Ese wigeze ubona ko amaso yawe asa n'uduce tubiri twijimye munsi y'amaso yawe? Hari abantu batekereza ko ibi biterwa no kubura ibitotsi cyangwa umunaniro. Ariko, ibi si ko bigenda buri gihe. Hari igihe impamvu y'ibi ishobora kuba indwara yitwa "Allergie Shiners" tugiye kuvugaho uyu munsi. Ntugahangayike, iyi si indwara ikomeye, ariko ni ngombwa cyane kubimenya.
Ibikoresho bitanga ubwivumbure bw'umubiri (allergie shiners) ni iki?
Mu magambo make, ibintu bitanga ubwivumbure ni igihe uruhu ruri munsi y'amaso yawe rusa n'umwirabura, rimwe na rimwe rugasa n'umukara wijimye, imvi, ubururu-imvi, cyangwa umuhengeri. Bisa n'igisebe iyo umuntu akukubise mu jisho. Ariko si igisebe. Iyi ndwara iterwa ahanini no kuziba izuru bitewe n'indwara ya ubwivumbure yitwa "hay fever," cyangwa izwi mu buvuzi nka rhinitis ya ubwivumbure.
Ibi bizwi kandi nka `(periorbital hyperpigmentation)` na `(allergie facies)`. Ariko, mu mvugo ya buri munsi, abantu benshi babimenya gusa iyo tuvuze ``allergie shiners.''
Kuki hari uduce twijimye munsi y'amaso? Ni iyihe mpamvu?
Noneho reka turebe uko ibi bigenda. Iyo ufite allergie ku kintu runaka, ubudahangarwa bw'umubiri wawe butangira kukirwanya. Muri ubwo buryo, ururenda rw'imbere mu mazuru, igice cy'imbere cy'izuru ryawe, gishobora kubyimba (mucosal edema).
Tekereza, iyo hari akantu gato kabyimbye mu mazuru, amaraso anyuramo agafunga gato, si byo se? Mu buryo nk'ubwo, amaraso atembera mu miyoboro yoroheje y'amaraso ikikije umwobo wuzuye umwuka (paranasal sinuses) ukikije izuru na yo iragabanuka bitewe n'uku kubyimba. Iyi miyoboro y'amaraso yegereye cyane uruhu ruri munsi y'amaso yacu. Rero, iyo iyi miyoboro yabyimbye kandi yuzuye amaraso, uruhu rwo muri ako gace rusa n'umwirabura ndetse wenda rukabyimba gato. Ni ko byitwa ubwiza bw'ubwivumbure. Urabyumva?
Ese imiti igabanya allergie ikunze kugaragara ku rugero rungana iki?
Mu by’ukuri iyi ni indwara ikunze kugaragara cyane kurusha uko wabitekereza. Ikunze kugaragara cyane cyane ku bantu barwaye "ibicurane by'ibyatsi" (allergie rhinitis). Ariko, si abantu bose bafite ibicurane by'ibyatsi barwara ibicurane by'ibyatsi. Ni ngombwa kubyibuka.
Ni ibihe bimenyetso by'ibi?
Ikimenyetso nyamukuru ni agace k'uruziga k'umukara, gahinduye ibara (umukara, umukara, imvi yijimye, imvi-ubururu, cyangwa umuhengeri) munsi y'amaso.
Byongeye kandi, ushobora kugira ibindi bimenyetso bifitanye isano n'ubwivumbure, nko:
- Kuryarya mu maso, mu mazuru, cyangwa mu muhogo.
- Gutukura cyangwa kuvoma mu maso.
- Izuru riva .
- Kuziba izuru.
- Kwitsamura kenshi.
Kimwe cyangwa byinshi muri ibi biragaragara hamwe n'ibintu bitanga ubwivumbure.
Impamvu nyamukuru zitera ubwivumbure bw'umubiri (allergie shingles)
Nkuko byavuzwe mbere, impamvu nyamukuru ibitera ni indwara y’ibyatsi (allergie). None se, ibintu by’ingenzi bitera indwara y’ibyatsi ni byo bitera. Reka turebe ibyo ari byo?
- Impumuro: Impumuro iboneka mu ndabo no mu biti.
- Imbwa zo mu rugo: Uduce duto tw'ubwoya duto ...
- Udukoko two mu mukungugu: Udukoko tutagaragara tuba mu mukungugu.
- Ifumbire: Ubwoko bw'ifumbire ikura ahantu hatose.
