Ese uzi indwara itera kubyimba imiyoboro y'amaraso mu bwonko no mu ruti rw'umugongo? Reka tuganire kuri (CNS Vasculitis)!

Ese wigeze ugira ikibazo gikomeye cy'umutwe kidashira iminsi myinshi? Cyangwa uhita wumva umubiri wawe ugiye gucika intege, hamwe n'ibintu nko kwibagirwa no gucika intege? Ibi rimwe na rimwe bishobora kuba ibimenyetso by'indwara ikomeye, nubwo tutabyitayeho cyane. Uyu munsi, tugiye kuvuga ku ndwara igoye ariko ikomeye cyane igira ingaruka ku bwonko bwacu no ku ruti rw'umugongo.

Iki ni iki (CNS Vasculitis)? Reka tubisobanukirwe mu buryo bworoshye cyane?

Muri make, CNS Vasculitis ni ukubyimba kw'imitsi y'amaraso mu mitsi yacu yo hagati (CNS), ni ukuvuga ubwonko n'umugongo . Nk'uko iyo dukomeretse ahantu runaka mu mubiri wacu, imitsi y'amaraso itanga amaraso mu bwonko no mu mugongo irabyimba iturutse imbere. Abaganga rimwe na rimwe bayita "anginaitisi y'ibanze y'imitsi yo hagati ". Irindi zina ni "anginaitisi ya granulomatous".

Tekereza nawe, sisitemu yacu y'imitsi yo hagati ni nk'ikigo cy'umubiri wacu wose. Ibyo dukora byose tubigambiriye, kuva ku gukoresha intoki zawe kugeza ku gusoma iyi nkuru, kugeza ku byo dukora tutabizi, nko guhumeka no gutera k'umutima , biragenzurwa hano. None se bigenda bite iyo habayeho ikibazo ku mitsi y'amaraso iri ahantu hakomeye nk'aha? Niyo mpamvu tugomba guhangayikishwa n'iyi ndwara.

Ese hari ubwoko bw'ingenzi bwa CNS Vasculitis?

Yego, abaganga bagaragaje ubwoko bubiri bw'ingenzi bw'ibi:

1. Indwara ya CNS Vasculitis y'ibanze: Ibi bibaho ubwabyo, nta ngaruka z'indi ndwara iyo ari yo yose. Ni ukuvuga ko nta yindi ndwara ishobora kuboneka nk'impamvu.

2. Vasculitis ya CNS ya kabiri: Ibi bibaho bitewe cyangwa bitewe n'indi ndwara. Muri make, biterwa n'indwara yo kubyimba cyangwa indi ndwara ahandi mu mubiri. Indwara ziterwa n'ubwirinzi bw'umubiri ( ni ukuvuga indwara aho ubwirinzi bw'umubiri wacu bukoreraho) n'ubwandu ni byo bikunze gutera ubu bwoko bwa kabiri.

Ni ibihe bimenyetso by'iyi ndwara? Twayimenya dute?

Ibimenyetso bya CNS Vasculitis bishobora gutandukana bitewe n'umuntu ku wundi, ariko hari ibimenyetso bimwe na bimwe bikunze kugaragara:

• Umutwe ukabije kandi umara igihe kirekire: Iki ni cyo kimenyetso cya mbere kiza mu mutwe ku bantu benshi. Ntabwo ari nk'umutwe usanzwe, ariko urushaho gukomera kandi ushobora kumara iminsi myinshi.
• Kwibagirwa cyangwa urujijo: Ushobora kwibagirwa ibintu mu buryo butunguranye ukumva utazi icyo ukora.
• Gucika intege, kumva ibintu bidasanzwe, cyangwa impinduka mu gukoraho: Amaguru yawe ashobora kumva acitse intege, kandi ntugire icyo wumva iyo uyakozeho.
• Kumva ufite intege nke mu mubiri: Kumva nta cyo ushoboye, udashaka gukora ikintu icyo ari cyo cyose.
• Kutabona neza: Kutabona neza, rimwe na rimwe ndetse no kubona kabiri.
• Ibimenyetso by'igicuri (Indwara zo mu mutwe): Gutakaza ubwenge bitunguranye no gucika intege bishobora kubaho.
• Encephalopathy: Ibi bishobora gutera impinduka mu mitekerereze, mu myitwarire, ndetse rimwe na rimwe no gucika intege.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane gushaka inama kwa muganga vuba. Kubera ko ibi bishobora no kuba ibimenyetso by'izindi ndwara, ni ngombwa kumenya neza ikibazo.

Ni izihe ngorane zishobora guterwa n'indwara ya CNS Vasculitis?

