Ni iki cyitwa kubaga impyiko? Intego, Uburyo & Ibivamo

Kubaga impyiko ni uburyo bwa muganga aho muganga wawe akuramo agace gato k'urugingo rw'impyiko kugira ngo arusuzume akoresheje mikorosikopi. Iki gice gito gifasha abaganga kumenya indwara z'impyiko no kumenya uburyo bwo kuvura bwiza kuri wowe. Tekereza nk'uko ubona neza ibiri kuba imbere mu mpyiko zawe igihe ibizamini by'amaraso n'amashusho bidashobora kuvuga inkuru yose.

Ni iki cyitwa kubaga impyiko?

Kubaga impyiko bikubiyemo gufata agace gato k'urugingo rw'impyiko ukoresheje urushinge ruto. Ubu buryo bukorwa n'inzobere yitwa nephrologist cyangwa radiologiste ukoresha amashusho kugira ngo agere ku mpyiko mu buryo bwizewe. Iki gice cy'urugingo rero cyoherezwa muri laboratori aho inzobere ziracyisuzuma neza kugira ngo zimenye indwara iyo ari yo yose cyangwa yangiritse.

Iki gice ubwacyo ni gito cyane, kingana n'umutwe wa pencil, ariko kirimo ibihumbi by'utuntu duto dushobora kugaragaza amakuru y'ingenzi yerekeye ubuzima bw'impyiko zawe. Impyiko zawe zizakomeza gukora neza nyuma yo kubagwa kuko gusa igice gito cy'urugingo gikurwaho.

Kuki kubaga impyiko bikorwa?

Muganga wawe agushishikariza kubaga impyiko igihe bakeneye amakuru arambuye yerekeye icyo kiri kugira ingaruka ku mpyiko zawe. Ibizamini by'amaraso n'ibizamini by'inkari bishobora kugaragaza ko hari ikitagenda neza, ariko ntibishobora buri gihe kugaragaza neza ikibazo cyangwa uko gikomeye.

Dore impamvu z'ingenzi ushobora gukenera ubu buryo. Ibihe nk'ibi bikunda gutera buhoro buhoro, kandi muganga wawe azaba yarimo akurikirana imikorere y'impyiko zawe mbere yo gutanga igitekerezo cyo kubagwa:

• Amaraso cyangwa poroteyine bigaragara mu nkari zawe nta mpamvu igaragara
• Imikorere y'impyiko igabanuka mu buryo butunguranye cyangwa bwihuse
• Gukeka glomerulonephritis (uburwayi bwo mu mpyiko butera kubyimba)
• Urubyimba rutagaragara impamvu mu maguru yawe, mu maso, cyangwa mu nda
• Umubyibuho ukabije w'amaraso bigoye kugenzura
• Gukurikirana kwangwa nyuma yo gushyirwa impyiko
• Kumenya urugero rw'ubyangizi bw'impyiko buturutse ku ndwara nka lupus cyangwa diyabete

Muganga wawe azagusaba gukorerwa biopsy gusa niba ibisubizo bizahindura uburyo uvurwa. Ibyo bimenyetso bifasha guhitamo imiti ikora neza kandi bigakurikirana uburyo imiti ikora neza.

Ni iki gikorerwa biopsy y'impyiko?

Uburyo bwo gukora biopsy y'impyiko busanzwe bufata iminota 30 kugeza kuri 60 kandi akenshi bikorwa nk'uburyo bwo kuvurwa hanze y'ivuriro. Uzaba uri maso mugihe icyo gikorwa kiba, ariko uzahabwa imiti yo mu gace kugirango itume ahantu hakora umubabaro, ndetse ushobora guhabwa imiti igabanya ububabare kugirango igufashe kuruhuka.

Ibi nibyo bibaho mugihe cya biopsy yawe, intambwe ku yindi. Igice cyose gitegurwa neza kugirango umutekano wawe n'uburyo wumva bibe byiza:

1. Uzaryama ugaragaza hasi ku meza yo gupimira ufite umusego munsi y'igituza cyawe
2. Muganga azamesa kandi atume uruhu ruri hejuru y'impyiko yawe rutagira ububabare akoresheje imiti
3. Akoresheje ultrasound cyangwa CT imaging, bazashaka ahantu heza ho gushyira urushinge
4. Urushinge ruto rwa biopsy rushyirwa mu ruhu rwawe no mu mpyiko
5. Uzasabwa guhagarika guhumeka mumasegonda make mugihe icyitegererezo gifatwa
6. Urushinge rukurwaho vuba, kandi igitutu gishyirwaho kugirango birinde kuva amaraso
7. Mubisanzwe, ibyitegererezo bito 2-3 biratoranywa kugirango habeho imitsi ihagije

Ushobora kumva urusaku ruto mugihe urushinge rwa biopsy ruteye, ibyo bisanzwe. Abantu benshi basobanura icyo kintu nk'ikintu gisa no gukanda cyangwa igitutu aho kuba ububabare bukaze.