Hari abantu bashobora kugira ubwivumbure kuri kimwe muri ibi, abandi bakaba bafite ubwivumbure kuri byinshi. Indwara z'ibihe zibaho mu gihe cy'ubushyuhe bwinshi, akenshi mu mpeshyi, mu mpeshyi no mu ntangiriro z'umuhindo. Ariko, ibintu bitera ubwivumbure umwaka wose, nk'udusimba tw'inyamaswa n'udusimba two mu mukungugu, bishobora gutera ubwivumbure igihe icyo ari cyo cyose cy'umwaka.
Ikindi kintu ni uko dukunda gukaraba amaso yacu kuko amaso yacu asharira cyangwa afite amazi menshi. Gukaraba amaso muri ubwo buryo bishobora kwangiza uruhu ruri munsi y'amaso yacu no gutuma allergie irushaho kuba mbi. Gerageza rero kugabanya gukaraba amaso uko bishoboka kose.
Ese iyi ni indwara yandura?
Oya rwose. Indwara ya allergic shiners ntabwo yanduzanya. Ntushobora kuyikwirakwiza ku wundi muntu kuko uyifite. Rero ntugahangayikishwe nayo.
Ni nde ufite amahirwe menshi yo kugira allergie shiners?
Umuntu wese urwaye indwara y’ibyatsi ashobora kurwara indwara y’ibicurane. Ariko, abana bato, cyane cyane abafite indwara y’ibicurane, bafite amahirwe menshi yo kurwara indwara y’ibicurane kurusha abantu bakuru. Abaganga bamwe batekereza ko ibi bishobora kuba biterwa n’uko abana bato badakunda guhumeka izuru kenshi nk’abantu bakuru (wenda bahanagura izuru cyangwa bakaritoragura). Ariko, nta bushakashatsi buhagije buhari bwo kwemeza ko iyi ari yo mpamvu nyayo.
Ni izihe ngorane ibi bishobora gutera?
Mu by’ukuri, imiti igabanya ububabare ntabwo itera ingaruka mbi ku buzima bwawe bw’umubiri. Ni ukuvuga ko nta bubabare itera. Ariko, iyi mizinga yijimye iri munsi y’amaso ishobora gutuma wumva umerewe nabi kandi ukagira isoni. Kuri bamwe, ishobora no gutera imihangayiko yo mu mutwe no guhangayika. Niba ubyumva utyo, ni byiza kuvugana na muganga.
Ni gute umuganga abimenya?
Niba utwo duce twijimye munsi y'amaso yawe tumaze ibyumweru birenga bike, cyangwa niba tugaragara mu bihe bimwe na bimwe by'umwaka, ni byiza kujya kwa muganga. Muganga azabaza amateka y'ubuzima bwawe bwa kera, abaza ibimenyetso byawe, hanyuma akore isuzuma ry'umubiri.
Niba muganga wawe akeka ko bishobora kuba ari ubwivumbure, ashobora kukwohereza kwa muganga w’indwara ziterwa n’ubwivumbure. Uwo muganga ashobora kugukorera ibizamini kugira ngo amenye neza icyo urwaye.
Ni ubuhe bwoko bw'ibizamini bizakorwa?
Muganga wawe ashobora gukora ibizamini byinshi by’ubwivumbure kugira ngo amenye niba ufite ubwivumbure bw’uruhu. Ibizamini bikunze kugaragara ni ibizamini byo gutobora uruhu n’ibipimo by’amaraso.
- Ikizamini cyo gutobora uruhu:Muri ibi, umuganga cyangwa umuforomo azagutera utudomo duto ku ruhu rwawe, akenshi ku kuboko cyangwa mu mugongo, akoresheje urushinge ruto cyangwa agati ka pulasitiki. Hanyuma, bazashyiramo utundi duto dutandukanye tudasanzwe tw’ibintu bitera allergie mu bice byakubiswe. Niba ufite allergie kuri kimwe mu bintu bitera allergie, mu minota 15, agace kazaba gatukura, kagire udusebe duto, kandi gashobora guhindura ibara. Umuganga azapima ingano y’ingaruka. Hanyuma, amavuta ya steroide azashyirwa muri ako gace kugira ngo agabanye uburyaryate n’ingaruka z’uruhu. Iki kizamini gikunze gukoreshwa mu kumenya ibintu bitera allergie kuko bitanga ibisubizo byihuse kandi ntibigoye cyane.
