Reka tumenye uburemere bwihariye bw'inkari zawe. Kuki ibi ari ingenzi ku buzima bw'impyiko?

Uyu munsi tugiye kuvuga ku isuzuma ryoroheje cyane ry’inkari rishobora kugufasha kureba uburyo impyiko zawe zikora neza. Ibi nibyo abaganga bita isuzuma rya "Uburemere bwihariye bw’inkari". Ushobora kuba warigeze kubyumva mbere. Reka turebe icyo iki kizamini gikora, uko gikorwa, n'icyo twakwigira ku bisubizo byacyo.

Uburemere bw'inkari ni ubuhe? Reka tubisobanukirwe mu buryo bworoshye!

Mu magambo make, uburemere bw'inkari zawe bupima uburyo impyiko zawe zigumana amazi mu mubiri wawe kandi zikavana imyanda idakenewe (ni ukuvuga uduce twa shimi) mu maraso yawe. Ibi bipima neza uburyo inkari zawe zibyimbye ugereranije n'amazi asanzwe.

Tekereza, inkari zawe zishobora kuba zirimo ubwoko bw'imyanda:

• Urea: Urea ni ikintu kiboneka iyo umubiri ushenye poroteyine turya.
• Aside urike: Ibi bibaho iyo umubiri wacu ushenye imiti yitwa purine. Purine ni imiti isanzwe iboneka mu biribwa nk'inyama, amafi n'inzoga.
• Umunyu (cyane cyane sodiyumu): Umunyu uboneka mu biribwa byinshi turya, no mu miti imwe n'imwe. Mu by'ukuri ufasha kuringaniza indi myunyu ngugu mu maraso no gutwara intungamubiri mu mubiri wose.
• Aside amine: Izi ni zo shingiro ry’inyubako za poroteyine.

Ubu, uburemere buke mu nkari zawe bivuze ko hari amazi menshi cyane mu nkari zawe. Ibi bivuze ko inkari ziba zagabanutse, kandi ushobora kuba unywa amazi menshi cyane. Ku rundi ruhande, uburemere buke bivuze ko hari imyanda myinshi cyane mu nkari, kandi inkari ziba nyinshi. Ibi bishobora guterwa no kubura amazi.

Ariko, izi ndangagaciro ntizihinduka buri gihe bitewe n'ingano y'amazi umuntu anywa. Hari igihe ubu buremere bwihariye bushobora guhinduka bitewe n'indwara igira ingaruka ku mpyiko.

Iki kizamini cya "Uburemere bwihariye bw'inkari" cyitwa n'andi mazina menshi. Muganga wawe ashobora gukoresha rimwe muri aya mazina:

• Isuzuma ry'ingano y'inkari
• Uburemere bw'inkari bwihariye
• Inkari SG
• Isuzuma ry'inkari za SG
• Isesengura ry'inkari ryihariye
• Ikizamini cy'uburemere bw'inkari
• Ubucucike bw'inkari
• Ikizamini cyo gupima amazi
• Ikizamini cyo kubura amazi

Uburemere bw'inkari butubwira iki?

Iki kizamini kigaragaza ubwinshi bw'uduce twose tw'ibinyabutabire mu nkari zawe.

Ni izihe mpamvu zituma inkari zawe zigabanuka (uburemere buke bwihariye)?

• Kunywa amazi menshi cyane:Hari abantu banywa amazi menshi kubera akamenyero.
• Diyabete Insipidus ni indwara aho umubiri udakora imisemburo ya `(Vasopressin)` ihagije (izwi kandi nka `(Antidiuretic Hormone)` cyangwa `(ADH)`), cyangwa impyiko ntiziyisubize neza. Iyi misemburo igenzura ingano y'amazi mu mubiri.
• Indwara y'impyiko: Urugero, `(Pyelonephritis)`.
• Indwara y'impyiko idakira (CKD): Indwara y'impyiko ikora nabi uko igihe kigenda gihita.
• Kunanirwa kw'impyiko.

Ni izihe mpamvu zituma inkari zawe ziba nyinshi (uburemere bwazo buri hejuru)?

