Ese umwana wawe arwara kenshi? Bishobora kuba indwara yo mu bwonko iterwa n'imisemburo.

Ese umwana wawe arwara umuriro, ibisebe mu kanwa, cyangwa kubabara mu muhogo mu minsi imwe buri kwezi? Ese indwara imwe irashira, hanyuma ikagaruka nyuma y'ibyumweru bibiri cyangwa bitatu? Ushobora kuba utekereza uti "Ubudahangarwa bw'umubiri bw'umwana wanjye burakomeye." Yego, ibyo bishobora kuba ari ukuri. Ariko impamvu y'iyi ndwara ishobora kuba idasanzwe. Uyu munsi, turimo kuvuga kuri imwe muri izo ndwara, cyclic neutropenia.

Mu magambo make, indwara ya cyclic neutropenia ni iki?

Kugira ngo tubisobanukirwe, tugomba kubanza kumenya umusirikare uri mu maraso yacu. Izina ry'uwo musirikare ni neutrophil . Iyi neutrophil ni ubwoko bw'uturemangingo tw'amaraso twera tuturinda indwara turwanya mikorobe, cyane cyane bagiteri, zinjira mu mibiri yacu. Ni nk'ingabo ziri mu mibiri yacu.

Neutropenia ni igihe umubare w’abasirikare ba neutrophil mu maraso ugabanuka munsi y’urugero rusanzwe. Nk’uko ingabo zigenda zicika intege iyo abasirikare bazo ari bake, iyo neutrophil ari nke, ubudahangarwa bw’umubiri wacu bugenda bucika intege kandi tugatangira kwandura indwara mu buryo bworoshye.

Noneho reka turebe icyo ijambo "cyclic" risobanura. "Cyclic" risobanura "cyclical." Ibi bivuze ko urugero rwa neutrophil rudahora ruri hasi. Ruzamuka runamanuka ku ngengabihe isanzwe, mu ruziga. Mu by'ukuri, akenshi buri byumweru bitatu (iminsi 21) , urugero rwa neutrophil rugabanuka cyane mu minsi itatu kugeza kuri itanu. Hanyuma rusubira uko rumeze, hanyuma rukongera kugabanuka mu byumweru bitatu biri imbere. Uru ruziga rubaho mu buryo buzwi cyane.

Iyi ndwara ikunze kugaragara cyane. Abashakashatsi bavuga ko umuntu umwe gusa kuri miliyoni imwe mu batuye isi ari we ufite iyi ndwara.

Ni ibihe bimenyetso by'iyi ndwara?

Umwihariko w'iyi ndwara ni uko ibimenyetso bigaragara hakurikijwe uruziga rw'igabanuka ry'urugero rwa neutrophil. Ni ukuvuga ko ibi bimenyetso bigaragara mu minsi itatu cyangwa ine nyuma y'igabanuka rya neutrophil, kandi iyo urugero rwa neutrophil rusubiye ku rugero rusanzwe, ibimenyetso birashira.

Imiterere y'ibi bimenyetso ishobora guhinduka mu buzima bwose. Ku bantu benshi, ubukana bw'ibimenyetso bugabanuka uko bagera mu bantu bakuru . Ibisebe byo mu kanwa n'ibibazo by'amenyo ni ibisanzwe mu rubyiruko, mu gihe kuribwa umutwe n'indwara zandurira mu nsinus (sinusitis) bikunze kugaragara mu bantu bakuze.

Kuki ibi bibaho?

Indwara yo mu bwoko bwa Cyclic Neutropenia iterwa n'impinduka mu miterere y'uturemangingo . Impamvu nyamukuru ni impinduka mu miterere ya ELENE mu mubiri wacu.

Tekereza kuri gene nk'urutonde rw'amabwiriza abwira uturemangingo mu mubiri wacu uko dukora. GEN ELANE irimo amabwiriza yo gukora enzyme ifasha neutrophils gukora neza. Iyo habayeho inenge cyangwa impinduka muri iyi gene, neutrophils ntizishobora gukora neza.

Iyi ndwara ishobora kuragwa n'ababyeyi ikagera ku bana, cyangwa ikaba yavuka mu gihe cy'umwana uri mu nda.

Kubera iyi nenge y’uturemangingo,

• Umubiri ushobora kutagira neutrophils zihagije.
• Bitabaye ibyo, neutrophils zishobora gupfa vuba.
• Cyangwa se neutrophils zishobora kudakora neza.

