Nk'umubyeyi, biraryoshye cyane iyo umwana wawe atangiye gutemba, sibyo? Ibi ni ibisanzwe cyane, cyane cyane hagati y'amezi 4 na 19. Ariko niba umwana wawe akomeje gutemba cyane nubwo yamara imyaka 4, bishobora kuba ari ikintu twagombye guhangayikishwa na cyo. Mu buvuzi, iyi ndwara yitwa Sialrhea. Reka tubiganireho mu buryo bworoshye kandi bworoshye uyu munsi.
Mu magambo make, Sialrhea ni iki?
Sialorrhea ni ukuvamo amacandwe menshi cyangwa amatemba. Ubusanzwe, mu kanwa k'umwana hasohoka litiro 1.5 z'amacandwe ku munsi. Ariko, umwana ufite iyi ndwara ashobora kuvamo litiro zigera kuri 5 z'amacandwe ku munsi. Hari igihe, nubwo ingano y'amacandwe ikorwa ari ibisanzwe, umwana ntashobora kuyamira neza. Nubwo bimeze bityo, amacandwe aracyasohoka mu kanwa.
Hari ubwoko bubiri bw'ingenzi bw'ibi:
- Indwara ya Sialrhea y'imbere: Ubu ni bwo bwoko bukunze kugaragara cyane bwo gutemba amate. Amate aturuka mu kanwa, akamanuka mu maso no ku myenda. Ibi bishobora gutera gutukura no gushibuka k'uruhu rukikije agahanga no mu kanwa, kandi bishobora gutera indwara z'uruhu. Bishobora kandi gutuma umwana agira isoni nke kandi agatinya gusabana n'abandi bana.
- Posterior Sialrhea (imanuka inyuma y'umuhogo): Ibi bibaho igihe amacandwe amanuka mu muhogo, akajya mu nzira y'ubuhumekero , aho gusohoka. Ibi ni akaga gato. Iyo amacandwe akomeje gutemba mu bihaha, ashobora kwangiza ibihaha no gutera kuziba k'igituza no gukorora kenshi.
Akenshi, abana bafite iyi ndwara bagaragaza ibimenyetso by'ubwoko bwombi hamwe.
Ni izihe mpamvu zitera kuzana amatembabuzi?
Hari impamvu nyinshi z'ingenzi zishobora gutuma umwana atemba cyane. Akenshi, ni ikimenyetso cy'indi ndwara isanzwe.
Igikuru ni ukubonana na muganga no gufata icyemezo nyacyo, aho kwibwira impamvu.
Reka turebere hamwe izo mpamvu mu mbonerahamwe iri hepfo.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Ibibazo by'imitsi n'ubwonko | Ubwonko bugorwa no kugenzura imitsi yo mu kanwa no mu muhogo. Urugero, abana bagera kuri 58% bafite indwara yitwa Cerebral Palsy nabo bafite iyi ndwara. Ishobora no guterwa n'ibikomere byo mu bwonko cyangwa gucika imitsi. |
| Ibitagenda neza mu mubiri | Impinduka mu mubiri zituma bigorana kumira. Ingero: ururimi runini kuruta uko bisanzwe, ubumuga bw'umusaya cyangwa umuhogo, iminwa cyangwa akanwa gacitse, ibibazo bijyanye n'aho amenyo ahagaze. |
| Amacandwe menshi cyane | Nubwo umwana ashobora kumira, umubiri we ukora amacandwe menshi kuruta uko bikenewe. Ibi bishobora kuba ingaruka mbi z'imiti imwe cyangwa izindi ndwara z'ubuhumekero. |
| Guhumeka mu kanwa | Hari abana bahumeka mu kanwa igihe cyose, aho guhumeka mu mazuru. Nubwo bimeze bityo, umunwa uba ufunguye, ibyo bikaba bishobora gutuma amacandwe ava. |
Ni ibihe bimenyetso by'iyi ndwara bishobora kuba?
Ibimenyetso biterwa nuko amacandwe asohoka (imbere) cyangwa mu muhogo (inyuma).
- Iyo amacandwe atemba imbere (Anterior Sialrhea):
- Guhorana imyenda itose n'udufuka tw'imisego.
- Uruhu rukikije umunwa n'akananwa ruratukura, rwumye, kandi rurapfutse.
- Hari igihe habaho ibura ry'amazi mu mubiri (kubura amazi mu mubiri mu buryo bworoheje).
- Kugorwa no kuvuga no kurya.
- Iyo amacandwe atemba ku ruhande rw'umuhogo (Posterior Sialrhea): Ibi bishobora gutera ibimenyetso bikomeye.
- Guhumeka nabi kenshi, gukorora, isesemi no kuruka .
- Kuziba kw'igituza.
- Kugorwa no guhumeka.
