Lupus Nephritis ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Lupus nephritis ni ububabare bw'impyiko buterwa na systemic lupus erythematosus (SLE), indwara y'umubiri aho ubudahangarwa bw'umubiri bugaba igitero ku mitsi myiza. Iyi ndwara igera kuri kimwe cya kabiri cy'abantu bose barwaye lupus, bituma iba imwe mu ngaruka zikomeye z'iyi ndwara.

Iyo lupus igize ingaruka ku mpyiko zawe, ishobora kubangamira ubushobozi bwazo bwo gukuraho imyanda n'amazi y'umubiri mu maraso yawe. Inkuru nziza ni uko, hakoreshejwe ubuvuzi bukwiye no kugenzura, abantu benshi barwaye lupus nephritis bashobora kugumana imikorere myiza y'impyiko kandi bakabaho ubuzima buzuye, buhamye.

Lupus Nephritis ni iki?

Lupus nephritis ibaho iyo lupus itera ubudahangarwa bw'umubiri bwawe kugaba igitero ku mpyiko zawe. Impyiko zawe zigizwe n'utugabane duto two gusimbura twitwa glomeruli, dusukura amaraso yawe hakurwamo imyanda n'amazi y'umubiri.

Muri lupus nephritis, ububabare bwongera kwangiza izi nsinga zoroheje. Iyi myangirire ishobora kuba kuva ku ntangiriro kugeza ku ikomeye, ikagira ingaruka ku mikorere y'impyiko zawe. Tekereza nk'umutaka wa kawa uhindutse - iyo udashobora gutoranya neza, ibintu bikwiye kugumamo cyangwa hanze birangira biri ahantu hatariho.

Iyi ndwara itera buhoro buhoro mu bihe byinshi. Impyiko zawe ni ingingo zikomeye cyane, bityo ibimenyetso bishobora kutaboneka kugeza igihe cyangiritse cyane kimaze kubaho. Niyo mpamvu gukurikirana buri gihe ari ingenzi cyane kuri buri wese urwaye lupus.

Ibimenyetso bya Lupus Nephritis ni ibihe?

Lupus nephritis yo mu ntangiriro akenshi nta bimenyetso bigaragara, niyo mpamvu ibizamini by'inkari n'amaraso bikorwa buri gihe ari ingenzi ku bantu barwaye lupus. Iyo ibimenyetso bigaragaye, bishobora gutandukana cyane ukurikije umuntu.

Dore ibimenyetso by'ingenzi byo kwitondera:

• Urin y'ifu y'amababi cyangwa imvura (iterwa no kwinjira kw'amaprotéine mu mune)
• Amaraso mu mune, awuhindura ibara ry'umutuku, umutuku cyangwa ibara ry'inzoga ya cola
• Kubyimbagira mu maso, mu ntoki, mu birenge, cyangwa mu maguru
• Umuvuduko w'amaraso uri hejuru
• Kwiyongera k'uburemere bitavuzweho, biterwa no kubika amazi
• Kugabanuka kw'umusaruro w'umune cyangwa guhinduka mu buryo bwo kunywa
• Uburwayi n'intege nke birenze ibimenyetso bisanzwe bya lupus

Bamwe bagira kandi ibimenyetso bidafite akamaro nk'ububabare bukabije bw'umutwe, guhumeka nabi, cyangwa isesemi. Ibi bishobora kugaragaza ibibazo bikomeye by'impyiko cyangwa ingaruka nk'uko amazi yubakira mu bihaha.

Wibuke ko kugira kimwe cyangwa bibiri muri ibi bimenyetso ntibisobanura ko ufite lupus nephritis. Ibintu byinshi bishobora gutera ibimenyetso bisa, niyo mpamvu isuzuma ry'abaganga rikenewe.

Ni ayahe moko ya Lupus Nephritis?

Abaganga basobanura lupus nephritis mu byiciro bitandukanye bitandatu, hashingiwe ku kigero cyangiza impyiko kiriho n'aho kiri. Ubu buryo bwo gukoresha ibyiciro bufasha mu gupima uburyo bwiza bwo kuvura buri muntu.

