Ese wumva kandi izuru ryawe rihora ryumye? Hari igihe wumva izuru ryawe rinuka nabi, cyangwa wumva ibintu birimo gushwanyagurika biri mu mazuru yawe? Icyo gihe iki ni ikintu gishobora kuba ingenzi kuri wewe. Iyi ndwara tuyita `(Atrophic Rhinitis)`. Reka tubiganireho mu buryo bworoshye kandi bworoshye kumva.

`(Atrophic Rhinitis)` ni iki?

Mu magambo make, `(Atrophic Rhinitis)` ni indwara aho ingingo iri imbere mu mazuru yawe yumira ikagabanuka. Tekereza nk'ikimera cyumye kidakoresheje amazi. Uko igihe kigenda gihita, iyi ngingo iragabanuka kandi rimwe na rimwe ishobora gukomera . Kubera iyo mpamvu, inzira z'ubuhumekero zinyura mu mazuru yawe zirakura. Ariko ikibazo ni uko, kubera ko nta bushuhe buri mu mazuru yawe, havuka igishishwa mu mazuru yawe gifite impumuro mbi cyane . Iyi ni indwara iteye ishozi cyane.

Amagambo "Atrophic" na "Rhinitis" asobanura iki?

Kugira ngo dusobanukirwe neza iki kibazo, reka dusesengure gato aya magambo abiri.

• Kugabanuka cyangwa kugabanuka kw'uturemangingo ni ijambo ry'ubuvuzi risobanura kugabanuka, kugabanuka, cyangwa kubura kw'uturemangingo. Muri rhinitis itagira uruhu, agace gato kandi gato (nk'uruhu) mu mazuru yawe kitwa mucosa kaba gato hanyuma kagakomera . Aka gatambaro gatwikira amagufwa mato ari mu mazuru yawe kitwa turbinates, ashyushya, agatose, kandi akayungurura umwuka duhumeka. Hari igihe utu dutambaro dushobora kugabanuka cyangwa kugabanuka.
• Rhinitis ni ukubyimba (byitwa kandi edema) no kubyimba kw'imiyoboro y'izuru. Uku kubyimba gushobora kugira ingaruka ku buryo bw'ubuhumekero bwawe no kugorwa no guhumeka.

Rero, ubu birakugaragara neza ko `(Atrophic Rhinitis)` ari indwara aho ingingo zo mu mazuru zigabanuka, zikabyimba, kandi zikabyimba.

Ni mu rugero rungana iki indwara ya `(Atrophic Rhinitis)`?

Atrophic Rhinitis ni ubwoko bwa rhinitis idaterwa n'ubwivumbure . Ibicurane bisanzwe ni urundi rugero rw'ibi. Igihe icyo ari cyo cyose, bivugwa ko abantu bagera kuri miliyoni 30 muri Leta Zunze Ubumwe za Amerika barwaye rhinitis itari iy'ubwivumbure. Sri Lanka nayo ni uko irwaye iyi ndwara.

Itandukaniro riri hagati ya rhinitis idafite allergie na rhinitis ifite allergie

Hari itandukaniro rito hagati y'ibi byombi.

• Indwara ya rhinitis y’ubwivumbure ( izwi kandi nka fever y’ibyatsi) iterwa n’ibintu bimwe na bimwe (allergens) bitera ubudahangarwa bw’umubiri wacu (ubwirinzi bw’umubiri). Ingero zirimo impongo, ibihumyo, n’ibihumyo by’inyamaswa. Ibimenyetso birimo izuru riva, kwitsamura, n’amaso asharira .Ibimenyetso bishobora kuba birimo kuva izuru riva, kwitsamura, kubabara mu muhogo, no kunyara nyuma y'izuru.
• Mu ndwara ya rhinitis idafite allergie , kwitsamura no kuva mu mazuru akenshi biterwa n'ibintu nk'impumuro mbi, umwotsi, imiti imwe n'imwe, no kudahuza kw'imisemburo. Gutonyanga mu mazuru bishobora no gutera inkorora idashira. Rhinitis itera atrophic iri muri iki cyiciro.