- Ikizamini cy'amaraso: Muri iki kizamini, muganga wawe afata urugero ruto rw'amaraso mu mutsi uri mu kuboko kwawe (afite urushinge ruto nk'inkingi isanzwe yo gupfuka mu matwi). Ikizamini cyoherezwa muri laboratwari. Laboratwari isuzuma amaraso yawe kugira ngo irebe ko hari ibintu bisanzwe bishobora gutera ubwivumbure hanyuma igashaka antibodies zisanzwe zitera ubwivumbure. Niba ufite ubwivumbure bwinshi ku kintu runaka kigutera ubwivumbure, ushobora kuba ufite ubwivumbure kuri icyo kintu kigutera ubwivumbure. Ariko, rimwe na rimwe ibizamini by'amaraso ntibiba ari ukuri nk'ikizamini cy'uruhu.
Ni gute wavura indwara ya shingles? / Ni ubuhe buryo bwo kuvura ibi?
Uburyo bwiza bwo kwirinda ibintu bitera ubwivumbure ni ukwirinda ibintu bitera ubwivumbure uko bishoboka kose. Ariko, si ko buri gihe biba byoroshye kubirinda. Hari igihe, nubwo waba ubikora, ushobora kudashobora guhagarika burundu ingaruka mbi ziterwa n’ubwivumbure.
Ariko ntugire ikibazo, hari imiti itangwa ku giciro cya muganga (OTC) ndetse n'indi itangwa na muganga.
Icy'ingenzi: Ni ngombwa gushaka inama kwa muganga mbere yo gukoresha umuti uwo ari wo wose, cyane cyane iyo uwuhaye abana.
Dore imwe muri iyo miti:
Antihistamines
Iyi ni yo miti ikunze kwandikirwa abantu benshi kuvura indwara z'ubwivumbure. Igenzura ingaruka z'ubwivumbure. Ingero:
- Fexofenadine (urugero: Allegra®)
- Loratadine (urugero: Claritin®)
- Cetirizine (urugero: Allergy-D® cyangwa Zyrtec®) - Iki ni ikintu abantu benshi bo muri Sri Lanka bazi.
- Levocetirizine (urugero: Xyzal®)
Indabyo zo mu mazuru
Ibi bifasha cyane mu kubyimba izuru no mu bimenyetso by'ubwivumbure.
- Imiti ikoreshwa mu mazuru nka steroid: nka fluticasone (urugero: Flonase®), mometasone (urugero: Nasonex®), budesonide (urugero: Rhinocort®).
- Imiti igabanya ubukana bw'izuru: nka azelastine (urugero: Dymista®), olopatadine (urugero: Patanase®).
- Spray yo mu mazuru ya Cromolyn (urugero: Nasalcrom®) .
Ibitonyanga by'amaso
Ibi ni byiza ku bimenyetso nk'amaso asharira n'atukura.
- Ibitonyanga by'amaso birwanya histamine: nka olopatadine (urugero: Pataday®), azelastine (urugero: Optivar®).
- Umuti w'amaso wa Ketorolac (urugero: Acular®).
- Umuti w'amaso wa Naphazoline (urugero: AK-Con®).
Imiti ivura kubyimba kw'amazuru `(Imiti igabanya kubyimba kw'amazuru)`
Ibi bigabanya kubyimba mu mazuru kandi bikorohereza guhumeka. Ariko, si byiza kubikoresha buri gihe. Bikoreshe gusa nk'uko muganga yabigutegetse.
- Spray yo mu mazuru ya Oxymetazoline
- Fenilephrine (urugero: Sudafed PE® cyangwa Sudogest PE®)
- Pseudoephedrine (urugero: Contac® cyangwa Sudafed®)
Kuhira amazuru
Ubu si umuti, ariko ni uburyo bwiza cyane. Bukubiyemo koza amazuru yawe ukoresheje umuti wa saline (amazi y'umunyu) ushobora kugura muri farumasi. Ibi bikuraho ibintu bitera allergie n'amatembabuzi mu mazuru yawe. Ushobora gukoresha ikintu nka "Neti pot" kuri ibi.
Ibikoresho byo gukaraba mu rubura cyangwa mu gihe cy'ubukonje
Kugira ngo ugabanye kubyimba munsi y'amaso, shyira uduce duke tw'urubura, igitambaro cyinjijwe mu mazi akonje, cyangwa ushyire igitambaro cyoroshye mu maso yawe mu gihe cy'iminota 10 inshuro nyinshi ku munsi.
