Dermatomyosite ni iki? Ibimenyetso, Intandaro, & Ubuvuzi

Dermatomyosite ni indwara y’uburwayi idakunze kugaragara, igira ingaruka ku mitsi yawe n’uruhu. Itera intege nke y’imitsi n’uburwayi bw’uruhu butangaje, bigatuma ibikorwa bya buri munsi nko kuzamuka mu ndunduro cyangwa gutwara ibintu bigorana kurusha igihe gisanzwe.

Iyi ndwara iterwa n’ubudahangarwa bw’umubiri ibaho iyo ubwirinzi bwawe bugabye igitero ku mitsi n’uruhu byiza. Nubwo byumvikana bibi, gusobanukirwa ibiri kuba mu mubiri wawe bishobora kugufasha gukorana n’abaganga bawe kugira ngo ubone uko ugenzura ibimenyetso neza.

Dermatomyosite ni iki?

Dermatomyosite ibarizwa mu itsinda ry’indwara z’imitsi zizwi nka myopathies z’uburwayi. Ubwirinde bwawe buteza ububabare mu mitsi no mu mitsi minini y’amaraso yo mu ruhu rwawe, bigatuma habaho intege nke y’imitsi n’impinduka z’uruhu.

Iyi ndwara ishobora kugira ingaruka ku bantu b’imyaka yose, nubwo ikunze kugaragara mu bakuru bafite imyaka 40-60 n’abana bafite imyaka 5-15. Iyo ibaye ku bana, abaganga bayita dermatomyosite y’abana, ikunze kugira ibimenyetso bitandukanye gato.

Bitandukanye n’izindi ndwara z’imitsi, dermatomyosite ihora ifite impinduka z’uruhu hamwe n’intege nke y’imitsi. Ibi biroroshya abaganga kuyimenya, nubwo uburemere bwayo bushobora gutandukana cyane ukurikije umuntu.

Ibimenyetso bya dermatomyosite ni ibihe?

Ibimenyetso bya dermatomyosite bigenda bigaragara buhoro buhoro kandi bigira ingaruka ku mitsi yawe n’uruhu. Reka ngende nkubwira ibyo ushobora kubona, wibuke ko buri wese afite iyi ndwara mu buryo butandukanye.

Ibimenyetso bijyanye n’imitsi ushobora kugiramo harimo:

• Ubusemba bw’imitsi buhoraho, cyane cyane mu bitugu, mu maboko yo hejuru, mu byondo, no mu mavi
• Kugorana guhaguruka ku ntebe, kuzamuka imisarani, cyangwa gukora ibintu hejuru y’umutwe
• Kugorana kw’umunwa cyangwa impinduka mu ijwi ryawe
• Kubabara kw’imitsi no kubabara, nubwo ibi bitabaho buri gihe
• Uburwayi bwumva bukabije kurusha uburwayi busanzwe

Impinduka z’uruhu akenshi ni byo abantu babanza kubona kandi bishobora kugaragara mbere y’uko ubusemba bw’imitsi butangira:

• Uruhu rw’umutuku cyangwa rw’umuhondo rudasanzwe hafi y’amaso, akenshi rufite kubyimba
• Ibibyimba by’umutuku cyangwa umuhondo ku ntoki, ku maguru, cyangwa amaguru (bitwa Gottron's papules)
• Uruhu ku gatuza, umugongo, cyangwa ibitugu bishobora kuba bibi iyo umuntu yashyizwe ku zuba
• Uruhu rukomeye, rugoramye ku ntoki no ku kuboko
• Impinduka ku mpinduka z’imisumari hamwe n’uturemangingo duto tw’amaraso tuboneka

Bamwe mu bantu bagira ibimenyetso bidafite akamaro bishobora kugira ingaruka ku bice bitandukanye by’umubiri. Ibi bishobora kuba harimo guhumeka nabi niba iyi ndwara igira ingaruka ku mitsi y’ibihaha, kubabara kw’ingingo bidakabije, cyangwa imyanda ya calcium munsi y’uruhu yumva nk’ibibyimba bito, bikomeye.

Ni ngombwa kwibuka ko dermatomyositis ishobora kugaragara itandukanye cyane ukurikije umuntu. Bamwe mu bantu bagira impinduka z’uruhu ziboneka cyane hamwe n’ubusembwa buke bw’imitsi, naho abandi bagira icyerekezo cy’ibintu bitandukanye.

