Ese ibirenge byawe bihora bitose kandi bikonje cyane? Reka tuvuge kuri 'Trench Foot'!

Ese wigeze wumva ikintu cyitwa 'Trench Foot'? Iri zina rishobora kuba ari rishya kuri wewe. Ariko ni indwara ishobora kugira ingaruka ku birenge byacu kandi isaba kwitabwaho. Ni ngombwa cyane kubimenya niba ibirenge byawe byahuye n'ubushuhe n'ubukonje igihe kirekire. Reka turebere hamwe icyo 'Trench Foot' ari cyo, impamvu ibaho, n'uburyo bwo kubyirinda.

Trench Foot ni iki? Mu magambo make...

Mu magambo make, 'Trench Foot' ni indwara ibaho iyo ibirenge byawe byafatiwe mu masogisi cyangwa inkweto zitose igihe kirekire, ndetse n'iminsi, kandi bigahura n'ubukonje. Hari n'abantu babyita 'Immersion Foot Syndrome'. Tekereza gato, iyo duhora mu mwanya utose, ukonje, ndetse wenda n'umwanda, uruhu n'ingingo by'ibirenge byacu bitangira kwangirika.

Ubu ni ubwoko bw'indwara y'ubukonje idakonjesha . Ibi bivuze ko ubushyuhe budasaba ko buba buri hasi nk'ubukonje kugira ngo butere iyi ndwara, ariko bushobora kubaho ku bushyuhe buri hejuru gato y'ubukonje. Izindi ndwara zirimo `(Chilblains)` (zisa n'uduheri), `(Frostnip)` (gukonjesha k'uruhu), na `(Raynaud's phenomenon)` (indwara aho imiyoboro y'amaraso ifungana n'intoki zigahinduka ibara). Iyo uruhu n'ingingo byangiritse bitewe na 'trench foot', hari ibyago byinshi byo kwandura . Ibi bishobora kubabaza cyane, ariko inkuru nziza ni uko bishobora kuvurwa no kwirindwa .

Kuki ibi byitwaga 'Trench Foot'?

Izina 'trench foot' rikomoka ku nkuru ishaje. Iyi ndwara yasobanuwe bwa mbere mu 1812 n'umuganga w'igisirikare w'Umufaransa wavuraga abasirikare bo mu ngabo za Napoleon. Ariko yamenyekanye cyane ku isi mu Ntambara ya Mbere y'Isi Yose. Icyo gihe, abasirikare bagombaga kuguma mu myobo yuzuyemo ibyondo iminsi myinshi, rimwe na rimwe ibyumweru. Ubukonje, ubushuhe n'umwanda byatumye umubare munini w'abasirikare barwara iyi ndwara. Hagati ya 1914 na 1915 gusa, abasirikare b'Abongereza barenga 20.000 bavuwe 'trench foot'. Ku bw'amahirwe, hari uburyo bwiza bwo kuyirinda no kuyivura muri iki gihe. Ariko, iyi ndwara iracyabaho rimwe na rimwe .

Ni nde ushobora kurwara "trench foot" cyane?

Indwara izwi nka 'trench foot' ikunze kugaragara cyane ku bari mu gisirikare, mu gihe cy'imyitozo yabo n'ibikorwa byo kurwana. Ariko, ishobora no kugira ingaruka ku bantu bo mu bindi byiciro. Urugero:

• Ku badafite aho baba: Akenshi baba bagomba kwambara amasogisi n'inkweto bimwe. Bahura n'ubukonje n'ubushyuhe igihe kirekire kuko badafite aho baba hakwiye.
• Ku bajya mu bitaramo bya muzika: Ibi birashoboka no ku bajya mu bitaramo binini bya muzika bibera hanze iminsi myinshi kandi bigahura n'ahantu hakonje, hatose, ndetse n'ahantu hashobora kuba handuye.
• Abantu bakora ku mazi: Abarobyi, abakozi bo ku cyambu, cyangwa abandi bamara igihe kirekire mu mazi kubera akazi kabo bashobora no kugira "trench foot". Ndetse no mu gihugu cyacu, abakora mu mirima mu gihe cy'imvura, cyangwa abamara igihe kirekire mu mazi mu bihe nk'iby'umwuzure, nabo bagomba kwitonda kuri ibi, cyane cyane iyo ibidukikije bikonje.
• Ku bakora ibikorwa byo hanze: Abantu bafite ibyo bakunda nko kuzamuka imisozi no gutembera mu ishyamba bashobora guhura n’iki kibazo niba badahinduye amasogisi n’inkweto zabo zitose ku gihe. Ni byiza kuzirikana ibi mu gihe bakora ibikorwa nk’ibyo mu turere tw’imisozi miremire ya Sri Lanka (nka Nuwara Eliya, Haputale) kandi niba ibidukikije bikonje kandi bitose.

Ni ibihe bimenyetso by'indwara ya "trench foot"?

Uko ikirenge cy'umuyoboro w'amazi kirushaho gukomera, ni ko gisa n'uko kimeze kirahinduka.

