Ese urwagashya rwawe rukora cyane? (Hypersplenisme) Reka tubyige mu buryo bworoshye!

Ese hari igihe wumva unaniwe? Cyangwa ufite igisebe gito kidahagarika kuva amaraso? Wenda ufite utudomo tw'ubururu ku mubiri wawe? Hari igihe ibi bishobora guterwa n'agace gato k'umubiri wacu gakora cyane . Uyu munsi, reka tuvuge kuri iyi ndwara (Hypersplenism), kimwe no kuvugana n'inshuti yawe.

Iki ni iki (Hypersplenisme)?

Muri make, hypersplenisme ni igihe uturemangingo twawe dukora cyane. Imwe mu nshingano z'ingenzi za uturemangingo ni ugukura uturemangingo bishaje twangiritse mu maraso yacu. Uturemangingo dukora nk'aho dukusanya imyanda mu rugo rwacu. Ariko rimwe na rimwe, iyo uturemangingo dutangiye gukora cyane , dutangira gukura uturemangingo tw'amaraso tuzima vuba kurusha uko bikwiye. Icyo gihe umubiri wacu ugira ikibazo cyo kubura uturemangingo tw'amaraso, cyangwa "Cytopenia". Ni nk'aho ibintu byiza bikurwa vuba cyane.

Iyi ndwara igira ingaruka zite ku mubiri wawe?

Hypersplenisme ishobora gutuma ubwoko bumwe cyangwa bwose bw'uturemangingo tw'amaraso mu mubiri wawe bugabanuka. Ibi bishobora gutera indwara nka:

• Anemia : Uku ni ukugabanuka kw'uturemangingo dutukura tw'amaraso . Uturemangingo dutukura ni two dutwara umwuka wa ogisijeni mu mibiri yacu. Rero iyo dufite ikibazo cyo kubura umwuka, ushobora kumva unaniwe igihe cyose, ukumva urimo gukonja, rimwe na rimwe ukumva uzumva umeze nk'ufite isereri, ndetse ukagira ingorane zo guhumeka . Ni nk'aho umubiri wawe ubuze ibikomoka ku binyabiziga.
• Leukopenia: Uku ni ukugabanuka kw'uturemangingo tw'amaraso twera. Uturemangingo twera tumeze nk'abasirikare mu mubiri wacu barwanya indwara. Rero iyo uturemangingo twera turi hasi, ibyago byo kurwara indwara biriyongera. Ibintu nk'umuriro n'ibicurane bishobora kubaho kenshi.
• Thrombocytopenia: Uku ni ukugabanuka kwa platelets. Platelets zifasha kubumba amaraso. Ni ingenzi mu guhagarika kuva amaraso, ndetse no mu gikomere gito. Rero iyo ari make , bishobora kugorana guhagarika kuva amaraso, ibikomere bishobora kugaragara ku mubiri, kandi ishinya rishobora kuva amaraso .

Iyi ndwara (hypersplenism) ishobora kuba yoroshye cyane kuri bamwe, kandi ishobora no kuba ikomeye cyane ku bandi. Igipimo cyo kugabanuka kw'uturemangingo tw'amaraso nacyo kiratandukanye bitewe n'umuntu ku wundi. Hari abantu bashobora kutagira ingaruka zikomeye kandi ntibakeneye kuvurwa. Ariko, cyane cyane iyo iyi ndwara ibayeho hamwe n'indi ndwara ikomeye, ishobora kuba ikintu gikomeye bigira ingaruka ku buzima bwawe muri rusange.

Hypersplenisme ibaho ite?

Hypersplenisme ikunze guterwa n'uko urwagashya rwawe rurushaho kuba runini (`(Splenomegaly)`). Tekereza nawe, uko urwagashya rwawe rugenda rukura, niko amaraso rushobora kubika ariyongera. Hanyuma, urwagashya rufata uturemangingo twinshi tw'amaraso icyarimwe. Uko rukomeza gutya, rwongera ingano y'amaraso ruyungurura, amaherezo rutangira no gukuraho uturemangingo twinshi tudafite indwara kurusha uko bikwiye.

