Ese ni iki kiba ari uruhu rurerure n’ububare bw’imbere mu ruhu? Ibimenyetso, Intandaro, n’Ubuvuzi

Uruhu rurerure n’ububare bw’imbere mu ruhu ni uburwayi busanzwe bw’ubuziranenge bugira ingaruka ku ruhu rwawe, rimwe na rimwe no ku mitsi yo hasi. Uruhu rurerure rugaragara nk’ibibyimba byuzuye, bikanganye ku ruhu rwawe, mu gihe ububare bw’imbere mu ruhu butera kubyimba mu mitsi yo hasi, cyane cyane hafi y’isura, iminwa, n’umutwe.

Aya marorerere akenshi aba hamwe kandi ashobora kuva ku kintu gito giteye ikibazo kugeza ku kintu gisaba ubutabazi bw’abaganga vuba. Inkuru nziza ni uko uburwayi bwinshi bwivura ubwarwo cyangwa bugasubira mu buryo bwiza nyuma y’ubuvuzi, kandi gusobanukirwa ibibaho bishobora kugufasha kumva ufite ubushobozi bwo kubigenzura.

Ese ni iki kiba ari uruhu rurerure?

Uruhu rurerure ni ibintu byuzuye, by’umutuku cyangwa by’umutuku byigaragaza ku ruhu rwawe kandi bikagutera gukangara cyane. Abaganga babwita urticaria, kandi bibaho iyo umubiri wawe usohora histamine mu gusubiza ikintu kibona nk’ikintu kibangamira.

Aya bibyimba bishobora kuba bito nk’igipande cy’ikaramu cyangwa bikaba binini nk’isahani yo kurya. Akenshi bihinduka isura, bigenda ku mubiri wawe, kandi bishobora kuzimira ahantu runaka hanyuma bigakwirakwira ahandi mu masaha make. Iyi mimerere ihinduka ni kimwe mu bimenyetso by’ingenzi bifasha abaganga kumenya uruhu rurerure.

Uruhu rurerure rwinshi rugabanuka mu masaha 24, nubwo hariho ibindi bishobora gukomeza kuza. Uruhu rwawe rusubira mu buryo busanzwe iyo birangiye, nta bimenyetso biramba cyangwa inkovu.

Ese ni iki kiba ari ububare bw’imbere mu ruhu?

Ububare bw’imbere mu ruhu ni kubyimba bibaho mu mitsi yo hasi y’uruhu rwawe n’imikaya. Bitandukanye n’uruhu rurerure, rugaragara ku ruhu, ububare bw’imbere mu ruhu bugira ingaruka ku mitsi yo munsi y’uruhu rwawe, bigatera kubyimba, bigasa n’ibintu byuzuye.

Ibi bibyimba bikunze kugaragara hafi y’amaso, iminwa, amasura, rimwe na rimwe ku ntoki, amaguru, cyangwa ibice by’ibitsina. Ibice byangizwa bishobora kumva bikaze cyangwa bikababara aho kuba bikanganye, kandi kubyimba bigenda bitandukanye, bisobanura ko bishobora kugira ingaruka ku ruhande rumwe kurusha urundi.

Nubwo angioedema ishobora kugaragara nk’ibyago, cyane cyane ku maso, isanzwe ikira mu masaha 24 kugeza kuri 72. Ariko, iyo igize ingaruka ku munwa cyangwa ururimi, ihinduka ikibazo cy’ubuvuzi gisaba ubufasha bw’ihutirwa.

Ibimenyetso by’uburwayi bwa hives na angioedema ni ibihe?

Kumenya ibimenyetso bifasha kumva icyabaye n’igihe ukwiye gushaka ubufasha. Reka turebe icyo ushobora guhura na cyo kuri buri ndwara.

Ibimenyetso bisanzwe bya hives birimo:

• Urubuto rw’umutuku cyangwa rw’umutuku ruzamuka, ruhinduka umweru iyo rukanuwe
• Kuryaryatwa cyane bishobora kuba bibi nijoro
• Urubuto ruhinduka ubunini, ishusho, cyangwa aho ruri umunsi wose
• Kumva ubushyuhe cyangwa kubabara mu bice byagizweho ingaruka
• Urubuto rugaragara mu matsinda cyangwa rwakwirakwira mu bice binini by’uruhu

Ibimenyetso bisanzwe bya angioedema ni:

