Ese ingingo zawe zumva zirimo gushya? Ese zumva zirimo gushya? Reka tuvuge kuri Peripheral Neuropathy.

Ese wigeze wumva urimo gushyuha mu biganza cyangwa mu birenge? Kuri bamwe, ibi si ugushyuha gusa, ahubwo bishobora no kuba ububabare bukabije no kubyimba. Impamvu y'ibyo bintu ishobora kuba ikibazo cy'imitsi yawe. Indwara ya Peripheral Neuropathy ni izina risanzwe ry'indwara nyinshi nk'izo z'imitsi. Nubwo iri zina rishobora kumvikana nk'iry'ibidasanzwe, iyi ndwara irakunze kugaragara cyane mu gihugu cyacu. Reka tubiganireho mu magambo yoroheje uyu munsi.

Mu magambo make, indwara y'imitsi yo mu bwonko bw'imbere ni iki?

Kugira ngo tubisobanukirwe neza, tugomba kubanza kumenya bike ku bijyanye n'imitsi yacu. Imitsi yacu ifite ibice bibiri by'ingenzi.

1. Uturemangingo tw'imitsi yo hagati: Ibi bigizwe n'ubwonko bwacu n'umugongo. Tekereza ko ari mudasobwa n'insinga nyamukuru mu mubiri wacu.

2. Sisitemu y'imitsi yo mu mpande: Ibi bivuga imitsi yose iva ku mugozi mukuru, ni ukuvuga umugongo n'ubwonko, ikagera ku maboko, amaguru n'intoki. Iyi mitsi ni nk'insinga nto ziva ku mugozi mukuru zikagera mu gice cyose cy'inzu.

Ubu urabyumva? Indwara ya Peripheral Neuropathy ni indwara ibaho iyo habayeho kwangirika cyangwa indwara ku mitsi mito ikwirakwira mu mubiri wose. Iyo iyo mitsi yangiritse, ntiyohereza ubutumwa neza mu bwonko. Niyo mpamvu dutangira kumva ibintu nko kugira ibinya no kubabara.

Iyi ndwara ishobora kugaragara ku muntu uwo ari we wese w’imyaka iyo ari yo yose, ariko ibyago byo kuyirwara byiyongera uko imyaka igenda ishira ndetse no ku bantu bafite indwara zimwe na zimwe.

Ni gute iyi mitsi yangirika?

Kugira ngo tubisobanukirwe, reka turebe icyo umutsi ari cyo. Tekereza umutsi nk'insinga y'amashanyarazi, insinga itwara umuriro.

• Axon: Iyi ni conductor y'amashanyarazi iri mu nsinga. Aha niho ubutumwa bw'imitsi bujyanwa.
• Myeline: Iyi ni icyuma cya pulasitiki gikikije insinga. Kirinda axon kandi kigafasha ubutumwa kugenda vuba.

Hari uburyo bubiri bw'ingenzi indwara y'imitsi yo mu mpande ishobora kubaho:

1. Gukuraho myelination: Iki ni igihe agakoresho ka pulasitiki k'imitsi kangiritse. Ibi bivuze ko ibimenyetso by'amashanyarazi, cyangwa ubutumwa bw'imitsi, bitagenda neza, kandi ubutumwa bushobora no "gusohoka".

2. Axonal Neuropathy: Ubu ni bwo bwoko bukunze kugaragara cyane. Aha niho imitsi iri mu mitsi yangirika. Kubera ko imitsi miremire mu mubiri wacu iri mu maguru yacu, ibimenyetso bya mbere by'ubu bwoko bwa neuropathy akenshi biba mu maguru no mu birenge.

Uburyo iyi ndwara yangirika vuba biterwa n'icyayiteye. Impanuka ishobora guhita ibaho. Hari ubwandu n'ibikomere bishobora kubaho mu minsi cyangwa ibyumweru. Indwara nka diyabete zishobora gufata amezi cyangwa imyaka kugira ngo iyi ndwara ibe.

Ni ibihe bimenyetso bya Peripheral Neuropathy?

Ibimenyetso byabyo biratandukanye cyane. Ibi biterwa nuko bishobora kugira ingaruka ku moko atandukanye y'imitsi mu mubiri wacu. Ibimenyetso bishobora kugabanywamo ubwoko butatu.

Impamvu nyamukuru ibi ni iyihe?

Hari impamvu nyinshi zitera indwara z'imitsi yo mu bwonko. Zimwe zirakunze kugaragara, izindi zikaba nkeya.

• Diyabete idacungwa (Diyabete yo mu bwoko bwa 2): Iyi ni yo mpamvu ikomeye itera indwara y’imitsi yo mu maraso ku isi no mu gihugu cyacu. Isukari nyinshi mu maraso mu gihe kirekire yangiza imitsi, cyane cyane imitsi yo mu maguru.
• Kunywa inzoga nyinshi: Kunywa inzoga nyinshi igihe kirekire byangiza imitsi mu buryo butaziguye.
• Kubura Vitamine: Kubura Vitamine, cyane cyane Vitamine B12, B1, na B6, bishobora kugira ingaruka ku mikorere y'imitsi. Nanone, gufata Vitamine B6 nyinshi bibangamira imitsi.
• Indwara zo kwirwanaho mu mubiri: Mu ndwara nka Guillain-Barré syndrome, Lupus, na rubagimpande, ubudahangarwa bw'umubiri wacu bwibasira imitsi.
• Imiti n'uburozi: Imiti imwe n'imwe ikoreshwa mu kuvura kanseri ishobora kwangiza imitsi. Ibyuma bikomeye nka lisansi na mercure nabyo bishobora kwangiza imitsi.
• Kwandura: Kwandura virusi nka VIH, shingles, n'indwara za bagiteri nka Lyme bishobora kwangiza imitsi.
• Impanuka cyangwa kubagwa: Impanuka cyangwa kubagwa bishobora kwangiza imitsi mu kuyikata, kuyivuna, cyangwa kuyikurura.
• Impamvu ziterwa n'uturemangingo: Indwara zimwe na zimwe zo mu bwonko zikomoka ku ruhu, urugero, indwara ya Charcot-Marie-Tooth.
• Idiopathic Neuropathy: Hari ubwo, nubwo hari ibizamini byose, nta mpamvu yihariye iboneka .