Ni ubuhe bwoko bwa `(Atrophic Rhinitis)`?

Hari ubwoko bubiri bw'ingenzi bwa `(Atrophic Rhinitis)`:

1. Indwara ya Rhinitis y’ibanze : Iyi ndwara ikunze kugaragara cyane mu bihugu nka Amerika ya Ruguru. Ariko, mu bihugu bifite ikirere gishyushye kandi cyumye nk'Ubuhinde, Afurika, na Arabiya Sawudite, abantu bakuru bagera kuri 1% bashobora kuyirwara. Igitangaje ni uko iyi ndwara ishobora no kurwara inyamaswa nk'inka n'ingurube.

2. Indwara ya Secondary Atrophic Rhinitis : Ibi byibasira cyane abantu babazwe sinus. Ibi bishobora kubaho cyane cyane nyuma yo kubagwa turbinate reduction. Ubu buvuzi busaba gukuraho turbinate imwe cyangwa zose. Ibi bituma uturemangingo duto ducika.

Ibuka kandi indwara yitwa `(Rhinitis Medicamentosa)`: Hari abantu bakoresha `(udupfukamunwa tw'amazuru)` (urugero `(udupfukamunwa)` nka `(oxymetazoline)` na `(phenylephrine)`) igihe kirekire. Muri rusange ntibyemewe gukoresha `(udupfukamunwa)` nk'ibi mu gihe kirenga iminsi itatu yikurikiranya. Iyo ukomeje kuyikoresha, ushobora kugira indwara yitwa `(Rhinitis Medicamentosa)`, ishobora no gutera `(Atrophic Rhinitis)`. Kubwibyo, ni byiza gukoresha `(udupfukamunwa)` mu mazuru gusa nk'uko muganga yabigutegetse.

Ni izihe mpamvu zitera ``primary `(Atrophic Rhinitis)`?

Hari impamvu nyinshi zishobora gutera rhinitis ya atrophic y’ibanze:

• Allergie. (Ibibazo by'ubwivumbure).
• Indwara za bagiteri.
• Kudahuza kw'imisemburo ya estrogen.
• Niba hari umuntu mu muryango ufite `(Atrophic Rhinitis)` (ikintu gikomoka ku murage).
• Kubura intungamubiri nka feri, vitamine A, cyangwa vitamine D.
• Iyo hari impinduka mu miterere y'izuru (`(congenital)`) zivukanwa.

Ni izihe mpamvu zitera `secondary `(Atrophic Rhinitis)`?

Uretse kubagwa izuru, hari n'ibindi bintu byinshi bishobora gutera indwara ya "Atrophic Rhinitis" ya kabiri:

• Indwara ziterwa n'ubwirinzi bw'umubiri (indwara aho ubwirinzi bw'umubiri wacu bwibasira umubiri wacu).
• Indwara nka `(Granulomatosis hamwe na polyangiitis (GPA))` (yahoze yitwa `(Wegener's)`).
• Izindi ndwara, harimo n'indwara zo mu mazuru.
• Uburyo bwo kuvura kanseri hakoreshejwe imirasire.
• Indwara yitwa "Sarcoidosis".
• Indwara zandurira mu mibonano mpuzabitsina nka syphilis.
• Impanuka cyangwa ibikomere ku mazuru.
• Nkuko byavuzwe mbere, gukoresha imiti igabanya ububabare mu mazuru igihe kirekire.

Ni ibihe bimenyetso bya `(Atrophic Rhinitis)`?

Ikimenyetso nyamukuru, kandi kigaragara ku bandi byoroshye, ni ukurema igishishwa mu mazuru gifite impumuro mbi cyane . Iyo ugerageje gukuramo igishishwa n'intoki zawe cyangwa ikindi kintu, ushobora kuva amaraso mu mazuru (`(epistaxis)`). Ushobora kandi kumva impumuro mbi mu kanwa (`(halitosis)`).