• Kubyimbagira mu maso, bigatuma bigaragara nk’ibyibushye cyangwa hafi gufunga
• Iminwa yagutse ishobora kumva ikaze cyangwa idahumuriza
• Amaso yabyimbye, ururimi, cyangwa umunwa
• Kubyimbagira mu ntoki, amaguru, cyangwa igice cy’imyororokere
• Uruhu rumva ruri karande, rushyuha, cyangwa rubabaza iyo rukazanuwe
• Kugorana kuvuga neza niba ururimi cyangwa iminwa byagizweho ingaruka

Ibimenyetso bishobora kuza mu minota mike nyuma yo guhura n’icyo kibitera cyangwa rimwe na rimwe bikamara amasaha menshi kugira ngo bigaragara. Abantu benshi basanga kuryaryatwa kwa hives bibabaza kurusha kubabara, mu gihe angioedema itera ibibazo byinshi bituruka ku kubyimbagira no gukara.

Ubwoko bwa hives na angioedema ni ubuhe?

Abaganga basobanura ibi bimenyetso hashingiwe ku gihe biba ndetse n’ibibitera. Kumenya ubwoko ufite bifasha mu gutanga imiti no gucunga indwara.

Ukwishima gukomeye n'ububabare bw'imbere mu mubiri biba igihe kitarenze ibyumweru bitandatu kandi ni bwo bwoko busanzwe. Akenshi biba bifite icyabiteye cyamenyekanye nka biribwa, imiti, cyangwa indwara. Abantu benshi bagira ubwo bwoko, kandi busanzwe bukira burundu iyo icyabuteye gikuyemo cyangwa iyo icyateye ikibazo kivuwe.

Ukwishima gukomeye n'ububabare bw'imbere mu mubiri igihe kirekire biba igihe kigera cyangwa kirenze ibyumweru bitandatu, rimwe na rimwe bikamara amezi cyangwa imyaka. Impamvu akenshi iba igoranye kuyibona, kandi ibyo bihe bishobora gusaba ubuvuzi buhoraho. Abantu bagera kuri 1-2% bagira ubu bwoko bw'uburwayi mu buzima bwabo.

Ukwishima gukomoka ku mubiri guterwa n'ibintu byo mu mubiri nko gukanda, gukonja, ubushyuhe, izuba, cyangwa guhindagurika. Ubwo bwoko buroroshye kubumenya kuko ushobora kumenya neza icyateye ibimenyetso.

Hariho kandi ubwoko buke buri ingenzi kumenya. Ububabare bw'imbere mu mubiri bukomoka ku miryango ni indwara ivuka mu muryango itera uburibwe bukomeye bwongera kugaruka hatabayeho ubukwishima. Ukwishima gukomoka ku mubiri guterwa n'ubudahangarwa bw'umubiri bugaba igitero ku turemangingo tw'uruhu, kandi ubukwishima buterwa n'imyitozo ngororamubiri butera cyane cyane mu gihe cyangwa nyuma y'imyitozo ngororamubiri.

Icyateye ubukwishima n'ububabare bw'imbere mu mubiri?

Ibi bibaho iyo ubudahangarwa bw'umubiri bwohereza histamine n'izindi chemicals mu gusubiza icyabiteye. Tekereza ko ari nk'aho sisitemu y'umubiri ihagurutse, nubwo nta kaga nyakuri kaba kariho.

Ibintu bisanzwe byateye ibi birimo:

Impamvu zikomoka ku biribwa:

• Ibinyamisogwe, amafi, amagi, amata, imyembe, na soya
• Ibinyabutabire byo mu biribwa nka sulfites cyangwa ibara rikozwe
• Ibinyobwa bisembuye, cyane cyane iyo bifatanije n'ibiribwa bimwe na bimwe

Ibintu byatewe n'imiti:

• Imiti igabanya udukoko, cyane cyane peniciline n’imiti ya sulfa
• Imiti igabanya ububabare nka aspirine, ibuprofen, cyangwa naproxen
• Imiti igabanya umuvuduko w’amaraso yitwa ACE inhibitors
• Amabara akoreshwa mu bipimo by’amashusho mu buvuzi

Ibintu byo mu kirere:

• Urubozo rw’udusimba cyangwa inyenzi
• Ibiyobyabwenge, ubwoya bw’amatungo, cyangwa utudubu tw’umukungugu
• Latex cyangwa izindi allergie zikora ku ruhu
• Ubushyuhe bukabije, igitutu, cyangwa izuba

Indwara n’udukoko:

• Indwara ziterwa na virusi nka grippe isanzwe
• Indwara ziterwa na bagiteri, harimo n’uburwayi bwa strep
• Hepatite cyangwa izindi ndwara zifata umubiri wose

Rimwe na rimwe, umunaniro, impinduka z’imisemburo, cyangwa indwara ziterwa n’ubudahangarwa bw’umubiri zishobora kandi gutera izi ngaruka. Mu bihe byinshi by’uburwayi buhoraho bw’uburwayi bw’uruhu, abaganga ntibabona impamvu nyamukuru, ibyo bishobora gutera agahinda ariko ntibihindura uburyo bwo kuvura.

