Ni iki cyitwa Ikizamini cy'Urea ya Muri Amaraso (BUN)? Intego, Urwego, Uburyo & Ibisubizo

Ikizamini cy'Urea ya Muri Amaraso (BUN) kigereranya umubare wa azote mu maraso yawe ukomoka kuri urea, umusaruro wangiritse impyiko zawe zungurura. Tekereza nk'ikizamini cy'amaraso cyoroshye gifasha muganga wawe kureba uko impyiko zawe zikora neza niba umubiri wawe ukuramo neza imyanda.

Iki kizamini ni kimwe mu buryo busanzwe abaganga bakoresha basuzuma imikorere y'impyiko n'ubuzima muri rusange. Impyiko zawe zikora nk'ibiyunguruzi, zimesa imyanda mu maraso yawe buri munsi, kandi ikizamini cya BUN gitanga ibisobanuro by'agaciro ku buryo iki gikorwa gikora neza.

Ni iki cyitwa Urea ya Muri Amaraso (BUN)?

Urea ya Muri Amaraso ni umusaruro wangiritse ukorwa iyo umubiri wawe usenya poroteyine ziva mu biryo urya. Iyo poroteyine zishwanyaguwe, zikora amoniya, umwijima wawe ugahindura urea - ikintu kidafite uburozi buke gitembera mu maraso yawe kikajya mu mpyiko zawe.

Impyiko zawe zikora icyo gihe zikungurura iyi urea mu maraso yawe zikayohereza mu mpyiko yawe nk'igice cy'inkari. Iyo impyiko zawe zikora neza, zigumana uburinganire bwiza bwo gukuramo urea mu rugero rukwiye mugihe zigumana intungamubiri zingenzi mu maraso yawe.

Ikizamini cya BUN cyane cyane kigereranya igice cya azote cya urea mu maraso yawe. Urwego rwo hejuru rushobora gutanga igitekerezo ko impyiko zawe zitungurura imyanda neza nk'uko bikwiye, mugihe urwego rwo hasi cyane rushobora kwerekana izindi ndwara z'ubuzima zigira ingaruka ku gutunganya poroteyine.

Kuki ikizamini cya BUN gikorerwa?

Muganga wawe ategeka ikizamini cya BUN cyane cyane kugirango arebe uko impyiko zawe zikora neza no gukurikirana ubuzima bwawe muri rusange. Iki kizamini akenshi kiba mu murimo usanzwe w'amaraso mugihe cyo gusuzumwa buri gihe, cyane cyane niba ufite ibyago byo kurwara impyiko.

Icyo kizamini gifasha kumenya ibibazo by'impyiko hakiri kare, mbere y'uko wenda wajya ubona ibimenyetso. Indwara nyinshi z'impyiko ziterwa buhoro buhoro, kandi kuzifata hakiri kare bitanga amahirwe meza yo kuvurwa neza no kuzitaho.

Abaganga kandi bakoresha ibizamini bya BUN kugira ngo bakurikirane indwara z'impyiko zisanzweho kandi barebe uko imiti ikora neza. Niba ufata imiti ishobora kugira ingaruka ku mpyiko zawe, muganga wawe ashobora kugenzura urwego rwawe rwa BUN buri gihe kugira ngo arebe ko impyiko zawe zikomeza kuba nzima.

Usibye imikorere y'impyiko, ibizamini bya BUN bishobora gufasha kumenya izindi ndwara zigira ingaruka ku buryo umubiri wawe utunganya poroteyine cyangwa ugashyiraho uburinganire bw'amazi. Ibi bishobora kuba harimo indwara y'umwijima, guhagarara k'umutima, cyangwa kumuka cyane.

Ni iki gikurikizwa mu kizamini cya BUN?

Uburyo bwo gukora ikizamini cya BUN ni ukugenda neza kandi mubisanzwe bifata iminota mike gusa. Umukozi w'ubuzima azakora amaraso makeya ava mu urugingo rwawe ukoresheje urushinge ruto, nk'ibindi bizamini by'amaraso bisanzwe ushobora kuba waragize.

