Fibrose ikwirakwira y'umubiri iterwa n'ubukungu bw'impyiko ni iki? Ibimenyetso, Intandaro, & Ubuvuzi

Fibrose ikwirakwira y'umubiri iterwa n'ubukungu bw'impyiko (NSF) ni indwara idahwitse ariko ikomeye itera uruhu rukarishye kandi rukomeye, kandi ishobora kugira ingaruka ku mpyiko. Igaragara cyane mu bantu bafite uburwayi bukomeye bw'impyiko kandi baba barahawe imiti imwe n'imwe ikoreshwa mu bipimo by'amashusho.

Iyi ndwara yamenyekanye bwa mbere mu mpera z'imyaka ya 1990, kandi nubwo yumvikana iteye ubwoba, gusobanukirwa NSF bishobora kugufasha gufata ibyemezo byuzuye bijyanye n'ubuvuzi bwawe. Inkuru nziza ni uko ubu hari ingamba z'umutekano, NSF yabaye mike cyane ugereranyije n'uko byahoze.

Fibrose ikwirakwira y'umubiri iterwa n'ubukungu bw'impyiko ni iki?

NSF ni indwara aho umubiri wawe utanga collagen nyinshi, poroteyine itanga imiterere y'uruhu rwawe n'impyiko. Iyi collagen nyinshi itera ibice by'uruhu bikarishye, bisa n'uruhu rw'inka, kandi ishobora gutera inenge mu mutima, mu mpyiko no mu zindi ngingo z'ingenzi.

Iyi ndwara yiswe uko kuko byatekerezwa ko igira ingaruka ku ruhu gusa (fibrose ikwirakwira) kandi iboneka hafi ya gusa mu bantu bafite ibibazo by'impyiko (iterwa n'ubukungu bw'impyiko). Ariko, abaganga ubu bazi ko ishobora kugira ingaruka ku ngingo nyinshi z'umubiri wawe.

NSF isanzwe igaragara nyuma y'ibyumweru cyangwa amezi nyuma yo guhabwa imiti ikoreshwa mu bipimo by'amashusho ikoresha gadolinium. Iyi ni imiti yihariye ikoreshwa mu bipimo bya MRI n'ibindi bipimo by'amashusho kugira ngo abaganga babone neza imyanya y'imbere.

Ni ibihe bimenyetso bya Fibrose ikwirakwira y'umubiri iterwa n'ubukungu bw'impyiko?

Ibimenyetso bya NSF bisanzwe bitangira buhoro buhoro kandi bishobora kuba byoroshye kubitiranya n'izindi ndwara. Impinduka z'uruhu rwawe ni zo zimenyetso byihuse bigaragara cyane, nubwo iyi ndwara ishobora kugira ingaruka ku mubiri wawe wose.

Ibimenyetso by'uruhu bikunze kugaragara cyane birimo:

• Uruhu rworoheye, rukomeye, rwumva rwakinze kandi nk’igiti ubwo urukoraho
• Ibicupa by’umutuku cyangwa byijimye bishobora kuba byazamutse cyangwa byinjiye
• Uruhu rwakomeza gukomera kandi bigoranye kurukoraho
• Gutwika, gukorora, cyangwa kubabara cyane mu bice byahungabanyijwe
• Kubyimbagira mu maboko no mu maguru
• Uruhu rwakira imiterere y’amabuye mato cyangwa nk’uruhu rw’imikara

Izi mpinduka z’uruhu zigaragara cyane mu maboko no mu maguru, ariko zishobora gukwirakwira mu kibuno, mu maso, no mu bindi bice. Uruhu rwahuye n’ibibazo bishobora gutuma bigorana kugerageza ingingo cyangwa kugenda uko bisanzwe.

