Ni ibisanzwe kumva imitsi ibabara iyo ukora siporo cyangwa ugakora akazi gakomeye. Twese twabibonye. Ariko niba imitsi yawe yabyimbye, wumva ufite intege nke, kandi inkari zawe zigahinduka ibara, ibyo si ibisanzwe. Bishobora kuba ikimenyetso cy'indwara ikomeye yitwa rhabdomyolysis. Nubwo izina rishobora kugorana kubivuga, kubimenya bishobora kurokora ubuzima bwawe.
Renal function (eGFR)
Measure kidney function based on creatinine value
Rhabdomyolysis ni iki?
Mu magambo make, rhabdomyolysis ni indwara aho imitsi yawe yangirika cyane kandi uturemangingo two muri iyo mitsi tugacika. Tekereza nk'agafuka gato kameneka maze ibintu byose biri imbere bigasohoka. Iyo uturemangingo tw'imitsi yacu twangiritse, ibintu biri imbere muri yo bihita bijya mu maraso yacu.
Mu bintu byirundanya mu maraso muri ubu buryo harimo poroteyine yitwa myoglobin . Ibi bisanzwe biboneka mu mitsi gusa. Ariko muri Rhabdomyolysis, ingano nini y'iyi myoglobin yirundanya mu maraso ikajya mu mpyiko zacu, zisukura amaraso. Iyo impyiko zidashobora kuyungurura poroteyine nyinshi gutyo, poroteyine iragwa mu miyoboro yoroshye y'impyiko igatangira kwangiza impyiko cyane . Iki ni cyo kintu kibi cyane muri iki kibazo.
Iyi ni indwara ikomeye isaba ubuvuzi bwihutirwa, bityo rero ni ngombwa cyane kumenya ibimenyetso byayo.
Ni ibihe bimenyetso by'ingenzi by'iyi ndwara?
Ibimenyetso bya rhabdomyolysis rimwe na rimwe bishobora gutangira nk'ububabare bworoheje bw'imitsi. Ariko akenshi biba bikomeye. Ibi bimenyetso bikunze kugaragara mu munsi umwe cyangwa itatu nyuma y'uko imitsi yangiritse.
| Ibimenyetso | Ibisobanuro |
|---|---|
| Ububabare bukomeye bw'imitsi no kubyimba | Ni ububabare bukomeye cyane kuruta ububabare busanzwe buboneka nyuma yo gukora imyitozo ngororamubiri. Bushobora kubabaza cyane ku buryo udashobora no kubukoraho. Ahantu hashobora no kubyimba no gukomera. |
| Intege nke z'imitsi | Imitsi ishobora gucika intege ku buryo udashobora kwimura ukuboko cyangwa ukuguru, cyangwa ngo ugende. Ibi si umunaniro gusa. |
| Ihinduka ry'ibara ry'inkari | Iki ni cyo kimenyetso kigaragara kandi giteje akaga cy’iyi ndwara. Inkari zihinduka umukara wijimye, ibara ry’icyayi, cyangwa se ibara rya kola. Ibi biterwa nuko poroteyine ya myoglobin yikusanyirije mu maraso isohoka mu nkari. |
| Ibindi bintu | Hari abantu bashobora kandi kugira ibimenyetso nko kubura amazi mu mubiri, kugabanuka k'inkari, isesemi, no guta ubwenge. |
Ni izihe mpamvu zitera rhabdomyolysis?
Nta mpamvu n'imwe itera iyi ndwara, ariko hari ibintu byinshi bishobora kuyitera. Muri make, ikintu cyose cyangiza imitsi cyane gishobora kuba impamvu.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Imyitozo ngororamubiri ikabije | Tekereza ko umaze igihe utakora imyitozo ngororamubiri, hanyuma ukaza guterura ibiro byinshi cyangwa ukiruka ibirometero byinshi. Umubiri wawe ntushobora kwihanganira ubwo bwoko bw'imyitozo ngororamubiri ikabije, kandi utari umenyereye, kandi uturemangingo tw'imitsi yawe dushobora kwangirika. |
| Ihungabana | Ibintu nk'impanuka y'imodoka, kugwa uvuye hejuru, gukomereka gukomeye, gushya cyane, no gukubitwa n'amashanyarazi bishobora kwangiza imitsi cyane mu kanya gato. |
| Kubura amazi mu mubiri no kubura ubushyuhe bwinshi | Ingaruka zo kuribwa mu mitsi ziyongera iyo umubiri ubuze amazi kandi ushyushye cyane. Izi ngaruka ziba nyinshi ku bakora ku zuba cyangwa bakora siporo batanyoye amazi ahagije. |
| Imiti imwe n'imwe | Iyi ndwara ishobora guterwa n'imiti imwe n'imwe ya statin, nk'ikoreshwa mu kugabanya cholesterol, ndetse n'imiti imwe n'imwe ivura indwara zo mu mutwe. Ariko , ntugahagarike gufata imiti muganga wawe yakwandikiye. Niba ufite gushidikanya, vugana na muganga wawe kuri iyo miti. |
| Guhora mu mwanya umwe igihe kirekire | Iyo umuntu ugeze mu za bukuru aguye akaryama hasi amasaha cyangwa iminsi adahagurutse, imitsi iri munsi y'uburemere bw'umubiri ishobora kwangirika bitewe no kugabanuka kw'amaraso atembera. |
Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?
