Ese uzi indwara ya Hemophilia C? Reka tuvuge kuri iyi ndwara idasanzwe!

Hari igihe no gukomereka gato bifata igihe kugira ngo amaraso ahagarike, si byo se? Cyangwa wigeze wumva ko hari umuntu wo mu muryango wawe ufite indwara iterwa n'amaraso? Uyu munsi tugiye kuvuga ku ndwara y'amaraso idakunze kugaragara, ariko ni ingenzi cyane kubimenya. Iyi yitwa Hemophilia C.

Hemofiliya C ni iki?

Mu magambo make, hemofiliya C ni ubwoko budasanzwe bwa hemofiliya. Hemofiliya ni indwara aho amaraso yawe adafunga neza, bivuze ko iyo uva amaraso, ahagarara buhoro cyangwa ntahagarare. Abantu bafite hemofiliya C bafite poroteyine yihariye mu maraso yitwa factor clotting , yitwa Factor XI , ifasha mu kubumba amaraso. Ibi kandi byitwa Factor XI Deficiency kandi rimwe na rimwe byitwa Rosenthal syndrome .

Ariko, ibimenyetso bya hemofiliya C akenshi biba byoroshye kurusha iby’ubundi bwoko bwa hemofiliya (A na B). Ariko, abantu bafite hemofiliya C bashobora kuva amaraso menshi kurusha uko bisanzwe mu gihe cyo kubagwa cyangwa kubagwa amenyo. Abaganga babivura bakoresheje plasma nshya ikonje, ikorwa mu maraso yatanzwe. Iyi plasma ifasha amaraso kubumba.

Ese hemophilia C ni indwara isanzwe?

Oya, iyi ni indwara idasanzwe . Tekereza, mu gihugu nka Amerika, hafi umugabo n'umugore umwe kuri buri 100.000 barwara hemophilia C. Iyo tuyigereranije n'ubundi bwoko bwa hemophilia, hemophilia A yibasira abagabo bagera kuri 12 kuri buri 100.000, naho hemophilia B yibasira abagabo bagera kuri 4 kuri buri 100.000. Abashakashatsi ntibaramenya neza inshuro hemophilia A cyangwa B yibasira abagore.

Ni irihe tandukaniro riri hagati ya hemofiliya A, B, na C?

Ubwoko butatu bwa hemophilia ni indwara z'amaraso zivukanwa . Ni ukuvuga ko ihinduka ry'uturemangingo rigira ingaruka ku mikorere y'amaraso. Ariko hari itandukaniro rito hagati y'ubwo bwoko butatu. Reka turebere hamwe ibyo ari byo:

• Hemofiliya A na Hemofiliya B bibaho iyo umuntu azunguye gene yahinduwe n'umwe mu babyeyi be b'umubiri. Ariko, muri hemofiliya C, gene idasanzwe ishobora kuragwa n'ababyeyi bombi .
• Bitandukanye n'abantu bafite hemophilia A cyangwa B, abantu bafite hemophilia C ntibakunze kugira ibibazo byo kuva amaraso bigira ingaruka ku ngingo cyangwa imitsi . Iri ni itandukaniro rikomeye.
• Ubusanzwe, ibimenyetso by'abantu bafite hemofiliya A cyangwa B bigaragazwa n'urugero rwa poroteyine zo kuvura amaraso, cyangwa 'ibintu bituma amaraso agwa', mu maraso yabo. Urugero, umuntu ufite hemofiliya A ikomeye aba afite urugero ruto cyane rw'iyo factor. Ariko igitangaje ni uko umuntu ufite hemofiliya C ashobora kuba afite urugero ruto cyane rw'iyo factor, ariko ibimenyetso bye bishobora kuba byoroheje cyane .
• Hemofiliya A na B zishobora kugaragara ku bantu b'amoko yose n'amoko yose. Ariko, hemofiliya C ikunze kugaragara gato ku bantu bo mu bwoko bw'Abayahudi ba Ashkenazi . Ibi ntibivuze ko nta wundi muntu ushobora kuyikuramo, ahubwo ikunze kugaragara cyane muri bo.
• Hemofiliya A na B bikunze kugaragara ku bagabo kurusha abagore, ariko hemofiliya C igira ingaruka ku bagabo no ku bagore kimwe .

