Ese umwana wawe arwaye indwara yo mu magufwa? Reka tuvuge kuri ibi (Osteomyelitis)!

Iyo wumvise izina Osteomyelitis, ushobora kugira ubwoba gato, si byo se? Iryo jambo rishobora kumvikana nk'iritangaje gato, ariko ni izina abaganga bahaye indwara igaragara mu magufwa. Muri make, ni ukubyimba cyangwa ububyimbirwe bukomeye buba mu igufwa. Nk'uko igikomere ku ruhu rwacu gishobora kwangirika, gishobora no kuba mu igufwa. Akenshi, impamvu nyamukuru ibi ni uko utunyabuzima duto twitwa bagiteri twinjira mu magufwa tugatera indwara. Noneho, reka tuvuge kuri Osteomyelitis, ari yo ndwara iterwa n'amagufwa, mu buryo burambuye kandi bwiza? Nzabisobanura mu buryo ushobora gusobanukirwa.

Ni ibihe bimenyetso bya Osteomyelitis? Wamenya ute ko umwana wawe afite iyi ndwara?

Umwana urwaye osteomyelitis akunze kugira ububabare bukabije mu gace k'igufwa ryanduye. Uretse ibi, ashobora no kugira ibindi bimenyetso nka:

• Ushobora kugira umuriro mwinshi , ndetse rimwe na rimwe ushobora no kumva ubukonje ndetse ugahinda umushyitsi.
• Umubiri wanjye umeze nk'aho nta kintu na kimwe kiwurimo kandi unaniwe. Hari igihe numva mfite isesemi.
• Umwana asa n'aho nta buzima afite kandi atameze neza.
• Uruhu rwo hejuru y'igufwa ryanduye rushobora gutukura, kubyimba, no gushyuha ubikozeho . Aho hantu harababaza cyane.

Iyo ibi bibayeho ku bana bato, cyane cyane impinja zitabasha kuvuga, bashobora guhagarika gukoresha ukuboko cyangwa ukuguru byafashwe. Urugero, niba ari ukuguru, ntibazabishyira hasi, kandi niba ari ukuboko, ntibazahindura ukuboko kwabo. Bashobora kurira iyo umuntu agerageje gukora kuri icyo gice. Bashobora kandi kurira cyane kandi bakagaragaza ko batakaje ubushake bwo kurya. Nk'aho bagerageza kuvuga bati "Numva merewe nabi hano."

Abana bakuze, ni ukuvuga abana bato, bakunze kurwara osteomyelitis nyuma y’impanuka cyangwa imvune . Hari igihe, iyo imvune ikize kandi agace gatangira kubabara, bishobora kuba ikimenyetso cya osteomyelitis.

Urugero, niba umwana wawe amaze iminsi mike ababara ukuguru, afite ingorane zo kugenda, kandi afite umuriro, ntukabifate nk'ububabare busanzwe. Ikintu cyiza ni ukujya kwa muganga.

Iyi ndwara y’amagufwa (osteomyelitis) itera gute? Ni izihe mpamvu?

Hari uburyo butandukanye bagiteri zishobora kwinjira mu magufwa yacu zigatera ubwandu. Reka turebere hamwe ibyo ari byo:

• Gukwirakwira mu maraso: Hari igihe dushobora kugira ubwandu bwa bagiteri ahandi mu mubiri wacu, urugero nko mu muhogo, mu ruhu, cyangwa mu nzira z'inkari. Hanyuma bagiteri zo muri ako gace zifatanya buhoro buhoro n'amaraso zikagenda mu mubiri wose hamwe n'amaraso. Nk'abanzi bato bagenda mu maraso. Hari igihe izi bagiteri zishobora kwinjira mu igufwa zikanatangiza ubwandu bushya aho ngaho. Abaganga babyita (Hematogenous osteomyelitis)Uku ni ko indwara zo mu magufwa zikunze kugaragara mu bana bato.
• Kwandura indwara zitaziguye: Ubundi buryo ni uko bagiteri zinjira mu igufwa zinyuze mu gikomere. Ibi bishobora kubaho nyuma yo gukomereka bikomeye cyangwa kubagwa. Aho igufwa ryavunitse kandi igikomere kigaragara, niho cyane cyane haba hari ibyago byo kurwara osteomyelitis kuko bagiteri zishobora kwinjira mu igufwa byoroshye.
• Ikwirakwira riturutse hafi: Hari igihe, iyo ubwandu mu kandi gace kegereye igufwa (urugero, udusebe twinshi ku ruhu, cyangwa ubwandu mu ngingo) budavuwe neza, bushobora gukwirakwira buhoro buhoro mu igufwa riri hafi.