Ibyiciro biri hagati y'akaga gato (Icyiciro cya I) kugeza ku buryo bukabije (Icyiciro cya VI). Icyiciro cya I kigira ingaruka nke cyane ku mpyiko, mu gihe ibyiciro III na IV bigaragaza ububabare bukabije busaba kuvurwa cyane. Icyiciro cya V kigira ubwoko bw'amaprotéine runaka, naho icyiciro cya VI kigaragaza ibikomere byateye imbere.

Muganga wawe azamenya icyiciro ukoresheje ubushakashatsi bw'impyiko, aho igice gito cy'umubiri w'impyiko gisuzumwa hakoreshejwe mikoroskopi. Ibi bishobora kuba bisa n'ibitera ubwoba, ariko ni uburyo busanzwe butanga amakuru akenewe mu gutegura uburyo bwawe bwo kuvura.

Icyiciro gishobora guhinduka uko igihe gihita, cyangwa kigakira hakoreshejwe uburyo bwo kuvura cyangwa kikagenda kibi niba kitavuwe neza. Niyo mpamvu gukurikirana inama z'abaganga no kugenzura ari ingenzi cyane.

Ni iki giterwa na Lupus Nephritis?

Nephrite ya Lupus itera iyo uburyo bw’ubwirinzi bw’umubiri butera Lupus bugerageje kwangiza impyiko zawe. Sisteme y’ubwirinzi bw’umubiri wawe ikora antikorora zigomba kukurinda indwara, ariko muri Lupus, izo antikorora zikangiza imyanya y’umubiri wawe.

Ibintu byinshi bifatanije biterwa n’iki kibazo cy’impyiko:

• Imiti y’ubwirinzi (ivangwa ry’antikorora n’izindi poroteyine) ifungirwa mu mpyiko
• Iyo miti ifungirwa itera ububabare mu mpyiko
• Ububabare buhoraho bwangiza ubushobozi bw’impyiko bwo gukora isuku y’amaraso neza
• Amwe mu mico y’umuntu ashobora gutera bamwe kwibasirwa n’ibibazo by’impyiko
• Ibintu byo mu kirere nka virusi cyangwa stress bishobora kuba bibi ku buryo bw’ubwirinzi bw’umubiri

Impamvu nyayo ituma bamwe mu barwaye Lupus bagira ibibazo by’impyiko abandi ntibabigire ntiirasobanutse neza. Ubushakashatsi bwerekana ko imico y’umuntu, imisemburo, n’ibintu byo mu kirere bigira uruhare mu kumenya uwahuye na Nephrite ya Lupus.

Icyo tuzi ni uko Nephrite ya Lupus itabonekera ku kintu icyo aricyo cyose wakoze nabi. Ntabwo bifitanye isano n’imirire yawe, imikorere yawe, cyangwa imigenzo yawe - ni uko gusa sisteme y’ubwirinzi bw’umubiri wawe isubiza kuba ufite Lupus.

Ni ryari ukwiye kubona muganga kubera Nephrite ya Lupus?

Niba ufite Lupus, ugomba kujya kwa muganga ako kanya niba ubona impinduka mu mpiswi yawe, kubyimba, cyangwa umuvuduko w’amaraso. Kumenya hakiri kare no kuvura bishobora gukumira kwangirika kw’impyiko no kubungabunga imikorere y’impyiko yawe imyaka myinshi.

Hamagara umuganga wawe ako kanya niba ufite:

• Urin yijimye cyane, ifite amaraso cyangwa asa n’amavuta
• Kubyimbagira mu maso, mu ntoki, mu birenge, cyangwa mu nda mu buryo butunguranye
• Kwiyongera k’uburemere mu buryo bwihuse (kurenza ibiro 2-3 mu minsi mike)
• Uburwayi bukomeye bw’umutwe cyangwa guhinduka kw’ubuhanga bwo kubona
• Guhumeka nabi cyangwa kubabara mu gituza
• Isesemi, kuruka, cyangwa kubura ubushake bwo kurya
• Kugabanuka kw’umusaruro w’inkari cyangwa kugorana kunywa

Ndetse n’iyo wumva umeze neza, gukorerwa isuzuma buri gihe hakoreshejwe amaraso n’inkari ni ingenzi. Muganga wawe ashobora kubona ibibazo by’impyiko hakiri kare mbere y’uko ubona ibimenyetso. Abaganga benshi bavura lupus barasaba ko bipimisha imikorere y’impyiko buri mezi 3-6, cyangwa kenshi kurushaho niba uri mu kaga gakomeye.