Ni ibihe bimenyetso bya hemofiliya C?

Abantu barwaye hemophilia C bashobora kuva amaraso adashira nyuma yo kubagwa bikomeye, gukomereka bikomeye, cyangwa kubyara. Ariko, ntibava amaraso mu buryo butunguranye , ari na bwo amaraso atangira gutemba nta mpamvu igaragara.

Abantu barwaye hemophilia C bakunze kuva amaraso mu buryo budasanzwe nyuma yo kubagwa amenyo, gukuramo iryinyo, cyangwa kubagwa tonsill.

Ibindi bimenyetso bishobora kuba birimo:

• Kuva amaraso mu mazuru kenshi.
• Ibikomere ku mubiri biturutse no ku kintu gito cyane.
• Amaraso mu nkari .
• Kuva amaraso menshi nyuma yo gukebwa.
• Ibikomere bibabaza kandi bibyimba nyuma yo kubagwa.
• Ku bagore, imihango ishobora kumara iminsi myinshi, ikaba ndende cyane.

Ni izihe mpamvu zitera hemophilia C?

Hemophilia C ni indwara y’amaraso ivuka mu muryango . Ibaho iyo ubuze poroteyine mu maraso yitwa Factor XI , imwe mu ngingo 13 zifasha mu kugabanya cyangwa guhagarika kuva amaraso. Ibi biterwa nuko udafite gene ya F11 ikwiye.

Ubusanzwe, iyi gene ya F11 iba ifite amabwiriza yo gukora Factor XI. Iyo iyi gene ihindutse, ni ukuvuga ko iyo ibaye idasanzwe, hemophilia C iravuka. Iyi gene idasanzwe ishobora kudakora Factor XI ihagije, cyangwa ntishobora kuyikora na gato.

Abagabo n'abagore bombi bazungura hemophilia C gusa iyo ababyeyi bombi b'umubiri batanze gene yahinduwe ku mwana wabo . Iyo umuntu azunguye gene imwe isanzwe ya F11 n'indi idasanzwe, uwo muntu aba afite hemophilia C, ariko nta bimenyetso agaragaza.

Noneho, reba ibishobora kubaho iyo ababyeyi bafite iyi gene idasanzwe babyaye abana:

• Abana bavutse ku babyeyi bafite iyi gene mutation ya F11 bafite amahirwe angana na 25% yo kurwara hemophilia C.
• Abana bavutse kuri abo babyeyi bafite amahirwe angana na 50% yo kuba banduye iyi ndwara, bivuze ko batwara gusa iyo gene nta ndwara.
• Abana b'abo babyeyi bafite amahirwe angana na 25% yo kuzungura gene isanzwe ya F11.

Ni gute abaganga bapima hemophilia C?

Ese uzi uburyo abaganga basuzuma hemofiliya C? Bazabanza kugusuzuma ku mubiri . Hanyuma bazabaza ibimenyetso byawe, nko kuva amaraso mu mazuru cyangwa kuva amaraso nyuma yo kuvurwa amenyo. Bazabaza kandi amateka y'umuryango wawe ndetse niba hari umuntu wo mu muryango wawe ufite hemofiliya cyangwa izindi ndwara z'amaraso . Aya makuru ni ingenzi cyane mu gusuzuma indwara.

Ni ibihe bipimo by'ingenzi bikoreshwa mu kwemeza ko umuntu arwaye indwara?

Muganga wawe azakoresha ibizamini bibiri by'ingenzi kugira ngo yemeze ko ufite indwara:

• Ikizamini cya "activated partial thromboplastin time test" (APTT): Iki ni ikizamini gikoreshwa mu gusuzuma hemophilia. Gituma muganga wawe amenya igihe bifata kugira ngo amaraso yawe agire ubwoya .
• Ikizamini cy'ibipimo byo kuzura kw'amaraso: Iki kizamini cy'amaraso kigaragaza ubwoko bwa hemophilia n'ubukana bwayo .

