Ese umubiri wawe wuzuyemo icyuma? Reka twige ku bijyanye na hemochromatosis.

Ese ukunze kumva unaniwe kandi ukagira ububabare mu ngingo? Hari igihe dutekereza ko ibi ari ibisanzwe tukabyirengagiza. Ariko ibi bintu bishobora no kuba ibimenyetso by'ubutare bwinshi mu mubiri wacu. Uyu munsi turimo kuvuga kuri kimwe muri ibyo bibazo, "Hemochromatosis". Nubwo iri ari izina ritamenyerewe, ni ngombwa cyane kurimenya.

Mu magambo make, hemochromatosis ni iki?

Hemochromatosis ni indwara aho umubiri wawe wirundanyiriza icyuma cyinshi cyane. Hari n'abantu bayita "ubwinshi bw'icyuma." Ubusanzwe, amara yacu yinjiza icyuma gusa umubiri wacu ukeneye mu biribwa turya. Ariko ku bantu bafite hemochromatosis, umubiri winjiza icyuma cyinshi kuruta icyo ukeneye. Ikibazo ni uko nta buryo bwo gukuraho icyuma cyinshi. Bityo umubiri ubika icyuma cyinshi mu ngingo zawe no mu ngingo z'ingenzi nk'umwijima, umutima, na pancreas.

Hari ubwoko bubiri bw'ingenzi bw'iyi ndwara.

Iyi ndwara ishobora kugabanywamo ubwoko bubiri bw'ingenzi. 1. Hemochromatosis y'ibanze: Iyi ni indwara ivuka mu muryango. Ni ukuvuga ko ihererekanywa mu bagize umuryango binyuze mu turemangingo. Mu by'ukuri, kugira ngo ugire iyi ndwara, ugomba kwakira gene ifite inenge ivuye kuri nyoko na so. 2. Hemochromatosis y'inyongera: Ibi bibaho bitewe n'izindi mpamvu. Urugero, iyi ndwara ishobora kubaho ku bantu bafite ikibazo cy'uburwayi gisaba guterwa amaraso kenshi (urugero, thalassemia) cyangwa ku bantu bafite izindi ndwara z'umwijima.

Ni izihe mpamvu zitera hemochromatosis?

Impamvu z'umurage

Ingirabuzimafatizo ya HFE igenzura ingano y'icyuma umubiri wacu winjiza mu biribwa. Impinduka ebyiri muri jeni ya HFE, C282Y na H63D, ni zo zitera inyinshi mu ndwara za hemochromatosis zikomoka ku rubyaro. Izindi ngirabuzimafatizo zishobora no gutera umubare muto w'abantu barwara hemochromatosis (hafi 10%-15%). Izi ngirabuzimafatizo zitwa hemochromatosis itari iya HFE. Iyo hari impinduka muri ngirabuzimafatizo nka HJV cyangwa HAMP, ibimenyetso bikunze kugaragara mu bwana. Hari igihe kwangirika k'umwijima no gucika intege kw'umwijima bishobora kubaho kuva umwana muto.Ibi bishobora kubaho.

Izindi mpamvu zo hanze (Impamvu za kabiri)

Ubu bwoko bukunze kubaho iyo umuntu afite ikibazo nko kubura amaraso cyane kandi agakenera guterwa amaraso kenshi. Ibi biterwa nuko uturemangingo dutukura dutangwa hanze tuba dufite icyuma kinini. Kubera ko umubiri udafite uburyo bwo gukuraho ubu butare, butangira kwikusanya. Kwiyongera k'ubutare bishobora no kwiyongera iyo umwijima wangiritse bitewe n'indwara nka cirrhose cyangwa hepatite B cyangwa C idakira.

Ni nde uri mu kaga gakomeye kuri ibi?

Niba ufite ibi bikurikira, uba uri mu kaga gakomeye ko kurwara hemochromatosis. Reka turebe imbonerahamwe kugira ngo tubisobanukirwe neza.

Ni ibihe bimenyetso bya hemochromatosis?

Hafi kimwe cya kabiri cy'abantu bafite hemochromatosis nta bimenyetso bagaragaza. Ku bagabo, ibimenyetso bikunze kugaragara hagati y'imyaka 30 na 50. Ku bagore, ibimenyetso bikunze kugaragara nyuma y'imyaka 50, cyangwa nyuma yo gucura. Dore bimwe mu bimenyetso by'ingenzi:

• Kubabara ingingo , cyane cyane mu ngingo no mu mavi.
• Umunaniro udashira nta mpamvu.
• Kugabanya ibiro nta mpamvu.
• Uruhu ruhinduka umuhondo cyangwa imvi .
• Ububabare bwo mu nda .
• Kugabanuka k'ubushake bw'imibonano mpuzabitsina .
• Gutakaza umusatsi ku mubiri.
• Impinduka mu gutera k'umutima (Umutima utera cyane).
• Ukwibuka kw'ibihu kumera nk'aho ari urujijo, nk'ubwonko bw'ibihu.

Hari igihe indwara idagaragaza ibi bimenyetso, ahubwo igaragara nk'izindi ngorane. Urugero:

• Ibibazo by'umwijima, cyane cyane indwara ya cirrhose
• Diyabete
• Ugutera k'umutima kudasanzwe
• Rubagimpande
• Kudakora neza kw'intanga ngore

Ubibona ute, Muganga?