Uretse ibimenyetso by’uruhu, NSF ishobora gutera ingaruka zikomeye z’imbere:

• Intege nke y’imikaya n’ubukomera bw’ingingo bigabanya ubushobozi bwawe bwo kugenda
• Guhumeka nabi niba imyanya y’ubuhumekero yawe yangiritse
• Ibibazo by’umutima cyangwa gucika intege kw’umutima kubera imyanya y’umutima yangiritse
• Kubabara mu magufa no mu ngingo bikomeza kwiyongera uko igihe gihita
• Ibisigo by’amaraso mu bihe bimwe na bimwe

Mu bihe bitoroshye, NSF ishobora gutera imbere vuba kandi ikaba ikomeye ku buryo ishobora kwica. Bamwe mu bantu bagira ikibazo cy’ibimenyetso bikomeye, abandi bagira ingaruka zibagiraho ingaruka ku mutima, ku myanya y’ubuhumekero, cyangwa ku mitsi y’amaraso.

Ese iki gitera Nephrogenic Systemic Fibrosis?

NSF iterwa no kwandura ibintu byifashishwa mu kwerekana imiterere y’umubiri bishingiye kuri gadolinium mu bantu bafite impyiko zitabasha gukuraho neza ibi bintu mu maraso yabo. Iyo gadolinium imaze igihe kinini mu mubiri wawe, ishobora gutera ubudahangarwa budasanzwe bw’umubiri butera umusaruro mwinshi wa collagen.

Gadolinium ni umutungo ukomeye uba ufite umutekano iyo uhujwe n’izindi molekuli mu bintu byifashishwa mu kwerekana imiterere y’umubiri. Ariko kandi, mu bantu barwaye indwara zikomeye z’impyiko, iyi mibonano ishobora kwangirika, ikarekura gadolinium yigenga mu ngingo zawe. Iyi gadolinium yigenga isa nkaho ikora ku tumwe mu dutose tw’ubudahangarwa twongerera ubusembwa n’ubukomera.

Ibintu byinshi bigena ibyago byawe byo kurwara NSF nyuma yo kwandura gadolinium:

• Umuvuduko w’uburwayi bwawe bw’impyiko, cyane cyane niba ukoresha dialyse
• Ubwoko bwa gadolinium contrast agent yakoreshejwe
• Ubwinshi bwa contrast agent wahawe
• Incuro ugaragayeho gadolinium
• Ubuzima bwawe muri rusange n’imikorere y’ubwirinzi bwawe

Si byose gadolinium-based contrast agents bifite ibyago bimwe. Bimwe mu bishaje, linear agents bishobora kurekura free gadolinium kurusha ibindi bishya, bifite uburyo buhamye. Niyo mpamvu ibigo byinshi by’ubuvuzi byahindukiye ku bindi bishobora gukoreshwa mu buryo butagira ibyago iyo bafata amashusho y’abarwayi bafite uburwayi bw’impyiko.

Ni ryari ukwiye kubona muganga kubera Nephrogenic Systemic Fibrosis?

Wagomba guhamagara umuvuzi wawe ako kanya niba ugize impinduka ku ruhu nyuma yo gukorerwa MRI cyangwa izindi nyigo zifashisha contrast, cyane cyane niba ufite uburwayi bw’impyiko. Kumenya hakiri kare no kuvura birashobora gufasha gukumira ko iyi ndwara ikomeza kuba mbi.

Shaka ubufasha bwa muganga bwihuse niba ugize ibi bikurikira:

• Uruhu rwihuta cyane cyangwa rukomerera
• Uburibwe bukomeye bw’ingingo bugabanya imitsi yawe
• Gukomerana guhumeka cyangwa kubabara mu gituza
• Intege nke y’imikaya ya hato na hato
• Ubushyuhe bukabije cyangwa ububabare mu ruhu rwawe

Ndetse n’iyo ibimenyetso byawe bigaragara nk’ibyoroheje, ni ngombwa kubimenyesha vuba. NSF ishobora gutera imbere vuba mu bantu bamwe, kandi kuvugurura hakiri kare bishobora gufasha kugabanya cyangwa gukumira ibindi bibazo.

