Ese ubwirinzi bw'umubiri wawe buri hasi? Reka tuvuge ku ndwara ya neutropenia!

Ese ukunze kurwara? Cyangwa se hari umuganga wigeze areba ikizamini cy'amaraso yawe akakubwira ati "Uturemangingo tw'amaraso yawe twuzuyemo umuriro?" Wenda ufite umuriro, wumva ufite intege nke, ariko ntushobora kumenya impamvu. Mu bihe nk'ibi, bishobora kuba ingenzi cyane ko umenya iyi ndwara yitwa neutropenia, tuvugaho uyu munsi. Ntugahangayike, reka tubisobanure mu buryo bworoshye.

Neutropenia ni iki? Biroroshye cyane!

Mu magambo make, neutropenia ni indwara aho amaraso yawe afite umubare uri hasi y’umubare usanzwe w’ubwoko bw’uturemangingo tw’amaraso twitwa neutrophils. Tekereza ko izi neutrophils ari abapolisi bahuguwe byihariye mu mibiri yacu. Nibo barwanya mikorobe, nka bagiteri na virusi, zinjira mu mibiri yacu zikaturinda indwara.

Izi ngabo zitwa neutrophils zikorerwa cyane cyane mu ruganda ruri mu igufwa ryacu. Rero, iyo umubare w'izi neutrophils ugabanutse, ubushobozi bw'umubiri wacu bwo kurwanya mikorobe nabwo buragabanuka. Ibyo bivuze ko amahirwe yo kwandura indwara yiyongera cyane. Mu bihe bimwe na bimwe bikomeye, ndetse na bagiteri ubusanzwe zidatera ibibazo byinshi ku muntu muzima, nk'izo mu kanwa cyangwa mu mara, zishobora gutera indwara zikomeye. Urabyumva?

Igipimo gisanzwe cya neutrophils gikwiye kuba kingana iki?

Neutropenia ishyirwa mu byiciro hakurikijwe umubare wa neutrophils mu maraso. Muri rusange byemewe ko umuntu mukuru agomba kugira nibura neutrophils 1.500 kuri mikorolitiro imwe y'amaraso. (Bamwe babona ko iyi ntarengwa ari 1.800). Dore uko isobanurwa:

• Ubudahangarwa bw'umubiri bworoheje: Hagati ya neutrophils 1.000 na 1.500.
• Ubwinshi bw'uturemangingo tw'amaraso: Hagati ya 500 na 1.000.
• Ubwinshi bw'uturemangingo tw'amaraso: Udukoko turi munsi ya 500 tw'amaraso.

Iyi ndwara ishobora kuba iy'igihe gito (ikomeye) cyangwa iy'igihe kirekire (idakira). Ishobora kandi kuvukanwa cyangwa kuboneka.

Ni nde ufite amahirwe menshi yo kurwara indwara yo mu bwonko idakira?

Neutropenia rimwe na rimwe ishobora guterwa n'indwara zandurira mu maraso. Ariko, akenshi ifatwa nk'ingaruka mbi zo kuvura kanseri, cyane cyane chemotherapy. Abashakashatsi bavuga ko abantu bagera kuri 50% bahabwa chemotherapy bashobora kurwara neutropenia.

Hari ubundi bwoko bwitwa `Benign Ethnical Neutropenia (BEN).` Iyi ni indwara ivukanwa kandi y'igihe kirekire. Ikunze kugaragara cyane mu bantu bakomoka muri Afurika, mu Burasirazuba bwo Hagati, no mu Burengerazuba bw'Ubuhinde. Aba bantu bafite umubare wa neutrophil uri munsi ya 1.500, ariko ntibafite ibyago byinshi byo kwandura.

Ni gute indwara ya Neutropenia igira ingaruka ku mubiri wanjye?

Ingaruka za neutropenia ziratandukanye bitewe n'umubare wa neutrophil ufite. Umuntu ufite neutropenia yoroheje ashobora kutagira ibimenyetso. Akenshi iboneka mu buryo bw'impanuka mu gihe cyo gupima amaraso kugira ngo amenye indi ndwara. Ariko, niba ufite neutropenia iri hagati cyangwa ikomeye, uba uri mu kaga gakomeye ko kwandura indwara. Neutropenia ikomeye ishobora gushyira ubuzima mu kaga iyo idavuwe neza. Niyo mpamvu ari ngombwa kumenya iyi ndwara.

Kuki habaho ihungabana ry'amaraso mu mubiri (neutropenia)? Ni izihe mpamvu?