Osteomyelitis, indwara ifata amagufwa, ikunze kugaragara cyane mu bana bari munsi y'imyaka 5. Ariko, ishobora kubaho mu myaka iyo ari yo yose. Imibare igaragaza ko abahungu bafite amahirwe abiri yo kurwara iyi ndwara ugereranyije n'abakobwa.

Nanone, bamwe mu bana bafite ibyago byinshi byo kurwara osteomyelitis kurusha abandi. Urugero:

• Abana bafite ubudahangarwa bw'umubiri budakomeye .
• Abana bafite indwara zidakira nk'indwara ya sickle cell .

Ese indwara ya Osteomyelitis ni indwara yandura?

Oya, ushobora kuruhuka ubyumvise. Indwara z'amagufwa, zizwi kandi nka osteomyelitis, ntizikwirakwira mu buryo butaziguye ziva ku muntu zijya ku wundi. Ibi bivuze ko niba umwana wawe afite iyi ndwara, atazashobora kuyitera undi mwana. Ariko, bagiteri zitera osteomyelitis rimwe na rimwe zishobora gukwirakwira ziva ku muntu zijya ku wundi (urugero, binyuze mu kwitsamura, gukorora, cyangwa intoki zanduye). Niyo mpamvu ari ngombwa kugumana isuku.

Abaganga bamenya bate neza ko ufite Osteomyelitis? Ni ibihe bipimo bakora?

Niba umwana wawe afite umuriro n'ububabare mu magufwa, ni ngombwa kwihutira gushaka abaganga . Indwara ya osteomyelitis ishobora gukomera vuba mu masaha make cyangwa iminsi mike, bigatuma ubuvuzi burushaho kugorana.

Muganga azabanza asuzume umwana. Azamubaza kandi ku bijyanye n'imvune cyangwa impanuka ziherutse kubaho mu gace ububabare burimo. Hanyuma, bashobora gukora ibizamini byinshi, nko:

• Ibipimo by'amaraso: Ibi bipima umubare w'uturemangingo tw'amaraso (WBC) twiyongera mu maraso (ikimenyetso cy'ubwandu), hamwe n'ibindi bimenyetso by'ububyimbirwe cyangwa ubwandu mu mubiri.
• X-ray: Muganga wawe ashobora gusaba ko ukorerwa X-ray. Ariko, mu ntangiriro z'indwara ya osteomyelitis, X-rays ntizishobora kugaragaza ibimenyetso by'ubwandu buri gihe.
• Isuzuma ry'amagufwa cyangwa MRI:Niba ukeneye kureba igufwa mu buryo burambuye, muganga wawe ashobora kukugira inama yo kurisuzuma cyangwa kuri MRI (Magnetic Resonance Imaging). MRI zishobora gutanga amashusho asobanutse neza kandi arambuye kurusha X-rays. MRI ntishobora gusa gufasha kumenya niba ufite osteomyelitis, ahubwo ishobora no gufasha kumenya igihe ubwandu bumaze buhari n'uburyo bwakwirakwiriye.

Hari igihe muganga ashobora gukenera gufata icyitegererezo cy'igufwa ryanduye kugira ngo apime bagiteri. Ibi byitwa biopsy y'amagufwa. Iyo habonetse bagiteri, iki kizamini gishobora gufasha kumenya ubwoko bwa bagiteri no kumenya antibiyotike nziza y'ubwandu.

Ese indwara ya osteomyelitis ivurwa ite? Ese umwana azakira vuba?

Uburyo bwo kuvura osteomyelitis buterwa n'ibintu byinshi:

• Imyaka y'umwana n'ubuzima bwe muri rusange .
• Uburyo ubwandu bukabije .
• Kwandura kwaba ari ugukomeye (bivuze ko byatangiye vuba aha) cyangwa ari indwara idakira (bivuze ko imaze igihe kinini).

Ubuvuzi bukubiyemo cyane cyane imiti igabanya ububabare n'udukoko . Abana benshi barwaye osteomyelitis bazakenera kumara iminsi mike mu bitaro. Ibi bikorwa ubaha imiti igabanya ububabare mu mitsi (IV) kugira ngo barwanye ubwandu vuba. Iyo umwana yumvise ameze neza, muganga azakwemerera gutaha. Ariko, ushobora gukenera gukomeza gufata imiti igabanya ububabare, haba mu mitsi cyangwa mu kanwa, mu byumweru byinshi nyuma yo gutaha. Ibi ni ingenzi kuko ushaka gukuraho ubwandu burundu.

