Ese hari impinduka mu ijwi ryawe cyangwa mu guhumeka kwawe? Ibi bishobora kuba indwara yo mu bwoko bwa Recurrent Respiratory Papillomatosis (RRP)!

Ese wowe cyangwa umwana wawe hari igihe mugira impinduka mu ijwi, ijwi rituje, cyangwa ijwi rito ry'umwotsi mu gihe muhumeka? Cyangwa mufite ikibazo nk'inkorora idakira? Ibi bishobora no kuba ibimenyetso by'ibicurane bisanzwe. Ariko, uyu munsi tugiye kuvuga ku ndwara idasanzwe ariko iteye impungenge. Yitwa (Recurrent Respiratory Papillomatosis) cyangwa (RRP) mu magambo ahinnye. Irindi zina ni `(Laryngeal Papilloma)`. Ntugahangayike, tuzabivugaho mu buryo bworoshye, mu buryo ushobora kumva.

Iki ni iki (RRP)? Reka tubimenye neza?

Mu magambo make, (RRP) ni indwara iterwa na virusi yitwa `(Human Papillomavirus)` cyangwa `(HPV)` . Ikibaho muri ibi ni uko udukoko duto tumeze nk'uduheri (twita `(Papillomas)`) twibasira mu nzira yacu y'ubuhumekero, ni ukuvuga inzira iva mu kanwa ijya mu mazuru no mu bihaha. Mu by'ukuri, utu dukoko ahanini twibasira igice cy'umuhogo aho imitsi y'ijwi (`(Vocal Cords)`) ari ho ijwi ryacu rikorerwa, ni ukuvuga `(Larynx)`. Ariko, rimwe na rimwe utu dukoko dushobora no gukwirakwira mu buryo bw'ubuhumekero. Ni ukuvuga:

• Trachea
• Bronchi
• Ibihaha

Hariho n'ahantu nk'aha.

Igikuru ni uko ibi bibyimba (RRP) atari bibi , bivuze ko atari kanseri. Ariko, bishobora gukura vuba cyane no kugaruka, bigatuma ubuvuzi bugorana. Hari abantu bashobora kubagwa inshuro nyinshi mu mwaka.

Ni nde urebwa cyane n'iki kibazo (RRP)?

Iyi ndwara yitwa (RRP) ishobora kugaragara ku bana bato ndetse no ku bakuru. Reka turebe uko bigenda.

Itangira ry'ubugimbi (RRP)

Ibi bikunze gupimwa umwana atarageza ku myaka 5. Ugereranyije n'abantu bakuru, indwara ya RRP mu bana bato irakomeye cyane kandi ishobora kongera kugaruka nyuma yo kuvurwa. Kubwibyo, tugomba kwita cyane cyane kuri iyi ndwara mu bana bato.

RRP y'abantu bakuru

Ibi bishobora kubaho ku myaka iyo ari yo yose, akenshi nyuma y'imyaka 14. Ariko, inkuru nziza ni uko igipimo cyo kongera kugaragara kw'iyi ndwara kiri hasi gato mu bantu bakuru.

Ni mu rugero rungana iki (RRP)?

RRP mu by’ukuri ni indwara idakunze kugaragara cyane. Imibare igaragaza ko yibasira umuntu umwe kuri bane mu bantu ibihumbi ijana.

Ariko hari icyo ugomba kwitaho. Urukingo rwa HPV rugira akamaro cyane mu kurwanya iki kibazo (RRP). Ubusanzwe rugirwa inama ku bana bato guhera ku myaka 11. Impuguke mu by'ubuzima zizera ko uru rukingo ruzagabanya umubare wa kanseri ziterwa na HPV n'izindi ndwara nka (RRP) mu gihe kizaza.

Ni ubuhe bwoko bwa virusi za HPV (RRP) zitera?

Virusi ya papillomavirusi y’umuntu (HPV) ni itsinda ry’udukoko turenga 100 dufitanye isano. Zimwe muri zo zitera uduheri ku ruhu rwacu no ku ngingo zitose (urugero, mu kanwa, mu muhogo, mu gitsina, mu kibuno). Kubera ko HPV yandurira mu mibonano mpuzabitsina, ni ibisanzwe cyane.

Ubwoko bubiri bwa HPV ni bwo butera RRP. Ubwo bwoko ni HPV 6 na HPV 11. Ubwo bwoko ni bwo butera ibiheri byinshi mu gitsina. HPV ishobora kandi gutera ubwoko butandukanye bwa kanseri, nka kanseri y'inkondo y'umura na kanseri yo mu mara. Ni gake cyane, ishobora no gutera kanseri y'ibihaha.