Impamvu zidakunze kugaragara harimo indwara z’umwijima, kanseri zimwe na zimwe, cyangwa ibibazo by’umuzuko nk’indwara ya hereditary angioedema. Muganga wawe azatekereza kuri ibyo bishoboka niba ibimenyetso byawe bikomeye, bikomeza igihe kirekire, cyangwa bikajyana n’ibindi bimenyetso bibangamira.

Ni ryari ukwiye kujya kwa muganga kubera uruhu rw’uburwayi n’angioedema?

Uburwayi bwinshi bw’uruhu bushobora kuvurwa mu rugo, ariko hari igihe bimwe biba bisaba ubufasha bw’abaganga. Kumenya igihe ukwiye gusaba ubufasha bishobora gukumira ingaruka mbi kandi bikaguha amahoro yo mu mutima.

Shaka ubufasha bw’ubuvuzi bwihuse niba ufite:

• Urugendo rw’ubuhumekero, guhumeka nabi, cyangwa guhumeka nabi
• Kubyimbagira kw’ururimi, umunwa, cyangwa imbere y’akanwa
• Umutima ukubita cyane, guhindagurika, cyangwa kumva nk’aho ushobora kugwa
• Kubyimbagira cyane kw’isura bigira ingaruka ku kubona
• Uburwayi bw’uruhu bwakwirakwiriye ku mubiri wose
• Ibimenyetso bya anaphylaxis nka kuryarya, kuruka, cyangwa guhangayika cyane

Ibi bimenyetso bishobora kugaragaza ikibazo gikomeye cy’uburwayi bw’ibyago gisaba ubuvuzi bw’ihutirwa. Ntuzuzagere kuri 911 cyangwa ujye kwa muganga wa hafi mu bitaro by’ubutabazi.

Tegura gupanga igikorwa cyo kubonana na muganga niba ufite:

• Uruhu rufite ibikomere bikomeza iminsi irenga mike
• Ibimenyetso bibangamira ibitotsi cyangwa imirimo ya buri munsi
• Ibibazo bisubiramo bidakomoka ku kintu kigaragara
• Angioedema ikubita mu maso kenshi
• Ibimenyetso by’indwara nka fiviri cyangwa ubushyuhe hafi y’ibice byabitswe

Muganga wawe ashobora kugufasha kumenya icyateye ibyo bibazo, agakwandikira imiti ikomeye niba ari ngombwa, akanakurebera ibindi bibazo by’uburwayi. Kugira icyo ukora hakiri kare kenshi bituma uburwayi bugabanuka kandi ubuzima bugatera imbere.

Ni ibihe bintu byongera ibyago byo kurwara uruhu rufite ibikomere na angioedema?

Hari ibintu bimwe na bimwe bishobora gutuma urwara ibi bibazo. Gusobanukirwa ibyago byawe bigufasha gufata ingamba zo kwirinda no kumenya ibimenyetso hakiri kare.

Abantu bafite uburwayi bw’ibyago cyangwa asma bafite ibyago byinshi kuko ubudahangarwa bwabo bw’umubiri bumaze gutegurwa kugira ngo bugire icyo bukora ku bintu. Niba ufite hay fever, allergy z’ibiribwa, cyangwa eczema, uri mu kaga cyo kurwara uruhu rufite ibikomere na angioedema.

Ibintu bijyanye n’ubuzima bwite n’iby’umuryango birimo:

• Ibibazo byabanje by’uruhu rufite ibikomere cyangwa angioedema
• Abagize umuryango bafite ibimenyetso nk’ibyo
• Allergy zizwi ku biribwa, imiti, cyangwa ibintu byo mu kirere
• Indwara ziterwa n’ubudahangarwa bw’umubiri nka lupus cyangwa indwara y’umwijima
• Indwara zidakira cyangwa indwara z’ubudahangarwa bw’umubiri

Ibintu bijyanye n’imibereho n’ibidukikije:

• Umuvuduko mwinshi cyangwa impinduka zikomeye mu buzima
• Kugaragara kenshi ku bintu bishobora guteza allergy
• Guta imiti myinshi, cyane cyane iyashya
• Gukora mu bitaro cyangwa mu bigo by’ubushakashatsi
• Kuba mu turere dufite pollen nyinshi cyangwa umwanda mwinshi

Imyaka n’igitsina na byo bigira uruhare. Ukwishima kw’akanya gato kugaragara cyane ku bana n’urubyiruko, mu gihe u kwishima kwa gihe kirekire kugaragara cyane ku bagore bo hagati y’imyaka. Impinduka z’imisemburo mu gihe cy’imihango, gutwita, cyangwa gucura bishobora gutera ibibazo kuri bamwe mu bagore.