Niba ufite uburwayi bw’impyiko kandi utegerejwe gukorerwa isesengura ry’amashusho, banira ibyago n’inyungu n’umuganga wawe mbere. Bashobora gufasha kumenya niba scan ari ngombwa koko n’ingamba zishobora kuba zikwiye.

Ni ibihe bintu byongera ibyago bya Nephrogenic Systemic Fibrosis?

Ibyago byo kwandura NSF biterwa ahanini n’ubuzima bw’impyiko zawe no kwandura gadolinium-based contrast agents. Gusobanukirwa ibyo bintu byongera ibyago birashobora kugufasha wowe n’itsinda ryawe ry’ubuvuzi gufata ibyemezo byiza bijyanye n’amashusho y’ubuvuzi.

Ibyago bikomeye birimo:

• Indwara y'impyiko ikomeye ku rwego rwa 4 cyangwa 5 (imikorere y'impyiko igabanutse cyane)
• Kuba uri gukorerwa dialyse cyangwa uherutse gutangira dialyse
• Indwara y'impyiko ikomeye isaba dialyse
• Kuba warasimbuwe impyiko ariko ikaba idakora neza
• Kuba warakoreshejwe imiti igizwe na gadolinium inshuro nyinshi
• Kuba warakoreshwa umunyu wa gadolinium uremereye

Ubusanzwe impyiko zawe zitonora gadolinium mu maraso yawe mu masaha make nyuma yo kuyikoresha. Iyo zitakora neza, gadolinium ishobora kuguma mu mubiri wawe ibyumweru cyangwa amezi, bikongera amahirwe yo gutera ibibazo.

Ibindi bintu bishobora kongera ibyago birimo:

• Kugira indwara ziterwa n'uburwayi nk'indwara ya rhumatoïde
• Kubagwa cyangwa kurwara bikomeye vuba aha
• Kunywa imiti imwe n'imwe igira ingaruka ku mikorere y'umubiri wawe
• Kuba ushaje, kuko imikorere y'impyiko igabanuka uko umuntu asaza
• Kugira diabete, bishobora kurushaho kubaza indwara y'impyiko

Bikwiye kumenya ko NSF ari gake cyane ku bantu bafite imikorere y'impyiko isanzwe. Benshi mu barwaye iyi ndwara bafite ikibazo gikomeye cy'impyiko, niyo mpamvu amabwiriza ariho ubu agamije kurinda abo bantu bafite ubu bumuga.

Ni iki gishobora guterwa na Nephrogenic Systemic Fibrosis?

NSF ishobora gutera ibibazo bikomeye bigira ingaruka ku mibereho yawe n'ubuzima muri rusange. Nubwo impinduka z'uruhu arizo ziboneka cyane, ingaruka zo imbere zishobora kuba zikomeye kandi zikaba zihitana ubuzima.

Ibibazo bikunze kugaragara birimo uko ugendagenda n'imikorere yawe ya buri munsi:

• Gukama kw'ingingo bikomeye bituma udashobora kugenda neza
• Intege nke y'imikaya no kuyoyoka
• Kugorana mu kugenda cyangwa gukoresha amaboko yawe
• Kubabara buri gihe bituma udashobora gusinzira neza no gukora imirimo yawe
• Kugendera mu kagare mu gihe ikibazo kiba gikomeye

Ibi bibazo by’umubiri bishobora kugira ingaruka zikomeye ku bwigenge bwawe no ku mutekano wawe w’amarangamutima. Abantu benshi barwaye NSF bakeneye ubufasha mu bikorwa bya buri munsi nko kwambara, koga, cyangwa gutegura ibyo kurya.