Ibi nibyo ushobora kwitega mugihe cyo gukora iki kizamini:

1. Umukozi w'ubuzima azahanagura ahantu ku kuboko kwawe akoresheje umuti wica udukoko
2. Agahago ka elastike (tourniquet) kazashyirwa ku kuboko kwawe kugira ngo imitsi igaragarire neza
3. Urushinge ruto ruzashyirwa mu urugingo, mubisanzwe mu gace k'inkokora yawe
4. Amarao azakoranywa mu gapapuro gato cyangwa vial
5. Urushinge ruzakurwaho hanyuma hashyirweho bandeji

Gukuramo amaraso mubisanzwe bifata munsi y'iminota ibiri. Ushobora kumva umubabaro muto iyo urushinge rwinjiye, ariko abantu benshi basanga kutumva neza ari gake kandi by'agateganyo.

Icyitegererezo cyawe cy'amaraso noneho kizoherezwa muri laboratori aho abatekinisiye bazakora isesengura kugirango bapime urwego rwa azote ya urea. Ibisubizo mubisanzwe biboneka mu munsi umwe cyangwa ibiri, nubwo ibi bishobora gutandukana bitewe n'ikigo cyawe cy'ubuzima.

Ni gute wakwitegura ikizamini cyawe cya BUN?

Inkuru nziza ni uko ibizamini bya BUN mubisanzwe bisaba kwitegura gake, kandi ushobora gukomeza gahunda yawe isanzwe mbere y’ikizamini. Mu bihe byinshi, ntugomba kwiyiriza cyangwa kwirinda kurya no kunywa mbere.

Ariko, muganga wawe ashobora kuguha amabwiriza yihariye ashingiye ku miterere yawe bwite. Imiti imwe n'imwe ishobora kugira ingaruka ku rwego rwa BUN, bityo muganga wawe ashobora kukubwira guhagarika by'agateganyo imiti imwe n'imwe cyangwa guhindura igihe cyo kuyifata.

Dore intambwe zimwe zo kwitegura zishobora kugufasha:

• Wambare imyenda yoroshye ifite amaboko ashobora kuzamurwa byoroshye
• Guma ufite amazi ahagije unywa amazi menshi, keretse muganga wawe abiguhayeho inama
• Menyesha umuganga wawe imiti yose n'ibiyongera ufata
• Menyesha muganga wawe niba ufite uburwayi bwo kuva amaraso cyangwa ufata imiti igabanya amaraso
• Vuga impinduka zose ziherutse kuba mu mirire yawe, cyane cyane niba umaze kurya poroteyine nyinshi cyangwa nkeya cyane

Niba ikizamini cyawe cya BUN ari igice cy'ibizamini byinshi by'amaraso, ushobora gukenera kwiyiriza amasaha 8-12 mbere y'ikizamini. Muganga wawe azasobanura neza ibisabwa byose byihariye igihe ategeka ikizamini.

Ni gute usoma ibisubizo byawe by'ikizamini cya BUN?

Ibisubizo by'ikizamini cya BUN bipimwa muri miligarama kuri desilitre (mg/dL) kandi mubisanzwe bigenda kuva kuri 6 kugeza kuri 24 mg/dL kubantu bazima bakuze. Ariko, urwego rusanzwe rushobora gutandukana gato hagati y'amashami, bityo muganga wawe azasobanura ibisubizo byawe ashingiye ku rwego rwa laboratoire yawe.

Imyaka yawe, igitsina, n'ubuzima bwawe muri rusange bishobora kugira uruhare mu kumenya icyo gifatwa nk'ibisanzwe kuri wewe. Abagabo bakunda kugira urwego rwa BUN rwo hejuru ugereranije n'abagore, kandi abantu bakuze bashobora kugira urwego rusanzwe rwo hejuru ugereranije n'abato.