Indwara zimwe na zimwe z’indwara z’umutungo zidahwitse nka hereditary angioedema zirakomoka mu miryango kandi ziterwa n’ibibazo byinshi byo kubyimba bikomeye. Niba abantu benshi bo mu muryango bagaragaza ibimenyetso bisa, ibizamini bya genetique bishobora gusabwa.

Ni ibihe bibazo bishobora guterwa n’uburyo bwo kwishima n’angioedema?

Nubwo ibintu byinshi bikemuka nta kibazo, ni ngombwa kumva ibibazo bishobora kubaho kugira ngo ubashe kureba ibimenyetso by’uburwayi kandi ushake ubufasha bukwiye igihe bikenewe.

Ikibazo gikomeye cyane ni anaphylaxis, ikibazo gikomeye cyo kugira allergie gishobora guhitana. Ibi bibaho iyo sisitemu yose y’umubiri wawe irwanya, bituma umuvuduko w’amaraso ugabanuka kandi inzira z’ubuhumekero zigabanuka. Anaphylaxis isaba kuvurwa hafi yahise hifashishijwe epinephrine.

Ibimenyetso bya anaphylaxis birimo:

• Gutangira kwishima kwinshi cyane hamwe no gukorora cyane
• Kugira ikibazo cyo guhumeka cyangwa kwishima
• Umutima ukubita cyane cyangwa udashoboye
• Isesemi, kuruka, cyangwa kubabara mu nda cyane
• Kumva ko hari ikintu kibi cyenda kuba cyangwa guhangayika cyane
• Gutakaza ubwenge

Kubura umwuka bishobora kubaho iyo angioedema igira ingaruka ku muhogo wawe, ururimi, cyangwa agasanduku k’ijwi. Ibi ni bibi cyane kuko bishobora kubuza guhumeka mu minota mike. Ububyimba ubwo aribwo bwose mu kanwa cyangwa kugira ikibazo cyo kuvuga bigomba kuvurwa nk’ubukene bw’ubufasha bwihuse.

Ibibazo bidakomeye ariko bikibangamira birimo:

• Amazi y’uruhu ashobora guterwa no gukorora cyane
• Kubura ibitotsi bigatera umunaniro n’impinduka z’imitekerereze
• Kwikurura mu bandi kubera impungenge z’isura
• Guhangayika cyangwa kwiheba kubera ibimenyetso bya gihe kirekire
• Kubangamira akazi, ishuri, cyangwa ibikorwa bya buri munsi

Urukwavu rudakira rushobora kugira ingaruka zikomeye ku mibereho yawe, rukaba ruteza agahinda kandi rugakora ku mibanire yawe. Bamwe mu bantu baratera ubwoba bwo kurya ibiryo bimwe na bimwe cyangwa kujya ahantu hamwe na hamwe, ibyo bikaba bishobora kugenda bigenda biba imbogamizi uko iminsi igenda ishira.

Ingaruka nke zirimo kubyimbagira bidakira bitavurwa n’imiti n’ingaruka z’imiti iterwa no gukoresha imiti igabanya ibyago igihe kirekire. Gukorana n’umuganga wawe byongera amahirwe yo kugabanya ibyo bibazo mu gihe ubuvuzi buhagije buhawe.

Urukwavu na angioedema bishobora kwirindwa gute?

Kwiringira kwibanda ku kumenya no kwirinda ibyo udashobora kwihanganira mu gihe ukomeza kugira imibereho myiza. Nubwo utazibuza buri kintu cyose, aya mayeri ashobora kugabanya cyane ibyago byawe.

Uburyo bwiza bwo kwirinda ni ukwirinda icyo udakunda. Jya wandika ibyabaye, ibyo warangije kurya, imiti wafashe, ibikorwa wakoze, n’ibyerekeye umunaniro wawe. Ibi bifasha kumenya ibintu bishobora kuba bitagaragara mu buryo bworoshye.