Ntutegereze ko ibimenyetso bikomeza cyangwa wizeye ko bizakira ukwabyo. Nephritis iterwa na lupus ivurwa neza iyo ibonewe hakiri kare, kandi kuvurwa vuba bishobora kugira uruhare rukomeye mu buzima bw’impyiko zawe mu gihe kirekire.

Ni ibihe bintu byongera ibyago byo kurwara Lupus Nephritis?

Nubwo umuntu wese urwaye lupus ashobora kugira ikibazo cy’impyiko, hari ibintu bimwe na bimwe byongera ibyago byo kurwara lupus nephritis. Gusobanukirwa ibyo bintu bishobora kugufasha wowe na muganga wawe kuba maso kugira ngo mubone ibimenyetso hakiri kare.

Ibintu byongera ibyago by’ingenzi birimo:

• Guhabwa uburwayi bwa lupus mu gihe uri muto (mbere y’imyaka 30)
• Kuba ufite inkomoko runaka (umwirabura wo muri Amerika, umuhispanike, umunya-Aziya, cyangwa ufite inkomoko yo muri Amerika y’abanyamerika)
• Kuba umugabo (nubwo lupus ikunze kugaragara mu bagore, abagabo barwaye lupus bafite ibyago byinshi byo kugira ikibazo cy’impyiko)
• Kugira antijeni zimwe na zimwe za lupus nka anti-dsDNA cyangwa anti-Sm antibodies
• Guhura n’ibibazo bya lupus kenshi cyangwa kugira ibimenyetso bikomeye bya lupus
• Kugira amateka yo mu muryango y’indwara z’impyiko
• Kugira umuvuduko w’amaraso ukabije cyangwa diabete hamwe na lupus

Bimwe mu bintu biterwa indwara bitagira umumaro cyane birimo impinduka zimwe na zimwe za gene zishobora kugira ingaruka ku mikorere y'urwego rw'umubiri rushinzwe kurwanya indwara. Ubushakashatsi bugaragaza gene nyinshi zishobora kongera ibyago byo kurwara lupus ndetse n'ibibazo by'impyiko.

Kugira ibintu biterwa indwara ntibisobanura ko uzahita urwara lupus nephritis. Abantu benshi bafite ibintu byinshi biterwa indwara ntibagira ibibazo by'impyiko, mu gihe abandi bafite ibintu bike biterwa indwara barwara iyo ndwara. Ikintu nyamukuru ni ugukorana n'abaganga bawe kugira ngo bakurikirane imikorere y'impyiko zawe uko uba uri ku rwego urwo arirwo rwose rw'ibyago.

Ni ibihe bibazo bishobora guterwa na Lupus Nephritis?

Iyo lupus nephritis idakurikiranwa cyangwa idavurwa neza, ishobora gutera ibibazo bikomeye. Inkuru nziza ni uko ibyinshi muri ibyo bibazo bishobora kwirindwa cyangwa bigacungwa neza hakoreshejwe ubuvuzi bukwiye n'impinduka mu mibereho.

Ibibazo bikunze kugaragara cyane birimo:

• Indwara z'impyiko zidakira, aho imikorere y'impyiko igenda igabanuka buhoro buhoro
• Umuvuduko ukabije w'amaraso uba bigoye kugenzura
• Gutakaza imyanda y'umubiri bigatera kubyimba no kongera ibyago byo kwandura
• Indwara z'amagufwa ziterwa n'imikorere mibi y'impyiko
• Ibyago byiyongereye byo kurwara indwara z'umutima n'impanuka zo mu bwonko
• Ibyago byiyongereye byo kwandura indwara bitewe n'imiti ikoreshwa mu kurwanya indwara

Ibibazo bikomeye ariko bitagira umumaro cyane bishobora kuba harimo gucika burundu kw'imikorere y'impyiko bikaba ngombwa kuvurwa hakoreshejwe imashini cyangwa gusimbuzwa impyiko, kubyimba cyane bigatera ibibazo byo guhumeka, cyangwa indwara zo mu maraso. Bamwe bashobora kandi kugira ibibazo bitewe n'imiti ikoreshwa mu kuvura lupus nephritis, nko kongera ibyago byo kwandura indwara cyangwa kugabanya amagufwa.

