Created at:1/16/2025
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Pityriasis rosea ni indwara isanzwe y’uruhu, igaragara nk’ibice by’uruhu bifite ibara ry’umutuku cyangwa umutuku-muhondo, bikaba byuzuye amaseseme, bikunze kugaragara ku gatuza, amaboko n’amaguru. Nubwo izina ryayo rishobora gutera ubwoba, iyi ndwara nta cyo itwara kandi ikunda gukira yonyine mu gihe cy’ibyumweru 6 kugeza kuri 12, nta ngaruka zisigara.
Tekereza ko ari uburyo uruhu rwawe rinyuramo mu nzira ngufi, yiyobora, ikaba isa n’ikomeye kurusha uko biri mu by’ukuri. Abantu benshi barwara pityriasis rosea baba bafite imyaka iri hagati ya 10 na 35, kandi ikunda kugaragara cyane mu mezi ya mpeshyi n’impeshyi.
Ikintu cyihariye cya pityriasis rosea ni uburyo bwihariye bwo gutera, bugufasha abaganga kubimenya vuba. Iyi ndwara ikunze gutangira ikintu cyitwa “herald patch” - agace kamwe, kinini, gifite ishusho y’igi, kigaragara mbere, akenshi ku gatuza, umugongo cyangwa igifu.
Iki gice cya mbere kenshi cyitiranwa n’uburwayi bw’uruhu bwitwa ringworm kubera ishusho yacyo y’umutuku, yuzuye amaseseme. Gishobora kugira uburebure buri hagati ya santimetero 2 na 10, kikaba gifite umupaka ugaragara, wuzuye amaseseme, n’igice cy’imbere cyiza.
Mu gihe cy’icyumweru kimwe cyangwa bibiri nyuma y’aho herald patch igaragaye, ibice bito bitangira kugaragara ku mubiri wawe. Dore ibyo ushobora kubona uko uruhu rugenda ruhinduka:
Urubuza rugaragara cyane iyo uri mu bushyuhe, nko nyuma yo gukora imyitozo ngororamubiri, koga mu mazi ashyushye, cyangwa kuba ahantu hashyushye. Abantu benshi babona ko urubuza rworoshye, nubwo rimwe na rimwe rushobora kuba rubabaza cyane, cyane cyane nijoro.
Gake, bamwe bashobora kugira ibimenyetso bike bisa n’iby’igicurane mbere y’uko ibyo bibyimba bigaragara, birimo umunaniro, kubabara umutwe, cyangwa umuriro muke. Ariko, ibi bimenyetso si bimenyetso bisanzwe kandi iyo bibaye, biba bito cyane.
Icyateza pityriasis rosea ntikirasobanuka neza, ariko ubushakashatsi bwa muganga bugaragaza ko bifitanye isano n’indwara ziterwa na virusi. Impuguke nyinshi zizera ko virusi zimwe na zimwe, cyane cyane human herpesvirus 6 na 7, zishobora gutera iyi ndwara mu bantu bayibonekamo.
Izi virusi ziramenyekanye cyane kandi abantu benshi bazibonamo mu bwana, akenshi nta bimenyetso bigaragara. Ariko, iyo ubudahangarwa bwawe bwongera guhura nizi virusi mu myaka y’ubukure, bushobora gusubiza itera pityriasis rosea.
Birakomeye kumva ko pityriasis rosea atari indwara yandura - ntushobora kuyanduza undi muntu cyangwa kuyikwirakwiza. Iyi ndwara isa nkaho ari uburyo umubiri wawe wihariye bwo kurwanya indwara kuruta ikibazo cyandura gishobora kwandura.
Bimwe mu bintu bishobora gutuma ugira pityriasis rosea birimo kugira ubudahangarwa buke kubera umunaniro, izindi ndwara, cyangwa imiti imwe n’imwe. Ariko, abantu benshi bafite ubuzima bwiza bagira iyi ndwara nta kintu cyihariye kibitera.
Gake, imiti imwe n’imwe ishobora gutera ibibyimba bisa cyane na pityriasis rosea. Ibi birimo imiti imwe n’imwe y’umuvuduko w’amaraso, imiti yo kurwanya malariya, na antibiyotike zimwe na zimwe. Niba uherutse gutangira imiti mishya kandi ukagira ubwo buryo bw’ibibyimba, birakwiye kubiganiraho na muganga wawe.