Igitangaje ni uko ushobora kutabona iyi mpumuro mbi! Ariko abantu bakuzengurutse bazayibona rwose. Ibi bishobora gutuma wumva utameze neza mu ruhame.

Izindi bimenyetso zishobora kugaragara harimo:

• Kuva amaraso kenshi mu mazuru (epistaxis).
• Amazi ameze nk'ibibyimba asohoka mu mazuru.
• Izuru ryumye kandi rimeze nk'ibicurane (ibi nibyo ubanza kumva).
• Indwara za sinus (sinusitis).

Tekereza, hari umuntu witwa Nilanthi, umaze igihe kinini akura ubwoko nk'ubu bw'ibishishwa ku mazuru ye, kandi nabyo binuka nabi. Yakomeje kubyirengagiza. Nyuma, inshuti ze zaravuze ziti: "Nilanthi, rimwe na rimwe iyo ndi iruhande rwawe, numva impumuro idasanzwe." Ni bwo Nilanthi yahisemo kubisuzuma. Rero, rimwe na rimwe dushobora kubangamira abandi tutabizi.

Ni gute wasuzuma `(Atrophic Rhinitis)`?

Niba ufite ibi bimenyetso, ugomba kubonana n'inzobere mu matwi, amazuru no mu muhogo (inzobere mu kuvura amaso, cyangwa abaganga b'indwara z'uruhu). Azagusuzuma hanyuma abanje gusuzuma indwara akurikije ibimenyetso byawe.

Byongeye kandi, ushobora no gukora ibizamini nk'ibi:

• Ibizamini bya aleriji kugira ngo byemezwe niba ufite aleriji cyangwa udafite.
• Fata amashusho arambuye y'aho amazuru aherereye (CT scan).
• Ikizamini cyitwa endoscopy yo mu mazuru gikubiyemo gushyiramo umuyoboro uhindagurika (endoscope) ufite kamera imbere mu mazuru kugira ngo harebwe niba hari ibibyimba cyangwa ibindi bibazo biri mu mazuru.
• "Ikizamini cyo guhumeka mu mazuru" gipima ingano y'umwuka winjira mu mazuru iyo uhumeka.

Ni gute `(Atrophic Rhinitis)` ivurwa?

Mu by'ukuri, nta muti uhari kuri ubu wa `(Atrophic Rhinitis)`. Ariko, hari uburyo bwo kugabanya ubwo bwoko bw'impumuro mbi no kugenzura ibimenyetso. Ntugahangayike, ubu buryo bwo kuvura bushobora gutuma uruhuka.

Ubuvuzi rusange

• Siga amavuta yo kwisiga mu mazuru (niba hari ubwandu).
• Amavuta yo kwisiga mu mazuru ahora ahumura atangwa kugira ngo amazuru akomeze kuba meza.
• Ibinini birimo estrogene cyangwa spray yo mu mazuru.
• Vitamine.
• Koresha icyuma gifasha mu kongera ubushuhe mu kirere mu rugo.

Ubuvuzi bwo kubaga

Ibi ni gake cyane, ariko hari abantu bakeneye kubagwa kugira ngo bavure iyi ndwara. Hari uburyo butandukanye bwo kubagwa. Muganga wawe azagusobanurira uburyo bwiza kuri wewe.

Kubaga bishobora gukora ibintu nk'ibi:

• Gufunga izuru rimwe n'umwobo w'izuru (rimwe na rimwe hakoreshejwe icyuma gikozwe mu nganda).
• Kugabanya inzira z'izuru.
• Inshinge zo mu mazuru.

Ni iyihe miti ishobora gukorerwa mu rugo?