Ibyago byo kugira ibyo bibazo bihinduka cyane bitewe n'igihe iyi ndwara yafatiwe, uko ivura ryayo ryagenda, n'ukuntu ukomeza gukurikiza gahunda yawe y'ubuvuzi. Abantu benshi babona ubuvuzi bukwiye bashobora kwirinda ibibazo bikomeye kandi bagumana ubuzima bwiza.

Kwiringira Nephritis iterwa na Lupus?

Ndetse nubwo utazibuza burundu nephritis iterwa na Lupus umaze gufatwa na Lupus, ushobora gukora intambwe nyinshi kugira ngo ugabanye ibyago kandi uyimenye hakiri kare igihe ivurwa byoroshye. Kwiringira kwibanda ku gucunga neza Lupus yawe muri rusange no kugenzura ubuzima bw'impyiko zawe hafi.

Dore ingamba zikomeye zo kwiringira:

• Fata imiti yawe ya Lupus uko yagutegetswe, ndetse no mugihe wumva umeze neza
• Witabira ibizamini byose by’abaganga n’ibizamini bya laboratoire byateganijwe
• Genzura umuvuduko w’amaraso yawe buri gihe kandi uwugumane munsi y’uburemere
• Komeza ibiro byiza kandi ukore imyitozo ngororamubiri buri gihe uko ubyemererwa
• Komeza indyo ifasha impyiko ifite umunyu muke n’ibiribwa bitegurwa
• Komeza wishire amazi ariko ntukarenze urugero rw’amazi niba ufite ibibazo by’impyiko
• Irinde imiti ishobora kwangiza impyiko, nka bamwe mu bagabanya ububabare
• Cunga umunaniro binyuze mu buryo bwo kuruhuka, inama, cyangwa amatsinda y’ubufasha
• Ryama bihagije kandi wirinde ibintu bizwi bizatera Lupus igihe bishoboka

Gukorana bya hafi n’itsinda ryawe ry’ubuvuzi ni cyo kirinzi cyawe cyiza kurwanya nephritis iterwa na Lupus. Gukurikirana buri gihe bituma hamenyekana hakiri kare kandi hakagira icyakorwa, ibyo bishobora kwirinda cyangwa kugabanya iyangirika ry’impyiko. Muganga wawe ashobora kugutegeka ko ubaza kenshi niba ufite ibyago byo kwibasirwa n’impyiko.

Wibuke ko kwiringira nephritis iterwa na Lupus ari akazi k’itsinda hagati yawe n’abaganga bawe. Kugira uruhare rwawe mu kwitabira ubuvuzi bwawe bigira uruhare rukomeye mu mibereho yawe.

Lupus Nephritis imenyeshwa gute?

Kumenya nephritis iterwa na Lupus bisaba ibizamini byinshi bifasha muganga wawe kumva neza uko impyiko zawe zikora niba Lupus ibazengereza. Uburyo burambuye ariko bworoheje, kandi ibizamini byinshi biroroshye kandi nta bubabare.

Muganga wawe azatangira adukore ibizamini by’ibanze bishobora gukorwa mu gihe cyo gusura ibiro bisanzwe:

• Ibizamini by'inkari kugira ngo harebwe poroteyine, amaraso, cyangwa uturemangingo tudasanzwe
• Ibizamini by'amaraso kugira ngo harebwe uko impyiko zikora n'uko lupus ikora
• Gupima umuvuduko w'amaraso
• Suzuma umubiri kugira ngo harebwe kubyimba cyangwa ibindi bimenyetso

Niba ibi bipimo by'ibanze bigaragaza ko impyiko zifite ikibazo, muganga wawe ashobora kugusaba ibindi bipimo. Ibi bishobora kuba harimo gukusanya inkari mu masaha 24 kugira ngo harebwe neza ingano y'ibyangiritse bya poroteyine, ibizamini by'amashusho nka ultrasound kugira ngo harebwe imiterere y'impyiko, cyangwa ibizamini by'amaraso byihariye kugira ngo harebwe antikorps za lupus.