Mu bihe bimwe na bimwe, muganga wawe ashobora gusaba ko hakorwa ibindi bipimo bike:

• Umubare wuzuye w'amaraso (CBC): Iki kizamini gipima kandi kigasuzuma uturemangingo tw'amaraso.
• Ikizamini cya Prothrombin (PT): Iki gipimo kandi kigenzura uburyo amaraso yawe yihuta cyane.
• Ikizamini cya Fibrinogen: Iki kizamini cy'amaraso gipima ingano ya poroteyine mu maraso yitwa fibrinogen, ifasha amaraso kubumba.

Ni ngombwa kumenya ko hemophilia C rimwe na rimwe ishobora kugorana kuyisuzuma. Kuki? Ibisubizo by'ibipimo by'amaraso, cyane cyane ibisubizo by'ibipimo by'indwara yo kuzura kw'amaraso, bishobora kudahura n'ibimenyetso by'umurwayi. Urugero, ikizamini cy'indwara yo kuzura kw'amaraso gishobora kugaragaza ko urugero rw'indwara yawe ruri hasi cyane, ariko ushobora kuba udafite ibimenyetso. Nanone, ushobora kugira ibimenyetso bya hemophilia C nubwo urugero rw'indwara yawe rwaba rusanzwe. Bityo muganga azabizirikana byose maze agere ku mwanzuro.

Hemophilia C ivurwa ite?

Abantu barwaye hemophilia C bashobora kudakenera kuvurwa kugeza igihe bazabazwe cyangwa ubundi buryo bwo kwivuza. Iyo bibaye ngombwa, abaganga bakoresha 'plasma nshya ikonje', ikorwa mu maraso yatanzwe.n'imiti ivangavanze ihagarika igabanuka ry'ibintu bishobora kugabanya amaraso bitangwa nk'ibisimbura. Iyo abagore bagize imihango myinshi idasanzwe, ikamara iminsi myinshi, abaganga bashobora kubandikira ibinini byo kuboneza urubyaro .

Ese hemophilia C ishobora kwirindwa?

Oya, hemophilia C ni indwara y’amaraso iterwa n’uruhererekane, bityo ntishobora kwirindwa . Ariko, niba wowe cyangwa umuntu wo mu muryango wawe afite iyi ndwara, ubujyanama mu by’uturemangingo bushobora kugufasha gusobanukirwa ibyago byo kuyitera ku basekuruza bazaza.

Ni iki umuntu urwaye hemophilia C ashobora kwitega?

Abantu benshi barwaye hemophilia C bagira ibimenyetso byoroheje . Ni gake cyane batera ibibazo bikomeye by'uburwayi. Abantu benshi ntibagaragaza ibimenyetso kugeza bamaze gukura, kandi ibyo bimenyetso akenshi biba byoroheje cyane.

Ariko, ushobora kugira ibibazo byo kuva amaraso nyuma yo kubagwa cyangwa kuvurwa amenyo. Niba ufite hemophilia C, ni ngombwa kubaza muganga wawe ingamba zose ugomba gufata . Urugero, kumenyesha muganga wawe mbere yo kubagwa no kwirinda imiti imwe n'imwe yongera amaraso (nka aspirine).

Hanyuma, hari ibintu by'ingenzi ugomba kwibuka

Noneho rero, hari ibintu bike ugomba kwibuka mu byo twavuze:

• Hemophilia C ni indwara idakunze kugaragara mu maraso .
• Ubusanzwe, ibimenyetso byayo biba byoroheje cyane kandi ntibikunze gutera ibibazo bikomeye by'ubuzima.
• Abantu benshi bagaragaza ibimenyetso gusa iyo bageze mu za bukuru.
• Ariko, ushobora kuva amaraso menshi kurusha abandi mu gihe cyo kubagwa cyangwa kuvurwa amenyo , bityo ni ngombwa kubimenyesha muganga wawe muri ibyo bihe.
• Niba waranduye hemophilia C, ntugatinye. Vugana na muganga wawe kugira ngo umenye neza ibyo ukeneye kumenya n'uburyo bwo kwirinda ugomba gufata .

Wibuke ko gusobanukirwa neza indwara iyo ari yo yose ni yo ntambwe nziza yo kuyirwanya! Ntabwo uri wenyine, kandi inama n'ubufasha by'abaganga birahari buri gihe.

Hemofiliya C, kuvura amaraso, Factor XI, indwara z'uturemangingo, kuva amaraso, ibimenyetso, uburyo bwo kuvura