Reka twige ibijyanye na phototherapy, uburyo bworoshye bwo kuvura indwara z'uruhu.

Ese urwaye indwara y'uruhu, nka psoriasis cyangwa eczema? Hari igihe bigorana kuyirwanya nubwo wakoresheje imiti myinshi, si byo se? Uyu munsi tugiye kuvuga ku buryo bwiza cyane bwo kuvura bukoreshwa muri bene ibyo bihe. Ubwo ni uburyo bwo kuvura bworoheje, cyangwa phototherapy.

Mu magambo make, fototherapi ni iki?

Ubuvuzi bwo mu kirere, cyangwa ubuvuzi bw'urumuri, ni uburyo bwo kuvura bukoresha urumuri rwa ultraviolet rugenzurwa byihariye (UV) kugira ngo bwibasire ibice by'uruhu rwawe. Mu by'ukuri, bukubiyemo gushyira uruhu rwawe ku rumuri rutangwa n'imashini yihariye iyobowe na muganga. Ni uburyo bwiza cyane bwo kuvura indwara nyinshi z'uruhu, nka psoriasis na eczema.

Uru rumuri rwa UV rukoreshwa iki?

Ese wari uzi ko urumuri rwa UV ari igice karemano cy'izuba? Urumuri rwa UV rufasha imibiri yacu gukora vitamine D dukeneye. Ariko, kwishyiramo urumuri rwa UV cyane si byiza ku ruhu rwacu.

Reka turebe ubwoko bw'imirasire ya UV.

Amabara atandukanye y'urumuri akoreshwa mu kuvura

Amabara atandukanye y'urumuri akoreshwa mu kuvura indwara zitandukanye.

• Ubuvuzi bw'urumuri rw'ubururu: Ibi bisa n'urumuri ruturuka kuri telefoni yawe. Uru rumuri rw'ubururu rukunze gukoreshwa mu kuvura indwara y'umuhondo mu bana bavutse.
• Ubuvuzi bw'urumuri rutukura: Laser ni ubwoko bw'urumuri rutukura. Ikoreshwa mu kuvura indwara z'uruhu nko kubabara iminkanyari, gutukura, ibiheri n'inkovu.

Ni nde ushobora kuvurwa? Ese ni nta kibazo kuri buri wese?

Niba muganga agusabye ubu buryo bwo kuvura indwara yawe, umuntu wese, harimo abana bato n'abantu bakuru, ashobora kubuvurwa.

Nubwo ubuvuzi bwa phototherapy ari uburyo bwiza bwo kuvura, bufite ibyago byinshi byo kugira ingaruka mbi kuri bamwe. Muganga wawe ni we uzagena niba ubu buryo bugukwiriye. Ubu buryo muri rusange ntibwakugirwa inama niba ufite ibi bikurikira:

• Niba ufite aleriji y'izuba: Iyi si aleriji mu by'ukuri. Ariko, niba uruhu rwawe rwihanganira izuba, ubu buryo bwo kuvura ntibukwiriye.
• Niba ufite amateka yo kurwara ubwoko bumwe na bumwe bwa kanseri y'uruhu: Ntibyemewe kuvura UVA.
• Niba utwite cyangwa wonsa.
• Niba ufite indwara y'umwijima.
• Niba ufite indwara nka lupus.
• Niba ufite indwara y’uturemangingo ituma uruhu rwawe rushobora kwitabwaho n’izuba (urugero: xeroderma pigmentosa).
• Niba ukoresha imiti imwe n'imwe ituma uruhu rwawe rushobora kwangirika n'izuba.

Ese ibi ni byiza ku bana bavutse?

Yego rwose. Gukoresha phototherapy ni uburyo bwiza cyane bwo kuvura abana bavutse. Jaundice ibaho ku bana bavutse iyo bafite bilirubini nyinshi mu mubiri wabo. Ibi nibyo bituma uruhu rw'umwana n'amaso bisa n'umuhondo. Urumuri rw'ubururu rwa UV rufasha gukura iyi bilirubini y'inyongera mu mubiri w'umwana. Iyo itavuwe, iyi bilirubini yiyongereye ishobora kwangiza umwana.

Hari igihe, iyo uzanye umwana wawe mu rugo avuye kwa muganga, ushobora guhabwa itara ryabugenewe cyangwa igitambaro cyo kumuvura mu rugo. Umwana akurikiranwa neza n'abaganga mu gihe cyo kuvurwa.

Ni izihe ndwara z'ingenzi zivurwa hakoreshejwe phototherapy?

• Psoriasis
• Eczema
• Kuryarya
• Umuhondo w'umuhondo w'uruhinja ruvutse
• Vitiligo
• Mycosis fungoides (ubwoko bwa kanseri y'uruhu)
• Morphea (indwara ituma uruhu rukomera kandi rugakomera)

Uburyo bwo kuvura bukora bute?

Iyi gahunda ishobora kugabanywamo ibice byinshi.

