Nk'umuganga, ubuzima bwanjye bwa buri munsi bushingiye ku guhura n'abarwayi, kumva ibibazo byabo no kubabwira imiti. Ariko, hari itandukaniro rikomeye hagati yo kugenda muri urwo rugendo ndi jyenyine no gushyigikira uwo nkunda muri urwo rugendo. Iyi nkuru ni inkuru yanjye bwite — haba nka Dr. Priya ndetse n'inshuti yanjye yitwa Priya.
Guhamagara Inshuti n'Uruhare Rwanjye
Mu gitondo kimwe, inshuti yanjye Shalini yarampamagaye. Ijwi rye ryari ryuzuyemo umunaniro n'agahinda. Umukobwa we muto, Dinuki, yari amaze ibyumweru byinshi arwaye ibisebe bitukura ku matama no ku maboko. Byari bibi cyane nijoro; Dinuki muto yakubitaga kugeza arira. Hagati yo kwita ku mwana we, Shalini n'umugabo we ntibari basinziriye cyane. Nk'umubyeyi, Shalini yari yananiwe cyane, kandi nk'inshuti, numvise ububabare bwe bukabije.
Twahuriye iwe kuri uwo mugoroba. Namusezeranyije ko nzamufasha atari nk'umuganga gusa, ahubwo nk'inshuti. Uko ni ko twatangiye urugendo rwacu rwo kuvura indwara ya Dinuki yitwa Atopic Eczema —indwara ikunze kwibasira abana bato bagera kuri 5%.
Ese koko indwara ya Atopic eczema ni iki?
Twicaye ku ntebe yo mu cyumba cyo kubamo cya Shalini, dufashe Dinuki, twahereye ku bintu by'ibanze. Namusobanuriye ko Atopic Eczema ari indwara idakira y'uruhu irangwa n'uruhu rutukura, rwumye, kandi rushyuha cyane. Ku mwana nka Dinuki, ni ibintu bibabaza cyane.
Akenshi, Atopic Eczema igira uruhare mu miterere y’umubiri. Ibi bivuze ko iyo umuntu mu muryango afite asima , umuriro w’ibyatsi, cyangwa izindi allergie, umwana aba ari mu kaga gakomeye. Nkuko nabivuze, Shalini yabonye ati: “Priya, ndwaye asima!” Mu buryo butunguranye, byahise byumvikana impamvu Dinuki ashobora kuba arimo guhura n’ibi.
Ariko, namuhumurije ko ibi atari ikosa ry'umuntu uwo ari we wese. Nubwo nta mateka y'umuryango, uruvange rw'uturemangingo n'ibintu bidukikije bishobora gutera indwara ya eczema ku muntu uwo ari we wese.
Kumenya Ibimenyetso
Ibimenyetso bya Dinuki byari nk'uko byagaragajwe mu gitabo cy'amasomo ya Atopic Eczema:
- Uruhu rwasaga n'urutukura kandi rubyimbye.
- Uruhu rwari rwumye cyane, hamwe n'uduce tumwe na tumwe twari turimo gushwanyuka.
- Udusimba twagaragaraga ku matama ye, imbere mu nkokora no inyuma y'amavi ye.
- Ikibazo gikomeye cyane cyari ukuryarya gukomeye. Kubera iyo mpamvu, Dinuki yari yikubise, bimutera udusebe n'utubyimba duto.
- Kuryarya byarushijeho kwiyongera nijoro. Ibi biterwa nuko, mu gihe abana barangazwa no gukina ku manywa, barushaho kumenya uko kuryarya nijoro. Impinduka mu bushyuhe bw'umubiri no kubira ibyuya nabyo bishobora gutera umuriro nijoro.
Eczema yo mu nda itera indwara y'uruhu si ikibazo cy'uruhu gusa. Kubabara mu mutwe, gusinzira nabi , ndetse n'imihangayiko iterwa n'amarangamutima ku mwana ndetse n'ababyeyi ni byo bibazo bikomeye.
Nasobanuriye Shalini ko ku bana bato, eczema ikunze gutangirira mu maso no ku mutwe mbere yo gukwirakwira ku ngingo. Inkuru nziza ni uko ku bana benshi, cyane cyane nyuma y'imyaka 1 cyangwa 2, iyo ndwara irushaho koroha kuyikemura cyangwa ikaba yanakemuka burundu.
