Ese nawe urimo kugira amabuye ya aside urike mu mpyiko zawe? Reka tubimenye!

Ese wumva ububabare n'imibabaro iyo uri kunyara? Ushobora kuba warabonye amaraso make mu nkari zawe. Mu by'ukuri ni ibisanzwe kumva ufite ubwoba gato iyo ikintu nk'iki kibaye. Ariko nta mpamvu yo kugira isoni kuri ibi cyangwa kubigumisha wenyine. Kuko ibi bishobora kuba ibimenyetso by'indwara yitwa "amabuye ya aside urique" yibasira impyiko. None rero uyu munsi, reka tuganire mu buryo burambuye kandi mu buryo bworoshye ku byerekeye ayo mabuye ya aside urique, uko ateye, ibimenyetso byayo, uburyo bwo kuyavura, n'uburyo bwo kuyarinda.

Amabuye ya aside urike ni iki?

Mu magambo make, amabuye ya aside urike ni bumwe mu bwoko bune bw'amabuye y'impyiko. Ibuye ry'impyiko ni urusobe rw'imyunyu ngugu n'umunyu mu mubiri wacu rukora mu nkari. Rusa n'akabuye gato. Rushobora kwirema mu mpyiko zawe cyangwa ahandi hose mu buryo bw'inkari zawe - igice cy'umubiri wawe aho inkari zisohokera mu mubiri wawe. Amabuye ya aside urike ashobora gutera ububabare iyo unyara ndetse n'amaraso mu nkari zawe (hematuria). Ntugatinye niba ufite ibi bimenyetso. Ariko ni ngombwa kujya kwa muganga vuba bishoboka kugira ngo umenye neza icyo ari cyo no kwemeza neza ko nta zindi ngorane zibaho.

Aside urike ni iki?

Aside urike ni imyanda iri mu maraso yacu. Iboneka iyo umubiri wacu ushenye ibintu byitwa "Purine". Izi purine zikunze kuboneka mu nyama, cyane cyane inyama zitukura nk'inyama z'inka n'ingurube, no mu binyobwa bimwe na bimwe by'inzoga nka byeri n'inzoga. Ubusanzwe, aside urike nyinshi ishongera mu maraso, ikanyura mu mpyiko, hanyuma igasohoka mu mubiri mu nkari. Ariko, amabuye ya aside urike atangira kubaho iyo:

• Niba urugero rwa aside urique mu nkari zawe ruri hejuru cyane .
• Niba inkari zawe zihora zifite aside nyinshi .

Izi mpamvu zombi zishobora kugira ingaruka.

Amabuye ya aside urike akunze kugaragara mu rugero rungana iki?

Abashakashatsi bavuga ko mu bihugu nka Leta Zunze Ubumwe za Amerika, hafi umuntu umwe ku icumi azarwara ibuye ry’impyiko mu buzima bwe. Muri ayo mabuye, 8% kugeza ku 10% ni aside urike. Iki kibazo ubu gikunze kugaragara no muri Sri Lanka.

Ni ibihe bimenyetso by'amabuye ya aside urike?

Ibimenyetso by'amabuye ya aside urique bisa n'iby'andi moko y'amabuye y'impyiko. Ikimenyetso nyamukuru ni ububabare . Ubu bubabare buterwa n'igitutu gituruka ku mabuye, haba mu mpyiko cyangwa mu nzira y'inkari, bigatuma aguma mu myanya cyangwa agakomereka. Ushobora kumva ububabare:

• Mu nda yo hasi.
• Ibice byo ku ruhande.
• Mu nda.
• Mu gace kari hagati y'amatako (`Groin`).

Izindi bimenyetso zishobora kugaragara harimo:

• Amaraso mu nkari.
• Isesemi cyangwa kuruka .
• Umuriro.
• Kumva ufite ubukonje (`Ubukonje`).
• Kugira impumuro mbi mu nkari.
• Inkari z'ibara ryijimye.

