Calciphylaxis ni iki? Ibimenyetso, Impamvu, n’Ubuvuzi

Calciphylaxis ni indwara idahwitse ariko ikomeye, aho umunyu wa calcium ugereranya mu mitsi mito yo munsi y’uruhu no mu mafuta yo munsi y’uruhu. Iyi calcium ikinga amaraso, igahindura uruhu ibikomere bibabaza, bishobora no kwica umuntu ntibitabweho vuba.

Nubwo izina ryayo rishobora gutera ubwoba, gusobanukirwa iyi ndwara bizagufasha kumenya ibimenyetso byayo hakiri kare, ukabona ubutabazi bw’abaganga. Akenshi iyi ndwara iba ku barwaye indwara z’impyiko, ariko ishobora kwibasira umuntu uwo ari we wese mu gihe runaka.

Calciphylaxis ni iki?

Calciphylaxis ibaho iyo umunyu wa calcium ugereranya mu bice by’imbere by’imitsi mito yo munsi y’uruhu. Uyu munyu uba nk’inzitizi, ugatuma amaraso adageramo uruhu n’amafuta yo munsi yaryo.

Iyo uruhu rudafite amaraso ahagije, rutangira gupfa, rugatanga ibikomere bibabaza bisa n’ibicurane cyangwa ibice by’umukara. Izina ry’iyi ndwara mu rurimi rw’abaganga ni “calcific uremic arteriolopathy,” ariko abaganga benshi bayita calciphylaxis.

Iyi ndwara ikunda kwibasira abantu bafite ibibazo by’impyiko, ariko rimwe na rimwe ishobora kwibasira n’abafite impyiko zikora neza. Ibikomere bikunda kugaragara ahari amafuta menshi, nko ku mavi, ku matama, cyangwa ku nda.

Ibimenyetso bya Calciphylaxis ni ibihe?

Ibimenyetso bya mbere bya calciphylaxis bikunda gutangira nk’impinduka ku ruhu, zishobora kugaragara nk’ntoya mu ntangiriro. Ariko, ibi bimenyetso bishobora kwihuta bikaba bibi cyane.

Ibimenyetso bya mbere ushobora kubona birimo:

• Ibice by’uruhu by’umutuku cyangwa umukara bibabaza, bikaba byoroshye kubikoraho.
• Uruhu rumeze nk’urukomeye cyangwa ruri gukomera mu duce tumwe na tumwe.
• Uruhu rufite imiterere isa n’iy’umuyoboro.
• Uruhu rurakomeza kuba rworoheje, ndetse no kubukoraho gato.

Uko iyi ndwara ikomeza, ibimenyetso bikomeye bigaragara:

• Ibikomere cyangwa ibicurane bidakira.
• Ibice by’umukara cyangwa umukara w’umwijima aho uruhu rupfuye.
• Kubabara cyane bishobora gusaba imiti ikomeye yo kugabanya ububabare.
• Ibikomere bifite imiterere ikomeye kandi ikarishye.
• Ibimenyetso by’indwara, nko guhindagurika, ububabare bwinshi, cyangwa ibyuya.

Ububabare bwo muri calciphylaxis busobanurwa nk’ububabare bukabije kandi bushobora kugira ingaruka ku buzima bwawe bwa buri munsi. Abantu benshi basanga no kubakoraho gato cyangwa kugenda bigatuma ububabare bwiyongera, niyo mpamvu ubutabazi bw’abaganga hakiri kare ari ingenzi cyane.

Impamvu za Calciphylaxis ni izihe?

Calciphylaxis iterwa no kudahuza kw’umunyu wa calcium na phosphate mu mubiri, bigatuma calcium igereranya mu mitsi y’amaraso. Iyi mpinduka ikunda kubaho kuko impyiko zitabasha gukura neza iyi minyu mu maraso.