Ingaruka zikomeye z’imbere zishobora kuba:

• Ibibazo by’umutima biterwa no gukomera kw’imitsi y’umutima cyangwa imiyoboro y’amaraso
• Umuhogo w’ibihaha utera ibibazo byo guhumeka
• Ibisubiramo by’amaraso mu maboko, mu maguru, cyangwa mu bihaha
• Gukomera kw’umwijima mu bihe bitoroshye
• Ibibazo by’amagufa n’ingingo

Mu bihe bikomeye, NSF ishobora kwica. Urupfu rusanzwe ruterwa n’ikibazo cy’umutima, ibisubiramo by’amaraso, cyangwa ikibazo cyo guhumeka bitewe no gukomera kw’ibihaha. Ariko, ibyo ntabwo bibaho kenshi, cyane cyane ubu dufite uburyo bwo gukumira ndetse no kumenya hakiri kare iyi ndwara.

Uko NSF itera imbere bitandukanye cyane ku bantu batandukanye. Bamwe bagenda barwara buhoro buhoro mu mezi cyangwa imyaka, abandi bashobora kurwara vuba mu byumweru bike nyuma y’ibimenyetso.

NSF imenya gute?

Kumenya NSF bisaba isuzuma ry’ibimenyetso byawe, amateka yawe y’ubuzima, kandi akenshi bikenera igipimo cy’uruhu kugira ngo hamenyekane neza. Muganga wawe azashaka kureba imiterere y’uruhu n’imiterere y’ingingo hamwe n’amateka yo kwandura gadolinium mu gihe ufite uburwayi bw’impyiko.

Umuganga wawe azatangira akubaza ibibazo birambuye ku bimenyetso byawe n’amateka yawe y’ubuzima. Azashaka kumenya ibizamini bya nyuma byakozwe, uko impyiko zawe zimeze, n’igihe ibimenyetso byawe byatangiye. Aya makuru afasha kumenya niba NSF ari yo ndwara.

Isuzuma ry’umubiri riba rigamije kureba uruhu na za ngingo:

• Kureba ahari ubwibyi bubi, bwakomeye bwuruhu
• Kupima urugendo rw’ingingo zawe n’ubworoherane bwazo
• Kureba kubyimba cyangwa guhinduka kw’irangi
• Gusuzuma imbaraga z’imikaya yawe n’ubushobozi bwo kugenda
• Kusuzuma umutima wawe n’ibihaha kugira ngo harebwe ibimenyetso by’uko indwara yagera imbere mu mubiri

Ubusanzwe, biopsie y’uruhu irakenewe kugira ngo hamenyekane neza indwara. Ibi bisobanura gufata igice gito cy’umubiri w’uruhu rwafashwe kugira ngo gisuzuzwe hakoreshejwe microscope. Biopsie izerekana imiterere yihariye yo kwiyongera kwa collagen n’impinduka z’uburwayi zigaragaza NSF.

Ibizamini by’inyongera bishobora kuba harimo gusuzuma amaraso kugira ngo harebwe uko impyiko zikora n’ibizamini by’amashusho kugira ngo harebwe umutima n’ibihaha. Ariko kandi, abaganga bagira amakenga cyane mu gukoresha ibintu bya gadolinium mu kuvura abarwayi bakekwaho NSF, bakunda guhitamo ubundi buryo bwo kubona amashusho aho bishoboka.

Ikibabaje ni uko nta kizami cy’amaraso cyangwa igizamini cy’amashusho gishobora kugaragaza neza NSF. Imyanzuro y’indwara ishingiye ku gushyira hamwe ibimenyetso byinshi, niyo mpamvu gukorana n’abaganga bafite ubunararibonye ari ingenzi cyane.

Ni iki kivura Nephrogenic Systemic Fibrosis?

Kuri ubu, nta muti uravura NSF, ariko hari uburyo bwinshi bwo kuvura bushobora gufasha gucunga ibimenyetso kandi bushobora kugabanya iterambere ry’indwara. Intambwe y’ingenzi ni ukunoza imikorere y’impyiko zawe aho bishoboka, kuko ibi bishobora gufasha umubiri wawe gukuraho gadolinium isigaye.

