Kwitsamura buri gihe, amaso atukura, asharira, izuru rivamo amazi... Nta iherezo ry'ibi bibazo by'ubwivumbure, si byo se? Kuri bamwe, biterwa n'umukungugu, ku bandi, n'intangangore zituruka ku biti bimwe na bimwe. Nubwo wafata imiti yo kubirwanya, rimwe na rimwe ntabwo igenzurwa burundu. Uyu munsi rero, turimo kuvuga ku buryo bushya bwo kuvura butandukanye gato, uretse inkingo, kugira ngo dukureho ibyo bibazo by'ubwivumbure.
Ubuvuzi bwo mu rurimi rumwe (SLIT) ni iki?
Ubuvuzi bwo kuvura indwara zo mu bwoko bwa Sublingual Immunotherapy (SLIT) ni uburyo bwo kuvura indwara zo mu bwoko bwa allergie. Bukubiyemo gushyira ikinini cyangwa amazi munsi y'ururimi rwawe buri munsi. Mu magambo make, butanga ingano nto cyane y'ibintu bishobora gutuma umuntu arwara allergie mu mubiri wawe buri munsi. Ni nko "gukuramo ihwa ukoresheje ihwa."
Tekereza, iyo uyu muti ushongeshejwe munsi y'ururimi, allergen irimo inyura mu ruhu rwo mu kanwa ikagera mu maraso. Hanyuma, ubwoko bwihariye bw'uturemangingo mu budahangarwa bwacu bw'umubiri, T-selile, burabimenya. Iyo zivuwe muri ubu buryo igihe kirekire, izi T-selile, aho gutera allergy, zohereza ubutumwa ku zindi ngirabuzimafatizo ziti: "Hey, uyu si umwanzi wacu," kandi zigatuza sisitemu. Uko ukomeza kubikora, ibimenyetso byawe bya allergy, nko kwitsamura, amaso asharira, n'izuru riva, bigenda bishira buhoro buhoro.
Abaganga bakunze gukoresha ubu buryo bwo kuvura indwara ya rhinitis iterwa n’ubwivumbure (izwi kandi nka "ibicurane by’ibyatsi"), iterwa n’impongo n’utundi duce tw’umwuka. Ibi birimo ubwivumbure ku bintu nk’ibyatsi, ibyatsi bibi, n’udukoko tw’umukungugu. Nanone irimo gupimwa kugira ngo igaragaze ubwivumbure ku biribwa nk’ubunyobwa.
Ubu buvuzi bukorwa bute?
Iyo utangiye kuvurwa na SLIT, muganga wawe (akenshi aba ari umuganga w’indwara ziterwa n’ubwivumbure) azaguha dose ya mbere mu biro bye. Ibi ni ukureba niba hari ingaruka ufite no kukwereka neza uko wabikora mu rugo. Hanyuma uzahabwa ibinini (cyangwa amazi) byo gukoresha mu rugo hamwe n'amabwiriza y'uko wabikoresha.
Icy'ingenzi kurushaho, muganga wawe azakwandikira inshinge za epinephrine, nka EpiPen® , mu gihe ugize allergie ikomeye. Ariko ntugahangayike, ibi ni gake cyane muri ubu buryo bwo kuvura.
Ku bintu bimwe na bimwe bitera allergie, hashobora kubaho igihe cyo kongera urugero rw'ibinini. Ibi bivuze ko ingano y'ibinini uhabwa yiyongera buhoro buhoro mu gihe cy'ibyumweru cyangwa amezi. Uzakenera kujya kwa muganga igihe cyose iki gipimo cyongerewe.
Nyuma y'ibyo, ugomba gufata uyu muti mu rugo buri munsi. Ugomba gukurikiza amabwiriza ya muganga neza . Uburyo busanzwe bwo gufata umuti bushobora kuba ubu bukurikira:
- Shyira ikinini cyangwa umubare wagenwe w'ibitonyanga by'amazi munsi y'ururimi rwawe.
- Niba ari ikinini, reka gishonge burundu.
- Tegereza umunota umwe cyangwa ibiri mbere yo kumira.
- Tegereza iminota 5-15 (wenda irengaho) mbere yo kurya cyangwa kunywa ikintu icyo ari cyo cyose.
Ni nde ubu buvuzi bukwiriye n'ubudakwiriye?
