Ni ibisanzwe rimwe na rimwe gupfuka amaso. Ariko niba usanze uruhande rumwe rw'isura yawe, nk'ijisho ryawe, itama, cyangwa umunwa, ruhindaguritse cyane, ni ikintu cyo guhangayikishwa. Iyi ndwara izwi mu buvuzi nka Hemifacial Spasm. Nubwo ishobora kuba ikibazo kibangamiye gato, hari uburyo bwiza bwo kuvura bityo nta kintu na kimwe cyo guhangayikisha. Reka tubiganireho birambuye.
Mu magambo make, Hemifacial Spasm ni iki?
Hemifacial Spasm ni indwara y’imitsi ituma imitsi yo ku ruhande rumwe rw’isura yawe ihindagura inshuro nyinshi kandi mu buryo budasubirwaho. Ibi bishobora kwiyongera uko igihe kigenda gihita.
- "Hemifacial" bivuga "igice cy'isura."
- "Spasm" bisobanura "guhinda imitsi."
Iyi ndwara ikunze kugaragara cyane ku bantu bakuru bari hagati y’imyaka 40 na 60. Nanone, abagore bafite amahirwe menshi yo kurwara iyi ndwara inshuro ebyiri ugereranyije n’abagabo.
Ibi bishobora kandi kwitwa indwara yo kugenda ibaho mu mitsi yo mu mpande z'umubiri wacu.
Ese hari ubwoko bw'ingenzi bwa hemifacial spasm?
Yego, hari ubwoko bubiri bw'ingenzi bw'ibi, bitewe n'uburyo ibimenyetso bigenda bikura uko igihe kigenda gihita.
1. Gucika intege kw'imbere mu maso: Muri ubu bwoko bw'ihungabana, gucika intege gutangirira mu mitsi ikikije amaso. Buhoro buhoro, mu mezi cyangwa imyaka, bikwirakwira mu gice cyo hasi cy'isura.
2. Gucika intege kw'isura: Muri ubu bwoko, gucika intege kw'igice cyo hejuru n'icyo hasi cy'isura bitangira hafi icyarimwe. Mbere na mbere, biraza bikongera bikagenda, ariko nyuma bishobora kuba bihoraho.
Ni ibihe bimenyetso by'iyi ndwara?
Ikimenyetso nyamukuru ni ukudatuza kw'imitsi yo ku ruhande rumwe rw'isura yawe. Ibi bikunze kugaragara cyane ibumoso kurusha iburyo. Ni gake cyane ko bigira ingaruka ku mpande zombi z'isura.
Dore uko ibimenyetso bikunze gutangirira n'uko bigenda bikura:
- Bitangirana no guhumbya ijisho. Ibi biraza bigakomeza.
- Nyuma y'igihe runaka, ijisho rishobora kwifunga ryonyine .
- Hanyuma, ushobora kumva nk'aho amaso yawe arimo gukura mu buryo busanzwe .
- Nyuma, imitsi yo hasi mu maso nayo itangira gukaza. Ibi bishobora gutuma umunwa ukurura uruhande rumwe .
- Amaherezo, imitsi yo ku ruhande rumwe rw'isura ishobora kurambura burundu.
Ubusanzwe uku gucika intege ntabwo bibabaza. Ariko, bishobora kubabaza cyane kandi bigatera isoni iyo uri mu ruhame. Guhangayika, umunaniro, kurya no guhangayika nabyo bishobora kubitera.Ibi bimenyetso bishobora kwiyongera mu bihe nk'ibi. Hari abantu bagira ubwo burwayi ndetse no mu gihe basinziriye , ibyo bikaba byabangamira gusinzira.
Ibindi bimenyetso
Hari abantu bashobora guhura n'ibindi bintu uretse ibi bimenyetso by'ingenzi.
- Kumva ijwi ry' "gukubita" mu gutwi
- Kubabara ugutwi
- Kubura amatwi (cyane cyane ibya kabiri)
Kuki ibi bibaho? Impamvu ni izihe?
Impamvu nyamukuru itera ubumuga bwo mu maso ni igitutu kirekire ku mutsi wo mu maso (umutsi wa karindwi wo mu bwonko), ari wo mutsi ukomeye ugenzura imigendere y'isura.
Tekereza uko byagenda iyo umutsi w'amaraso ugenda iruhande rw'uyu mutsi mukuru ugenzura ingendo z'isura yacu ukandamizwa? Ni nk'ibuye rigwa ku muyoboro w'amazi. Hanyuma ibimenyetso biva muri uwo mutsi byahungabana. Ubwishingizi bw'umutsi (``sheath ya myelin``) bwangirika. Kubera ibyo bimenyetso byahungabanye, imitsi yatangira kunyeganyega nta bushake.
Iyi ni yo mpamvu nyamukuru itera spasm y'ibanze y'uruhu rw'imbere mu maso .
Kubabara mu gice cyo hagati cy'umubiri (Secondary Hemifacial Spasm) biterwa n'igitutu ku mitsi yo mu maso bitewe n'indi ndwara cyangwa impamvu. Zimwe mu mpamvu zitera ibi bikurikira:
- Igikomere hafi y'imitsi yo mu maso
- Indwara nk'indwara ya Bell
- Kwangirika k'ubwonko bitewe n'indwara nka sclerosis nyinshi cyangwa stroke
- Ibibazo by'imitsi y'amaraso mu bwonko, urugero nka 'aneurysms yo mu bwonko'
- Indwara zo mu matwi nka otitis media
- Ibibyimba bikura mu gasabo k'amaraso, byaba kanseri cyangwa ibitari kanseri
- Ibibazo by'imiterere y'umubiri mu gice cyo hasi cy'agahanga
Umuganga abibona ate?