Impamvu nyamukuru zirimo:

• Indwara y’impyiko ikomeye, cyane cyane ku barwaye bahabwa imiti yo kuvura impyiko.
• Gutakaza cyane kw’impyiko bigira ingaruka ku gukuraho iyi minyu.
• Imirimo myinshi y’ibice by’umubiri bishinzwe gukuraho calcium (parathyroid glands) bisohora hormone nyinshi ya parathyroid.
• Gukoresha igihe kirekire imiti igabanya amaraso nka warfarin.
• Indwara zimwe na zimwe ziterwa n’umubiri ubwawo zigira ingaruka ku mitsi y’amaraso.

Impamvu zidakunze kugaragara abaganga bamenye harimo:

• Indwara y’umwijima igira ingaruka ku gukora imiti.
• Uduce tumwe na tumwe twa kanseri, cyane cyane kanseri y’amaraso.
• Imiti imwe na imwe igira ingaruka ku buryo umubiri ukoresha calcium.
• Imvura cyangwa indwara z’imirire mibi.
• Indwara z’amara mu bice byayo bimwe na bimwe (inflammatory bowel disease) mu bihe bidafite akenshi.

Rimwe na rimwe calciphylaxis ibaho nta mpamvu isobanutse, abaganga bakayita calciphylaxis “idiopathic”. Uyu muhango ntabwo ukunda kugaragara ariko ushobora kuba mubi cyane kandi ukeneye ubuvuzi bw’ihutirwa.

Ni ryari ukwiye kujya kwa muganga kubera Calciphylaxis?

Ugomba gushaka ubutabazi bw’abaganga vuba ubonye impinduka ku ruhu, cyane cyane ufite indwara z’impyiko cyangwa izindi mpamvu zishobora gutera iyi ndwara. Ubuvuzi bwa vuba bushobora gukumira iyi ndwara kuba ikomeye.

Hamagara muganga wawe vuba ubonye ibi bikurikira:

• Ibice by’uruhu by’umutuku, umukara, cyangwa umukara w’umwijima bibabaza.
• Uruhu rumeze nk’urukomeye cyangwa rufite imiterere isa n’iy’umuyoboro.
• Ibikomere bidakira cyangwa bikomeza kuba bibi.
• Ububabare bukabije bw’uruhu buhangayikisha imirimo ya buri munsi.

Hamagara ubutabazi bw’ihutirwa ubonye ibi bikurikira:

• Ibimenyetso by’indwara ikomeye nko guhindagurika, gukonja, cyangwa gutakaza ubwenge.
• Impinduka ku ruhu zikwirakwira cyangwa ibikomere bishya.
• Ububabare bukabije budakemurwa n’imiti yatanzwe.
• Impinduka iyo ari yo yose ku ruhu niba uhabwa imiti yo kuvura impyiko cyangwa ufite indwara ikomeye y’impyiko.

Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo. Calciphylaxis ishobora kwihuta, kandi kuvurwa hakiri kare biguha amahirwe meza yo gukira.

Impamvu zishobora gutera Calciphylaxis ni izihe?

Gusobanukirwa impamvu zishobora gutera iyi ndwara bizagufasha wowe n’abaganga bawe kumenya ibimenyetso byayo hakiri kare. Nubwo umuntu wese ashobora kuyirwara, hari ibintu bimwe na bimwe byongera ibyago byo kuyirwara.

Impamvu nyamukuru zirimo:

• Indwara y’impyiko ikomeye isaba kuvurwa.
• Uruhare rwinshi rwa calcium, phosphate, cyangwa parathyroid hormone mu maraso.
• Kuba umugore, cyane cyane nyuma y’imyaka y’ubukure.
• Kugira diabete hamwe n’indwara y’impyiko.
• Gukoresha igihe kirekire imiti igabanya amaraso nka warfarin.
• Kubyibuha, bigira ingaruka ku maraso no gukira.

Izindi mpamvu abaganga bamenye harimo:

• Gukoresha imiti imwe na imwe ifunga phosphate.
• Kuba warasimbuwe impyiko.
• Uruhare ruke rw’imiti yitwa albumin mu maraso.
• Indwara zimwe na zimwe ziterwa n’umubiri ubwawo zigira ingaruka ku mitsi y’amaraso.
• Amateka y’amaraso cyangwa ibibazo by’amaraso.