Ugomba kujya kwa muganga vuba ubonye uburwayi bw’uruhu bushobora kuba ari pityriasis rosea, cyane cyane iyo ubona ikimenyetso gikomeye gikurikirwa n’ibindi bimenyetso bito byuzuye umubiri wawe. Nubwo iyi ndwara isanzwe idakomeye, ni ingenzi kwipimisha kugira ngo umenye neza kuko hari izindi ndwara nyinshi z’uruhu zishobora kumera kimwe.
Dore igihe ugomba gushaka ubuvuzi vuba:
Kumenya neza indwara ni ingenzi cyane kuko indwara nka eczema, psoriasis, syphilis yabaye kabiri, n’ubwandu bwa fungi rimwe na rimwe zishobora kumera nka pityriasis rosea. Muganga ashobora kumenya pityriasis rosea hagendewe ku buryo bwayo bwihariye, ariko rimwe na rimwe ashobora kugusaba kwipimisha kugira ngo akureho izindi ndwara.
Niba utari uhamya neza ko uburwayi bw’uruhu bwawe buhuye n’uburyo busanzwe bwa pityriasis rosea, bihora ari byiza kubimenyesha muganga. Kugisha inama hakiri kare bishobora gutuma umutima uhumura kandi ukabona ubuvuzi ukeneye.
Kumenya abantu bafite ibyago byinshi byo kurwara pityriasis rosea bishobora kugufasha kumenya icyo witeze kandi igihe ukwiye kwitondera ibimenyetso. Iyi ndwara ifite imikorere isobanutse ku bantu bayirwara cyane.
Imyaka igira uruhare runini mu buryo ushobora kurwara iyi ndwara. Abenshi barayirwara bafite imyaka iri hagati ya 10 na 35, aho abangavu n’abasore ari bo bayirwara cyane. Abana bari munsi y’imyaka 10 n’abantu barengeje imyaka 60 nabo bashobora kurwara pityriasis rosea, ariko si bya kenshi muri ibyo byiciro by’imyaka.
Hari ibindi bintu byinshi bishobora kugira uruhare mu kuba wakwirwara:
Ni byiza kuzirikana ko kuba wararwaye pityriasis rosea rimwe bisanzwe bitanga ubudahangarwa bwo kuzongera kuyirwara. Abantu benshi barwaye iyi ndwara ntibazongera kuyirwara, nubwo hari ibyabaye bike cyane byo kuyisubiramo byaravuzwe.
Ubuzima bwawe muri rusange ntibugira ingaruka ku buryo wakwirwara - abantu bafite ubuzima bwiza n’abafite ibibazo by’ubuzima bito bashobora kurwara pityriasis rosea kimwe. Iyi ndwara isa ntiifitanye isano n’imirire, imyitozo ngororamubiri, cyangwa uburwayi burambye bwinshi.
Inkuru nziza ni uko pityriasis rosea idakunda gutera ingaruka zikomeye kandi isanzwe ikira burundu nta ngaruka isigira ku buzima bwawe cyangwa isura yawe. Ku bantu benshi, iyi ndwara ni ikibazo gusa gisaba kwihangana mu gihe iri gukira.
Ariko kandi, hari ingaruka nke zishobora kubaho, nubwo zoroheje kandi zifite umuti:
Impinduka z’ibara ry’uruhu zavuzwe haruguru zisanzwe zicika buhoro buhoro mu mezi menshi nyuma y’aho uburwayi bw’uruhu buciye, nubwo muri bimwe mu bihe bishobora gutwara umwaka kugira ngo ibara ry’uruhu ryawe rigaruke neza. Gukoresha ibintu byo kwita ku ruhu byoroheje no kurinda ibice byagizweho ingaruka izuba bishobora gufasha kugabanya izi mpinduka.
Mu bihe bidafite akamaro, abantu bafite ubudahangarwa bw’umubiri buke bashobora kugira ibibazo bikomeye cyangwa igihe kirekire cya pityriasis rosea. Byongeye kandi, niba utwite kandi ugira iyi ndwara, cyane cyane mu gihembwe cya mbere, muganga wawe azakwiteho cyane, nubwo ingaruka zikomeye mu gihe cyo gutwita bidafite akamaro.
Ibibazo byinshi bishobora kwirindwa no kwirinda gukorora cyane, kugumisha uruhu rumeze neza, no gukurikiza inama za muganga wawe mu gucunga ibimenyetso.