Dore icyo urwego rwa BUN rutandukanye rushobora kwerekana:

• Urugero rusanzwe (6-24 mg/dL): Impyiko zawe zirimo gukora neza mu kuyungurura imyanda
• Urugero rwo hejuru (hejuru ya 24 mg/dL): Bishobora kwerekana ibibazo by'impyiko, kumuka k'umubiri, cyangwa kurya poroteyine nyinshi
• Urugero rwo hejuru cyane (hejuru ya 50 mg/dL): Bishobora kwerekana imikorere mibi y'impyiko cyangwa izindi ngorane zikomeye z'ubuzima
• Urugero rwo hasi (munsi ya 6 mg/dL): Bishobora kwerekana indwara y'umwijima, kurya poroteyine nkeya, cyangwa kunywa amazi menshi cyane

Muganga wawe azahora asobanura ibisubizo byawe bya BUN hamwe n'ibindi bisubizo by'ibizamini n'ibimenyetso byawe. Igisubizo kimwe cyazamutse cyangwa cyagabanutse ntibisobanura ko ufite ikibazo gikomeye - ibintu byinshi bishobora guhindura urugero rwa BUN by'agateganyo.

Ni gute wakosora urugero rwawe rwa BUN?

Uburyo bwo gucunga urugero rwa BUN biterwa rwose n'icyo gituma kiva hanze y'urugero rusanzwe. Muganga wawe azabanza kumenya icyateye ikibazo hanyuma agasaba uburyo bwo kuvura bukwiye.

Ku rugero rwa BUN rwo hejuru, kuvura akenshi kwibanda ku gufasha imikorere y'impyiko no gukemura ibintu bituma bibaho. Ibi bishobora kuba birimo gucunga indwara zishingiye ku mpamvu nk'umurwayi wa diyabete cyangwa umuvuduko w'amaraso mwinshi bishobora kugira ingaruka ku buzima bw'impyiko.

Uburyo busanzwe bwo gucunga urugero rwa BUN ruzamutse burimo:

• Kuguma ufite amazi ahagije unywa amazi ahagije umunsi wose
• Gukurikiza imirire y'impyiko ifite urugero rwa poroteyine rukwiye
• Gucunga umuvuduko w'amaraso n'urugero rw'isukari mu maraso niba ufite diyabete
• Gufata imiti nk'uko byategetswe kugirango uvure indwara y'impyiko
• Kwimuka imiti ishobora kwangiza imikorere y'impyiko, niba bishoboka
• Gukora imyitozo ngororamubiri buri gihe kugirango ushyigikire ubuzima muri rusange n'imikorere y'amaraso

Ku rugero rwa BUN rwo hasi, kuvura mubisanzwe bikubiyemo gukemura icyateye ikibazo, nk'ibibazo by'umwijima cyangwa kubura intungamubiri. Muganga wawe ashobora gusaba impinduka mu mirire cyangwa kuvura indwara zihungabanya imikorere ya poroteyine.

Wibuke ko urwego rwa BUN ari igice kimwe gusa cy'urugero. Muganga wawe azakora gahunda yuzuye yo kuvura ishingiye ku ngaruka zose z'ibizamini byawe, ibimenyetso, n'ubuzima bwawe muri rusange.

Ni uruhe rwego rwa BUN rwiza?

Urwego rwa BUN rwiza kuri wowe rugwa mu kigereranyo gisanzwe cya 6-24 mg/dL, ariko intego nziza irashobora gutandukana bitewe n'ubuzima bwawe bwite. Muganga wawe azirikana imyaka yawe, igitsina, ubuzima muri rusange, n'uburwayi ubwo aribwo bwose buriho mugihe cyo kumenya icyo ari cyo cyiza kuri wowe.

Kubantu bakuru bafite ubuzima bwiza, urwego rwa BUN ruri hagati mu kigereranyo gisanzwe (hafi 10-20 mg/dL) rutanga igitekerezo cy'imikorere myiza y'impyiko no gukuraho imyanda neza. Ariko, guhora uri ku mpera yo hejuru cyangwa hasi y'ibisanzwe birashobora gutuma muganga wawe akora iperereza ryimbitse.

