Henoch-Schönlein Purpura ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Henoch-Schönlein purpura (HSP) ni uburwayi aho imiyoboro y'amaraso mito iba yandujwe, bigatera ibibara byihariye kandi rimwe na rimwe bikagira ingaruka ku mpyiko, ingingo, n'ubwonko. Ni bwo bwoko bugaragara cyane bw'ubwandu bw'imijyana y'amaraso mu bana, nubwo n'abakuze bashobora kuburwara.

Tekereza kuri HSP nk'uko ubudahangarwa bwawe bwaba buhuye n'ikibazo maze bugatere imijyana y'amaraso yawe. Nubwo ibi bishobora kuba bigoye, abantu benshi barakira neza bafashijwe neza kandi bakurikiranwe.

Henoch-Schönlein Purpura ni iki?

HSP ni uburwayi bw'ubudahangarwa aho uburyo bwo kwirinda umubiri wawe bugaba igitero ku mijyana y'amaraso mito mu mubiri wawe. Icyo gitero gitera imijyana y'amaraso kuva amaraso n'amazi mu mubiri.

Ubwo burwayi buzwi ku mazina y'abaganga babutanzeho ibisobanuro byimbitse. "Purpura" bivuga ibice by'umutuku-umukara bigaragara ku ruhu rwawe iyo amaraso ava mu mijyana y'amaraso yangiritse.

Ingero nyinshi ziba mu bana bari hagati y'imyaka 2 na 11, abahungu bakaba aribo bagira ibyago byinshi kurusha abakobwa. Abakuze nabo bashobora kurwara HSP, nubwo bidafata cyane kandi bishobora kuba bikomeye.

Ibimenyetso bya Henoch-Schönlein Purpura ni ibihe?

Ikimenyetso gikomeye cya HSP ni ibibara byihariye bigaragara nk'ibice bito by'umutuku cyangwa umukara ku ruhu rwawe. Ibyo bice ntibihinduka iyo ubikozeho, ibyo bigafasha abaganga kubitandukanya n'andi moko y'ibibara.

Dore ibimenyetso by'ingenzi ushobora kubona:

• Ibibara by'umutuku-umukara (purpura) bisanzwe bitangirira ku maguru n'inyuma
• Kubabara kw'ingingo no kubyimba, cyane cyane mu mavi no mu ntugu
• Kubabara mu nda bishobora kuba nk'igicuri cyangwa ikibazo cy'inda
• Amaraso mu nkari cyangwa poroteyine mu nkari (nubwo ushobora kutayabonamo)
• Isesemi no kuruka
• Kubyimbagira mu ntoki, mu birenge, cyangwa hafi y'amaso

Ibibara bisanzwe bigaragara mbere ku maguru y'inyuma n'inyuma, hanyuma bishobora gukwirakwira hejuru. Bamwe mu bantu bagira ibyo bimenyetso byose, abandi bashobora kugira bimwe gusa.

Mu bihe bidafata, ushobora kugira ingaruka zikomeye nko kubabara cyane mu nda bisa n'appendicite, cyangwa ibibazo bikomeye by'impyiko bigatera umuvuduko ukabije w'amaraso cyangwa amaraso agaragara mu nkari.

Intandaro ya Henoch-Schönlein Purpura ni iyihe?

Intandaro nyayo ya HSP ntiyumvikana neza, ariko ikunze gukurikira indwara, cyane cyane iz'ubuhumekero bwo hejuru nka kanseri cyangwa umutima.

Hari ibintu byinshi bishobora gutera HSP:

• Indwara ziterwa na virusi (nka kanseri, grippe, cyangwa varicelle)
• Indwara ziterwa na bagiteri (cyane cyane umutima)
• Imiti imwe (nubwo bidafata)
• Allergie cyangwa ibibazo by'ibiryo
• Udukoko
• Gukonja

Mu ngero nyinshi, ntushobora kumenya icyateye. Ibyo ntibisobanura ko wakoze ikintu kibisha - rimwe na rimwe HSP iba idafite impamvu isobanutse.