Niba utaratangira kuvurwa kwa dialyse, gutangira kuvurwa kwa dialyse bishobora gufasha gukuraho gadolinium mu mubiri wawe. Kuri bamwe, ibi bishobora gutuma ibimenyetso bya NSF bigabanuka, nubwo igisubizo gitandukanye cyane ku bantu batandukanye.

Kubera indwara ya Nephrogenic Systemic Fibrosis (NSF), kubaga impyiko ni cyo kintu cyiza cyane gishobora kuzana impinduka nziza. Abantu benshi babaga impyiko bagenda bakira, uruhu rugatinda kumera neza kandi bakagenda bagenda neza uko iminsi igenda. Ariko, kubaga impyiko ntibishoboka kuri buri wese, kandi impinduka nziza zishobora gutinda amezi cyangwa imyaka.

Ubuvuzi bwo gufasha bugamije guhangana n’ibimenyetso no kubungabunga ubuzima bwiza:

• Siporo yo kugira ngo ingingo zigume zifite ubushobozi bwo kugenda kandi hirindwe kugira ubumuga
• Imiti igabanya ububabare kugira ngo igabanye ububabare
• Amavuta yo kwisiga n’imiti yo kwisiga yo kwita ku ruhu
• Ubuvuzi bwo gufasha mu bikorwa bya buri munsi
• Ibikoresho bifasha nk’udukingirizo cyangwa ibikoresho bifasha kugenda igihe bibaye ngombwa

Bamwe mu baganga bagerageje imiti itandukanye yo kuvura NSF, harimo n’imiti igabanya ubudahangarwa bw’umubiri, ariko ibyavuye byari bitandukanye. Iyi miti iracyafatwa nk’igeragezwa kandi ishobora kugira ibyago byayo.

Ubuvuzi bwo gukoresha urumuri rwa ultraviolet (phototherapy) bwagaragaje icyizere muri bimwe mu bushakashatsi buto, ariko hakenekwa ubushakashatsi bwinshi kugira ngo hamenyekane ingaruka zacyo n’umutekano wacyo. Ibindi bivuriro birimo kwiga harimo antibiyotike zimwe na zimwe n’imiti igabanya kubabara.

Ikintu nyamukuru mu guhangana na NSF ni ugukorana n’itsinda ry’abaganga bamenye iyi ndwara. Ibi bishobora kuba harimo abaganga b’impimba, abaganga b’uruhu, abaganga b’indwara z’ingingo, n’inzobere mu kuvura.

Uko wakwitaho iwawe mugihe ufite Nephrogenic Systemic Fibrosis?

Kwita ku ndwara ya NSF iwawe birimo kwita ku ruhu, kubungabunga ubushobozi bwo kugenda, no kwirinda ingaruka mbi. Nubwo ukeneye kujya kwa muganga buri gihe, hari byinshi ushobora gukora kugira ngo ufashe guhangana n’ibimenyetso byayo no kubungabunga ubuzima bwawe.

Kwita ku ruhu ni ingenzi cyane ku bantu barwaye NSF. Komeza ruhu rwawe rumeze neza ukoresheje amavuta cyangwa amakrem yumuha, adafite impumuro nziza. Shyira amavuta yo kwisiga igihe ruhu rwawe rugitakaza amazi nyuma yo koga kugira ngo ufashe gufata amazi. Irinde amasabune akomeye cyangwa ibintu bishobora kubabaza uruhu rwawe rworoshye.

