Ese imitsi yawe irakomera nk'amabuye? Reka tuvuge ku ndwara idakunze kugaragara (Stiff Person Syndrome)

Tekereza wicaye gusa maze imitsi y'umugongo igakomera nk'ibuye, ntishobore kugenda. Cyangwa se urusaku ruto cyangwa umuntu ugukubita bituma umubiri wawe uhungabana, imitsi yawe igahindagurika bitewe n'ububabare bukomeye. Ibi bishobora kuba atari ukubabara umugongo cyangwa imitsi isanzwe. Uyu munsi turimo kuvuga ku ndwara idasanzwe abantu benshi batarayumva, ariko ni ingenzi cyane kumenya. Iyi ndwara yitwa Stiff Person Syndrome , cyangwa SPS mu magambo ahinnye.

Mu magambo make, indwara ya SPS (Stiff Person Syndrome) ni iki?

Indwara ya Stiff Person Syndrome ni indwara idakunze kugaragara cyane mu mitsi. Igira ingaruka ku bwonko bwacu no ku ruti rw'umugongo. Muri make, ni indwara iterwa n'ubwiyongere bw'umubiri . Ibi bivuze ko ubudahangarwa bw'umubiri, bugomba kurinda umubiri wacu indwara, butangira kwibasira uturemangingo twacu tuzima. Iyi ndwara ni gake cyane ku buryo no mu gihugu nka Leta Zunze Ubumwe za Amerika, hari abarwayi batarenze 5.000 basanzwe barwaye iyi ndwara.

Umuntu urwaye iyi ndwara abanza kumva afite ubukana mu mitsi yo hagati y'umubiri, ni ukuvuga igice cy'umubiri . Uko igihe kigenda gihita, ubukana bushobora gukwirakwira mu maboko no ku maguru. Uretse ubukana, imitsi ibabaza cyane ishobora no kubaho. Kubera ubu buryo bukabije, imiterere y'umubiri ishobora guhinduka uko igihe kigenda gihita, ukagira ubumuga gato kandi ukareba wunamye .

Uku kubabara kw'imitsi bishobora kubaho mu buryo butunguranye cyangwa bigaterwa n'ikintu runaka. Urugero, urusaku rwinshi rutunguranye, umuntu akagukubita, cyangwa stress ikabije bishobora gutera uku kubabara.

Ni ibihe bimenyetso by'ingenzi by'iyi ndwara?

Nubwo ingaruka z'iyi ndwara zitandukanye gato bitewe n'umuntu ku giti cye, hari ibimenyetso bimwe na bimwe biboneka. Reka tubirebe mu mbonerahamwe.

Kuki ikintu nk'iki kibaho?

Abaganga ntibarabona impamvu nyayo ibi, ariko igitekerezo nyamukuru ni uko ari ikibazo kiri ku budahangarwa bw'umubiri wacu.

Hari neurotransmitter yitwa GABA ifasha kugenzura urujya n'uruza rw'imitsi yacu. Tekereza ko ari 'switch' yohereza ikimenyetso ku mitsi yacu kugira ngo 'turuhuke'. Enzyme yitwa 'glutamic acid decarboxylase (GAD)' ni ingenzi mu gukora iyi GABA. Mu barwayi benshi ba SPS, umubiri ukora antibody zirwanya iyi enzyme ya GAD. Iyo izi antibody zigiye gusenya enzyme ya GAD, GABA ntikorwa neza. Hanyuma imitsi ntikira ubutumwa bwo 'kuruhuka' neza, kandi ihora ihinda umushyitsi kandi ihindaguritse.

Abantu bafite SPS nabo bafite amahirwe menshi yo kurwara izindi ndwara ziterwa n’ubwiyongere bw’umubiri.

• Vitiligo - uduce tw'umweru ku ruhu
• Diyabete yo mu bwoko bwa 1
• Kubura amaraso mu mubiri (anemia) - Kubura amaraso mu mubiri biterwa no kubura vitamine B12
• Tiroidite (ubwandu bw'agahu k'ihoride)

Nanone, abantu bafite ubwoko bumwe na bumwe bwa kanseri bashobora kurwara SPS (urugero: kanseri y'ibihaha, impyiko, ibere, tiroyide, kanseri y'amara).

Ni gute umuganga asuzuma neza iyi ndwara?

Ibimenyetso bya SPS bikunze kugaragara hagati y’imyaka 30 na 60. Abagore bafite amahirwe abiri yo kurwara iyi ndwara ugereranyije n’abagabo.

Kubera ko ibimenyetso by'iyi ndwara bisa n'iby'izindi ndwara zisanzwe, SPS ikunze kwitiranywa n'indi ndwara.

• Sclerosis nyinshi
• Indwara ya Parkinson
• Fibromyalgie
• Kurwara kw'imitsi
• Guhangayika

Kubera iyo mpamvu, bishobora gufata igihe kugira ngo hamenyekane neza indwara. Muganga wawe azabanza kugusuzuma, akubaze amateka y'ubuzima bwawe, hanyuma akubwire ko hari izindi ndwara urwaye.

1. Gupima amaraso y’abasilikare ba GAD: Iki ni cyo kizamini cy’ingenzi cyane. Ingano nyinshi y’abasilikare ba GAD iboneka mu maraso y’abarwayi ba SPS bari hagati ya 60% na 80%.

2. Electromyography (EMG): Iyi mitsi ipima imikorere y'amashanyarazi y'imitsi yawe iyo iruhutse n'iyo igoranye. Imitsi y'abarwayi ba SPS ikomeza gukora nubwo yaba iruhutse.

Ni ubuhe buryo bwo kuvura ibi?

Ikintu cya mbere cyo kuvuga ni uko nta muti w'iyi ndwara uraboneka . Ariko, hari uburyo bwinshi bwo kuvura bushobora gufasha mu kugenzura ibimenyetso no kugufasha gukomeza imirimo yawe ya buri munsi. Gahunda yo kuvura igenewe buri murwayi, hashingiwe ku bimenyetso bye.

Muganga wawe azagerageza imiti itandukanye kugira ngo agenzure ububabare n'imitsi ikomeretsa. Umubiri wa buri wese ntabwo ukira imiti kimwe, bityo bishobora gufata igihe kugira ngo ubone imiti ikwiranye neza.

• Ku mitsi ikomereye: Benzodiazepines (urugero: diazepam, clonazepam) na baclofen ni byo bikunze gukoreshwa.
• Ku bubabare: Imiti igabanya ububabare hamwe n'imiti imwe n'imwe igabanya ububabare ishobora gufasha mu kugabanya ububabare.
• Uburyo bwo kuvura indwara ziterwa mu mitsi (IVIG): Ibi bikubiyemo gutanga uturemangingo twakuwe mu bantu bazima mu mitsi. Ibi kandi byagaragaye ko ari uburyo bwiza bwo kuvura indwara ziterwa na SPS.

Uretse imiti, ubuvuzi bw'umubiri, imyitozo ngororamubiri, gukora imyitozo ngororamubiri, gusigwa, no gukuba imitsiIbintu nk'ibi bishobora gufasha kugabanya ububabare no gutuma imitsi ikomeza gukora.