Muganga, ni gute usuzuma ibi?

Ibi bimenyetso bikunze kugaragara kuva umwana avutse, bityo indwara ikunze kumenyekana akiri umwana muto. Muganga azasuzuma ibintu byinshi kugira ngo yemeze iyi ndwara.

• Amateka y’iyi ndwara mu muryango: Kubera ko iyi ari indwara umuntu avukana, irasuzumwa kugira ngo harebwe niba hari undi muntu mu muryango (ababyeyi, abavandimwe) ufite iyi ndwara.
• Gupima amaraso: Iki ni cyo cy'ingenzi cyane. Muganga wawe azasuzuma urugero rwa neutrophil mu maraso yawe kabiri cyangwa gatatu mu cyumweru mu gihe cy'ibyumweru bitandatu . Ibi bizakorwa kugira ngo barebe niba urugero rwa neutrophil mu maraso yawe rurimo kugabanuka mu buryo buhoraho.
• Imiterere y'ibimenyetso: Muganga aziga yitonze inshuro ibimenyetso bikunze kugaragara (hafi buri byumweru 3). Iyi miterere ifasha gutandukanya ibi n'ubundi bwoko bwa neutropenia.
• Gupima imiterere y'uturemangingo: Hari igihe ibizamini by'uturemangingo bishobora gusabwa kugira ngo hemezwe niba hari impinduka muri gene ya ELANE.

Mu gihe cyo gusuzuma iyi ndwara, muganga agomba gukuraho ubundi bwoko bwa neutropenia bufite ibimenyetso bisa, nka `Severe congenital neutropenia` (yahoze yitwa `Kostmann syndrome`), `Autoimmune neutropenia`, na `Idiopathic neutropenia`.

Ni ubuhe buryo bwo kuvura ibi?

Hari intego ebyiri z'ingenzi zo kuvura. Imwe ni ukuvura indwara zisanzwe. Indi ni ukongera urugero rwa neutrophil no gukumira indwara zizaza.

Ese hari ingaruka mbi zikomoka ku buvuzi?

Uburyo bwo kuvura G-CSF bushobora gutera ingaruka mbi nto. Ariko, abaganga bakunze gutangira kuvura iyi ndwara bakoresheje dose nke, bityo ingaruka mbi zikaba nke.

• Umutwe
• Ububabare mu magufwa no mu ngingo
• Isesemi n'impiswi

Ibintu nk'ibi bishobora kubaho. Vugana na muganga wawe witonze ku bijyanye n'ubuvuzi urimo guhabwa n'ingaruka zabwo.

Ni ryari ngomba guhamagara muganga?

Niba wowe cyangwa umwana wawe mufite indwara ya cyclic neutropenia, ni ngombwa cyane gushaka inama kwa muganga mu gihe mubonye ibimenyetso by'ubwandu .

Niba ubonye kimwe muri ibi bimenyetso, hita ubonana na muganga wawe. Ntugatinye kujya mu ishami ryita ku bibazo byihutirwa (ETU) niba bibaye ngombwa.

Ni iki twakora kugira ngo twirinde kwandura indwara?

Uretse kwirinda kwandura, ugomba no kwitonda mu gihe umubare wa neutrophil uri hasi.

• Buri gihe karaba intoki zawe neza, cyane cyane mbere yo kurya na nyuma yo kuva mu bwiherero.
• Komeza ubuzima bwiza bw'amenyo. Oza amenyo yawe buri munsi kandi uganire na muganga w'amenyo buri gihe .
• Fata inkingo zose zasabwe ku gihe.
• Irinde gukora ku maso, mu maso no mu mazuru utabanje gukaraba intoki.
• Fata imiti yawe neza neza nk'uko muganga wawe yabigutegetse kandi upime amaraso yawe ku gihe.

Nubwo iyi ndwara ari indwara y’ubuzima bwose, uburyo bwo kuvura bwagenze neza nka G-CSF ubu bwatumye abantu benshi bafite indwara ya cyclic neutropenia babaho ubuzima busanzwe . Icy'ingenzi ni uko nubwo hari ubundi bwoko bwa cyclic neutropenia bushobora kurwara kanseri, nka leukemia, cyclic neutropenia yo ntabwo ibaho.