Ese wigeze urwara poliyo none urimo kongera gutakaza amaguru n'amaboko? Reka twige kuri iyi (Post-Polio Syndrome)!

Ese wibuka indwara yitwaga polio mu bihe byashize? Wenda nawe warayirwaye bikakugora gukira. Iyo ukize hanyuma ukumva unaniwe kandi ufite intege nke mu gihe cy'imyaka myinshi, bishobora kuba ikimenyetso cy'indwara yitwa "Post-Polio Syndrome". Reka tubiganireho mu buryo bworoshye uyu munsi, kugira ngo ubyumve.

Indwara ya Post-Polio Syndrome ni iki?

Mu magambo make, "Post-Polio Syndrome" cyangwa "PPS" ni igihe umuntu wigeze gukira indwara ya polio yongera kugira intege nke mu gihe cy'imyaka runaka - wenda imyaka 10, 20, cyangwa 40. Imitsi ishobora kandi gucika intege cyangwa ikagabanuka.

Nkuko mubyibuka, poliyo, cyangwa "poliyomyelitis", ni indwara iterwa na virusi yitwa "virusi ya polio." Abantu benshi bayirwara ntibagaragaza ibimenyetso bikomeye, kandi hari abantu bagira umuriro muke. Ariko, kuri bamwe, ishobora gutera indwara zikomeye nko gucika intege ndetse rimwe na rimwe n'urupfu.

Hari ubwoko butatu bw'ingenzi bw'iyi `(virusi ya poliyo)`. Ni ubwoko bwa 1, 2, na 3. Ubu, ubwoko bwa 2 na 3 bwarakuwe ku isi. Ubwoko bwa 1 gusa ni bwo bukigaragara mu bice bimwe na bimwe by'isi. Polio iragiye gucika muri Sri Lanka ubu. Ariko abantu banduye mu bihe byashize bashobora kurwara iyi `(PPS)`.

Ni nde ufite amahirwe menshi yo kurwara "Post-Polio Syndrome"?

Iyi ndwara igaragara gusa ku bantu barwaye poliyo mu bihe byashize. Akenshi itangira kugaragara nyuma y'imyaka 10 cyangwa irenga. Hari igihe ishobora no kubaho nyuma y'imyaka 40.

Ubushakashatsi bwagaragaje ko hagati ya 30% na 40% by'abantu barwaye poliyo barwara iyi ndwara. Nanone, niba warigeze kurwara poliyo mbere, bivuze ko amaguru yawe yari afite intege nke cyane, ushobora kugira ibimenyetso bikomeye kurushaho niba urwaye PPS.

"Indwara ya Post-Polio Syndrome" ikunze kugaragara gute?

Mu by’ukuri `(Post-Polio Syndrome)` ni indwara idakunze kugaragara muri iki gihe. Impamvu ni uko poliyo nayo idakunze kugaragara muri iki gihe. Urukingo rwa poliyo rwakuyeho poliyo mu bihugu byinshi ku isi, harimo na Sri Lanka. Ariko, kubera ko hakiri ibihugu byinshi aho poliyo iboneka, kandi hakaba hakiri abantu barwaye poliyo mu bihe byashize, abarwayi ba `(PPS)` baboneka rimwe na rimwe.

Ni ibihe bimenyetso bya `(Post-Polio Syndrome)`?

Ikimenyetso nyamukuru kandi cya mbere cya "Post-Polio Syndrome" ni uko imitsi yari yaracitse intege mu gihe cy'ubwandu bwa polio yongera gutakaza imbaraga zayo buhoro buhoro. Ibi bimenyetso bishobora gutandukana bitewe n'umuntu ku wundi. Hari abantu bashobora kugerwaho nabyo ku rugero runini cyangwa ruto.

