Focal Segmental Glomerulosclerosis (Fsgs)

Glomerulosclerose ya segmentale ya focal (FSGS) iterwa n'umukene uterwa n'ububabare bwubakwa mu glomeruli. Glomeruli ni ibice bito biri mu mpyiko zitunganya imyanda iva mu maraso kugira ngo ikore inkari. Glomerulus nzima igaragazwa ibumoso. Iyo umukene uterwa n'ububabare ubakiye muri glomerulus, imikorere y'impyiko irushaho kuba mibi (igaragazwa iburyo).

Glomerulosclerose ya segmentale ya focal (FSGS) ni indwara iterwa n'umukene uterwa n'ububabare ubaka kuri glomeruli, ibice bito by'impyiko zitunganya imyanda iva mu maraso. FSGS ishobora guterwa n'ibintu bitandukanye.

FSGS ni indwara ikomeye ishobora gutera gucika intege kw'impyiko, bishobora kuvurwa gusa hakoreshejwe dialyse cyangwa gutera impyiko. Uburyo bwo kuvura FSGS biterwa n'ubwo ufite.

Ubwoko bwa FSGS burimo:

• FSGS y'ibanze. Abantu benshi bafite FSGS nta mpamvu izwi y'uburwayi bwabo. Ibi bita FSGS y'ibanze (idiopathic).
• FSGS y'uburyo bwa kabiri. Ibintu byinshi, nko kwandura, uburozi bw'imiti, indwara zirimo diyabete cyangwa indwara ya sickle cell, umubyibuho ukabije, ndetse n'izindi ndwara z'impyiko bishobora gutera FSGS y'uburyo bwa kabiri. Gucunga cyangwa kuvura icyateye indwara bikunze kugabanya iyangirika ry'impyiko rikomeza kandi bishobora gutuma imikorere y'impyiko irushaho kuba myiza uko iminsi igenda.
• FSGS ya genetike. Iyi ni ubwoko bwa FSGS buke cyane buterwa n'impinduka za genetike. Nanone bita FSGS yo mu muryango. Biketswe iyo abantu benshi bo mu muryango bagaragaza ibimenyetso bya FSGS. FSGS yo mu muryango ishobora kandi kubaho igihe umubyeyi atayirwaye ariko umwe wese akaba afite kopi y'igene ryahindutse rishobora guherwa ku gisekuru gikurikiyeho.
• FSGS itazwi. Mu bihe bimwe na bimwe, impamvu yateye FSGS ntishobora kumenyekana nubwo harebwe ibimenyetso by'uburwayi n'isuzuma ryinshi.

Ibimenyetso bya focal segmental glomerulosclerosis (FSGS) bishobora kuba birimo:

• Kubyimba, bitwa edema, mu birenge no mu maguru, hafi y'amaso no mu bice by'umubiri.
• Kugira ibiro kubera amazi yiyongereye.
• Inkari zifite amafuro kubera iprotein nyinshi, bitwa proteinuria.

Gira inama n'umuganga niba ufite kimwe mu bimenyetso bya FSGS.

Focal segmental glomerulosclerosis (FSGS) ishobora guterwa n'ibintu bitandukanye, birimo: diyabete, indwara y'igiceri, izindi ndwara z'impyiko n'ubunavu. Ibiyobyabwenge, imiti cyangwa uburozi bishobora kubitera, ndetse n'ibyorezo. Impinduka z'imiterere y'impyiko zikomoka ku miryango, bizwi nka impinduka z'imiterere y'impyiko zirakomoka, zishobora gutera ubwoko bwa FSGS buke. Hari igihe nta mpamvu izwi.

Ibintu bishobora kongera ibyago bya focal segmental glomerulosclerosis (FSGS) birimo:

• Indwara zishobora kwangiza impyiko. Indwara zimwe na zimwe n'ibibazo by'ubuzima byongera ibyago byo kurwara FSGS. Ibi birimo diyabete, lupus, umubyibuho ukabije n'izindi ndwara z'impyiko.
• Dukurikije ubwandu. Ubwandu bwoyongera ibyago bya FSGS burimo HIV na hepatite C.
• Guhinduka kw'imiterere y'impyiko. Imimerere imwe n'imwe y'impyiko iherwa mu miryango ishobora kongera ibyago bya FSGS.