Ikizamini gifatika cyane ni biopsie y'impyiko, aho igice gito cy'umubiri w'impyiko gikurwaho kikarebwa kuri mikoroskopi. Ubu buryo busanzwe bukorwa hakoreshejwe anesthésie y'aha hantu kandi bifata iminota igera kuri 30. Nubwo bishobora kuba bigoye, bifatwa nk'ibintu byizewe kandi bitanga amakuru akomeye yerekeye ubwoko n'uburemere bw'ibyangiritse by'impyiko.

Muganga wawe azakoresha ayo makuru yose hamwe kugira ngo amenye niba ufite lupus nephritis, icyiciro kirimo, n'uburyo bw'ivura buzakukorera.

Ni iki kivura Lupus Nephritis?

Kuvura lupus nephritis bigamije kugabanya kubyimba, kubungabunga imikorere y'impyiko, no gukumira ingaruka mbi z'igihe kirekire. Gahunda yawe yo kuvura izahujwa n'imiterere yawe, harebwe uburemere bw'uburwayi bwawe n'ubuzima bwawe muri rusange.

Uburyo bwinshi bwo kuvura burimo ibice bibiri: kuvura kugira ngo hagabanywe kubyimba, no kuvura kugira ngo hakumirwe indwara no kubungabunga imikorere y'impyiko igihe kirekire.

Imiti isanzwe ikoreshwa mu kuvura irimo:

• Imiti igabanya ubudahangarwa nk'umuti wa mycophenolate cyangwa cyclophosphamide kugira ngo igabanye imbaraga z'ubudahangarwa bw'umubiri
• Corticosteroids kugira ngo ihangane vuba n'uburiganya mu gihe cy'uburwayi bukomeye
• ACE inhibitors cyangwa ARBs kugira ngo zirinde impyiko kandi zigengure umuvuduko w'amaraso
• Imiti irwanya malariya nka hydroxychloroquine mu gukurikirana indwara ya lupus muri rusange
• Imiti ya Biologics nka belimumab ku barwayi bagorana kuvurwa
• Ubuvura bushya buri kwerekana icyizere mu igeragezwa rya ba muganga

Muganga wawe azakemura kandi ibibazo bifitanye isano nka hypertension, ubuzima bw'amagufa, no kwirinda kwandura. Gahunda y'ubuvuzi ihinduka bitewe n'uko ugendera neza n'ingaruka mbi ushobora guhura nazo.

Intego ni ukubona umuvuno ukwiye w'imiti igenzura lupus nephritis mugihe ugabanya ingaruka mbi. Ibi bikunze gufata igihe n'ubwitonzi, ariko abantu benshi babona uburyo bwo kuvura bubakoraho.

Uko wakwitaho iwawe mu gihe ufite Lupus Nephritis?

Kwita kuri lupus nephritis iwawe bikubiyemo intambwe nyinshi z'ingenzi zunganira ubuvuzi bwawe. Ibi bintu byo kwita ku buzima bwite bishobora kugufasha kumva neza, kwirinda ingaruka mbi, no gushyigikira ubuzima bw'impyiko zawe hagati y'ibisura bya muganga.

Ibikorwa byawe bya buri munsi bikwiye kuba birimo:

• Kunywa imiti uko yagenewe, nubwo waba wumva umeze neza
• Kureba ibiro byawe buri munsi kugira ngo umenye hakiri kare ko amazi ari kwiyongera
• Kureba umuvuduko w'amaraso yawe buri gihe niba ufite icyuma cyo kuwupima iwawe
• Kurya indyo ibereye impyiko ifite umunyu muke n'ibiribwa bitegurwa
• Kunywa amazi ahagije ariko ukabahiriza amabwiriza y'amazi muganga yahaye
• Kuryama bihagije no guhangana n'umunaniro
• Kwirinda imiti igabanya ububabare iboneka mu maduka idafite ubusobanuro bw'abaganga kuko ishobora kwangiza impyiko

Witondere umubiri wawe kandi ukomeze ukurebe impinduka zose mu bimenyetso. Igitabo cy’ibintu byawe bya buri munsi, umuvuduko w’amaraso, n’uko wumva bishobora kugufasha wowe na muganga wawe kubona ibibazo hakiri kare. Abantu benshi basanga application za telefoni zigendanwa zifasha mu gukurikirana ibi bipimo.