- Guhumeka: Ibi bivuze ko umuntu anyoye ibintu nk'amacandwe mu bihaha. Ibi ni bibi cyane kuko bishobora gutera indwara zikomeye nka pneumonia .
Wamenya ute niba iyi ari indwara?
Indwara ya sialrhea igaragara imbere ishobora gusuzumwa na muganga byoroshye nyuma yo gusuzuma umwana wawe no kukubaza ibisobanuro birambuye.
Ariko niba ukeka ko umwana wawe afite ikibazo cyo gutemba amate, ushobora gukenera gukorerwa ibizamini byihariye kugira ngo byemezwe. Ibikoresho byihariye bikoreshwa mu gusuzuma umuhogo w'umwana wawe, kumira kwe, no kuvuga kwe. Urugero, X-ray yihariye yitwa videofluoroscopy ishobora kwerekana neza uburyo umwana amira amazi n'uko agenda mu muhogo. Ntugahangayike, muganga wawe azagutegeka iki kizamini gusa iyo bibaye ngombwa rwose.
Urimo gukora iki nk'ubuvuzi?
Igishimishije ni uko hari uburyo bwinshi bwo kuvura ibi. Bitewe n'uburwayi bw'umwana n'impamvu yabwo, muganga ni we uzahitamo uburyo bukwiye bwo kuvura.
- Imiti yo kunywa: Imiti igabanya umuvuduko w'amacandwe cyangwa yoroshya inzira y'ubuhumekero ishobora gutangwa. Ariko, imwe muri iyi miti ishobora gutera ingaruka mbi nko kuma mu kanwa no kubura impatwe. Kubwibyo, muganga azayitanga nyuma yo kuyisuzuma neza.
- Inshinge za Botox: Uburozi bwa Botulinum (Botox) buterwa mu ngirabuzimafatizo z'amacandwe kugira ngo bugenzure ikorwa ry'amacandwe mu gihe cy'amezi agera kuri 4. Ubu ni uburyo bwo kuvura ubu bufite umutekano ku bana.
- Uburyo bwo kubaga: Mu bihe bikomeye cyane, habaho kubaga kugira ngo bakureho imisemburo myinshi y'amacandwe cyangwa bahindure imikorere yayo. Ibi bishobora gutanga igisubizo kirambye.
- Imyitozo yo mu kanwa: Ubu ni uburyo bw'ingenzi cyane bwo kuvura. Cyane cyane ku bana batemba amate kubera ikibazo cy'imiterere y'umubiri, abaganga b'imivugire batanga amahugurwa yo kubafasha kumira neza no kugenzura imitsi yo mu kanwa.
Ariko, niba umwana wawe afite indwara yoroheje kandi idakabije, ishobora kudasaba ubuvuzi bwinshi. Ushobora kubyifatamo urinda uruhu wambaye imyenda y'imbere kandi ugasiga amavuta yo kurengera ku kananwa .
Ni ryari ugomba kwita ku mwana wawe?
Nkuko twabivuze mbere, ni ibisanzwe ko umwana muto atera amate. Ariko, niba ukomeje gutemba amate menshi nyuma y'imyaka ine , ni byiza kuvugana na muganga kuko bishobora kuba ikimenyetso cy'indwara runaka.
Ikindi kintu ugomba kwitaho ni uko umwana wawe atangiye gutemba cyane nyuma y'igihe kirekire nta kibazo. Bishobora guterwa n'indwara yo mu muhogo cyangwa umwana akamira ikintu (nk'igikinisho cyangwa igiceri). Niba ubikeka ibi, jyana umwana wawe mu bitaro bikuru bya hafi (ETU) vuba .
Niba umwana amize uburozi cyangwa ikindi kintu kitari cyo, shaka ubufasha bwa muganga ako kanya.Ushobora kandi guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo.
Ariko, niba umwana wawe atemba amatemba bimubangamira mu buzima bwe busanzwe n'ibyishimo bye, menya neza ko wagiye kwa muganga kandi akagusaba inama n'ubuvuzi bikwiye.
Ubutumwa bwo kujyana mu rugo
- Nubwo gutemba amate ari ibisanzwe mu bwana, ni ngombwa gushaka inama kwa muganga niba bikomeje nyuma y'imyaka 4.
- Ibi bishobora guterwa n'ikibazo cyo kugenzura imitsi, impinduka mu miterere y'umubiri, cyangwa gukora amacandwe menshi cyane.
- Indwara ya posterior sialrhea igomba kuvurwa witonze kuko ishobora gutera ingorane nka pneumonia.
- Hari uburyo bwinshi bwo kuvura butanga umusaruro, harimo imiti, inshinge za Botox, kubaga, no kuvura indwara zo kuvuga.
- Ntugire gushidikanya mu mutwe. Vugana na muganga w'umuryango wawe kuri ibi igihe icyo ari cyo cyose kandi ubone ubuyobozi bukwiye.
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