Kubera ko ibi bimenyetso bishobora kugaragara mu zindi ndwara, rimwe na rimwe gusuzuma bishobora kugorana gato. Ariko niba ufite ibimenyetso, ibintu bishobora gutera ibyago, cyangwa umuntu wo mu muryango wawe afite iyo ndwara, muganga wawe azayisuzuma. Dore bumwe mu buryo bw'ingenzi bwo gusuzuma iyo ndwara:

• Kubaza amateka y'ubuzima bwawe n'ubw'umuryango wawe: Muganga azabaza niba hari umuntu wo mu muryango wawe ufite iyi ndwara, indwara y'umwijima, cyangwa rubagimpande.
• Isuzuma ry'umubiri: Umubiri wawe uzasuzumwa.
• Ibizamini by'amaraso: Hakorwa ibizamini bibiri by'ingenzi.

1. Kuzura kwa Transferrin: Ibi bigaragaza ingano y'ubutare bufatanye na transferrin, poroteyine itwara ubutare mu maraso. 2.Ferritin yo mu maraso: Ibi bipima urugero rwa ferritin, poroteyine ibika icyuma mu mubiri. Niba ibi bizamini bigaragaza urugero ruri hejuru rw'icyuma, muganga wawe ashobora kukwohereza mu isuzuma rya genetiki kugira ngo amenye niba ufite gene itera hemochromatosis.

• Isuzuma ry'umwijima: Agace gato cyane k'umwijima gafatwa kagasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba hari icyangiritse ku mwijima.
• MRI scan: Ikoresha magnets na radio waves kugira ngo igaragaze neza amashusho y'ingingo zawe.

Ni ubuhe buryo bwo kuvura?

Niba ufite hemochromatosis ukomoka ku rubyaro, uburyo bw'ingenzi bwo kuvura ni phlebotomy . Muri make, uku ni ugukura amaraso mu mubiri wawe mu bihe bitandukanye. Bisa n'uko dutanga amaraso muri Sri Lanka. Umuganga cyangwa umuforomo wabyigiye ashyira urushinge mu mitsi iri mu kuboko kwawe agakuramo amaraso runaka. Intego nyamukuru y'ibi ni ukugarura urugero rw'icyuma mu maraso yawe ku buryo busanzwe. Ibi biba mu bice bibiri:

• Uburyo bwo kuvura bwa mbere: Uzakenera kujya kwa muganga cyangwa kwa muganga rimwe cyangwa kabiri mu cyumweru kugira ngo ufate amaraso kugeza igihe urugero rw'icyuma mu mubiri wawe ruzagarukira ku rugero rusanzwe. Ibi bishobora gufata umwaka cyangwa irenga.
• Uburyo bwo kuvura indwara: Iyo urugero rw'icyuma rumaze gusubira ku rugero, inshuro zo guterwa amaraso ziragabanuka. Ibi bikorwa inshuro ebyiri kugeza kuri enye mu mwaka.

Niba ufite hemochromatosis ya kabiri, cyangwa niba imitsi yawe idakomeye bihagije kugira ngo ikuremo amaraso, muganga wawe ashobora kukugira inama yo kuvura yitwa chelation therapy . Ibi bikubiyemo kuguha imiti ifasha umubiri wawe gukuramo icyuma gikabije mu nkari no mu mwanda wawe.

Ni izihe mpinduka zishobora gukorwa mu rugo no mu mibereho yawe?

Niba uri gukorerwa phlebotomy, ubusanzwe ntugomba gukurikiza indyo yuzuye kuko bifasha kugenzura urugero rw'ubutare mu mubiri wawe. Ariko, ushobora gukora ibi bikurikira kugira ngo ugabanye ibyago byo kurwara:

• Irinde inzoga burundu. Inzoga zishobora kongera kwangirika k'umwijima.
• Irinde kurya amafi mabi cyangwa inkeri. Bishobora kuba birimo bagiteri zishobora gutera indwara ku bantu bafite icyuma kinini.
• Irinde gufata inyongeramusaruro za Vitamine C. Ariko, nta kibazo kiri mu kurya ibiryo karemano birimo Vitamine C (urugero: amacunga, tangerines).
• Irinde gufata inyunganiramirire z'icyuma cyangwa vitamine nyinshi zirimo icyuma.
• Irinde ibinyampeke bya mu gitondo birimo icyuma (cyakongejwemo ifu).
• Gabanya kurya ibiryo bikungahaye kuri feri (urugero: oysters, idada, epinari). Baza muganga wawe ibi.Umva kandi umenye byinshi.

Ubutumwa bwo kujyana mu rugo

• Hemochromatosis ni indwara aho ubutare bwinshi butera mu mubiri. Ni indwara iterwa ahanini n'uturemangingo tw'umubiri ihererekanywa mu bisekuruza.
• Ibimenyetso bishobora kuba birimo umunaniro, ububabare bw'ingingo, no guhinduka kw'ibara ry'uruhu. Hari abantu bashobora kuba nta bimenyetso na gato bafite.
• Niba ufite ibimenyetso cyangwa umuntu wo mu muryango wawe ufite iyi ndwara, hita ubonana na muganga wawe kugira ngo akugire inama.
• Gusuzuma no kuvura hakiri kare (Phlebotomy) bishobora kugenzura urugero rw'icyuma mu mubiri no gukumira kwangirika kw'ingingo.
• Iyi si ikibazo cyo gutinya. Iyo uvuwe neza kandi ukagirwa inama, ushobora kubaho ubuzima busanzwe kandi bufite ubuzima bwiza.

Hemochromatosis, Uburemere bw'icyuma, Indwara z'umwijima, Ububabare bw'ingingo, Phlebotomy