Ikibabaje, nta buryo buhamye bwo kwirinda pityriasis rosea kuko tutahura neza ibintu byose bitera iterambere ryayo. Kubera ko bishobora kuba bifitanye isano na virusi zisanzwe abantu benshi bahura nazo mu buzima bwabo bwose, kwirinda kwandura ntibishoboka cyangwa ntabwo ari ngombwa.
Ariko, kugira ubuzima bwiza muri rusange n’ubudahangarwa bukomeye bishobora kugabanya ibyago byo kurwara indwara z’uruhu zitandukanye, harimo na pityriasis rosea. Ibi bisobanura kwibanda ku myitwarire y’ubuzima ishingiye ku gushyigikira ubudahangarwa bw’umubiri wawe.
Dore bimwe mu bipimo by’ubuzima rusange bishobora kugira akamaro:
Kubera ko pityriasis rosea ikunda kugaragara cyane mu bihe by’umunaniro cyangwa nyuma y’izindi ndwara, kwita ku buzima bwawe rusange n’imibereho yawe ni yo ngamba nziza. Ariko kandi, n’abantu bakurikiza aya mabwiriza yose baracyashobora kurwara iyo ndwara.
Ibuka ko kuba wararwaye pityriasis rosea rimwe bisanzwe bitanga ubudahangarwa ku ndwara zizakurikira, bityo niba wari waramaze kuyirwara, ntabwo bishoboka ko uzongera kuyirwara. Ubwo budahangarwa bw’umubiri ni kimwe mu bintu bike byiza by’iyo ndwara.
Kumenya pityriasis rosea bisanzwe biroroshye ku baganga kubera isura yayo idasanzwe n’uburyo bwayo bwihariye bwo gutera imbere. Abaganga benshi bashobora kumenya iyo ndwara mu isuzuma ry’amaso ku ruhu rwawe, cyane cyane niba ushobora kuvuga uko ubwo burwayi bwatangiye n’uburyo bwakomeje.
Muganga wawe azakubaza igihe cy’ibimenyetso byawe, atangire abajije igihe wabonye ubwa mbere agace gakomeye kandi uburyo utundi duce duto twakurikiyeho. Uku kurutura kw’ibintu ni bwo busanzwe ari bwo shingiro ryo gupima neza.
Mu gusuzuma umubiri, umuganga wawe azashaka ibimenyetso bimwe na bimwe byihariye:
Mu bihe byinshi, nta bipimo byongeyeho bikenewe kuko isura iba igaragara neza. Ariko, niba muganga wawe atishimiye uko ibyavuye mu isuzuma bigaragara cyangwa niba ububabare bw’uruhu budakurikiza uburyo busanzwe, ashobora kugutegurira ibizamini byoroshye.
Ibi bipimo byongeyeho bishobora kuba harimo ikizamini cya KOH kugira ngo habeho kwirinda indwara ziterwa n’ibinyampeke, aho igice gito cy’uruhu rukatwa kikarebwa muri mikoroskopi. Gake cyane, niba hari impungenge ku zindi ndwara nka sifilizi y’uburyo bwa kabiri, muganga wawe ashobora gutegeka ibizamini by’amaraso.
Rimwe na rimwe, ubushakashatsi bw’uruhu bushobora kugenwa niba ububabare bw’uruhu butangaje cyangwa budakira nk’uko byari biteganyijwe, ariko ibi ntibibaho kenshi. Intego ihora ari ukugira icyo ukora kidakomereye cyane ariko kigatanga ubumenyi buhagije.
Ikintu cy’ingenzi cyo gusobanukirwa mu kuvura pityriasis rosea ni uko iyi ndwara izakira yonyine idakeneye kuvurwa n’abaganga. Ubuvuzi bwinshi bugamije guhangana n’ibimenyetso, cyane cyane gukuna, mu gihe utegereje ko ububabare bw’uruhu bugabanuka mu gihe cy’ibyumweru 6 kugeza kuri 12.
Ku barwaye bake bafite gukuna gake, ushobora kutakeneye kuvurwa na gato usibye kwita ku ruhu rwawe no kwihangana. Ariko, niba ufite ikibazo, uburyo butandukanye bushobora kugufasha kumva utekanye mu gihe cyo gukira.