Gake, HSP ishobora gufatanywa n'izindi ndwara z'ubudahangarwa cyangwa kuba igice cy'uburwayi bukomeye bw'ubudahangarwa.

Ni ryari ukwiye kubona muganga kubera Henoch-Schönlein Purpura?

Ukwiye kubona muganga niba ubona ibibara bidahinduka iyo ubikozeho, cyane cyane niba bifatanije no kubabara kw'ingingo cyangwa kubabara mu nda. Kumenya hakiri kare bifasha guhamya neza uburwayi no gukurikirana.

Shaka ubufasha bw'abaganga vuba niba ufite:

• Kubabara cyane mu nda bidashira
• Kurukira kukubuza kunywa amazi
• Amaraso mu nkari ubona
• Kubyimbagira mu maso, mu ntoki, cyangwa mu birenge
• Umuriro mwinshi ufite ibibara
• Ibimenyetso by'ibibazo bikomeye by'impyiko nko kugabanuka kw'inkari

Ndetse n'iyo ibimenyetso byawe bigaragara nk'ibito, birakwiye kubimenyesha. Muganga wawe ashobora kwemeza uburwayi no gushyiraho uburyo bwo gukurikirana kugira ngo amenye ingaruka hakiri kare.

Ibyago byo kurwara Henoch-Schönlein Purpura ni ibihe?

Hari ibintu bimwe na bimwe bikongerera ibyago byo kurwara HSP, nubwo kugira ibyo byago ntibisobanura ko uzaburwara. Kubyumva bishobora kugufasha kumenya ibimenyetso hakiri kare.

Ibyago by'ingenzi birimo:

• Imyaka (igaragara cyane hagati y'imyaka 2-11)
• Kuba umuhungu (ibyago byinshi kurusha abakobwa)
• Indwara y'ubuhumekero bwo hejuru
• Igihe cy'itumba n'ihangama (aho indwara zikunze kugaragara)
• Kugira izindi ndwara z'ubudahangarwa mu muryango wawe
• Ibintu bimwe by'umuzuko bigira ingaruka ku budahangarwa

Abakuze barwara HSP bashobora kugira ibindi byago, harimo imiti imwe cyangwa ibibazo by'ubuzima. Ubwo burwayi bushobora kuba bukomeye mu bakuze ugereranije n'abana.

Ingaruka zishoboka za Henoch-Schönlein Purpura ni izihe?

Nubwo abantu benshi barwara HSP bakira neza, ni ngombwa kumva ingaruka zishoboka kugira ngo ubashe kwitondera ibimenyetso by'umutekano. Inkuru nziza ni uko ingaruka zikomeye zidafata cyane, cyane cyane iyo hakurikiwe neza.

Ingaruka zisanzwe zirimo:

• Ibibazo by'impyiko (bigira ingaruka kuri 30-50% by'abantu barwara HSP)
• Kubabara cyane mu nda bishobora gusaba kujya mu bitaro
• Kubabara kw'ingingo bishobora kumara ibyumweru cyangwa amezi
• Ibibara ku ruhu aho ibibara byari bikomeye
• Ibimenyetso bisubira inyuma nyuma y'ibyumweru cyangwa amezi

Ibibazo by'impyiko ni cyo kibazo gikomeye gishobora kubaho. Ibyo bishobora kuva kuri poroteyine nke mu nkari kugeza ku kwandura bikomeye kw'impyiko bisaba ubuvuzi.

Ingaruka zikomeye ariko zidafata cyane zirimo kuva amaraso cyane mu mara, ikibazo cy'amara, cyangwa indwara z'impyiko zidakira. Ibyo bikunze kubaho mu bakuze kurusha abana.

Henoch-Schönlein Purpura imenyekanwa gute?

Nta kizami kimwe cyerekana neza HSP. Ahubwo, muganga wawe azareba ibimenyetso byawe, azasuzume ibibara byawe, kandi azakora ibizami byinshi kugira ngo akureho izindi ndwara kandi arebe ingaruka.

