Ese urimo kugira ibibara by'umweru ku ruhu rwawe (Vitiligo)? Reka tubiganireho byose!

Ese wigeze ubona abantu bamwe bafite uduheri tw'umweru ku ruhu rwabo? Wenda nawe wahuye n'ibintu nk'ibyo. Ibi ni byo twita gusa uduheri tw'umweru, uduheri tw'umweru, cyangwa nk'uko abaganga bakunze kubyita `(Vitiligo)`. Nubwo ibi bishobora gusa n'ibiteye ubwoba kubibona, mu by'ukuri si indwara iteje akaga. Ariko, ni ngombwa cyane kubimenya. Uyu munsi, reka tuganire kuri `(Vitiligo)` mu buryo burambuye kandi bworoshye, si byo se?

Vitiligo ni iki?

Muri make, vitiligo ni indwara ituma uruhu rwawe rutakaza ibara ryarwo. Ibi bituma uruhu rwawe rurushaho kuba rworoshye kurusha uko bisanzwe, rimwe na rimwe rukamera rwose. Utu duce tw'uruhu duto cyane kurusha santimetero imwe twitwa macules, naho utundi duce tunini twitwa patches. Ariko, dukunze kubyita utudomo tw'umweru. Niba ufite vitiligo aho ufite umusatsi, ndetse n'uwo musatsi ushobora guhinduka umweru cyangwa ifeza. Iyi ndwara iterwa n'uko ubudahangarwa bw'umubiri wawe bwangiza ubwoko bw'uturemangingo dutera ibara ry'uruhu twitwa melanocytes. Utu turemangingo dutera ibara ryitwa melanin. Iyi melanin ni yo itanga ibara ku ruhu rwacu, umusatsi, n'amaso. Rero iyo utwo turemangingo twatakaye, melanin ikorwa irahagarara, maze uruhu rugatakaza ibara ryarwo.

Ni nde urebwa cyane n'iki kibazo?

Vitiligo ishobora kwibasira abantu b'amoko yose n'ibitsina byose . Ariko, ikunze kugaragara cyane ku bantu bafite uruhu rwijimye. Vitiligo ishobora kugaragara mu myaka iyo ari yo yose, ariko akenshi igaragara mbere y'imyaka 30. Niba ufite indwara zimwe na zimwe ziterwa n'ubwiyongere bw'umubiri, ushobora kuba ufite ibyago byinshi byo kurwara vitiligo. Urugero:

• Indwara ya Addison
• Anemia
• Diyabete (Ubwoko bwa 1 )
• Indwara ya Lupus
• Psoriasis
• Indwara ya rubagimpande `( rubagimpande )`
• Indwara ya tiroyide

Indwara ya vitiligo ikunze kugaragara gute?

Ku isi yose, abantu barenga 1% by'abaturage bavugwaho kugira iyi ndwara y'uruhu rwera yitwa Vitiligo. Ibi bivuze ko atari ibintu bidasanzwe.

Ni gute indwara ya Vitiligo itangira kandi igakwirakwira?

Ubusanzwe indwara ya Vitiligo itangirana n'utudomo duto tw'umweru . Ibi bishobora gukwirakwira buhoro buhoro mu mubiri wawe. Akenshi, utu duto tugaragara bwa mbere ku biganza byawe, ku gahanga, mu kwaha, ku birenge no mu maso. Ariko, iyi ndwara ishobora kugaragara ahantu hose ku mubiri wawe, harimo n'uturemangingo dukikije umunwa wawe, izuru, imyanya ndangagitsina, no mu kibuno, ndetse no mu maso no mu matwi yawe. Hari igihe utudomo tunini dushobora gukomeza gukwirakwira no kwiyongera, ariko rimwe na rimwe dushobora kuguma ahantu hamwe imyaka myinshi. Uduce duto duherereyemo dushobora guhinduka uko igihe kigenda gihita, kandi uduce tumwe na tumwe dushobora gutakaza ibara no kongera gukura. Si abantu bose bafite vitiligo bafite uruhu rungana. Hari abantu bafite utudomo duto duto, mu gihe abandi bashobora gutakaza ibara cyane mu ruhu rwabo.

Ni ubuhe bwoko bw'ingenzi bwa vitiligo?