Ushobora gukora ibi bintu mu rugo kugira ngo ugabanye ibimenyetso bya `(Atrophic Rhinitis)`:

• Komeza inzira z'izuru zawe zihumeke : Koresha imiti ikoreshwa mu mazuru cyangwa ibitonyanga nk'uko muganga yabigusabye. Koza izuru ryawe n'amazi y'umunyu ni igitekerezo cyiza.
• Ongera ubushuhe mu kirere : Koresha icyuma gifasha guhumeka kugira ngo ubushuhe bukomeze mu kirere mu rugo, cyane cyane mu cyumba cyo kuraramo.
• Kuhira amazuru : Gusukura amazuru ukoresheje amazi y'umunyu (byakozwe no kongeramo umunyu mu mazi abira) bifasha gukuraho ibisebe no gukuraho izuru. Ushobora gukoresha ikintu nk'inkono ya neti kuri ibi.

Ni izihe ngorane zishobora guterwa na `(Atrophic Rhinitis)`?

Ni gake cyane, ariko indwara ya atrophic rhinitis ishobora gutuma utakaza impumuro yawe burundu (anosmia) . Ushobora kandi kugira indwara yitwa empty nose syndrome . Iyi ni indwara idasanzwe. Ibi bibaho iyo inzira z'izuru zawe zifunguye kandi zagutse, ariko ukumva hari ikintu cyagufashe mu mazuru. Rero, nubwo ibihaha byawe bibona umwuka uhagije wa ogisijeni, ushobora kumva ugifite umwuka uhagije.

Ese `(Atrophic Rhinitis)` ishobora kwirindwa?

Ikibabaje ni uko ubu nta buryo bwo gukumira icyorezo cya `(Atrophic Rhinitis)` buhari.

Ni iki kizere cy'umuntu urwaye `(Atrophic Rhinitis)`?

Indwara ya Atrophic Rhinitis ni indwara y'igihe kirekire (idakira) . Ibi bivuze ko idashira burundu mu gihe gito. Ariko ntugahangayike. Ushobora gukora ibintu nko kugumisha amazi mu mazuru yawe, kugabanya ibimenyetso, no kubaho ubuzima busanzwe. Icy'ingenzi ni ugukurikiza amabwiriza ya muganga wawe.

Ni ryari ukwiye kujya kwa muganga?

Niba ufite ibimenyetso nk'ibi, ni byiza kugana muganga kugira ngo akugire inama:

• Niba ufite ikibazo cyo guhumeka.
• Niba impumuro yawe isa nkaho yagabanutse.
• Niba ufite inkorora idakira.
• Niba izuru rikomeje kuma kandi rikagira ububobere.
• Niba wumva hari ikintu kigufunga (`(kuziba izuru)`) nubwo inzira z'izuru zawe ziba zifunguye.
• Niba ukunda kuva amaraso mu mazuru.

Nubwo ibi bintu bishobora kubaho ku ndwara isanzwe, iyo bikomeje, ugomba kujya kwa muganga.

Ibintu ugomba kubaza muganga wawe

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibi bibazo:

• Kuki mfite `(Atrophic Rhinitis)`?
• Ni iyihe miti ishobora kumfasha?
• Ni iki nakora mu rugo kugira ngo ngire ibimenyetso?
• Ese nkeneye kubagwa?
• Ese nkwiye kumenya ingorane zishobora kubaho?

Ibintu tugomba kwibuka muri iyi nkuru

Kugira izuru ryumye kandi rimeze nk'ibicurane bishobora kugorana cyane. Ufite ibyago byinshi byo kurwara rhinitis idasanzwe nyuma yo kubagwa sinus nka turbineectomy. Ariko, ubu bwoko budasanzwe bwa rhinitis idatera allergie bushobora no guterwa n'izindi mpamvu, nko gukomereka mu maso cyangwa kwandura bagiteri.

Igikuru ni uko niba ufite ibi bimenyetso, ntugatinye kujya kwa muganga no kugisha inama. Hanyuma ushobora kuganira ku buryo bwiza bwo kuvura. Ushobora kubona ubutabazi ukoresheje imiti n'imiti yo mu rugo. Ni gake cyane ugomba kubagwa. Rero, ni ngombwa cyane kubimenya.

` Rhinitis itera atrophic, izuru rimutse, ibinure byo mu mazuru, umwuka mubi, kuva amaraso mu mazuru, indwara z'ubuhumekero