Niba uri umuntu uri kuvurwa indwara z'impyiko, cyane cyane indwara idakira y'impyiko (CKD), hari igihe wumva urimo kwishimagura umubiri wose ku buryo bukabije? Hari igihe uku kwishimagura gukabije ku buryo udashobora no gusinzira nijoro. Mu by'ukuri, hari igihe habaho aho uruhu rukomeretswa no kwishimagura. Iyi ni indwara iteye ishozi ariko ikunze kugaragara mu barwayi b'impyiko. Uyu munsi turimo kuvuga kuri iyi ndwara, izwi mu buvuzi nka 'Uremic Pruritus'.
Uremic Pruritus ni iki?
Muri make, iyi ni indwara yo kuribwa cyane igaragara ku bantu bafite indwara zidakira z'impyiko (CKD) n'indwara y'impyiko yo mu cyiciro cya nyuma (ESKD). Umwihariko w'ibi ni uko ubusanzwe nta bushyuhe cyangwa indwara y'uruhu igaragara itera ubu buribwe. Ni ukuvuga ko umubiri urimo gushwanyagurika nta kibazo cy'uruhu kigaragara.
Uku gushyukwa gushobora kukugiraho ingaruka mu buryo butandukanye:
- Hari igihe bishobora kuza bikongera bikagenda nyuma y'igihe runaka.
- Hari abantu bashobora kugira ubu buribwe umunsi wose.
- Uku gushyukwa kuriyongera, cyane cyane nijoro, kandi bishobora kubangamira ibitotsi.
- Bishobora kumvikana nk'aho birimo kwishimagura ku mubiri wawe wose icyarimwe, cyangwa bishobora kumvikana gusa mu bice bimwe na bimwe , nko mu mugongo, mu maso, cyangwa mu maguru.
- Uku gushyuha gushobora kwiyongera iyo uruhu rwawe rwumye.
- Uku gushyuha guhoraho bishobora kugira ingaruka zikomeye ku buzima bwawe bwo mu mutwe no ku mibereho yawe myiza.
Nubwo ijambo "Uremic" rikoreshwa mu gusobanura iyi ndwara, ntabwo byemezwa 100% ko iterwa no kwirundanya kw'uburozi mu maraso (Uremia). Kubwibyo, yitwa kandi Chronic Kidney Disease-associated Pruritus (CKD-aP).
Ni nde ushobora kubona iki kibazo kurusha abandi?
Uku kwishimagura bikunze kugaragara ku barwayi bakorerwa dialysis y'impyiko. Ni ukuvuga ko abantu bakora dialysis y'amaraso cyangwa dialysis y'impyiko bafite amahirwe menshi yo guhura n'iyi ndwara kurusha abarwayi b'impyiko batabikora.
Ubushakashatsi bwerekana ko abarwayi b'impyiko barengeje imyaka 70 bafite amahirwe menshi yo kurwara iki gisebe kandi gishobora kuba gikomeye kurushaho.
Tekereza kuri ibi: 70% by'abantu bari kuri hemodialysis, cyangwa hafi barindwi kuri icumi, bagira uburyaryate. Ibi bigereranywa na hafi 25% by'abarwayi b'impyiko badakira badakoresha hemodialysis, cyangwa umwe muri bane.
Ni hehe ku mubiri wawe ukunda kwishima cyane?
Abantu benshi bahura n’ubu buriri mu mubiri wabo wose cyangwa mu bice binini by’umubiri wabo. Ariko, ahantu abarwayi bakunze kugaragaza ko barya cyane ni umugongo, mu maso no ku kuboko bifite dialyse shunt .
Ni gute muganga asuzuma ibi kandi ni izihe mpamvu?
Niba ufite indwara y'impyiko idakira kandi ufite ubwo bwoko bw'ubushye, muganga wawe azabanza arebe izindi mpamvu. Azareba izindi mpinduka ku ruhu, nko kurwara uduheri. Bashobora kandi gupima amaraso. Niba nta yindi mpamvu iboneka, muganga wawe azasuzuma iyo ndwara nka Uremic Pruritus.
Impuguke ntiziramenya neza impamvu ibi bibaho, ariko hari ibintu bike bibwira ko bishobora kugira uruhare muri ibyo.
| Impamvu ishoboka | Mu magambo make ... |
|---|---|
| Kwirundanya kw'uburozi mu maraso (uburozi bwa Uremic) | Iyo impyiko zidakora neza, uburozi bwangiza butera kwirundanya mu maraso. Ubu burozi bushobora gukangura imitsi yo mu ruhu bigatuma habaho uburyaryate. |
| Ubusumbane bw'umubiri mu mikorere y'umubiri | Indwara z'impyiko zishobora guhindura uburyo ubudahangarwa bw'umubiri wacu bukora. Zimwe muri izi mpinduka no kwiyongera k'ububyimbirwe mu mubiri bishobora gutera uburyaryate. |
| Ubumenyi bw'imitsi | Indwara y'imitsi ishobora guterwa n'ibindi bintu bidahuye neza mu mubiri. Ibi ni igihe imitsi idatanga cyangwa ngo yakire ibimenyetso neza. Ibyo bimenyetso bitari byo bishobora gusobanurwa n'ubwonko nk'aho ari 'ibyihebe'. |
| Imiti urimo gufata | Imiti imwe n'imwe ifatwa ku ndwara z'impyiko ishobora gutera uburyaryate nk'ingaruka mbi. |
Ni ubuhe buryo bwo kuvura ubu buribwe?