Hari ubwoko bwinshi bw'ingenzi bwa `(Vitiligo)`. Reka turebe ibyo ari byo:

• Muri rusange: Ubu ni bwo bwoko bukunze kugaragara cyane . Muri ubu bwoko, utudomo tugaragara ku bice bitandukanye by'umubiri.
• Ubwoko bw'ibice: Muri ubu bwoko, ibisebe bigaragara ku ruhande rumwe rw'umubiri gusa , cyangwa mu gace kamwe gusa, nko mu maboko cyangwa mu maso.
• Ubwoko bw'imitsi: Ibi bigira ingaruka ku mitsi yo mu kanwa cyangwa mu myanya ndangagitsina.
• Icyibandwaho: Ubu bwoko ni ubw’udukoko duke cyane . Muri ubu bwoko, utudomo tugaragara ahantu hato kandi ntitwibasira mu buryo runaka mu gihe cy’umwaka umwe cyangwa ibiri.
• Ubwoko bwa Trichrome: Muri ubu bwoko, ushobora kubona igice cy'umweru cyangwa kidafite ibara hagati, nk'ikintu giteye, gifite igice cy'umukara kigikikije, hanyuma ukabona igice cy'uruhu rwawe rusanzwe kigikikije.
• Ubwoko rusange: Ubu bwoko nabwo ni ubw’imburagihe cyane. Muri ubu bwoko , uruhu rwawe rurenga 80% rutakaza ibara ryarwo.

Ni ibihe bimenyetso bya Vitiligo?

Ibimenyetso by'ingenzi bya `(Vitiligo)` ni ibi bikurikira:

• Uduce twahinduye ibara ku ruhu cyangwa mu macupa. Ibi bishobora kugaragara nk'umweru cyangwa byoroshye kurusha ibara ry'uruhu rwawe rusanzwe.
• Umusatsi wo ku mubiri wawe ni uw'ifeza, imvi, cyangwa umweru .

Ibimenyetso bishobora kuba byoroheje cyane, bivuze ko biba mu gace gato, cyangwa bikaba bikomeye, bikagira ingaruka ku gace kanini k'uruhu. Hari abantu bashobora kugira uburyaryate muri ako gace mbere yuko uruhu rutangira gutakaza ibara.

Ni hehe ku mubiri ibimenyetso bya vitiligo bigaragara?

Ibimenyetso bya Vitiligo bishobora kugaragara ku ruhu aho ari ho hose ku mubiri, ariko bikunze kugaragara mu bice bikurikira:

• Amaboko
• Ibirenge
• Ukuboko (ukuboko)
• Isura
• Uduce tw'imikaya (imbere mu kanwa, iminwa, imbere mu mazuru)
• Imyanya ndangagitsina (urugero: igitsina)

Ni izihe mpamvu zitera vitiligo?

Muri make, indwara ya Vitiligo iterwa no kubura melanin, ibara ry’uruhu rwawe. Ariko ntibiramenyekana neza impamvu ibi bibaho . Ubushakashatsi bwagaragaje ko ibintu bikurikira bishobora kugira uruhare mu iterambere rya vitiligo:

• Indwara y’ubwiyongere bw’umubiri : Ubudahangarwa bw’umubiri bwawe bwibeshya ko uturemangingo tuzima (muri iki gihe, melanocytes) ari abajura, nka bagiteri zangiza. Ibi bituma ubudahangarwa bw’umubiri bukora cyane kandi bugakora ubudahangarwa bw’umubiri bwo gusenya melanocytes zawe.
• Impinduka mu miterere y'uturemangingo: Impinduka mu miterere y'uturemangingo cyangwa impinduka muri ADN y'umubiri wawe bishobora kugira ingaruka ku buryo melanocytes bikora. Hariho uturemangingo turenga 30 twongera ibyago byo kurwara vitiligo.
• Stress: Niba uhora uri mu stress, cyangwa niba uhura n'stress ku mubiri nyuma yo gukomereka, ingano y'ibara rikorwa na melanocytes ishobora guhinduka.
• Ibintu bitera ibidukikije: Ibintu bifitanye isano n'ibidukikije nko kwibasirwa n'imirasire ya ultraviolet n'ibinyabutabire by'uburozi nabyo bishobora kugira ingaruka ku mikorere ya melanocytes.