Kuguma ukora imyitozo ukurikije ubushobozi bwawe ni ingenzi mu kugumana ubushobozi bw’ingingo:

• Kora imyitozo umuganga wawe w’imibiri akubwiye
• Kora imyitozo yo kwerekera buri munsi
• Koresha ubushyuhe mbere yo kwerekera kugira ngo ufashe kwiruhura ingingo zikomeye
• Koga amazi ashyushye kugira ngo ugabanye umunaniro w’imikaya n’ubukakaye bw’ingingo
• Irinde igihe kirekire cyo kutagera

Gufata imiti yo kugabanya ububabare mu rugo bishobora kuba harimo imiti igabanya ububabare iboneka mu maduka, nk’uko muganga wawe abikubwiye, hamwe n’uburyo butari ubwo kuvura nko gukoresha ubushyuhe cyangwa ubukonje, gusiganwa byoroheje, n’uburyo bwo kuruhuka.

Kurinda uruhu rwawe imvune ni ingenzi kuko uruhu rwafashwe na NSF rushobora gukira nabi:

• Hindura imyenda ikingira igihe uri hanze
• Koresha amavuta yo kwirinda izuba buri gihe
• Irinde ubushyuhe bukabije
• Komeza uruhu rwawe rukeye kandi rukarishye
• Suzuma buri munsi niba hari ibikomere bishya cyangwa impinduka ku ruhu

Kugira imirire myiza no kuguma wisiga amazi birashobora gufasha ubuzima bwawe muri rusange kandi bishobora gufasha gukira. Niba uri kuri dialyse, kora neza amabwiriza yo kurya.

Tegereza kwifatanya n’amatsinda y’ubufasha cyangwa kuvugana n’abandi bafite NSF. Gusangira uburambe n’uburyo bwo guhangana bishobora gufasha cyane mu guhangana n’ibibazo byo mu mutwe byo kubaho ufite iyi ndwara.

Wategura Gute Umuhango wawe w’Igisuzumwa na Muganga?

Gutegura igihe ugiye gusuzumwa na muganga bishobora gufasha kugira ngo ubone inyungu nyinshi mu gihe cyawe hamwe n’abaganga. Kugira amakuru yateguwe neza n’ibibazo byumvikana bizafasha muganga wawe gutanga ubuvuzi bwiza kuri NSF yawe.

Mbere y’aho uganira na muganga, komora amakuru y’ubuzima akenewe:

• Urutonde rwuzuye rw’imiti n’ibindi byongerwamo ukoresha byose
• Inyandiko z’ibizamini byakozwe byifashishije amashusho, cyane cyane ibyakoresheje ibintu byongera uburyo bwo kubona amashusho
• Inyandiko z’isuzuma ry’ubuzima bw’impyiko zawe mu gihe runaka
• Amafoto y’impinduka z’uruhu rwawe, niba bishoboka
• Igihe ibimenyetso byatangiye kugaragara n’uburyo byagiye bikura

Komeza kwandika ibimenyetso ufite hagati y’igihe uganira na muganga. Andika impinduka zose z’uruhu rwawe, urugero rw’ububabare, uburyo bw’imigendekere, cyangwa ibindi bimenyetso. Aya makuru afasha muganga wawe gukurikirana uko uburwayi bwawe bugenda ndetse no guhindura uburyo bwo kuvura uko bikwiye.

Tegura urutonde rw’ibibazo ugomba kubaza itsinda ry’abaganga bakwitaho:

• Ni ubuhe buryo bwo kuvura buhari kuri njye?
• Hariho ubundi buryo bushya bwo kuvura cyangwa igeragezwa ku bantu ndagomba gutekerezaho?
• Nakwitwara gute kugira ngo ngabanye ibimenyetso mfite mu rugo?
• Ni ibihe bimenyetso by’umubabaro bigomba gutuma nshaka ubuvuzi vuba?
• Ngahe nagomba gusubira kwa muganga?
• Hariho ibikorwa nagomba kwirinda?

Teganya kuzana umuntu wo mu muryango wawe cyangwa incuti mu gihe uganira na muganga. Bashobora kugufasha kwibuka amakuru yavuzwe no kugufasha mu gihe cy’ubuvuzi bushobora kuba butera umunaniro.

