Ushobora kuba utaramenya indwara ya Toxic Shock Syndrome (TSS). Ariko ni indwara idasanzwe kandi ishobora gushyira ubuzima mu kaga. Ibaho iyo ubwoko bumwe na bumwe bwa bagiteri bwinjiye mu mubiri maze uburozi bukora bukagera mu maraso yacu. Ibi bishobora kwangiza ingingo z'ingenzi nk'umutima, umwijima n'impyiko. Nubwo akenshi bifitanye isano no gukoresha tampons mu gihe cy'imihango, TSS ishobora kugira ingaruka ku muntu uwo ari we wese w'imyaka iyo ari yo yose. Ibikomere by'uruhu, aho babazwe, aho bapfumuwe mu mazuru, aho bakomeretse no gushya na byo bishobora kongera ibyago. Mu by'ukuri, kimwe cya kabiri cy'abagira iyi ndwara ntibaba bari mu mihango.
Indwara yo gushoka mu mubiri (Toxic Shock Syndrome) ni iki?
Mu magambo make, indwara yo gushoka kw'umubiri (TSS) ni indwara itunguranye kandi ikomeye aho uburozi bukorwa n'ubwoko bumwe na bumwe bwa bagiteri bwinjira mu maraso yacu bukagira ingaruka ku mubiri wacu wose. Ubu burozi bushobora no guhagarika imikorere y'ingingo z'ingenzi z'umubiri wacu. Tekereza ko ari umwanzi muto winjira mu mubiri agatuma imbaraga zose zigabanuka. Ibi nibyo bituma biba bibi cyane kuko
ibimenyetso bishobora kugaragara vuba cyane kandi bigahita bikomera . Ariko, iyo bigaragaye hakiri kare kandi hagatangira kuvurwa neza, abantu benshi bashobora gukira.
Iyi ndwara yitwa `TSS` ikunze kugaragara gute?
TSS mu by’ukuri ni
indwara idakunze kugaragara cyane. Ifata abantu bagera kuri miliyoni imwe. Nubwo ikunze kugaragara ku bagore, ishobora gufata umuntu uwo ari we wese, harimo abagabo, abagore, abana n’abantu bakuru. Kugeza mu myaka ya 1990, yakunze kugaragara ku bantu bakoreshaga tampons zifata cyane mu gihe cy’imihango. Ariko ubu tuzi ko iyi atari yo mpamvu yonyine.
Ni ibihe bimenyetso bya TSS? Wabimenya ute?
Ibimenyetso bya TSS biza mu
buryo butunguranye kandi
bishobora kwiyongera vuba . Ibimenyetso bishobora gutandukana gato bitewe n'ubwoko bwa bagiteri zikora uburozi. Ariko, ibimenyetso bikurikira ni ibi bikurikira:
- Mu buryo butunguranye, urwara umuriro mwinshi , umubiri wawe ukumva ubukonje n'umushyitsi, umubiri wawe urababara, kandi ukumva umeze nk'ufite ibicurane.
- Isesemi no kuruka .
- Impiswi y'amazi ( impiswi ).
- Ku ruhu hagaragara uduheri dutukura. Bishobora kumera nk'izuba, cyangwa rimwe na rimwe bigasa n'utudomo duto dutukura .
- Kuzungera , kumva uzunguruka, cyangwa guta ubwenge bishobora kubaho.
- Umuvuduko w'amaraso uragabanuka (Hypotension).
- Amaso ahinduka umutuku (nk'uko bimeze ku ndwara y'amaso - `Conjunctivite`), umuhogo uhinduka umutuku, kandi hakabaho ububabare.
- Uruhu rwo ku biganza no ku birenge rurimo gushwanyuka.
Ni ngombwa cyane gushaka inama kwa muganga vuba mu gihe ubonye kimwe cyangwa byinshi muri ibi bimenyetso, cyane cyane niba ukoresha tampon.
Ni izihe mpamvu zitera TSS?
