Ese ubira ibyuya byinshi? Reka tuvuge ku ndwara ya hyperhidrosis!

Ese hari igihe wumva urimo kubira ibyuya byinshi nta mpamvu? Wenda ibiganza byawe, ibirenge byawe n'amaboko yawe bihora bitose? Cyangwa ubira ibyuya byinshi ku buryo imyenda yawe itose no mu kintu gito cyane? Iki ni ikibazo abantu benshi bafite, ariko ni ikintu batinya kuvugaho gato. Reka tubiganireho birambuye uyu munsi.

Hyperhidrose ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Muri make, hyperhidrosis ni ibyuya byinshi. Ubusanzwe, tubira ibyuya kugira ngo tugenzure ubushyuhe bw'umubiri wacu. Ibyo bivuze ko ari ibisanzwe kubira ibyuya iyo dukora siporo, iyo twumva dufite ubwoba, cyangwa ku munsi ushyushye. Ariko, umuntu urwaye hyperhidrosis ashobora kubira ibyuya byinshi nta mpamvu igaragara, wenda ndetse no mu cyumba gikonje cyangwa gusa iyo turuhutse.

Uruhu rwacu rufite ubwoko bw'uturemangingo tw'ibyuya twitwa eccrine glands . Izi ni uturemangingo dukora ibyuya. Iyo ibi byuya bigeze ku ruhu bigahinduka umwuka, umubiri urakonja. Mu gihe cy'ubushyuhe bwinshi, utu turemangingo tw'ibyuya dukora cyane. Ni nk'aho robine idafunga neza kandi igasohora amazi.

Hari ubwoko bubiri bw'ingenzi bwa hyperhidrosis. Ni ubuhe?

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

1. Hyperhidrosis y'ibanze y'umuvuduko w'amazi:

• Ubu ni bwo bwoko bukunze kugaragara cyane. Mu by'ukuri ni indwara y'uruhu idakira.
• Akenshi, ibi biterwa n'impinduka mu miterere y'uturemangingo . Ibi bivuze ko niba hari umuntu wo mu muryango wawe ufite iyo ndwara, nawe ushobora kuyirwara.
• Ubu bwoko bukunze kubira ibyuya gusa mu bice bimwe na bimwe , nko mu kwaha, mu biganza, mu birenge no mu maso.
• Ibi bikunze gutangirira ku rubyiruko ruri munsi y'imyaka 25 .

2. Hyperhidrosis rusange ya kabiri:

• Muri ubu bwoko, ibyuya byinshi bishobora guterwa n'indi ndwara isanzwe (nka diyabete, indwara ya Parkinson) cyangwa ingaruka z'imiti imwe n'imwe ufata (nk'imiti igabanya ububabare nka naproxen).
• Muri ubu bwoko , ibyuya bishobora kubaho atari mu gice kimwe cy'umubiri gusa, ahubwo no mu mubiri wose.
• Hari igihe kubira ibyuya nubwo waba usinziriye nijoro bishobora kuba ikimenyetso cy'ubu bwoko.

Iyi ndwara ikunze kugaragara gute? Ni nde wibasirwa cyane?

Ubushakashatsi bwerekana ko abantu bakuru bagera kuri 3% muri Leta Zunze Ubumwe za Amerika, bari hagati y'imyaka 20 na 60, barwaye iyi ndwara. Hari abantu benshi muri Sri Lanka bafite iyi ndwara, ariko bamwe ntibashaka kuyivugaho.

Ni ibihe bimenyetso by'indwara yo gushyuha cyane mu maso? Ubyumva ute?

Ikimenyetso nyamukuru ni ibyuya byinshi. Ushobora kugira:

• Uruhu ruhora rumeze nk'urutose .
• Imyenda wambaye iratoha kubera ibyuya.
• Bisa nkaho ibyuya birimo biva mu maso no mu gahanga.

Iyo iki kibazo kimaze igihe kirekire, hari ibindi bimenyetso bishobora kugaragara:

• Ibyuya bitera uburyaryate n'ububyimbirwe bw'uruhu.
• Impumuro y'umubiri. Ibi bibaho iyo bagiteri ku ruhu zivanze n'ibyuya. Ibyuya ubwabyo ntabwo bigira impumuro, ariko iyo bagiteri zirundanyije niho impumuro ituruka.
• Uruhu rucika cyangwa rukura, cyane cyane ku birenge.

Ibi bimenyetso bishobora gutandukana bitewe n'umuntu ku giti cye. Hari abantu babibona igihe gito gusa, bikaza bikanagenda. Ku bandi, bihoraho umunsi wose kandi bikabangamira imirimo ya buri munsi.