Niba ufite indwara idakira y'impyiko, muganga wawe ashobora kugira ibipimo bitandukanye by'intego kandi azakurikiza imiterere uko igenda ihinduka kuruta kwibanda ku ngaruka zimwe z'ibizamini. Ikintu cyingenzi ni ugukomeza urwego ruhamye no kwirinda impinduka zihuse zishobora kugaragaza ko imikorere y'impyiko irushaho kuba mibi.

Urwego rwawe rwiza rwa BUN ni urwo ruguma ruhamye uko igihe kigenda gihita kandi rukagaragaza ubushobozi bw'impyiko zawe bwo gushungura imyanda neza. Gukurikiranira hafi bifasha ikipe yawe y'ubuzima gufata impinduka zose hakiri kare no guhindura imiti uko bikwiye.

Ni izihe mpamvu zongera ibyago byo kugira urwego rwa BUN rwo hejuru?

Impamvu nyinshi zirashobora kongera ibyago byawe byo kugira urwego rwa BUN rwo hejuru, kandi kubisobanukirwa birashobora kugufasha gufata ingamba zo kwirinda. Impamvu zikomeye zongera ibyago zijyanye n'indwara zigira ingaruka ku mikorere y'impyiko cyangwa zikongera umurimo ku mpyiko zawe.

Indwara zidakira zongera ibyago byinshi byo kuzamura urwego rwa BUN. Diyabete n'umuvuduko ukabije w'amaraso ni zo ntandaro zikomeye zangiza impyiko, kandi zombi zirashobora buhoro buhoro kubangamira ubushobozi bw'impyiko zawe bwo gushungura imyanda neza.

Dore impamvu zikomeye zongera ibyago byo kugira urwego rwa BUN rwo hejuru:

• Uburwayi bwa diyabete, cyane cyane iyo isukari yo mu maraso itagenzurwa neza
• Umubyimba mwinshi w'amaraso (hypertension) wangiza imitsi y'amaraso yo mu mpyiko uko imyaka igenda
• Amateka y'umuryango y'indwara z'impyiko cyangwa indwara z'impyiko ziterwa n'imirerere
• Imyaka irenga 60, kuko imikorere y'impyiko igabanuka uko umuntu ashaje
• Indwara z'umutima cyangwa kunanirwa kw'umutima bigira ingaruka ku mikorere y'impyiko
• Ukwuma kw'umubiri biturutse ku ndwara, ibyuya byinshi, cyangwa kunywa amazi make
• Ifunguro ririmo poroteyine nyinshi cyangwa kongera kunywa poroteyine vuba aha
• Imiti imwe n'imwe, harimo imiti imwe ikoreshwa mu kurwanya mikorobe n'imiti igabanya ububabare
• Inzitizi mu nzira y'inkari cyangwa indwara z'inkari
• Ukwangirika gukabije cyangwa ibikomere bigira ingaruka ku mikorere y'impyiko

Impamvu zimwe na zimwe zitamenyerewe ariko z'ingenzi zirimo indwara ziterwa n'umubiri w'umuntu ubwawo zigaba ibitero ku mpyiko, nk'indwara ya lupus, n'indwara ziterwa n'imirerere nk'indwara y'impyiko ya polycystic. Ndetse n'ibintu by'igihe gito nk'umunaniro ukabije cyangwa indwara bishobora kuzamura by'igihe gito urwego rwa BUN.

Ni izihe mpamvu zongera ibyago byo kugira urwego ruto rwa BUN?

Urwego ruto rwa BUN ntirukunze kubaho nk'urwo hejuru, ariko rushobora kugaragaza ibibazo by'ubuzima by'ingenzi bikwiye kwitabwaho. Impamvu zongera ibyago byo kugira urwego ruto rwa BUN zikunze gufitanye isano n'indwara zigira ingaruka ku mikorere ya poroteyine, imikorere y'umwijima, cyangwa urugero rw'amazi mu mubiri wawe.

