Ufite ibibazo bijyanye n'ubwivumbure? Reka tuvuge ku muganga w'indwara ziterwa n'ubwivumbure!

Ese nawe wumva udasanzwe iyo uriye ibiryo bimwe na bimwe? Cyangwa uhura n'ingorane zo guhumeka iyo uhumeka umukungugu muto? Hari igihe ibi bintu bisa n'ibisanzwe, ariko kuri bamwe bishobora kuba ibibazo bikomeye. Ni bwo dukeneye ubufasha bw'umuganga w'indwara ziterwa n'ubwivumbure . Uyu munsi, reka tuvuge ku muntu 'ufite indwara ziterwa n'ubwivumbure' uwo ari we n'icyo akora.

Ni nde uvura indwara ziterwa n'ubwivumbure bw'umubiri?

Mu magambo make, umuganga w’indwara ziterwa n’ubwivumbure ni umuganga wihariye mu ndwara zigira ingaruka ku budahangarwa bw’umubiri wacu. Tekereza kuri ubu buryo: dufite ingabo nke mu mibiri yacu zitwa ubudahangarwa bw’umubiri. Ibi nibyo biturinda indwara. Ariko, rimwe na rimwe ubu buryo butangira gukabya. Niho ibibazo bivuka.

Hari indwara nyinshi z’ubudahangarwa bw’umubiri aba baganga bavura cyane cyane:

• Indwara zo kurwara indwara zo mu bwoko bwa allergie: Ibi bibaho iyo ubudahangarwa bw'umubiri bwacu bwagize ingaruka zikabije ku kintu turya, duhumeka, cyangwa dukoraho. Urugero, bamwe bagira uduheri nyuma yo kurya isambaza, abandi bagatangira kwitsamura nyuma yo gukora ku njangwe.
• Asima: Iki ni cyo gihe inzira z'ubuhumekero mu bihaha byacu zishyuha. Abantu barwaye asima bashobora kugorwa no guhumeka mu buryo butunguranye bitewe n'ibintu bimwe na bimwe, nk'umukungugu, umwotsi, cyangwa ibicurane.
• Indwara z’ibanze zo kubura ubudahangarwa bw’umubiri: Izi ziragoye gato. Izi ni indwara zikomoka ku ngirabuzimafatizo. Ibi bituma ubudahangarwa bw’umubiri bwacu budakora neza. Hari ubwoko burenga 200 bw’izo ndwara.

Ni nde muganga w’indwara ziterwa n’ubwivumbure bw’abana?

Noneho ushobora kuba wibaza niba ibi bibazo bishobora no kugira ingaruka ku bana bato. Yego, impinja, abana, n'abakuze bashobora no kugira allergie, asima, n'indwara z'ubudahangarwa bw'umubiri. Icyo gihe ni bwo umuganga w'abana asuzuma indwara ziterwa n'allergie kandi akazivura. Aba ameze nk'umuganga w'abantu bakuru, ariko yibanda cyane cyane ku bana.

Ni irihe tandukaniro riri hagati y'umuganga w'indwara ziterwa n'ubwivumbure n'umuganga w'indwara z'umubiri?

Iki ni ikibazo abantu benshi bibaza. Ubusanzwe dukoresha ijambo 'allergie' tuvuga umuganga uvura ibintu nk'allergie na asima, rimwe na rimwe akanavura indwara z'ubudahangarwa bw'umubiri. Hanyuma, 'inzobere mu by'ubudahangarwa bw'umubiri' ni umuntu umwe. Ariko, rimwe na rimwe 'inzobere mu by'ubudahangarwa bw'umubiri' ishobora kwibanda cyane ku kuvura indwara z'ubudahangarwa bw'umubiri, cyangwa gukora ubushakashatsi ku buvuzi ku budahangarwa bw'umubiri. Akenshi, aba bombi baba bari mu rwego rumwe, ni ukuvuga abantu bafite impamyabumenyi ya 'Allergie/Immunologist' .

Aba baganga b'indwara ziterwa n'ubwivumbure bakora iki?

