LONDON | GENEVA – Mu gihe igipimo cy’abarwayi ba diyabete n’umuvuduko ukabije w’amaraso ku isi gikomeje kwiyongera, abaganga b’indwara z’imitsi barimo kwifashisha uburyo bw’isuzuma bw’indwara ziterwa n ...

Albumine yo mu nkari yerekeza ku kuba hari poroteyine ya albumine mu nkari. Mu mpyiko nzima, glomeruli ikora nk'akayunguruzo gakomeye, kabika poroteyine z'ingenzi nka albumine mu maraso. Ariko, iyo uru rusobe rw'amazi rwangiritse—akenshi bitewe n'umuvuduko ukabije w'amaraso cyangwa isukari nyinshi mu maraso—albumine iva mu nkari. Ndetse n'ingano ntoya igaragaza ko indwara y'impyiko ari yo itangira, izwi nka microalbuminuria.

“Isuzuma ry’amaraso risanzwe rya creatinine rizamuka gusa nyuma y’uko 50% by’imikorere y’impyiko ibuze,” ibi ni ibyasobanuwe na Dr. Helen Marquez, inzobere mu by’impyiko mu kigo cy’ubuzima bw’impyiko cy’i Burayi. “Isuzuma rya ALB, mu buryo bunyuranye, rikora nk’aho umuntu ahagarika umwotsi. Rimenya amazi aturuka mu buryo butagaragara iyo ibyangiritse bigihari. Ku barwayi ba diyabete yo mu bwoko bwa 2 cyangwa umuvuduko ukabije w’amaraso, iri ni amahirwe yo kurokora ubuzima.”

Ikizamini cya ALB gikunze gukorwa nk'igipimo cya albumin-to-creatinine mu nkari (UACR) ku nkari imwe isanzwe, bigatuma idatera indwara kandi ikaba ihendutse. Bitandukanye no gukusanya inkari mu masaha 24, UACR ikosora ingano y'inkari, igatanga ibisubizo nyabyo ako kanya. Amabwiriza y'ubuvuzi ariho ubu asaba ko abantu bose barwaye diyabete cyangwa umuvuduko ukabije w'amaraso bapimwa UACR nibura buri mwaka.

Ubushakashatsi buherutse gukorwa ku rwego runini bwagaragaje ko Albumin y'inkari atari ikimenyetso cy'indwara z'impyiko gusa, ahubwo ni ikimenyetso gikomeye cy'ibyago by'umutima n'amaraso. Ingano iri hejuru ifitanye isano rikomeye n'indwara z'umutima, gucika imitsi, no kunanirwa k'umutima, ndetse no ku bantu badafite diyabete. Ubu busobanuro bubiri bwatumye abaganga b'indwara z'umutima bafata ikizamini cya ALB nk'igice cy'isuzuma risanzwe ry'indwara z'umutima n'amaraso.

Nubwo byagaragaye ko bifite agaciro gakomeye, igipimo cyo gupimwa kiracyari hasi cyane. Ubushakashatsi bwasohotse mu kwezi gushize muri *The Lancet Nephrology* bwagaragaje ko munsi ya 30% by'abarwayi bari mu kaga bahabwa isuzuma rya albuminuria buri mwaka. Imbogamizi zirimo kutagira ubumenyi mu baganga basanzwe no kuba CKD itaratangira nta bimenyetso itera.

“Ntidushobora kwiringira uko umurwayi yumva ameze,” Dr. Marquez agira ati: “Iyo umurwayi amaze kubyimba cyangwa umunaniro ugaragaye, impyiko zangiritse akenshi ntizishobora gusubizwa inyuma. Tugomba gukora isuzuma rya ALB nk’uko bigenda buri gihe, nk’uko bipimwa umuvuduko w’amaraso.”

Ubu ikoranabuhanga mu by’ubuzima mu Bwongereza no mu Budage ririmo gukora igerageza ry’amakuru atangwa hifashishijwe ikoranabuhanga mu nyandiko z’ubuvuzi kugira ngo ryibutse abaganga gutumiza ibizamini bya UACR ku barwayi bujuje ibisabwa. Hagati aho, ibikoresho bishya byo kwita ku barwayi bishobora gutanga ibisubizo bya ALB mu minota mike birimo gushyirwa mu mavuriro yo mu gace k’iwabo.

Ku bantu babarirwa muri za miriyoni barwaye indwara y'impyiko idakora, ikizamini cyoroshye cy'inkari cya albumin gitanga icyizere cyiza cyo kubungabunga imikorere no kwirinda dialyse. Uko ubukangurambaga bw'ubuzima rusange bukomeza kwiyongera, ubutumwa burasobanutse: genzura inkari, rinda impyiko.

Twebwe abaganga ba Baysen dushobora gutangaAgakoresho ko gupima vuba ka ALBkugira ngo ubone icyubahiro hakiri kare. Murakaza neza kutwandikira kugira ngo mumenye byinshi.