Uburyo bwo kwirinda ibiryo:

• Soma neza ibyanditse ku bipfunyikwa, cyane cyane ku birebana n’ibintu bishobora gutera allergie
• Jya utangira ibiryo bishya kimwe kimwe kandi ukoreshe ingano nke
• Irinde inzoga igihe ugerageza ibiryo bishya cyangwa imiti
• Bwira abakozi ba resitora ibyerekeye allergie ufite igihe uri kurya hanze
• Jya witwaza imiti y’ubuhanga igihe ufite allergie ikomeye

Uburyo bwo kwirinda imiti:

• Menyesha abaganga bose ibyabaye mbere
• Jya wambara ikimenyetso cy’ubuvuzi niba ufite allergie ikomeye
• Ntuzigere uha abandi imiti y’amabwiriza
• Baza ibindi bishobora gukoreshwa niba ukeneye imiti yaguteye allergie mbere
• Jya uba ufite urutonde rw’imiti yose yaguteye ibibazo

Uburyo bwo kwirinda ibintu byo mu kirere n’imibereho:

• Kora uburyo bwo kwirinda stress nko gukora imyitozo yo kwiruhutsa cyangwa kujya kwa muganga w’inzobere mu by’imitekerereze
• Irinde ubushyuhe bukabije cyangwa wikingire igihe ubushyuhe ari ngombwa
• Koresha imiti yo kwisiga ku ruhu idafite impumuro nziza kandi yoroheje
• Komereza ahantu utuye hatunganyije kugira ngo ugabanye ibyo umubiri wawe ushobora kubabara
• Kora siporo buri gihe ariko wirinda ibintu bizana ububabare

Ku bantu bafite uruhu ruhora rufite ibibyimba, gufata imiti yo kurwanya ibibyimba buri munsi nk’uko muganga yabibategetse bishobora gukumira ibibyimba nubwo utera ibibyimba bitakurwaho burundu. Ubu buryo bukora neza cyane ku bantu bafite ibibazo byo kumenya cyangwa gukuraho ibitera ibibyimba.

Uburyo uburwayi bw’uruhu n’ububabare bwo mu mubiri bumenyekana?

Ubusanzwe kuvura gutangira muganga akurikirana uruhu rwawe kandi akubaza ibibazo birambuye ku bimenyetso byawe. Mu bihe byinshi, isura yihariye y’ibibyimba by’uruhu n’ububabare bwo mu mubiri bituma kuvura koroha.

Muganga azashaka kumenya igihe ibimenyetso byatangiye, uko bigaragara, igihe ibibyimba bimara, niba wigeze ubona ibitera ibibyimba. Azakubaza kandi amateka yawe y’ubuzima, imiti ufashe, indwara uheruka kugira, n’amateka y’umuryango wawe ku birebana n’ibibazo by’allergie.

Isuzuma ry’umubiri riba rigamije:

• Ubunini, isura, n’aho ibibyimba cyangwa ububabare biri
• Uko uruhu rwawe rusubiza iyo rukanuwe (isuzuma rya dermographisme)
• Ibimenyetso by’izindi allergie cyangwa indwara
• Ibimenyetso byawe by’ingenzi, cyane cyane niba utameze neza
• Ububabare bushobora kugira ingaruka ku guhumeka

Ku bimenyetso bikomeye bifite ibitera bigaragara, nta bisabwa by’ibindi bizamini. Ariko kandi, niba ibimenyetso byawe bikomeye, bigaruka, cyangwa bikamara igihe kirekire cyane kurusha ibyumweru bitandatu, muganga ashobora kugutegeka gukora ibindi bisuzumwa.

Ibisuzumwa by’inyongera bishobora kuba birimo:

• Ibizamini byo ku ruhu cyangwa amaraso bigamije kumenya icyateye iyo allergie
• Ibizamini byuzuye by’amaraso kugira ngo harebwe niba hari indwara cyangwa ibindi bibazo
• Ibizamini byo kureba imikorere y’umwijima kuko indwara z’umwijima zishobora gutera urujijo rudasiba
• Kureba ibimenyetso by’indwara ziterwa n’ubudahangarwa bw’umubiri niba bikekwa ko ari byo byateye iyo ndwara
• Kureba urugero rwa tryptase kugira ngo habeho guhakana indwara ya mastocytosis, indwara idakunze kugaragara

Mu gihe hakekwa angioedema ikomoka ku miryango, ibizamini byihariye by’amaraso bipima urugero rwa complement. Muganga wawe ashobora kandi kugutegeka kwandika ibyo wumva mu mubiri wawe cyangwa ukareka ibiryo bikekwa ko byabiteye kugira ngo bigufashe kumenya icyabiteye.

