Ese ujya ugira uduheri ku mubiri wawe? Ibi bivuga kuri Urticaria/Hives!

Ese wigeze ubona ko umubiri wawe uhinduka umutuku mu buryo butunguranye, hakagaragara uduheri duto tumeze nk'udusebe, rimwe na rimwe tukaryana cyane? Ni nko kurumwa n'umubu, ariko bishobora kuba binini cyane kandi bigakwirakwira. Abantu benshi banabyita 'ibiryo byo mu bwoko bw'inzoka'. Bamwe banabyita 'uduheri'. Mu buvuzi, tubyita (Urticaria) cyangwa (Hives). None se uyu munsi, ese tuvuge kuri ibi mu buryo burambuye? Iki ni ikintu kibaho ku bantu benshi, kandi kirababaza gato.

None se iyi ndwara y'imitsi cyangwa urticaria ni iki?

Muri make, izi mvubura ni ubwoko bw'uduheri tugaragara nk'umutuku n'umubumbe ku ruhu rwacu. Dusa n'utubyimba duto. Mu by'ukuri iyi ni ingaruka ibaho mu ruhu rwacu. Akenshi, ni ingaruka iterwa n'ikintu kigira ubwivumbure (allergen).

Tekereza gato, ibi bisebe bishobora kugaragara ahantu hose ku mubiri. Hari igihe bishobora kugaragara nk'utudomo duto, ubundi nk'utudomo tunini, cyangwa se nk'udusimba twinshi twinshi twiteranya.

Iyi miti ishobora kumara amasaha make kugeza ku cyumweru (cyangwa irengaho). Imiti mishya ishobora kugaragara uko ishaje ishira. Imiti imara munsi y'ibyumweru 6 yitwa imiti ikomeye. Ariko iyo imaze igihe kirenze ibyumweru 6, yitwa imiti idakira.

Kuki turwara udukoko? Ni izihe mpamvu?

Impamvu nyamukuru y’iyi mizinga ni ukurekurwa kwa shimi yitwa histamine iva mu bwoko bw’uturemangingo twitwa Mast Cells mu mubiri wacu. Iyi histamine ituma amazi ava mu mitsi mito y’amaraso iri munsi y’uruhu. Ayo mazi yikusanyiriza mu ruhu kandi akagaragara nk’iyi mizinga. Hari impamvu nyinshi zibitera. Ariko rimwe na rimwe hari igihe impamvu runaka idashobora kuboneka.

Akenshi, ibibyimba biterwa n'ingaruka z'ubwivumbure. Iyo ibi bibaye, ibibyimba bishobora kugaragara mu minota mike. Ibintu bikunze kugaragara birimo:

• Ibyokurya: Cyane cyane ibiryo byo mu nyanja (nk'inkangu, isambaza), imbuto nk'ubunyobwa, cashews, amata, n'imbuto zimwe na zimwe.
• Imiti: Imiti imwe n'imwe, nka antibiyotike, n'inkingo zo gutera allergie.
• Inyamaswa: Inyamaswa zo mu rugo, ubwoya bw'izindi nyamaswa, amacandwe, n'ibindi.
• Impumuro: Ibintu nk'impumuro mu ndabo.
• Udukoko: Iyo kurumwa n'inyamaswa nk'imibu n'ibimonyo.

Ariko inzoka ntiziterwa buri gihe n'ubwivumbure. Hari n'izindi mpamvu zishobora kubaho:

• Indwara: Hari indwara zimwe na zimwe ziterwa na virusi (nk'ibicurane, ibicurane).
• Gukora imyitozo ngororamubiri.
• Guhangayika cyangwa guhangayika: Iki nacyo ni ikintu kigira ingaruka ku bantu benshi.
• Guhura n'izuba.
• Guhura n'ubukonje: Ibintu nk'amazi akonje, urubura.
• Guhura n'imiti imwe n'imwe ku ruhu.
• Gushwanyaguza uruhu: Hari abantu bagira inkovu nubwo bashwanyaguza uruhu rwabo gusa. Ibi byitwa Dermatographia.
• Uruhu rufunganye: Ibi bishobora kubaho iyo umuntu yicaye ahantu hamwe igihe kirekire, nko mu gihe yikoreye isakoshi iremereye.

