Ese umwana wawe afite utudomo tw'ubururu/umuhengeri ku mubiri we? Reka tuvuge kuri iyi 'Blueberry Muffin Rash'!

Ndumva ubwoba n'imihangayiko umubyeyi cyangwa se agira iyo abonye ikintu kidasanzwe ku mubiri w'umwana we. Cyane cyane iyo umwana uvutse agize ibizinga by'ubururu n'umuhengeri ku ruhu rwe, bishobora gutera impungenge cyane. Iyi ndwara ni yo twita mu buvuzi "Blueberry Muffin Rash." Iri zina rishobora kumvikana nk'iry'ibidasanzwe, ariko ni ngombwa kubimenya kuko hari impamvu nyinshi zikomeye zibitera.

Iyi 'bururu muffin rash' ni iki?

Mu magambo make, iyi ni indwara y'uruhu ishobora kwibasira abana bavutse ndetse n'impinja nto. Yitwa 'blueberry muffin rash' kuko ibyo bitonyanga bisa n'utudomo tw'ubururu-umuhengeri kuri muffin ya blueberry. Bishobora kugaragara nk'uduce tw'uruziga cyangwa nk'udusimba twazamutse ku ruhu.

Hari impamvu eshatu z'ingenzi zishobora gutuma ibi bipimo bigaragara:

1. Gutera amaraso mu maraso hanze y'umuyoboro w'amagufwa: Ubusanzwe, amaraso yacu akorerwa mu muyoboro w'amagufwa. Ariko, bitewe n'indwara zimwe na zimwe, uturemangingo dukora amaraso dutangira kwirundanya no gukora udutsiko hanze y'umuyoboro w'amagufwa, nko mu ruhu. Utwo dutsiko tw'uturemangingo ni two tugaragara nk'uduheri.

2. Kuva amaraso mu ruhu (Purpura): Ubu bwoko bw'ikizinga cy'umuhengeri bushobora kubaho iyo amaraso ashotse mu ruhu bitewe no kwangirika kw'imitsi y'amaraso cyangwa intege nke mu mikorere y'amaraso yo kuvura.

3. Gukwirakwira kw'uturemangingo twa kanseri (Metastasis): Mu bwoko bumwe na bumwe bwa kanseri, uturemangingo twa kanseri dushobora gukwirakwira ku ruhu ruva mu bindi bice by'umubiri bigatera ibibyimba nk'ibi.

Indwara nyinshi zitera ibi bitatu ntizikunze kubaho. Nanone, umwana wawe akunze kugira ibindi bimenyetso hamwe n'ibi bibara. Ibi bibara ntibizakira ubwabyo. Kubwibyo, 'ubururu bw'ibishyimbo bya blueberry' ni ikimenyetso gikomeye cy'uko umwana wawe akeneye kwitabwaho na muganga byihutirwa.

Ni ibihe bintu by'ingenzi bishobora gutera ibi?

Ntugire ikibazo, tuzavuga neza ku byiciro by'ingenzi by'impamvu bigira ingaruka kuri ibi, imwe imwe ku yindi.

Ubwandu bwa TORCH

TORCH ni ijambo rihinnye risobanura amatsinda menshi y'indwara zifata umwana uri mu nda cyangwa umwana ukiri mu nda. Izi ndwara zishobora kwanduzwa umubyeyi n'umwana mu gihe atwite, mu gihe cyo kubyara, cyangwa nyuma yo kubyara.

URUSHI rusobanura:

• T - Toxoplasmose
• O - Izindi ndwara - urugero nka syphilis, inkoko, parvovirus B19
• R- Rubela
• C - Virusi ya Cytomegalovirus (CMV)
• Virusi ya Herpes simplex (HSV)

Hamwe n'izi ndwara, umwana ashobora kandi kugaragaza ibindi bimenyetso nko kugira umuriro, kugorwa no konka, kurwara umuhondo, kuvukana ibiro bike, kutumva neza, no kwiyongera k'umwijima n'umwobo (hepatosplenomegaly).