Dore zimwe mu mpamvu nyamukuru zitera kwiyongera k'umwobo w'impatwe (hypersplenism):

• Indwara z'umwijima : Indwara zigira ingaruka ku mwijima wawe, nka hepatite idakira cyangwa cirrhose, zishobora gutera umuvuduko mwinshi mu mitsi itwara amaraso mu mwijima no mu gituza . Ibi byitwa portal hypertension. Ibi bituma ingano y'amaraso mu gituza yiyongera, bigatuma igituza kibyimba, cyangwa kikarushaho kwiyongera.
• Indwara: Zimwe mu ndwara zandurira mu maraso, nka mononucleosis (izwi kandi nka indwara yo gusomana) na virusi itera SIDA, indwara zandurira mu maraso (nk'igituntu, endocarditis, indwara yo mu mutima), hamwe n'indwara ziterwa n'udukoko (nka malariya, toxoplasmosis) zishobora gushyira imbaraga nyinshi ku budahangarwa bw'umubiri bw'agace k'umubiri. Ibi bituma agace k'umubiri gakora ubudahangarwa bwinshi n'uturemangingo tw'umubiri kuruta uko gakeneye. Uku kwiyongera cyane kw'uturemangingo (hyperplasia) bishobora kongera ingano rusange y'agace k'umubiri.
• Indwara z’ubudahangarwa bw’umubiri: Indwara z’ubudahangarwa bw’umubiri zifata igihe kirekire nka lupus, sarcoidosis, na rubagimpande zishobora gutuma ubudahangarwa bw’umubiri bukora cyane, bigatera hyperplasia (ubwinshi bw’uturemangingo tw’udusimba). Iki ni cyo gihe ubudahangarwa bw’umubiri bwacu bwibasira uturemangingo twacu.
• Kanseri: Muri kanseri zifitanye isano n'amaraso nka kanseri y'amaraso cyangwa myeloproliferative neoplasms (MPNs) na lymphomas, uturemangingo twa kanseri twinjira mu gahanga tugatangira kwiyongera aho ngaho. Ibi kandi bituma agahanga karushaho kwiyongera.
• Indwara z'amaraso: Indwara zitera uturemangingo dutukura kwangirika vuba, nko kugira amaraso make mu maraso (aho uturemangingo dutukura twangirika vuba) na neutropenia, bishyira umutwaro uremereye ku ndurwe, ari na yo ituma tuyikuramo. Nk'uko tunanirwa iyo dukora cyane.
• Indwara z'imikorere y'umubiri zikomoka ku ruhu:Indwara zituma ibintu bitandukanye byirundanya mu maraso bikagera mu ngingo z'umubiri, nka Niemann-Pick disease, Gaucher disease, na sickle cell disease, zishobora no kugira ingaruka ku gasabo k'inkari, bigatuma gakura.

Ni ibihe bimenyetso bya (Hypersplenisme)?

Hari igihe ushobora kutagira ibimenyetso nubwo waba ufite hypersplenisme. Icyo ni cyo kibazo kiri muri ibi. Ariko, niba ibimenyetso bigaragaye, bishobora kuba birimo:

• Ibimenyetso by'uko urwagashya rwagutse:
• Ushobora kumva ububabare cyangwa kutamererwa neza mu nda yawe yo hejuru y'ibumoso . Kuri bamwe, ibi bishobora kumva nk'aho biremereye.
• Hari igihe ushobora kumva agahu iyo ukozeho n'ukuboko kwawe. Ubusanzwe, ntabwo twumva agahu nk'ako.
• Kubera ko urwagashya rwinshi rukandagira mu nda munsi yarwo, ushobora kumva uhaze ndetse no nyuma yo kurya ibiryo bike . Ibi bishobora no gutuma utakaza ubushake bwo kurya.
• Ibimenyetso bya Anemia: Nkuko twabivuze, uturemangingo dutukura tw'amaraso ni two dutwara ogisijeni mu ngingo z'umubiri wacu. Rero iyo tudafite ogisijeni ihagije, uturemangingo turabura ogisijeni. Ingaruka zabyo ni izi:
• Ushobora kumva umeze nk'uzunguza, ufite intege nke, kandi unaniwe (ukumva unaniwe nubwo wamaze gukora akazi gato).
• Ushobora kumva urimo gukonja kandi ukagira umutwe kenshi .
• Uruhu rwawe rushobora kugaragara nk'ururabagirana . Abandi bashobora kureba isura yawe bakakubaza bati "Kuki ufite ururabagirana?"