Ni gute aya mabuye ya aside urique akorwa?

Iyo urugero rwa aside urike yawe ruri hejuru (bita hyperuricemia mu buvuzi), kristu za aside urike zitangira kwirema. Izi kristu za aside urike zihurira hamwe n'ibindi bintu mu mubiri zigakora ibuye rikomeye. Hanyuma ibuye rirushaho kuba rinini. Rishobora kuba mu mpyiko ubwayo, cyangwa rishobora kunyura mu nzira y'inkari rigafata ureter. Turyita ibuye ry'umuyoboro w'inkari. Iyo aya mabuye ari mato cyane, ashobora gusohoka mu mubiri hamwe n'inkari, rimwe na rimwe nta bubabare cyangwa ububabare buto. Ariko iyo bitabaye ibyo, ashobora gufatirwa mu mpyiko, ureter, uruhago, cyangwa urethra, bikabuza inzira y'inkari gutembera. Ni bwo ububabare n'ibindi bimenyetso bitangira kugaragara, kuko aya mabuye yangiza inkuta z'imiyoboro yazibye.

Ni izihe mpamvu nyamukuru zitera amabuye ya aside urike?

Impamvu nyamukuru zituma inkari zawe zirushaho kugira aside ni izi:

Kudashobora kugenzura neza aside urike cyangwa poroteyine mu biribwa

Iyo umubiri wacu udashobora kugenzura neza aside urike cyangwa poroteyine, inkari ziba aside. Ubusanzwe iyi ndwara ni ikintu uvukana n'ababyeyi bawe. Indi ndwara ifitanye isano nayo ni "Gout". Gout itera aside urike nyinshi mu maraso n'uturemangingo tubabaza mu ngingo.

Kurya ibiryo birimo purine nyinshi

Poroteyine z'amatungo, nk'inyama z'inka, inkoko, ingurube, amagi n'amafi, zirimo purine nyinshi. Izi ziboneka cyane cyane mu ngingo z'inyamaswa nko mu mwijima no mu mpyiko (inyana, impyiko). Iyo uriye ubwoko bwinshi bwa poroteyine z'inyamaswa, aside urique ishobora kwirundanya mu nkari zawe. Ibi bishobora kwirundanya no gukora amabuye, yaba ari yo yonyine cyangwa iyo bivanze na kalisiyumu. Ariko, indyo yonyine si yo itera amabuye ya aside urike. Akenshi akunze kugaragara mu bantu barya ibiryo birimo purine nyinshi kandi bafite imiterere y’uturemangingo yo gukora amabuye.

Izindi mpamvu zitera aside irike nyinshi

Hari izindi mpamvu nyinshi zishobora gutuma urugero rwa aside urique rushobora kwiyongera:

• Igipimo cy'uburemere bw'umubiri (BMI) kiri hejuru ya 25 (bivuze umubyibuho ukabije cyangwa umubyibuho ukabije ).
• Imiti imwe n'imwe n'inyongeramusaruro, urugero, imiti igabanya ubukana bw'amaraso n'imiti igabanya ubudahangarwa bw'umubiri .
• Uburyo bwo kuvura kanseri hakoreshejwe imiti igabanya ubukana.
• Diyabete yo mu bwoko bwa 2.
• Kongeramo umunyu n'isukari nyinshi mu biribwa.
• Kugira amateka y'umuryango ku ndwara y'amabuye mu mpyiko.
• Kutabona imyitozo ngororamubiri ihagije.
• Kubagwa kugabanya ibiro (`Bariatric surgery`).

Uretse ibi byose, iyo utanyoye amazi ahagije , uba uri mu kaga gakomeye ko kurwara amabuye ya aside urike ndetse n'andi moko y'amabuye y'impyiko.

Ni nde ushobora kurwara amabuye ya aside urike cyane?