Ese ibi ni ingaruka z'uturemangingo?

Impamvu za vitiligo ziracyakorerwa ubushakashatsi. Ariko, ubushakashatsi bwerekana ko abantu bagera kuri 30% barwaye vitiligo baba bafite imiterere y’uturemangingo . Ibi bivuze ko iyi ndwara ishobora guhererekanywa kuva ku gisekuru kugeza ku kindi, kandi niba hari umuntu wo mu muryango wawe uyirwaye, uba ufite amahirwe menshi yo kuyirwara. Hari impinduka nyinshi mu turemangingo zigira ingaruka ku mikorere ya melanocytes. Niba iyi mihindagurikire yibasira uturemangingo duha uruhu rwawe ibara ryarwo, ushobora kurwara vitiligo.

Ese Vitiligo irababaza?

Oya, `(Vitiligo)` si indwara ibabaza. Ariko, `(Vitiligo)` ishobora gutera uduce tw’uruhu tw’umutuku dusa n’udusimba, dushobora kubabaza kandi tukababaza ubushyuhe bw’izuba. Kubwibyo, ni ngombwa cyane kwirinda izuba . Ugomba gukora ibintu nko gukoresha amavuta akingira izuba, kwirinda kujya hanze ku zuba mu gihe cy’izuba ryinshi, no kwambara imyenda irinda umubiri.

Ese vitiligo ishobora gutera izindi ngorane?

Nubwo indwara ya vitiligo ari indwara igira ingaruka cyane ku miterere y'uruhu, hari ingorane zimwe na zimwe zishobora kubaho:

• Uruhu rworoshye: Kubera ko utudomo twanduye tutagira melanocytes, utwo duce tw'uruhu dushobora kuba twibasirwa n'izuba kurusha urundi ruhu. Ibi bishobora gutuma rushya vuba kurusha uko rugira ibara ry'uruhu.
• Ibitagenda neza mu maso:Bamwe mu bantu barwaye vitiligo bashobora kugira ibibazo mu miterere yabo (urwego rw'imbere rw'ijisho rurimo uturemangingo tw’urumuri) ndetse n'impinduka mu ibara ry'amaso yabo (igice gitanga ibara ku jisho). Hari igihe habaho kubyimba kwa retina cyangwa iris, ariko ubusanzwe amaso nta kibazo agira.
• Kwibasirwa n'izindi ndwara ziterwa n'ubwiyongere bw'umubiri: Abantu barwaye vitiligo bashobora kurwara izindi ndwara ziterwa n'ubwiyongere bw'umubiri zigira ingaruka ku mikorere y'ubudahangarwa bw'umubiri. Indwara zikunze kugaragara mu bwiyongere bw'umubiri zirimo hypothyroidism, diyabete, na anemia.
• Ingorane zo mu mutwe: Bamwe mu bantu barwaye vitiligo bashobora kugira isoni zo kugaragara k'uruhu rwabo. Bamwe bashobora no kuba bafite icyizere gike . Ibi bishobora gutera guhangayika cyangwa kwiheba, kandi bashobora kugerageza kwigunga no kwigunga. Niba ubyumva utyo, ni ngombwa kuvugana na muganga wawe, umujyanama mu by'ubuzima bwo mu mutwe , cyangwa umuryango wawe n'inshuti zawe.

Ni gute wamenya indwara ya vitiligo?

Ubusanzwe indwara ya Vitiligo ishobora gusuzumwa na muganga asuzumye uruhu rwawe gusa. Hari igihe muganga ashobora gukoresha igikoresho cyitwa itara rya Wood kugira ngo arebe uruhu rwawe. Iri tara rimurikira uruhu rwawe urumuri rwa ultraviolet (UV). Ibi bifasha muganga gutandukanya indwara ya Vitiligo n'izindi ndwara z'uruhu. Byongeye kandi, bashobora kubaza ibibazo bijyanye n'amateka y'ubuzima bwawe n'amateka y'ubuzima bw'umuryango wawe.

Ni izihe ndwara zindi zisa nka vitiligo?

