Ese ni iki kirwara cya Pleurisy? Ibimenyetso, Intandaro, & Uko kivurwa

Ese ni iki kirwara cya pleurisy?

Pleurisy ni ububabare bw’agakombe ka pleura, uruhu rworoshye rwo hanze rw’ibihaha n’igice cy’ibere. Iyo uruhu rusanzwe rworoshye rwakomeretse, rugira ububabare mu gihe cyo guhumeka, bikaba bigira ububabare bukabije mu gituza kimera nk’aho icyuma gikubise amagufwa y’ibere.

Tekereza kuri pleura nk’agakombe karinda ibihaha byawe. Ubusanzwe, uruhu rugenda neza mu gihe uhumeka. Ariko iyo pleurisy ibayeho, ububabare bubitera gukomera kandi bigatuma ububabare bukabije butuma ububabare bwiyongera iyo ukororotse, ukunyunyuka, cyangwa uhumeka cyane.

Inkuru nziza ni uko pleurisy ikunda kuvurwa iyo abaganga bamenye icyateye ububabare. Abantu benshi barakira neza bafashijwe neza, nubwo igihe bisaba biterwa n’icyateye ububabare.

Ese ni ibihe bimenyetso bya pleurisy?

Ikimenyetso nyamukuru cya pleurisy ni ububabare bukabije mu gituza buriyongera iyo uhumeka cyane, ukororotse, cyangwa ukunyunyuka. Ubwo bubabare busanzwe bujya ku ruhande rumwe rw’igituza kandi bumva nk’aho hari icyuma gishyushye gishyizwe ku magufwa y’ibere.

Dore ibimenyetso nyamukuru ushobora kugira:

• Ububabare bukabije mu gituza buriyongera iyo uhumeka cyane cyangwa ukororotse
• Guhumeka nabi cyangwa guhumeka buhoro kugira ngo wirinde ububabare
• Ukororotse utuma wumva ubabara
• Urufaya n’igituntu niba hari ubwandu
• Ububabare bushobora kugera ku bitugu cyangwa umugongo
• Kumva udahumeka neza

Bamwe baroroherwa baramye ku ruhande rubabara cyangwa bafata umusego ku gituza iyo bakororotse. Umubiri wawe ugerageza kurinda agace kababaye ukoresheje kugabanya imitwaro no guhumeka buhoro.

Mu bihe bitoroshye, indwara y’amaguru ishobora gutera ibimenyetso bikomeye nko kugorana cyane guhumeka, iminwa cyangwa imisumari y’amaboko ifite ibara ry’ubururu, cyangwa ububabare bw’ibituza bukomeye butuma umuntu adashobora gukora imirimo isanzwe. Ibi bibazo bisaba ubuvuzi bw’ihutirwa.

Ese iki gitera indwara y’amaguru?

Indwara y’amaguru itera iyo hari ikintu kibabaza cyangwa kikanduza imitsi y’amaguru iikikije ibihaha. Impamvu isanzwe ni ubwandu bw’agakoko ka virusi, nubwo ubwandu bw’agakoko ka bagiteri n’izindi ndwara zishobora kandi gutera iyi mpinduka.

Reka turebe impamvu nyamukuru, dutangiriye ku zikunze kugaragara:

• Ubwandu bwa virusi nka grippe, pneumonia, cyangwa COVID-19
• Ubwandu bwa bagiteri, cyane cyane pneumonia
• Indwara ziterwa n’ubudahangarwa bw’umubiri nka lupus cyangwa rhumatoide arthritis
• Imvune z’ibituza ziterwa n’impanuka cyangwa kugwa
• Imiti imwe n’imwe ishobora gutera kubyimba
• Cancer y’ibihaha cyangwa udukoko turi hafi y’amaguru
• Ibisubizo by’amaraso mu bihaha (pulmonary embolism)

Hari igihe indwara y’amaguru iba idafite impamvu isobanutse, abaganga babyita indwara y’amaguru idafite impamvu. Ibi bishobora kuba bibi, ariko byinshi muri ibi bibazo bikira ubwabyo hakoreshejwe ubuvuzi bwo kubafasha.

Gake, indwara y’amaguru ishobora guterwa n’ubwandu bwa fungi, igituntu, cyangwa kwandura asbestos. Izi mpamvu ntizikunze kugaragara ariko ni ingenzi kuzibuka, cyane cyane ufite ibyago nko kudahangara neza cyangwa gukora akazi gakoraho ibyago.

Iyo ukwiye kujya kwa muganga kubera indwara y’amaguru?

Wagomba kuvugana na muganga wawe niba ufite ububabare bukomeye bw’ibituza buzamuka iyo uhumeka, cyane cyane niba bifatanije na fiive, guhumeka nabi, cyangwa inkorora idashira. Gusuzuma hakiri kare bituma hamenyekana icyateye indwara kandi bikarinda ingaruka mbi.