Indwara y'umwijima ni imwe mu mpamvu z'ibanze zongera ibyago byo kugira urwego ruto rwa BUN kuko umwijima wawe ukora urea ivuye mu gusenyuka kwa poroteyine. Iyo imikorere y'umwijima yangiritse, urea nkeya ikorwa, bigatuma urwego rwa BUN rugabanuka.

Impamvu z'ingenzi zongera ibyago byo kugira urwego ruto rwa BUN zirimo:

• Indwara y'umwijima cyangwa kwangirika kw'umwijima bituma umubiri udakora urea neza
• Imirire mibi ikabije cyangwa kurya ibiryo birimo poroteyine nkeya cyane
• Gusama, bishobora kugabanya urugero rwa BUN mu buryo busanzwe
• Kunywa amazi menshi cyane
• Indwara zimwe na zimwe ziterwa n'imiterere ya kamere zigira ingaruka ku mikorere ya poroteyine
• Indwara zikabije zituma imitsi ipfa
• Imiti imwe n'imwe igira ingaruka ku mikorere ya poroteyine
• Indwara zidakira zigira ingaruka ku rwungano rw'ibiryo n'imirire

Nubwo urugero rwa BUN ruto rusanzwe rutabangamiye cyane kurusha urwo hejuru, rugomba gupimwa na muganga kugira ngo hamenyekane kandi hakemurwe ibibazo byose by'ubuzima bw'ibanze. Muganga wawe azatekereza ku buzima bwawe muri rusange igihe asobanura ibisubizo bya BUN nto.

Ese ni byiza kugira urugero rwa BUN rwo hejuru cyangwa ruto?

Ntabwo urugero rwa BUN rwo hejuru cyangwa ruto ari byiza - ikintu cyiza ni ukugira urugero rwa BUN ruri hagati y'ibisanzwe bya 6-24 mg/dL. Urugero rwa BUN rwo hejuru cyangwa ruto rushobora kugaragaza ibibazo by'ubuzima bisaba kwitabwaho, nubwo akenshi bigaragaza ibibazo bitandukanye.

Urugero rwa BUN rwo hejuru rusanzwe rutera impungenge kurusha urugero ruto kuko akenshi rugaragaza ibibazo by'impyiko cyangwa kumuka, byombi bishobora kugira ingaruka zikomeye ku buzima iyo bitavuwe. Ariko, urugero rwa BUN rwo hejuru gato rushobora kuba rwa gihe gito kandi rugashobora gukosorwa byoroshye.

Urugero rwa BUN ruto, nubwo bidakunze kubaho, rushobora kugaragaza ibibazo by'umwijima cyangwa kubura intungamubiri bisaba kandi kwitabwaho kwa muganga. Urugero rwa BUN ruto cyane rushobora kugaragaza ko umubiri wawe utari gukora poroteyine neza cyangwa ko utari kurya ibiryo bifite intungamubiri zihagije.

Ikintu cy'ingenzi ni ukugumisha urugero rwa BUN ruri hagati y'ibisanzwe mu gihe. Impinduka zidasanzwe mu buryo ubwo aribwo bwose zisaba iperereza, kuko zishobora kugaragaza ibibazo by'ubuzima biri gukura bishobora kuvurwa hakiri kare hamwe n'imiti ikwiye.

Ni izihe ngaruka zishobora guterwa n'urugero rwa BUN ruto?

Uko umubare muto wa BUN ubwawo ntugira ibibazo byinshi, ariko ushobora kwerekana ibibazo by'ubuzima bishobora kuvamo ibibazo bikomeye niba bitavuwe. Ibibazo bikunze guterwa n'indwara ziteye umubare muto wa BUN kurusha umubare muto ubwawo.

Ibibazo bifitanye isano n'umwijima biri mu bibazo bikomeye cyane iyo umubare muto wa BUN ukomeje. Kubera ko umwijima wawe ukora urea ivuye mu gusenyuka kwa poroteyine, umubare muto wa BUN ushobora kwerekana imikorere mibi y'umwijima ishobora gutera indwara ikomeye y'umwijima.