Ni iyihe mimerere ya dermatomyositis?

Abaganga basobanura dermatomyositis mu bwoko butandukanye bushingiye ku myaka umuntu yavutsemo n’imiterere yihariye. Gusobanukirwa ibi bitandukanye bishobora kugufasha kuvugana neza n’itsinda ryawe ry’ubuvuzi ku kibazo cyawe.

Dermatomyositis y’abakuze isanzwe igaragara hagati y’imyaka 40-60 kandi ikurikira uburyo busanzwe bw’ubusembwa bw’imitsi buhuriye hamwe n’impinduka z’uruhu. Iyi sura rimwe na rimwe iba hamwe n’izindi ndwara zifata umubiri cyangwa, mu bihe bidafite akamaro, ishobora guhurirana n’indwara z’umwenda.

Dermatomyosite y’abana irashyiraho abana n’abangavu, ikunze kugaragara hagati y’imyaka 5-15. Nubwo ifite ibintu byinshi bihuriyeho n’iy’abakuze, abana bakunze kugira amabuye y’umucanga munsi y’uruhu kandi bashobora kugira ibibazo by’imitsi y’amaraso byiyongereye.

Dermatomyosite ya amyopathic igaragara mu buryo budasanzwe aho ugira ihindagurika ry’uruhu rimenyekanye nta gukomera kw’imitsi bikomeye. Ibi ntibisobanura ko imitsi yawe idafite icyo ikora, ahubwo intege nke ishobora kuba ntoya ku buryo utayibona mu bikorwa bya buri munsi.

Dermatomyosite ifitanye isano na kanseri ibaho iyo iyi ndwara igaragara hamwe n’ubwoko bumwe na bumwe bwa kanseri. Ubu buhunganire bukunze kugaragara mu bakuze, cyane cyane abarengeje imyaka 45, kandi muganga wawe azasuzumira uko bishoboka mu isuzuma ryawe.

Ni iki giteza dermatomyosite?

Dermatomyosite iterwa n’ubudahangarwa bw’umubiri butangira kwibeshya bugatwika imyanya y’umubiri ikozwe neza. Impamvu nyamukuru y’ikibazo cy’ubudahangarwa bw’umubiri ntibirasobanuka neza, ariko abashakashatsi bizera ko bishobora kuba bifitanye isano n’ibintu byinshi.

Isano yawe ishobora kugira uruhare mu kukugira ikirungo cyo kwibasirwa na dermatomyosite. Ihinduka rimwe na rimwe mu mbaraga za gene zishobora kongera ibyago, nubwo kugira izi gene ntibigarantiye ko uzagira iyi ndwara.

Ibintu byo mu kirere bishobora kandi kugira uruhare mu iterambere rya dermatomyosite. Ibi bintu bishobora kuba birimo indwara ziterwa na virusi, kwibasirwa n’imiti imwe, cyangwa ubushyuhe bukabije bw’izuba. Ariko rero, ni ingenzi kumva ko ibi bintu bidaha abantu iyi ndwara ariko bishobora kuyitera mu bantu basanzwe bafite ubushobozi bwo kuyibasirwa.

Mu mubare w’abantu, cyane cyane mu bakuze, dermatomyosite ishobora kuba igice cy’ubudahangarwa bw’umubiri bwagutse buterwa no kuba hari kanseri ahandi mu mubiri. Uburyo umubiri uhangana na kanseri rimwe na rimwe rushobora guhura n’imitsi n’uruhu.

Icyingenzi cyo gusobanukirwa ni uko dermatomyosite atari indwara yandura, kandi nta kintu na kimwe wakoze cyayiteye. Ntabwo iterwa no gukora imyitozo ngororamubiri cyane, imirire mibi, cyangwa imikorere mibi y’ubuzima.

Ni ryari ukwiye kujya kwa muganga kubera dermatomyosite?

Wagomba gushaka ubuvuzi bw’abaganga niba ubona ibimenyetso by’intege nke y’imitsi ikomeza kwiyongera n’impinduka z’uruhu ziranga, cyane cyane ubwoko bw’uburwayi bugaragara hafi y’amaso cyangwa hejuru y’amaboko. Kugirwaho ibizamini hakiri kare no kuvurwa birashobora kugira uruhare runini mu gucunga iyi ndwara.

