Kreatinin ni imyanda iterwa no kwangirika kw’imikaya, ikomoka ku kintu cyitwa kreatin, gitanga imbaraga ku mikaya. Impyiko zitonora kreatinin mu maraso, kandi impyiko zimeze neza zisanzwe zigumana urwego rw’ibintu ruhagaze. Iyo urwego rwa kreatinin ruzamuka, bishobora kugaragaza ko impyiko zitakora neza, bityo rero ni ingenzi gukurikirana urwego rw’ibintu kugira ngo ube muzima.

Kumva kreatinin ni ingenzi, cyane cyane ku bantu bashobora kugira ibibazo by’impyiko. Urwego rwinshi rwa kreatinin rushobora kwerekana ko impyiko zitakora neza, ibyo bikaba bishobora gutera ibibazo bitandukanye by’ubuzima. Bityo, kugumana urwego rwa kreatinin rungana ni ingenzi atari ukugira ngo ukorere isuzuma rusange ry’ubuzima gusa ahubwo no kurinda ubuzima bw’impyiko.

Ibyo kurya bigira uruhare runini mu gucunga urwego rwa kreatinin. Ibiribwa bimwe na bimwe bishobora gufasha gushyigikira imikorere y’impyiko no kugabanya urwego rwa kreatinin. Urugero, kongeramo imbuto n’imboga kurushaho mu mafunguro yawe, cyane cyane ibyatsi bito bito nka espinachi na kale, bishobora gufasha cyane. Ibi biribwa bitanga vitamine n’amasukari akenewe mu gihe bifite proteine ​​na sodium bike, ibyo bikaba bishobora kugirira akamaro ubuzima bw’impyiko.

Kreatinin ni iki?

Urwego rwa kreatinin rureba umubare wa kreatinin, imyanda, iboneka mu maraso cyangwa mu mpiswi. Kreatinin iterwa n’imikaya mu gihe cy’imikorere isanzwe y’imiterere y’umubiri kandi isanzwe itonorerwa n’impyiko. Gukurikirana urwego rwa kreatinin ni ingenzi kuko urwego rwinshi rushobora kugaragaza ko impyiko zitakora neza cyangwa indwara y’impyiko.

Ibintu by’ingenzi ku birebana n’urwego rwa kreatinin:

• Uruhererekane rusanzwe rwa Kreatinin: Urwego rwa kreatinin mu maraso rusanzwe rugenda kuva kuri 0.6 kugeza kuri 1.2 mg/dL ku bakuru, nubwo bishobora guhinduka bitewe n’imyaka, igitsina, uburemere bw’imikaya, n’ibyo kurya.

• Urwego rwinshi rwa Kreatinin: Urwego rwinshi rwa kreatinin rushobora kugaragaza ko impyiko zitakora neza, kuko zitabasha gutonora imyanda neza. Ibi bishobora kuba ikimenyetso cy’indwara y’impyiko cyangwa kwangirika kwazo.

• Urwego ruke rwa Kreatinin: Urwego ruke rwa kreatinin ni gake ariko rushobora kubaho mu bihe uburemere bw’imikaya buke, nko mu gihe cy’imirire mibi cyangwa indwara zikwangiza imikaya.

Gupima urwego rwa kreatinin kenshi ni kimwe mu bipimo byo gusuzuma imikorere y’impyiko kandi bifasha abaganga gusuzuma ubuzima bw’impyiko.

Urwego rwawe rwa kreatinin rugomba kuba ruhe?

Uruhererekane rusanzwe rw’urwego rwa kreatinin mu maraso ruhinduka bitewe n’ibintu nka myaka, igitsina, uburemere bw’imikaya, n’ubuzima muri rusange. Muri rusange, urwego rusanzwe ni:

• Abagabo: 0.6 kugeza kuri 1.2 mg/dL

• Abagore: 0.5 kugeza kuri 1.1 mg/dL

• Abana: 0.3 kugeza kuri 0.7 mg/dL (bitewe n’imyaka n’uburemere bw’imikaya)

Urwego rwa kreatinin ruri hanze y’uruhererekane rushobora kugaragaza ikibazo cy’imikorere y’impyiko. Urwego rwinshi rushobora kugaragaza ko impyiko zitahosha imyanda neza, mu gihe urwego ruke rushobora kuboneka mu bihe uburemere bw’imikaya buke cyangwa imirire mibi.