Mbere yo kuvurwa

Muganga wawe azashyiraho ibikoresho bikenewe mu bitaro cyangwa mu kigo cy’ubuvuzi. Uzahabwa imyenda yo kurinda amaso yawe. Bitewe n’aho uvurirwa, ushobora kandi gukenera agapfukamunwa cyangwa igitambaro cyo gupfuka ibice by’umubiri wawe bitari kuvurwa. Uzahabwa amavuta yo kwisiga ku ruhu rwawe mbere yo kuvurwa. Niba igice kimwe cy’umubiri wawe kiri kuvurwa, uzahabwa amabwiriza y’uko washyiraho n’aho washyira amavuta yo kwisiga ku ruhu. Bitewe n’aho uvurirwa, ushobora gukenera gukuramo imwe cyangwa imyenda yose.

Mu gihe cyo kuvurwa

Mbere yo gucana itara, muganga wawe azagenzura neza ko wambaye ibikoresho by'umutekano bikwiye, nk'indorerwamo z'amatara. Uburyo urumuri rugera ku ruhu buratandukanye bitewe n'ubwoko bw'ubuvuzi.

• Itara rya UVB: Ushyirwa mu gasanduku (nk'igitanda cyo gusiga ibara ry'uruhu) aho ushobora guhagarara, kandi amatara ari imbere aracanwa. Itara rigezwa ku ruhu rwawe ku gihe muganga wawe yagutegetse. Iyo havuwe agace gato k'uruhu, uzashyirwa ku meza cyangwa ukarambitse, maze itara rizajya ryerekezwa kuri ako gace ukoresheje agakoresho gato (inkoni).
• Umucyo wa UVA: Ibi bisa n'ubuvuzi bwa UVB. Ariko, hari igihe imiti ikoreshwa kugira ngo ubuvuzi burusheho kugira akamaro. Psoralen ni imiti ikomoka ku bimera. Ibi bituma uruhu rwawe rworohera urumuri rwa UVA. Niba urimo kuvurwa na Psoralen, muganga wawe ashobora kukugira inama yo kwinika mu cyobo cy'amazi hamwe na Psoralen, gufata ibinini, cyangwa kwisiga amavuta mbere yo kuvurwa.
• Itara rya laser rya Excimer: Iri tara ritanga urumuri rwa UV mu bice bito by'umubiri mu buryo bwibanda cyane.

Kuvura bifata igihe kingana iki?

Igihe cyo kuvurwa kiratandukanye bitewe n'ingano y'agace k'uruhu rwawe ruri kuvurwa n'imbaraga z'urumuri rwa UV rukoreshwa. Kugira ngo ubone umusaruro mwiza, ushobora gukenera kuvurwa inshuro nyinshi. Ubuvuzi bwa mbere bushobora kumara amasegonda make, mu gihe ubuvuzi bwa nyuma bushobora kumara iminota mike kuri UVB n'isaha imwe kuri UVA. Muganga wawe ni we uzagena gahunda yo kuvura ikubereye.

Nyuma yo kuvurwa

Muganga azakugira inama y'uburyo bwo kurinda uruhu rwawe nyuma yo kuvurwa.

• Siga amavuta akingira izuba cyangwa utwikire ahantu havuwe imyenda.
• Ambara ubwirinzi bw'amaso mu gihe ugiye gusohoka.
• Siga amavuta yo kwisiga buri munsi kugira ngo uruhu rutimuka.
• Irinde kwibasirwa n'izuba no gusiga ibara ry'umuhondo.

Ni izihe nyungu z'ubu buvuzi?

• Bigabanya ububyimbirwe mu ruhu.
• Birinda ko ibimenyetso nka eczema bisubira kugaragara.
• Bigabanya uburyaryate.

Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?

Yego, kimwe n'ubundi buryo bwose bwo kuvura, hari ingaruka zimwe na zimwe. Muganga wawe azagusobanurira ibi byose mbere yo kuvurwa.

Bifata igihe kingana iki kugira ngo ubone ibisubizo?

Nyuma yo kuvurwa, ushobora gusubira mu mirimo yawe isanzwe. Ariko, kugira ngo urebe ibisubizo ku ruhu rwawe, uzakenera kuvurwa inshuro nyinshi. Ubusanzwe, uzabona iterambere rikomeye ku ruhu rwawe nyuma yo kuvurwa inshuro 6-8. Ariko, bishobora gufata ubuvuzi 15-25 kugira ngo ubone ibisubizo byuzuye. Hari indwara zishobora gufata igihe kirekire.

Nyuma yo kuvurwa, uruhu rwawe rushobora kuba rutukura gato cyangwa rwirabura kurusha mbere (hyperpigmentation). Ibi bizashira mu masaha agera kuri 24. Ariko, niba uruhu rwawe rwumva rumeze nk'urushya mu gihe kirenze iminsi ibiri, menya neza ko wavuganye na muganga wawe.

Niba ikintu nk'iki kibaye, hita ubonana na muganga.

• Niba uruhu rwawe rukiri kumva rushyushye nyuma y'amasaha 24 nyuma yo kuvurwa.
• Niba ufite ibimenyetso nk'umuriro, kuruka, no gukonja.
• Niba ugize udusebe ku ruhu rwawe.
• Iyo hari ibimenyetso by'ubwandu (niba igikomere cyabyimbye kandi amashyira arimo kuva).
• Iyo habayeho ubumuga bwo kutabona neza, ibyo ntibyari bihari mbere yo kuvurwa.