Mu ntangiriro, ushobora kumva ibirenge byawe bitameze neza, biryamye, cyangwa se biryamye burundu . Hari abantu bashobora kumva ko hari ikintu kirimo gusunikwa mu birenge byabo, cyangwa ibirenge byabo bikaba biremereye cyane, nk'igiti. Ibi bishobora kukugora kugenda. Mu ntangiriro, ibirenge byawe bishobora kuba bitukura cyane . Ariko uko igihe kigenda gihita, uko imiyoboro y'amaraso igenda yiyongera, ibirenge byawe bizahinduka ibara ry'umweru, bibe bito, kandi byera .

Umaze kuva mu bukonje, uruhu rwo ku birenge byawe ruzatangira kongera guhindura ibara. Niba ufite uruhu rwiza, ibirenge byawe bishobora guhinduka ubururu cyangwa umuhengeri bitewe no kugabanuka kw'amaraso atembera . Niba ufite uruhu rwijimye, iri hinduka ry'ibara rishobora kutagaragara cyane. Uruhu rushobora kandi gukonja no kugira amabara ahantu runaka . Byongeye kandi, hashobora kubyimba . Mu bihe bimwe na bimwe bikomeye, ibirenge byawe bishobora no kwikuba kabiri ingano!

Uko ibirenge byawe byongeye gushyuha, bishobora kongera guhinduka umutuku wijimye . Ushobora kumva ububabare bukomeye cyangwa ukumva utari woroshye amaraso agaruka mu birenge byawe. Ushobora kandi kugira udusebe, ibisebe, cyangwa ibisebe bifunguye ku birenge byawe. Ibi bishobora gutuma wibasirwa cyane n'indwara z'ibihumyo na bagiteri. Uruhu rwawe rushobora kwangirika cyane iyo ubushyuhe buhindutse cyangwa se iyo ukozeho gato.

Ni iki gitera ibirenge byo mu muyoboro w'amazi?

Trench foot ikura iyo ibirenge byawe bihuye n'ubukonje kandi butose igihe kirekire. Wibuke ko ubushyuhe butari ngombwa ko bukonje cyane. Trench foot ishobora gukura nubwo haba hari ubushyuhe buri munsi ya dogere selisiyusi 16 (dogere selisiyusi 60) .

Iyo ubukonje n'ubushuhe bihuye, imiyoboro mito y'amaraso (capillaries) mu birenge byawe itangira gucika intege . Ibi bishobora kwangiza ingirangingo zikikije. Byongeye kandi, gutembera kw'amaraso muke bishobora kugira ingaruka ku mikorere y'amaraso yawe n'imikorere y'imitsi.

Kugira ibirenge byuzuye ibyuya byinshi (Hyperhidrosis) nabyo bishobora kuba intandaro y' 'ibirenge byo mu muhogo'.

Ubusanzwe bifata igihe kingana iki kugira ngo ikirenge cy'umuyoboro gikure?

Kenshi na kenshi, gukanda ibirenge bya trench foot bisaba umunsi umwe cyangwa itatu wo guhura n'ubukonje n'ubushuhe. Ariko, hari igihe iyo ndwara ishobora kugaragara mu masaha 10 kugeza kuri 14. Rero ni ngombwa kuba maso.

Ni gute umuganga amenya ko ibi ari 'umuyoboro w'amazi'?

Muganga wawe azabanza gukora isuzuma ry’umubiri kugira ngo amenye uko ikirenge cyangiritse. Azasuzuma ibirenge byawe kandi akubaze ibimenyetso by’uko warwaye. Azanakubaza uko uherutse kuba. Niba umaze amasaha make uhura n’ubukonje n’ubushuhe, muganga wawe ashobora gukeka ko ikirenge cyangiritse.

Muganga wawe azashaka kugenzura neza ko ibimenyetso byawe bidaterwa n'ubwandu cyangwa indi ndwara, nko gukubitwa n'urubura. Ashobora gutegeka ko upimwa umubare w'uturemangingo tw'amaraso twera cyangwa ikizamini cya ESR (Erythrocyte Sedimentation Rate) . Ikizamini cya ESR gisuzuma niba hari ububyimbirwe mu mubiri wawe. Ushobora kandi gusabwa gukora X-ray cyangwa scan y'amagufwa niba bakeka ko ufite ubwandu bw'amagufwa (osteomyelitis).

Ese hari uburyo bwo kuvura 'trench foot'? Ese ishobora kuvurwa?