Iyi ndwara ituma imiyoboro y'amaraso ibyimba kandi ikaba minini, bigatuma amaraso atanyura muri yo. Uko igihe kigenda gihita, ubu bubyimba bushobora kwangiza ubwonko n'umugongo, bigatera ingorane zikomeye, rimwe na rimwe zishobora no gushyira ubuzima mu kaga. Iby'ingenzi ni ibi bikurikira:

• Gutera imitsi yo mu bwonko (stroke)
• Ibitero by'icyorezo cy'amaraso by'agateganyo (byitwa kandi "imitsi mito")
• Imitsi yo mu bwonko (imitsi ishobora gushwanyagurika imiyoboro y'amaraso mu bwonko)

Izi ngorane zose zisaba ubuvuzi bwihutirwa. Niba ubonye ibimenyetso by'indwara yo mu bwonko cyangwa indwara yo mu bwonko yacitse, jya kwa muganga ako kanya cyangwa uhamagare 1990 (ambulance).

Ni izihe mpamvu zitera CNS Vasculitis?

(CNS Vasculitis) ni indwara iterwa n’ubwirinzi bw’umubiri . Muri make, ubwirinzi bw’umubiri wacu, abasirikare bagomba kuturinda indwara, batangira kwibeshya kwibasira uturemangingo twacu. Ikibaho hano ni uko ubwirinzi bwibasira imiyoboro yacu y’amaraso.

• Abantu bafite indwara ya CNS vasculitis y’ibanze bayirwara nta mpamvu yihariye, ni ukuvuga "mu buryo budasanzwe." Ntibishoboka kuvuga neza icyayiteye.
• Indwara zo mu bwoko bwa CNS zo mu bwoko bwa Vasculitis zikunze kugaragara hamwe n'izindi ndwara zitera ububyimbirwe mu mubiri. Izindi ndwara ziterwa n'ubudahangarwa bw'umubiri hamwe n'izindi ndwara zishobora kuyitera. Dore ingero nke:
• 'Lupus'
• "Granulomatosis hamwe na polyangiitis"
• "Eosinophilic granulomatosis hamwe na polyangiitis (EGPA)"
• `Microscopic polyangiitis`
• `Indwara ya Behçet`
• `Sjögren's syndrome`
• Indwara za virusi: Virusi ya Epstein-Barr, virusi ya varicella-zoster (virusi itera indwara nka chickenpox na herpes)
• Indwara za bagiteri: Igituntu, Sifi

Ni nde uri mu kaga gakomeye ko kurwara iyi ndwara?

(CNS Vasculitis) Nubwo umuntu wese ashobora kuyirwara, ikunze kugaragara cyane ku bagabo. Nubwo ikunze kugaragara cyane ku bantu bari mu kigero cy'imyaka 50, iyi ndwara ishobora kugaragara mu myaka iyo ari yo yose.

Ni gute abaganga basuzuma indwara ya CNS Vasculitis?

Umuganga azagusuzuma iyo ndwara agusuzuma umubiri we no kugukorera ibizamini byihariye. Azakubaza ibimenyetso byawe, nk'igihe wabibonye bwa mbere. Bwira muganga wawe niba ibimenyetso byawe biza bikongera bikagenda (`bisubira`), kandi niba birushaho kwiyongera mu bihe bimwe na bimwe by'umunsi cyangwa mu gihe cy'ibikorwa bimwe na bimwe.

Gusuzuma CNS Vasculitis rimwe na rimwe bishobora kuba inzira yo gukuraho izindi ndwara (isuzuma ry’uburyo butandukanye) . Ibi bivuze ko mbere yo gusuzuma iyi ndwara burundu, muganga wawe azakora ibizamini byinshi kugira ngo arebe neza ko nta zindi ndwara zikunze kugaragara. Ushobora gukenera gukora ibi bikurikira:

• MRI (Ishusho ya Magnetic Resonance)
• `CT scan` (Isuzuma rya mudasobwa)
• Angiogramu (isuzuma ryihariye rya X-ray ku mitsi y'amaraso)
• Biopsies (gufata agace k'urupapuro kugira ngo gasuzumwe)

Ushobora kandi gukenera kubonana n'inzobere mu kuvura indwara zo mu bwonko, umuganga w'inzobere mu kuvura indwara zo kubyimba .

Ni ibihe bimenyetso bifasha mu gusuzuma CNS Vasculitis?

"Ibimenyetso" ni ibimenyetso by'indwara. Ibi bishobora kuboneka na muganga wawe mu maraso yawe cyangwa mu yandi matembabuzi yo mu mubiri binyuze mu bipimo byo muri laboratwari. Dore bimwe mu bipimo muganga ashobora gukoresha kugira ngo arebe ibimenyetso bya CNS Vasculitis:

• Gupima amaraso kugira ngo harebwe niba hari amaraso make.
• Ikizamini cya ESR (igipimo cy'amaraso ya erythrocyte): Ikimenyetso cy'ububyimbirwe mu mubiri.
• Ikizamini cya poroteyine ya C-reactive (CRP): Isuzuma ibimenyetso by'ububyimbirwe birekurwa n'umwijima.
• Gutobora mu gituza: Fata urugero rw'amazi yo mu bwonko bwawe urebe niba uturemangingo tw'umweru turimo kwiyongera.

Ni ubuhe buryo bwo kuvura ibi?