Hari izindi ndwara nyinshi zishobora guhindura ibara ry'uruhu rwawe cyangwa zigatuma rutakaza ibara. Urugero:

• Leukoderma y’ibinyabutabire: Guhura n’ibinyabutabire bikoreshwa mu nganda zimwe na zimwe bishobora kwangiza uturemangingo tw’uruhu, bigatera ahantu hera, hameze nk’utudomo cyangwa hameze nk’udusimba ku ruhu.
• Tinea versicolor (ringworm): Iyi ni indwara y'umusemburo. Ishobora gutera utudomo twijimye ku ruhu rw'amabara yoroheje n'utudomo twijimye ku ruhu rw'amabara y'umukara.
• Albinism: Iyi ni indwara iterwa n'uturemangingo aho umuntu agira urugero ruto rwa melanin mu ruhu rwe, mu musatsi we, no mu maso ye.
• Pityriasis alba: Iyi ndwara itangirana n'udusimba dutukura ku ruhu. Hanyuma dushira, tugasigarana udusimba tworoheje kandi dufite ibisebe.

Indwara ya Vitiligo ivurwa ite?

Kubera ko indwara yitwa "Vitiligo" idafite ingaruka ku mubiri wawe kandi ahanini igira ingaruka ku isura yawe, kuvurwa si ngombwa.Ariko niba ufite indwara ya vitiligo ikwirakwira, cyangwa niba ibimenyetso by'umubiri bigira ingaruka ku buzima bwawe bwo mu mutwe, muganga wawe ashobora kugufasha kubona umuti ukubereye. Ubu buryo bwo kuvura bushobora gusubiza ibara ryatakaye (repigmentation) cyangwa gukuraho ibara risigaye hanyuma uruhu rwose rugahinduka rumwe (depigmentation). Uburyo busanzwe bwo kuvura vitiligo ni ubu:

• Ubwoko bw'imiti
• Ubuvuzi bworoheje
• Uburyo bwo kuvura indwara yo gusiba ibara ry'uruhu
• Kubaga
• Ubujyanama

Reka tuvuge kuri buri kimwe muri ibi mu buryo burambuye.

Ubwoko bw'imiti

Nubwo nta muti wihariye uhari wo guhagarika iyi ndwara kugira ingaruka ku ruhu, hari imiti imwe n'imwe ishobora kugabanya umuvuduko wo gutakaza ibara, igafasha melanocytes kongera gukura, cyangwa igafasha kugarura ibara ku ruhu. Imiti ivura vitiligo ishobora kuba ikubiyemo:

• Corticosteroids (amavuta cyangwa ibinini)
• Indabyo zo mu bwoko bwa Janus kinase zikoreshwa mu gukingira indwara (urugero: amavuta ya ruxolitinib)
• Amavuta abuza Calcineurine (amavuta)

Ubuvuzi bworoheje

Ubuvuzi bworoheje, cyangwa "phototherapy," ni uburyo bufasha kugarura ibara ry'uruhu rwawe. Muri ubu buryo, muganga wawe azamura agasanduku k'urumuri, urumuri rwa ultraviolet B ``UVB``, cyangwa laser ya muganga ku ruhu rwawe mu gihe gito. Bishobora gufata iminsi myinshi yo kuvura urumuri kugira ngo ubone umusaruro ku ruhu rwawe. Ubu buvuzi, buhuza umuti witwa ``psoralen`` unyowe n'urumuri rwa ultraviolet A ``PUVA``, bukoreshwa ku bantu bafite ahantu hanini ha ``Vitiligo``. Ubu buvuzi bugira akamaro ku bantu bafite ``Vitiligo`` ku mutwe, mu ijosi, ku gituza, ku maboko yo hejuru no ku maguru.

Uburyo bwo kuvura indwara yo gusiba ibara ry'uruhu

Ubu buryo bwo kuvura burimo gukuraho ibara ry'uruhu rwawe rusanzwe kugira ngo rihuze n'ahantu hafite vitiligo. Ibi bikoresha umuti witwa "monobenzone." Iyo iyi cream ikoreshejwe ku ruhu rwawe rufite ibara, ihinduka umweru igahinduka ibara rimwe n'aho hafite vitiligo.

