iyi ndwara. Mu bihe bimwe na bimwe bikomeye, iyi ndwara ishobora gukomeza kwiyongera nubwo yavuwe. Ariko, mu bihe bidakomeye cyane, kandi iyo impamvu ivuwe vuba, imikorere y’impyiko ishobora gutuza cyangwa ikarushaho kuba myiza.

Ese nshobora kwirinda indwara ya Renal Papillary Necrosis?

Yego, hari ibintu dushobora gukora kugira ngo twirinde iki kibazo, ku rugero runini.

• Igikuru ni ukubungabunga ubuzima bwawe muri rusange . Kurya indyo yuzuye, kunywa amazi ahagije, no gukora imyitozo ngororamubiri buri gihe ni ingenzi.
• Niba ufata imiti igabanya ububabare igurishwa na muganga (NSAIDs), ikoreshe gusa nk'uko byavuzwe ku ipaki cyangwa nk'uko byavuzwe na muganga. Ntukayifate kenshi cyangwa igihe kirekire kuruta uko bikenewe. Ntukayifate buri gihe ku bubabare buto cyangwa ku mutwe.
• Niba urwaye diyabete (Diabete Mellitus), indwara ya sickle cell (Sickle Cell Disease), cyangwa izindi ndwara zishobora gutera indwara y'impyiko (Renal Papillary Necrosis), kurikiza amabwiriza ya muganga wawe neza. Jya kwa muganga ku gihe. Fata imiti wahawe. Kurikiza indyo ikwiye.
• Ni ngombwa cyane gukora ibizamini byo muri laboratwari kugira ngo urebe imikorere y'impyiko buri gihe nk'uko muganga yabigutegetse, no kumenya impinduka zose hakiri kare.

Ni ikihe gipimo cyo gukira ku muntu urwaye iyi ndwara?

Uko indwara igenda ikwirakwira biterwa n'icyateye iyi ndwara, ingano y'ibyangiritse by'impyiko, ubuzima bwawe muri rusange, n'uburyo utangira kuvurwa vuba.

• Ku bantu barwaye diyabete, ibisubizo bishobora kuba bibi cyane , kuko diyabete ari indwara imara igihe kirekire kandi ntabwo igenzurwa neza buri gihe. Niba urwaye diyabete, kuyigenzura neza uko bishoboka kose bizafasha cyane mu gukumira kwangirika kw'impyiko.
• Mu bihe bikomeye (Renal Papillary Necrosis), bishobora gutera dialyse no gutera impyiko . Iyo habayeho ubwandu, bishobora gushyira ubuzima mu kaga. Hari amahirwe yo gupfa bitewe no kunanirwa kw'impyiko.
• Mu ndwara ya sickle cell, impyiko zifata impyiko ni imwe mu ngorane nyinshi zishobora kubaho mu mpyiko. Iyo izi ngorane zose zihujwe, igihe cyo kubaho cy'umurwayi gishobora kugabanuka cyane.

Ni ryari ngomba kujya kwa muganga?

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ntugapfushe umwanya kandi nta kabuza ujye kwa muganga :

• Niba ufite amaraso mu nkari zawe (inkari zihinduka umutuku, umutuku, cyangwa umukara).
• Niba ufite umuriro cyangwa ubukonje (cyane cyane hamwe n'ibindi bimenyetso).
• Niba ubabara cyangwa ushyushye iyo uri kunyara.
• Niba ufite ububabare bushya cyangwa bukomeje kwiyongera ku mpande zombi z'umugongo wawe, mu gace kari hagati y'amagufwa y'ikibuno n'imbavu (agace k'impyiko).
• Niba ukunze kwandura indwara zo mu nzira y'inkari.
• Niba urimo kugabanuka kw'inkari cyangwa kubyimba amaguru n'utuguru (ibi bishobora kuba ibimenyetso by'uko impyiko zikora nabi).

Wibuke ko ibi bimenyetso bishobora guterwa n'izindi ndwara. Ariko, ni ngombwa kwisuzumisha kwa muganga kugira ngo umenye impamvu nyayo.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Impyiko zacu ni urugingo rw'ingenzi ku mubiri wacu, rukora umurimo w'ingenzi kandi udatuje. Ziyungurura imyanda kandi zigatuma amazi n'umunyu bibungabungwa mu mubiri. Diyabete idacunzwe, gukoresha imiti igabanya ububabare cyane (NSAIDs), n'izindi ndwara zitandukanye bishobora kwangiza impyiko, bigatera indwara zikomeye nka Renal Papillary Necrosis.

Ikintu kibi cyane kuri iyi ndwara ni uko ushobora kuba udafite ibimenyetso mu ntangiriro. Rero, niba urwaye diyabete, ukunda gukoresha imiti igabanya ubukana bwa NSAID, cyangwa ufite ibindi bintu bishobora gutera indwara y'impyiko, ganira na muganga wawe ku buryo bwo kurinda impyiko zawe. Mu kwisuzumisha buri gihe no gukurikiza ubuzima bwiza, ushobora gutuma impyiko zawe zigumana ubuzima bwiza. Kumenya no gukora hakiri kare ni byo byiza buri gihe.

Impyiko , indwara y'impyiko, diyabete, NSAIDs, impyiko zinanirwa gukora neza, inkari