Muganga ashobora kuba yarakubwiye ko umwana wawe arwaye indwara ya Sickle Cell Disease (SCD). Ni ibisanzwe ko wowe, nk'umubyeyi, ugira ubwoba bwinshi n'impungenge iyo ubyumvise. Iyo ubana n'iyi ndwara, tugomba kwitondera ibintu byinshi. Niyo mpamvu tugomba kwitondera cyane, kandi uyu munsi turimo kuvuga ku kibazo giteje akaga gishobora no gushyira ubuzima mu kaga. Ibi byitwa 'Splenic Sequestration'. Nubwo iri zina ritangaje gato, niba ubizi neza, ushobora kurinda umwana wawe.
Ese koko Splenic Sequestration ni iki?
Kugira ngo tubisobanukirwe, reka tubanze twibuke gato ku ndwara ya sickle cell (SCD). Ubusanzwe, uturemangingo dutukura tw’amaraso ku muntu muzima tuba dukikije kandi duto. Nk’agasanduku gato. Bigenda byoroshye mu mitsi y’amaraso ntibifatirwe. Ariko, bitewe n’impinduka muri hemoglobin mu turemangingo dutukura tw’amaraso tw’umwana urwaye SCD, utwo turemangingo tuba dukomeye kandi dusa n’uturemangingo.
Noneho tekereza kuri ibi, ese izi selile zimeze nk'umuhoro zinyura mu miyoboro y'amaraso byoroshye nk'uturemangingo dusanzwe tw'uruziga? Oya, sibyo? Zirafatana kandi zikagerageza kwinjirira mu miyoboro mito y'amaraso.
Aho niho ikibazo gihera. Mu mubiri wacu, ibumoso bw'igifu, hari urugingo rwitwa ' umusemburo '. Ibi bimeze nk'umurinzi mu mubiri wacu. Inshingano yabyo nyamukuru ni ugusukura amaraso binyuze mu gukuraho mikorobe n'uturemangingo tw'amaraso dushaje mu maraso. Ariko ku mwana urwaye SCD, utwo turemangingo dusa n'umusemburo dufata imitsi y'amaraso yoroshye iri mu musemburo. Ni nk'umuvuduko w'imodoka mu muhanda.
Iyo ibi bibaye, amaraso agomba kuva mu gitereko ntashobora gusohoka, maze agakoranira imbere. Buhoro buhoro, igitereko cyuzura amaraso, kikabyimba, kikarushaho kuba kinini. Iyo ndwara iteje akaga yitwa 'Splenic Sequestration'.
Iyo amaraso menshi agomba gutembera mu mubiri afatiwe mu gasabo k'amaraso, umubare w'uturemangingo dutukura dutwara umwuka wa ogisijeni mu mubiri wose ugabanuka mu buryo butunguranye mu buryo buteje akaga. Ibi byitwa anemia ikomeye. Ibi bishobora gutuma umwana agira intege nke cyane kandi akagira ibara ry'uruhu.
Ni ibihe bimenyetso by'iyi ndwara? Ibintu ugomba kumenya nk'umubyeyi
Iki ni cyo gice cy'ingenzi cyane. Iyo uzi ibi bimenyetso, ushobora kwihutira kurokora ubuzima bw'umwana. Nubwo iki kibazo gikunze kugaragara cyane mu bana bato, gishobora kugaragara ku bantu b'imyaka iyo ari yo yose bafite SCD.
| Ibimenyetso | Icyo ukwiye kwitondera |
|---|---|
| Kubabara mu gice cy'ibumoso cy'igifu | Iki ni cyo kimenyetso gikunze kugaragara kandi cy'ingenzi. Niba umwana wawe yinubira ububabare mu gace umwobo uherereyemo, gira impungenge. |
| Kwaguka kw'imitsi (kubyimba) | Baza muganga wawe kandi umenye uburyo bwo gukubita agashishwa k'umwana wawe. Niba wumva kanini kuruta uko bisanzwe kandi gakomeye, icyo ni ikimenyetso cy'umuburo. |
| Gucika intege bitunguranye no kunanirwa cyane | Witondere niba umwana wawe, wari ukinnye neza, agize umunaniro ukabije kandi agacika intege ku buryo atabasha no kugenda. |
| Uruhu rwerurutse | Iyo iminwa y'umwana wawe, ishinya, n'imbere mu biganza bye bihindutse ibara, ni ikimenyetso cy'amaraso make. |
| Guhumeka vuba cyangwa umutima utera | Iyo umubiri utabonye ogisijeni ihagije, umutima n'ibihaha bikora vuba kugira ngo byishyure. |
| Uburakari n'umujinya bidasobanutse | Kubera ko umwana aba afite ububabare, ashobora kurakara no kurira kubera utuntu duto cyane. |
| Gusinzira bidasanzwe | Niba umwana asinziriye cyane ku buryo bidashoboka kumubyutsa, icyo nacyo ni ikimenyetso gikomeye. |
Icy'ingenzi kurushaho: Hari igihe, nubwo ibindi bimenyetso bitagaragara, kubyimba kw'urwererane bishobora gutera umubare muto cyane w'uturemangingo dutukura mu maraso. Rero niba ubonye kimwe muri ibi bimenyetso, hita ujyana umwana wawe mu bitaro byita ku barwayi ba ETU. Iyi si indwara ishobora kuvurirwa mu rugo.