Umuganga w’indwara ziterwa n’ubwivumbure bw’umubiri (allergies) asuzuma kandi akavura ibibazo biri mu budahangarwa bw’umubiri wawe. Dore icyo ashobora gukora:

• Gupima indwara y'ubwivumbure: Ibi bizagenzura niba ufite ubwivumbure ku bintu nk'ibiryo, impongo (ziva mu byatsi, ibiti, n'ibyatsi bibi), imboga zo mu matungo , n'ibihumyo.
• Asima ipimwa hakoreshejwe uburyo ibihaha bikora.
• Imiti cyangwa ibikoresho bitangwa kugira ngo bikumire, bivure, cyangwa bigabanye ubukana bw'allergie na asima. Urugero, hari abantu bashobora gukenera gukoresha imiti ihumeka.
• Tuzakugira inama ku mpinduka ugomba gukora mu mibereho yawe kugira ngo wirinde ibintu bishobora gutera allergie cyangwa asima.
• Ubudahangarwa bw'umubiri, nk'inkingo zo gutera allergie, butangwa kugira ngo bugabanye ingaruka z'allergie. Ibi bikubiyemo gushyira umubiri mu kaga gake gake.
• Indwara z'ubudahangarwa bw'umubiri zirasuzumwa.
• Iyo ubana n'indwara y'ubudahangarwa bw'umubiri, turakugira inama yo kwirinda indwara zandura .
• Indwara zo mu mitsi ziterwa n'imitsi (IVIG) zitangwa mu rwego rwo kuvura indwara zimwe na zimwe ziterwa n'ubudahangarwa bw'umubiri.
• Iyo ufite ubwivumbure ku muti w'ingenzi, hakorwa igikorwa cyitwa "Kugabanya ubukana bw'imiti" kugira ngo ubashe gufata uwo muti mu mutekano.

Ni ubuhe bwoko bw'indwara abaganga bavura indwara ziterwa n'ubwivumbure?

Izi ni zimwe mu ndwara zikunze kuvurwa n'aba baganga:

• Indwara ya allergie (allergie y'amaso)
• Indwara ya rhinitis/ifu y'ibyatsi, izwi kandi nka 'ifu y'ibyatsi'
• Anaphylaxis, ingaruka mbi cyane y'ubwivumbure
• Angioedema, kubyimba munsi y'uruhu
• Asima
• Allergie y'imiti
• Eczema ni indwara y'uruhu.
• Indwara zo mu maraso zitera imiyoboro y'amaraso (aho ubwoko bw'uturemangingo tw'amaraso tw'umweru twitwa 'eosinophil' bwiyongera)
• Allergie y'ibiryo
• Uburibwe bw'uruhu, buzwi kandi nka 'hives/urticaria'
• Ubwivumbure bw'udukoko
• Allergie ya latex
• Kwandura indwara zikunze kugaragara mu mazuru

Kuki tugomba kubonana n'umuganga w'indwara ziterwa n'ubwivumbure?

Ushobora kandi gushaka kubonana na muganga nk'uyu kubera impamvu zikurikira:

• Suzuma niba hari aleriji cyangwa asima.
• Shaka ubuvuzi bw'indwara z'ubwivumbure cyangwa asima.
• Niba ufite indwara y’ubudahangarwa bw’umubiri, yirinde.

Ni ryari tugomba kubonana n'umuganga w'indwara ziterwa n'ubwivumbure?

Niba ufite ibi bimenyetso, jya kwa muganga w’indwara ziterwa n’ubwivumbure bw’umubiri. Cyangwa ubaze muganga w’umuryango wawe (Umuganga w’ibanze) niba ukeneye kubonana n’inzobere nk’iyo.

"Ese twagombye guhangayikishwa gato n'ibi bimenyetso?"

• Iyo ugize ikibazo gikomeye cy’ubwivumbure - nko kubyimba mu maso cyangwa ku rurimi, cyangwa guhumeka nabi.
• Ufite allergie, ariko ntuzi neza icyabitera. Urugero, shakisha niba bibaho gusa iyo uriye ibiryo bimwe na bimwe cyangwa iyo uhuye n'umukungugu.
• Niba bigoye kugenzura ubwivumbure bwawe cyangwa asima, ndetse no mu gihe ukoresheje imiti n'uburyo uhindura imibereho yawe.
• Niba allergie cyangwa asima bikubuza gukomeza ubuzima bwawe busanzwe, kujya ku kazi, cyangwa gukora ibintu ukunda.
• Niba ukunda guhumeka cyane, gukorora, cyangwa kumva unaniwe guhumeka cyane cyane nyuma yo gukora imyitozo ngororamubiri cyangwa nijoro.
• Niba uhora urwara, cyangwa niba indwara isanzwe nk'ibicurane ifata igihe kirekire kugira ngo ikire, ibi bishobora gusobanura ko ubudahangarwa bw'umubiri bwawe bufite intege nke.

