Impiswi idakira imara ibyumweru birenga 4 ni "umuburo utukura" uvugwa mu mara, kandi hakenewe kwitonda ku ndwara y'amara iterwa n'ububabare (IBD).

Ariko iki ni ikibazo: iyo winjiye mu ivuriro, ni gute muganga amenya niba amara yawe yarabyimbye koko? Kandi ubukana bw'ububyimbirwe bungana iki? Muri iki gihe, ikizamini gisa n'aho "kidasanzwe" kiratangira -calprotectin y'amase gupima. Ni nk'"umusemuzi" wizerwa ushobora guhindura "amagambo yo mu mara" mu makuru abaganga bashobora gusobanukirwa. Muri iki kinyamakuru "Ni iki uzi ku mara," tuzagufasha kumenya uyu "musemuzi" w'ubuzima bw'amara.

1) Iyo amara abyimbye, ni nde watubwira?

Tekereza ibi: amara yawe "arashya," ariko ntushobora kuyabona cyangwa ngo uyakoreho - ushobora gukekeranya gusa "ibimenyetso bitaziguye" nko gucibwamo no kubabara mu nda.

Ese hari uburyo bushobora kutubwira mu buryo butaziguye kandi butagoramye - niba amara yabyimbye cyangwa niba ububyimbirwe bukabije?

Igisubizo ni: yego. Kandi byihishe mu ntebe yawe.

Iyo amara abyimbye, utunyangingo tw’amaraso duhurira hamwe mu bwinshi aho ububyimbirwe bwabereye kugira ngo “tuzimye umuriro.” Muri uru “rugamba,” utwo tunyangingo dusohora poroteyine —kalprotectinIsohoka mu mubiri hamwe n'umwanda, kandi ubwinshi bwayo bugaragaza neza ubukana bw'indwara yo kubyimba mu mara.

2)Calprotectin: Kuki byakuruye ibitekerezo by'abaganga?

Mberekalprotectinbyagaragaye, abaganga bashingiye cyane cyane ku bipimo by'amaraso (nk'ukoCRP, ESR, nibindi) kugira ngo hamenyekane ububyimbirwe. Ariko ibi bimenyetso bifite "inenge yica" - nta buryo bworoshye bwo mu mara. Mu yandi magambo, iyo bizamutse, bishobora kugaragaza ububyimbirwe ahantu runaka mu mubiri, ariko atari ngombwa ko biba mu mara.Calprotectinbitandukanye. Ifite "inyungu karemano" nyinshi:

Ikintu kimwe:calprotectin y'amase byashyizwe mu mabwiriza y'Ubushinwa yo gusuzuma no kuvura indwara y'amara abyimba, biba ikimenyetso gikoreshwa cyane mu buvuzi.

3) Ni iki uyu "musemuzi" yadufasha gukora?

Imikoreshereze y'ubuvuzi yacalprotectin y'amase biri kugenda birushaho kwaguka, cyane cyane harimo ibi bikurikira:

① Gutandukanya IBD na IBS

Iyi ni yo "mwihariko" ukomeye wa calprotectin. Ibimenyetso bya IBS n'indwara y'amara itera ububabare (IBD) rimwe na rimwe bishobora kuba bisa cyane - byombi bishobora gutera ububabare mu nda, impiswi, no guhinduka mu mikorere y'amara. Ariko byombi biratandukanye cyane: IBS ni indwara iterwa n'imikorere y'umubiri, nta bubyimba bw'umubiri bugaragara mu mara; IBD ni ububyimbirwe bw'amara busanzwe.

② Gusuzuma imikorere y'indwara

Ku barwayi bamaze gupimwa indwara ya IBD,kalprotectinEse ubu iyi ndwara iri mu cyiciro cy’indwara cyangwa iri mu gihe cyo kuruhuka? Ubushakashatsi bwerekana ko urugero rwa calprotectin mu mara rufitanye isano rikomeye n’urugero rw’ububyimbirwe bw’amara bugaragara hifashishijwe endoscope. Uko ubwinshi bw’indwara burushaho kuba bwinshi, ni ko ububyimbirwe burushaho kuba bubi; kugabanuka k’agaciro bishobora kuba kimwe mu bimenyetso abaganga bashobora gusuzuma kugira ngo basuzume uburyo bwo kuvura.

③ Gukurikirana ingaruka no guhanura ko indwara ishobora kongera kugaruka

IBD ni indwara idakira isaba kwitabwaho igihe kirekire.Calprotectinni nk'"umusenzi." Kugabanuka kwa calprotectin nyuma yo kuvurwa bishobora kugaragaza ko ubuvuzi bufite akamaro; niba calprotectin itangiye kwiyongera ku murwayi mu gihe cyo koroherwa, bishobora kugaragaza ko agiye kongera kurwara, bigatuma abaganga bahindura gahunda yo kuvura mbere y'igihe.

④ Gusuzuma impamvu ituma abana bababara mu mara

Ku barwayi b'abana, gupima calprotectin ni ingenzi cyane. Bishobora gufasha gutandukanya ububabare bw'inda n'indwara y'amara iterwa n'ububyimba, birinda ibizamini bitari ngombwa.

4) Ibisubizo by'ibizamini bigomba gusobanurwa gute? Ingano bivuze iki?

Iyo ubonye raporo y'ikizamini, ushobora kubona urukurikirane rw'imibare. Isobanura iki?

5) Ni nde ugirwa inama yo kunyuramokalprotectin ikizamini?

Niba wowe cyangwa umwe mu bagize umuryango wawe muhuye n'ibi bikurikira, ni byiza kugisha inama muganga niba bikenewe gupimwa:

• Ububabare bw'inda cyangwa impiswi igihe kirekire butagabanuka mu gihe kirenze ibyumweru 4
• Imboro irimo amabyi cyangwa amabyi n'amaraso
• Kugabanya ibiro cyangwa kubura amaraso mu buryo budasanzwe
• Bamaze kugaragara ko bafite IBD kandi bakeneye gukurikiranwa n'indwara
• Abana bafite ububabare bwo mu nda busubira inyuma cyangwa batinda gukura, kugira ngo bakureho indwara z’ibimera
• Gusuzuma byimbitse abantu bafite ibyago byinshi byo kurwara kanseri y'inkondo y'umura