Ntugatinye gusaba ko bagusobanurira ibyo utumva muganga asobanura. NSF ni uburwayi bugoranye, kandi ni ingenzi kumva amakuru n’inama uhabwa.

NSF Irashobora Gukumirwa Gute?

Uburyo bwiza bwo gukumira NSF ni ukwirinda gukoresha ibintu byongera uburyo bwo kubona amashusho byifashishije gadolinium, cyane cyane ufite uburwayi bw’impyiko. Amabwiriza ya muganga ubu yagabanije cyane ibyago bya NSF binyuze mu isuzuma ry’ubuzima n’ibikorwa byiza.

Niba ufite uburwayi bw’impyiko, menya neza ko abaganga bose bakwitaho babizi. Ibi birimo umuganga wawe usanzwe, abaganga b’inzobere, n’ibitaro byose ushobora gukorerwamo ibizamini by’amashusho. Igihe cyose uvugana n’abaganga, menya ko ubabwira ibibazo by’impyiko ufite mbere yo gukorerwa isuzumwa rya MRI cyangwa izindi nzira zikoresha ibintu byongera amashusho.

Abaganga ubu bakurikiza amabwiriza akarishye ku ikoreshwa rya gadolinium:

• Kureba uko impyiko zikora mbere yo guha umuntu gadolinium
• Gukoresha umwanya muto ushoboka w’ibintu byongera amashusho
• Guhitamo imiti ya gadolinium itekanye kandi ikomeye iyo bishoboka
• Kwirinda kongera guha abarwayi bafite ibyago byinshi gadolinium
• Kureba ubundi buryo bwo kubona amashusho budakoresha ibintu byongera amashusho

Niba ukeneye MRI kandi ufite uburwayi bw’impyiko, gabira inama n’umuganga wawe. Rimwe na rimwe, MRI idakoresha ibintu byongera amashusho ishobora gutanga amakuru ahagije, cyangwa ubundi buryo bwo kubona amashusho nka ultrasound cyangwa CT idakoresha ibintu byongera amashusho bishobora gukora.

Iyo gukoresha gadolinium ari ngombwa cyane ku muntu ufite uburwayi bw’impyiko, bimwe mu bitaro bitanga ubufasha bwo kuvura impyiko nyuma yo gukoresha ibintu byongera amashusho kugira ngo bifashe gukuraho vuba. Ariko, ubu buryo ntabwo bwamaze kugaragaza ko burinda burundu NSF.

Kwita ku buzima bw’impyiko neza bishobora kugabanya ibyago. Ibi birimo gucunga indwara nka diyabete n’umuvuduko w’amaraso ushobora kwangiza impyiko, kunywa amazi ahagije, no kwirinda imiti ishobora kwangiza impyiko iyo bishoboka.

Ishyirirwa mu bikorwa ry’ibi bipimo byo kwirinda byagabanije cyane umubare w’abarwayi bashya ba NSF mu myaka ya vuba. Nubwo iyi ndwara yari ikunze kugaragara mu ntangiriro ya 2000, ubumenyi bwazamutse n’amabwiriza y’umutekano byatumye iba nke cyane muri iki gihe.

Ni iki gikuru wakuramo ku bijyanye na Nephrogenic Systemic Fibrosis?

NSF ni indwara ikomeye ariko idahwitse cyane, ikunda kwibasira abantu bafite indwara zikomeye z’impyiko kandi baba baramaze gukoresha imiti imwe n’imwe ikoreshwa mu bumenyi bw’amashusho mu buvuzi. Nubwo nta muti urasohoka, kumva NSF birashobora kugufasha gufata ibyemezo byiza bijyanye n’ubuvuzi bwawe no gucunga iyi ndwara iyo ibayeho.