Ikirenze byose, iyi ndwara ishobora no kugira ingaruka ku buzima bwawe bwo mu mutwe. Abantu benshi bumva bafite isoni kandi bakirinda gusabana n'abandi kubera kubira ibyuya byinshi. Niba ari uko bimeze, ni ngombwa kubonana na muganga kugira ngo agufashe guhangana n'ibi bimenyetso, ndetse no kuvugana n'umujyanama mu by'ubuzima bwo mu mutwe ku byiyumvo byawe.

Ni hehe ku mubiri ushobora kubira ibyuya cyane nk'ibi?

Nubwo dufite uduce tw’ibyuya (eccrine glands) ku mibiri yacu yose, hari twinshi muri two mu bice bimwe na bimwe. Niyo mpamvu dushobora kubira ibyuya byinshi muri ibyo bice:

• Mu maha (Axillary hyperhidrosis)
• Hyperhidrosis y'ibimera
• Ibiganza (Palmar hyperhidrosis) - Aka ni ko gace gakunze kwibasira abantu benshi.
• Agahanga n'amasaya (Craniofacial hyperhidrosis)
• Mu gice cy'igitsina
• Inda yo hasi

Kuki tubira ibyuya cyane? Impamvu ni izihe?

Impamvu nyamukuru ni ingirabuzimafatizo z'ibyuya zikora cyane. Ubusanzwe, iyo imibiri yacu ishyushye, ingirabuzimafatizo z'ibyuya zikora kugira ngo zidukonjeshe. Ibi bibaho iyo dukora siporo cyangwa duhangayika. Ariko ku bantu bafite hyperhidrosis, ingirabuzimafatizo z'ibyuya zikora ibyuya nubwo umubiri udashyushye. Ubushakashatsi buracyakomeje kugira ngo hamenyekane impamvu ibi bibaho.

Ibintu bimwe na bimwe (Itera) byongera ibyuya:

Hari ibintu bishobora gukangura imiterere y'ibyuya byawe no gutera ibyuya byinshi:

• Guhangayika, guhangayika, ubwoba, n'ibyiyumvo byo mu bwoba.
• Ubushyuhe bwinshi cyangwa ubushuhe bwinshi.
• Imyitozo ngororamubiri cyangwa imyitozo ngororamubiri.
• Ibiryo n'ibinyobwa bimwe na bimwe: ibiryo biryoshye, ibiryo bifite amavuta, ibiryo birimo isukari n'umunyu mwinshi, ibiryo birimo poroteyine nyinshi. Ibinyobwa nka ikawa na alcool birimo kafeyine.

Imwe mu miti ishobora gutera ibyuya irimo:

Kubira ibyuya byinshi nabyo bishobora kuba ingaruka mbi z'imiti imwe n'imwe ufata. Dore ingero zimwe na zimwe:

• Albuterol (Proventil®)
• Bupropion (Wellbutrin®)
• Hydrokodone
• Insuline `(Insuline (Humulin® R, Novolin® R))`
• Levothyroxine (Levothyroxine)`
• Lisinopril `(Lisinopril)`
• Naproxen (Aleve®)
• Omeprazole (Prilosec®)
• Sertraline (Zoloft®)

Niba ufata umuti nk'uyu kandi urimo kubira ibyuya cyane, vugana na muganga wawe. Ntugahagarike gufata umuti uwo ari wo wose utabanje kugirwa inama na muganga.

Zimwe mu ndwara zishobora gutera kubira ibyuya zirimo:

Hyperhidrosis ya kabiri (isanzwe) ishobora guterwa n'indwara runaka. Ingero:

• Acromegaly
• Kwandura indwara (urugero: Igituntu)
• Guhangayika
• Kanseri
• Diyabete
• Indwara z'umutima cyangwa indwara y'umutima
• Hyperthyroidism
• Gucura
• Umubyibuho ukabije
• Indwara ya Parkinson

Ese iyi ndwara ni umurage?

Yego, uri mu kaga, cyane cyane niba hari umuntu wo mu muryango wawe ufite ikibazo cy’ubwiyongere bw’ubwonko bw’imbere mu mubiri . Ubushakashatsi bwerekana ko gishobora guterwa n’impinduka mu miterere y’uturemangingo tw’umubiri .

Ese uku kubira ibyuya byinshi bishobora guteza izindi ngorane?