Rimwe na rimwe abaganga bakora ibizamini byo kureba uko umubiri wakira ikintu runaka, aho umuntu ahura n’ibintu bikekwa ko byabiteye mu buryo bugenzurwa n’abaganga. Ibi bikorwa gusa iyo inyungu zishoboka zirusha ibyago kandi buri gihe ubufasha bwo kuvura ibyago bukaba buhari.

Ubuvuzi bw’urujijo n’angioedema ni bwoki?

Ubuvuzi bugamije kugabanya ibimenyetso, gukumira ingaruka mbi, no kumenya icyabiteye kugira ngo hirindwe ibindi bibazo. Uburyo bwo kuvura biterwa n’uburemere bw’ibimenyetso ufite niba ari indwara ikomeye cyangwa idakomeye.

Ku bimenyetso bito cyangwa byoroheje, imiti igabanya allergie ni yo ivura mbere. Iyi miti ibuza histamine, ikintu umubiri wawe usohora mu gihe cy’allergie. Imiti igezweho igabanya allergie ikora neza kandi nta ntotsi nyinshi itera ugereranyije n’imiti ya kera.

Imiti isanzwe ikoreshwa igabanya allergie irimo:

• Loratadine (Claritin), cetirizine (Zyrtec), cyangwa fexofenadine (Allegra) yo kunywa buri munsi
• Diphenhydramine (Benadryl) yo kugabanya vuba ibimenyetso, nubwo ishobora gutera ubunebwe
• Urugero rurenze urusanzwe rushobora kwandikwa ku ndwara zidakira
• Guhuza ubwoko butandukanye bw’imiti igabanya allergie kugira ngo habeho kugenzura neza

Ku bimenyetso bikomeye, ubundi buvuzi burimo:

• Imiti igabanya kubyimba ifatwa mu kanwa nka prednisone, ikoreshwa mu gihe gito igihe indwara yongeye kugaragara
• Injisi za epinephrine ku bantu bafite ibyago byo kugira anaphylaxis
• Injisi za Omalizumab (Xolair) ku bw'uburyo buhoraho bw'uburwayi bw'uruhu budakira n'imiti igabanya ubusembwa
• Imiti igabanya ubudahangarwa bw'umubiri ku ndwara zikomeye kandi zidakira
• Ubuvuzi bwihuse harimo imiti iterwa mu mitsi n'ubufasha bwo guhumeka niba bibaye ngombwa

Muganga wawe azatangira akubuyemo imiti ikora neza kandi yoroheje, hanyuma akajya ayihindura bitewe n'uko umubiri wawe uyakiriye. Abantu benshi bagira impumuro nziza gusa bafatiye imiti igabanya ubusembwa, abandi bakenera gufata imiti itandukanye kugira ngo indwara igabanuke.

Ku bw'indwara ya angioedema ikomoka ku miryango, hakoreshwa imiti yihariye igabanya ingaruka z'ubudahangarwa bw'umubiri. Iyo miti irimo ibintu bikomoka kuri C1 esterase inhibitor na imiti mishya nka icatibant, ishobora guhagarika indwara vuba iyo itangiye hakiri kare.

Nigute wakwita ku bw'uburwayi bw'uruhu n'indwara ya angioedema iwanyu?

Kwita ku bw'uburwayi iwanyu bigamije kugabanya ibimenyetso no kwirinda ibintu byabiteza mu gihe utegereje ko imiti ikora. Ibyo bintu bishobora kugufasha kumva neza no kwirinda ko indwara ikomeza.

Ibisate by'amazi akonje bigabanya ububabare bw'uruhu ruri kubyimba kandi rukarwara. Shira igitambaro cyiza cyuzuyemo amazi akonje cyangwa igikombe cy'amazi akonje cyapfunyitse mu gipfunyika ku gice cy'uruhu rwahuye n'indwara iminota 10-15. Ibi bifasha kugabanya ububabare no kugabanya kubyimba.