Ubu buryo bwo kuvura ntibukwiriye buri wese. Kubwibyo, mbere yo gutangira ubu buryo, muganga wawe azakora ibizamini by'uruhu bikenewe ku bijyanye n'allergie cyangwa amaraso.
| Abantu bahuye | Abantu badashobora guhuza |
|---|---|
| Cyane cyane ku bantu barwaye indwara imwe gusa iterwa n'ubwivumbure (urugero: udukoko two mu mukungugu). | Ku bafite asima ikomeye bigoye kuyigenzura. |
| Ku bantu bashobora kwiyemeza gufata imiti yabo icyarimwe buri munsi. | Ku bantu bafite indwara yitwa eosinophilic esophagitis (kubyimba k'umuyoboro w'amaraso). |
| Ku bantu badashaka cyangwa batinya gukingirwa. | Abafite ubwivumbure ku bintu bidakora biri mu binini cyangwa amazi akoreshwa mu kuvura. |
| - | Ku bantu bahuye n'ingaruka zikomeye zo kuvurwa na SLIT mbere. |
Ibyiza n'ibibi byo kuvura SLIT
Nk’uko bigenda ku buryo ubwo ari bwo bwose bwo kuvura, ubu buryo bufite ibyiza n’ibibi.
| Ibyiza | Imbogamizi |
|---|---|
| Ingufu: Ishobora kuba nziza kurusha imiti igabanya ubukana cyangwa imiti ikoreshwa mu mazuru. Iyo ifashwe neza mu gihe cy'imyaka myinshi, ubutabazi bushobora kumara imyaka myinshi nyuma yo kuyihagarika. | Ugereranije n'inkingo: Zishobora kuba zidafite akamaro nk'imiti igabanya allergie. |
| Ihumure: Iyi ni ihumure rikomeye ku bantu batinya inkingo. | Kwiyemeza: Kugira ngo ubone ibisubizo, ugomba gufata umuti buri munsi neza neza, nta gusiba dose. |
| Uburyo bworoshye: Ntabwo ari ngombwa kujya kwa muganga buri munsi, ushobora kubikora uri mu rugo. | Imbogamizi: Ubu byemewe ku bintu bike bishobora gutera ubwivumbure. Ibinini bishobora kuvura ubwivumbure bumwe gusa icyarimwe. |
| Umutekano: Hari ibyago bike byo kugira ingaruka zikomeye ugereranyije n'imiti iterwa n'ubwivumbure. | Ingaruka mbi: Ingaruka mbi nto zishobora kubaho. Ni gake cyane, zishobora kuba zikomeye. |
| Akamaro ku barwayi ba asima: Bifasha kandi kugabanya ibimenyetso kuri bamwe mu barwayi ba asima. | - |
Ni izihe ngaruka mbi zishobora kubaho?
- Kuryarya mu kanwa, mu muhogo, cyangwa mu matwi: Iyi ni yo ngaruka ikunze kugaragara. Akenshi ishira nyuma y'igihe runaka nyuma yo gufata umuti.
- Kubyimba umunwa cyangwa umuhogo.
- Anaphylaxis: Iyi ni allergie idasanzwe ariko ikomeye ishobora gushyira ubuzima mu kaga, igatera kugorwa no guhumeka, kubyimba no guta ubwenge. Niba ubonye kimwe muri ibi bimenyetso, ugomba guhita ugana Ishami ry’Ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe.
- Eosinophilic esophagitis: Iyi nayo ni ikibazo kidasanzwe. Ni ukubyimba k'umuyoboro w'amaraso bishobora kubaho nyuma yo kuvurwa igihe kirekire.
Bifata igihe kingana iki kugira ngo ubone ibisubizo?
Ubu buryo si uburyo bwihuse bwo kuvura nko gufata Panadol. Bishobora gufata amezi menshi kugira ngo umuntu agire ubudahangarwa ku bintu bishobora gutera ubwivumbure mu kirere. Kugira ngo ugere ku musaruro wuzuye, uzakenera gufata ubu buryo buri munsi mu gihe cy'imyaka myinshi .
Ibintu nk'udukoko two mu mukungugu bigomba kuvurwa umwaka wose. Ariko, ku ndwara ziterwa n'ibihe nk'umukungugu w'ibyatsi, ni byiza gutangira kuvura ibyumweru 12 mbere yuko igihe cy'indwara ziterwa n'ubwivumbure gitangira.
Ubushakashatsi bwagaragaje ko iyo ufashe uyu muti buri munsi mu gihe cy'imyaka itatu cyangwa irenga utiriwe usimbuka dose, ibimenyetso by'ubwivumbure bizagenzurwa nibura mu gihe cy'imyaka ibiri nyuma yo guhagarika imiti.
Ubutumwa bwo kujyana mu rugo
- Ubuvuzi bw'imyororokere bukoresha uburyo bwa Sublingual Immunotherapy (SLIT) ni ubundi buryo bwiza bwo gusimbuza inshinge ziterwa na allergie.
- Ibi bikubiyemo guha umubiri wawe urugero ruto, rugenzurwa rw'ikintu runaka ufite ubwivumbure, byaba nk'ikinini cyangwa amazi munsi y'ururimi, buri munsi.
- Kugira ngo ubone umusaruro mwiza, ubu buryo bwo kuvura bugomba gukorwa buri munsi mu gihe cy'imyaka myinshi. Busaba kwitanga cyane.
- Ubu buryo bwo kuvura ntibukwiriye buri wese, cyane cyane abafite indwara nka asima bigoye kuyigenzura.
- Mbere yo gufata icyemezo niba ubu buryo bw'ubuvuzi bukubereye, banza uganire na muganga wawe kandi umugire inama.
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