Yego, hyperhidrosis ishobora gutera ingorane zimwe na zimwe:

• Ubwandu bw'uruhu.
• Impinduka z'uruhu: uruhu rwerurutse, ibara rihinduka, uruhu ruracika cyangwa rukagwa.
• Ubushuhe bwinshi no koroshya uruhu (Maceration).

Uretse izi ngaruka ku mubiri, nk'uko byavuzwe mbere, bishobora no kugira ingaruka zikomeye ku buzima bwawe bwo mu mutwe . Ushobora gushukwa guhindura gahunda zawe za buri munsi no kwirinda ibikorwa bimwe na bimwe (nko kuzamura ukuboko, guhana amaboko) kuko utekereza ko abandi bazakubona ubira ibyuya. Ushobora no kwirinda ibintu ukunda kubera ibi. Kubwibyo, niba iyi ndwara igira ingaruka ku buzima bwawe bwo mu mutwe no mu mibanire yawe, menya neza ko wagisha inama kwa muganga.

Ni gute abaganga basuzuma neza ibi nk'indwara ya hyperhidrosis? (Isuzuma)

Muganga azasuzuma niba ufite hyperhidrosis nyuma yo kugusuzuma, kumva ibimenyetso byawe, no gusuzuma amateka y'ubuzima bwawe. Hari ibintu bike bakoresha kugira ngo bamenye ibi. Niba umaze nibura amezi atandatu ubira ibyuya cyane kandi ushobora gusubiza "yego" nibura ku bibazo bibiri bikurikira:, bishobora kuba hyperhidrosis:

• Ese ujya ubira ibyuya munsi y'amakwapa, ibiganza, ibirenge, cyangwa mu maso?
• Ese ubira ibyuya ku mpande zombi z'umubiri wawe?
• Ese ntabwo ubira ibyuya nijoro, cyangwa ubira ibyuya bike?
• Ese umaze byibuze icyumweru urimo kubira ibyuya?
• Hari umuntu wo mu muryango wawe ufite iyi ndwara?
• Ese kubira ibyuya bibangamira imirimo yawe ya buri munsi?
• Ese uri munsi y'imyaka 25?

Ni ibihe bizamini bikorwa kugira ngo byemezwe?

Muganga ashobora gukora kimwe cyangwa byinshi muri ibi bikurikira kugira ngo amenye impamvu:

• Ikizamini cya "starch-iyode": Hashyirwa umuti wa "iyode" ahantu hari ibyuya hanyuma "starch" igashyirwa hejuru. Ahantu hari ibyuya byinshi hahinduka ibara ry'ubururu bwijimye.
• Ikizamini cy'impapuro: Impapuro zihariye zishyirwa ahantu hari ibyuya kugira ngo zimure ibyuya. Hanyuma iyo mpapuro irapimwa kugira ngo harebwe ingano y'ibyuya biriho.
• Ibipimo by'amaraso cyangwa amashusho: Ibi bishobora gufasha kumenya icyateye ibimenyetso byawe ukoresheje icyitegererezo cy'amaraso yawe cyangwa ufata amafoto y'ibiri munsi y'uruhu rwawe.

None se, ni iki cyakorwa kugira ngo iki kibazo cya hyperhidrosis kivurwe?

Uburyo bwo kuvura buratandukanye bitewe n'igice cy'umubiri wawe cyangiritse, uburemere bw'indwara, n'ubwoko bw'ubuvuzi bukubereye. Umuganga w'uruhu ashobora kugufasha kubona uburyo bwiza bwo kuvura. Nta buryo bumwe bwo kuvura bukwiriye abantu bose.

Ibintu byoroshye ushobora gukora uri mu rugo

• Gukoresha imiti igabanya ibyuya n'imiti igabanya ibyuya: Imiti igabanya ibyuya ikora mu kuziba ingirabuzimafatizo z'ibyuya no kugabanya ibyuya. Muganga wawe ashobora kukugira inama yo gukoresha imiti idafite ikiguzi cyangwa ikoreshwa na muganga. Imiti irimo aluminiyumu niyo myiza kuri ibi.
• Koga cyangwa woge umubiri wawe kenshi: Ibimenyetso byoroheje bishobora koroherwa no koga kenshi buri munsi.
• Ambara imyenda ihumeka neza kandi ikura ibyuya: Imyenda nk'ipamba ni nziza kuri ibi. Imyenda ya sintetike nka polyester ishobora gufata ubushyuhe no gutuma ibyuya birushaho kwiyongera, bityo irinde kuyikoresha.