• Kubura amazi mu mubiri: Kutanywa amazi ahagije ku manywa.
• Kuruka: Iyo uhora uruka, amazi menshi asohoka mu mubiri wawe.
• Impiswi: Ni kimwe no ku myanya ndangagitsina idafite ishingiro.
• Ikorwa ryinshi rya ADH mu mubiri: Ibi byitwa Syndrome yo Gusohora Imisemburo Idakwiye ya Antidiuretic (SIADH).
• Amaraso adahagije ajya mu mpyiko: Urugero, `(Prerenal azotemia)`.
• Kunanirwa kw'uturemangingo tw'inkende gukora imisemburo ihagije: Ibi byitwa kandi "indwara ya Addison".

Iki kizamini cy’uburemere bw’inkari gikorwa ryari?

Niba umuganga akeka ko hari ikibazo mu gihe impyiko zawe zirimo kuringaniza ingano y'amazi mu mubiri wawe cyangwa gukura imyanda mu maraso yawe, ashobora kukugira inama yo gupima "Uburemere bwihariye bw'inkari".

Iki kizamini ugikora ute? Biroroshye cyane!

Biroroshye cyane. Icyo ugomba gukora ni ugutanga icyitegererezo cy'inkari mu gikombe gisukuye. Hanyuma, umuganga cyangwa umuntu wo muri laboratwari azashyira "Dipstick" muri icyo cyitegererezo. "Dipstick" ni agace gato ka pulasitiki cyangwa impapuro. Ifite uturemangingo duto dutwikiriwe n'imiti. Utwo turemangingo duhindura ibara bitewe n'uburemere bw'inkari zawe. Ni cyo kikwereka agaciro.

Hari igihe, kugira ngo umuganga wawe amenye neza igisubizo, ashobora gushyira ibitonyanga bike by'inkari zawe mu gikoresho cyitwa ``Refractometer`` . ``Refractometer`` ni igikoresho cy'ubuvuzi gipima ingano y'urumuri runyura mu nkari zawe. Niba inkari zawe zifite amazi menshi, bivuze ko zitose, urumuri rwinshi runyuramo. Niba zirimo amazi menshi, bivuze ko zirimo amazi menshi, urumuri ruto runyuramo.

Ni iki ugomba kumenya mbere yo gukora ikizamini?

• Muganga azabaza amateka yawe yose y’ubuvuzi ndetse anabaze n’ibibazo byinshi.
• Hafi buri muti ufata (wanditswe na muganga, waguzwe muri farumasi, imiti ya Ayurvedic, ndetse n'inyongeramusaruro z'ibimera)Ni ngombwa kubivuga kuko imiti imwe n'imwe ishobora kugira ingaruka ku bisubizo by'iki kizamini. Bityo ushobora gusabwa guhagarika kuyifata iminsi mike mbere y'ikizamini. Ariko, ntuhagarike gufata imiti iyo ari yo yose kugeza igihe muganga wawe azakubwiye.
• Niba uherutse gukorerwa ikinya cyangwa ibizamini (nk'ibya MRI cyangwa CT scan) bikoresha uburyo bwo kugabanya isura, bibwira muganga wawe nabyo, kuko bishobora kugira ingaruka ku bisubizo.
• Muganga wawe azakubwira neza icyo ugomba gukora mbere yo gupimwa. Hari igihe ushobora gusabwa kugabanya amazi ufata mu gihe cy'amasaha agera kuri 12 mbere yo gupimwa.

Ni iki kibaho mu gihe cy'ikizamini?

Ubusanzwe ugomba gutanga icyitegererezo cy'inkari kwa muganga cyangwa muri laboratwari. Ni ngombwa cyane gukaraba intoki zawe neza n'isabune mbere yo kunyara mu gikombe.

Niba ufite ikibazo cyo kunyara hanze y'urugo (hari abantu babikora, kandi byitwa "shy bladder syndrome"), bwira muganga wawe hakiri kare. Bashobora kuguha igikombe cyo kujyana mu rugo bakaguha icyitegererezo, cyangwa bakakugira inama y'ubundi buryo bwo kugufasha.