Ni gute allergie ipimwa?

Umuganga w’indwara ziterwa n’ubwivumbure ashobora gukoresha ibizamini bitandukanye kugira ngo amenye ubwoko bw’ubwivumbure ufite. Dore bimwe muri byo:

• Ibizamini byo gutobora/gutera uruhu: Ibi bikubiyemo gufata agace gato k'ikintu gikekwaho ko ari allergie hanyuma ukagiteranya n'uruhu rwawe. Hanyuma, bashaka igisubizo, nko gutukura no kubyimba. Iki ni ikizamini cyoroshye cyane kandi cyihuse.
• Ibipimo by'amaraso:Muri ibi, icyitegererezo cy'amaraso yawe gifatwa kigapimwa muri laboratwari kugira ngo harebwe niba ufite allergie ku kintu runaka.
• Ibizamini by’imbogamizi ku biribwa: Iki ni ikizamini gisaba kwitonda. Muri iki gikorwa, muganga azagushyiramo buhoro buhoro ibiryo ubona ko ufite ubwivumbure, akareba neza niba ufite ubwivumbure. Ibi bigomba gukorwa akurikiranwe na muganga.

Uretse ibi bizamini by’ubwivumbure, ibi bikurikira bishobora no kubaho iyo ugiye kwa muganga:

• Gupima imikorere y'ibihaha (spirometry, isuzuma ry'imikorere y'ibihaha): Ibi bipima uburyo ibihaha byawe bikora neza. Iki kizamini gifasha gusuzuma no kuvura asima.
• Ikwigisha uburyo bwo gukoresha ibikoresho byo kwa muganga: Muganga wawe ashobora kukwigisha uburyo bwo gukoresha neza ibikoresho nka epinephrine injections (rimwe na rimwe yitwa 'Epipen') ku ndwara zikomeye zo kurwara allergies, imashini zihumeka, n'imiti igabanya ububabare mu mubiri ikoreshwa mu kuvura asima.

Ni gute wagira allergie?

Ibi bishobora kuba ari ikintu wifuza kumenya. Kugira ngo ube umuganga w’indwara ziterwa n’ubwivumbure muri Sri Lanka, ugomba kubanza kubona impamyabumenyi y’ubuganga (MBBS) mu ishuri ry’ubuganga. Nyuma y’ibyo, ugomba kurangiza imyitozo ngororamubiri no gukora imyitozo nk’umuganga rusange. Nyuma y’ibyo, ugomba kubona amahugurwa yihariye (MD) mu buvuzi bw’imbere mu mubiri cyangwa mu buvuzi bw’abana. Nyuma y’ayo mahugurwa, ushobora kubona andi mahugurwa yihariye (amahugurwa/ubusabane nyuma ya MD) mu bijyanye na Allergy na Immunology, ugatsinda ibizamini bireba kandi ukaba umuganga w’indwara ziterwa n’ubwivumbure. Ibyo bivuze ko iki ari ikintu kigomba gukorwa mu bwitange n’igihe.

Hanyuma, hari ibintu bike byo kwibuka

Indwara zo kurwara aleji, asima, n'indwara z'ubudahangarwa bw'umubiri ni ibintu bishobora kugira ingaruka ku buzima bwacu bwa buri munsi, rimwe na rimwe bigatera ingaruka zikomeye. Ariko ntugatinye . Umuganga w'indwara zo kurwara aleji ashobora kugufasha kumenya impamvu zitera aleji cyangwa asima, akaguha imiti yo kugenzura ibimenyetso byawe, akanakugira inama ku bijyanye no guhindura imibereho yawe kugira ngo wirinde izo mpamvu.

"Mu magambo make, aba baganga bagufasha gusobanukirwa indwara yawe, kuyibana neza, no kutareka ngo ikubangamira mu buzima bwawe."

Niba rero ubona ko ufite iki kibazo, ntugapfushe umwanya ngo urebe muganga. Ubwo rero ushobora kubaho ubuzima bwiza kandi butuje.

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