Tsiku lina, Ronit (si dzina lake lenileni) anayamba kupweteka m'mimba, kupuma movutikira komanso kutopa, ndipo anapita kwa dokotala kuti akamuyeze magazi. Komabe, sanayembekezere kuti mkati mwa tsiku limodzi adzatumizidwa kuchipatala kuti akayezedwe dialysis chifukwa cha kulephera kwa impso.
Zachidziwikire, sanayembekezere kuti zonsezi zinachitika chifukwa chakuti anakonza tsitsi lake dzulo.
Monga Ronit, akazi 26 ku Israeli, pafupifupi mkazi mmodzi pamwezi, anagonekedwa m'chipatala chifukwa cha vuto lalikulu la impso atalandira chithandizo chowongolera tsitsi.
Ena mwa akaziwa akuoneka kuti amatha kuchira okha. Komabe, ena amafunika chithandizo cha dialysis.
Ena anganene kuti mwa akazi zikwizikwi ku Israeli omwe amawongola tsitsi lawo chaka chilichonse, "26" okha ndi omwe amavutika ndi vuto la impso.
Pa izi ndikunena kuti kulephera kwa impso komwe kumafuna dialysis ndi koopsa kwambiri komanso koika moyo pachiswe.
Odwala adzakuuzani kuti sakufuna kuti aliyense akumane ndi vuto la matenda. Uwu ndi mtengo womwe palibe amene ayenera kulipira chifukwa cha njira yosavuta yodzikongoletsa.
M'zaka za m'ma 2000, zizindikiro zinayamba kufotokozedwa kuchokera ku mawotchi owongolera tsitsi okhala ndi formalin. Izi makamaka zimachitika chifukwa cha utsi womwe wokonza tsitsi amapuma panthawi yowongolera tsitsi.
Zizindikiro zimenezi zikuphatikizapo kuyabwa kwa maso, mavuto opuma, ziphuphu pankhope, kupuma movutikira, komanso kutupa m'mapapo.
Koma ngakhale kuti njira zamakono zowongolera tsitsi sizili ndi formalin, zili ndi chinthu china: glyoxylic acid.
Asidi uyu amalowa m'magazi kudzera m'mutu womwe uli ndi mitsempha yambiri. Akalowa m'magazi, glyoxylate imagawika kukhala oxalic acid ndi calcium oxalate, zomwe zimalowanso m'magazi kenako n'kutuluka m'thupi kudzera mu impso mu mkodzo.
Si zachilendo zokha, anthu onse amakumana nazo pamlingo winawake, ndipo nthawi zambiri sizivulaza. Koma akagwiritsidwa ntchito kwambiri ndi glyoxylic acid, poizoni wa oxalic acid amatha kuchitika, zomwe zimapangitsa kuti impso zilephere kugwira ntchito.
Ma calcium oxalate deposits apezeka m'maselo a impso panthawi ya kafukufuku wa impso za akazi omwe adalephera impso atawongola tsitsi lawo.
Mu 2021, mtsikana wazaka zitatu anayesa kumwa chotsukira tsitsi. Anangochilawa koma sanachimeze chifukwa chinali chowawa, koma chinapangitsa mtsikanayo kumeza pang'ono kwambiri mkamwa mwake. Zotsatira zake zinali kulephera kwa impso komwe kunafuna dialysis, osati imfa.
Pambuyo pa izi, Unduna wa Zaumoyo unaletsa kupereka zilolezo za zinthu zonse zosamalira tsitsi zomwe zili ndi glyoxylic acid yokhala ndi pH yosakwana 4.
Koma vuto lina ndilakuti zambiri zomwe zili pa zilembo za zinthu zowongoka tsitsi sizimakhala zodalirika nthawi zonse kapena zoona. Mu 2010, chinthu cha ku Ohio chinalembedwa kuti chilibe formalin, koma kwenikweni chinali ndi 8.5% formalin. Mu 2022, Israeli idati mankhwalawa analibe formalin ndipo anali ndi 2% glyoxylic acid yokha, koma kwenikweni anali ndi 3,082 ppm formalin ndi 26.8% glyoxylic acid.
Chochititsa chidwi n'chakuti, kupatulapo milandu iwiri ya oxalic acidosis ku Egypt, milandu yonse ya oxalic acidosis padziko lonse lapansi imachokera ku Israeli.
Kodi kagayidwe ka chiwindi mwa akazi ku "Israel" ndi kosiyana ndi dziko lonse lapansi? Kodi jini ya glyoxylic acid ndi "yaulesi" pang'ono mwa akazi aku Israeli? Kodi pali mgwirizano pakati pa calcium oxalate deposits ndi kufalikira kwa hyperoxaluria? Kodi odwalawa angapatsidwe chithandizo chofanana ndi cha omwe ali ndi mtundu wa 3 hyperoxaluria?
Mafunso awa akufufuzidwabe ndipo sitidzadziwa mayankho ake kwa zaka zambiri zikubwerazi. Mpaka nthawi imeneyo, sitiyenera kulola mkazi aliyense ku Israeli kuika thanzi lake pachiswe.
Komanso, ngati mukufuna kuwongola tsitsi lanu, pali zinthu zina zotetezeka pamsika zomwe zilibe glyoxylic acid ndipo zili ndi chilolezo chovomerezeka kuchokera ku Dipatimenti ya Zaumoyo.