Ibi bigaragaza akamaro ko kujya kwa muganga ku gihe no gukorerwa ibizamini bikenewe mu gihe utwite. Binyuze muri ibi, ushobora kumenya mbere y'igihe niba ufite ubwo bwoko bw'indwara cyangwa niba ufite ubudahangarwa kuri zo.

Hari ibibyimba na kanseri zimwe na zimwe

Hari ubwoko bumwe na bumwe bwa kanseri zo mu bwana bushobora gutera iyi "blueberry muffin rash". Izi ni indwara zidasanzwe.

• Histiocytosis
• Leukemia (kanseri y'amaraso)
• Mastocytosis
• Neuroblastoma
• Rhabdomyosarcoma
• Indwara ya myeloproliferative y'igihe gito - Iyi ikunze kugaragara cyane cyane ku bana bafite Down syndrome.

Izi ndwara zishobora guherekezwa n'ibimenyetso nko kunanirwa cyane, umuriro, kugabanya ibiro, kutagira isura nziza (kubera kubura amaraso), kubyimba kw'uturemangingo tw'amaraso, no kugorwa no guhumeka.

Ibindi bibazo bifitanye isano n'ikorwa ry'amaraso (Extramedullary Hematopoiesis)

Nkuko twabiganiriyeho mbere, ibi byatsi biterwa no gucika kw'amaraso hanze y'umura. Hari ibindi bintu bituma ibi bibaho ni ibi bikurikira:

• Indwara ya hemolytic y'umwana ukiri mu nda: Gusenyuka vuba k'uturemangingo dutukura tw'amaraso y'umwana bitewe n'ibintu nko kudahuza kw'ubwoko bw'amaraso ya ABO hagati ya nyina n'umwana.
• Indwara yo mu maraso: Indwara yo mu maraso ituma habaho impinduka mu miterere y'uturemangingo dutukura tw'amaraso.
• Indwara yo gukwirakwiza amaraso hagati y’impanga zisangiye ingobyi imwe: Kutagera kw’amaraso mu buryo bungana hagati y’impanga zisangiye ingobyi imwe.

Ni gute abaganga babona impamvu nyayo?

Muganga w'umwana wawe azabanza gusuzuma umwana wawe neza kandi arebe ibindi bimenyetso. Hanyuma, azagusaba ibizamini byinshi kugira ngo amenye impamvu nyayo.

Iyo hakekwa ko hari ubwandu bwa TORCH, muganga ashobora no gusaba umubyeyi gukorerwa ibizamini bifatika.

Ni ubuhe buryo bwo kuvura ibi?

Iki ni ikibazo abantu benshi bafite. Wibuke ko uburyo bwo kuvura "blueberry muffin rash" ari ukuvura indwara yateye. Ni ukuvuga ko kubera ko ibi byatsi ari ikimenyetso, tugomba kuvura indwara yateye iyo ndwara.

Urugero:

• Iyo impamvu ari ubwandu bwa TORCH, imiti igabanya ubukana bw'ibicurane, imiti igabanya ubukana bw'ibicurane, cyangwa imiti igabanya ubukana bw'ibicurane itangwa.
• Niba impamvu ari kanseri nka neuroblastoma, kubagwa, chimiotherapie, immunotherapy, cyangwa radiation therapy bishobora kuba ngombwa.

Itsinda ry’abaganga b’umwana wawe rizagusobanurira gahunda nziza yo kuvura umwana wawe, bityo ntutinye kubaganiriza ku bibazo cyangwa impungenge ushobora kuba ufite.

Ni ryari ugomba guhita ubonana na muganga?

Igisubizo cyonyine kuri ibi ni "Ako kanya!"

Nubwo iyi ndwara idakunze kubaho, ishobora kuba ikimenyetso cy'uko hari ikintu gikomeye kirimo kuba ku mubiri w'umwana wawe. Ibi bishobora gutera ubwoba cyane, ariko icy'ingenzi ni ukudatinya no kugira icyo ukora vuba. Itsinda ry'abaganga rizahita rishakisha impamvu kandi ritange ubuvuzi bwiza ku mwana wawe.