Ibitera imbaraga
Ubwo twaganiraga, nafashe ikaye yanjye kugira ngo nshyireho urutonde rw'ibintu bishobora gutuma Dinuki agira eczema irushaho kuba mbi:
- Uruhu rwumye: Uruhu rwumye rukunze kwishimagura, ibyo bigatuma eczema irushaho kwiyongera.
- Ibitera umujinya: Amasabune akaze, isabune zimwe na zimwe, imibavu, n'imyenda isya nk'ubwoya.
- Allergens ( Ibibazo bya Asima n'Ibibazo bya Allergie ):
- Udukoko tw’umukungugu (dukunze kuboneka mu mukungugu wo mu rugo).
- Indwara y'amatungo (udusimba tw'uruhu n'amacandwe).
- Impumuro .
- Hari ibyo kurya bimwe na bimwe (Ibitera ubwivumbure ku biribwa—nk'amagi, amata, ubunyobwa, cyangwa soya bishobora gutera ubwivumbure, nubwo atari buri mwana wese ufite eczema ufite ubwivumbure ku biribwa).
- Izindi mpamvu: Kubira ibyuya, ubukonje bukabije cyangwa ubushyuhe bwinshi, ikirere cyumye, kwandura indwara, n'imihangayiko.
Namugiriye inama ko umucanga, cyane cyane mu bibuga by'imikino, ushobora kubabaza uruhu rworoshye. Igihe navugaga ku ndwara y'amatungo, Shalini yasaga n'ufite impungenge—bafite umwana w'imyaka ibiri witwa Golden Retriever akaba n'inshuti magara ya Dinuki.
“Ibyo ntibivuze ko badashobora kubana, Shalini,” naravuze buhoro. “Dukeneye gusa kugabanya ubwiyongere bw’imbwa. Kwiyuhagira imbwa buri gihe, kugira ngo inzu isukure, no gukaraba intoki Dinuki amaze gukina na yo ni ingeso nziza zo gutangira.”
Twese hamwe, twakoze urutonde rw'intambwe zifatika zo gufasha mu kurwanya eczema ya Dinuki:
- Kura Dinuki kure y'imyobo y'umucanga uko bishoboka kose.
- Koresha isabune zidafite ubwivumbure kandi zidafite impumuro nziza hamwe n'isabune zo kumesa imyenda.
- Irinde gukoresha imibavu cyangwa amavuta ahumura kuri Dinuki.
- Mwambike imyenda yoroshye nk'ipamba; wirinde ubwoya cyangwa ibikoresho by'ubukorikori.
- Isuku buri gihe kugira ngo ugabanye ivumbi ryo mu rugo.
Nanone namwibukije ko stress ishobora kongera eczema. Abana bato bumva stress mu rugo, bityo kubungabunga ibidukikije birangwa n'amahoro nabyo ni ingenzi.
Gukora Gahunda yo Kuvura
Nibukije Shalini ko adakwiye kurwana iyi ntambara wenyine. Namugiriye inama yo gukorana kugira ngo dushyireho gahunda yo kuvura ijyanye na Dinuki. Intambwe ya mbere kandi y'ingenzi mu kuvura eczema ni ukwita ku ruhu rw'umwana wawe rufite ikibazo cyoroshye kandi gihoraho.
Intambwe za Mbere mu Kwita ku Ruhu
- Kwiyuhagira:Ni byiza koga umwana wawe buri munsi cyangwa buri minsi ibiri mu gihe cy'iminota 10-15 mu mazi y'akazuyazi (atari amazi ashyushye). Nagusabye gukoresha amavuta yo kwiyuhagira adafite impumuro cyangwa amavuta yo kwisiga (isabune) mu mazi. Irinde amasabune akaze, kuko ashobora gutuma uruhu rwumuka kurushaho. Nyuma yo kwiyuhagira, ntugasukure uruhu cyane ukoresheje igitambaro; ahubwo komeza urwamutse buhoro buhoro.
- Gukoresha Moisturizers: Iyi ni intambwe y'ingenzi cyane. Mu minota 3 yo kwiyuhagira, mu gihe uruhu rukiri rutose, shyiramo moisturizer ikomeye cyangwa emollient neza ku mubiri wose. Ibi bifunga ubushuhe bw'ingenzi. Ugomba gukoresha moisturizer nibura kabiri ku munsi (mu gitondo na nijoro), cyangwa kenshi uko bikenewe. Twahisemo ibicuruzwa byiza cyane bidafite impumuro nziza kandi bidafite ibara, bibereye cyane uruhu rukunze kurwara eczema.