Hamagara muganga wawe vuba niba ufite ikibazo cyo kugira imbogamizi mu kunywa, kuko bishobora kugira ingaruka ku bushobozi bwawe bwo kurya neza kandi bishobora gusaba ubuvuzi bw’ihutirwa. Kimwe n’ibyo, niba ugize ikibazo cyo guhumeka nabi cyangwa kubabara mu kifuba, ibi bimenyetso bishobora kugaragaza ko ibihaha byawe birimo ikibazo kandi bikeneye isuzuma ryihuse.

Ntugatege amatwi niba ubona intege nke y’imitsi ikomeza kwiyongera vuba, cyane cyane niba bigira ingaruka ku bushobozi bwawe bwo gukora imirimo ya buri munsi nko kwambara, kugenda, cyangwa kuzamuka imirongo.

Niba umaze kuvurwa dermatomyosite, menya ibimenyetso byerekana ko uburwayi bwawe bushobora kuba buri kwiyongera nubwo uvuwe. Ibyo birimo ubwoko bushya bw’uburwayi bw’uruhu, intege nke y’imitsi yiyongereye, cyangwa kugaragara kw’ibindi bimenyetso nko gukorora cyangwa guhumeka nabi.

Ni ibihe bintu byongera ibyago byo kurwara dermatomyosite?

Ibintu byinshi bishobora kongera amahirwe yawe yo kurwara dermatomyosite, nubwo kugira ibyo bintu byongera ibyago ntibisobanura ko uzayirwara. Kubyumva bishobora kugufasha kuba maso ku bimenyetso bya mbere.

Imyaka igira uruhare runini, aho hari ibihe bibiri by’ingenzi dermatomyosite igaragaramo cyane. Icya mbere ni mu bwana, cyane cyane hagati y’imyaka 5-15, icya kabiri ni mu gihe cy’ubukure, akenshi hagati y’imyaka 40-60.

Kuba umugore byongera ibyago byawe, kuko abagore bafite amahirwe hafi kabiri yo kurwara dermatomyositis ugereranyije n’abagabo. Icyo kintu cy’uko igitsina kibigiramo uruhare bigaragaza ko ibintu bijyanye n’imisemburo bishobora kugira uruhare, nubwo uburyo nyakuri butigeze bumenyekana.

Kugira izindi ndwara ziterwa n’ubudahangarwa mu mateka y’umuryango wawe bishobora kongera gato ibyago byawe. Indwara nka rhumatoïde arthritis, lupus, cyangwa scleroderma mu muryango wa hafi zigaragaza ko hari ubushobozi bwo kuvukana indwara ziterwa n’ubudahangarwa muri rusange.

Ibimenyetso bimwe na bimwe by’imiterere y’impyiko, cyane cyane impinduka runaka mu mpyiko zijyanye n’imikorere y’ubudahangarwa, bigaragara kenshi mu bantu barwaye dermatomyositis. Ariko, gupima ibyo bimenyetso ntibikorwa buri gihe kuko kubigira ntibihamye ko uzahura n’iyo ndwara.

Ku bakuru, cyane cyane abarengeje imyaka 45, kugira ubwoko bumwe na bumwe bwa kanseri bishobora kongera ibyago byo kurwara dermatomyositis. Ubu buhunganire bukora impande zombi - rimwe na rimwe dermatomyositis igaragara mbere, bigatuma hamenyekana kanseri yari ihari.

Ni iki gishobora kuba ingaruka mbi za dermatomyositis?

Nubwo dermatomyositis ahanini igira ingaruka ku mitsi n’uruhu, rimwe na rimwe ishobora kugira ingaruka ku bindi bice by’umubiri wawe. Gusobanukirwa izi ngaruka zishobora kubaho bigufasha kumenya ibimenyetso ugomba kwitondera igihe ugomba gushaka ubuvuzi bundi.

Ingaruka mbi ku mpyiko zishobora kuza mu bamwe mu barwaye dermatomyositis, kandi ibyo bisaba gukurikiranwa neza. Ushobora kugira ikibazo cyo guhumeka nabi, inkorora yumye idashira, cyangwa umunaniro usa n’uwarenze intege nke z’imitsi. Ibyo bimenyetso bishobora kugaragaza ububabare mu mpyiko zawe cyangwa ibikomere mu mpyiko.