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane kubonana na muganga kugira ngo akugire inama.

Wamenya ute ko ufite hypersplenisme?

Muganga azabanza arebe niba urwagashya rwawe rwagutse (`(Splenomegaly)`) kandi azapima n'umubare w'uturemangingo mu maraso yawe.

• Hari igihe muganga wawe ashobora kumva urwagashya rwawe rwagutse mu gihe cyo gupimwa . Muganga azumva uruhande rw'ibumoso rw'inda yawe.
• Isuzuma rya ultrasound rishobora gukorwa kugira ngo ryemezwe. Ibi bishobora gupima neza ingano y'agahu.
• Ikizamini cy’ibarura ry’amaraso ryuzuye (CBC) gishobora kugaragaza neza ubwoko bw’uturemangingo (uturemangingo dutukura, uturemangingo twera, uduce duto tw’amaraso) turi hasi mu maraso yawe n’uko turi hasi. Iki ni cyo kizamini cy’ingenzi cyane.

Hypersplenisme ivurwa ite?

Hypersplenisme akenshi ni ingaruka mbi kandi ni ikimenyetso cy'indi ndwara ikomeye cyane. Rero, niba utarafatwa n'iyi ndwara cyangwa utaratangira kuyivura, muganga wawe azabanza kuyisuzuma. Muganga wawe azakenera kandi gukora ibizamini byinshi kugira ngo amenye impamvu nyayo. Iyo impamvu ivuwe, imikorere y'agace k ...

Uburyo bwo kuvura hypersplenisme buterwa n'ubukana bwayo. Bushobora kuba bukubiyemo:

• Guterwa amaraso: Umubare w'uturemangingo tw'amaraso yawe ugabanuka usubizwa mu maraso yawe. Ibi bishobora gukorwa utanga uturemangingo dutukura niba uturemangingo dutukura tw'amaraso yawe turi hasi, cyangwa utwo dukoko dutukura niba uturemangingo dutukura tw'amaraso turi hasi.
• Uburyo bwo kuvura hakoreshejwe imirasire mike cyangwa gukoresha radiofrequency ablation: Ubu buryo bwombi bukoreshwa n'abaganga mu kwibasira no kwangiza ingingo mu mubiri, nka kanseri. Ubu buryo bushobora gukoreshwa mu kuvura hypersplenisme no kugabanya splenisme yawe yagutse kugeza ku bunini bwayo busanzwe. Muganga wawe ashobora kukugira inama yo kubigaragaza niba hypersplenisme yawe ikomeye kandi indwara yabyo idashobora kuvurwa kugira ngo igabanuke splenisme.
• Kubaga splenectomy: Mu bihe bimwe na bimwe bikomeye, niba ubundi buryo bwo kuvura butagenze neza, muganga wawe ashobora kukugira inama yo gukuraho igice cy’umuyoboro wawe cyangwa wose. Ushobora kubaho udafite umuyoboro, ariko bigabanya ubudahangarwa bw’umubiri wawe. Bitewe n’uburwayi bwawe, ibi bishobora kwangiza cyane aho kugira ingaruka nziza. Kubwibyo, kubaga splenectomy akenshi bikorwa nk'uburyo bwa nyuma. Niba ubaye, muganga wawe ashobora kukugira inama yo kubona inkingo zihariye zo kukurinda indwara zisanzwe. Mu bihe bimwe na bimwe, ushobora kandi guhabwa imiti yica udukoko yo kwirinda gufata buri munsi nyuma yo gukuraho umuyoboro wawe.

Ni iki nakwitega muri iki kibazo?

Hypersplenisme ni indwara ishobora kuvurwa. Ariko, ibizamini byawe biterwa n'indwara yabyo. Hari indwara z'igihe gito (urugero: zimwe mu ndwara zandura), izindi zikaba zidakira (urugero: cirrhose, zimwe mu ndwara zishingiye ku bushobozi bw'umubiri), izindi zikaba zigenda zikura (urugero: kanseri). Niba hypersplenisme itera umubare muto w'uturemangingo tw'amaraso (urugero: cytopenia), guterwa amaraso bishobora kugufasha kugarura umubare w'uturemangingo tw'amaraso yawe. Ikintu cy'ingenzi ni ugukorana bya hafi na muganga wawe no gukurikiza gahunda yawe yo kuvura witonze.