Nanone, niba uri mu mihango, vuga ibyo, kuko amaraso yo mu mihango ashobora kugira ingaruka ku buremere bw'inkari.

Nyuma yo gutanga icyitegererezo, abakozi b'abaganga bazakubwira icyo wakora na cyo.

Bigenda bite nyuma y'ikizamini?

Nyuma yo gutanga icyitegererezo cy'inkari, abakozi b'abaganga bazahita bakora ikizamini cya "Dipstick" cyangwa bacyohereze muri laboratwari kugira ngo gisuzumwe hakoreshejwe "Refractometer".

Ibisubizo ni ibihe? Bitubwira iki?

Ingano isanzwe y'uburemere bw'inkari runaka iri hagati ya 1.0101 na 1.030 (uburemere bw'amazi bwihariye ni hafi 1.000).

• Niba uburemere bw'inkari zawe buri munsi ya 1.0101, bivuze ko inkari zawe zifite amazi menshi kandi zigashonga.
• Niba uburemere bw'inkari zawe buri hejuru ya 1.030, bivuze ko inkari zawe zirimo imyanda myinshi kandi zirimo ubwinshi.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Iyo umuganga akoresheje `(Dipstick)`, ibisubizo bishobora kumenyekana ako kanya. Ariko, iyo hakoreshejwe `(Refractometer)`, bishobora gufata igihe kirekire.

Iki kizamini cy’uburemere bw’inkari gikunze gukorwa hamwe n’ibindi bizamini byinshi by’inkari. Kubwibyo, uzahabwa ibisubizo by’ibizamini byose hamwe, akenshi mu minsi imwe cyangwa ibiri y’akazi. Muganga wawe ashobora kuguhamagara akakubwira ibisubizo, cyangwa akabyoherereza mu buryo bw’ikoranabuhanga.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Niba uburemere bw'inkari zawe butari busanzwe, muganga wawe ashobora kukugira inama yo gukora ibindi bipimo kugira ngo amenye impamvu nyayo. Ibi bizaterwa niba inkari zawe zaragabanutse cyangwa zirimo ubwinshi ndetse n'ikibazo cy'uburwayi gikekwa. Ibi bishobora kuba birimo:

• Ibipimo by'amaraso: Urugero, `(Isuzuma ry'amaraso rya Osmolality)`, `(Isuzuma ry'ingirabuzimafatizo za metabolike - CMP)`, `(Isuzuma rya Urea Azote - BUN)`.
• Ibizamini byo gupima: `(MRI - Magnetic Resonance Imaging)`, `(CT scan - Computed Tomography scan)`, cyangwa `(ultrasound y'impyiko)` y'impyiko.
• Ibindi bipimo by'inkari.

Ni ryari ngomba kubonana na muganga?

Hamagara muganga wawe niba:

• Niba utarabona ibisubizo by'ibizamini byawe nyuma y'iminsi mike.
• Niba ubonye impinduka mu nkari zawe (nk'ibara, impumuro, inshuro).
• Niba ufite ikibazo icyo ari cyo cyose ku bisubizo.

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

Kunyara mu gikombe bishobora kugorana kandi bigatera isoni, ariko iki kizamini, cyitwa uburemere bw'inkari zawe, ni uburyo bwihuse kandi budatera indwara ku baganga kugira ngo barebe uko impyiko zawe zikora neza.

Niba ibisubizo byawe bitari ku rugero rw'ibyo witeze, muganga wawe ashobora guhita afata icyemezo niba ukeneye ibindi bipimo cyangwa niba ugomba gutangira kuvurwa.

Rero, ufite ibi mu mutwe, niba ufite ikibazo icyo ari cyo cyose, ntugatinye kubaza muganga wawe. Ikintu cy'ingenzi ni ukumenya ubuzima bwawe!

Uburemere bw'inkari, ubuzima bw'impyiko, isuzuma ry'inkari, ingano y'inkari, indwara z'impyiko , umwuma