Indwara ya "toxic shock syndrome" ikunze guterwa n'uburozi bukorwa na bagiteri "Staphylococcus aureus" ("staph infection") na "Streptococcus pyogenes" ("group A strep infection"). Bagiteri "Clostridium sordellii" nayo ishobora kuyitera, ariko ntabwo ikunze kugaragara cyane. Mu bihe bisanzwe, izi bagiteri ziba ku ruhu rwacu, mu mihogo no mu kanwa kacu. Ariko, rimwe na rimwe, ubwoko bumwe na bumwe bw'izi bagiteri bwiyongera vuba bugatangira gukora uburozi. Noneho, reba, iyo ukoresheje tampon, bagiteri ""Staph"" ishobora kwinjira mu gitsina ikajya mu mura inyuze mu mura. Iyo tampon idahinduwe kenshi, izi bagiteri zishobora kuyikuriramo. Nanone, gukoresha tampon zifata cyane mu gihe cy'imihango yawe nabyo bishobora gutuma bagiteri zikura. Tampons zishobora gutera ububabare buke mu gitsina, bigatuma bagiteri zinjira mu maraso. Ariko, TSS ntiterwa gusa no gusiga tampon igihe kirekire cyane. Abaganga ubu bazi ko
ikintu cyose kiguma mu gitsina igihe kirekire kirenze igihe cyagenwe byongera ibyago byo kurwara TSS. Urugero:
- Ingofero zo mu mura
- Isponge (sponge zo kuboneza urubyaro)
- Amasafuriya
- Ibikombe byo mu gihe cy'imihango
Uretse ibi, TSS ishobora kubaho iyo bagiteri zinjiye mu mubiri zinyuze mu bikomere bifunguye, mu bisebe, cyangwa mu bikomere. Ishobora kandi guterwa n'indwara z'uruhu, kubagwa, kubyara, cyangwa gufunga amazuru kugira ngo amaraso ahagarike.
Ubwoko bw'ingenzi bwa bagiteri zitera TSS
Nkuko byavuzwe mbere, izi bagiteri nizo zitera ibi bikurikira:
- Staphylococcus aureus (S. aureus cyangwa staph): Iyi bagiteri isanzwe iboneka mu mibiri yacu. Ishobora kwinjira mu maraso binyuze mu bikomere by'uruhu cyangwa udusebe duto mu gitsina bitewe no gukoresha tampon.
- Streptococcus pyogenes (izwi kandi nka S. pyogenes cyangwa itsinda A strep): Ubu bwoko bwa bagiteri butera TSS ku bantu baherutse kugira ububabare mu muhogo, umuriro utukura, cyangwa izindi ndwara ziterwa na strep yo mu itsinda A, nka impetigo.
- Clostridium sordellii (C. sordellii): Iyi bagiteri isanzwe iboneka mu gitsina. Ishobora kwinjira mu mura mu gihe cy'imihango, kubyara, cyangwa ubundi buryo bwo kuvura abagore. Gukoresha imiti mu mitsi bishobora no gutera ubwandu bwa C. sordellii.
Bifata igihe kingana iki kugira ngo umuntu akore 'TSS' ukoresheje tampon?
Nta gihe giteganywa cy'igihe uzakuramo TSS nyuma yo gukoresha tampon. Ariko, kugira ngo ugabanye ibyago byo kurwara TSS
, ugomba gukuramo tampon yawe buri masaha umunani. Ibi ntibivuze ko gusiga tampon mu masaha arenga umunani bizatera TSS. Ariko, ubushakashatsi bwagaragaje ko gusiga tampon mu masaha arenga umunani bishobora gutuma bagiteri zangiza ziyongera.
Bifata igihe kingana iki kugira ngo ibimenyetso bya TSS bigaragare?
Ibimenyetso bikunze kugaragara
mu buryo butunguranye . TSS ikunze kugaragara mu minsi mike bagiteri zigeze mu maraso. Ariko, ibi ntibivuze ko uzajya urwara TSS igihe cyose urwaye indwara ya staph cyangwa strep, cyangwa igihe cyose ufashe tampon mu gihe kirenga amasaha umunani.
Ese pad z'isuku zishobora gutera TSS?
Yego, ushobora kubona TSS nubwo wakoresha pad zo mu suku. Ntabwo bikunze kubaho cyane, ariko ntibishoboka. Ibi biterwa nuko impamvu y'iyi ndwara ari bagiteri, atari tampon ubwayo.
TSS ipimwa ite?