Ntutinye kuvugana n’itsinda ry’abaganga bawe niba ubona ibimenyetso bishya cyangwa niba ibimenyetso biriho bikomeye. Kugira icyo ukora hakiri kare bishobora kenshi kubuza ibibazo bito kuba ibibazo bikomeye.

Wibuke ko kwita ku buzima bwanyu murugo bikora neza iyo bihujwe no kujya kwa muganga buri gihe. Uburyo bwawe bwo kwita ku buzima bwawe ni igice cy’ingenzi cyo kuvurwa kwawe, ariko ntibisimbura ubuvuzi n’ubukurikirane by’abaganga.

Wategura Gute Ugiye kwa Muganga?

Gutegura igihe ugiye kwa muganga bishobora kugufasha kubona byinshi mu ruzinduko rwawe kandi bikabuza impungenge zawe zose gukemurwa. Gutegura gato bigira uruhare runini mu gufasha itsinda ry’abaganga bawe gutanga ubuvuzi bwiza cyane.

Mbere y’uruzinduko rwawe, kora amakuru y’ingenzi:

• Andika ibimenyetso byose wabonye kuva ku ruzinduko rwawe rushize
• Andika imiti yose ufashe, harimo n’umwanya wo kuyifata
• Bandika impinduka zose mu buzima bwawe bwa buri munsi, indyo, cyangwa ibibazo by’umutima
• Tegura ibibazo ku bijyanye no kuvurwa kwawe cyangwa impungenge ku ngaruka mbi
• Zana ibitabo byawe byo kugenzura ibyawe murugo (ibiro, umuvuduko w’amaraso, ibimenyetso)
• Novora amateka yawe y’ubuzima n’ibibazo byose bishya by’ubuzima

Mu gihe cy’uruzinduko, ntutinye kubabaza ibibazo cyangwa gusaba ibisobanuro ku kintu cyose utumva. Byagufasha kuzana umuntu wo mu muryango cyangwa inshuti ishobora kugufasha kwibuka amakuru y’ingenzi yavuzwe mu ruzinduko.

Menya neza ko usobanukiwe gahunda y'ubuvuzi bwawe mbere yo kugenda. Baza igihe cyo gufata imiti, ingaruka mbi ugomba kwitondera, nigihe cyo guhamagara ibiro ufite impungenge. Niba utangiye imiti mishya, baza ku ngaruka zishobora kubaho ku miti ukoresha ubu.

Tegura gahunda y'ibindi bisabwa mbere yo kugenda, kandi menya neza ko usobanukiwe ibizamini cyangwa ikurikiranwa bizakenerwa mbere yabyo. Ibi bifasha guhamya gukomeza kwitabwaho no gukumira ibibazo mu buvuzi bwawe.

Ni iki cy'ingenzi cyo kumenya kuri Lupus Nephritis?

Lupus nephritis ni ingaruka zikomeye ariko zishobora kuvurwa za lupus zibasira hafi kimwe cya kabiri cy'abafite iyi ndwara. Ikintu cy'ingenzi cyo kwibuka ni uko kubimenya hakiri kare no kuvurwa neza bishobora kubungabunga imikorere y'impyiko zawe kandi bikagufasha kubaho ubuzima buzuye, bukora.

Uruhare rwawe rukomeye mu kwitabwaho kwawe rugira uruhare runini mu byavuye. Ibi bivuze gufata imiti nkuko yagenewe, kujya mu buvuzi buhoraho, gukurikirana ibimenyetso byawe, no kugira imibereho myiza. Nubwo lupus nephritis isaba kwitabwaho buri gihe, abantu benshi bayigenzura neza imyaka myinshi.

Ubuvuzi bwa lupus nephritis bukomeza gutera imbere, imiti mishya n'uburyo bushya bwo kuvura bitanga ibyiringiro by'ibyavuye byiza kurushaho. Gukorana bya hafi n'itsinda ryawe ry'ubuvuzi no kwiyemeza gahunda y'ubuvuzi bwawe biguha amahirwe meza yo kugira ubuzima bwiza bw'impyiko mu gihe kirekire.

Wibuke ko kugira lupus nephritis ntibikumenya cyangwa ntibigabanye ibyo ushobora kugeraho. Ufite ubuyobozi bukwiye, ushobora gukomeza gukurikira intego zawe, kubungabunga umubano, no kwishimira ibikorwa bikubaka.