Dore uburyo bwo kuvura busanzwe muganga wawe ashobora kugutegurira:
Ku barwaye cyane bafite gukorora bikabije bibabangamira ibitotsi cyangwa imirimo ya buri munsi, muganga wanyu ashobora kwandika imiti ikomeye. Ibyo bishobora kuba imiti y’amasohoro ifatwa mu kanwa mu gihe gito cyangwa imiti yihariye yo kwisiga yagenewe indwara z’uruhu zifite umuriro.
Bamwe basanga kwibasira izuba ry’umutaka cyangwa kuvurwa n’umucyo wa UV bishobora gufasha kwihutisha gukira kw’uburwayi, ariko ibyo bigomba gukorwa gusa munsi y’ubuvuzi bwa muganga. Izuba ryinshi rishobora kongera kubisha indwara cyangwa gutera impinduka z’imitako.
Mu bihe bitoroshye aho gukorora ari gakabije kandi gakomeza, muganga wanyu ashobora gutekereza ku bindi miti yanditswe na muganga cyangwa akwerekeza kwa muganga w’uruhu kugira ngo ahabwe ubuvuzi bwihariye.
Kwita neza ku ruhu rwawe murugo bishobora kunoza cyane uko wumva kandi bishobora gufasha gukumira ingaruka mbi mu gihe umubiri wawe ukirinda wenyine. Ikintu nyamukuru ni ukwitwara neza uruhu rwawe no kwirinda ikintu cyose gishobora kongera kubabara cyangwa gukorora.
Uburyo bwawe bwa buri munsi bwo kwita ku ruhu bugomba kwibanda ku kugumisha ahantu harwaye hakeye, hafatanye, kandi harinzwe kugira ngo hatongere kubabara. Ibi bivuze gukora impinduka zimwe na zimwe mu buryo bwawe busanzwe bwo koga no kwambara.
Dore ingamba zikomeye zo kwita murugo:
Iyo bigeze ku gukemura ikibazo cyo gukorora, wirinde kwihangana kugira ngo ukureho ahantu hakozwe, kuko bishobora gutera indwara zindi cyangwa gukira igihe kirekire. Ahubwo, gerageza gushira igitambaro gikonje, gitose ahantu hakozwe cyangwa gukubita gake aho hantu aho gucukura.
Ibintu byoroshye byo kugura usanga abantu benshi babifashamo harimo koga mu mazi afite ibishyimbo by’ingano, bishobora guhumuriza uruhu rwababaye, no gushiraho umutobe w’aloe vera kubera uburyo bukonje kandi buhagarika kubabara. Ariko rero, buri gihe gerageza igicuruzwa gishya ahantu gato mbere yo kumenya neza ko kitazatera ibindi bibazo.
Witondere ibikorwa cyangwa ibintu bisa nkaho byongera ibimenyetso byawe, nko gukora imyitozo ngororamubiri mu gihe cy’ubushyuhe cyangwa kwambara imyenda runaka, kandi gerageza kubihindura uko bikenewe mu gihe cyo gukira.
Gutegura neza uruzinduko rwawe kwa muganga bishobora kugufasha kugira ngo ubone ubuvuzi bwiza kandi ubone inama zikwiye zo kuvura. Kubera ko imiterere n’igihe cyo gutera kwa pityriasis rosea ari ingenzi mu gupima, kugira ayo makuru yateguwe mbere bizaba byiza cyane.
Tangira ubanza kwandika igihe wabonye impinduka z’uruhu bwa mbere n’uburyo ubuheri bwateye kuva icyo gihe. Niba bishoboka, fata amafoto y’ahantu hakozwe mu bihe bitandukanye, kuko bishobora gufasha muganga wawe gusobanukirwa uko ibimenyetso byawe byateye.
Dore ibyo ugomba gutegura kugira ngo ubiganireho n’umuvuzi wawe:
Andika urutonde rw’ibibazo byose wifuza kubabaza, nko kumenya igihe iyi ndwara isanzwe imara, icyo wakora kugira ngo wumve wishimye, cyangwa igihe ukwiye gukurikirana. Ntukangwe kubabaza icyakubangamiye cyangwa gikubangamira.
Hindura imyenda iboneka ku bice byangiritse kugira ngo muganga wawe asuzume neza ubuheri. Irinde gukoresha amavuta, amavuta cyangwa ibirungo ku bice byangiritse ku munsi w’ibaruwa yawe, kuko bishobora kubangamira isuzuma.
