Created at:1/16/2025
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Umuhumekero wa Hantavirus (HPS) ni indwara y’ibihaha idahwitse ariko ikaba ikomeye iterwa no guhumeka utubutane twanduye virusi ya hantavirus. Iyi virusi iterwa ahanini n’imbeba z’inzovu n’izindi mbeba zo muri Amerika y’Amajyaruguru na Amerika y’Epfo.
Nubwo izina ryayo rishobora gutera ubwoba, gusobanukirwa HPS bishobora kugufasha gufata ingamba zoroshye zo kwirinda wowe n’umuryango wawe. Iyi ndwara ibaho iyo utubutane duto twa virusi tubaye mu kirere duturutse ku mwanda w’imbeba, inkari, cyangwa ibintu byo kubaka ibyari byazo, hanyuma ukabuhumeka mu bihaha byawe.
Ibimenyetso bya HPS bigaragara mu byiciro bibiri bitandukanye, bitangira nyuma y’ibyumweru 1 kugeza kuri 8 nyuma yo kwandura virusi. Icyiciro cya mbere kigira ishusho nk’iy’umwijima ukomeye, ibyo bishobora gutuma bigorana kubimenya mu ntangiriro.
Mu cyiciro cya mbere, ushobora kugira ibi bimenyetso bisanzwe bishobora kumara iminsi myinshi:
Icyiciro cya kabiri kigaragara mu buryo butunguranye kandi kigizwe n’ibibazo bikomeye byo guhumeka. Ibi bikunda kubaho nyuma y’iminsi 4 kugeza kuri 10 ibimenyetso bya mbere bitangiye, kandi ni bwo iyi ndwara iba ikomeye cyane.
Icyiciro cyo guhumeka gitera ibi bimenyetso bikomeye bisaba ubuvuzi bw’ibanze:
Icyatuma HPS iba ikomeye cyane ni uburyo ibibazo byo guhumeka bishobora kuba byihuse. Abantu benshi bumva bameze neza nyuma y’icyiciro cya mbere nk’icy’umwijima, ariko bagahura n’ikibazo gikomeye cyo guhumeka mu masaha make.
HPS iterwa n’ubwoko butandukanye bwa hantavirus, virusi ya Sin Nombre ikaba ari yo ikunze kugaragara cyane muri Leta Zunze Ubumwe za Amerika. Izi virusi ziba mu mbeba runaka zitazirwara.
Abakwirakwiza hantavirus ni imbeba z’inzovu, zisangwa hafi ya hose muri Amerika y’Amajyaruguru. Izindi mbeba zitwara iyi virusi zitandukanye bitewe n’akarere, ariko zishobora kuba harimo imbeba z’ipamba, imbeba z’umuceri, n’imbeba z’ibirenge byera.
Ushobora kwandura binyuze mu nzira nyinshi, nubwo kudakoraho imbeba bitari ngombwa:
Iyi virusi iba mu kirere iyo umwanda wumye w’imbeba uhindutse mu gihe cyo gusukura, kwimura ibintu byabitswe, cyangwa gusana ahantu imbeba zabaga.
Ni ngombwa kumenya ko HPS idakwirakwira kuva ku muntu ku wundi muri Amerika y’Amajyaruguru, bitandukanye n’izindi virusi za hantavirus zisangwa mu bindi bice by’isi. Ntukwiye kuyandura kuva ku nyamaswa zo mu rugo nka gato, imbwa, cyangwa izindi nyamaswa.
Ukwiye gushaka ubuvuzi bw’ibanze niba ufite ibimenyetso nk’iby’umwijima mu gihe cy’ibyumweru 6 nyuma yo kwandura imbeba, cyane cyane mu turere tw’icyaro cyangwa amashyamba. Gusuzuma kwa muganga hakiri kare ni ingenzi kuko HPS ishobora gutera imbere vuba.
Hamagara muganga wawe ako kanya niba ufite umuriro, ububabare bw’imikaya, no kunanirwa nyuma yo gusukura ahantu imbeba zishobora kuba zari.