Ubudahangarwa bw'umubiri
Iyo indi miti idafashije, muganga wawe ashobora kukugira inama yo kuvura. Ibi kandi byitwa inshinge zo guterwa allergie . Hari igihe bitangwa nk'ikinini munsi y'ururimi (sublingual immunotherapy). Ibi bisaba gushyira buhoro buhoro ibintu bitera allergie mu mubiri wawe. Mu mezi make, umubiri wawe umenyera allergie kandi ntuba ugishoboye kubikora cyane. Ibi bishobora gutuma ibimenyetso bya allergie bishira, nka shingles.
Ibyuma bitanga allergie bimara igihe kingana iki?
Biragoye kuvuga neza ko bitandukana bitewe n'umuntu ku giti cye. Iyo uvuje neza indwara yawe y'ubwivumbure kandi ukayigenzura, indwara zituma umuntu ababara cyane zihita zishira mu byumweru bike. Uko imitsi igenda ikira, ibara ryijimye riri munsi y'amaso rishobora guhinduka ibara ryoroheje (nk'icyatsi kibisi, umuhondo, cyangwa umukara).
Iyo itavuwe, allergie yawe ishobora kwishira ubwayo mu byumweru bike uhereye igihe waherukaga guhura n’iyo allergie, kugeza igihe wongeye kuyihura.
Bigenda bite iyo mfite imiti igabanya allergie?
Nkuko byavuzwe mbere, indwara ya shingles ishobora kubabaza gato, ariko si ikibazo gikomeye cy’ubuzima. Ishobora kuza ikagenda ubuzima bwawe bwose. Abantu benshi bakemura ikibazo cyabo birinda ibintu bafite ubwivumbure uko bishoboka kose kandi bagakoresha imiti itangwa na muganga.
Ese imiti igabanya ubwivumbure ishobora kwirindwa?
Yego, urashobora. Uburyo bwiza niKwirinda ibintu uzi ko ufite ubwivumbure, no gufata imiti ya buri munsi nk'uko muganga yabigutegetse, nabyo bishobora gufasha kwirinda ubwivumbure.
Dore ibindi bintu ushobora gukora:
- Sukura isuku mu nzu yawe buri gihe: Kuraho ibintu bitera ubwivumbure nk'umukungugu n'inyamaswa.
- Guma ufunze amadirishya mu gihe cy'ubushyuhe bwinshi kandi ukoreshe "Air Conditioner - AC" niba bishoboka.
- Koresha akayunguruzo ka `HEPA (High-Efficiency Particulate Air)`: Ibi bifasha gukuraho ibintu bitera allergie mu mwuka uri mu rugo rwawe.
- Koresha icyuma gifasha guhumeka: Ibi bishobora kugabanya ububabare mu gihe ingingo ziri mu mazuru yawe zumutse.
- Niba ufite ubwivumbure ku nyamaswa, gabanya kuzikorakora, kuzihobera no kuzikubitaho uko bishoboka kose.
- Ambara indorerwamo z'izuba n'ingofero iyo ugiye hanze: Ibi bifasha kurinda amaso yawe intanga.
Ukeneye kubonana na muganga?
Nubwo imiti igabanya ubushyuhe idatera ibibazo bikomeye by’ubuzima, ibindi bimenyetso bya ubwivumbure (nk'izuru rizinze no kuribwa) bishobora gutera ikibazo. Niba imiti igabanya ubushyuhe igutera stress, cyangwa niba ibangamira imirimo yawe ya buri munsi, ugomba kujya kwa muganga. Muganga wawe ashobora kumenya impamvu nyayo ya ubwivumbure bwawe kandi akagusaba uburyo bwiza bwo kuvura.
Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ?
Niba ufite ubwivumbure bw'umubiri kandi ukagira ibimenyetso by'ubwivumbure bukomeye (anaphylaxis), nko kugorwa no guhumeka, kubyimba mu maso, cyangwa gucika intege, jya mu cyumba cy'ubutabazi kiri hafi yawe. Iki ni ikibazo cyihutirwa.
Ni ibihe bibazo ugomba kubaza muganga?
Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi:
- Wamenya ute neza niba umwijima uri munsi y'amaso yanjye uterwa na allergie?
- Ni ibihe bintu mfite ubwivumbure?
- Ni ubuhe bwoko bw'imiti usaba?
- Ese ngomba gufata umuti buri munsi, cyangwa birahagije kuwufata gusa iyo mfite ubwivumbure?