Shaka ubuvuzi bw’ihutirwa niba ufite kimwe muri ibi bimenyetso byo kuburira:

• Kubabara cyane mu kifuba bigorana cyane guhumeka
• Umuriro mwinshi urenze 39°C
• Ibara ry’ubururu ku minwa cyangwa ku ijisho ry’intoki
• Gukubita k’umutima cyane cyangwa kumva ugiye kugwa
• Kukohoka amaraso
• Guhumeka nabi cyane nubwo uri ahagaze

Ntugatekereze igihe ibimenyetso byawe biri kwiyongera cyane cyangwa wumva hari ikintu gikomeye kibaye. Izera uko umubiri wawe umeze, kandi ujye wibuka ko kubabara mu kifuba buri gihe bikwiye gusuzuma muganga kugira ngo habeho gukumira indwara zikomeye.

Ni ibihe bintu byongera ibyago byo kurwara pleurisy?

Umuntu wese arashobora kurwara pleurisy, ariko ibintu bimwe na bimwe bituma bamwe barusha abandi guhura n’iyi ndwara. Gusobanukirwa ibyo bintu byongera ibyago biratuma umenya igihe ukwiye kwitondera cyane ibimenyetso.

Dore ibintu by’ingenzi byongera ibyago byo kurwara pleurisy:

• Indwara ziterwa n’ubuhumekero nka pneumonia cyangwa grippe
• Indwara ziterwa na système immunitaire nka lupus cyangwa rhumatoïde
• Kuba ufite imyaka irenga 65, kuko système immunitaire igenda igabanyuka uko umuntu akura
• Kunywa itabi, kuko yangiza imyanya y’ubuhumekero kandi bikongera ibyago byo kwandura
• Système immunitaire yoroheje iterwa n’imiti cyangwa izindi ndwara
• Amateka y’ubukomere mu kifuba cyangwa kubagwa mu kifuba vuba aha
• Amateka y’indwara ziterwa na système immunitaire mu muryango

Kugira ibyo bintu byongera ibyago ntibisobanura ko uzahita urwara pleurisy. Abantu benshi bafite ibyago byinshi ntibahura n’iyi ndwara, mu gihe abandi badafite ibyago bigaragara bashobora kuyirwara.

Icy’ingenzi ni ukumenya urwego rw’ibyago byawe kugira ngo ushake ubufasha bwa muganga vuba igihe ibimenyetso bigaragaye. Kuvurwa hakiri kare bikunze gutuma hagira ibyiza kandi ukagenda ukira vuba.

Ni ibihe bintu bishobora kuvuka bitewe na pleurisy?

Urugero rwinshi rwa pleurisy rukira nta ngaruka zikomeye, cyane cyane iyo ivuwe hakiri kare. Ariko kandi, hari igihe bimwe bishobora gutera ibibazo bikomeye bisaba ubufasha bwa muganga bwihariye.

Ingaruka zisanzwe zigaragara cyane harimo:

• Kubura amazi mu bihaha, aho amazi aterana hagati y’insinga z’ibihaha
• Pneumothorax, aho ibihaha byaba byarasenyutse bitewe n’umwuka winjiye mu kibuno cy’ibituza
• Kubabara gahoraho nyuma y’aho ububabare bwo kwishima bwashize
• Gukomeretsa guhumeka bigabanya ibikorwa bya buri munsi
• Ikibazo cy’indwara gikwirakwira mu bindi bice by’ibituza

Kubura amazi mu bihaha ni yo ngaruka ikunze kugaragara cyane, ibaho iyo ububabare bwo kwishima butera amazi guterana hafi y’ibihaha. Ibi bishobora gutera imbogamizi mu guhumeka kandi bishobora gusaba uburyo bwo gukuraho amazi.

Ingaruka nke ariko zikomeye zishobora kuba harimo indwara zikomeye zikwirakwira mu kibuno cy’ibituza cyangwa iterambere ry’umunsi ukomeye ubuza ibihaha kugenda. Ibi bibaho cyane iyo pleurisy itaravuwe cyangwa iterwa n’ibibazo bikomeye by’ubuzima nk’indwara ya kanseri cyangwa indwara ikomeye y’umubiri.

Pleurisy imenyekanwa gute?

Kumenya pleurisy bitangira muganga yumvise ibimenyetso byawe kandi akareba ibituza byawe. Azakoresha stethoscope kumva ijwi ry’ubushyuhe ry’imbere y’ibihaha byavunitse iyo zigenda zikubitana.

