Umurinzi w'inkari zacu ucecetse: Reka twige gusa ibyerekeye urothelium

Twese twihagarika inshuro nyinshi ku munsi. Ariko se wigeze wibaza uburyo butangaje buri inyuma y'iyi gahunda yose? Ese wari uzi ko iyi sisitemu isohora imyanda mu mubiri wacu nk'amazi ifite agace kayikingira imbere? Uwo ni wo mukingo utagira icyo uvuga tugiye kuvugaho uyu munsi. Izina rye ni urothelium.

Mu magambo make, iyi urothelium ni iki?

Tekereza ku buryo inkari zawe zikoreshwa n'impyiko nk'umuyoboro w'amazi. Inkari, zikorwa n'impyiko, zinyura mu miyoboro y'inkari, zikinjira mu ruhago, hanyuma zigasohoka mu muyoboro w'inkari. Ubu, izi nkari si amazi gusa. Zirimo imiti idakenewe n'umubiri, kandi rimwe na rimwe ishobora kwangiza ibindi bice by'umubiri. Inkari nazo ni amazi aside gato.

Rero, inzira inkari zinyuramo, ni ukuvuga, ziturutse imbere mu ngingo nk'uruhago n'umuyoboro w'inkari, hagomba kubaho igipfundikizo gikomeye kugira ngo ibyo bintu byangiza bitakwinjira mu mubiri, ni ukuvuga mu maraso no mu mitsi yacu. Icyo gipfundikizo cyihariye cyo kurinda ni cyo twita urothelium.

Ibi bimeze nk'irangi ritazi amazi riri ku nkuta z'inzu yacu. Iryo rangi ribuza amazi kwinjira mu nzu. Muri ubwo buryo, urothelium ibuza ibiri mu nkari kwinjira mu mubiri. Igizwe n'uturemangingo twinshi dufatanye cyane. Ubundi bushobozi butangaje bw'utu turemangingo ni uko dushobora kurambura neza iyo uruhago rwuzuye kandi tukagaruka uko twakabaye iyo rudafite ikintu.

Ni iyihe mirimo y'ingenzi ya urothelium?

Serivisi itangwa n'aka gasimba gato si ikintu gito. Reka turebe zimwe mu nshingano zako z'ingenzi.

Urothelium iherereye he?

Iyi mipfundikizo irinda indwara iherereye cyane cyane mu gice cyo hasi cy'urwungano rw'inkari zacu. Ni ukuvuga:

• Impyiko: Iki ni igice cy'impyiko gisa n'igikombe aho inkari zikorerwamo zibanza guteranira.
• Ureters: Imiyoboro ibiri itwara inkari ziva mu mpyiko zijya mu ruhago.
• Inkari: Agafuka gakusanya inkari kakabika.
• Urethra: Umuyoboro utwara inkari ziva mu ruhago zijya hanze y'umubiri.

Ibice bitatu bya urothelium

Uru si urwego rumwe gusa. Kimwe n'igihome, rufite urwego rw'ingenzi eshatu.

Indwara zigira ingaruka ku gice cy'imbere cy'umuyoboro w'amaraso

Iyo uru rurerure rw’umubiri rwangiritse cyangwa imikorere yarwo ihinduka, indwara zitandukanye zishobora kuvuka.

• Kanseri: Kanseri nyinshi zo mu ruhago zitangirira mu turemangingo twa urothelium. Iyi yitwa urothelial carcinoma . Abanywa itabi bafite ibyago byinshi byo kurwara ubwoko bw'iyi kanseri.
• Interstitial Cystitis: Iyi ni indwara ibabaza idakira ifata uruhago. Abaganga bamwe bemera ko kwangirika kwa urothelium bituma ibintu byangiza inkari biva mu rukuta rw'uruhago, bigatera ubu bubabare.
• Inzogera ikora cyane cyangwa ihungabana ry'inkari: Iyo urothelium yangiritse bitewe n'ibibazo nk'amabuye y'impyiko, ishobora kohereza ibimenyetso bitari byo mu bwonko. Urugero, uruhago rushobora kohereza ikimenyetso cy'uko rugomba koroherwa vuba, nubwo rutarazura neza.