Focal segmental glomerulosclerosis (FSGS) ishobora gutera ibindi bibazo by'ubuzima, bizwi kandi nka komplikasiyo, birimo:

• Gusinzira kw'impyiko. Kwangirika kw'impyiko bitashobora gukira bituma impyiko zihagarika gukora. Ubuvuzi bwonyine bwo gusinzira kw'impyiko ni dialyse cyangwa kubyaza impyiko.

Ku bw'uko hari icyaba ari focal segmental glomerulosclerosis (FSGS), umuhanga mu buvuzi areba amateka yawe y'ubuzima, maze akakubera ibizamini byo kureba uko impyiko zawe zikora. Ibizamini bishobora kuba ibi bikurikira:

• Ibizamini by'umushitsi. Ibi birimo gukusanya umushitsi w'amasaha 24, harebwa umunaniro w'amaprotéine n'ibindi bintu biri mu mushitsi.
• Ibizamini by'amaraso. Ikizamini cy'amaraso cyitwa glomerular filtration rate kireba uko impyiko zikuraho imyanda mu mubiri.
• Amashusho y'impyiko. Aya bizamini akoreshwa kugaragaza ishusho n'ingano y'impyiko. Bishobora kuba harimo ultrasound na CT cyangwa MRI scans. Ubushakashatsi bwa Nuclear medicine na bwo bushobora gukoreshwa.
• Biopsy y'impyiko. Biopsy isanzwe ikubiyemo gushyira umugozi mu ruhu kugira ngo hafatwe igice gito cy'impyiko. Ibyavuye muri Biopsy bishobora kwemeza uburwayi bwa FSGS.

Ubuvuzi bwa focal segmental glomerulosclerosis (FSGS) bushingiye ku bwoko n'intandaro yayo.

Bitewe n'ibimenyetso, imiti yo kuvura FSGS ishobora kuba irimo:

• Imiti igabanya cholesterol. Abantu bafite FSGS bakunze kugira cholesterol nyinshi.
• Imiti igabanya ubudahangarwa bw'umubiri. Kuri FSGS y'ibanze, iyi miti ishobora guhagarika ubudahangarwa bw'umubiri gutera imyenda y'impyiko. Iyi miti irimo corticosteroids. Ishobora kugira ingaruka mbi, bityo ikoreshwa bitonze.

FSGS ni indwara ishobora gusubira. Kubera ko ibikomere mu glomeruli bishobora kubaho ubuzima bwose, ugomba gukurikirana n'itsinda ry'ubuvuzi kugira ngo urebe uko impyiko zawe zikora.

Ku bantu bafite ikibazo cy'impyiko, ubuvuzi burimo dialyse n'ihindurwa ry'impyiko.

Impinduka zikurikira mu mibereho zishobora gufasha mu kubungabunga ubuzima bw'impyiko:

• Kwirinda imiti ishobora kwangiza impyiko zawe. Ibi birimo imiti imwe n'imwe ihagarika ububabare nka anti-inflammatory drugs zitari za steroide (NSAIDs). NSAIDs ushobora kubona utabanje kujya kwa muganga harimo ibuprofen (Advil, Motrin IB, n'izindi) na naproxen sodium (Aleve).
• Kureka itabi. Niba ukeneye ubufasha bwo kureka, vugana n'umwe mu bagize itsinda ry'ubuvuzi bwawe.
• Kuguma ufite ibiro bikwiye. Ibiro byinshi, nibibaho, bigabanywe.
• Kora imyitozo ngororamubiri hafi buri munsi. Gukora imyitozo ngororamubiri ni byiza ku buzima bwawe. Baza itsinda ry'ubuvuzi bwawe ubwoko bw'imyitozo ngororamubiri n'ingano y'imyitozo ngororamubiri wakora.