- Ese hari ingaruka mbi zishobora guterwa n'imiti utanga?
- Ese nkeneye kubonana n'umuganga w'indwara ziterwa n'ubwivumbure? Ushobora kungira inama?
Ni irihe tandukaniro riri hagati y'ibishishwa by'ubwivumbure n'imizingo y'umwijima isanzwe munsi y'amaso?
Iki ni ikibazo abantu benshi bibaza. Indwara zo kubyimbirwa n'uruhu ziterwa n'ubwivumbure. Ibi bivuze ko izuru riziba, imiyoboro y'amaraso irikikije ikabyimba, kandi uruhu ruri munsi y'amaso rukajima.
Ariko, hari izindi mpamvu nyinshi zishobora gutuma habaho uduce twijimye munsi y'amaso. Urugero:
- Ibicurane bisanzwe.
- Ibicurane.
- Ubwandu bw'uturemangingo.
- Eczema.
- Kubabara.
- Kubura ibitotsi igihe kirekire.
- Utunyangingo tw'izuru.
- Adenoids zirimo ubushyuhe.
- Kubura amazi mu mubiri.
- Impamvu z’uturemangingo zikomoka ku nkomoko y’umubiri.
Kubwibyo, ni byiza kujya kwa muganga kugira ngo umenye neza niba uduce twijimye munsi y'amaso yawe duterwa n'ibintu bitera ubwivumbure cyangwa ikindi kintu.
Amaherezo, ibintu byo kwibuka
Rero, ubwivumbure bw'umubiri si indwara ikomeye ugomba gutinya. Ariko bushobora gutuma wumva utameze neza kandi ukagira isoni. Ibindi bimenyetso by'ubwivumbure bizana nabyo bishobora kubangamira gato.
Igikuru ni ukumenya icyo urwaye ubwivumbure, kwirinda ibyo bintu uko bishoboka kose, no gushaka ubuvuzi bukwiye nk'uko muganga yabigusabye.
Ubikoze, ushobora kubona ihumure rikomeye ku kibazo cy'imizingo y'umwijima munsi y'amaso yawe. Niba ufite ikindi kibazo kuri ibi, ntugatinye kubaza muganga. Azagufasha!
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ese Allergic Shiners ni uruziga rwijimye rugaragara hirya no hino mu maso nyuma yo gusinzira?
Oya! Ibi si uduce twijimye munsi y'amaso duterwa no kudasinzira neza cyangwa imirire mibi. Ibi ni ibara ry'umukara wijimye/umutuku (nk'uduheri tw'umukara/amaso y'umukara) tugaragara hirya no hino y'amaso (cyane cyane munsi y'amaso) y'abana n'abantu bakuru. Impamvu nyamukuru ibitera ni 'Allergie Rhinitis/Hay fever'. Ibi bibaho kuko iyo izuru rifunze, umuvuduko w'amaraso mu mitsi ikikije amaso wiyongera kandi amaraso akagabanuka.
💬 Kuki kudasiga amavuta yo gukuraho ubwo bwoko bw'imikara bidakora?
Kubera ko aka kadomo k'umukara katari ku ruhu, ahubwo kari mu 'mitsi y'amaraso iri munsi y'uruhu'. Ni nk'aho uruhu rusa n'ubururu kuko umwuka/ogisijeni bitanyuramo. Kubwibyo, uko amavuta wasiga yaba angana kose, ntazigera akora. Kugira ngo ukureho burundu, ugomba gukira 'allergie' ifunga izuru.
💬 Ni ubuhe buryo bwiza bwo kuvura imbere muri iki kibazo?
Igikuru ni ukwirinda ibintu bishobora gutera ubwivumbure nk'umukungugu, impongo, cyangwa amatungo. Hamwe n'ibi, fata imiti igabanya ubwivumbure (urugero: Loratadine / Cetirizine) kugira ngo ugabanye ubwivumbure bw'umubiri kandi ukoreshe imiti igabanya ubwivumbure mu mazuru kugira ngo ugabanye kuziba kw'amazuru. Uko ubwivumbure bugenda bwiyongera, umwijima munsi y'amaso nawo uzashira ubwawo.
` Ibara ry'ubwivumbure, umwijima munsi y'amaso, ubwivumbure, umuriro w'ibyatsi, kuziba izuru, ibimenyetso by'uruhu, ubwivumbure ku bana











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