Tubyita ibi bikomere biterwa n'impamvu zifatika nk'umuvuduko w'ingufu, ubukonje, n'izuba (Physical Hives).

Indwara z’urumogi zidakira zishobora kugorana kuzisuzuma. Hari igihe zishobora kuba zifitanye isano n’indwara z’ubudahangarwa bw’umubiri nka lupus. Hari n’igihe zishobora guterwa n’imiti, ibiryo, udukoko, cyangwa indwara zandura. Ariko inshuro nyinshi, ndetse n’abaganga ntibashobora kubona impamvu nyayo y’izi ndwara zidakira.

Ni ibihe bimenyetso by'indwara y'imitsi? Twabimenya dute?

Ikintu nyamukuru kiranga bombo z'umunyo ni imbuto itukura, ifite ishusho y'umuhondo, nkuko nabivuze mbere. Hariho izindi mpamvu nyinshi ziranga izi mbuto:

• Hagati yabo hashobora kuba hari agahu gato.
• Bashobora kugaragara mu matsinda ahantu hatandukanye.
• Ishobora guhindura imiterere n'aho iherereye mu masaha make.
• Ishobora kuva ku kadomo gato kugeza ku kanini nk'isahani nini.
• Bishobora kumva nk'aho uryamye cyane, wenda ukumva ushyushye cyangwa urimo kuruma.

Hari abantu bashobora no kurwara indwara yitwa Angioedema bitewe n’izi nzoka. Ibi bishobora gutera kubyimba hirya no hino mu maso, ku minwa, ku maboko, ku maguru, ku myanya ndangagitsina, cyangwa mu muhogo. Uku kubyimba rimwe na rimwe bishobora kugaragara nk’uduheri dutukura. Si ibyo gusa, ibimenyetso nk’isesemi, kuruka, no kubabara mu nda nabyo bishobora guherekezwa n’iyi ndwara.

Ni gake cyane, izi nyoni zo mu bwoko bwa nyoni na angioedema bishobora gutera ubwivumbure bukomeye cyane bwitwa anaphylactic shock. Iyi ni indwara ishyira ubuzima mu kaga isaba ubuvuzi bwihutirwa.

Ibimenyetso bya Anaphylactic Shock ni ibi bikurikira:

• Guhumeka bigoranye
• Kugabanuka gutunguranye k'umuvuduko w'amaraso
• Kuzungera
• Gutakaza ubwenge (gucika intege)

Niba ufite ibi bimenyetso, ugomba kwihutira gushaka inama kwa muganga.

Ni gute abaganga basuzuma indwara z'imitsi?

Akenshi, muganga ashobora kumenya niba ufite inzoka zo mu nda arebye gusa uruhu rwawe. Kugira ngo amenye impamvu, muganga wawe azakubaza ibibazo bike. Urugero:

• Hari umuntu wo mu muryango wawe ufite allergie nk'iyi?
• Ese wariye ibiryo bishya vuba aha? Ese wafashe umuti mushya?
• Ese uherutse kurwara?
• Ese ufite stress mu buzima bwawe bwa buri munsi?
• Ese wahuye n'ikintu gishobora gutera allergie?

Niba ufite indwara zidakira, muganga wawe azakubwira kwandika ibikorwa byawe bya buri munsi, harimo ibyo urya n'ibyo unywa, n'aho indwara zigaragara. Ibi byitwa kubika ikaye.

Byongeye kandi, hari ibizamini bimwe na bimwe bishobora gukorwa kugira ngo hamenyekane impamvu nyayo:

• Gupima amaraso
• Ibipimo by'ubwivumbure
• Hakorwa kandi ibizamini byihariye kugira ngo harebwe niba ibyo bimenyetso biterwa n'izindi ndwara nka indwara ya tiroyide cyangwa hepatite.

Kugira ngo arebe niba hari udukoko two mu bwoko bwa "herpes" ku mubiri, muganga ashobora gushyira agapaki k'urubura ku ruhu rwawe kugira ngo arebe niba wakwitwara mu gihe cy'ubukonje. Cyangwa ashobora gushyira ikintu kiremereye, nk'umufuka w'umucanga, ku itako ryawe kugira ngo arebe niba gusunika bibabaza.