Kubaga

Kubaga ni bumwe mu buryo bwo kuvura abantu barwaye vitiligo. Uburyo bwo kubaga bushobora kuba burimo:

• Uduce tw’uruhu: Uruhu rukurwa mu kindi gice cy’umubiri wawe rugashyirwa mu gace karimo vitiligo. Ariko, ibi bishobora gutera inkovu, kwandura, cyangwa gutakaza ibara. Ibi kandi byitwa "mini grafting".
• Guteranya uduheri: Muri ibi, uduheri dukorwa mu ruhu rwawe hakoreshejwe uburyo bwo gukurura, hanyuma igice cyo hejuru cy'uduheri kigafatwa kigashyirwa ku gace karimo vitiligo.

Ariko, muganga wawe ashobora kutakugira inama yo kubagwa niba ufite imwe muri izi ndwara zikurikira:

• Iyo `(Vitiligo)` ikwirakwira vuba.
• Niba ubonye inkovu byoroshye.
• Iyo ugize keloids, zikura kurusha igisebe.

Ubujyanama

Bamwe mu bantu barwaye vitiligo bashobora gusanga ari ingirakamaro gushaka inama cyangwa umujyanama w’ubuzima bwo mu mutwe kugira ngo abafashe guhangana n’ikibazo cyo kutiyubaha, guhangayika, cyangwa kwiheba bishobora guterwa n’impinduka z’uruhu rwabo. Vitiligo ishobora gutera imihangayiko, ikagira ingaruka ku buryo ubona ubuzima n’imibanire yawe n’abandi. Ibi nibibaho, muganga wawe ashobora kukugira inama yo kubonana n’umujyanama cyangwa kujya mu itsinda ry’abagufasha.

Ese indwara ya vitiligo ishobora kwirindwa?

Nta buryo buzwi bwo kwirinda vitiligo kuko hari impamvu nyinshi zishobora kuyitera. Ariko, ushobora gukora ibi bikurikira kugira ngo ugabanye ibyago byo kurwara vitiligo:

• Gukurikiza imyitozo ngororamubiri mu gihe uri ku zuba (urugero: kwisiga amavuta akingira izuba, ingofero).
• Wite ku ruhu rwawe neza ukoresheje amavuta yo kwisiga buri munsi.
• Kwirinda imihangayiko yo mu mutwe n'ibikomere by'umubiri.
• Niba hari indwara ziterwa n'ubwiyongere bw'umubiri, zifate neza.

Bigenda bite iyo urwaye vitiligo?

Vitiligo ishobora kugira ingaruka ku isura yawe, kandi ishobora no kugira ingaruka ku kuntu wumva uruhu rwawe mu gihe uri mu mibanire n'abandi. Abantu benshi bavugana n'umujyanama mu by'ubuzima bwo mu mutwe kugira ngo abafashe kwigirira icyizere no kwiyubakamo icyizere.

Wibuke ko nta muti uhari wa vitiligo. Ariko niba ushaka kwivuza, muganga wawe ashobora kugufasha guhitamo uburyo bwiza bwo kuvura indwara ikubereye wowe n'uruhu rwawe.

Ese ibara karemano ry'uruhu rizagaruka rikagira vitiligo?

Hagati ya 10% na 20% by'abantu barwaye vitiligo bazongera kugira ibara ry'uruhu rwabo burundu. Ibi bikunze kugaragara cyane ku bantu ba:

• Abasanzwe bafite iyi ndwara mbere y'imyaka 20, ni ukuvuga bakiri bato .
• Abageze ku rwego rwo hejuru rw'icyorezo mu mezi atandatu cyangwa munsi yacyo.
• Abantu bafite ibimenyetso by'isura ahanini.

Muri ibi bihe, ibara ryawe ntirishobora kugaruka cyane:

• Iyo ibimenyetso bya "Vitiligo" bigaragara nyuma y'imyaka 20.
• Iyo hari ibimenyetso ku minwa, ku maguru (cyane cyane ku ntoki).

Ni gute wahisha utudomo twa vitiligo?