Neutropenia ishobora guterwa n'ibintu bitatu by'ingenzi:

1. Umwobo w'amagufwa yawe ntukora neutrophils zihagije.

2. Gusenyuka vuba (gusenyuka) kwa neutrophils zikorwa.

3. Cyangwa, gusenya neutrophils zavutse.

Dore zimwe mu mpamvu zibitera:

• Indwara z’uturemangingo: Hari igihe iyi ndwara ishobora guhererekanywa ku babyeyi ikagera ku bana binyuze mu turemangingo. Indwara z’ubwoko bwa Benign Ethnic Neutropenia (BEN), indwara ya Cyclic Neutropenia, na kanseri y’uruhu iterwa n’indwara z’uruhu ni bimwe mu bintu biterwa n’izo mpamvu z’uturemangingo.
• Indwara: Neutropenia ishobora kandi guterwa n'indwara za virusi, bagiteri, n'izindi ndwara ziterwa n'udukoko. Urugero, harimo VIH, umwijima, igituntu, sepsis (ubwandu bukomeye bw'amaraso), n'indwara ya Lyme.
• Kanseri: Kanseri nka kanseri y’amaraso, kanseri ya kanseri, n’izindi ndwara zifata amaraso cyangwa umwongo w’amagufwa zishobora gutuma umubiri udashobora gukora uturemangingo tw’amaraso tw’umweru dukeneye, bigatera indwara yo kubura amaraso.
• Imiti: Uburyo bwo kuvura kanseri, nka chimiotherapie na radiation therapy, bushobora kwangiza neutrophils n'umusemburo w'amagufwa uzikora. Nanone, imiti imwe n'imwe yo kuvura izindi ndwara zitari kanseri ishobora kugabanya urugero rwa neutrophils nk'ingaruka mbi.
• Kubura intungamubiri: Neutropenia ishobora kubaho iyo umubiri utabonye vitamine n'imyunyungugu ihagije, nka vitamine B12, folate, cyangwa umuringa.
• Kubura ubudahangarwa bw'umubiri: Iki ni igihe ubudahangarwa bw'umubiri bwacu butumva nabi ubudahangarwa bw'umubiri bwacu maze bugakora ubudahangarwa bw'umubiri busenya neutrophils nzima. Ni nk'aho ingabo zacu zibyibasira. Indwara ya Crohn, lupus, na rheumatoid arthritis ni zimwe muri izi ndwara.

Hari igihe habaho indwara yitwa `Chronic idiopathic neutropenia`. Ni ukuvuga ko habaho neutropenia, ariko impamvu nyayo ntishobora kuboneka .

Kuki kuvura kanseri bitera indwara yo mu bwonko idakira?

Uburyo bwo kuvura kanseri nka chemotherapy ni imiti ikomeye cyane. Yica uturemangingo twa kanseri. Ariko, ishobora no kwangiza uturemangingo tuzima twigabanya vuba. Uturemangingo twacu tw’ingufu n’uturemangingo tw’umusemburo w’amagufwa na byo byigabanya vuba uturemangingo. Niyo mpamvu noropenia ikunze kugaragara mu gihe cya chemotherapy. Urugero rwa norophil rukunze kugabanuka cyane mu byumweru bibiri bya mbere by’ubuvuzi. Nyuma y’ibyo, rurongera rukazamuka buhoro buhoro.

Ni ngombwa cyane gufata ingamba zirambuye zo kwirinda indwara muri iki gihe, kuko iki gihe ubwirinzi bw'umubiri buba bucitse intege cyane.

Ni ibihe bimenyetso by'indwara yo mu bwonko iterwa n'imitsi?

Neutropenia ubwayo nta bimenyetso byihariye igira. Ariko, niba wanduye indwara ziterwa na neutropenia, ushobora kugira ibimenyetso by'izo ndwara. Kwandura kenshi bishobora no kuba ikimenyetso cya neutropenia. Dore bimwe mu bimenyetso:

• Umuriro (cyane cyane indwara yitwa febrile neutropenia)
• Umunaniro
• Kubabara mu muhogo (Pharyngitis)
• Utudomo tw'imitsi tubyimbye
• Ibisebe mu kanwa cyangwa hafi y'ikibuno
• Ububabare, kubyimba, no gutukura aho ubwandu bwatangiriye
• Kudashyira mu gifu, impiswi
• Ibimenyetso by'inkari, nko gushya iyo uri kunyara no kwihagarika kenshi

Niba ufite neutropenia yoroheje, ushobora kuba ufite neutrophils zihagije mu mubiri wawe zo kurwanya indwara. Muri icyo gihe, ushobora kutagira ibimenyetso na bimwe ugaragaza.