Ibibazo bishobora guterwa n'umubare muto wa BUN birimo:

• Kunanirwa kw'umwijima niba umubare muto wa BUN werekana indwara ikomeye y'umwijima
• Ibibazo bifitanye isano n'imirire mibi biturutse ku gufata poroteyine idahagije
• Kugabanuka kw'imitsi no kunanuka biturutse ku kubura poroteyine
• Ibibazo by'ubudahangarwa bitewe n'imirire mibi
• Kubika amazi n'imikorere mibi ya elctrolyte
• Gutinda gukira kw'ibikomere no gusana imitsi
• Kuzamuka kw'ibibazo by'indwara zandura

Mu bihe bidasanzwe, umubare muto cyane wa BUN ushobora kwerekana indwara ziterwa n'imirire mibi ya poroteyine, bishobora kugira ibibazo bitandukanye bitewe n'indwara yihariye. Kumenya no kuvura hakiri kare ibitera ibibazo bishobora gukumira ibibazo byinshi.

Muganga wawe azagenzura ubuzima bwawe muri rusange kandi avure indwara iyo ari yo yose kugira ngo akumire ibibazo. Kugenzura buri gihe ni ngombwa iyo umubare muto wa BUN ukomeje.

Ni ibihe bibazo bishobora guterwa n'umubare mwinshi wa BUN?

Umubare mwinshi wa BUN ushobora kwerekana ibibazo by'impyiko cyangwa ibindi bibazo by'ubuzima bishobora kuvamo ibibazo bikomeye niba bitavuwe neza. Ibibazo bikunze gutera iyo imikorere y'impyiko igabanuka cyane cyangwa iyo indwara ziteye umubare mwinshi wa BUN zitavuwe.

Ibyago bishingiye ku mpyiko ni byo bikomeye cyane iyo urugero rwa BUN ruri hejuru ku buryo buhoraho. Iyo impyiko zawe zitabasha gukora isuku neza, imyanda ishobora kwiyongera mu maraso yawe, bikaba byagira ingaruka ku ngingo nyinshi z'umubiri.

Ibyago bishobora guterwa n'urugero rwa BUN ruri hejuru birimo:

• Uburwayi bwa kronike bw'impyiko bushobora gusaba ko bakora diyarese
• Kwirunda kw'amazi bitera kubyimba no kuzamuka kw'umuvuduko w'amaraso
• Imikorere mibi y'amashanyarazi igira ingaruka ku mutima n'imikorere y'imitsi
• Uremia, uburwayi bukomeye aho imyanda yiyongera mu maraso
• Ibibazo by'imitsi y'umutima bitewe n'umubano w'uburwayi bw'impyiko n'umutima
• Uburwayi bw'amagufa buturuka ku mikorere mibi y'imyunyu ngugu
• Anemiya iterwa no kugabanuka kw'imikorere y'imisemburo y'impyiko
• Kuzamuka kw'ibibazo by'indwara ziterwa n'imikorere mibi y'ubudahangarwa bw'umubiri

Mu bihe bikomeye, urugero rwa BUN ruri hejuru cyane rushobora kwerekana ko impyiko zangiritse mu buryo bwihuse, ibyo bikaba bishobora guteza akaga iyo bitavuwe vuba. Ariko, abantu benshi bafite urugero rwa BUN ruri hejuru gato bashobora kwifasha neza bakoresheje ubuvuzi bukwiye.

Kumenya no kuvura kare ibitera ibibazo byinshi birashobora kubikumira. Itsinda ry'abaganga bazakorana nawe kugira ngo bakore gahunda yo kuvura irinda imikorere y'impyiko zawe n'ubuzima bwawe muri rusange.

Ni ryari nkwiriye kubona umuganga ku bijyanye n'ibisubizo by'ibizamini bya BUN?