Jya kwa muganga ako kanya niba ufite ibibazo byo guhumeka, cyane cyane niba byihuse. Ntugatege amatwi niba ufite guhumeka nabi, umutima ukubita cyane, cyangwa ukumva udashobora gufata umwuka.
Uko wakira ubuvuzi bw’ibanze vuba, ni ko amahirwe yo gukira aba menshi. Abaganga bashobora gutanga ubuvuzi bwo gutera inkunga buzamura cyane ibyavuye mu buvuzi iyo bwatangiye hakiri kare mu ndwara.
Ibikorwa bimwe na bimwe n’ahantu bimwe byongera ibyago byo kwandura hantavirus, nubwo umuntu wese ashobora guhura n’imbeba zanduye. Gusobanukirwa ibi byago bigufasha gufata ingamba zikwiye.
Ibintu by’aho umuntu aba bigira uruhare runini mu kigero cy’ibyago:
Ibikorwa bimwe na bimwe n’imirimo imwe na imwe bishobora kongera ibyago byo kwandura:
Ibihe by’umwaka bigira uruhare mu byago, aho ingero nyinshi ziba mu mpeshyi no mu ntangiriro z’igura, iyo abantu baba bashobora gusukura no gufungura inyubako zari zifunze mu mezi y’itumba.
HPS ishobora gutera ingaruka zikomeye zibangamira guhumeka n’imikorere y’umutima. Gusobanukirwa izi ngaruka bishobora gusobanura impamvu ubuvuzi bw’ibanze ari ingenzi cyane.
Ingaruka zikomeye kandi zikunze kugaragara harimo:
Mu bihe bikomeye, ushobora gukenera ubufasha bwo kuvura mu bitaro, harimo no gufashwa guhumeka n’imashini. Bamwe mu bantu bakenera imiti yo gutera inkunga imikorere y’umutima no kubungabunga igitsure cy’amaraso.
Inkuru nziza ni uko abantu barokotse icyiciro gikomeye cya HPS bakira neza nta kibazo cy’ibihaha mu gihe kirekire. Ariko kandi, inzira yo gukira ishobora kumara ibyumweru cyangwa amezi, kandi ushobora kumva unaniwe muri icyo gihe.
Kwirinda byibanda ku kwirinda kwandura imbeba n’ibintu byanduye. Uburyo bwiza ni ugukora ahantu hatari heza ku mbeba no gusukura neza ahantu zishobora kuba zari.
Tangira ukore ahantu hatari heza ku mbeba:
Mu gihe usukura ahantu imbeba zabaga, komeza ibi bintu by’umutekano:
Niba uri mu biruhuko cyangwa urimo gutembera, hitamo ahantu ho kurara hatari hafi y’aho imbeba ziboneka. Bitse ibiryo mu bikoresho bifunze neza kandi wirinda kurara hasi aho imbeba zishobora kunyura.
Kumenya HPS bisaba guhuza ibimenyetso byawe, amateka yo kwandura, n’ibipimo byihariye bya laboratoire. Muganga wawe azatangira akubaza ibibazo byinshi ku bikorwa byawe bya vuba aha n’aho ushobora kuba waranduye imbeba.
Uburyo bwo gupima burimo intambwe nyinshi. Ubwa mbere, umuganga wawe azakora isuzuma rya physique kandi asuzume ibimenyetso byawe neza. Azita ku guhumeka kwawe, umutima ukubita, n’igitsure cy’amaraso.
Ibisubizo by’amaraso ni ingenzi mu kumenya HPS:
Muganga wawe ashobora kandi gutegeka amafoto y’ibihaha cyangwa CT scan kugira ngo asuzume ibihaha byawe niba hari amazi cyangwa ibindi bintu. Ibi bipimo byo gufata amashusho bifasha kumenya uburemere bw’ibibazo by’ibihaha no kuyobora imyanzuro y’ubuvuzi.
Kuko ibimenyetso bya HPS bishobora kumera nk’ibindi bibazo nk’indwara y’ibihaha cyangwa umwijima, umuganga wawe ashobora gukora ibindi bipimo kugira ngo akureho ibindi bintu bishobora kuba byarateye indwara yawe.