Imiti ishobora gufatwa ku nama z'abaganga

Muganga wawe cyangwa dermatologist wawe ashobora kukugira inama yo gukoresha imiti nk'iyi:

• Imiti irwanya kolineriji (urugero: glycopyrrolate, oxybutynin)
• Imiti igabanya ububabare (imwe mu miti igabanya ibyuya)
• Beta-blockers (cyane cyane ku bantu babira ibyuya bitewe n'umuvuduko w'ihungabana)
• Udupira tw’imiti (urugero: glycopyrronium tosylate, Qbrexza®)
• Jeli ya aluminiyumu ya kloride `(Jeli ya kloride ya aluminiyumu)`

Mbere yo gufata iyi miti, ganira na muganga wawe ku ngaruka mbi zayo.

Uburyo bwihariye bwo kuvura

Niba imiti yo mu rugo n'imiti idatanga ubutabazi buhagije, muganga wawe ashobora kukugira inama y'uburyo bwo kuvura indwara runaka nka:

• Iontophoresis: Amaboko cyangwa ibirenge byawe bishyirwa mu gikombe cy'amazi make. Igikoresho cyihariye cyohereza amashanyarazi make mu mazi, uko igihe kigenda gihita afunga impumuro z'ibyuya. Buri gikorwa kimara iminota 10-20. Ushobora gukenera gukora ubu buvuzi inshuro nyinshi. Ushobora kandi gukoresha iki gikoresho mu rugo.
• Inshinge za Botulinum toxin (Botox®): Izi nshinge zishobora guterwa mu mitsi ikora cyane igahagarika ibyuya mu gihe cy'amezi make. Ariko, uzakenera kuziterwa inshuro nyinshi.
• Uburyo bwo kuvura hakoreshejwe mikoroonde: Muganga wawe ashyira igikoresho cyihariye (nka miraDry®) ku ruhu rwawe rwuzuye ibyuya. Gisohora ubushyuhe, kikangiza burundu imiterere y'ibyuya. Ubu ni uburyo bwo kuvura bumara isaha imwe mu biro bya muganga.

Kubagwa - nk'uburyo bwa nyuma

Iyo ubundi buryo bwose bwo kuvura butagenze neza, muganga ashobora gutekereza kubagwa:

• Guca impumuro zo mu gituza hakoreshejwe uburyo bwo gukata impumuro nto cyane. Umuganga ubaga agabanya umutsi mu mubiri, agahagarika ikimenyetso kijya mu mvubura z'ibyuya kugira ngo ibyuya bivemo.
• Gukuraho ingirabuzimafatizo z'ibyuya: Umuganga ubaga akuraho ingirabuzimafatizo z'ibyuya akoresheje laser, curettage, excision, cyangwa liposuction.

Kubagwa bishobora gutanga ihumure ry’igihe kirekire ku bantu batakiriye ubundi buryo bwo kuvura. Ariko, ni ngombwa kuganira n’umuganga wawe mbere yo gufata icyemezo ku ngaruka mbi zo kubagwa .

Ese hari ingaruka mbi kuri ubu buryo bwo kuvura?

Uburyo bwose bwo kuvura bushobora gutera ingaruka zimwe na zimwe. Urugero:

• Uruhu rusharira, rwacitsemo udusebe cyangwa rufite uduheri.
• Guhindura ibara ry'uruhu.
• Ububabare cyangwa kubabara.
• Guhinduka ibara cyangwa kwangirika kw'imyenda.
• Inkovu.

Muganga wawe ashobora kukubwira neza ingaruka mbi z'ubuvuzi. Biganireho witonze mbere yo gutangira kuvurwa.

Nzumva meze neza nyuma y'igihe kingana iki nyuma yo gutangira kuvurwa?

Ushobora kumva itandukaniro ako kanya utangiye kuvurwa. Cyangwa bishobora gufata ibyumweru cyangwa amezi menshi kugira ngo ibimenyetso byawe birusheho kuba byiza. Igihe bifata kuri buri muti kiratandukanye. Muganga wawe azakubwira ibi.

Ese hari uburyo bwo kwirinda iyi ndwara ya hyperhidrosis?

Si indwara zose zishobora kwirindwa. Urugero, indwara yo mu bwoko bwa primary focal hyperhidrosis ni indwara iterwa n’uturemangingo bityo ikagorana kuyirinda. Ariko, niba ufite ubwoko bwa kabiri (bw’itsinda rusange), ishobora kugabanuka binyuze mu kugenzura indwara cyangwa mu kugabanya ingaruka mbi z’imiti.

Ni iki wakwitega mu gihe ubana n'indwara ya hyperhidrosis?

