Tsiku lina, Ronit (si dzina lake lenileni) anayamba kumva kupweteka m'mimba, kupuma movutikira komanso kutopa, ndipo anapita kwa dokotala kuti akapimidwe magazi. Komabe, sanayembekezere kuti mkati mwa maola 24 adzatumizidwa kuchipatala kuti akapimidwe dialysis chifukwa cha kulephera kwa impso.
Ndithudi, iye sanayembekezere kuti zonsezi zinayamba chifukwa chakuti anawongola tsitsi lake tsiku lapitalo.
Monga momwe zinalili ndi Ronit, akazi 26 ku Israeli (avareji ya mmodzi pamwezi) amagonekedwa m'chipatala chifukwa cha vuto lalikulu la impso atachitidwa opaleshoni yowongola tsitsi.
Ena mwa akaziwa akuoneka kuti amatha kuchira okha. Komabe, ena amafunika chithandizo cha dialysis.
Ena anganene kuti pakati pa akazi zikwizikwi ku Israeli omwe amawongola tsitsi lawo chaka chilichonse, "26" okha ndi omwe amavutika ndi impso. Kulephera kwa impso (chithunzi). (Chitsime: Wikimedia Commons)
Poyankha, ndinanena kuti kulephera kwa impso komwe kumafuna dialysis ndi koopsa kwambiri komanso koika moyo pachiswe.
Odwala adzakuuzani kuti sakufuna kuti wina aliyense avulale. Uwu ndi mtengo womwe palibe amene ayenera kulipira chifukwa cha njira yosavuta yodzikongoletsa.
M'zaka za m'ma 2000, malipoti a zizindikiro zomwe zimayambitsidwa ndi makina owongolera tsitsi okhala ndi formaldehyde adayamba kuonekera. Izi zimachitika makamaka chifukwa chakuti wometa tsitsi amapuma utsi panthawi yowongoka.
Zizindikiro zimenezi zikuphatikizapo kukwiya kwa maso, mavuto opuma, ziphuphu pankhope, kupuma movutikira, komanso kutupa m'mapapo.
Koma ngakhale kuti njira zamakono zowongolera tsitsi sizili ndi formaldehyde, zili ndi china chake: glyoxylic acid.
Asidi uyu amalowa m'mutu, womwe uli ndi mitsempha yambiri yamagazi. Akalowa m'magazi, asidi wa glyoxylic amagawika kukhala oxalic acid ndi calcium oxalate, zomwe zimalowanso m'magazi kenako n'kutuluka m'thupi kudzera mu impso ngati gawo la mkodzo.
Izi sizosazolowereka, anthu onse amadutsa munjira imeneyi pamlingo wina ndipo nthawi zambiri sizimavulaza. Koma akakumana ndi mlingo wokwera kwambiri wa glyoxylic acid, oxalic acidosis imatha kuchitika, zomwe zimapangitsa kuti impso zilephere kugwira ntchito.
Pa nthawi ya kafukufuku wa impso za akazi omwe adalephera impso atawongola tsitsi lawo, anapeza calcium oxalate m'maselo a impso.
Mu 2021, mtsikana wazaka zitatu anayesa kumwa mankhwala owongolera tsitsi. Anangowamva koma sanawameze, chifukwa anali owawa kwambiri, koma chifukwa cha zimenezi, mtsikanayo anamwa madzi ochepa 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 zowongola tsitsi zomwe zili ndi glyoxylic acid komanso zomwe zili ndi pH yochepera 4.
Koma vuto lina ndilakuti chidziwitso chomwe chili pa zilembo za zinthu zowongola tsitsi nthawi zonse sichimakhala chodalirika komanso chowona mtima. Mu 2010, chinthu ku Ohio chinalembedwa kuti chilibe formaldehyde, koma kwenikweni chinali ndi 8.5 peresenti ya formaldehyde. Mu 2022, chinthu china ku Israeli chinanena kuti chilibe formaldehyde ndipo chili ndi 2% yokha ya glyoxylic acid, koma kwenikweni chinali ndi 3,082 ppm formaldehyde ndi 26.8% ya glyoxylic acid.
Chochititsa chidwi n'chakuti, kupatulapo milandu iwiri ya oxalic acidosis ku Egypt, milandu yonse ya oxalic acidosis padziko lonse lapansi inachokera ku Israeli.
Kodi kagayidwe ka chiwindi mwa akazi aku Israeli ndi kosiyana ndi zomwe zimachitika padziko lonse lapansi? Kodi majini a akazi aku Israeli omwe amaswa glyoxylic acid ndi "aulesi" pang'ono? Kodi pali ubale pakati pa calcium oxalate deposits ndi kufalikira kwa matenda a majini hyperoxaluria? Kodi odwalawa angapatsidwe chithandizo chofanana ndi odwala omwe ali ndi hyperoxaluria mtundu wachitatu?
Mafunso awa akuphunziridwabe, ndipo sitidzadziwa mayankho kwa zaka zambiri. 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 kuchokera ku Unduna wa Zaumoyo. Izi zikuthandizani kukhala ndi tsitsi lolunjika komanso thupi labwino. Chifukwa tonse tikudziwa kuti kukongola kwenikweni kumachokera mkati.