Ni ryari ubuvuzi bw'ibanze budahagije?
Hari igihe, nubwo haba hari gahunda nziza yo kwita ku ruhu, eczema ishobora kugorana kuyikemura, bigatuma habaho gushyuha no gutukura cyane. Muri ibyo bihe, ugomba gushaka ubufasha bwisumbuyeho kwa muganga wawe.
- Amavuta yo mu bwoko bwa Corticosteroid yo mu bwoko bwa "Topical Corticosteroid Cream": Aya atangwa na muganga kugira ngo agabanye ububyimbirwe n'ibibyimba by'uruhu. Aza mu mbaraga zitandukanye. Muganga wawe azaguha amavuta ajyanye n'imyaka y'umwana wawe n'ubukana bw'indwara ye ya eczema. Iyo akoreshejwe neza nk'uko yabitegetswe kandi mu gihe gikwiye, ubu buryo bwo kuvura ni bwiza kandi bufite akamaro kanini. Nta mpamvu yo guhangayika.
- Antihistamines: Niba umwana wawe arwana no gusinzira nijoro bitewe no kuribwa cyane, muganga wawe rimwe na rimwe ashobora kukwandikira umuti wo kunywa urwanya antihistamine kugira ngo umufashe mu gihe gito kugira ngo umufashe mu kugabanya kuribwa.
Nongeye gushishikariza Shalini kutazigera agira isoni zo gusaba ubufasha. Kubana n'indwara ya eczema ntabwo byoroshye. Intego yacu y'ibanze ni ukugira ngo Dinuki agire ibyiyumvo byiza kandi bishimishije uko bishoboka kose.
Ubuzima bwiza bwa Dinuki
Hanyuma, twaganiriye ku buryo bwo gutuma ibidukikije byo mu rugo birushaho kuba byiza kuri Dinuki.
- Twaganiriye ku kugabanya umukungugu wo mu rugo dusukura kenshi kandi tukamesa ibitanda mu mazi ashyushye.
- Ni byiza kandi gukomeza kumenya ibintu bishobora gutera ubwivumbure mu biribwa (nubwo atari buri mwana wese ufite eczema ufite ubwivumbure mu biribwa).
- Nanone nibukije Shalini kwita ku mibereho ye bwite. Ntabwo ari ngombwa ko ubabara wenyine uri kumwe n'umwana wawe; nyamuneka hamagara ubufasha niba ubukeneye.
Impinduka mu gihe runaka
Nyuma y'amezi make, nongeye guhura na Shalini na Dinuki. Shalini yasaga n'aho aruhutse cyane. Bitewe n'impinduka twaganiriyeho, indwara ya Dinuki yari iri mu kaga. Kwisiga kenshi byari byarahindutse ikintu gisanzwe mu buzima bwabo bwa buri munsi. Shalini yagize ati: "Twita 'igihe cyihariye cyo gusigwa' kwa Dinuki ubu."
Nk'umuganga n'inshuti
Uwo munsi, nabonye ko inshingano yanjye nk'umuganga irenze kwandika imiti gusa. Bikubiyemo gutega amatwi impungenge z'umubyeyi, gushaka ibisubizo bifatika, no kuba inkingi y'inkunga muri uru rugendo.
Inkuru ya Shalini ni urugero rumwe gusa. Ababyeyi benshi bahura n'ibi bibazo nk'ibyo. Kurara badasinziriye, kurira k'umwana, guhora aryarya, gufata imiti, no kugisha inama—kuringaniza ubuzima n'ibi byose ntabwo byoroshye. Ariko ndifuriza buri mubyeyi, se, n'umwana imbaraga bakeneye kugira ngo bagende neza muri uru rugendo.
Kubana n'indwara ya eczema
Kubana n'indwara ya atopic eczema ni ikibazo gikomeye, ariko birashoboka. Bisaba kwihangana, kugerageza (kugira ngo umenye icyatera umwana wawe n'icyamuvura), no kwita ku ruhu mu buryo buhoraho. Nk'ababyeyi ndetse n'abaganga, inshingano zacu ni ugufasha umwana kubaho neza kandi yishimye uko bishoboka kose.
Wibuke ko buri gikorwa gito gifite akamaro. Kwita ku ruhu neza, gukorakora ku rukundo, no gusangira ubumenyi bukwiye bitanga ihumure rikomeye ku mwana n'umuryango wose. Muri Nirogi Lanka, turi hano kugufasha.