Muganga wawe azatangira asuzumye umubiri wawe, akita cyane ku bibara byawe, ingingo, n'inda. Azakora ku bibara kugira ngo arebe niba bihinduka, ibyo bigafasha gutandukanya HSP n'izindi ndwara.

Ibizami bisanzwe birimo:

• Ibizami by'inkari kugira ngo arebe amaraso cyangwa poroteyine
• Ibizami by'amaraso kugira ngo arebe imikorere y'impyiko kandi akureho izindi ndwara
• Gupima umuvuduko w'amaraso
• Rimwe na rimwe gufata igice cy'uruhu niba uburwayi budasobanutse
• Ibizami by'amatembabuzi niba hari ibimenyetso by'ubuhumekero

Uburwayi busanzwe bumenyekana bitewe no kugira ibibara byihariye hamwe n'ikimenyetso kimwe cyangwa birenga nko kubabara kw'ingingo, kubabara mu nda, cyangwa ibibazo by'impyiko.

Ubuvuzi bwa Henoch-Schönlein Purpura ni buhe?

Ubuvuzi bwa HSP bugamije gucunga ibimenyetso no gukumira ingaruka, kuko nta muti w'ubwo burwayi. Inkuru nziza ni uko ingero nyinshi zikira ubwazo mu byumweru bike kugeza ku mezi.

Uburyo bwawe bwo kuvurwa bushobora kuba burimo:

• Imiti igabanya ububabare nka acetaminophen cyangwa ibuprofen kubabara kw'ingingo
• Corticosteroids kubabara cyane mu nda cyangwa ibibazo by'impyiko
• Imiti yo kurinda impyiko niba zangiritse
• Imiti igabanya umuvuduko w'amaraso niba ikenewe
• Gukurikirana hafi n'isuzuma rya buri gihe n'ibizamini by'inkari

Ku ngero nke, ushobora kutakeneye ubuvuzi bw'umwihariko uretse kuruhuka no gucunga ibimenyetso. Muganga wawe azakora gahunda yo gukurikirana kugira ngo arebe ibibazo by'impyiko.

Mu bihe bidafata aho ibibazo by'impyiko bikomeye, ushobora kuba ukeneye ubuvuzi bukomeye nka imiti igabanya ubudahangarwa cyangwa dialysis, nubwo bidafata.

Uburyo bwo gucunga ibimenyetso murugo muri Henoch-Schönlein Purpura?

Nubwo gukurikiranwa n'abaganga ari ingenzi, hari ibintu byinshi ushobora gukora murugo kugira ngo wiyumve neza kandi ufashe mu gukira. Ibyo bintu byo kwitaho murugo bikorana n'ubuvuzi bwawe.

Dore ibyashobora kugufasha:

• Ruhukira cyane kugira ngo ufashe umubiri wawe gukira
• Shyira ibintu by'ubukonje, byuzuye amazi ku bibara bibabaza
• Shyira hejuru ingingo zibyimba iyo uruhuka
• Funga ibiryo byoroshye niba ufite ikibazo cy'inda
• Nywa amazi ahagije
• Irinde ibikorwa bishobora kongera kubabara kw'ingingo

Komeza ukure ibimenyetso byawe, harimo impinduka zose mu bibara, urwego rw'ububabare bw'ingingo, cyangwa kubabara mu nda. Ibyo bintu bifasha muganga wawe guhindura ubuvuzi bwawe niba bibaye ngombwa.

Ntukore imiti igabanya ububabare, cyane cyane mu bana, kuko bishobora kongera ibyago byo kuva amaraso. Koresha acetaminophen cyangwa ibuprofen nk'uko muganga wawe abisabye.

Uko wakwitegura uruzinduko rwawe kwa muganga?

Kwitoza neza mbere y'uruzinduko rwawe bifasha muganga wawe gukora isuzuma ryiza kandi akagutegurira uburyo bwiza bwo kuvurwa. Gutegura gato bishobora kugira uruhare rukomeye mu buvuzi uhabwa.

