Health Library Logo

Health Library

Ese hari ubwoko bwa mbere butandukanye n'ubundi bwa rosacea?

Na Soumili Pandey
Byasuzumwe na Dr. Surya Vardhan
Yasohotse ku ya 2/8/2025

Lupus na rosacea ni ibibazo bibiri bitandukanye byuruhu bikunze kuvanga kubera ko bigira ibimenyetso bisa. Iyi ntumwa ije gusobanura uko bitandukanye n’impamvu ari ngombwa kugira ubumenyi nyabugene.

Lupus ni indwara y’umubiri idakira ihoraho ishobora gutera ibimenyetso byinshi, nka ubusembwa butandukanye, umunaniro, n’ububabare bw’ingingo. Ishobora kugira ingaruka ku bice byinshi by’umubiri, bigatuma iba indwara igoranye. Mu gihe rosacea ari ikibazo gisanzwe cyuruhu gisanzwe kigaragara nk’umutuku, imitsi y’amaraso igaragara, rimwe na rimwe ibintu bisa n’ibicurane mu maso.

Ubu buryo bubiri busanzwe, lupus ikaba igira ingaruka kuri miliyoni 1.5 z’abanyamerika na rosacea ikagira ingaruka kuri miliyoni 16 z’abantu muri Amerika. Gusobanukirwa ibimenyetso by’uburyo buri bwose ni ingenzi mu gucunga no kuvura neza.

Kurugero, ubusembwa bwa lupus bugira ishusho isa n’inyoni mu maso no mu mazuru, mu gihe rosacea isanzwe igaragara nk’umutuku mu maso, mu mazuru no ku gahanga. Kumenya ibyo bitandukanye bishobora gufasha abantu kubona inama z’abaganga vuba kandi birinda ingaruka zikomeye. Muri rusange, gutandukanya lupus na rosacea biratuma abantu babimenya kandi bigatuma ubuzima bwabo burushaho kuba bwiza.

Gusobanukirwa Ubusembwa bwa Lupus

Ubusembwa bwa lupus ni kimwe mu bimenyetso bisanzwe byuruhu bya systemic lupus erythematosus (SLE), indwara y’umubiri aho ubudahangarwa bw’umubiri bugaba igitero ku mitsi myiza, harimo n’uruhu. Kumenya ubwoko n’ibitera ubusembwa bwa lupus ni ingenzi mu gucunga neza.

  1. Ubwoko bw’ubusembwa bwa Lupus

  • Ubusembwa bwa Butterfly (Malar Rash): Ubusembwa butukura cyangwa bw’umutuku bugenda mu maso no mu mazuru.

  • Discoid Rash: ibice byuzuye, byuzuye bishobora gutera inkovu, bikunze kugaragara ku mutwe, mu maso, cyangwa mu ijosi.

  • Photosensitivity Rash: Ubusembwa buterwa no kwibasirwa n’izuba, bugaragarira nk’ibice bitukura mu bice byibasirwa n’izuba nka amaboko, ikibuno, n’amasura.

2. Ibintu biterwa

  • Izuba (Kwibasirwa na UV): Ikintu nyamukuru, gikunze gutera ibibazo ku bantu bafite ubusembwa bw’izuba.

  • Umuco: Umuco wo mu mutwe cyangwa umubiri ushobora kongera ibimenyetso bya lupus, harimo n’ubusembwa bwuruhu.

  • Imiti imwe: Imiti imwe ishobora gutera ibimenyetso bisa na lupus, harimo ubusembwa.

3. Ibimenyetso

  • Uruhu rutukura, rwibabaye rushobora kuryaryata cyangwa kubabaza.

  • Ibibazo bishobora guhuza n’ibindi bimenyetso bya lupus, nko kubabara kw’ingingo cyangwa umunaniro.

4. Ubuvuzi n’ubucungamunini

  • Amavuta yo kwisiga: Amavuta ya steroide cyangwa atari steroide agabanya kubabara.

  • Kwirinda izuba: Gukoresha amavuta yo kwirinda izuba n’imyenda yo kwirinda izuba bigabanya ubusembwa bw’izuba.

  • Imiti: Imiti yo kurwanya malaria nka hydroxychloroquine ifasha gucunga ibimenyetso byuruhu n’iby’umubiri.

Gusobanukirwa Rosacea

Rosacea ni indwara y’uruhu idakira ihoraho ikunda kwibasira mu maso, itera umutuku, imitsi y’amaraso igaragara, kandi, mu bihe bimwe, ibintu bisa n’ibicurane. Nubwo impamvu nyamukuru itazwi, rosacea ishobora kugira ingaruka ku mibereho y’umuntu iyo idakuweho.

1. Ubwoko bwa Rosacea

  • Erythematotelangiectatic Rosacea (ETR): irangwa no gutukura guhoraho n’imitsi y’amaraso igaragara.

  • Papulopustular Rosacea: Irimo umutuku hamwe n’ibintu bisa n’ibicurane cyangwa ibisebe.

  • Phymatous Rosacea: Ibi bitera uruhu rwuzuye, akenshi ku mazuru (rhinophyma).

  • Ocular Rosacea: ikunda kwibasira amaso, itera umutuku, ubwumye, n’ububabare.

2. Ibimenyetso

  • Umutuku mu maso, cyane cyane ku matama, ku mazuru, ku gahanga no ku ijosi.