Ni gute indwara ya neutropenia ipimwa?

Ikizamini cy'ingenzi kandi cyoroshye cyo gusuzuma ibi ni ugupima amaraso yose (CBC) hamwe n'uburyo butandukanye . Niba uri kuvurwa nka chemotherapy, muganga wawe azajya akora iki kizamini buri gihe kugira ngo arebe urugero rwa neutrophil yawe.

Niba umuganga wawe atazi neza icyateye indwara ya neutropenia, ashobora gusaba ko hakorwa ibindi bipimo. Urugero, ushobora gufata icyitegererezo cy'umusemburo wawe w'amagufwa ugasuzumwa hifashishijwe mikorosikopi. Iki kizamini gishobora kumenya niba neutrophils zikorwa neza mu musemburo wawe w'amagufwa, cyangwa niba zirimo kwangirika nyuma yo gukorwa. Aya makuru ashobora gufasha umuganga wawe kwemeza ko indwara yanduye.

Ni ubuhe buryo bwo kuvura indwara ya neutropenia?

Hari ubwoko bumwe bwa neutropenia bushobora kudakenera kuvurwa. Ubundi buryo bwo kuvura buterwa n'impamvu ituma urugero rwa neutrophil mu mubiri wawe rugabanuka.

Ibi bikurikira bishobora gukorwa nk'ubuvuzi:

• Antibiyotike: Niba ufite indwara yo mu bwoko bwa neutropenia irimo umuriro, antibiyotike zishobora kurokora ubuzima. Akenshi uzanwa mu bitaro ugahabwa antibiyotike, nka saline, mu mitsi. Muri iki gihe, hazakorwa ibizamini kugira ngo hamenyekane icyateye iyi ndwara.
• Corticosteroids: Niba ufite neutropenia iterwa n'indwara y'ubwiyongere bw'umubiri, muganga wawe ashobora kukwandikira umuti witwa corticosteroids. Iyi miti igabanya imikorere y'ubudahangarwa bw'umubiri wawe, bigasenya neutrophils zawe.
• Igitera imbaraga cya Granulocyte colony-stimulating factor (G-CSF): Muganga wawe ashobora kandi kukwandikira imiti itera imbaraga umusokoro wawe wo mu magufwa gukora uturemangingo tw’amaraso twera. Niba uri guhabwa imiti ya chimiotherapie, ushobora guhabwa uru rushinge rwa G-CSF.

Iyo bigaragaye ko neutropenia iterwa n'umuti urimo gufata, muganga wawe azakubwira guhagarika gufata uwo muti cyangwa guhindura ingano yawo.

Ese indwara ya neutropenia ishobora kwirindwa?

Ntidushobora gukumira ubwoko bw'indwara zo mu maraso ziterwa n'imiti iterwa n'imiti. Ariko, niba uri gukora imiti iterwa n'imiti iterwa n'imiti iterwa n'imiti, niba muganga wawe akeka ko urugero rw'imiti yawe ya "neutrophil" ruri hasi, ashobora gutinza icyiciro gikurikira cya "chimiothérapie" cyangwa akagabanya urugero rwayo. Bashobora kandi kukugira inama yo gutera inshinge za G-CSF kugira ngo wongere umusaruro w'uturemangingo tw'amaraso.

Ni gute nakwirinda kwandura indwara mu gihe mfite ikibazo cyo kubura amaraso mu mubiri (neutropenia)?

Niba uzi ko neutrophils zawe ziri hasi, hari intambwe nyinshi ushobora gutera kugira ngo wirinde kwandura. Ibi ni ibintu by'ingenzi cyane ugomba kuzirikana.

• Karaba intoki zawe buri gihe n'isabune cyangwa ukoreshe umuti wica udukoko urimo alukolo.
• Harimo ibicurane na Covid-19 `(COVID-19)`Fata inkingo zawe zose ku gihe.
• Irinde abantu barwaye kandi ujye kure y'ahantu hahurira abantu benshi aho ushobora guhura n'umuntu urwaye.
• Witondere gukomereka, gukomereka, n'ibikomere (harimo na tatouage no gutobora umubiri). Vura vuba ibyangiritse ku ruhu.
• Oza imbuto n'imboga neza, utandukanye inyama n'amafi n'ibindi biribwa, kandi uteke ibiryo mu gikoni gisukuye, ubiteke neza. Muri ubu buryo, ushobora kwirinda ikwirakwira rya mikorobe.
• Ntugasangire ibikoresho byo kuriramo, ibikombe, cyangwa ibiryo n'ibinyobwa n'abandi.
• Ntugasangire ibintu nk'amasume, imashini zogosha, n'uburoso bw'amenyo n'abandi.
• Niba urimo gukora mu busitani, ambara uturindantoki.
• Irinde gukuraho imyanda y'amatungo no guhinduranya amashereka y'abana bavutse uko bishoboka kose (niba ari ngombwa, wambare uturindantoki kandi woge intoki zawe neza umaze kurangiza).
• Irinde gukoresha ibiyaga, ibidendezi, imigezi n'amazi ashyushye.
• Koresha imiti neza neza nk'uko muganga wawe yabigutegetse kugira ngo wirinde kwandura indwara.