Ibi ni bimwe mu bimenyetso bisanzwe:

• Intege nke z'imitsi: Kumva ko ukuboko, ukuguru, cyangwa indi mitsi yari yaracitse intege kubera indwara ya polio igenda yongera gucika intege buhoro buhoro.
• Umunaniro:Si umunaniro gusa, ni ibyiyumvo byo kunanirwa cyane kandi biremereye. Ni nk'aho unanirwa nubwo wakora akazi gato.
• Kugabanuka kw'imitsi: Ibi bivuze ko imitsi igenda igabanuka buhoro buhoro ikagabanuka.
• Kubabara imitsi no kunyaragura: Imitsi irababara, rimwe na rimwe wumva imitsi irimo gusimbuka gusa, iranyaragura.
• Ububabare bw'ingingo: Ububabare bushobora kugaragara mu ngingo nko mu mavi no mu nkokora.
• Ubusembwa bw'amagufwa: Urugero, hashobora kubaho ibintu nk'igorofa ry'umugongo (scoliosis).

Tekereza, hari umuntu witwa Nimal, warwaye indwara ya polio akiri umwana kandi ukuguru kwe kw'iburyo kwari gufite intege nke gato. Yabayeho ubuzima busanzwe imyaka myinshi. Ariko ubu, afite imyaka 50, yumva ukuguru kwe kw'iburyo kwongeye gutakaza imbaraga. Arumva ananiwe cyane iyo azamutse ingazi cyangwa agenda urugendo rugufi. Uko ni ko bimugiraho ingaruka.

Byongeye kandi, iyo iyi "(PPS)" igira ingaruka ku mitsi ikoreshwa mu guhumeka cyangwa ku mitsi ikoreshwa mu kumira, guhumeka bigoranye no kumira bishobora kubaho.

Mu bihe bimwe na bimwe bikomeye bya PPS, ibimenyetso bishobora gusa n'iby'indwara yo mu bwonko yitwa Amyotrophic Lateral Sclerosis (ALS). Ariko, ni ngombwa kwibuka ko ibi bitandukanye na ALS.

Ni iki gitera `(Post-Polio Syndrome)`?

Abahanga mu bya siyansi ntibaramenya neza icyatera indwara ya Post-Polio Syndrome. Ariko hari igitekerezo kimwe kuri yo. Ni ukuvuga ko iyo ukize indwara ya Polio, uburyo bwo kuvura imitsi bw'umubiri wawe burahinduka.

Tekereza muri ubu buryo, virusi ya polio `(Poliovirus)` yangiza zimwe mu turemangingo tw’imitsi yacu `(Neurons).` Utu turemangingo tw’imitsi ni two dutanga ubutumwa bwo gutuma imitsi ikora. Rero, iyo polio irangiye, aho kugira ngo habeho uturemangingo tw’imitsi twangiritse, uturemangingo tw’imitsi dusigaye dufite ubuzima bwiza dutangira gukora cyane. Utu turemangingo tw’imitsi tuzima, duhereye ku mashami yatwo makuru `(Axons)`, dukora andi mashami mato `(Dendrites)`, maze tugafata ubuyobozi bw’imitsi uturemangingo tw’imitsi twangiritse twagenzuraga. Ni nk’aho umukozi umwe afata akazi k’abandi.

Rero, abahanga mu bya siyansi batekereza ko nyuma y'imyaka myinshi bakora ibirenze ubushobozi bwabo, utwo turemangingo tw'imitsi twari dufite ubuzima bwiza dutangira gucika intege buhoro buhoro tukananirwa. Utwo dushami duto (dendrites) dutangira kugabanuka buhoro buhoro. Hanyuma iyo mitsi yari isanzwe ikora neza nayo itangira gucika intege. Iyo ishobora kuba ari yo mpamvu y'iyi ndwara ya "PPS", ubu ikaba ifatwa nk'impamvu.

Ese `(Post-Polio Syndrome)` ni indwara yandura?

Oya. "Post-Polio Syndrome" si indwara ishobora kwanduzwa umuntu umwe ijya ku wundi. Ariko, virusi ya polio ni virusi yandura cyane. Niyo mpamvu ari ingenzi cyane kwirinda iyi ndwara uhabwa urukingo rwa polio.

Ni gute wamenya `(Post-Polio Syndrome)`?

Kugeza ubu nta kizamini cyihariye gishobora kwemeza neza ko hari "Post-Polio Syndrome".