Niba ufite impamvu nyinshi zishobora gutera iyi ndwara, itsinda ry’abaganga bawe rizakukurikirana cyane kugira ngo barebe impinduka ku ruhu rwawe. Kujya kwa muganga buri gihe no gupima amaraso bishobora gufasha kumenya ibibazo hakiri kare, igihe ubuvuzi bugira akamaro cyane.

Ingaruka zishoboka za Calciphylaxis ni izihe?

Calciphylaxis ishobora gutera ingaruka zikomeye zigira ingaruka ku buzima bwawe bwa hafi n’ubuzima bwawe bw’igihe kirekire. Gusobanukirwa izi ngaruka bigufasha gusobanukirwa impamvu kuvurwa hakiri kare ari ingenzi cyane.

Ingaruka zikomeye zirimo:

• Indwara zikomeye zishobora kwanduza amaraso.
• Sepsis, indwara ikomeye iterwa n’ubwandu.
• Urupfu rw’uruhu rukomeye rusaba kubagwa.
• Ububabare buhoraho bugira ingaruka ku mibereho.
• Gukira nabi kw’ibikomere bigatuma hari ibikomere bihoraho.

Ingaruka zidakunze kugaragara ariko zikomeye zirimo:

• Ibibazo by’umutima niba calcium igereranya mu mitsi y’amaraso y’umutima.
• Ibibazo by’ibihaha niba iyi ndwara igira ingaruka ku mitsi y’amaraso yo mu bihaha.
• Ibibazo by’imirire bitewe n’uburwayi buhoraho n’ububabare.
• Ihangayika n’agahinda bitewe n’ububabare buhoraho n’ubumuga.
• Ibyago byinshi byo gupfa, cyane cyane mu mwaka wa mbere nyuma yo kubona iyi ndwara.

Inkuru nziza ni uko kumenya iyi ndwara hakiri kare no kuyivura bishobora gukumira ingaruka nyinshi. Gukorana n’abaganga bawe no gukurikiza amabwiriza yabo biguha amahirwe meza yo gukira.

Calciphylaxis imenyekanwa ite?

Kumenya calciphylaxis bisaba gusuzuma uruhu rwawe, gusuzuma amateka yawe y’ubuzima, no gukora ibizamini byihariye. Muganga wawe azareba imiterere y’uruhu rwawe n’ibikomere hamwe n’impamvu zishobora gutera iyi ndwara.

Uburyo bwo kumenya iyi ndwara busanzwe burimo:

• Gusuzuma uruhu rwawe n’ibikomere.
• Kureba imiti ukoresha n’indwara ufite.
• Gupima amaraso kugira ngo harebwe urugero rwa calcium, phosphate, na parathyroid hormone.
• Gukuramo igice cy’uruhu kugira ngo harebwe calcium mu mitsi y’amaraso.
• Ibizamini by’amashusho nka X-rays kugira ngo harebwe calcium.

Rimwe na rimwe bishobora kuba ngombwa gukora ibindi bizamini:

• Gusuzuma amagufwa kugira ngo harebwe calcium mu mubiri wose.
• Gupima uko impyiko zawe zikora.
• Gupima ibikomere kugira ngo harebwe udukoko.
• Gukoresha ibindi bizamini ku mpuzanzira kugira ngo hamenyekane neza iyi ndwara.

Kumenya neza iyi ndwara bishobora gutwara igihe kuko calciphylaxis ishobora kumera nk’izindi ndwara z’uruhu. Muganga wawe ashobora kuba akeneye guhakana izindi mpamvu z’ibikomere mbere yo kwemeza iyi ndwara.

Ubuvuzi bwa Calciphylaxis ni buhe?

Ubuvuzi bwa calciphylaxis bugamije guhagarika calcium gukomeza kugereranya, kugabanya ububabare, no gufasha ibikomere gukira. Ibi bisaba itsinda ry’abaganga b’inzobere zitandukanye.