Abagabo bafite amahirwe menshi yo kurwara ubwoko ubwo aribwo bwose bw'impyiko. Ingaruka zo kurwara impyiko mu buzima bwabo bwose ni hafi 19%. Ku bagore, ibyago ni hafi 9%. Abantu benshi ntibarwara impyiko mbere y'imyaka 30. Ariko bashobora kurwara hakiri kare, ndetse rimwe na rimwe no ku bana bato.

Ni izihe ngorane zishobora guterwa n'amabuye ya aside urique?

Ubwoko ubwo aribwo bwose bw'ibuye ry'impyiko byongera ibyago byo kurwara indwara zidakira z'impyiko (CKD). Niba ufite ibuye rimwe, uba uri mu kaga ko kurwara irindi mu myaka itanu kugeza kuri irindwi iri imbere. Bityo rero ni ngombwa kubimenya.

Ni gute wamenya amabuye ya aside urike?

Iyo ugiye kwa muganga, azabaza amateka yawe y'uburwayi, abaza ibimenyetso byawe, kandi agukorere isuzuma ry'umubiri. Niba akeka ko ufite ibuye rya aside urique, azagutegeka ibizamini byinshi kugira ngo byemezwe.

Ibi bizamini ni ibihe?

Muganga ashobora gutumiza ibizamini nk'ibi bikurikira:

• Ibipimo by'amaraso:Ibi bizamini bishobora kugaragaza urugero rwinshi rwa aside urike cyangwa kalisiyumu mu maraso, kandi bishobora no gufasha kumenya niba hari izindi ndwara zishobora gutera ibimenyetso byawe.
• Gusuzuma inkari: Ushobora gusabwa gukusanya icyitegererezo cy'inkari mu masaha 24 kugira ngo urebe ingano ya aside uric na calcium mu nkari zawe.
• Ibizamini byo gupima: Gupima ikoranabuhanga rya CT cyangwa ultrasound bishobora gufasha kumenya neza aho amabuye ari mu nzira y'inkari. Ibi bipimo bishobora kubona n'utubuye duto cyane. Imirasire yo mu nda ntabwo ikoreshwa muri ibi, kuko ishobora kubura utubuye duto.
• Gusesengura amabuye: Ushobora guhabwa akayunguruzo kadasanzwe hanyuma ugasabwa kuhaca inkari. Ibi bikorwa kugira ngo hafatwe amabuye yose ava mu nkari zawe. Hanyuma ayo mabuye yoherezwa muri laboratwari kugira ngo asuzumwe kugira ngo hamenyekane ubwoko bw'amabuye. Mu gusesengura ibuye muri ubu buryo, muganga wawe ashobora kumenya icyateye iryo buye gukora n'icyo wakora kugira ngo ridasubira kubaho.

Ni gute wavura amabuye ya aside urike?

Iyo ibuye riri munsi ya milimetero 7, bivuze ko ari rito cyane, rishobora kwiyahura ryonyine. Ibi bishobora gufata ibyumweru bitatu. Ariko, nubwo iryo buye ryakwiyahura ryonyine, ni ngombwa cyane kuvugana na muganga kugira ngo amenye icyo wakora kugira ngo wirinde ko amabuye ya aside urique yongera kubaho. Dore bimwe mu bintu bibaho iyo unyoye amazi menshi:

• Ingano y'imyunyu ngugu mu nkari yawe iragabanuka. Amazi ashongesha imyunyu ngugu kandi bigatuma byoroha kuyisohora hamwe n'inkari zawe.
• Bitera kwihagarika kenshi, bikuraho imiti ishobora gutera amabuye.

Abaganga basaba kunywa amazi ahagije kugira ngo hakorwe litiro 2.5 z'inkari ku munsi. Kugira ngo ukore inkari nyinshi, ugomba kunywa litiro 3 z'amazi ku munsi. Ibi biterwa nuko imibiri yacu itakaza amazi binyuze mu kubira ibyuya no gukora imyitozo ngororamubiri. Nubwo ari ngombwa kunywa amazi y'ubwoko ubwo aribwo bwose, kunywa amazi ni byo byiza .