Ahubwo, abaganga basuzuma iyo ndwara bakoresheje isuzuma ry’umubiri, bagakora amateka y’ubuzima arambuye (nk’uko waba warigeze kurwara poliyo mu bihe byashize n’igihe warwaye), kandi bakakubaza ibimenyetso byawe ubu. Bashaka kandi kumenya neza ko ibimenyetso bidaterwa n’indi ndwara.

Muganga wawe ashobora gukora ibizamini byinshi kugira ngo arebe niba afite PPS kandi agakuraho izindi ndwara, nko:

• Gupima umugongo (Scan MRI) na CT (Computed Tomography): Ibi bishobora gusuzuma ikibazo icyo ari cyo cyose ku mugongo n'imitsi biwugize.
• Ikizamini cya Electromyogram (EMG): Iki kizamini gipima imikorere y'amashanyarazi y'imitsi n'imitsi iyiyobora. Ibi bifasha kumenya niba intege nke z'imitsi ziterwa n'ikibazo cy'imitsi cyangwa ikibazo cy'imitsi ubwayo.
• Isuzuma ry'imitsi: Hari igihe agace gato k'imitsi gafatwa kagasuzumwa hifashishijwe mikorosikopi. Ibi bishobora gufasha kumenya impinduka mu mitsi.
• Isesengura ry'amazi yo mu mugongo: Ikizamini gifata amazi make mu mugongo wawe. Ibi bishobora gufasha gusuzuma izindi ngorane z'imitsi.

Ni gute `(Post-Polio Syndrome)` ivurwa?

Ikibabaje ni uko nta buryo bwihariye bwo kuvura bushobora gukiza burundu indwara ya ``Post-Polio Syndrome (PPS)``. Bityo rero, intego nyamukuru y'abaganga ni ukugenzura ibimenyetso no kunoza ``Ubwiza bw'ubuzima`` bwawe.

Niba ufite PPS, ni ngombwa cyane kubonana na muganga w’inzobere mu kuvura indwara z’imitsi n’imitsi.

Dore bumwe mu buryo bwo gufasha mu guhangana n'ibimenyetso bya PPS:

• Imyitozo ngororamubiri idatuma umuntu ananirwa: Imyitozo ngororamubiri idatera ububabare cyangwa umunaniro ukabije ishobora kongera imbaraga z'imitsi no kugabanya umunaniro muri rusange. Ushobora kumenya ibyo ari byo ubaza umuhanga mu by'imitsi.
• Imyitozo yo kwihangana mu bijyanye n'umutima n'ubuhumekero: Iyi ni inzira yo kunoza urwego rw'imirimo umutima wawe, ibihaha n'imitsi bishobora gukora hamwe mu gihe cy'imyitozo ndende. Mbere yo gutangira imyitozo nk'iyi, ugomba kuvugana na muganga wawe.
• Imfashanyigisho zo kugenda: Gukoresha ibintu nk'inkoni, abanyamaguru, amagare y'abamugaye, cyangwa amapikipiki bishobora koroshya ingendo no kugabanya umunaniro w'imitsi.
• Ubuvuzi bw'akazi:Umuganga w’inzobere mu by’ubuzima bw’imyororokere ashobora guhindura ibikenewe ku bidukikije kugira ngo imirimo ya buri munsi yo mu rugo (urugero: kwambara, guteka) yorohe.
• Ubuvuzi bw'imivugire: Niba ufite ikibazo cyo kumira bitewe na PPS, umuvuzi w'imivugire arashobora kugufasha.
• Guhindura imibereho: Muganga wawe ashobora kukugira inama yo kurya indyo yuzuye, kugenzura ibiro byawe, gusinzira bihagije, no kureka kunywa itabi . Ibi bintu bishobora kugufasha guhangana n'ibimenyetso no kunoza ubuzima bwawe muri rusange.

Byongeye kandi, ubuvuzi bwo mu mutwe bushobora kugufasha wowe n'umuryango wawe guhangana n'ikibazo cya PPS. Bishobora kandi kuba ingirakamaro kwinjira mu matsinda y'abaterankunga aho ushobora kuganira n'abandi bahuye n'ikibazo nk'icyo no gusangira ibyakubayeho.

Ese `(Post-Polio Syndrome)` ishobora gukira?