Uburyo bwo kwita ku ruhu bufasha harimo:

• Koga amazi akonje avangwemo oatmeal cyangwa baking soda kugira ngo ugabanye ububabare bw'uruhu
• Gukoresha amavuta yo kwisiga adafite impumuro nziza kugira ngo uruhu rudakuma
• Kwambara imyenda yoroshye kandi idafunze, yakozwe mu myenda y'umwimerere
• Kwirinda koga amazi ashyushye cyangwa ibyogajuru bishobora kongera ububabare
• Kugabanya ijisho kugira ngo wirinda gukomeretsa uruhu mu gihe urikuramo

Guhindura imibereho mu gihe cy'indwara:

• Gerage muri ahantu hakonje kandi heza uko bishoboka
• Kora imyitozo igabanya umunaniro nko guhumeka cyane cyangwa gukora imyitozo yo mu bwenge
• Irinde inzoga, kuko zishobora kurushaho kuba mbi ku mubiri
• Ryama bihagije kugira ngo ukingire umubiri wawe
• Komera amazi ahagije, cyane cyane niba ufashe imiti igabanya uburibwe

Imiti igabanya uburibwe ishobora kuboneka mu maduka idafite ibyangombwa by’abaganga ishobora kugufasha cyane iyo ikoreshwa neza. Kurikiza amabwiriza ari ku icupa kandi ntukarenze urugero rw’imiti wagombaga gufata utarabajije muganga. Niba ubwoko bumwe budakora neza, saba umuganga wawe undi muti.

Kora isuzuma ry’ibimenyetso byawe neza kandi ubone ubufasha bw’abaganga niba bikomeje cyangwa ibimenyetso bishya bikomeye bigaragara. Jya wandika ibimenyetso byawe kugira ngo ubone uko bigenda n’ibintu bibitera kugira ngo ubisobanurire umuganga wawe.

Wategura gute uruzinduko kwa muganga?

Gutegura neza bituma muganga wawe yumva neza uko uhagaze maze akagutegurira uburyo bwiza bwo kuvurwa. Gufata umwanya wo gutegura amakuru mbere bituma uruzinduko ruba ingirakamaro kuri mwebwe bombi.

Mbere y’uruzinduko rwawe, bandika igihe ibimenyetso byawe byagaragaye. Andika igihe byatangiye, uko byari bimeze, igihe byamaze, n’ibintu byose byabiteye cyangwa byabirushijeho kuba bibi. Amafoto ashobora kugufasha cyane kuko akenshi ibibyimba biba byagiye igihe ugeze kwa muganga.

Zana urutonde rwuzuye rwa:

• Imiti yose ufashe ubu, harimo imiti yo mu maduka n’imiti y’imiti y’inyongera
• Imiti mishya, ibiryo, cyangwa ibicuruzwa byose wagerageje mu minsi mike mbere y’uko ibimenyetso bigaragara
• Ibibazo by’uburwayi bwo mu mubiri cyangwa ibibyimba byabayeho mbere
• Amateka y’umuryango w’uburwayi bwo mu mubiri, indwara zidasanzwe, cyangwa ibimenyetso nk’ibyo
• Indwara, ubwandu, cyangwa ibintu byateye umunaniro mu minsi ishize

Ibibazo byo kubabaza muganga wawe birimo:

• Ese impamvu nyamukuru itera ibimenyetso mfite ni iyihe?
• Mbikeneye ibizamini byo kumenya icyabiteye cyangwa gukuraho izindi ndwara?
• Ni imiti iyihe ugereranya, kandi ingaruka mbi zayo ni izihe?
• Ni ryari nakwitega kuzakira, kandi byagenda bite niba ibimenyetso bitakira?
• Mbikeneye urushinge rwa epinephrine mu gihe cy’ubukene?
• Ni ibihe bimenyetso by’umubabaro byagombye gutuma nshaka ubuvuzi bwihuse?

Niba ufite ibimenyetso biri gukora mu gihe cy’isuzumwa, ibi bifasha mu gupima. Ntukore maquillage cyangwa amavuta ku bice byangiritse kugira ngo muganga abashe kubona uruhu rwawe neza. Tegura umuntu w’umuryango cyangwa inshuti yizewe uzana kugufasha kwibuka amakuru no kubazwa ibindi bibazo.

Ni iki gikuru wakuramo ku byerekeye uruhu rw’inzoka n’umubyimbirwe?

Uruhu rw’inzoka n’umubyimbirwe ni uburwayi busanzwe bw’allergie, nubwo akenshi butera ikibazo kandi rimwe na rimwe bugatera ubwoba, busanzwe burakemurwa neza hakoreshejwe ubuvuzi bukwiye no kwirinda icyabiteye. Ibihe byinshi bikira byonyine cyangwa bikagenda neza hakoreshejwe antihistamines.

Ikintu gikomeye cyo kwibuka ni ukumenya igihe ibimenyetso bisaba ubuvuzi bwihuse. Kugorana guhumeka, kubyimbirwa mu mazuru, cyangwa ibimenyetso bya anaphylaxis bisaba ubuvuzi bwihuse. Ku bindi bimenyetso, ubuvuzi bwihuse bukwirinda gukomeza no gufasha vuba.