Ugomba kuvugana n'umuganga wawe igihe cyose ubonye ibisubizo by'ibizamini bya BUN bitari mu rugero rusanzwe, kabone n'iyo wumva umeze neza. Ibibazo byinshi by'impyiko n'umwijima bikura buhoro buhoro nta bimenyetso bigaragara, bityo ibisubizo bitari bisanzwe by'ibizamini bishobora kuba ikimenyetso cya mbere cy'ikibazo.

Umuganga wawe azashaka kureba ibisubizo byose bya BUN bifite urugero ruri hejuru cyane cyangwa ruri hasi mu buryo budasanzwe, cyane cyane niba ibyo bigaragaza impinduka ku bisubizo byawe by'ibizamini byabanje. Imiterere y'igihe iruta cyane ibisubizo by'ibizamini bya rimwe.

Ibyo bikorwa byihutirwa by'ubuvuzi birimo:

• Urugero rwa BUN ruri hejuru ya 50 mg/dL, rishobora kwerekana ibibazo bikomeye by'impyiko
• Uruzamuka rwa vuba mu rugero rwa BUN hagati y'ibizamini
• Impinduka za BUN ziherekejwe n'ibimenyetso nk'ukubyimba, umunaniro, cyangwa impinduka mu kunyara
• Urugero rwa BUN ruri hasi cyane, cyane cyane hamwe n'ibimenyetso by'ibibazo by'umwijima
• Ubudahangarwa bwa BUN hamwe n'ibindi bisubizo by'ibizamini biteye inkeke

Ugomba kandi kubona umuganga wawe niba ugize ibimenyetso bishobora kwerekana ibibazo by'impyiko cyangwa umwijima, nk'ukubyimba guhoraho, impinduka mu musaruro w'inkari, umunaniro ukabije, cyangwa kuribwa mu nda. Ibi bimenyetso bihurirana n'urugero rwa BUN rudasanzwe bisaba isuzuma ryihuse.

Ntugategereze guteganya inama zikurikira niba umuganga wawe azisabye. Gukurikirana buri gihe bifasha gufata ibibazo hakiri kare kandi bikemeza ko imiti iyo ari yo yose ikora neza.

Ibikunze kubazwa ku kibazo cy'ibizamini bya BUN

Q.1 Ese ikizamini cya BUN ni cyiza mu kumenya indwara y'impyiko?

Yego, ikizamini cya BUN ni igikoresho cyiza cyo kumenya indwara y'impyiko, cyane cyane iyo gikoreshejwe hamwe n'ibindi bizamini by'imikorere y'impyiko nka creatinine. Ikizamini cya BUN gishobora kumenya ibibazo by'impyiko mu ntangiriro zabyo, akenshi mbere yo kugira ibimenyetso byose.

Ariko, urugero rwa BUN rushobora kugirwaho ingaruka n'ibindi bintu bitari imikorere y'impyiko, nk'ubushyuhe, imirire, cyangwa imiti imwe n'imwe. Iyo niyo mpamvu abaganga basanzwe bakoresha ibisubizo bya BUN hamwe n'ibindi bizamini kugirango babone ishusho yuzuye y'ubuzima bw'impyiko zawe.

Kugirango usuzume neza imikorere y'impyiko, umuganga wawe ashobora gutumiza itsinda ryuzuye ry'imikorere ya metabolike irimo BUN, creatinine, n'ibindi bimenyetso. Ibi bitanga ishusho yuzuye kuruta ikizamini kimwe gusa.

Q.2 Ese BUN nyinshi itera kwangirika kw'impyiko?

Urugero rwa BUN rwinshi ntirugira uruhare mu kwangiza impyiko - ahubwo, akenshi byerekana ko kwangirika kw'impyiko cyangwa imikorere mibi yamaze kuba. Tekereza kuri BUN nk'intumwa ikubwira ko hari ikintu kigira ingaruka ku bushobozi bw'impyiko zawe bwo gukora isuku neza.

Ibyo byateye urugero rwo hejuru rwa BUN, nk'indwara ya diyabete cyangwa umuvuduko mwinshi w'amaraso, nibyo byangiza impyiko uko imyaka igenda. Gukemura ibyo bibazo by'ibanze ni ngombwa mu kurinda imikorere y'impyiko no gukumira izindi ngaruka.