Kuri ubu, nta muti udasanzwe uravura HPS, bityo ubuvuzi bugamije gutera inkunga imikorere y’umubiri wawe mu gihe ubudahangarwa bwawe buhangana n’indwara. Uko wakira ubufasha bw’ibanze vuba, ni ko amahirwe yo gukira aba menshi.
Kuvurwa mu bitaro ni ingenzi mu kuvura HPS, kandi ushobora gukenera gukurikiranwa cyane. Itsinda ryawe ry’abaganga rizahora rikurikirana uko uhagaze mu guhumeka, imikorere y’umutima, n’igitsure cy’amaraso mu gihe cyose ukiri kuvurwa.
Ubuvuzi bwo gutera inkunga bushobora kuba:
Mu bihe bimwe na bimwe, uburyo bwo kuvura bwitwa extracorporeal membrane oxygenation (ECMO) bushobora kuba ngombwa. Ubu buryo bugezweho bufasha umutima n’ibihaha byawe by’agateganyo, bigaha izi ngingo umwanya wo gukira.
Itsinda ryawe ry’abaganga rizahora rikurikirana imikorere y’impyiko zawe kandi rikatanga ubufasha bundi niba bikenewe. Igihe cyo gukira gitandukanye, ariko abantu benshi barokotse icyiciro gikomeye bashobora kwitega gusubira mu buzima busanzwe mu byumweru cyangwa amezi.
Kwita kuri HPS bisaba ubuvuzi bw’abaganga mu bitaro, ariko gusobanukirwa icyo witeze bishobora kugufasha wowe n’umuryango wawe gutegura inzira yo gukira. Itsinda ryawe ry’abaganga rizashinzwe ibintu bikomeye by’ubuvuzi mu gihe wowe uba utekereza kuruhuka no gukira.
Mu gihe uri mu bitaro, ushobora gutera inkunga gukira kwawe ukomeza amabwiriza y’abaganga bawe. Ibi birimo gufata imiti yatanzwe, kwitabira imyitozo yo guhumeka niba byasabwe, no gutanga raporo ku mpinduka zose wumva.
Abo mu muryango wawe bashobora gufasha bakomeza kuvugana n’abaganga bawe no gutanga inkunga yo mu mutima. Bagomba kandi gufata ingamba zo kwirinda kwandura imbeba, cyane cyane niba bafasha gusukura cyangwa gutegura inzu yawe kugira ngo usubire.
Nyuma yo kuva mu bitaro, gukira bikomeza mu rugo hamwe no gukurikiranwa buri gihe. Ushobora kumva unaniwe mu byumweru byinshi, ibyo ni ibisanzwe kuko umubiri wawe ukomeza gukira iyi ndwara ikomeye.
Mu gihe ushaka ubuvuzi bw’ibanze kubera HPS, kwitegura bishobora gufasha umuganga wawe gupima neza vuba. Igihe ni ingenzi muri iyi ndwara, bityo komora amakuru y’ingenzi mbere yo kujya kwa muganga.
Tegura urutonde rw’ibimenyetso byawe, harimo igihe buri kimenyetso cyatangiye n’uburemere bwacyo. Andika ibikorwa byawe by’ibyumweru 6 bishize, utekereze cyane ku kintu cyose gishobora kuba cyarateye kwandura imbeba.
Zana aya makuru y’ingenzi mu ruzinduko rwawe:
Ntugatege amatwi kuvuga ibikorwa bishobora kuba bidafite aho bihuriye, nko gusura ibyari, gusukura garage, cyangwa gukora mu byari. No kwandura utubutane twanduye bishobora gutera indwara.
Niba urwaye cyane, reka umuntu aguherekeze cyangwa hamagara serivisi z’ubuvuzi bw’ibanze. Umutekano wawe ni wo w’ingenzi, kandi abaganga bafite ibikoresho byo guhangana n’ibibazo byihuse.
HPS ni indwara ikomeye ariko ishobora kwirindwa iterwa no guhumeka utubutane twanduye hantavirus kuva ku mbeba zanduye. Nubwo ari nke, isaba ubuvuzi bw’ibanze kuko ishobora gutera imbere vuba ikagera ku bibazo bikomeye byo guhumeka.