Kugira ikibazo cyo kwishima bishobora kubaho iyo imitsi yo mu muhogo no mu cyo kurya igira ingaruka. Ibyo bishobora gutangira nk’uko guhumeka cyangwa kumva nk’aho ibiryo bifunze, ariko bishobora kujya kure bikagira ingaruka ku mirire kandi bikongera ibyago byo kurwara pneumonia bitewe no guhumeka ibiryo cyangwa ibinyobwa.

Ikibazo cy’umutima si cyo kigenda kiba kenshi, ariko gishobora kuba kibi cyane iyo kibaho. Imisuli y’umutima wawe ishobora kwangirika, bikagira ingaruka ku gukubita kw’umutima, kubabara mu gituza, cyangwa guhumeka nabi mu gihe ukora imirimo itari gusanzwe ikubabaza.

Ibiyiko bya calcium munsi y’uruhu rwawe, bizwi nka calcinosis, biba kenshi cyane ku bana barwaye dermatomyositis ariko bishobora kubaho no ku bakuru. Byumvikana nk’ibibyimba bikomeye munsi y’uruhu kandi rimwe na rimwe bishobora kuvunika ku ruhu, bigatera ibikomere bibabaza.

Ku bakuru, cyane cyane abarengeje imyaka 45, hari ibyago byiyongereye byo kurwara kanseri zimwe na zimwe mbere, mu gihe cyangwa nyuma yo kuvurwa dermatomyositis. Kanseri zihuriweho cyane harimo kanseri y’ovari, umwijima, amabere, n’amara.

Ni ngombwa kwibuka ko abantu benshi barwaye dermatomyositis badahura n’izi ngaruka, cyane cyane babonye ubuvuzi bukwiye no gukurikiranwa. Ikipe yawe y’ubuvuzi izakurikirana ibimenyetso bya mbere kandi ihindure gahunda yawe y’ubuvuzi uko bikwiye.

Uko dermatomyositis ishobora gukumirwa

Ikibabaje ni uko nta buryo buzwi bwo gukumira dermatomyositis kuko ari indwara iterwa n’ubudahangarwa bw’umubiri, kandi impamvu zayo zitazwi neza. Ariko rero, hari intambwe ushobora gutera kugira ngo wirinde ibintu bishobora kurushaho kubihaza cyangwa gutera indwara kongera kuba mbi.

Kwirinda izuba ni ingenzi cyane ku barwaye dermatomyositis, kuko izuba ry’umuringa rishobora kurushaho kubihaza ibibazo by’uruhu kandi bikaba byatuma indwara yongera kuba mbi. Koresha amavuta yo kwisiga yo kwirinda izuba ifite byibuze SPF 30, wambare imyenda ikwirinda izuba, kandi ushake igicucu mu masaha y’izuba rikomeye.

Kwirinda ibintu bizwi ko biterwa na byo, aho bishoboka, bishobora kugabanya ibyago byo kongera kuba mbi kw’indwara niba umaze kuyirwara. Bamwe babona ko imiti imwe, indwara cyangwa umunaniro mwinshi bisa nkaho bituma ibimenyetso byabo birushaho kuba bibi.

Kugira ubuzima bwiza muri rusange binyuze mu kwitaho kwa muganga buri gihe, gukurikirana inkingo, no gucunga ibindi bibazo by’ubuzima bishobora gufasha umubiri wawe guhangana neza n’ibibazo bya autoimmune.

Niba ufite amateka y’indwara za autoimmune mu muryango wawe, kumenya ibimenyetso bya mbere no gushaka ubuvuzi bw’ibanze ku bimenyetso biteye impungenge bishobora gutuma hamenyekana hakiri kare kandi hakavurwa hakiri kare, ibi bikaba bisanzwe bigira ingaruka nziza.

Uko dermatomyositis imenyekanishwa

Kumenya dermatomyositis bikubiyemo guhuza isuzuma ry’umubiri, ibizamini by’amaraso, rimwe na rimwe hakongerwamo ibindi bikorwa. Muganga wawe azashaka ihuriro ry’ibimenyetso by’intege nke z’imitsi n’impinduka z’uruhu zigaragaza iyi ndwara.

Ibizamini by’amaraso bigira uruhare rukomeye mu kumenya no gukurikirana. Muganga wawe azareba enzyme z’imitsi ziyongereye nka creatine kinase, izivanga mu maraso yawe iyo imisemburo y’imitsi yangiritse. Bazakora kandi ibizamini by’antibody runaka zisanzwe ziboneka mu bantu barwaye dermatomyositis.