Dore bumwe mu buryo abaganga bakoresha mu gusuzuma TSS:
- Ibizamini by'amaraso cyangwa inkari bikorerwa kugira ngo hamenyekane ubwoko bwa bagiteri cyangwa virusi.
- Igituba cyawe kirimo gusuzumwa .
- Ingero z'uturemangingo (uturemangingo) zifatwa mu gitsina, mu nkondo y'umura, cyangwa mu muhogo kugira ngo harebwe niba hari bagiteri ya Staphylococcus cyangwa Streptococcus.
- Ku ndwara ya TSS idafitanye isano n'imihango, ingero z'imitsi zifatwa mu gisebe cyangwa mu gace kanduye.
Niba ibimenyetso byawe bikomeye cyangwa niba indwara yawe irushijeho gukomera, muganga wawe ashobora no gukora ibi bizamini kugira ngo arebe ubuzima bw'izindi ngingo:
- gupima CT (CT scan)
- X-ray yo mu gituza
- Gupfuka umugongo (cyangwa gupfuka amenyo mu kibuno)
TSS ivurwa ite?
Indwara yo gushoka ifite uburozi ni indwara ishobora gushyira ubuzima mu kaga, bityo
ikaba ivurirwa mu bitaro.Ubwa mbere, niba muganga wawe akeka ko tampon cyangwa igikoresho cyo kuboneza urubyaro ari byo byabiteye, azabikura mu gitsina cyawe. Hanyuma, uzahabwa amazi yo mu miyoboro y'amaraso kandi ushobora guhabwa imiti yo kongera umuvuduko w'amaraso yawe niba uri hasi. Uburyo busanzwe bwo kuvura indwara za staphylococcus cyangwa streptococcus ni imiti igabanya ubukana mu mitsi. Nubwo imiti igabanya ubukana ishobora gufasha mu kugenzura ikura rya bagiteri, ntishobora gukuraho uburozi bwamaze kwirema mu mubiri wawe. Kuvura TSS bishobora kuba birimo:
- Vura ubwandu ukoresheje imiti yica udukoko .
- Udukingirizo tw’umubiri ( `Pooled Immunoglobulin` ) twakuwe mu maraso y’umuterankunga kugira ngo dufashe umubiri kurwanya ubwandu.
- Ogisijeni kugira ngo yorohereze guhumeka.
- Amavuta yo kwirinda umwuma no kwangirika kw'ingingo.
- Umuti wo kugenzura umuvuduko w'amaraso.
- Dialysis iyo impyiko zananiwe.
- Kubagwa kugira ngo bakureho ingingo zapfuye. Ni gake cyane, gucibwa igice cyangiritse bishobora kuba ngombwa.
Ni izihe ngorane za TSS iyo zitavuwe?
Indwara ya "toxic shock syndrome" ni
indwara ikomeye cyane kandi ishobora gushyira ubuzima mu kaga . Ibimenyetso bishobora kwiyongera vuba, bityo ni ngombwa ko ubuvuzi bwihuse. Iyo itavuwe, ishobora gutera
shock, ubumuga bw'ingingo, gucibwa ingingo, ndetse no gupfa .
Icy'ingenzi: TSS si indwara yigenga. Guhita uyivura ni ngombwa kugira ngo wirinde ingorane zikomeye.
Ni gute wakwirinda TSS?
Hari ibintu byinshi ushobora gukora kugira ngo ugabanye ibyago byo kurwara indwara ya toxic shock syndrome. Bimwe muri byo birimo:
- Koresha udutambaro tw’isuku (udutambaro) aho gukoresha tampons mu gihe cy’imihango yawe, cyangwa ukoreshe pads nijoro. Gukoresha pads aho gukoresha tampons buri munsi ukurikiyeho, cyangwa mu minsi imihango yawe iba myinshi, nabyo bishobora kugabanya ibyago byo kugabanuka.
- Hindura tamponi yawe buri masaha 4 kugeza kuri 8. Niba urimo kuva amaraso menshi, ushobora gukenera guhindura tamponi yawe kenshi.
- Hitamo tampon ifite ubushobozi buke bwo kwinjiza amaraso bukenewe kugira ngo amaraso yawe ava.