Ni gute witegura biopsy y'impyiko yawe?

Kwitegura kubagwa impyiko yawe bikubiyemo intambwe nyinshi z'ingenzi kugira ngo uburyo bukore neza kandi mu buryo bwizewe. Itsinda ryawe ry'ubuzima rizagutanga amabwiriza yihariye ashingiye ku buzima bwawe bwite n'imiti yose urimo gufata.

Muganga wawe azagutanga amabwiriza arambuye yo kwitegura, akenshi akubiyemo izi ntambwe z'ingenzi:

• Reka gufata imiti igabanya amaraso nka aspirine, warfarin, cyangwa NSAIDs mu minsi 7-10 mbere yo kubagwa
• Tegura umuntu uzagutwara nyuma yaho
• Ntukarye cyangwa ngo unywe ikintu icyo aricyo cyose mu masaha 8 mbere yo kubagwa
• Menyesha muganga wawe imiti yose, ibiyobyabwenge, n'imiti y'ibyatsi ufata
• Bwira itsinda ryawe ry'ubuzima niba ufite allergie cyangwa indwara zituma amaraso ava
• Uzuza ibizamini byose by'amaraso bisabwa kugirango urebe ubushobozi bwawe bwo gupfuka
• Teganya kumara mu bitaro amasaha 4-6 nyuma yo kubagwa kugirango urebe uko bimeze

Niba ufata imiti ya diyabete cyangwa umuvuduko w'amaraso uri hejuru, muganga wawe azagutanga amabwiriza yihariye yerekeye igihe uzayifata. Ntuhagarike iyi miti keretse ubwiwe kubikora.

Ni gute usoma ibisubizo byawe byo kubagwa impyiko?

Ibisubizo byawe byo kubagwa impyiko bizaboneka mu minsi 3-7, nubwo ibizamini bimwe byihariye bishobora gutwara igihe kirekire. Umuganga w'indwara, umuganga wihariye mu gusuzuma imyenda, aziga icyitegererezo cyawe akoresheje ubwoko butandukanye bwa mikorosikopi kandi ashobora gukoresha amarangi yihariye kugirango yerekane ibintu byihariye.

Raporo izasobanura icyo umuganga w'indwara abona mu myenda yawe y'impyiko. Irashobora kuba irimo amakuru yerekeye kubyimbirwa, ibikomere, ibintu bya poroteyine, cyangwa izindi mpinduka zerekana indwara zihariye. Muganga wawe azasobanura icyo ibi bisubizo bisobanura kubuzima bwawe bwihariye.

Ibintu bisanzwe biboneka mu raporo z'ubushakashatsi bwa biopsy y'impyiko birimo ibisobanuro ku bijyanye na glomeruli (udutete duto dukora isuku mu mpyiko zawe), tubules (utuyunguruzo duto dukora uruhuka), n'ibindi bice by'umubiri bikikije. Umuganga w'inzobere mu by'ubuvuzi azavuga niba ibi bice bisa nk'ibisanzwe cyangwa bigaragaza ibimenyetso by'indwara cyangwa kwangirika.

Muganga wawe azategura gahunda yo gusuzuma ibisubizo byawe mu buryo burambuye kandi asobanure icyo bisobanuye ku buryo uvurwa. Iyi ngingo ni ingenzi nk'ubushakashatsi bwa biopsy ubwabwo, bityo ntugatinye kubaza ibibazo ku kintu icyo aricyo cyose utumva.

Ni izihe mpamvu zishobora gutuma ukeneye gukorerwa biopsy y'impyiko?

Ibyiciro bimwe na bimwe n'impamvu bituma bishoboka cyane ko uzakeneye gukorerwa biopsy y'impyiko igihe runaka. Kumva izi mpamvu zishobora kugufasha gukorana na muganga wawe kugira ngo ukurikirane ubuzima bw'impyiko zawe neza.

