Ese uva amaraso menshi bitewe n'agasebe gato? Reka tuvuge kuri hemophilia

Ese wigeze wumva wowe cyangwa umuntu wo mu muryango wawe ava amaraso mu buryo butunguranye iyo ukomeretse gato? Cyangwa ukagira utudomo twinshi tw'ubururu ku mubiri wawe ndetse no nyuma yo gukomereka gato? Ntugafate nk'ibisanzwe. Kuko, ibi bishobora kuba ikimenyetso cy'indwara yitwa hemophilia . Ntugahangayike, tuzaganira kuri byose mu magambo yoroheje uyu munsi.

Mu magambo make, hemophilia ni iki?

Hemophilia ni indwara iterwa na genetiki igira ingaruka ku buryo amaraso yacu acikamo ibice . Ubusanzwe, iyo tugize ikibazo, kuva amaraso kurahagarara nyuma y'igihe runaka. Ibi biterwa nuko poroteyine zihariye mu maraso yacu (zitwa ibintu bituma amaraso acikamo ibice ) zikorana kugira ngo zikore amaraso acikamo ibice. Ariko, abantu bafite hemophilia babura imwe muri izi poroteyine zifasha amaraso kugabanuka. Niyo mpamvu kuva amaraso bidahagarara byoroshye iyo tugize ikibazo.

Hari ubwoko bubiri bw'ingenzi bwa hemophilia.

Byongeye kandi, hari ubwoko budasanzwe bwitwa hemophilia C. Buterwa no kubura Factor XI.

Ni ibihe bimenyetso by'indwara yo kubura amaraso mu mubiri (hemophilia)?

Ibimenyetso biratandukanye bitewe n'uburemere bw'indwara. Hari igihe kuva amaraso bishobora kubaho nta mpamvu igaragara. Ibi bimenyetso bishobora kumenyekana byoroshye, cyane cyane ku bana bato .

Ibimenyetso bigaragara mu bana bato n'impinja:

• Kuva amaraso mu mutwe igihe cyo kuvuka: Hari abana bashobora kuva amaraso mu mutwe igihe cyo kuvuka.
• Kubyimba ingingo mu gihe utangiye kugenda: Ugomba guhangayikishwa niba ingingo z'umwana wawe, nk'amavi n'inkokora, zibyimbye kandi zikagira ubururu akimara gutangira kugenda cyangwa kwambuka.
• Uduheri twinshi tw'ubururu nubwo twatewe n'agasebe gato: Ndetse n'agasebe gato gashobora gutuma utuheri twinshi tw'ubururu bwijimye tugaragara ku mubiri.
• Kuva amaraso kenshi mu mazuru no kuva amaraso mu ishinya: Kuva amaraso kenshi mu ishinya mu gihe cyo gusohora amenyo cyangwa mu gihe cyo koza amenyo.
• Amaraso mu nkari cyangwa mu mwanda.

Umuntu ufite hemophilia yoroheje ashobora kutagaragaza ibimenyetso kugeza akuze. Hari igihe iyo habayeho kuva amaraso menshi mu gihe cyo kubagwa gato, nko gukuramo iryinyo.

Iyi ndwara ibaho ite?

Ibi bishobora gusa nkaho bigoye, ariko biroroshye kubyumva. Hemophilia ni indwara iterwa n'uturemangingo . Ibi bivuze ko iterwa n'inenge iri mu turemangingo dukomoka kuri nyina cyangwa kuri se.

• Kuva kuri nyina kugeza ku mwana: Ingirabuzimafatizo ifite inenge itera hemophilia iri kuri chromosome X. Umwana w'umuhungu (umuhungu) ahabwa chromosome X na nyina na chromosome Y iva kuri se. Niba rero nyina ari we ufata iyi ndwara, bivuze ko afite iyi nenge kuri imwe muri chromosome X ze, hari amahirwe 50% ko umuhungu we azahabwa chromosome X ifite inenge. Ibyo nibibaho, umuhungu azarwara hemophilia.
• Abakobwa (abakobwa) baba abanduye iyi ndwara: Umwana w'umukobwa ahabwa chromosomes X ebyiri (imwe iturutse kuri nyina, indi iturutse kuri se). Nubwo ahabwa chromosome X ifite inenge iturutse kuri nyina, ubusanzwe ntabwo arwara iyi ndwara bitewe na chromosome X nzima iturutse kuri se. Ariko, baba abanduye iyi ndwara . Ibi bivuze ko bashobora kwanduza abana babo.
• Niba se afite hemophilia: Se ufite hemophilia ntazigera yanduza abahungu be indwara kuko abahungu bazungura chromosome Y gusa kuri se. Ariko, kubera ko abakobwa be bose bazungura chromosome X ifite inenge, abo bakobwa bose bazaba ari bo batwara iyo ndwara.