Mu bihe bimwe na bimwe, abaganga bashobora kubaga kugira ngo basukure igufwa ryanduye. Iyo igufwa ryagize umwobo wuzuyemo amashyira (amazi agizwe na bagiteri n'uturemangingo tw'amaraso tw'umweru), muganga azakora igikorwa cyitwa "debridement" . Ibi bikubiyemo gusukura neza igikomere, gukuraho ingingo zapfuye, no gukuramo amashyira mu igufwa. Ibi bituma igufwa rikira neza.

Witinya, abaganga bazatanga ubuvuzi bwiza ku mwana wawe. Inshingano yawe ni ugukurikiza amabwiriza ya muganga neza kandi ukamushyigikira mu rukundo.

Bifata igihe kingana iki kugira ngo umuntu akire indwara ya Osteomyelitis?

Abana benshi batangira kumva bameze neza kandi ntibarware cyane mu minsi mike uhereye igihe batangiriye kuvurwa. Imiti igabanya ubukana bw'ibiyobyabwenge itangwa mu mitsi (IV) ikunze guhindurwamo imiti igabanya ubukana bw'ibiyobyabwenge nyuma y'iminsi 5 kugeza ku 10. Abana bagomba gufata imiti igabanya ubukana bw'ibiyobyabwenge byibuze mu gihe cy'ukwezi.Antibiyotike zishobora gukenerwa. Hari igihe, bitewe n'ibimenyetso n'ibisubizo by'amaraso, ushobora gusabwa gufata umuti igihe kirekire. Kubwibyo, ni ngombwa cyane gufata umuti mu gihe cyose wategetswe na muganga wawe.

Ni iki twakora kugira ngo wirinde ko indwara ya Osteomyelitis itera?

Hari uburyo bwinshi bworoshye bwo kwirinda indwara ya osteomyelitis. Ni ngombwa cyane cyane kubungabunga uruhu rwacu.

• Gukomeza ibikomere bisukuye: Igikomere cyose, icyakomeretse, cyangwa icyakomeretse, cyaba kinini cyangwa gito , kigomba gusukurwa neza kikimara kugaragara. Cyane cyane ku bikomere birebire, gifate munsi y'amazi atemba hanyuma ugikaraba neza n'isabune byibuze iminota 5. Ibi bizakuraho mikorobe zose zishobora kuba ziri mu gikomere.
• Nyuma yo gusukura igikomere, gipfuke. Ugipfuke n'agatambaro gasukuye cyangwa igitambaro gisukuye. Ushobora kandi gukoresha amavuta yo kurwanya udukoko ushobora kugura muri farumasi. Ariko, icy'ingenzi ni ugukomeza igikomere gisukuye .
• Igikomere kigomba gutangira gukira mu masaha 24 kandi kigakira burundu mu cyumweru kimwe. Niba igikomere kimara igihe kirekire gukira, cyangwa niba hari ububabare bukabije, menya neza ko wagiye kwa muganga .
• Gukaraba intoki: Nk'ababyeyi, twe n'abana bacu dushobora kugira uruhare runini mu gukumira ikwirakwira rya mikorobe dukoresha amazi meza kandi kenshi.
• Inkingo: Menya neza ko abana bawe bahabwa inkingo zabo zose ku gihe. Izi nkingo zishobora gufasha mu gukumira indwara zimwe na zimwe za bagiteri.

Ibintu by'ingenzi cyane ugomba kuzirikana mu byo twavuze ni ibi bikurikira:

Sawa, twavuze byinshi kuri Osteomyelitis, si byo se? Ndatekereza ko ubisobanukiwe neza. Hanyuma, zirikana izi ngingo:

• Osteomyelitis ni indwara iterwa na bagiteri mu igufwa.
• Niba ufite umuriro utunguranye ujyana no kubabara mu magufwa , ntubyirengagize. Shaka inama kwa muganga ako kanya.
• Antibiyotike zitangwa nk'ubuvuzi. Gufatwa mu bitaro no kubagwa bishobora kuba ngombwa.
• Ni ngombwa gufata imiti igabanya ubukana mu gihe cyose muganga yagutegetse. Ibi bizafasha ubwandu gukira burundu.
• Gusukura ibikomere no gukurikiza isuku bishobora kugabanya ibyago byo kurwara osteomyelitis.

Niba ufite ibindi bibazo kuri ibi, ntutinye kubaza muganga w’umuryango wawe. Azagufasha kurushaho. Icy'ingenzi ni ukudatinya, kugira amakuru akwiye, no guha umwana ubuvuzi akeneye.

` Osteomyelitis, indwara y'amagufwa, indwara z'abana, indwara za bagiteri, ububabare bw'amagufwa, imiti yica udukoko, ubuzima bw'umwana