- Ntugakoreshe tampons mu minsi utari mu mihango.
- Komeza ahantu ho kubagwa hasukuye kugira ngo wirinde kwandura. Reba muganga wawe niba igisebe cyabyimbye bidasanzwe, gitukura, cyangwa kikumva ubushyuhe.
- Kurikiza amabwiriza akwiye mu gihe ukoresha imiti yo kuboneza urubyaro mu gitsina, nk'ibisuguti, imipfundikizo yo mu mura, na diaphragm.
Abantu bamaze kugira TSS bagakira bashobora kongera kuyirwara. Niba warigeze kugira TSS mbere, ni byiza kwirinda gukoresha tampons mu gihe cy'imihango.
Ni nde uri mu kaga gakomeye ko kwandura TSS?
Indwara ya "toxic shock syndrome" ikunze kujyana no gukoresha tampons zifata cyane. Abagore bari mu kigero cyo kubyara bakoresha tampons mu gihe cy'imihango yabo baba bari mu kaga gakomeye. Ariko, abagore batari mu mihango nabo bashobora kurwara TSS. Abantu babazwe bashobora kurwara TSS baturutse ku bikomere byanduye. Izindi mpamvu zishobora gutera ibyago birimo kubyara, kubagwa nyababyeyi, no gukoresha ibikoresho byo kuboneza urubyaro nka diaphragm cyangwa sponges zo kuboneza urubyaro. Ibi bintu bishobora kongera ibyago byo kurwara TSS:
- Gukoresha tamponi - cyane cyane iyo uzibitse mu nzu igihe kirekire kuruta icyo wasabwe, cyangwa niba ukoresha tamponi zifata cyane cyangwa ibikombe by'imihango.
- Gukoresha imiti igabanya ubukana bw'imibonano mpuzabitsina nka diaphragm, igikombe, cyangwa eponji.
- Ikibazo cy'uruhu, urugero nko gukomereka, gushya, kubira, kurumwa n'udukoko, cyangwa igikomere nyuma yo kubagwa.
- Kuba uherutse kubagwa, gukuramo inda, cyangwa kuba uherutse kubyara.
- Kwambara agapfunyika ko mu mazuru nk'uburyo bwo kuvura kuva amaraso mu mazuru.
- Kugira indwara yo mu muhogo, indwara ya Staphylococcal, cyangwa indwara ya Streptococcal, nka impetigo cyangwa cellulitis.
Ni iki gipimo cyo kubaho gituruka kuri TSS?
Indwara ya "toxic shock syndrome"
ishobora kwica abantu bari hagati ya 30% na 70% iyo ikomeye. Kubwibyo, gusuzuma no kuvura hakiri kare ni bwo buryo bwonyine bwo kugera ku musaruro mwiza.
Ni ryari ngomba kujya kwa muganga?
Niba ufite ibimenyetso bya toxic shock syndrome,
cyane cyane niba ukoresha tampons, ufite igisebe ku ruhu, cyangwa uherutse kubagwa, hita ugana muganga. Amaherezo, ubutumwa bwo kujyana mu rugo
Indwara yo gushyuha mu mubiri (TSS) ni indwara idakunze kugaragara ariko ishobora gushyira ubuzima mu kaga iterwa no kwiyongera kw'ubwoko bubiri busanzwe bwa bagiteri. Ibi bituma umubiri usohora uburozi, bushobora gutuma ingingo zikora nabi cyangwa ndetse n'urupfu. Mbere byafatwaga nk'aho bifitanye isano no gukoresha tamponi, ubu tuzi ko TSS ishobora kugira ingaruka ku muntu uwo ari we wese, mu myaka iyo ari yo yose. Ibimenyetso by'ingenzi bya TSS ni umuriro utunguranye, ibimenyetso nk'ibicurane, kubabara mu gifu, no kugabanuka k'umuvuduko w'amaraso.
Niba ufite ibimenyetso bya toxic shock syndrome, nyamuneka jya kwa muganga ako kanya cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze.Kugira ngo ubone ibisubizo byiza kuri TSS, ni ngombwa kuvura vuba (imiti igabanya ubukana, ibinyobwa, n'imiti ikenewe). Ntugatinye, ariko ni ngombwa kubimenya.
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