Indwara nyinshi zongera amahirwe yo kurwara indwara z'impyiko zishobora gusaba biopsy. Izi ndwara zishobora kugira ingaruka ku mpyiko zawe mu buryo butandukanye:

• Urubuto, cyane cyane niba umaze imyaka myinshi ururwaye
• Umubyimba mwinshi w'amaraso utaragenzurwa neza
• Indwara ziterwa n'umubiri w'umuntu wanga ibyo yirinda nka lupus, vasculitis, cyangwa syndrome ya Goodpasture
• Amateka y'umuryango w'indwara z'impyiko
• Infesiyo z'impyiko zabayeho mbere cyangwa amabuye yo mu mpyiko
• Imiti imwe n'imwe ishobora kugira ingaruka ku mikorere y'impyiko
• Guhabwa impyiko y'undi muntu

Imyaka nayo ishobora kugira uruhare, kuko imikorere y'impyiko igenda igabanuka uko imyaka yiyongera. Ariko, kugira izi mpamvu ntibisobanura ko uzakeneye gukorerwa biopsy. Gukurikirana buri gihe no gucunga neza indwara zishingiyeho akenshi bishobora kwirinda ko iyi nzira ikorwa.

Ni izihe ngaruka zishoboka ziterwa na biopsy y'impyiko?

Nubwo kubagwa impyiko muri rusange ari inzira itagira ingaruka, kimwe n'izindi nzira z'ubuvuzi, zishobora kugira ingaruka zimwe na zimwe. Inkuru nziza ni uko ingorane zikomeye zitaba kenshi, zibaho ku kigereranyo kiri munsi ya 1%, kandi ikipe yawe y'abaganga yiteguye neza guhangana n'ikibazo icyo aricyo cyose gishobora kuvuka.

Dore ingorane zishobora kuvuka ugomba kumenya, kuva ku bibazo bito bisanzwe kugeza ku bibazo bikomeye ariko bidakunze kubaho:

• Kuva amaraso hafi y'impyiko (ibisanzwe, akenshi bito kandi bihagarara byonyine)
• Amaraso mu nkari mu minsi mike nyuma yo kubagwa
• Urubavu cyangwa kubabara ahantu habagiriwe
• Udukoko ahantu urushinge rwashyizweho (ntibiba kenshi)
• Kuva amaraso menshi bisaba guterwa amaraso (ntibiba kenshi, munsi ya 1 kuri 100)
• Kwica ibice byegereyeho (ntibiba kenshi cyane)
• Gushyiraho umubano hagati y'imitsi y'amaraso n'inzira y'inkari (ntibiba kenshi cyane)

Ikipe yawe y'ubuzima izagukurikiranira hafi nyuma yo kubagwa kugirango urebe ibimenyetso byose by'ingorane. Abantu benshi bahura n'akababaro gato gusa kandi bagasubira mu bikorwa bisanzwe mu minsi mike.

Ni ryari nkwiriye kubona umuganga nyuma yo kubagwa impyiko?

Nyuma yo kubagwa impyiko, ni ngombwa kumenya igihe cyo kuvugana n'ikipe yawe y'ubuzima. Nubwo akababaro gato ari ibisanzwe, ibimenyetso bimwe na bimwe bisaba ubufasha bwihuse kugirango umutekano wawe n'imikoreshereze ikwiye byizurwe.

Vugana n'umuganga wawe ako kanya niba uhuye n'ikimenyetso icyo aricyo cyose cyo kwitondera nyuma yo kubagwa:

• Urubavu rukabije rutagabanuka n'imiti yagenewe kugabanya ububabare
• Kuva amaraso menshi ahantu habagiriwe
• Amaraso menshi mu nkari zawe zitagabanuka uko igihe kigenda
• Ubukana burenze 100.4 ° F (38 ° C)
• Urugero, intege nke, cyangwa kugwa igihumure
• Kugorana kwihagarika cyangwa kutabasha kwihagarika
• Ibimenyetso byo kwandura nk'ukwiyongera kw'umutuku, ubushyuhe, cyangwa gusohoka ahantu habagiriwe

Muganga wawe azategura kandi gahunda yo gusubira kwa muganga kugira ngo muganire ku byavuye mu isuzuma ryawe hanyuma mutegure uburyo bwo kuvura. Ibi bikunda kuba nyuma y'icyumweru kimwe cyangwa bibiri nyuma y'igikorwa, bitanga igihe gihagije kugira ngo umuhanga mu by'indwara akore isesengura rye.

Ibibazo bikunze kubazwa ku birebana no gusuzuma impyiko

I.1 Ese gusuzuma impyiko ni byiza mu kumenya indwara z'impyiko?