Electromyogram (EMG) ishobora gukorwa kugira ngo ipime ibikorwa by’amashanyarazi mu mitsi yawe. Iki kizamini gishobora kwerekana imiterere y’imiterere y’imitsi isanzwe mu ndwara z’imitsi zifata umwanya nk’iya dermatomyositis.

Rimwe na rimwe, biopsy y’imitsi irakenewe, aho igice gito cy’umusemburo w’imitsi gikurwaho kikarebwa munsi y’ikirahure. Ibi bishobora kwerekana imiterere y’uburibwe kandi bigafasha gukuraho izindi ndwara z’imitsi.

Muganga wawe ashobora kandi kugutegeka gukora isuzuma ry’amashusho nka MRI kugira ngo arebe ububabare bw’imitsi kandi asuzume urugero rw’ibibazo. X-rays cyangwa CT scans zishobora gutegekwa kugira ngo harebwe ingaruka ku bihaha.

Niba uri umuntu mukuru, cyane cyane ufite imyaka irenga 45, muganga wawe azasuzumira kanseri zifitanye isano binyuze mu bizamini bitandukanye. Iyi igenzura ni igice cy’ingenzi cyo gusuzuma no kwitaho buri gihe.

Uko dermatomyositis ivurwa

Ubuvuzi bwa dermatomyositis bugamije kugabanya kubyimba, kubungabunga imbaraga z’imikaya, no gucunga ibimenyetso byo ku ruhu. Gahunda yanyu y’ubuvuzi izahuzwa n’ibimenyetso byanyu n’ibyo mukenera, kandi ishobora guhinduka uko igihe gihita.

Corticosteroids, nka prednisone, ni bwo buvuzi bwa mbere busanzwe bukoreshwa kuri dermatomyositis. Aya miti ikomeye yo kurwanya kubyimba ishobora kugabanya vuba kubyimba kw’imikaya no kunoza imbaraga. Muganga wawe azatangira ashyizeho umunono munini hanyuma agahita agabanya uko ibimenyetso byawe bigenda bigenda bigenda.

Imiti igabanya ubudahangarwa bw’umubiri ikunze kongerwamo kugira ngo ifashe kugenzura indwara muganga wawe agabanya umunono. Ibintu bisanzwe birimo methotrexate, azathioprine, cyangwa mycophenolate mofetil. Aya miti akora buhoro kurusha steroids ariko atanga uburyo bwiza bwo gucunga indwara mu gihe kirekire.

Ku birenze cyane cyangwa igihe ibindi bivuzi bitagira icyo bikora, muganga wawe ashobora kugusaba igikorwa cya intravenous immunoglobulin (IVIG). Ubu buvuzi burimo kwakira antikorora kuva ku batanze bafite ubuzima bwiza, bishobora gufasha gutuza sisitemu yawe y’ubudahangarwa ikora cyane.

Imiti mishya ya biologic, nka rituximab, ishobora kugenzurwa ku bintu bigoye kuvura. Aya miti agamije kuvura akora ku bice bimwe na bimwe bya sisitemu y’ubudahangarwa kandi ashobora kugira akamaro cyane kuri bamwe.

Ubuvuzi bw’umubiri bugira uruhare rukomeye mu kubungabunga no kunoza imbaraga z’imikaya n’ubushobozi bwo kugenda. Umuganga wawe uzategura imyitozo ikwiriye urwego rwawe rw’imikorere y’imikaya kandi afashe kwirinda imikaya gukomera.

Ku bimenyetso byo ku ruhu, muganga wawe ashobora kwandika imiti yo kwisiga cyangwa akagutegurira uburyo bwo kwita ku ruhu. Imiti yo kurwanya malaria nka hydroxychloroquine ishobora rimwe na rimwe gufasha ku bimenyetso byo ku ruhu.

Nigute wakwitwara dermatomyositis iwanyu?

Kwita ku maraso ya dermatomyositis mu rugo bisobanura kwita ku mitsi yawe n’uruhu rwawe, ugafasha ubuzima bwawe muri rusange. Izi ngamba zishobora gufasha imiti yawe kandi zigufashe kumva ufite ubushobozi bwo guhangana n’uburwayi bwawe.