Muganga wawe ashobora kukugira inama yo kuvura indwara zifata imitsi. Ikintu cy'ingenzi mu kuvura indwara ya CNS Vasculitis ni ukugabanya kwangirika itera ubwonko bwawe n'umugongo. Abantu benshi bazakenera gufata imiti ivanze yitwa corticosteroids (ubwoko bw'imiti igabanya ubushyuhe) n'imiti igabanya ubukana bw'umubiri (imiti igabanya ubushyuhe) .

Mu ntangiriro, uzahabwa ingano y'umuti iri hejuru. Nyuma (ubusanzwe nyuma y'amezi make), muganga wawe ashobora kugabanya inshuro zo guterwa inshinge n'ingano. Abaganga bawe barimo kugerageza kukujyana mu cyiciro cyo "kuruhuka" aho ibimenyetso byawe biba bike cyangwa byashize burundu.

Niba ufite indwara ya CNS vasculitis ya kabiri, uzakenera kuvurwa ukwayo kugira ngo ugenzure ikibazo cyayo, ibyo muganga azagusobanurira.

Ni ryari ngomba kujya kwa muganga?

Kora urutonde rw'ibimenyetso byawe. Nubona impinduka, andika. Bibwire muganga wawe ako kanya, cyane cyane niba ibimenyetso byawe bisa nkaho bikunze kugaragara cyangwa bikomeye kurusha mbere. Bibwire kandi muganga wawe niba hari uburyo bwo kuvura busa n'aho budakora cyangwa butameze neza nk'uko byari bimeze mbere.

Muganga wawe azakubwira inshuro ugomba kujya kwa muganga wawe, gupimwa amaraso, cyangwa gupimwa ibindi.

Niba ufite kimwe mu bimenyetso bikurikira, jya kwa muganga ako kanya cyangwa uhamagare 1990:

• Niba utekereza ko ufite ibimenyetso bya stroke cyangwa se gucika kwa aneurysm yo mu bwonko .
• Niba ufite ikibazo cyo guhumeka.
• Nta kibazo niba kureba kwawe kurushijeho kuba kubi mu buryo butunguranye, cyangwa niba utakaje kureba mu buryo butunguranye.

Niba mfite (Vasculitis yo mu Mitsi yo Hagati), ni iki nkwiye kwitega?

Nta muti uhari wa CNS Vasculitis. Ariko, abantu benshi bashobora kumara igihe kirekire bakize nyuma yo kubona imiti ivanze ibafitiye akamaro. Hari abantu bashobora kumara amezi cyangwa imyaka nta bimenyetso, ariko ibimenyetso bikagaruka.

(CNS Vasculitis) ubusanzwe ntabwo igira ingaruka nini ku mibereho yawe. Ariko ibi biragoye kubivugaho neza. Kuko (CNS Vasculitis) ishobora gutera ingorane zikomeye nka stroke na aneurysm. Iyo ingorane nk'izo zibayeho, amahirwe yo gupfa aba menshi kuruta uko bisanzwe.

Niba ufite impungenge ku buzima bwawe cyangwa uburyo CNS Vasculitis igira ingaruka ku buzima bwawe, vugana na muganga wawe.

Indwara iyo ari yo yose ifata uturemangingo tw’imitsi (CNS) ishobora gutera ubwoba. Cyane cyane iyo uzi ko ubudahangarwa bw’umubiri bwawe bwibasira ubwonko bwawe n’umugongo wawe. Ariko inkuru nziza ni uko abantu benshi barwaye CNS Vasculitis bashobora kubona imiti ihuza iyi ndwara. Iyo umaze kubona uburyo bwiza bwo kuyivura, muganga wawe ashobora kugufasha kugabanya ingaruka ibimenyetso byawe bigira ku buzima bwawe.

Wibuke ko atari bibi kubaza ibibazo bijyanye n'ubuzima bwawe. Ganira na muganga wawe ku bibazo byawe byose. Azagusubiza ibibazo byawe byose, aguhe icyizere mu bibera mu mubiri wawe, kandi agufashe kubicunga.

Ubutumwa bw'ingenzi cyane bwo kujyana mu rugo

(CNS Vasculitis) ni indwara ikomeye ariko ishobora kuvurwa. Ikintu cy'ingenzi ni ukujya kwa muganga ukimara kubona ibimenyetso no gufata imiti wahawe. Mu gihe ubana n'iyi ndwara, ni ngombwa cyane gukomeza kugirana umubano mwiza na muganga wawe. Mu gukurikiza inama zabo no kubabwira impinduka zose uhura nazo, ushobora kubaho neza n'iyi ndwara. Ntukigere utinya, nturi wenyine. Uramutse uhawe ubuyobozi bukwiye n'abaganga, iyi ndwara ishobora gukemurwa neza.

` CNS Vasculitis, uturemangingo tw'imitsi two hagati, kubyimba kw'imitsi y'amaraso, ubwonko, uruti rw'umugongo, indwara ziterwa n'ubwiyongere bw'umubiri, kuribwa umutwe