Umuganga abibona ate?

Niba ufite ibi bimenyetso, ni ngombwa cyane kubonana na muganga. Muganga azakurikiza intambwe nyinshi kugira ngo amenye iyi ndwara.

1. Kukubaza ibisobanuro birambuye: Bazakubaza ibibazo byinshi, nko kumenya ibimenyetso byawe, igihe umaze ubirwaye, niba ufite izindi ndwara nka diyabete, imiti ufata, ndetse niba unywa inzoga.

2. Isuzuma ry'umubiri:Muganga azasuzuma amaboko n'amaguru yawe, cyane cyane imbaraga z'imitsi, imbaraga zo gukora ku ivi ryawe n'inyundo ntoya, n'uburyo wumva (gukora ku rugingo rwawe ukoresheje ipamba cyangwa agapira gato kugira ngo arebe niba ushobora kubyumva).

3. Ibizamini byihariye: Iyo bibaye ngombwa, muganga ashobora kukwohereza mu bindi bizamini byinshi.

• Gupima amaraso: Shaka impamvu nka diyabete, kubura vitamine, n'ibibazo by'impyiko.
• Inyigo y’uburyo imitsi ikora (Electromyogram - EMG): Iki ni ikizamini cyihariye gato. Gipima umuvuduko n’imbaraga by’ibimenyetso by’amashanyarazi binyura mu mitsi yawe. Ibi bishobora gufasha kumenya niba imitsi yangiritse, kandi niba ari uko bimeze, aho iherereye.
• Isuzuma ry'imitsi: Ni gake cyane, agace gato k'imitsi gashobora gufatwa kagasuzumwa hifashishijwe mikorosikopi.

Uburyo bwo kuvura ni ubuhe? Ese ibi bishobora kuvurwa?

Uburyo bwo kuvura indwara y'imitsi yo mu mpande buterwa n'impamvu.

• Kuvura impamvu: Urugero, niba ufite indwara y'imitsi iterwa na diyabete, uburyo bw'ingenzi bwo kuvura ni ukugenzura urugero rw'isukari mu maraso yawe . Niba ari ukubura vitamine, uzahabwa vitamine.
• Imiti yo kugabanya ububabare n'ububyimbirwe: Ububabare bw'imitsi ntibugabanuka hakoreshejwe imiti igabanya ububabare isanzwe. Hariho imiti yihariye yabwo. Muganga wawe azakwandikira umuti ukubereye.
• Ubuvuzi bw'umubiri: Iyo imitsi idakomeye, ubuvuzi bw'umubiri bushobora gufasha cyane mu kuyikomeza, kunoza ingorane zo kugenda, no kunoza kuringaniza imitsi.
• Kwita ku birenge by’umwihariko: Abarwayi ba diyabete, cyane cyane, bafite ubumuga buke mu birenge byabo, bityo bashobora kutabona ibikomere. Kubwibyo, ni ngombwa kugenzura ibirenge byawe buri munsi, kwambara inkweto zikwiye, no kubonana na muganga w’amaguru.

Hari ubwo, cyane cyane iyo icyateye cyamenyekanye kandi kikavurwa hakiri kare, bimwe mu byangiritse mu mitsi bishobora gusubizwa inyuma. Ariko, indwara z’imitsi ziterwa n’indwara zidakira nka diyabete akenshi ziba burundu. Ariko, iyo uvuwe neza, birashoboka kugenzura ibimenyetso no kubaho ubuzima busanzwe .

Ni ryari ugomba kujya kwa muganga cyangwa kujya kwa ETU mu gihe cy'ubutabazi bwihutirwa?

Ubusanzwe indwara ya peripheral neuropathy ntabwo ari ikibazo cyihutirwa gishobora gushyira ubuzima mu kaga. Ariko, niba ubonye kimwe muri ibi bimenyetso bikurikira, hita ubonana na muganga cyangwa ujye mu bitaro bikuru by’ubutabazi bwihuse (ETU) by’ibitaro bikwegereye:Ni ngombwa.

• Gucika intege mu buryo butunguranye ku ruhande rumwe rw'umubiri, umunwa urekuye uruhande rumwe, kugorwa no kuvuga: Ibi bishobora kuba ibimenyetso by'indwara yo mu bwonko .
• Intege nke cyangwa ibinure bitangirira mu birenge bigakwirakwira mu mubiri vuba, guhumeka bigoranye cyangwa kumira: Ibi bishobora kuba ibimenyetso by'indwara iteje akaga nka Guillain-Barré syndrome .
• Niba ukunze kumva uzuzuwe kandi ugatakaza ubwenge igihe uhagaze cyangwa uhagurutse (cyane cyane niba kugwa byaguteye gukomereka ku mutwe, ijosi, cyangwa umugongo).
• Umutima utari mwiza (wihuta cyane cyangwa ugenda buhoro cyane).

Mu gihe cy’impanuka nk’iyi, ntugagume mu rugo ngo ushake inama z’abaganga ako kanya.