Ese hari imiti ishobora gushonga amabuye ya aside urike?

Mu moko yose y'amabuye y'impyiko, amabuye ya aside urique ni yo yonyine ashobora gushonga hamwe n'imiti . Hari ubwoko butandukanye bw'imiti ikoreshwa muri ibi:

• Ibinini bya potasiyumu citrate (urugero: Urocit-K®).
• Ibinini bya kalisiyumu karubone (urugero: Tums®).
• `Allopurinol` (`Allopurinol`).

Ibinini bya potasiyumu citrate cyangwa karubone calcium carbonate bikora mu gutuma inkari zawe zirushaho kuba alkaline. Allopurinol igabanya urugero rwa aside urique yawe. Niba muganga wawe aguhaye iyi miti, ni ngombwa kunywa amazi menshi hamwe nayo. Kunywa amazi menshi bifasha gushonga aside urique. Muganga wawe ashobora kandi kuguha imiti yitwa alpha-blockers, ishobora gufasha impyiko zawe gusohora amabuye vuba.

Ese nkeneye kubagwa?

Ushobora kubagwa niba ibuye ryawe rya aside urike riri muri imwe muri izi ndwara:

• Niba ibuye ari rinini cyane .
• Iyo bibangamiye inzira y'inkari.
• Niba bitera ubwandu .
• Niba utagiye hanze nyuma y'ibyumweru bine cyangwa bitandatu.

Ubundi buryo bwo kubaga burimo uburyo bwo kuvura buto cyane cyangwa butavura. Ingero zimwe zirimo:

• Extracorporeal shock wave lithotripsy (ESWL): Ibi bikubiyemo gukoresha amajwi afite ingufu nyinshi kugira ngo umenagure amabuye. Nta gucikamo ibice cyangwa ikindi kintu cyose gishyirwa mu mubiri.
• "Ureteroscopy": Muri ubu buryo, muganga ashyira igikoresho kirekire kandi gito ("endoscope") binyuze mu muyoboro wawe w'inkari mu muyoboro w'inkari wafashwe. Hanyuma umuganga ubaga akoresha "agasanduku" gato kugira ngo akureho ibuye. Hari igihe "laser" ishobora gukoreshwa mu kumenagura ibuye no gukuraho ibice.
• Percutaneous nephrolithotomy (PCNL): Ubu buryo bukoreshwa ku mabuye manini. Umuganga ubaga agukata gato mu mugongo akinjira mu mpyiko. Hanyuma ibuye rirakurwaho, cyangwa ibuye rikamenagurwa mbere hanyuma rikavanwaho.

Nyuma yo kubagwa, muganga yohereza ibuye cyangwa ibice by'ibuye muri laboratwari kugira ngo bisuzumwe.

Ni gute kunywa amazi byafasha mu kugabanya ibyago byo kurwara aside urique?

Kunywa amazi asabwa buri munsi ni kimwe mu bintu byiza ushobora gukora kugira ngo ugabanye ibyago byo kurwara aside urique n'andi mabuye yo mu mpyiko. Amavuta agabanya imyanda mu nkari zawe kandi agasohora imiti ihumanya ikirere, bigatuma amabuye adakora.

Ni gute nakwirinda amabuye ya aside urike?

Dore izindi ngamba ushobora gutera kugira ngo wirinde ko amabuye ya aside urike avuka:

• Nywa nibura litiro 2.7 kugeza kuri litiro 3.7 z'ibinyobwa buri munsi. Amazi ni yo meza .
• Komeza kugira ibiro bizima bikubereye.
• Kurikiza gahunda yo kurya ya `DASH` (Uburyo bwo guhagarika umuvuduko ukabije w'amaraso). Ibi bishobora kugabanya umuvuduko ukabije w'amaraso (umuvuduko ukabije w'amaraso) ndetse n'ibyago byo kurwara amabuye mu mpyiko. (Ibi bikubiyemo kurya umunyu muke no kurya imboga nyinshi, imbuto n'ibinyampeke byuzuye).
• Koresha imiti wahawe na muganga wawe kugira ngo wirinde ko amabuye ya aside urique avuka neza.