Kumva Urwego rwa Kreatinin n’Impamvu zo Kuzamuka

Icyiciro	Ibisobanuro	Impamvu zo kuzamuka kwa Kreatinin
Kreatinin ni iki?	Imyanda iterwa no kwangirika kwa kreatin mu mikaya, itonerwa n’impyiko	-
Urwego rusanzwe	Abagabo: 0.7–1.2 mg/dL Abagore: 0.5–1.0 mg/dL Abana: 0.3–0.7 mg/dL	-
Kuduga gake	Bigaragaza ko impyiko zishobora kuba zifite umuvuduko ariko bishobora kandi guterwa n’impamvu z’igihe gito	- Kuzimangana - Ifunguro rikungahaye kuri proteine - Imikino ikomeye
Kuduga mu rugero ruciriritse kugeza ku rugero rukomeye	Bigaragaza ko impyiko zitakora neza cyangwa ibindi bibazo by’umubiri	- Indwara y’impyiko idakira (CKD) - Kwibasirwa kw’impyiko (AKI) - Kubangamirwa (amabuye y’impyiko, prostate yagutse)
Izindi mpamvu zo kuzamuka	Ibintu bidafite aho bihuriye n’indwara y’impyiko	- Imiti imwe (NSAIDs, antibiotique) - Rhabdomyolysis (kwangirika kw’imikaya) - Kudakora neza kwa thyroid
Kuduga by’igihe gito	Bishobora gukira kandi akenshi nta cyo bitera	- Kuduga nyuma y’imikino - Umuhango cyangwa indwara - Kreatin nyinshi cyangwa ibinyobwa byongera imbaraga
Kuduga gahoraho	Urwego rwinshi ruhoraho rufitanye isano n’indwara ziriho	- Diabete - Umuvuduko w’amaraso uri hejuru - Indwara ziterwa n’ubudahangarwa bw’umubiri (lupus, vasculitis)
Igihe ugomba guhangayika	Kuzamuka kwihuse cyangwa urwego rurenga 2.0 mg/dL (cyangwa hashingiwe ku rwego rw’ibanze ku myaka/ubuzima)	- Ibimenyetso nko kugabanuka kw’impiswi, kubyimbagira, cyangwa umunaniro hamwe n’urwego rwinshi rwa kreatinin
Isuzuma	Ibizamini by’amaraso byo gusuzuma urwego rwa kreatinin, Glomerular Filtration Rate (GFR), ibizamini by’impiswi	- Amashusho (ultrasound, CT scan) yo kubona kubangamirwa kw’impyiko - Biopsy ku ndwara y’impyiko ikekwako
Ubuvuzi	Biterwa n’impamvu y’ibanze	- Kuvura kuzimangana - Guhindura imiti - Gucunga indwara ziriho (urugero, diabete, hypertension)

Ibiribwa bigabanya urwego rwa Kreatinin

Icyiciro	Ibiribwa byo gushyiramo	Impamvu bifasha	Ibiribwa byo kwirinda	Impamvu yo kwirinda
Imbuto nke muri potasiyumu	Apples, pears, berries (blueberries, strawberries)	Potasiyumu nke ishyigikira imikorere y’impyiko	Ibananas, oranges, cantaloupe	Urwego rwinshi rwa potasiyumu rushobora gukaza impyiko
Imboga	Cauliflower, cabbage, bell peppers, cucumbers	Potasiyumu na fosfore nkeya, byiza ku mpyiko	Ibirayi, inyanya, espinachi	Zikungahaye kuri potasiyumu na fosfore
Ibinyamisogwe byuzuye	Umuceri wera, avoka, orge	Byoroshye kunywa, proteine ​​ike	Umuceri w’ingano, quinoa	Zikungahaye kuri fosfore
Proteine ​​(mu rugero)	Amapupa y’amagi, amafi (ayo afite fosfore nke nka cod)	Itanga proteine ​​ikenewe idakoresha impyiko	Inyama zitukura, inyama zitunganyirijwe	Zikungahaye kuri kreatin, ihinduka kreatinin
Ibiribwa bituma umubiri uba amazi	Watermelon, cucumber	Bifasha kugumana amazi mu mubiri no kugabanya urwego rwa kreatinin	Ibiryo byinshi by’umunyu	Ibi bishobora gutera kuzimangana, bigatuma kreatinin izamuka
Ibinyomoro n’uburyohe	Ginger, tungurusumu, turmeric	Birwanya ububabare kandi bishobora kunoza ubuzima bw’impyiko	Uburyohe bwinshi bw’umunyu (umunyu w’ameza, soya)	Byongera umuvuduko w’amaraso, bigakomeretsa imikorere y’impyiko
Amata make muri fosfore	Amata y’almond adafite isukari, amata y’umuceri	Amahitamo meza ku mpyiko ugereranyije n’amata asanzwe	Foromaje, amata yuzuye	Akungahaye kuri fosfore, bishobora kugora impyiko
Ibinyobwa	Ikawa y’icyatsi, amacupa y’ibimera	Itanga antioxydants kandi ishyigikira imikorere y’impyiko	Sodas, ibinyobwa byongera imbaraga	Bikungahaye kuri additives z’imiti n’ifosfore

Incamake

Muri make, kugumana urwego rwiza rwa kreatinin ni ingenzi mu gushyigikira imikorere y’impyiko. Ibintu bitandukanye, birimo ibyo kurya, bigira uruhare runini mu kugenzura uru rwego. Mu kwibanda ku biribwa bikwiye, abantu bashobora gufata ingamba zo kurinda ubuzima bw’impyiko.

Imboga zimwe na zimwe, nka espinachi na kale, hamwe n’imbuto nka apples, byagaragaje ko bifasha mu kugabanya urwego rwa kreatinin. Kubishyira mu mafunguro yawe bishobora kuba uburyo bworoshye ariko bugira akamaro.

Byongeye kandi, guhitamo ibyo kurya neza birenga ibiryo byihariye. Kuguma ufite amazi mu mubiri ni ingenzi, kuko amazi ahagije ashobora gufasha mu gukuraho uburozi. Kimwe n’ibyo, gucunga ifunguro ryawe rya proteine ​​no kwitondera umunyu bishobora kurushaho gushyigikira ubuzima bw’impyiko.

Ibibazo byakunze kubaho

1. Kunywa amazi bishobora gufasha kugabanya urwego rwa kreatinin?
Yego, kuguma ufite amazi mu mubiri bifasha impyiko gukuraho kreatinin kandi bishyigikira imikorere y’impyiko muri rusange.

2. Apples ni nziza mu kugabanya urwego rwa kreatinin?
Yego, apples zikungahaye kuri antioxydants na fibre, bishyigikira ubuzima bw’impyiko kandi bigabanya ububabare.

3. Tungurusumu ni nziza ku buzima bw’impyiko?
Yego, tungurusumu ifite ubushobozi bwo kurwanya ububabare bushobora gufasha kugabanya umuvuduko ku mpyiko no gushyigikira imikorere yazo neza.