Hari igihe umwana ashobora kurwara indwara binyuze mu guhinduka kw'amaraso mu buryo butunguranye, nubwo nta muntu n'umwe mu bagize umuryango ufite hemophilia.

Ni gute wasuzuma indwara? (Isuzuma)

Iyi ndwara ikunze kumenyekana nyuma gato yo kuvuka. Ishobora kumenyekana habanje kurebwa amateka y'umuryango, cyangwa niba umwana afite amaraso adasanzwe. Ishobora no gupimwa habanje gupimwa amaraso mu mukondo w'inkondo umwana amaze kuvuka.

Niba wowe cyangwa umwana wawe mufite ibi bimenyetso, hita ubonana na muganga. Muganga azabanza kubaza niba hari umuntu wo mu muryango wanyu ufite iyi ndwara. Hanyuma bazakora ibizamini by'amaraso.

• Ibipimo byo kuvura amaraso: Ibi bireba uburyo amaraso yawe yihuta kandi neza.
• Isuzuma ry'ibintu: Iyo hagaragaye ikibazo, iki kizamini gishobora kumenya neza ubwoko bwa hemophilia ufite (A cyangwa B) n'uburemere bwacyo.

Ni ubuhe buryo bwo kuvura?

Nta cyo ugomba gutinya, hari uburyo bwiza bwo kuvura hemophilia muri iki gihe. Intego nyamukuru ni ukugarura ubushobozi bwo kuvura amaraso butari mu mubiri.

• Gusimbuza Ibice Bigabanya Umubiri: Ubu ni bwo buryo bw'ingenzi bwo kuvura. Factor VIII itangwa mu mitsi yo kwandura hemophilia A naho Factor IX itangwa mu mitsi yo kwandura hemophilia B. Ibi bishobora gukorerwa mu bitaro, cyangwa ushobora gutozwa kubikora mu rugo.
• Uburyo bwo kuvura imisemburo:Desmopressin ni umuti utangwa mu kuvura hemophilia yoroheje A. Ukora mu gukangura umubiri kugira ngo urekure Factor VIII. Uboneka nk'urushinge cyangwa nk'umuti wo mu mazuru.
• Imiti igabanya amaraso mu mubiri: Iyi miti ikora mu guhagarika amaraso gushonga vuba cyane. Ikoreshwa mu bihe nko gukuramo amenyo.
• Ubuvuzi bw'umubiri: Kuva amaraso kenshi mu ngingo bishobora gutuma zitakaza ubushobozi bwo kugenda. Ubuvuzi bw'umubiri bushobora gufasha kugarura imikorere y'izo ngingo.

Ingorane zishobora guterwa no kubura amaraso mu mubiri

Iyo ubuvuzi butabonetse neza, hari ingorane zimwe na zimwe zishobora kubaho, cyane cyane mu gihe cy’indwara ikomeye yo mu maraso.

• Kwangirika kw'ingingo: Kuva amaraso kenshi mu ngingo nko mu mavi, mu nkokora no mu tuguru bishobora gutuma zihinduka ubumuga buhoraho, zibabara, kandi zikagorana kugenda.
• Kuva amaraso mu bwonko: Iki ni cyo kibazo giteje akaga cyane. Kuva amaraso mu bwonko bishobora guterwa n'igikomere cyo mu mutwe cyangwa, mu bihe bimwe na bimwe bikomeye, nta mpamvu igaragara. Ibi bishobora gutera ubumuga buhoraho cyangwa ndetse n'urupfu. Niba ufite igikomere gikomeye mu mutwe, jya ku bitaro byita ku barwayi ba ETU.
• Guhumeka bigoranye: Iyo hari amaraso mu muhogo, kubyimba bishobora gutera guhumeka bigoranye.

Niba uteganya kubyara umwana kandi ukaba ufite amateka yo kurwara hemophilia mu muryango wawe, ushobora kubona inama ku bijyanye n'imiterere y'umubiri. Ibi bishobora kugufasha kumenya niba uri umutwaro n'ingaruka ufite ku mwana wawe. Birashoboka kandi guhitamo urusoro ruzima no kurushyira mu mura wawe ukoresheje uburyo nko gutera inda mu mubiri.