Ikintu cy’ingenzi cyo kwibuka ni uko NSF ishobora kwirindwa cyane binyuze mu isuzuma ry’ubuzima n’imyitwarire myiza mu buvuzi. Amabwiriza ariho ubu yagabanije cyane ibyago ku bantu barwaye indwara z’impyiko, kandi abaganga bazi iyi ndwara kurusha uko byari bimeze mu gihe cyahise.

Niba ufite indwara y’impyiko, buri gihe menyesha abaganga bawe mbere y’ibizamini byose by’amashusho. Ntugatinye NSF kugira ngo wirinde kuvurwa, ariko menya ko itsinda ry’abaganga bawe rizi uko impyiko zawe zimeze kugira ngo bafate ibyemezo byiza ku mimerere yawe.

Ku bantu babana na NSF, shyira imbaraga mu gukorana n’abaganga b’inzobere no kugumana ubuzima bwiza cyane binyuze mu buvuzi bukwiye no kwita ku buzima bwabo. Nubwo iyi ndwara igira ibibazo bikomeye, abantu benshi barwaye NSF babona uburyo bwo kwihanganira no gukomeza kubaho ubuzima bufite icyo buvuze.

Komeza umenye ibyavuye mu bushakashatsi no mu buvuzi bwa NSF. Uko ubumenyi bwacu kuri iyi ndwara bugenda bwiyongera, uburyo bushya bwo kuvura bushobora kuboneka, bushobora gufasha kunoza ibyavuye ku bantu bafite NSF.

Ibibazo Bikunze Kubahwa Bijyanye na Nephrogenic Systemic Fibrosis

Ese nephrogenic systemic fibrosis yandura?

Oya, NSF ntiyandura na gato. Ntushobora kuyanduza undi muntu cyangwa kuyikwirakwiza ku bandi bantu. NSF itera nk’igikorwa cy’imiti ikoreshwa mu bumenyi bw’amashusho mu buvuzi (gadolinium) ku bantu barwaye indwara z’impyiko, atari indwara yandura nka bagiteri cyangwa virusi.

Ese NSF ishobora kwibasira abana?

NSF ishobora kugaragara mu bana, ariko ni gake cyane. Abenshi mu barwaye babitangazwa ni abana bafite indwara zikomeye z’impyiko bahawe imiti igizwe na gadolinium mu bipimo by’ubuvuzi. Ingamba zifashishwa ku bakuru zikwiye gukoreshwa ku bana bafite ibibazo by’impyiko.

Nyuma y’igihe kingana iki umuntu yanduye gadolinium, NSF isanzwe igaragara?

Ibimenyetso bya NSF bisanzwe bigaragara mu minsi mike cyangwa amezi nyuma yo kwandura gadolinium, aho abenshi bayirwara mu mezi 2-3. Ariko kandi, bamwe bagize ibimenyetso nyuma y’ibyumweru cyangwa ndetse n’umwaka wose nyuma yo kwandura iyo miti. Igihe gishobora guhinduka bitewe n’imikorere y’impyiko zawe n’ibindi bintu byihariye.

Ese ibimenyetso bya NSF bishobora kumera neza ubwabyo hatagizwe ivuriro?

Nubwo bamwe bashobora kubona ibimenyetso byabo bihagaze, NSF ntabwo ikira neza hatagizwe ubutabazi. Amahirwe meza yo gukira aturuka ku kugarura imikorere y’impyiko binyuze mu kubyaza uruhare impyiko, nubwo bimeze bityo, gukira bishobora kuba buhoro kandi bitarangiye.

Ese imiti yose ikoreshwa muri MRI mu gupima impyiko ifite ububi bungana kuri NSF?

Oya, imiti itandukanye ikoreshwa muri MRI igizwe na gadolinium ifite ibyago bitandukanye. Imiti ya linear, idakomeye, ifite ibyago biremereye kurusha imiti ya macrocyclic, ikomeye kandi idashobora kurekura gadolinium. Ibitaro byinshi ubu bikoresha imiti ikomeye, cyane cyane ku barwayi bafite ibibazo by’impyiko.