Uburyo nyamukuru bwo kuvura iyi ndwara burimo:

• Guhagarika imiti ishobora gutera calcium kugereranya.
• Kugabanya urugero rwa calcium na phosphate mu maraso.
• Gukoresha imiti yitwa calcimimetics kugira ngo igabanye parathyroid hormone.
• Kuvura ibikomere hakoreshejwe imiti n’isuku.
• Kugabanya ububabare hakoreshejwe imiti ikwiye.

Ubuvuzi buzambutse bushobora gusabwa burimo:

• Injisi za sodium thiosulfate gufasha gukuraho calcium.
• Ubuvuzi bwa oxygen bwo hejuru kugira ngo byongere gukira.
• Kubaga kugira ngo bakureho uruhu rupfuye igihe bibaye ngombwa.
• Guhindura uburyo bwo kuvura impyiko niba uhabwa imiti yo kuvura impyiko.
• Kuvura indwara zindi zishobora kuba zibitera.

Gahunda yawe yo kuvurwa izahuzwa n’ibibazo byawe kandi ishobora guhinduka uko ubuzima bwawe bugenda buhinduka cyangwa ubonye izindi ngaruka. Kujya kwa muganga buri gihe ni ingenzi kugira ngo harebwe uko ubuzima bwawe buhagaze kandi hahindurwe uburyo bwo kuvura uko bikenewe.

Uko wakwitaho Calciphylaxis iwawe

Kwitaho iwawe ni ingenzi mu kuvura calciphylaxis, ariko bigomba buri gihe gufasha ubuvuzi bw’abaganga. Itsinda ry’abaganga bawe rizakugira inama ukurikije ibibazo byawe.

Ibintu by’ingenzi byo kwitaho iwawe birimo:

• Gukurikiza amabwiriza yo kuvura ibikomere uko yatanzwe.
• Gukoresha imiti yose uko yatanzwe, naho waba wumva umeze neza.
• Kugumisha ibikomere bisukuye kandi byumye hagati yo guhindura imiti.
• Kwirinda gukomeretsa uruhu rufite ibibazo.
• Kwitondera ibimenyetso by’ubwandu nko kwiyongera kw’ububabare cyangwa guhindagurika.

Ubundi bufasha bwo kwitaho iwawe bushobora kuba:

• Gukoresha imiti yo kugabanya ububabare uko yatanzwe.
• Kurya indyo ifasha gukira, niba ari ngombwa.
• Kunywamo amazi ahagije keretse ufite ibibazo byo kunywa amazi menshi.
• Kugenda buhoro buhoro no guhindura imyanya kugira ngo wirinde gukomeretsa uruhu.
• Kujya kwa muganga buri gihe no gukurikiza gahunda yo gupima amaraso.

Ntugerageze kuvura ibikomere bya calciphylaxis wenyine cyangwa gukoresha imiti y’iwanyu utabanje kubiganiraho n’abaganga bawe. Kwitabwaho n’abaganga ni ingenzi kugira ngo ukire neza kandi nta kibazo.

Uko wakwitegura kujya kwa muganga

Kwitunganya mbere yo kujya kwa muganga bizagufasha kubona ubuvuzi bwiza. Kugira amakuru ahagije bizafasha muganga wawe gufata ibyemezo byiza byo kuvura.

Mbere yo kujya kwa muganga, teka ibi bikurikira:

• Urutonde rwuzuye rw’imiti yose ukoresha, harimo n’imiti yo kuvura indwara zitandukanye n’imiti y’imiti.
• Amateka yawe y’ubuzima, cyane cyane ibibazo by’impyiko cyangwa indwara ziterwa n’umubiri ubwawo.
• Amafoto y’impinduka z’uruhu rwawe wafashe mu gihe runaka kugira ngo agaragaze uko byagenda.
• Urutonde rw’ibimenyetso n’igihe byatangiye.
• Ibisubizo by’ibipimo by’amaraso uherutse gukora niba ubibona.