Niba utishimiye uko uruhu rwawe rusa (Vitiligo), ushobora kugerageza ibi bintu mu rugo kugira ngo uhishe ibi byago:

• Koresha amavuta akingira izuba afite SPF ya 30 cyangwa irenga . Gukoresha amavuta akingira izuba bishobora kugabanya ibara ry'uruhu ndetse bikanagabanya itandukaniro ry'ibara hagati y'agace ka vitiligo n'agace gasanzwe k'uruhu.
• Koresha amavuta yo kwisiga kugira ngo utwikire ahantu hatakaye ibara. Hariho kandi n'ibikoresho byihariye byo kwisiga ku buvuzi.
• Niba ibara ry'umusatsi wawe ryarazimye, koresha irangi ry'umusatsi kugira ngo rihuze n'iry'indi misatsi yawe.
• Kora micropigmentation . Ibi bikubiyemo gushushanyaho utudomo twa vitiligo. Bikora nk'ibirahure bihoraho kandi bifasha guhisha ibimenyetso.

Ese Vitiligo yandura?

Oya. Vitiligo si indwara yandura. Ntiyandurira mu muntu umwe inyuze mu gukoranaho. Kubwibyo, ntugatinye kuba hafi y'umuntu ufite Vitiligo.

Ni ryari ukwiye kujya kwa muganga?

Reba muganga wawe mu bihe bikurikira:

• Niba ibara ry'uruhu rwawe cyangwa ibara ryarwo riri kugenda rishira vuba .
• Iyo ibara ritakaye rikwirakwira mu gice kinini cy'umubiri.
• Niba impinduka z'uruhu zigira ingaruka ku buzima bwawe bwo mu mutwe no ku mibereho yawe myiza .

Ni ibihe bibazo ngomba kubaza muganga?

Ni byiza kubaza ibi bibazo mugihe ugiye kwa muganga:

• Ni ubuhe bwoko bwa Vitiligo mfite?
• Ese uruhu rwanjye ruzasubirana ibara ryarwo?
• Ni gute nakwirinda izuba?
• Ni ubuhe buryo bwiza bwo kuvura uruhu rwanjye?
• Ese abana banjye b'ejo hazaza bashobora kwanduza iyi ndwara binyuze mu ngirabuzimafatizo?

Ni irihe tandukaniro riri hagati ya Tinea versicolor (ringworm) na Vitiligo?

Tinea versicolor (izwi cyane nka ringworm) na vitiligo ni indwara ebyiri zitandukanye zigira ingaruka ku ibara ry'uruhu rwawe. Tinea versicolor ni indwara iterwa n'ibihumyo ituma ku ruhu rwawe hagaragara uduce tw'umweru, umuhondo, umutuku, umutuku, cyangwa umukara. Vitiligo ni indwara iterwa n'ubwiyongere bw'umubiri ituma uruhu rwawe rutakaza ibara ryarwo, bigatuma rurushaho kuba umweru cyangwa umweru kurusha ibara ry'uruhu rwawe rusanzwe.

Ese Piebaldism ni kimwe na Vitiligo?

Oya. Izi ndwara zombi zitera uduce tw'umweru cyangwa tw'amabara yoroheje ku ruhu cyangwa ku musatsi, ariko biratandukanye. Indwara ya Piebaldism iterwa no kubura melanocytes (uturemangingo dukora melanin) mu gice cy'uruhu rwawe. Uvukana piebaldism. Vitiligo iterwa no kwangirika kwa melanocytes mu mubiri wawe. Vitiligo ikura uko igihe kigenda.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Vitiligo ni indwara igira ingaruka gusa ku kuntu uruhu rwawe rusa. Ntabwo ari ikibazo gikomeye kandi ntisaba kuvurwa . Ariko, ni ukuri ko impinduka z'uruhu ziterwa na vitiligo zishobora kugira ingaruka ku kwiyubaha, bigatuma wumva utizeye, cyangwa bigatuma wumva umerewe nabi.

Ntutindiganye kuvugana na muganga wawe ku bijyanye n'uko isura yawe y'umubiri igira ingaruka ku buzima bwawe bwo mu mutwe. Nubwo nta muti uhari wo kuvura indwara ya vitiligo, hari uburyo bwo kugufasha kumva umerewe neza.Ntabwo uri wenyine, hari abantu benshi babana n'iki kibazo kandi bakacyihanganira neza. Igikuru rero ni ugukomeza gukomera!