Nubwo ibi bishobora kubaho kuri buri wese, hari abantu bafite ibyago byinshi byo kurwara.
- Abakinnyi b'imikino ngororamubiri: abiruka marato, imyitozo ngororamubiri ikomeye.
- Abantu bakorera ahantu hashyushye: abazimya umuriro, abantu bakora mu nganda z'ubwubatsi.
- Abakiri mu myitozo ya gisirikare: Mu gihe cy'imyitozo ikomeye.
- Abantu barengeje imyaka 65: bitewe n'ibyago byo kugwa no kunanirwa guhaguruka.
Ni gute umuganga asuzuma ibi kandi akabivura?
Iyo ugiye kwa muganga ufite ibimenyetso byavuzwe haruguru, muganga abanza kukubaza ibikorwa byawe biheruka n'imiti urimo gufata. Hanyuma, azakora ibizamini bibiri by'ingenzi kugira ngo yemeze ko ufite ikibazo.
1. Isuzuma ry'amaraso: Ibi bigenzura urugero rwa enzyme yitwa creatine kinase (CK) . Iyo imitsi yangiritse, uru rugero rwa CK rurushaho kuba rwinshi mu maraso.
2. Isuzuma ry'inkari: Ibi bireba niba hari myoglobin mu nkari.
Iyo indwara imaze kumenyekana, ubuvuzi buratangira. Ubuvuzi bw'ingenzi kandi bw'ingenzi ni ugutanga umunyu mwinshi mu mubiri (IV queurs) binyuze mu mitsi. Ibi byitezwe ko bizakuramo ibintu byose byangiza mu maraso kandi bikabisohora vuba binyuze mu mpyiko mu nkari. Ibi bishobora kugabanya kwangirika kw'impyiko.
Iyo impyiko zangiritse cyane, ushobora gukenera gukora dialyse kugira ngo amaraso yeze.
Ni ryari ngomba kubonana na muganga ako kanya?
Iki ni cyo gice cy'ingenzi cyane cy'iyi nkuru. Ugomba kwitonda cyane kuri ibi bintu.
Niba ufite ububabare bw'imitsi, intege nke, cyangwa kubyimba iminsi mike nyuma yo gukora imyitozo ngororamubiri ikomeye cyangwa indi mpanuka, cyane cyane niba inkari zawe zifite umukara wijimye cyangwa ibara ry'icyayi, jya mu cyumba cy'ubutabazi bw'ibanze cy'ibitaro (ETU) vuba. Iyi si indwara ishobora kuvurirwa mu rugo.
Twagabanya dute iki kibazo?
Nubwo impanuka zidashobora kwirindwa, hari ibintu dushobora gukora kugira ngo tugabanye ibyago byo kwandura rhabdomyolysis, cyane cyane iyo bigeze ku myitozo ngororamubiri.
- Tangira buhoro buhoro: Niba uri mushya mu gukora siporo, ntugahite utangira guterura ibintu biremereye cyangwa kwiruka cyane. Reka umubiri wawe ubimenyere buhoro buhoro.
- Nywa amazi menshi: Nywa amazi menshi mbere, mu gihe cyo gukora imyitozo ngororamubiri, na nyuma yayo. Ntureke ngo ugire amazi menshi mu mubiri.
- Tega amatwi umubiri wawe: Niba wumva ububabare cyangwa umunaniro ukabije mu gihe ukora imyitozo ngororamubiri, hagarara maze uruhuke. Ntugasunike umubiri wawe ku buryo burenze urugero.
- Irinde ubushyuhe: Irinde gukora imyitozo ngororamubiri hanze mu gihe cy'ubushyuhe bukabije.
Ubutumwa bwo kujyana mu rugo
- Hari ubwoko bubiri bw'ububabare bw'imitsi bugaragara nyuma yo gukora imyitozo ngororamubiri ikomeye: ububabare busanzwe bw'imitsi na rhabdomyolysis. Menya ibimenyetso nko kubabara cyane, kubyimba, no gucika intege.
- Iyo inkari zawe zihindutse ibara ryijimye nk'icyayi, ni ikimenyetso cy'uko ufite indwara iteje akaga. Shaka ubufasha kwa muganga byihutirwa.
- Mu gutangira imyitozo ngororamubiri, tangira ku rwego umubiri wawe ushobora kwihanganira. Ntugashyire umubiri wawe umutwaro mwinshi icyarimwe.
- Irinde amazi menshi mu mubiri unywa amazi menshi mu gihe ukora imyitozo ngororamubiri no mu bidukikije bishyushye.
- Iyo iyi ndwara ivuwe vuba, niho amahirwe yo kwirinda kwangirika kw'impyiko no gukira neza aba menshi.
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