Mbere y'uruzinduko rwawe:

• Andika igihe ibimenyetso byatangiye n'uko byahindutse
• Andika indwara, ubwandu, cyangwa imiti mishya
• Fata amafoto y'ibibara byawe kugira ngo ugaragaze uko byahindutse
• Andika amateka y'uburwayi bw'ubudahangarwa mu muryango wawe
• Tegura ibibazo ku bijyanye n'ubuvuzi n'uburyo bwo gukurikirana
• Zana urutonde rw'imiti yose n'ibindi ukoresha

Mu gihe cy'uruzinduko, ntutinye kubabaza ibyo utazi. Muganga wawe arashaka kugufasha kumva neza kandi ukaba ufite icyizere mu buvuzi bwawe.

Icy'ingenzi kuri Henoch-Schönlein Purpura ni iki?

HSP ni uburwayi bushobora gucungwa, nubwo buhangayikisha iyo bugaragaye bwa mbere, busanzwe bukera neza hakurikijwe ubuvuzi no gukurikirana. Ibibara byihariye n'ibimenyetso bifatanye ni uburyo umubiri wawe ugaragaza ko ubudahangarwa bwawe bukeneye ubufasha kugira ngo busubire mu buryo.

Abana n'abakuze benshi barwara HSP barakira neza mu byumweru bike kugeza ku mezi. Icy'ingenzi ni ugukorana n'itsinda ry'abaganga kugira ngo bakurikirane ingaruka, cyane cyane ibibazo by'impyiko, no gucunga ibimenyetso uko bigaragara.

Wibuke ko kugira HSP ntibisobanura ko ubudahangarwa bwawe bwangiritse burundu. Mu gihe, kwihangana, n'ubuvuzi bukwiye, abantu benshi basubira mu mirimo yabo n'ubuzima bwabo busanzwe.

Ibibazo bikunze kubaho kuri Henoch-Schönlein Purpura

Henoch-Schönlein Purpura yandura?

Oya, HSP ubwayo ntiyandura. Nubwo ikunze gukurikira indwara (ishobora kwandura), uburwayi bwa purpura ubwayo ntibushobora kwandura umuntu ku wundi. Ni igikorwa cy'ubudahangarwa kibaho mu mubiri wawe.

Henoch-Schönlein Purpura imara igihe kingana iki?

Ingero nyinshi za HSP zikira mu byumweru 4-6, nubwo ibimenyetso bimwe nko kubabara kw'ingingo bishobora kumara igihe kinini. Hagati ya 30% by'abantu bagira ibibazo bisubira inyuma mu mezi ya mbere, ariko ibyo bibazo bisanzwe biba bito kurusha ibya mbere.

Abakuze bashobora kurwara Henoch-Schönlein Purpura?

Yego, nubwo bidafata cyane mu bakuze kurusha abana. Ingero z'abakuze zikunze kuba zikomeye kandi zikunze gutera ibibazo bikomeye by'impyiko. Abakuze kandi bafite amahirwe menshi yo kugira ibibazo by'impyiko bidakira nk'ingaruka.

Ibibara bizasiga inkovu ziramba?

Mu ngero nyinshi, ibibara bya HSP birashira burundu bidasigeye inkovu. Ariko, mu bice aho ibibara byari bikomeye cyangwa niba hari ikibazo cy'uruhu, inkovu nke cyangwa ibara ry'uruhu rishobora kugumaho.

Nkeneye gukurikiza indyo yihariye mfite HSP?

Nta ndyo yihariye ya HSP, ariko kurya ibiryo byoroshye bishobora kugufasha niba ufite ibibazo by'inda. Niba ufite ibibazo by'impyiko, muganga wawe ashobora kugusaba kugabanya umunyu cyangwa poroteyine by'igihe gito. Nywa amazi ahagije kandi wirinda ibiryo bigaragara ko bigutera ibibazo.