Kwandura HPV mu by’ukuri ni ibintu bikunze kugaragara cyane. Ariko akenshi, ishira ubwayo nta kibazo cy’ubuzima itera. Abaganga ntibaramenya neza impamvu abantu bamwe ari bo bonyine barwara indwara ziterwa na HPV.

Ni gute HPV yandurira muri (RRP)?

Abaganga ntibarasobanukirwa neza uburyo HPV yandurira muri (RRP). Ariko hari ibitekerezo bimwe na bimwe:

Ku bana bato

Iyo umwana avutse, iyo umubyeyi afite `(Genital Warts)` ikora (ibyihebe byo mu gitsina), `(HPV)` ishobora kwanduzwa umwana binyuze muri yo. Ariko, ni ngombwa kwibuka ko atari buri mwana wese ugaragaye muri ubu buryo uzakura (RRP). Ibi bivuze ko bibaho ku kigero gito cyane.

Hari igihe umwana ashobora kugira RRP nubwo yaba yaravutse binyuze mu kubagwa. Ibi bigaragaza ko HPV ishobora kuba yarandujwe umwana akiri mu nda.

Ku bantu bakuru

Bikekwa ko HPV ishobora kwanduzwa abantu bakuru binyuze mu mibonano mpuzabitsina yo mu kanwa. Indi nyigisho ni uko abantu bakuru bafite RRP bashobora kuba barahuye na HPV bakivuka, kandi virusi ishobora kuba "yarahishe" mu turemangingo tuzima mu mubiri, hanyuma ikongera gukora ku mpamvu runaka, bigatera RRP.

Ni ibihe bimenyetso bya (RRP)?

Iyo ibyo bibyimba (`(Papillomas)`) twavuze mbere bikuriye ku miyoboro y'ijwi n'inzira z'ubuhumekero, bishobora gutera ingorane mu kuvuga, guhumeka no kumira. Ibimenyetso bikunze kugaragara ni ibi bikurikira:

• Ijwi rituje cyangwa gutakaza ijwi burundu.
• Stridor ni ijwi rirenga cyangwa rinini iyo umuntu ahumeka. Ryumvika nk'ifirimbi.
• Guhumeka vuba cyangwa bigoye .
• Kugira inkorora idashira.
• Kugorwa no kumira ibiryo .

Muganga wawe azagusuzuma witonze kugira ngo amenye niba ari indwara ya RRP cyangwa indi ndwara, nka asima cyangwa allergie.

Indwara (RRP) ipimwa ite?

Ubwa mbere, umuganga wawe azabaza wowe cyangwa umwana wawe ibimenyetso byawe hanyuma akore isuzuma ry’umubiri. Bashobora gukoresha indorerwamo n’urumuri kugira ngo barebe mu muhogo wawe kugira ngo basuzume imitsi y’ijwi ryawe. Niba ibimenyetso byawe n’isuzuma ryawe bigaragaza ko ushobora kuba ufite RRP, umuganga wawe azakohereza kwa muganga w’inzobere mu gutwi, amazuru, no mu muhogo (ENT specialist).

Ni ibihe bipimo bikoreshwa mu gusuzuma indwara (RRP)?

Inzobere mu by’indwara zo mu maraso (ENTspectorian) ishobora gukora ikizamini cyitwa laryngoscopy . Ibi bisaba gushyiramo agakoresho gato kandi gafite kamera nto n’urumuri, hanyuma ukagashyira mu mazuru no mu muhogo kugira ngo usuzume aho uhagarara n’aho uhagarara. Ntutinye mbere yuko ubikora:

• Izuru ryawe cyangwa iry'umwana wawe biraryana.
• Hanyuma, umuyoboro unyura mu mazuru, ukamanuka mu muhogo, ukagera mu mitsi y'ijwi.
• Hanyuma muganga ashobora gusuzuma utubyimba duto, nk'amatsinda y'imizabibu, yitwa papillomas.

Kugira ngo yemeze ko yanduye (RRP), inzobere mu by’indwara zo mu mutwe (ENT)` izakenera gukora `(Biopsy)` . Ibi bivuze gufata icyitegererezo cy’uturemangingo duto mu kibyimba no kugipima kugira ngo barebe niba virusi ya `(HPV)` ihari, kandi niba ari uko bimeze, ubwoko bwayo. Iyi `(Biopsy)` ikunze gukorerwa mu cyumba cyo kubaga, munsi y’ikinyabutabire rusange. Iyi cyitegererezo cy’uturemangingo gifatwa hakoreshejwe ibikoresho byihariye bifatanye na `(Endoscope)`. Hanyuma kikageragezwa muri laboratwari.