Ibibazo ushobora kwibaza birimo:

• Calciphylaxis yanjye iri ku rwego rwahe kandi bisobanura iki?
• Ni ubuhe buryo bwo kuvura buhari kuri njye?
• Tuza kumenya uko ubuzima bwanjye buhagaze kandi duhindure uburyo bwo kuvura bitewe n’uko bigenda?
• Ni ibihe bimenyetso nkwiye kwitondera bishobora kugaragaza izindi ngaruka?
• Hari ibintu nakwirinda mu gihe nkomeza gukira?

Ntutinye kuzana umuntu wo mu muryango wawe cyangwa inshuti kugira ngo aguhe inkunga mu gihe uri kwa muganga. Kugira inkunga mu gihe uri kwa muganga bishobora kugufasha cyane mu gihe ufite indwara ikomeye nka calciphylaxis.

Icyo ukwiye kumenya kuri Calciphylaxis

Calciphylaxis ni indwara ikomeye isaba ubutabazi bw’abaganga vuba, ariko kumenya iyi ndwara hakiri kare no kuyivura neza bishobora kunoza ubuzima. Icyingenzi ni ukumenya ibimenyetso vuba no gukorana n’abaganga bawe.

Niba ufite impamvu zishobora gutera iyi ndwara nko kugira ibibazo by’impyiko, kora ibishoboka byose kugira ngo umenye impinduka ku ruhu rwawe kandi ntutinye gushaka ubutabazi bw’abaganga ubonye ikintu kitari cyo.

Wibuke ko nturi wenyine mu kuvura iyi ndwara. Itsinda ry’abaganga bawe riri aho kugufasha mu buvuzi no gukira, kandi gukurikiza amabwiriza yabo biguha amahirwe meza yo gukira no kugira ubuzima bwiza.

Ibibazo byakunda kubaho kuri Calciphylaxis

Q1: Calciphylaxis yandura?

Oya, calciphylaxis ntiyandura. Ntushobora kuyanduza undi muntu. Iterwa n’ibibazo by’imbere mu mubiri bijyanye n’imikorere ya calcium, atari indwara ziterwa n’udukoko nk’ubwandu.

Q2: Calciphylaxis irakirwa burundu?

Nubwo calciphylaxis ari indwara ikomeye, ishobora kuvurwa neza, cyane cyane igihe yafashwe hakiri kare. Abantu bamwe barakira neza bavuwe neza, nubwo bishobora gutwara amezi. Icyingenzi ni ugutangira kuvurwa hakiri kare no gukurikiza amabwiriza y’abaganga.

Q3: Nzakenera kubagwa kubera Calciphylaxis?

Kubagwa ntibihora bikenewe kuri calciphylaxis. Abantu benshi bashobora kuvurwa hakoreshejwe imiti no kuvura ibikomere gusa. Ariko, niba ufite uruhu rupfuye cyangwa indwara ikomeye, muganga wawe ashobora kugusaba kubagwa kugira ngo bakureho uruhu rupfuye kugira ngo ukire.

Q4: Calciphylaxis imara igihe kingana iki gukira?

Igihe cyo gukira gitandukanye cyane ku bantu, kandi biterwa n’ibintu bitandukanye nko gutangira kuvurwa hakiri kare, ubuzima bwawe rusange, n’uko ukoresha imiti. Abantu bamwe barakira mu byumweru, abandi bashobora gukenera amezi menshi yo kuvurwa kugira ngo bakire burundu.

Q5: Calciphylaxis ishobora gusubira nyuma yo kuvurwa?

Yego, calciphylaxis ishobora gusubira, cyane cyane niba ibibazo byayiteye bitagenzurwa neza. Niyo mpamvu ari ingenzi gukomeza gucunga impamvu zishobora gutera iyi ndwara nko kugira ibibazo by’impyiko, kugumisha urugero rwa calcium na phosphate, no kujya kwa muganga buri gihe.