Oya, nk'uko amakuru ariho ubu abivuga, nta muti uhari wa "Post-Polio Syndrome". Ubuvuzi bugamije kugenzura ibimenyetso no gufasha koroshya ubuzima.

Ni gute wakwirinda `(Post-Polio Syndrome)`?

Uburyo bwonyine bwo kwirinda indwara ya polio ni ukwirinda indwara ya polio. Uburyo bwonyine bwo kubikora ni uguhabwa urukingo rwa polio. Abana bakunze guhabwa doze enye z'urukingo rwa polio guhera ku mezi 2 y'amavuko. Niba utarahawe uru rukingo ukiri umwana, ushobora kuruhabwa ukiri mukuru.

Ariko, niba waramaze kurwara poliyo ukaba warakize, nta kintu na kimwe wakora kugira ngo wirinde ko warwara PPS mu gihe kizaza. Abahanga mu bya siyansi ntibarasobanukirwa neza impamvu bamwe mu bantu barwaye poliyo barwara PPS mu gihe abandi batabikora.

Ni iki gipimo cy'indwara ya `(Post-Polio Syndrome)`?

Uko indwara ya Post-Polio Syndrome (PPS) ihagaze biratandukanye bitewe n'umuntu ku giti cye. Biterwa n'imitsi yangiritse n'uburemere bw'ibimenyetso.

Ibimenyetso bya PPS bishobora gutuma bigorana gukora ibintu wenyine. Ariko, ibintu nk'ubuvuzi bwo kugenda no kuvura indwara z'umubiri, twavuze mbere, bishobora gufasha cyane.

Ubuzima bwawe muri rusange buri mu kaga gakomeye iyo imitsi yawe yo guhumeka yacitse intege bitewe na PPS, cyangwa iyo imitsi yawe yo kumira yacitse intege.

Ese "Post-Polio Syndrome" igabanya igihe cyo kubaho?

Kenshi na kenshi, igihe cyo kubaho cy'umuntu urwaye "Post-Polio Syndrome" ni ibisanzwe. "PPS" ni indwara ishobora gushyira ubuzima mu kaga kandi idakunze kubaho.

Ni ryari ugomba kujya kwa muganga ku bijyanye n'indwara ya `(Post-Polio Syndrome)`?

Niba warigeze kurwara poliyo mu bihe byashize, hanyuma imyaka myinshi nyuma y'aho ukumva imitsi yawe igenda irushaho gucika intege buhoro buhoro,Nta gushidikanya ko wagana muganga tukaganira kuri ibi.

Niba waranduye PPS, ugomba kujya kwa muganga wawe buri gihe kugira ngo umenye neza ko gahunda yawe yo kuvura ikora neza kandi ugire impinduka zikenewe.

Igikuru ni uko atari abantu bose bafite indwara ya Post-Polio Syndrome bahura nayo mu buryo bumwe. Uburyo bwiza bwo kumenya neza uko iyi ndwara igutera n'icyo witeze ni ukubona umuganga w'inzobere mu ndwara z'imitsi n'imitsi na PPS. Bari hano kugufasha.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, rero, ukurikije ibyo twaganiriyeho, ndizera ko wasobanukiwe neza `(Post-Polio Syndrome)`. Muri make:

• "(PPS)" ni indwara y'imitsi igaragara nyuma y'imyaka myinshi ku bantu bahoze barwaye indwara ya polio.
• Nubwo nta muti wihariye uhari, hari byinshi ushobora gukora kugira ngo ugenzure ibimenyetso no koroshya ubuzima.
• Imyitozo ngororamubiri idasaba imbaraga nyinshi, ubuvuzi bw'umubiri, uburyo bwo kugenda n'amaguru nibiba ngombwa, hamwe no guhindura imibereho myiza ni ingenzi cyane.
• Niba ufite ibi bimenyetso, jya kwa muganga w’indwara z’imitsi.
• Wibuke ko utari wenyine. Hari abantu bashobora kugufasha kwihanganira iki kibazo no kubaho neza.

Ntutinye, icy'ingenzi ni ukumenyeshwa no gukurikiza inama z'abaganga zikenewe.

indwara ya polio, poliyo, intege nke z'imitsi, indwara z'imitsi, PPS, indwara ya polio, kuvugurura umubiri