Ariko, urugero rwo hejuru cyane rwa BUN rushobora kwerekana imikorere mibi y'impyiko, iyo itavuwe, ishobora gutuma habaho ibindi bibazo by'impyiko. Iyo niyo mpamvu kwitabwaho n'abaganga vuba na bwangu ku rugero rwa BUN ruzamutse cyane ari ngombwa.

Q.3 Gushirwa amazi make bishobora gutera urugero rwo hejuru rwa BUN?

Yego, gushirwa amazi make ni kimwe mu bitera urugero rwa BUN ruzamuka by'agateganyo. Iyo ushirwa amazi make, impyiko zawe zizigama amazi zikoresha umwuka wawe, ibyo bishobora gutuma habaho urugero rwo hejuru rwa azote ya urea mu maraso yawe.

Ubu bwoko bwa BUN ruzamuka akenshi buragabanuka iyo wongereye amazi. Ariko, gushirwa amazi make cyane cyangwa igihe kirekire bishobora kwangiza imikorere y'impyiko, ni ngombwa rero gukemura ikibazo cyo gushirwa amazi make vuba na bwangu.

Niba urugero rwawe rwa BUN ruri hejuru, muganga wawe ashobora kukubaza ibyo unywa kandi ashobora kugusaba kongera kunywa amazi mu gihe akora iperereza ku bindi bishobora gutera icyo kibazo.

Q.4 Nshobora gupimisha BUN inshuro zingahe?

Uburyo bwo gupimisha BUN buterwa n'ubuzima bwawe bwite n'ibintu bigushyira mu kaga. Ku bantu bakuru bafite ubuzima bwiza badafite ibintu bibashyira mu kaga by'indwara y'impyiko, gupimisha BUN bishobora gushyirwa mu murimo w'amaraso usanzwe buri mwaka cyangwa gupimwa ubuzima bwose.

Niba ufite indwara zigira ingaruka ku mikorere y'impyiko, nk'indwara ya diyabete cyangwa umuvuduko mwinshi w'amaraso, muganga wawe ashobora kugusaba gupimisha BUN buri mezi 3-6 kugira ngo akurikirane ubuzima bw'impyiko zawe neza. Abantu bafite indwara y'impyiko izwi bashobora gukenera gupimwa kenshi.

Muganga wawe azagena gahunda yo gupimwa ikwiye ashingiye ku mateka yawe y'ubuzima, imiti ukoresha ubu, n'urugero rw'ibintu bigushyira mu kaga. Ntukazuyaze kubaza inshuro ukwiye gupimwa ashingiye ku miterere yawe yihariye.

Q.5 Ese imirire ishobora kugira ingaruka ku bisubizo bya test ya BUN?

Yego, imirire yawe ishobora kugira uruhare runini ku bisubizo bya test ya BUN, cyane cyane ku kintu cy'umubiri wawe ukenera. Kurya ifunguro ririmo poroteyine nyinshi cyangwa gukurikiza imirire irimo poroteyine nyinshi bishobora kuzamura igihe gito urugero rwa BUN, mugihe kurya poroteyine nkeya cyane bishobora gutuma urugero rwa BUN rugabanuka.

Ibi nibyo bituma abaganga bamwe bashobora kukubaza ku mirire yawe ya vuba aha igihe basobanura ibisubizo bya BUN. Ariko, ingaruka ziterwa n'imirire mubisanzwe ni iz'igihe gito kandi ntizagombye guhindura cyane urugero rwawe rwa BUN niba impyiko zawe zikora neza.

Niba ufite impungenge z'uko imirire yawe yagira ingaruka ku bisubizo bya test, ganira n'umuganga wawe. Bashobora gutanga ubujyanama niba ukeneye guhindura imyifatire yawe yo kurya mbere yo gupimwa cyangwa gufasha gusobanura ibisubizo mu rwego rw'imirire yawe isanzwe.