Yego, gusuzuma impyiko bifatwa nk'inzira nziza yo kumenya indwara nyinshi z'impyiko. Bitanga amakuru arambuye kandi yizewe ku byo biri kuba mu mpyiko zawe ku rwego rw'uturemangingo. Nubwo ibizamini by'amaraso n'amashusho bishobora gutanga icyerekezo cy'ibibazo by'impyiko, gusuzuma gusa ni byo bishobora kugaragaza neza ubwoko bwihariye bw'indwara y'impyiko no kumenya uko yateye imbere.

Gusuzuma bifasha muganga wawe gutandukanya ubwoko butandukanye bw'indwara z'impyiko zishobora gutera ibimenyetso bisa. Iri suzuma rinoze ni ngombwa kuko indwara z'impyiko zitandukanye zikeneye uburyo butandukanye bwo kuvurwa, kandi icyakora ku ndwara imwe gishobora kutagira icyo gikora ku yindi.

I.2 Ese gusuzuma impyiko birababaza?

Abantu benshi bahura n'ububabare buke cyangwa buringaniye gusa mugihe cyo gusuzuma impyiko. Umuti w'agace utuma ahantu urushinge rwinjiramo rutagira ububabare, bityo ntugomba kumva ububabare bukomeye mugihe cy'igikorwa nyirizina. Ushobora kumva umuvundo cyangwa kumva urushinge rucocoye mugihe urushinge rwo gusuzuma rwinjijwe.

Nyuma y'igikorwa, ushobora kugira ububabare buke cyangwa kubabara mu mugongo wawe cyangwa uruhande rwawe mu minsi mike, bisa n'igikomere cyimbitse. Muganga wawe azandika imiti igabanya ububabare kugirango ugume wumva neza mugihe cyo gukira. Abantu benshi basanga ububabare bugenzurwa kandi bugenda bwiyongera umunsi ku wundi.

I.3 Bifata igihe kingana iki kugira ngo ukire nyuma yo gusuzuma impyiko?

Kuguma neza nyuma yo gupimisha impyiko bisanzwe bikorwa vuba ku bantu benshi. Ukeneye kuguma mu bitaro kugira ngo bakurebe amasaha 4-6 nyuma yo gukorwa, kugira ngo barebe ko nta maraso cyangwa izindi ngorane zibaye. Abantu benshi bashobora gusubira mu bikorwa byoroheje nyuma y'amasaha 24-48.

Ukeneye kwirinda gukora imirimo ivunanye, imyitozo ikomeye, n'ibikorwa bishobora guhungabanya umubiri wawe mu gihe cy'icyumweru. Muganga wawe azaguha amabwiriza arambuye yerekeye igihe ushobora gusubira ku kazi no mu bikorwa bisanzwe bitewe n'akazi kawe n'ubuzima bwawe muri rusange.

Q.4 Ese gupimisha impyiko byangiza impyiko zanjye?

Ibyago byo kwangirika burundu kw'impyiko biturutse ku gupimisha ni bike cyane. Icyitegererezo gifashwe ni gito ugereranyije n'ubunini bw'impyiko zawe, kandi imikorere y'impyiko zawe ntizahungabanywa no gukuraho aka gace gato k'umubiri. Impyiko zawe zifite ubushobozi bwo gukira butangaje kandi zizakomeza gukora neza nyuma y'igikorwa.

Mugihe amaraso y'agateganyo ashobora kuboneka hafi y'impyiko, ibi bisanzwe bikemuka byonyine bitabangamiye. Itsinda ryawe ry'abaganga rikoresha amashusho yateye imbere kugira ngo riyobore urushinge neza, rigabanya ibyago byose byo kwangiza igice cy'impyiko gikikije.

Q.5 None se, ni iki kibaho niba ibisubizo byo gupimisha impyiko byanjye bitari ibisanzwe?

Niba ibisubizo byawe byo gupimisha bigaragaza indwara y'impyiko, muganga wawe azakorana nawe kugira ngo ategure gahunda yo kuvura ijyanye n'uburwayi bwawe bwihariye. Ubwoko bwo kuvura buterwa n'icyo gupimisha kugaragaza, ariko amahitamo ashobora kuba imiti igabanya umubyimbire, kugenzura umuvuduko w'amaraso, cyangwa guhagarika imikorere y'ubudahangarwa.

Kugira ibisubizo bitari ibisanzwe ntibisobanura ko ibintu byawe bitagira icyizere. Indwara nyinshi z'impyiko zirashobora gufashwa neza cyangwa zikavurwa neza n'ubuvuzi bukwiye. Muganga wawe azakurikiza neza iterambere ryawe kandi ahindure uburyo bwawe bwo kuvura uko bikwiye kugira ngo arinde imikorere y'impyiko zawe n'ubuzima bwawe muri rusange.