Ni gute muganga asuzuma iyi ndwara?
Iyo ujyanye umwana wawe kwa muganga, muganga azafata ingamba nyinshi kugira ngo yemeze iyi ndwara.
1. Isuzuma ry'umubiri : Ubwa mbere, umuganga azakubita inda y'umwana arebe niba urwagashya rwabyimbye cyangwa rwagutse.
2. Gupima amaraso: Iki ni ikizamini cy'ingenzi. Hafatwa icyitegererezo cy'amaraso y'umwana hanyuma hagasuzumwa urugero rwa hemoglobine. Muganga kandi areba impinduka mu rugero rw'uturemangingo tw'amaraso twera na plaquettes.
3. Ibindi bizamini: Hari igihe, X-ray cyangwa CT scan bishobora gukorwa kugira ngo harebwe neza uko urwagashya rumeze.
Wakwivuza ute? Ntutinye.
Nubwo iki ari ikibazo cyihutirwa, gishobora gukemurwa neza iyo ugiye mu bitaro vuba.
Uburyo bw'ingenzi bwo kuvura ni uguterwa amaraso . Ibi bivuze ko umubare w'uturemangingo dutukura tw'amaraso y'umwana usubizwa mu mubiri we binyuze mu kumutera amaraso ajyanye n'ibyo akeneye. Ibi bifasha umubiri kubona umwuka wa ogisijeni ukeneye, kandi ubuzima bw'umwana bugatera imbere vuba. Hari igihe, iyo amaraso ari menshi cyane mu gifu, muganga ashobora kuba agomba gukura amaraso mu mubiri w'umwana mu gihe atanga amaraso.
Wakora iki niba bisubiye?
Ikibazo kimwe mu bijyanye no gucibwamo kw'inyuma ni uko iyo bibaye, birashoboka cyane ko bishobora kongera kubaho . Hari abana bazagomba guhangana n'iki kibazo inshuro nyinshi mu buzima bwabo.
Iyo iki kibazo gikomeje kubaho, abaganga bashobora kukugira inama yo kubaga bagakuramo agahu (splenectomy). Gukuraho agahu bishobora gukumira burundu iyi ndwara iteje akaga ko kongera kubaho. Ariko, nyuma yo gukuramo agahu, ubushobozi bw'umubiri bwo kurwanya indwara (ubudahangarwa) buragabanuka gato, bityo umwana azakenera gufata imiti yihariye n'inkingo kugira ngo arinde indwara zimwe na zimwe. Muganga wawe azagusobanurira neza.
Ubutumwa bwo kujyana mu rugo
- Gufata abana barwaye indwara ya sickle cell, bishobora kubaho ku mwana urwaye sickle cell, ni indwara ikomeye kandi ishobora gushyira ubuzima mu kaga isaba ubuvuzi bwihutirwa.
- Buri gihe menya ibimenyetso nko kubabara mu gice cy'ibumoso cy'inda, kubabara mu nda, umunaniro ukabije, no kubyimba uruhago.
- Iga kwa muganga wawe uburyo bwo gukubita agashishwa k'umwana wawe. Bishobora kumufasha kurokora ubuzima bwe.
- Ukimara kubona kimwe mu bimenyetso byavuzwe haruguru, ntugapfushe umwanya ahubwo ujyane umwana wawe mu Ishami rishinzwe Ubuvuzi bw’Ibanze (ETU) ry’ibitaro biri hafi yawe .
- Kubera ko hari ibyago byinshi byo kongera kurwara iyi ndwara, jya uhora uganira na muganga wawe kandi ukurikize amabwiriza atangwa uko bikwiye.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.