Ikintu cy’ingenzi cyo kwibuka ni uko kwirinda ari ingirakamaro cyane. Ingamba zoroshye nko gufunga ahantu imbeba zinjiriramo mu nzu yawe, kubitsa ibiryo neza, no gukoresha uburyo bwo gusukura buteganijwe bishobora kugabanya cyane ibyago byo kwandura.
Niba ufite ibimenyetso nk’iby’umwijima nyuma yo kwandura imbeba, ntutegereze gushaka ubuvuzi. Ubuvuzi bw’ibanze butera imbere cyane ibyavuye mu buvuzi, kandi abantu benshi bakira ubuvuzi bw’ibanze bakira neza.
Wibuke ko HPS idakwirakwira kuva ku muntu ku wundi, bityo ntukeneye guhangayika no kuyikwirakwiza mu muryango wawe cyangwa inshuti. Ibanda ku kubona ubuvuzi bw’ibanze no gukurikiza ingamba zo kwirinda kugira ngo wirinde wowe n’abandi kwandura mu gihe kizaza.
Oya, ntushobora kwandura hantavirus kuva ku nyamaswa zo mu rugo nka hamsters, guinea pigs, gerbils, cyangwa imbeba zo mu rugo. Virusi ziterwa na HPS ziterwa n’imbeba zo mu gaso, cyane cyane imbeba z’inzovu n’izindi mbeba.
Imbeba zo mu rugo zirerwa mu bihuru kandi ntizitwara virusi nk’izo mu gaso. Ariko kandi, birakwiye ko woga intoki nyuma yo gufata inyamaswa zo mu rugo kandi ukomeza ubusuku bw’ibyari byazo.
Hantavirus ishobora kuba mu mashashi y’imbeba yumye n’umukungugu wanduye iminsi myinshi cyangwa ibyumweru, bitewe n’ibihe by’ikirere. Virusi ibaho igihe kirekire mu bihe bikonje kandi byuzuye amazi kandi ihita ishira mu bihe bishyushye kandi byumye.
Izuba ry’izuba n’amazi asukura asanzwe nka bleach birwanya virusi. Niyo mpamvu gusukura neza hakoreshejwe amazi asukura ari ingenzi mu gihe uhura n’ahantu imbeba zabaga.
Kuri ubu, nta rukingo rwa hantavirus ruri muri Leta Zunze Ubumwe za Amerika. Kwirinda binyuze mu kugenzura ibidukikije no gusukura neza bikomeza kuba uburyo bwiza bwo kwirinda kwandura.
Abashakashatsi bakomeza gukora ku gukora inkingo, ariko kuri ubu, kwibanda ku kugabanya imbeba mu rugo rwawe no gukurikiza uburyo bwo gusukura buteganijwe ni bwo burinda cyane.
Niba ubonye amashashi y’imbeba, ntutinye, ariko fata ingamba zikwiye mbere yo gusukura. Fungura ahantu hamaze igihe, hanyuma wambare utwenda tw’ikaramu n’agapfukamunwa mu gihe usukura.
Kurasa amashashi ukoresheje amazi asukura afite 10% ya bleach hanyuma uyareke iminota mike mbere yo kuyasukura ukoresheje impapuro. Kwirinda gukoresha ibikoresho byo gukuraho umukungugu, kuko bishobora kuzamura utubutane twanduye mu kirere.
HPS ni nke cyane, aho ingero zigera kuri 20 kugeza kuri 40 zirasohoka buri mwaka muri Leta Zunze Ubumwe za Amerika. Ingero nyinshi ziba mu turere tw’icyaro tw’iburengerazuba, nubwo ingero zagaragaye mu gihugu hose.
Nubwo iyi ndwara ikomeye iyo ibaye, ibyago rusange ku bantu benshi ni bike cyane. Gufata ingamba zo kwirinda bituma ibyago bigabanuka, bityo nta mpamvu yo guhangayika cyane kuri iyi ndwara.