Ni ubuhe buryo bwo kuvura indwara z'imitiba?

Kenshi na kenshi, indwara ntoya ziterwa n'ibicurane ntizikenera ubuvuzi bwihariye. Akenshi zikemuka ubwazo mu minsi mike. Niba ushobora kubona impamvu, ni byiza kuyirinda. Urugero, niba usanze hari ibiryo bitera ikibazo, ni ngombwa kwirinda ibyo biryo.

Iyo ubushye bukabije, muganga ashobora kuguha umuti urwanya antihistamine, ubuza ikorwa rya histamine. Ibi bizagabanya kugaragara kw'uduheri no kubyimbirwa. Imwe muri iyi miti igutera gusinzira, mu gihe indi idatera.

Ku ndwara zidakira, muganga ashobora kuguha umuti uvura indwara ya antihistamine idatera gusinzira, kandi uvura buri munsi. Urashobora kugurwa ku giciro cya muganga cyangwa ku muganga.

Wibuke ko imiti yose igabanya ubukana bw'indwara zo mu mutwe idakora kuri buri wese. Ni ngombwa rero kuvugana na muganga wawe kugira ngo akubere umuti ukubereye kandi ukurikize inama ze.

Niba umuti urwanya ububabare udakora neza, muganga wawe ashobora kukwandikira umuti urwanya ububabare ukomeye, undi muti utandukanye, cyangwa imiti ivanze.

Ni gake cyane, muganga ashobora kuguha ibinini bya steroid cyangwa ibinyobwa mu gihe gito (ubusanzwe iminsi 5 kugeza ku byumweru 2). Izi steroid zishobora kugira ingaruka mbi, bityo ntizikoreshwa igihe kirekire.

Ni iki cyakorwa mu gihe cy'ubutabazi bwihutirwa?

Nkuko nabivuze mbere, indwara yo gucika intege nke cyane no kurwara cyane cyangwa indwara ya angioedema ni gake cyane. Ariko iyo bibaye, biba ari ikibazo cyihutirwa cy’ubuvuzi. Ibyo bivuze ko ugomba kujya kwa muganga vuba.

Ku bantu bafite ubwivumbure bukomeye, abaganga rimwe na rimwe bakugira inama yo gutwara ubwoko bwa epinephrine (inshinge ziterwa mu buryo bwikora). Niba ufite ibyago byo kugira ubwivumbure bukomeye, muganga wawe azakwigisha wowe n'umuryango wawe uburyo bwo kwitera urushinge.

Dore bimwe mu bintu by'ingenzi twifuza kujyana muri iyi nkuru!

Sawa, twavuze byinshi kuri izi bombo z'imbogo. Hanyuma, dore ibintu by'ingenzi ugomba kwibuka:

• Urticaria/Hives ni indwara ikunze kugaragara cyane ku ruhu.
• Hari impamvu nyinshi zishobora gutera ibi - allergie, indwara zandura, stress, imiti imwe n'imwe, n'ibindi.
• Akenshi, ibi ntabwo ari ibintu bikomeye, ariko bishobora kubabaza cyane kuko biraryana.
• Niba inzoka y'umuheha ikomeye cyane, imaze igihe kinini ihari, cyangwa ifite ibimenyetso biteje akaga nko kugorwa no guhumeka cyangwa kubyimba umuhogo, menya neza ko wagiye kwa muganga.
• Ni ngombwa cyane kumenya impamvu y'inzoka zo mu nda niba bishoboka. Hanyuma ushobora kuzirinda.
• Hariho imiti nka antihistamines nk'ubuvuzi. Ikoreshe nk'uko muganga yabigutegetse.

Niba rero ufite ikibazo nk'iki, ntugatinye. Ariko ntukirengagize. Icy'ubwenge ni ukuganira na muganga akaguha ubuvuzi bukenewe.

Indwara z'ibicurane, Eczema, Urticaria, Ibicurane, Allergie, Indwara z'uruhu, Uruhu ruryana