Ni iki nakwitega mu gihe mfite amabuye ya aside urique?

Ubusanzwe, amabuye ya aside urike n'andi mabuye y'impyiko ni byiza. Akenshi, ayo mabuye ahita ubwayo. Ushobora kudakenera kuvurwa. Nubwo byaba bikenewe kuvurwa, uburyo bwo kuvura burakora neza. Ushobora gukira neza. Ariko, hari ibyago by'uko amabuye ya aside urike azagaruka. Bityo rero, ganira na muganga wawe ku bijyanye no guhindura ibyo urya n'ibyo unywa ndetse n'izindi ntambwe ushobora gutera kugira ngo wirinde ko amabuye yongera kubaho.

Nitwara nte?

Niba warigeze kugira amabuye ya aside urike, cyangwa ufite ibyago byinshi byo kurwara amabuye mu mpyiko (ayo ari yo yose), gukurikiza izi ntambwe bishobora kugufasha kugira ubuzima bwiza:

• Nywa amazi menshi.
• Kurikira indyo yuzuye.
• Koresha imiti cyangwa inyongeramusaruro nk'uko muganga wawe yabigutegetse.
• Niba ugize ububabare bukabije cyangwa ibindi bimenyetso biguhangayikishije, hita ubonana na muganga.

Ni ibihe biribwa utagomba kurya niba ufite amabuye ya aside urique?

Irinde cyangwa ugabanye ibiryo birimo purine nyinshi. Iyo uriye purine nyinshi, umubiri wawe ukora aside urike nyinshi. Iyo aside urike iri hejuru, inkari zawe zirushaho kuba aside nyinshi, bishobora gutuma habaho amabuye ya aside urike. Ingero z'ibiribwa birimo purine nyinshi zirimo:

• Inyama zitukura (inyama z'inka, inyama z'ihene, ingurube).
• Ingirabuzima fatizo z'imbere mu nyamaswa (amara, urwagashya, ubwonko, impyiko).
• Inzoga n'ibindi binyobwa bisindisha.
• Isosi zikozwe mu nyama (`Gravies`).
• Amafi mato nka sardine, sprat, na halibut, hamwe n'amafi yo mu nyanja nka oysters, shrimp, na crab.

Ni byiza kandi kugabanya ibiryo n'ibinyobwa birimo isukari nyinshi, cyane cyane ibirimo "syrup y'ibigori ifite fructose nyinshi." Ni byiza kurya byinshi muri ibi bintu:

• Imbuto n'imboga.
• Ibinyampeke byuzuye.
• Ibikomoka ku mata bifite ibinure bike.

Ni ryari ngomba kujya kwa muganga?

Niba utekereza ko ufite ibuye rya aside urike kandi ufite ibi bimenyetso, jya kwa muganga ako kanya cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze:

• Umuriro urenze dogere selisiyusi 38.6 (101.5 Fahrenheit).
• Gushya cyangwa ububabare bukabije iyo uri kunyara.
• Ububabare budashobora kwihanganira.
• Amaraso mu nkari.
• Isesemi no kuruka bidashira.
• Niba ufite ikibazo kigushyira mu kaga gakomeye ko kurwara indwara ziterwa n'amabuye y'impyiko, nka diyabete, kugira impyiko imwe gusa, cyangwa ibindi bibazo by'impyiko.

Ni ibihe bibazo ngomba kubaza muganga?

• Ni ubuhe buryo bwo kuvura bunkwiriye?
• Ese nkeneye kubagwa?
• Ni iki nakora kugira ngo wirinde ko amabuye ya aside urike yongera kubaho?
• Ese ngomba guhindura ibyo ndya n'ibyo nnywa?
• Ese ngomba gufata imiti cyangwa inyongeramusaruro?