Ni gake cyane, umuhanga mu by'imitsi ashobora no gukenera kureba imbere mu muhogo muri ubu buryo no gufata icyitegererezo.

Ese (RRP) ishobora gukira burundu?

Ikibabaje ni uko nta muti uhari wa RRP. Intego nyamukuru yo kuvura ni ugukuraho ibibyimba no kubihagarika kongera gukura. Wowe cyangwa umwana wawe mushobora gukenera kubagwa n'imiti ivanze.

Kubaga bikoreshwa gute kuri (RRP)?

Uburyo bw'ingenzi bwo kuvura RRP ni ukubaga . Muganga agerageza gukuraho ikibyimba kinini gishoboka nta kwangiza ingingo nzima. Hari uburyo butandukanye bukoreshwa mu gukuraho ibi bibyimba:

• Kubaga hakoreshejwe laser: Ibi bikoresha laser kugira ngo bigabanye cyangwa bisenye ibibyimba.
• Microdebrider: Iki ni igikoresho kigezweho gikoresha uburyo bwo gukurura ikibyimba buhoro buhoro kugira ngo gikurure ikibyimba kijye ku rundi ruhande rwihariye, kigikureho vuba kandi neza.
• Cryoablation: Muri ubu buryo, ubushyuhe bukonje cyane bukoreshwa mu kwica uturemangingo twa kanseri.

Ubundi buryo bwinshi bwo kubaga RRP, cyane cyane ku bana, bukorerwa mu cyumba cyo kubaga hakoreshejwe ikinya rusange. Ibi bivuze ko uba usinziriye mu gihe cyo kubagwa.

Bamwe mu bantu bakuru bashobora no kubagwa hakoreshejwe laser mu biro. Ibi ni byihuse kandi ntibisaba anesthesia rusange. Uzahabwa anesthesia yo mu gace runaka kugira ngo utazamererwa nabi, ariko uzaba uri maso.

Ni kubagwa kangahe njye cyangwa umwana wanjye tuzakenera kugira kugira ngo tubone RRP?

Nyuma yo kubagwa, ibibyimba bya RRP bikunze kugaruka. Hari abantu bakeneye kongera kuvurwa buri byumweru bike. Abandi bashobora kumara umwaka cyangwa irenga hagati yo kuvurwa. Ibi bikunze kugaragara cyane ku bana.

Ni gute (RRP) ivurwa n'imiti?

Hari abantu bakeneye guhabwa imiti uretse kubagwa. Muri yo harimo:

• Ababagwa inshuro zirenga enye ku mwaka (RRP).
• Abafite imizi ikura vuba cyane.
• Abantu bafite ikibazo cyo guhumeka bitewe no kuziba inzira z'ubuhumekero bitewe n'ibibyimba.
• Ibyo byakwirakwiriye ahantu henshi mu mubiri w'imbuto.

Ubwo bwoko bw'imiti bwitwa "ubuvuzi bw'inyongera" kuko butangwa nyuma y'ubuvuzi bw'ibanze (kubagwa) kugira ngo bufashe gukumira ikibyimba kugaruka. Abantu bagera kuri 20% (ni ukuvuga 1 kuri 5) bafite (RRP) bakeneye ubwo bwoko bw'ubuvuzi bw'inyongera.

Imiti y’inyongera itangwa kuri (RRP) igabanya gukura kwa kanseri mu buryo butandukanye:

• Cidofovir ni umuti ugabanya ubukana bw'indwara ya HPV ubuza virusi kwiyongera.
• Imiti ivura indwara z’umubiri, nka Pembrolizumab , ikoresha ubudahangarwa bw’umubiri wawe bwite kugira ngo isenye uturemangingo twa kanseri.

Ese urukingo (HPV) rufasha mu kuvura (RRP)?

Abashakashatsi basanze urukingo rwa HPV rushobora kandi kuba uburyo bwiza bwo kuvura. Ubushakashatsi bw'ibanze bwerekana ko urukingo rwa HPV rushobora kugabanya ukwiyongera kwa kanseri no kugabanya umubare w'abagomba kubagwa. Ubushakashatsi bukomeje gukorwa.

Ni izihe ngorane zishobora guterwa na (RRP)?

Iyo RRP ikabije, umwuka wawe w’ubuhumekero ushobora kuziba burundu. Ibi bibaye, ushobora gukenera gukorerwa tracheostomy kugira ngo utange umwuka mu bihaha byawe. Ibi bikubiyemo gutobora umwobo mu ijosi ryawe witwa tracheas. Kugira tracheostomy bishobora kugira ingaruka ku bushobozi bwawe bwo kuvuga. Itsinda ry’abaganga rizakwigisha uburyo bwo kwita kuri tracheostomy yawe n’uko wakoresha ijwi ryawe.