Ni irihe tandukaniro riri hagati ya (Hypersplenisme) na (Splenomegaly)?

Hashobora kubaho urujijo ruke iyo tuvuga kuri ibi bibiri, reka tubisobanure neza.

• Splenomegali bivuze ko urwagashya rwawe ari runini cyane .
• Hypersplenisme ni igihe urwagashya rukora cyane kandi rukavanaho uturemangingo twinshi tw’amaraso.

Muri make, Hypersplenisme ni ingaruka mbi za Splenomegaly. Ibintu bitandukanye bishobora gutuma spleen yaguka kandi igakora cyane. Ariko,Hypersplenisme ntihora ibaho kuko agahu kaba karagutse. Ni ukuvuga ko atari agahu kose gakora cyane kaba karagutse, ariko si agahu kose gakora cyane. Urabyumva? Ni nk'aho atari buri wese ufite imodoka nini utwara vuba, ariko umuntu utwara vuba akenshi aba ashobora guhitamo imodoka nini kandi ikomeye.

Hypersplenisme mu by’ukuri ni ikimenyetso cy’indi ndwara. Hashobora kuba hari indwara mu gahanga kawe, cyangwa ishobora gutangirira ahandi mu mubiri wawe. Kubera ko gahanga kawe gafite uruhare mu kubika no kuyungurura amaraso, indwara zibigiraho ingaruka akenshi zishobora kuba zifitanye isano n’amaraso yawe cyangwa imitsi y’amaraso.

Kuvura hypersplenisme akenshi bikubiyemo kuvura ikibazo cyayo. Kenshi na kenshi, agace kayo gashobora kongera gukora neza. Ariko, niba indwara yawe ikomeje, ushobora gukenera guterwa amaraso kugira ngo wongere umubare w’uturemangingo tw’amaraso yawe, cyangwa muganga wawe ashobora gufata icyemezo cyo kuvura agace kayo mu buryo butaziguye.

None se, ni ibihe bintu tugomba kwibuka muri ibi byose? (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze byinshi kuri hypersplenisme. Dore ibintu bike byoroshye ugomba kuzirikana:

• Hypersplenisme ni igihe urwagashya rwawe rukora cyane rukavanaho uturemangingo twinshi tw’amaraso (uturemangingo dutukura, uturemangingo twera, platelets) kuruta uko bikenewe.
• Impamvu nyamukuru ibitera ni ukwiyongera k'umwobo (`(Splenomegaly)`) . Kwiyongera k'umwobo gushobora guterwa n'indwara zitandukanye zishingiyeho nk'indwara z'umwijima, ubwandu, na kanseri.
• Niba ubonye ibimenyetso nko kunanirwa kenshi, kurwara byoroshye, kuva amaraso bifata igihe kirekire kugira ngo bihagarare ndetse no mu gisebe gito, kubabara igice cyo hejuru cy'ibumoso cy'igifu cyawe, no kumva uhaze ndetse no nyuma yo kurya ibiryo bike, ni ngombwa gushaka inama kwa muganga.
• Hypersplenisme ivurwa binyuze mu kuvura ikibazo cyayo. Hari igihe guterwa uturemangingo tw’amaraso, kuvura kugira ngo bigabanye ingano y’urwererane, cyangwa, nk’uburyo bwa nyuma, gukuraho urwererane bishobora kuba ngombwa.
• Iyi ni indwara ishobora kuvurwa. Rero ni ngombwa kudatinya no gukurikiza amabwiriza ya muganga witonze.

Wibuke ko niba ufite ibi bimenyetso, ni byiza kuvugana na muganga nta bwoba. Hanyuma bashobora gukora ibizamini bikenewe, bakamenya neza ikibazo, kandi bakaguha ubuvuzi bukenewe. Uko ubimenye vuba, niko ubuvuzi burushaho koroha kandi umusaruro ukarushaho kuba mwiza.