Ibibazo Bikunze Kubahwa Kuri Lupus Nephritis

Lupus nephritis ishobora gukira burundu?

Umuntu arwaye indwara ya lupus nephritis ntabwo akizwa, ariko ishobora kwitwarwa neza cyane binyuze mu buvuzi bukwiye. Abantu benshi bagera aho indwara ibahagarariye, aho imikorere y’impyiko zabo iba yashizeho kandi ibimenyetso bikaba byavuyeho. Intego y’ubuvuzi ni ukwirinda ko impyiko zangirika kurushaho no kubungabunga imikorere myiza y’impyiko igihe kirekire.

Kubera iterambere ry’ubuvuzi, abantu benshi barwaye lupus nephritis babaho igihe kirekire kandi bafite ubuzima bwiza. Ubuvuzi bwa vuba kandi guhora ugenzurwa ni ingenzi kugira ngo tugere ku musaruro mwiza.

Mbese nzakenera kuvurwa kwa dialyse niba mfite lupus nephritis?

Abantu benshi barwaye lupus nephritis ntibakenera kuvurwa kwa dialyse. Abantu bagera kuri 10-30% gusa barwaye lupus nephritis baza kugira ikibazo cyo kunanirwa kw’impyiko bikaba ngombwa kuvurwa kwa dialyse cyangwa kubyaza, kandi ibyo byagabanutse cyane kubera ubuvuzi bugezweho.

Amahirwe yo gukenera kuvurwa kwa dialyse biterwa n’ibintu nko kumenya hakiri kare uburwayi, uko bwakiriwe neza mu buvuzi, n’uko wubahiriza gahunda yawe y’ubuvuzi. Gukurikiranwa buri gihe no kuvurwa neza bigabanya cyane ibyo bibazo.

Mbese nasama igihe mfite lupus nephritis?

Abagore benshi barwaye lupus nephritis bashobora gutwita neza, ariko bisaba gutegura neza no kwitabwaho n’abaganga babigize umwuga. Imikorere y’impyiko zawe, ibikorwa bya lupus, n’imiti ukoresha byose bigomba kuba byiza mbere yo gutwita.

Uzakeneye gukorana n’umuganga w’inzobere mu kuvura lupus n’inzobere mu gutwita gufite ibyago. Imiti imwe igomba guhinduka ikaba indi miti ikwiye gutwita, kandi uzakenera gukurikiranwa kenshi mu gihe cyo gutwita. Gutegura mbere bizatuma ugira amahirwe meza yo gutwita neza no kubyara umwana muzima.

Kangahe nagomba kujya nkore ibizamini by’impyiko?

Niba urwaye lupus, ugomba gukora ibizamini byo gusuzuma imikorere y’impyiko nibura buri mezi 3-6, nubwo wumva umeze neza. Ibi birimo ibizamini by’amaraso kugira ngo turebe imikorere y’impyiko n’ibizamini by’inkari kugira ngo turebe proteine cyangwa amaraso.

Niba umaze kugira indwara y’impumuragongo iterwa na lupus, ushobora kuba ukeneye gupimwa kenshi, cyane cyane iyo utangiye imiti mishya cyangwa niba uburwayi bwawe budakira neza. Muganga wawe azagena gahunda yo gukurikirana ikubereye hakurikijwe uko uhagaze.

Ni ibihe biribwa nakwirinda mfite indwara y’impumuragongo iterwa na lupus?

Indyo ifasha impumuragongo isanzwe igabanya umunyu, ibiryo bitegurwa, na poroteyine nyinshi. Ugomba kugabanya umunyu kugira ngo ufashe kugenzura umuvuduko w’amaraso no kubika amazi. Gabanya ibiryo birimo fosfore na potasiyumu nyinshi niba imikorere y’impumuragongo yawe igabanutse cyane.

Ariko kandi, amabwiriza yo kurya atandukanye cyane bitewe n’imikorere y’impumuragongo yawe n’ubuzima bwawe muri rusange. Korana n’umuganga wawe cyangwa umuhanga mu mirire kugira ngo mutegure gahunda yo kurya ihuye n’ibyo ukeneye kandi ikaba inonosoye kandi ikomeza igihe kirekire.