Kanseri ni ikindi kibazo. Ariko ibi ni gake cyane . Indwara idakabije (RRP) ishobora guhinduka indwara mbi. Ibi bishobora kubaho nyuma y'imyaka myinshi iyi ndwara imenyekanye. Iyi ngaruka iba nyinshi cyane cyane iyo ikibyimba cyakwirakwiriye mu bice byo hasi by'ubuhumekero. Abaganga ntibaramenya neza impamvu (RRP) ihinduka kanseri.

Ni gute wakwirinda (RRP)?

Uburyo bwiza bwo kwirinda iki kibazo ni urukingo rwa HPV.Bibone. Ikigo gishinzwe kurwanya no gukumira indwara (CDC) gisaba abana bose kubona urukingo rwa HPV bafite imyaka 11 cyangwa 12. Abatarakingiwe bakiri bato bashobora kubona urukingo kugeza ku myaka 26.

Nanone, gukoresha agakingirizo bishobora kugabanya ibyago byo kwandura HPV yandurira mu mibonano mpuzabitsina, bityo RRP itanga uburinzi. Ariko, niba udukoko two mu gitsina turi ahantu hatari agakingirizo, agakingirizo ntigatanga uburinzi bwuzuye.

Niba ufite ibibyimba mu gitsina, utwite, cyangwa uteganya gusama, menya neza ko wavuganye na muganga wawe. Muri rusange, ibyago byo kubyanduza umwana ni bike. Niba muganga wawe ahisemo kuvura ibibyimba mu gitsina mu gihe utwite, hari uburyo bwinshi bwo kuvura butekanye.

Ni iki icyerekezo cy’abafite (RRP)?

Icyizere cy’uko abana benshi n’abantu bakuru barwaye RRP ari cyiza . Kubagwa no guhabwa imiti bishobora kugenzura ibibyimba no kubirinda kubangamira imirimo ya buri munsi. Ni gake cyane, tracheostomy iba ikenewe cyangwa ikabyara kanseri.

Ni gute wabana na (RRP)?

Niba wowe cyangwa umwana wawe afite RRP, muganga wawe azagukurikiranira hafi kandi akore gahunda yo kuvura. Kurikiza ayo mabwiriza witonze kandi ukurikize gahunda zawe. Kubikora bishobora gufasha kugenzura iyo ndwara no gukumira kuziba kw'imiyoboro y'ubuhumekero ishobora gushyira ubuzima mu kaga. Niba ufite ikibazo cyo guhumeka, hamagara muganga wawe ako kanya cyangwa uhamagare 911.

(RRP) ni indwara iterwa na virusi ya papillomavirusi y’umuntu (HPV). Abaganga bayivura babanje kubagwa, kandi mu bihe bikomeye, bakanayivura bakoresheje imiti. Kubagwa kenshi bishobora kugorana ku mubiri no mu byiyumvo, cyane cyane ku bana. Niba ukeneye ubufasha, vugana na muganga wawe. Arashobora kukwemerera kubona ubufasha bufasha abantu bafite indwara zidakira.

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

Noneho reka tuvuge muri make bimwe mu bintu ugomba kwibuka mu byo twavuze:

• (RRP) ni indwara iterwa na virusi ya (HPV) itera ibibyimba bisa n'ibibyimba mu nzira z'ubuhumekero, cyane cyane hafi y'imitsi y'ijwi. Ibi ntabwo ari kanseri, ariko bishobora kongera kugaruka.
• Niba ubonye ibimenyetso nko kugira induru, kugorwa no guhumeka, cyangwa inkorora idashira, shaka ubufasha kwa muganga.
• Kubagwa ni bwo buryo bw'ingenzi bwo kuvura. Hari igihe imiti ishobora no gukenerwa. Nubwo nta muti wuzuye uhari, indwara ishobora kugenzurwa neza.
• Urukingo rwa HPV ni ingenzi cyane mu kwirinda (RRP). Ha abana uru rukingo ku gihe.
• Ni ngombwa gukurikiza inama za muganga no gukomeza kugira ubwenge bukomeye mu gihe ubana n'iyi ndwara. Ntugatinye gusaba ubufasha niba ubukeneye.

Niba ufite ikindi kibazo kuri ibi, menya neza ko wavuganye na muganga wawe. Komeza ugire ubuzima bwiza!

"Papilloma yo mu myanya y'ubuhumekero, RRP, HPV, gushwanyagurika, kugorwa no guhumeka, ibibyimba byo mu muhogo, papilloma yo mu muhogo