Nubwo nta muti uhari, hari uburyo bwinshi bwo kuvura bufasha mu guhangana n'ibimenyetso. Ntabwo ari indwara ishobora gushyira ubuzima mu kaga, ariko ishobora kugira ingaruka zikomeye ku buzima bwawe. Ushobora kumva ufite isoni cyangwa isoni zo kuyivugaho. Bishobora no gutuma ureka ibikorwa ukunda. Niba rero iyi ndwara igira ingaruka ku buzima bwawe bwo mu mutwe, vugana na muganga cyangwa umujyanama w'ubuzima bwo mu mutwe .

None se nta muti wuzuye uhari kuri ibi?

Nta muti uhari wo kuvura indwara y’uruhu isanzwe. Ariko, kuvura bishobora kugabanya ibimenyetso no kunoza ubuzima. Indwara ya kabiri ishobora rimwe na rimwe kugenda burundu iyo indwara cyangwa imiti yayiteye ivuwe. Ariko, si indwara zose za kabiri zishobora gukira.

Ni ryari ngomba kujya kwa muganga?

Niba ibyuya byinshi bitera kimwe muri ibi bimenyetso, jya kwa muganga:

• Niba bigira ingaruka mbi ku buzima bwawe .
• Niba ugomba kwirinda ibikorwa cyangwa abantu ukunda.
• Iyo ibintu birushijeho kuba bibi uko igihe kigenda gihita.
• Niba ubyuya usinziriye nijoro .

Ingorane: Hari igihe ibyuya byinshi bishobora kuba ikimenyetso cy'indwara ikomeye, ndetse ishobora no gushyira ubuzima mu kaga. Niba ugize ibimenyetso nko kubabara mu gatuza, isesemi, cyangwa isereri hamwe n'ibyuya, shaka abaganga vuba.

Ni iki nabaza muganga kuri ibi?

Niba ufite ikibazo cyo gushyuha cyane mu maso (hyperhidrosis), ushobora kubaza muganga wawe ibibazo nk'ibi bikurikira:

• Ni iki gituma ngira ibyuya gutya?
• Ni ubuhe buryo bwo kuvura mfite?
• Ni ubuhe buryo bwo kuvura wagira inama yo kubanza gukoresha?
• Ese hari ibindi bintu nakora kugira ngo bigabanye ibi bimenyetso cyangwa ngo nongere ubuzima bwanjye muri rusange?
• Bizafata igihe kingana iki kugira ngo ibimenyetso byanjye bigabanuke?
• Ni gute nakwifasha kugira ubuzima bwiza bwo mu mutwe?

Kuki ibyuya rimwe na rimwe binuka? Hari ubwoko bubiri bw'uturemangingo tw'ibyuya mu ruhu rwacu!

Ibyuya biva mu turemangingo twacu twa eccrine ntabwo bigira impumuro nziza.Ariko iyo ibyuya bivanze na bagiteri ku ruhu niho bitanga impumuro nziza. Ibyuya ahanini ni amazi. Uruhu rwacu rusanzwe rufite bagiteri nke. Iyo izi bagiteri zivanze n'ibitonyanga by'ibyuya, zica uduce duto two mu byuya. Iyo ari yo nzira ituma habaho impumuro ikomeye.

Dufite kandi ubundi bwoko bw'ibinure by'ibyuya byitwa apocrine glands . Izi ziherereye ahantu hari imyakura y'umusatsi, nko mu kwaha no mu myanya ndangagitsina. Amazi ava muri izi mvubura aba menshi gato kurusha amazi ava mu mvubura ya eccrine. Iyo aya mazi menshi yivanze na bagiteri ku ruhu, impumuro y'umubiri iragaragara.

Hanyuma, ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Hyperhidrosis ishobora kuba indwara y'igihe gito cyangwa kirekire, kandi ishobora kugorana kuyikemura. Ushobora kandi kwirinda gusabana n'abandi kubera gutinya uko abandi bakwitwara iyo ubonye ibimenyetso (urugero: guhana ikiganza n'intoki zuzuye ibyuya).

Nubwo nta muti uhari, ubufasha burahari! Muganga wawe ashobora kukwandikira umuti ugabanya ibyuya cyangwa imiti igufasha kugabanya ibimenyetso. Iki si ikintu ukwiye kunyuramo wenyine. Ufite uburenganzira bwo kukivugaho no gusaba ubufasha. Rero, ntugire isoni cyangwa ngo utinye gushaka inama kwa muganga. Fata ingamba zo gutuma ubuzima bwawe burushaho kuba bwiza uyu munsi!

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