Gukora imyitozo ngororamubiri buri gihe, mu buryo buoroheje, ni ingenzi mu kubungabunga imbaraga z’imitsi no kuyikoranya, ariko ni ingenzi kubona umwanya ukwiye. Korana n’umufasha wawe mu bijyanye n’imyitozo ngororamubiri kugira ngo mugire gahunda y’imyitozo ikomeza imitsi yawe idakurura umunaniro cyangwa kubyimbirwa bikabije.

Kurinda uruhu rwawe izuba ni ingenzi, kuko imirasire ya UV ishobora kurushaho kuba mibi ku bimenyetso by’uruhu kandi ikaba ishobora gutera indwara. Koresha amavuta yo kwisiga yo kwirinda izuba buri munsi, wambare imyenda ikurinda izuba, kandi utekereze ku madirishya y’imodoka yawe n’inzu yawe adahisha imirasire ya UV.

Kurya indyo yuzuye, ifite intungamubiri, bishobora gufasha gukomeza ubudahangarwa bwawe kandi bigatanga imbaraga umubiri wawe ukeneye kugira ngo ukire. Niba ufashe imiti ya corticosteroids, shyira imbaraga mu biribwa bikungahaye kuri calcium na vitamine D kugira ngo urinde amagufwa yawe.

Gucunga umunaniro akenshi biba ari ikibazo gikomeye kuri dermatomyositis. Plana ibikorwa byawe mu gihe usanzwe ufite imbaraga nyinshi, gabanya imirimo minini mu bice bito, kandi ntutinye gusaba ubufasha igihe ubikeneye.

Uburyo bwo guhangana n’umunaniro nko kuzirikana, yoga yoroheje, cyangwa imyitozo yo guhumeka bishobora kugabanya indwara. Abantu benshi basanga igihe cy’umunaniro gikabije gishobora kurushaho kuba mibi ku bimenyetso byabo.

Komeza ukureho ibimenyetso byawe, harimo ibyabikiza cyangwa ibibirushaho kuba mibi. Aya makuru ashobora gufasha cyane itsinda ryawe ry’abaganga mu guhindura gahunda yawe y’ubuvuzi.

Wategura gute uruzinduko rwawe kwa muganga?

Gutegura uruzinduko rwawe kwa muganga bishobora kugufasha gukoresha neza igihe cyanyu hamwe kandi bikaguha amakuru n’ubuvuzi ukeneye. Gutegura neza kandi bifasha muganga wawe gusobanukirwa neza uburwayi bwawe no guhindura ubuvuzi bwawe.

Komeza ubwire ibyo wumva mu mubiri kuva mbere y’aho ugiye kwa muganga, wandike impinduka z’imbaraga z’imikaya, ibimenyetso bishya ku ruhu, urugero rw’umunaniro, n’ingaruka z’imiti. Fata urugero rw’ukuntu ibyo bimenyetso bigira ingaruka ku mirimo yawe ya buri munsi.

Zana urutonde rwuzuye rw’imiti yose ukoresha, harimo imiti ivugwa na muganga, imiti igurwa mu maduka, n’ibindi byongerera ubuzima. Bandika umunaniro n’igihe uyinywa, kuko imiti imwe ishobora kugira ingaruka ku miti yo kuvura dermatomyositis.

Tegura urutonde rw’ibibazo ushaka kubabaza muganga wawe. Tekereza kubabaza ku bijyanye n’uburwayi bwawe ubu, impinduka zikenewe ku miti, igihe cyo gupima ibimenyetso, n’ibimenyetso bikwiye gutuma uhamagara ibigo nderabuzima.

Niba ari ubwa mbere uje kubera ibibazo bya dermatomyositis, kora ubushakashatsi ku mateka y’ubuzima bw’umuryango wawe, cyane cyane indwara zifata umubiri wose cyangwa kanseri mu muryango wa hafi. Tekereza kandi ku mpinduka zihari mu buzima bwawe, nko gufata imiti mishya, indwara, cyangwa izuba ridasanzwe.

Tekereza kuzana inshuti cyangwa umuryango wawe wizeye mu kwisuzumisha. Bashobora kugufasha kwibuka amakuru akomeye no kugufasha mu byiyumvo, cyane cyane mu gihe uganira ku myanzuro y’ubuvuzi igoye.