Ni ibihe bimenyetso bisanzwe by'iyi ndwara?

Niba ufite ikibazo ku gice cyawe cy'imbere mu mubiri (urothelium), ushobora kugira ibimenyetso nk'ibi:

• Amaraso mu nkari (Hematochezia): Iyi niNtukirengagize. Nubona amaraso mu nkari zawe ahinduka umutuku, umutuku, cyangwa umukara, hita ugana muganga.
• Ihinduka ry'ibara ry'inkari (kwijima).
• Kubabara mu nda yo hasi.
• Gushya cyangwa kubabara iyo uri kunyara.
• Gukenera kunyara kenshi.

Ibizamini byakozwe na muganga

Niba ufite ibimenyetso nk'ibi, muganga wawe ashobora gukora ibizamini kugira ngo amenye icyabiteye.

• Isesengura ry'inkari: Hafatwa icyitegererezo cy'inkari kigasuzumwa amaraso, amashyira, bagiteri, cyangwa ibindi bintu bidasanzwe.
• Ibizamini by'imikorere y'impyiko: Ibizamini by'amaraso cyangwa inkari bikorerwa kugira ngo harebwe niba impyiko zikora neza.
• Gupima amaraso: Bishobora gutanga amakuru yerekeye ubwandu cyangwa ibindi bibazo biri mu mubiri.
• Ibizamini byo gupima: Isuzuma rya ultrasound, MRI , cyangwa CT scan rishobora gukorwa kugira ngo harebwe amabuye, ibibyimba, cyangwa ibindi bintu bidafite ubuzima mu ngingo nk'impyiko n'uruhago.
• Gufata icyitegererezo cy'ingingo (Biopsy): Iyo hakekwa kanseri, kamera inyuzwa mu ruhago (Cystoscopy) hanyuma agace gato k'ingingo gafatwa mu gace gakekwaho icyaha kagasuzumwa.

Ese ni ibisanzwe kugira uturemangingo tw’umuyoboro w’inkari mu nkari?

Yego, rimwe na rimwe bishobora kuba ibisanzwe. Uturemangingo tw'umubiri wacu duhora dupfa kandi uturemangingo dushya turimo gukorwa. Rero ni ibisanzwe ko uturemangingo tumwe na tumwe two hejuru y'iyi urothelium dusohoka kandi tugasohoka hamwe n'inkari. Ariko, umubare munini w'utu turemangingo ushobora kwirundanya mu nkari bitewe n'ubwandu bw'inkari, igikomere giterwa n'ibuye ry'impyiko, cyangwa indwara runaka ya kanseri. Niba ibi bivugwa muri raporo y'ibizamini by'inkari zawe, menya neza ko wavuganye na muganga wawe umenye icyabiteye.

Dysplasia ni iki?

Hari igihe, isuzuma rya biopsy rishobora kugaragaza ko uturemangingo tw’umuyoboro w’amaraso dufite dysplasia . Ibi bivuze ko uturemangingo tuba tumeze nk’utudasanzwe iyo turebewe muri mikorosikopi. Ibi ntibivuze ko tumeze nka kanseri. Ariko, utwo turemangingo tudasanzwe rimwe na rimwe tuba dufite ibyago byo kurwara kanseri mu gihe kizaza. Kubwibyo, niba muganga abimenye, azagusuzuma buri gihe kandi aguhe imiti nibiba ngombwa.

Nta n'umwe muri twe ukoresha ijambo "urothelium" mu buzima bwacu bwa buri munsi. Ariko ubu uzi ko tudashobora kugira ubuzima bwiza tudafite iyi kingira idasobanutse. Niba rero ubonye ikintu kidasanzwe mu mikorere y'inkari zawe, cyane cyane amaraso mu nkari zawe, ntukirengagize kandi uhite ugisha inama muganga.