  • Imitsi y’amaraso igaragara (telangiectasia).

  • Ibintu bisa n’ibicurane cyangwa ibisebe.

  • Kubabara cyangwa gushya ku ruhu.

  • Amaso yumye cyangwa ababara (muri ocular rosacea).

3. Ibintu biterwa

  • Ubushyuhe, izuba, cyangwa imbeho.

  • Ibiryo birimo ibinyomoro, inzoga, cyangwa ibinyobwa bishyushye.

  • Umuco cyangwa imyitozo ikomeye.

  • Ibicuruzwa byo kwita ku ruhu cyangwa imiti.

4. Ubuvuzi n’ubucungamunini

  • Ubuvuzi bwo kwisiga: Amavuta cyangwa amajyani yo kuvura kugirango agabanye umutuku n’ububabare.

  • Imiti yo kunywa: antibiyotike cyangwa isotretinoin ku bintu bikomeye.

  • Guhindura imibereho: Kwirinda ibintu biterwa, gukoresha ibicuruzwa byo kwita ku ruhu byoroheje, no kwambara amavuta yo kwirinda izuba.

Kugeranya Ubusembwa bwa Lupus na Rosacea

Ibiranga

Ubusembwa bwa Lupus

Rosacea

Impamvu

Indwara y’umubiri aho ubudahangarwa bw’umubiri bugaba igitero ku mitsi myiza.

Indwara y’uruhu idakira ihoraho; impamvu nyamukuru ntizwi ariko ishobora kuba ifite aho ihuriye n’imitsi y’amaraso n’ubudahangarwa bw’umubiri.

Igaragara

Ubusembwa butukura, bufite ishusho y’inyoni mu maso no mu mazuru; ibice byuzuye cyangwa byuzuye.

Umutuku uhoraho mu maso, imitsi y’amaraso igaragara, n’ibintu bisa n’ibicurane.

Ibintu biterwa

Izuba (kwibasirwa na UV), umuco, n’imiti imwe.

Ubushyuhe, izuba, imbeho, ibiryo birimo ibinyomoro, inzoga, umuco, n’ibicuruzwa byo kwita ku ruhu.

Ibice byibasirwa

Ahanini mu maso no mu mazuru; bishobora kugera ku mutwe, mu ijosi, cyangwa ku kibuno.

Mu maso (amatama, mazuru, gahanga, n’ijosi); rimwe na rimwe bigira ingaruka ku maso (ocular rosacea).

Ibimenyetso

Uruhu rutukura, rwibabaye, ruryaryata, cyangwa rubabaza; bishobora guhuza no kubabara kw’ingingo cyangwa umunaniro.

Kubabara cyangwa gushya; ubwumye cyangwa uburibwe; muri ocular rosacea, amaso atukura, yumye, kandi ababara.

Ubumenyi

Ibizamini by’amaraso (ANA), ubusembwa, n’isuzuma ry’abaganga.

Ubumenyi bw’abaganga bushingiye ku buryo bigaragara n’ibintu biterwa; nta kizami cyihariye cy’amaraso.

Ubuvuzi

Amavuta yo kwirinda izuba, amavuta ya steroide, imiti yo kurwanya malaria (urugero, hydroxychloroquine).

Ubuvuzi bwo kwisiga, antibiyotike yo kunywa, isotretinoin, no guhindura imibereho.

Ibyifuzo

Idakira ihoraho, ariko ishobora gucungwa neza hamwe no kwitaho neza n’imiti.

Idakira ihoraho; ibimenyetso bishobora kugenzurwa ariko ntibikira.

Incamake

Ubusembwa bwa lupus na rosacea ni indwara z’uruhu zitandukanye zisangira umutuku mu maso nk’ikimenyetso gisanzwe ariko zitandukanye mu mpamvu, ibintu biterwa, n’ibimenyetso. Ubusembwa bwa lupus, indwara ifitanye isano n’ubudahangarwa bw’umubiri, ikunze kugaragara nk’ubusembwa butukura bufite ishusho y’inyoni mu maso no mu mazuru cyangwa ibice byuzuye byuzuye. Biterwa n’izuba, umuco, cyangwa imiti imwe kandi bishobora guherekeza ibimenyetso by’umubiri nko kunanirwa cyangwa kubabara kw’ingingo.

Rosacea, indwara y’uruhu idakira ihoraho, irangwa no gutukura guhoraho, imitsi y’amaraso igaragara, n’ibintu bisa n’ibicurane, ahanini mu maso. Ikunze guterwa n’ubushyuhe, ibiryo birimo ibinyomoro, inzoga, n’umuco. Bitandukanye na lupus, rosacea ishobora kandi kugira ingaruka ku maso muri ocular rosacea.

Ubumenyi n’ubuvuzi bitandukanye kuri ubu buryo bubiri. Ubusembwa bwa lupus busaba ibizamini by’amaraso n’imiti nka antimalarials, mu gihe gucunga rosacea bigamije ubuvuzi bwo kwisiga, imiti yo kunywa, no guhindura imibereho. Ubu buryo bubiri burifitiye akamaro kwirinda izuba no kwitabwaho n’abaganga kugira ngo ibimenyetso bigengurwe neza. Kumenya neza indwara n’umuganga ni ingenzi mu kuvura hagamijwe no kunoza imibereho.

Aderesi: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.

Yakorewe mu Buhinde, ku isi