Inyinshi muri izi nama ni ibintu dukunda gukora kugira ngo tugire ubuzima bwiza. Ariko, niba ufite ikibazo cyo kubura amaraso mu mubiri (neutropenia), ugomba kwitonda cyane. Baza muganga wawe ikindi wakora kugira ngo wirinde indwara zandura, bitewe n'imibereho yawe n'uko ubuzima bwawe buhagaze.

Ni iki giteganyijwe ku bantu bafite indwara ya neutropenia? (Isuzuma ry'uko indwara igenda imera)

Neutropenia ishobora kuvurwa, bityo icyizere ku bantu benshi ni cyiza. Ikintu cy'ingenzi ni ukwirinda kwandura no gushaka ubuvuzi vuba (niba urwaye).

Ni ryari ngomba kujya kwa muganga?

Niba urimo guhabwa imiti ya chimiotherapie cyangwa ufite indi ndwara ishobora gutera neutropenia, hita ubonana na muganga niba ubonye kimwe muri ibi bimenyetso, cyangwa uhamagare muganga wawe ako kanya kugira ngo akugire inama y'icyo wakora:

• Umuriro wa dogere selisiyusi 38 cyangwa hejuru.
• Kubira ibyuya cyangwa guhinda umushyitsi kubera ubukonje.
• Kugorwa no guhumeka.
• Kuziba izuru.
• Kubabara mu muhogo cyangwa mu ijosi.
• Inkorora nshya cyangwa inkorora isanzwe irushaho kwiyongera.
• Impiswi cyangwa kuruka.
• Kuva mu gitsina cyangwa kwishimagura.
• Ububabare, gutukura, cyangwa kubyimba ahantu hose ku mubiri.
• Impinduka mu kunyara (ububabare, gushya, gukenera kunyara kenshi).
• Uburakari bushya, cyane cyane mu gifu cyangwa mu mara.
• Kumva ufite urujijo cyangwa ukumva ufite ubwenge butandukanye n'uko bisanzwe.
• Kumva unaniwe cyane cyangwa utameze neza.

Uko uhura n’indwara ya neutropenia biterwa n’icyatumye urugero rwa neutrophil yawe rugabanuka. Niba urugero rwawe ruri hasi bitewe n’ubwandu bushya, rushobora kugaruka ku buryo busanzwe uko umubiri wawe ugenda ukira. Niba indwara ya neutrophia yawe iterwa n’indwara y’igihe kirekire cyangwa imiti ivura kanseri, muganga wawe azakurikirana urugero rwa neutrophil yawe buri gihe kugira ngo wirinde ingorane ziterwa n’ubwandu. Baza muganga wawe niba indwara ya neutrophia yawe isaba ibizamini bya muganga buri gihe n’imiti yo kwirinda kwandura.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Neutropenia ni indwara aho uturemangingo tw’amaraso tw’umubiri, twitwa neutrophils, tuba turi hasi. Ibi byongera ibyago byo kwandura. Iyi ndwara ikunze kugaragara cyane cyane ku bantu bavurwa kanseri nka chemotherapy.

Nta kibazo kirimo, hari uburyo bwo kuvura ibi. Ikintu cy'ingenzi ni iki:

• Kurikiza amabwiriza ya muganga wawe neza.
• Gufata intambwe zose zishoboka kugira ngo wirinde kwandura.
• Niba ubonye ibimenyetso by'ubwandu, nk'umuriro , shaka ubufasha kwa muganga byihutirwa.

Niba ubizi kandi ugafata ingamba zo kwirinda, ushobora gukomeza kugira ubuzima bwiza nubwo waba ufite indwara ya neutropenia. Ntugatinye kuvugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite.

Neutropenia , neutrophils, uturemangingo tw'amaraso twera, ubudahangarwa bw'umubiri, indwara zandurira mu maraso, kanseri, imiti ivura indwara