Nta buryo bumwe bwo kuvura bukorera buri wese. Ariko, muganga wawe ashobora kugufasha guhitamo uburyo bwo kuvura bukubereye. Dore bumwe mu buryo bwo kuvura buhari ubu.
| Uburyo bwo kuvura | Ibisobanuro |
|---|---|
| Impinduka mu ikoreshwa rya hemodialysis | Muganga wawe ashobora guhindura bimwe mu byo ukora kuri dialyse kugira ngo agabanye uburyaryate. |
| Ubuvuzi bworoheje (Phototherapy) | Ubu ni uburyo bwo kuvura hakoreshejwe urumuri mu kuvura indwara z'uruhu. Hari ubwoko bumwe na bumwe bw'uburyo bwo kuvura urumuri bwagaragaye ko bufite akamaro mu kugabanya uburyaryate. |
| Imiti ivura ububabare bw'imitsi | Imiti imwe n'imwe ikoreshwa mu kugabanya ububabare bw'imitsi ishobora no gufasha mu kugabanya uburyaryate. Urugero, imiti yitwa Gabapentin na Pregabalin. |
| Imiti ya Kappa-opioid agonists | Iyi miti ikora mu kugabanya ibimenyetso by'imitsi bitera uburyaryate. Diphenhydramine na Nalbuphine ni ingero z'ubu bwoko bw'imiti. |
| Gutera impyiko | Uyu si umuti wo kuvura uburyaryate. Nyamara, ubushakashatsi bwerekana ko nyuma yo guterwa impyiko, uburyaryate bushira burundu ku barwayi bagera kuri 75%. |
Ni iki nakora mu rugo kuri ubu buribwe?
Vugana na muganga wawe ku bijyanye n'uburyo bwizewe bwo kurwanya ubushye mu rugo. Ushobora kubona ihumure muri ibi bintu:
- Gusiga amavuta yo kwisiga ku ruhu. Ni byiza kuyakoresha nyuma yo koga mu gihe uruhu rukiri rutose.
- Gukoresha amavuta yo kwisiga agabanya ubushyuhe. Ariko banza ubaze muganga wawe mbere yo gukoresha ikintu icyo ari cyo cyose.
- Abantu benshi bafata imiti igabanya ububabare iyo baryamye. Ariko abahanga bavuga ko iyi miti idakora neza muri iki kibazo cyo gushyuha kwa uremic. Kandi ishobora gutera ingaruka mbi zitari ngombwa.
Ni izihe ngaruka zishobora guterwa n’iyi ndwara iyo itavuwe?
Uku gushyuha guhoraho bishobora kugira ingaruka ku buzima bwawe bw'umubiri n'ubwo mu mutwe.
- Gukaraba buri gihe bishobora kwangiza uruhu bigatera indwara.
- Kubura ibitotsi bishobora kugabanya ubuzima bwawe.
- Mu by’ukuri, hari ubushakashatsi bwagaragaje ko igipimo cy’impfu z’abarwayi b’impyiko bafite ubu buribwe kiri hejuru gato ugereranyije n’iz’abarwayi batabufite. Bikekwa ko impamvu nyamukuru ibi bishobora kuba ari ingorane ziterwa no kubura ibitotsi.
Rero ntukabivuge nk' "ubushye gusa." Bigira ingaruka ku buzima bwawe muri rusange.
Ese hari uburyo bwo gukumira ibi?
Nta buryo bwihariye bwo kwirinda uburyaryate buterwa n'indwara z'impyiko. Ariko, niba ushobora kumenya bimwe mu bintu (ibitera) birushaho kuba bibi, ushobora kugenzura uburyaryate ubyirinda. Urugero:
- Reba niba ibintu nk'uruhu rwumye, ubushyuhe bukabije cyangwa ubukonje, cyangwa stress byongera uburyaryate.
- Irinde kwiyuhagira igihe kirekire.
- Shyira amavuta yo kwisiga ako kanya nyuma yo koga.
- Niba ikirere cyumye, koresha icyuma gishyushya amazi mu cyumba.
Niba ufite uburyaryate, bwira muganga wawe uburyo bukabije. Ntukabirengagize gusa. Muganga wawe ashobora kugufasha kubikemura akoresheje impinduka mu kuvura kwawe cyangwa akoresheje ubundi buryo.
Ubutumwa bwo kujyana mu rugo
- Kuryarya bikunze kugaragara ku bantu bafite indwara zidakira z'impyiko (CKD) n'indwara z'impyiko zo mu cyiciro cya nyuma (ESKD).
- Uku gushyukwa ntabwo guterwa n'uduheri tugaragara cyangwa indi ndwara, bityo ntukirengagize nk'aho ari "gushyukwa gusa."
- Uko uburyaryate bwawe bwaba buto kose, menya neza ko wabibwiye muganga wawe kandi ukamusobanurira uburyo bigira ingaruka ku buzima bwawe.
- Hari uburyo butandukanye bwo kuvura kugira ngo ugabanye ubu buribwe, bityo ntugomba kubabara.
- Kubera ko guhora umuntu aryarya bishobora kugira ingaruka ku bitotsi, ku buzima bwo mu mutwe, no ku buzima bwe muri rusange, ni ngombwa gushaka inama kwa muganga vuba bishoboka.
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