Yego rwose! Ikirenge cya Trench gishobora gukira burundu iyo kimenyekanye hakiri kare . Ubuvuzi bwa Trench foot burimo:

• Gushyushya ibirenge buhoro: Iyo ubishyushye vuba cyane, bishobora gutera ububabare bukomeye no kubyimba. Kubwibyo, ugomba kubishyushya buhoro buhoro.
• Gukomeza ibirenge byawe bisukuye, byumutse kandi bishyushye: Muganga wawe azakugira inama yo koza ibirenge byawe no kubikomeza byumutse kandi bishyushye.
• Kuruhuka no kugumisha ibirenge byawe hejuru y'umutima wawe: Ibi bifasha kwirinda ibisebe bishya n'uduheri.
• Antibiyotike: Muganga ashobora kuguha antibiyotike kugira ngo wirinde kwandura.
• Urushinge rwo gukingira tetanus: Uru narwo ruzatangwa nibiba ngombwa.
• Imiti igabanya ububabare: Ushobora gufata imiti igabanya ububabare nka ``NSAIDs``` (imiti igabanya ububabare itari steroide) cyangwa ``Acetaminophen``` (parasetamol). Ariko, hari igihe muganga ashobora no kukwandikira umuti witwa ``Amitriptyline```.

Ni gute nakwiyitaho nyuma yo kuvurwa?

Nyuma yo kuvurwa ikirenge cya trench foot, hari ibintu bike ugomba gukora kugira ngo ibirenge byawe bikomeze gukira. Ibi ni ibi bikurikira:

• Ambara amasogisi meza kandi yumye buri munsi.
• Ntukambare amasogisi igihe uryamye. Muri ubwo buryo ushobora gutuma ibirenge byawe biguma byumutse.
• Suzuma ibirenge byawe buri munsi.Itondere ibimenyetso by'uko ibimenyetso bikomeza kwiyongera cyangwa ibimenyetso by'ubwandu.
• Irinde kunywa itabi no gukoresha ibindi bicuruzwa birimo nikotine. Nikotine ishobora kugabanya amaraso atembera mu birenge byawe.
• Kurya indyo ikungahaye kuri poroteyine. Ibi bizafasha mu gukira.

Ni gute wakwirinda ko indwara ya 'trench foot' yatera?

Trench foot mu by'ukuri ni indwara ishobora kwirindwa . Izi ngamba zikurikira zishobora kugufasha kwirinda iyi ndwara:

• Hindura amasogisi n'inkweto/inkweto zitose vuba bishoboka.
• Kumutsa ibirenge byawe ubishyire mu kirere. Menya neza ko ibirenge byawe bihora byumye igihe cyose.
• Komeza ibirenge byawe bizamutse igihe cyose bishoboka.
• Hindura ushyiremo amasogisi mashya nibura rimwe ku munsi.
• Ambara inkweto cyangwa inkweto zikubereye neza kandi zitagufunga cyane.

Wibuke ko imvugo ngo "kwirinda biruta kuvura" ikoreshwa no kuri iki 'kirenge cy'umuyoboro'.

Bigenda bite iyo urwaye "trench foot"? Ese ni ikintu cyo gutinya?

Mu bihe byashize, ikirenge cyari ikibazo gikomeye cyane cyashoboraga no gutuma umuntu apfa. Ariko, muri iki gihe, iyo kigaragaye kandi kikavurwa hakiri kare, indwara nyinshi za kire zishobora gukira burundu . Ushobora kwitega ko uzakira neza iyi ndwara. Ariko, hashobora kubaho ububabare mu gihe runaka mu gihe ibirenge bizongera kumva neza.

Ese 'trench foot' ishobora guteza ingorane zikomeye?

Yego, iyo itavuwe, hashobora kubaho ingorane zikomeye. Indwara nka `(Cellulitis)` (ubwandu bw'uruhu buterwa na bagiteri) cyangwa `(Gangrene)` (gupfa kw'ingingo). Mu bihe bikomeye, gucibwa igice cy'ukuguru bishobora kuba ngombwa kugira ngo hirindwe ko indwara ya `(Gangrene)` idakomeza gukwirakwira. Izindi ngorane zirimo `(Sepsis)` (uburozi bw'amaraso) ndetse n'urupfu.

'Trench foot' ni indwara ibabaza cyane yakuwe ku myobo abasirikare bagombaga kwihanganira mu Ntambara ya Mbere y'Isi Yose. Abasirikare benshi batakaje amaguru n'amaboko ndetse bamwe na bo barapfa. Ariko uyu munsi, tuzi byinshi ku buryo bwo kuyirinda no kuyivura.

Amaherezo, ibuka ibi !

Uburyo bwiza bwo kuvura ibirenge bya trench foot ni ukwirinda . Niba uzi ko uzagira igihe kirekire ahantu hakonje kandi hatose, fata ingamba zo kwirinda . Buri gihe fata amasogisi y'inyongera, kandi urebe neza ko inkweto zawe zikubereye neza. Ukoresheje ibintu byoroshye nk'ibi, ntuzahangayikishwa n'ibirenge bya trench foot. Wite ku birenge byawe, kandi ubikomeze kumererwa neza!

` trench foot, indwara yo kwibira ibirenge, ibirenge bitose, ibirenge bikonje, ububabare bw'ibirenge, gucika intege kw'ibirenge, kwita ku birenge, ibirenge, ubukonje, ubushuhe