Niba ufite impungenge ku bijyanye n’uburyo bwo kuvura cyangwa inama zo kuvura, ntutinya gusaba ibisobanuro cyangwa kuganira ku byifuzo byawe byo gucunga iyi ndwara.
Ikintu cyiza cyo kwibuka kuri pityriasis rosea ni uko ari indwara yirinda ubwayo izakira burundu, ubusanzwe mu gihe cy’ibyumweru 6 kugeza kuri 12. Nubwo ubuheri bushobora kugaragara nk’ubiteye impungenge kandi bugatera ikibazo, ntibugira ingaruka zikomeye ku buzima cyangwa ntibisiga ingaruka ziramba ku bantu benshi.
Tekereza kuri pityriasis rosea nk’ikibazo cy’igihe gito aho kuba ikibazo cy’ubuzima. Umubiri wawe uracyanyura mu nzira, nubwo igaragara kandi rimwe na rimwe ikaba idashimishije, ariko muri rusange nta ngaruka mbi igira kandi izashira nta buvuzi bukomeye bukenewe.
Urufunguzo rwo gucunga iyi ndwara neza ni ukugira igihe, kwita ku ruhu neza, no gucunga ibimenyetso uko bikenewe. Abantu benshi basanga kumva icyo bagomba kwitega bifasha kugabanya impungenge ku ndwara kandi bigatuma igihe cyo gutegereza kiba cyoroshye.
Wibuke ko kugira pityriasis rosea rimwe bisanzwe bitanga ubudahangarwa bw’ubuzima bwose, bityo ntushobora kongera kuyibona. Ibanda ku kwita ku ruhu rwawe neza mu gihe cyo gukira kandi ntutinye kuvugana n’abaganga bawe niba ufite impungenge cyangwa niba ibimenyetso byawe bigaragara ko biri kuba bibi aho kuba bigenda bigenda bigabanuka.
Ukoresheje ubufasha bukwiye n’ibiteganywa bifatika, ushobora kunyura muri iyi ndwara utekanye kandi ukagaruka mu buzima bwawe busanzwe igihe uruhu rwawe rumaze gukira.
Ubusanzwe ushobora gukomeza gukora imyitozo ngororamubiri, ariko ushobora gushaka guhindura gahunda yawe kugira ngo wirinde gukonja cyane no gushyuha cyane, bishobora kongera guhumeka. Koga muri pisine zifite chlorine byagakwiye, ariko nyuma yo koga, koga amazi hanyuma ushire amavuta arinda uruhu. Irinde amazi ashyushye cyangwa sauna, kuko ubushyuhe bushobora kongera ibimenyetso.
Pityriasis rosea isanzwe ntabwo itera inkovu ziramba iyo ikize neza. Ariko rero, ushobora kubona impinduka z’igihe gito mu ibara ry’uruhu aho ibice byari bihari, cyane cyane niba ufite uruhu rw’ijisho ryijimye. Izi mpinduka z’ibara zisanzwe zicika mu mezi make, nubwo bishobora gufata umwaka kugira ngo ibara ry’uruhu rwawe rigaruke neza.
Urashobora gukoresha ibikoresho byo kwita ku ruhu no kwisiga byoroheje, bidafite impumuro nziza, ariko wirinde ibyo bifite impumuro ikomeye, inzoga cyangwa ibintu bikomeye bishobora kubabaza uruhu rwawe kurushaho. Kanda ku bicuruzwa byanditseho ko ari hypoallergenic cyangwa bikozwe ku ruhu rusanzwe. Buri gihe banza upime ibintu bishya ahantu gato kugira ngo wirinde ko bitera ibindi bibazo.
Gusubira kugaragara kwa pityriasis rosea birarenga cyane. Abantu benshi barwaye iyi ndwara rimwe bagira ubudahangarwa kandi ntibazongera kuyibona. Niba ubonye ibicurane bisa muri kazoza, birashoboka ko ari ubundi burwayi bwuruhu bugomba gusuzuma umuganga.
Ibimenyetso byo kwandura kwa bakteria birimo uburakari bwiyongereye hafi y'ibice, ubushyuhe iyo ubikozeho, ibyuya cyangwa amazi y'umuhondo, umutuku ukwirakwira uva mu bice byangiritse, cyangwa ububabare bwimuka aho gukorora. Niba ubona ibimenyetso byose, hamagara umuganga wawe vuba bishoboka kuko ushobora kuba ukeneye kuvurwa n'antibiyotike.