Ni iki gikuru wakuramo kuri dermatomyositis?

Dermatomyositis ni uburwayi bushobora kuvurwa, nubwo bishobora kugaragara nk’ibidashoboka iyo ubimenye bwa mbere. Hamwe no kuvurwa neza no kwitaho, abantu benshi bafite iyi ndwara bashobora kugira ubuzima bwiza kandi bakomeza gukora ibikorwa bakunda.

Kumenya hakiri kare no kuvura ni ingenzi kugira ngo ubone umusaruro mwiza. Ihuriro ry’intege nke z’imikaya n’impinduka z’uruhu ziranga dermatomyositis bituma imenyekana, bivuze ko ushobora kubona ubufasha bw’abaganga vuba iyo ibimenyetso bigaragaye.

Gahunda y’ubuvuzi bwawe ishobora guhinduka uko igihe gihita, kuko abaganga bawe bazajya bamenya uko umubiri wawe witwara ku miti itandukanye, ndetse n’uko ubuvuzi bushya buzajya buboneka. Ibi ni ibisanzwe kandi ntibisobanura ko uburwayi bwawe buri kwiyongera.

Wibuke ko uri umuntu ukomeye mu itsinda ry’ubuvuzi bwawe. Ibyo ubona ku birebana n’ibimenyetso, ingaruka z’imiti, n’ibyagufasha cyangwa bikakurinda uburwayi bwawe, bitanga amakuru y’agaciro afasha mu kuvura.

Nubwo dermatomyositis isaba kwitabwaho n’abaganga buri gihe, abantu benshi basanga ko uko igihe gihita, bagenda babona uburyo bwo guhangana n’ibimenyetso byabo, bakongera bagakora imirimo myinshi isanzwe.

Ibibazo bikunze kubaho ku bijyanye na dermatomyositis

Ese dermatomyositis yandura?

Oya, dermatomyositis ntiyandura. Ni uburwayi bw’umubiri ubwe aho ubudahangarwa bw’umubiri bugaba igitero ku mubiri muzima. Ntushobora kuyanduza undi muntu, cyangwa ngo uyitware mu muryango wawe cyangwa mu nshuti zawe binyuze mu kubakorana.

Ese dermatomyositis irakirwa?

Kuri ubu, nta muti uravura dermatomyositis, ariko ni uburwayi burivurwa cyane. Abantu benshi bagera ku kirengagizwa, bisobanura ko ibimenyetso byabo bigabanuka cyangwa bikavaho burundu hakoreshejwe ubuvuzi bukwiye. Intego y’ubuvuzi ni uguhagarika kubabara, kubungabunga imikorere y’imitsi, no kugufasha kugira ubuzima bwiza.

Ese nzagomba gufata imiti ubuzima bwanjye bwose?

Ibi bihinduka cyane ukurikije umuntu ku wundi. Bamwe bashobora kugabanya cyangwa guhagarika imiti yabo niba bagize ikirengagizwa kirambye, abandi bakeneye kuvurwa buri gihe kugira ngo ibimenyetso byabo bigumane mu mucyo. Muganga wawe azakorana nawe kugira ngo abone ubuvuzi buke buhagije buzatuma uburwayi bwawe buguma butuje.

Ese nshobora gukora imyitozo ngororamubiri niba mfite dermatomyositis?

Yego, imyitozo ikwiye ifitiye akamaro abantu barwaye dermatomyositis. Ariko rero, ni ingenzi gukorana n’abaganga bawe, cyane cyane umuganga w’imiti y’umubiri uzi indwara z’imikaya y’uburaka, kugira ngo mugire gahunda y’imyitozo ikwiye umutekano. Ikintu nyamukuru ni ukubona uko uhuza imbaraga z’imikaya n’uko utagomba gukoresha cyane imikaya y’uburaka.

Ese dermatomyositis ihora ifitanye isano na kanseri?

Oya, dermatomyositis ntihora ifitanye isano na kanseri. Nubwo hari ibyago byiyongereye byo kurwara kanseri, cyane cyane ku bantu barengeje imyaka 45, abantu benshi barwaye dermatomyositis ntibarwara kanseri. Muganga wawe azakora isuzuma ryo kureba niba hari kanseri ifitanye isano n’uburwayi bwawe, ariko ibyo ni ugukumira, si ikimenyetso cy’uko kanseri izageraho.