Niba ufite ibi bimenyetso, muganga azabanza kugusuzuma umubiri wawe hanyuma agukorere isuzuma ry’imitsi.
Hanyuma, isuzuma rya MRI rikunze gutangwa inama yo gusuzuma izindi ndwara zikomeye zitera ibimenyetso no kumenya impamvu nyayo y’indwara yo kubabara mu ruhanga. Mu bwoko bw’ibanze, imitsi igabanya amaraso ikunze kuboneka kuri MRI.
Hari igihe ibi bimenyetso bishobora gusa n'ibindi, nka `blepharospasm` (indwara aho amaso gusa ahindagura) cyangwa `complex partial motor seizures` (ubwoko bwa epilepsy). Muri ibyo bihe, muganga ashobora kandi gukora ikizamini cyitwa EMG (Electromyography) niba ashaka kwemeza icyo ari cyo neza.
Ni ubuhe buryo bwo kuvura ibi?
Intego nyamukuru y'ubuvuzi ni ukugabanya inshuro n'ubukana bw'imitsi yo mu maso. Hariho uburyo butandukanye bwo kuvura bitewe n'impamvu n'uburemere bw'iyo ndwara.
| Uburyo bwo kuvura | Uko bikora | Ibintu ugomba kwitondera |
|---|---|---|
| Inshinge za Botulinum Toxin (Botox®) | Ubu ni bwo buryo bwo kuvura bwa mbere bukoreshwa cyane. Uru rushinge rukora mu koroshya no kugabanya intege z'imitsi ikora nabi by'agateganyo. | Uru rukingo rukunze gutangwa buri mezi 3-4 . Ingaruka mbi z'igihe gito nko kubabara mu maso no kunama kw'amaso bishobora kubaho. |
| Imiti yo kunywa | Ubu buryo burahari ku badashaka guterwa inshinge cyangwa kubagwa. Imiti nk'imiti igabanya ububabare (carbamazepine, gabapentin) n'imiti igabanya imitsi (baclofen) ikoreshwa muri ubu buryo. | Ibi ntibikorera buri wese, kandi bishobora gutera ingaruka mbi nko gusinzira no kunanirwa. |
| Kubaga | Ubu ni bwo buryo bwonyine bwo gukemura iki kibazo. Ubu buryo bwo kubaga, bwitwa "Microvascular decompression," burimo gukuraho umutsi ukandagira ku mitsi no gushyiramo umusego muto hagati yayo. | Ibi ni byiza gusa ku bantu bafite indwara zikomeye kandi batewe Botox. Hari ingaruka zimwe na zimwe zijyanye no kubagwa (urugero: gutakaza amatwi, kwangirika kw'imitsi yo mu maso). |
Ese Hemifacial Spasm ni indwara iteje akaga?
Gucika intege mu maso ubwabyo ntabwo ari ikibazo gikomeye ku mubiri. Ariko, ikibazo cy’uburwayi kibitera ni uko.(urugero: ikibyimba cyo mu bwonko) gishobora guteza akaga. Niyo mpamvu ari ngombwa kujya kwa muganga vuba ibimenyetso bikimara kugaragara.
Byongeye kandi, iyi ndwara ishobora kugira ingaruka ku mibereho myiza.
- Ihungabana ry'ibitotsi
- Ingorane zo mu mutwe nko guhangayika mu mibanire y'abantu, guhangayika no kwiheba
- Impanuka zishobora guterwa no gufunga amaso mu buryo butunguranye, nko mu gihe utwaye imodoka
Kubwibyo rero, niba utangiye kugira ikibazo cyo kunyara mu maso, ntukirengagize utekereza uti, 'Ibi bishobora kuba ari ikintu gusa.' Ni ngombwa cyane kujya kwa muganga ukamenya impamvu.
Ubusanzwe iyi ndwara ntabwo ikira ubwayo. Ariko, byatangajwe ko ikira ku buryo butunguranye mu bantu bagera kuri 10%. Ntabwo biramenyekana neza uko ibi bibaho.
Hemifacial Spasm ni indwara ibabaza cyane kandi ibangamira ubuzima bwa buri munsi. Ntabwo ari byiza kumva udashobora kugenzura umubiri wawe. Ariko icyiza ni uko ubu hari uburyo bwiza bwo kuvura. Niba wumva kandi ko uruhande rumwe rw'isura yawe ruhora ruhinda, kandi bisa nkaho birushaho kuba bibi, gana muganga. Ashobora kugusuzuma, akagushakira impamvu, akaguha gahunda nziza yo kuvura.
Ubutumwa bwo kujyana mu rugo
- Hemifacial Spasm ni indwara y'imitsi ituma imitsi icikagurika ku ruhande rumwe rw'isura yawe.
- Ibi akenshi biterwa n'uko umutsi w'amaraso ukandagira ku mitsi yo mu maso, ariko bishobora no guterwa n'izindi ndwara.
- Nubwo ibi bitababaza, bishobora kubangamira ubuzima bwa buri munsi. Guhangayika bishobora kongera ibimenyetso.
- Inshinge za Botox ni uburyo bwiza cyane kandi bukoreshwa cyane. Ku ndwara zikomeye, kubagwa ni amahitamo nk'igisubizo kirambye.
- Niba ufite ibi bimenyetso, ni ngombwa kujya kwa muganga utirengagije kandi ugahabwa isuzuma n'ubuvuzi bukwiye.











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