Gukorana n’abaganga bawe kugira ngo umenye icyabiteye kandi mugire gahunda yo guhangana, biguha amahirwe meza yo kwirinda ibindi bibazo. Abantu benshi bagenzura ibimenyetso byabo neza kandi bakomeza imirimo yabo ya buri munsi bafite uburyo bukwiye.

Wibuke ko kugira uruhu rw’inzoka cyangwa umubyimbirwe ntibivuze ko uzabaho ubuzima bugoye. Hamwe no guhangana neza, abantu benshi basanga uburyo bwiza bwo kugabanya ingaruka zabo no kubaho neza. Komereza kumenya, kurikiza gahunda yawe y’ubuvuzi, kandi ntutinye gusaba ubufasha igihe ubikeneye.

Ibibazo byakunze kubaho ku byerekeye uruhu rw’inzoka n’umubyimbirwe

Q1. Ese uruhu rwose rukwirakwira?

Oya, uruhu ntirwakwirakwira na gato. Ntushobora kwandura uruhu kuva ku wundi cyangwa kurukwirakwiza ku bandi bantu binyuze mu kubakoranaho. Uruhu ni uburwayi bw'ibintu bitera imitego bubaho mu mubiri wawe, atari indwara iterwa na bagiteri cyangwa virusi. Ariko kandi, niba harimo ikibazo cy'indwara gituma uruhu rwawe ruba rurimo, iyo ndwara ubwayo ishobora kuba ikwirakwira.

Q2. Uruhu rusanzwe rumara igihe kingana iki?

Uruhu rumwe na rumwe rusanzwe rukira mu masaha 24, nubwo hariho ubundi bushya bushobora gukomeza kuza. Ibihe by'indwara bikabije bisanzwe bikira burundu mu minsi mike kugeza ku ndwi esheshatu. Uruhu rukomeye rurama ibyumweru bitandatu cyangwa birenga, rimwe na rimwe rukama amezi cyangwa imyaka. Imiterere idateganijwe y'uruhu ishobora gutera uburakari, ariko abantu benshi babona iterambere mu gihe gito bafashijwe n'ubuvuzi bukwiye.

Q3. Ese umunaniro ushobora gutera uruhu?

Yego, umunaniro ushobora gutera uruhu mu bantu bamwe. Iyo uri mu gihe cy'umunaniro, umubiri wawe usohora imisemburo n'ibintu bishobora gukora ku mikorere y'umubiri wawe kandi bigatera histamine. Umunaniro ntabwo utera uburwayi bw'ibintu bitera imitego, ariko bishobora gutuma ugira ubwoba cyangwa bikarushaho kuba bibi. Gucunga umunaniro binyuze mu buryo bwo kuruhuka bufasha kugabanya kugaragara k'uruhu n'uburemere bwacyo.

Q4. Ese gukora imyitozo ngororamubiri ari byiza ufite uruhu?

Gukora imyitozo ngororamubiri byoroheje bisanzwe ari byiza niba wumva umeze neza ubundi, ariko gukora imyitozo ikomeye bishobora kurushaho kuba bibi. Ubushyuhe, ibyuya, n'amaraso menshi bishobora gutuma uruhu rugaragara cyane kandi rugatera uburibwe. Bamwe mu bantu bagira uruhu rutera imyitozo ngororamubiri igaragara cyane mu gihe cyangwa nyuma y'imyitozo ngororamubiri. Tega amatwi umubiri wawe kandi wirinde imyitozo ikomeye kugeza igihe ibimenyetso byawe bizaba byarangiye. Niba imyitozo ngororamubiri isa n'iterwa n'uruhu rwawe, banira iyi ngingo n'umuganga wawe.

Q5. Ese abana bashobora gukura uruhu?

Abana benshi barakura bakareka kugira uburibwe bw’uruhu, cyane cyane ubwo buterwa na allergie y’ibiribwa. Uko ubudahangarwa bwabo bugenda bukomeza, bakunda kutazongera kugira ibibazo bitewe n’ibintu byabateraga ibibazo mbere. Ariko kandi, hari abana bakomeza kugira ibibazo by’allergie no mu bukure. Inkuru nziza ni uko n’iyo bibazo byakomeza, bigenda bigenda birushaho koroha uko umwana agenda akura, kuko aba azi ibimutera ibibazo akabirinda. Gukurikiranwa n’umuganga w’inzobere mu ndwara z’allergie buri gihe bifasha gukurikirana uko ibintu bigenda, no guhindura uburyo bwo kuvura uko bikenewe.