Muganga wawe ashobora gutegeka ibizamini byinshi kugira ngo yemeze uburwayi kandi amenye icyabiteye:

• X-ray y’ibituza kugira ngo arebe amazi, indwara cyangwa ibindi bimenyetso bidasanzwe
• CT scan kugira ngo abone amashusho arambuye y’ibice by’ibituza byawe
• Ibizamini by’amaraso kugira ngo arebe indwara cyangwa ibimenyetso by’indwara z’umubiri
• Ultrasound kugira ngo amenye amazi ari hafi y’ibihaha
• Isuzuma ry’amazi yo mu bihaha niba hari amazi ahari

Uburyo bwo kuvura bufasha kumenya niba ufite pleurisy, icyayiteye. Ibi ni ingenzi kuko uburyo bwo kuvura butandukanye cyane bitewe n’aho icyateye ari virusi, udukoko, cyangwa ibindi bibazo.

Mu bimwe mu bihe, muganga wawe ashobora kugutegurira ibizamini byongeyeho nka MRI cyangwa amaraso yihariye kugira ngo asuzume impamvu zidafite akamaro, cyane cyane niba ibizamini byambere bitagaragaje ibisobanuro bifatika ku bimenyetso byawe.

Ubuvuzi bw'indwara y'umwijima ni iki?

Ubuvuzi bw'indwara y'umwijima bugamije gukemura ikibazo cy'ibanze mu gihe uburibwe n'uburwayi bigenzurwa. Uburyo buhariye biterwa n'icyo cyateye indwara y'umwijima, ariko ubuvuzi bwinshi bugira ingaruka nziza mu gutanga impuhwe.

Uburyo busanzwe bw'ubuvuzi burimo:

• Ibiyobyabwenge bigabanya ububabare nka ibuprofen cyangwa naproxen kugira ngo bigabanye ububabare
• Antibiyotike niba ubwandu bw'ibyorezo ari bwo butera
• Imiti yo kurwanya virusi ku ndwara zimwe na zimwe ziterwa na virusi
• Corticosteroids ku ndwara y'umwijima ifitanye isano n'ubudahangarwa bw'umubiri
• Uburyo bwo gukuraho amazi niba hari amazi menshi yibitse
• Kuvura ibibazo by'ibanze nka kanseri cyangwa amaraso afunze

Imiti igabanya ububabare ikunze gutanga impuhwe nyinshi mu minsi mike. Muganga wawe azahitamo uburyo butekanye kandi bugira ingaruka nziza hashingiwe ku buzima bwawe rusange n'imiti yose ufashe.

Ku bijyanye n'ibibazo bifitanye isano n'amazi mu mwanya uri hagati y'ibihaha n'ingingo, muganga wawe ashobora kuba akeneye gukuraho amazi y'umurengera akoresheje igishishwa cyangwa umuyoboro muto. Iyi nzira, yitwa thoracentesis, ishobora gutanga impuhwe zihita zo guhumeka no gufasha kwirinda ingaruka mbi.

Uko wakwitwara mu rugo ufite indwara y'umwijima?

Mu gihe ubuvuzi bw'abaganga bukemura ikibazo cy'ibanze, hari uburyo bwo kwita ku rugo bushobora kugufasha kumva utekanye no gufasha gukira. Ibi bintu bikorana n'imiti yaguteguriwe, bitari icyimbo cyayo.

Dore uburyo bwo kwivuza mu rugo bugira akamaro:

• Ruhukira ku ruhande rubabara kugira ngo ugabanye ububabare buterwa n’imiyoboro
• Koresha ibyuma bishyushye kugira ngo ugabanye umunaniro w’imikaya yo mu gituza
• Kora imyitozo yo guhumeka mu buryo buhagije uko ububabare bukubuza
• Komeza wisukure kugira ngo ufashe mu gukuraho ubusembwa
• Koresha ibyuma byinshi byo kuryamaho kugira ngo ubone aho kuryama neza
• Irinde ibikorwa byongera ububabare bwo mu gituza

Abantu benshi basanga kuryama ku ruhande rubabara bigabanya ububabare mu kugabanya imiyoboro y’aho umwenda w’ibitugu warabyimbye. Gerageza imyanya itandukanye kugira ngo umenye icyakubereye cyiza.

Imikino yo guhumeka buhoro buhoro ishobora kugufasha kwirinda ingaruka nk’igicurane, ariko gukora icyumvikana gusa. Tangira buhoro buhoro hanyuma wiyongere uko ububabare bugabanuka. Ntukigera uhatira ububabare bukabije, kuko bishobora kongera kubyimba.

Uko wakwirinda indwara y’ibitugu

Nubwo utazi kwirinda indwara y’ibitugu zose, hari uburyo bwinshi bushobora kugabanya ibyago binyuze mu guhangana n’imvano zisanzwe. Kwiringira kwirinda bikubiyemo kugira ubuzima bwiza muri rusange no kwirinda indwara aho bishoboka.

Uburyo bw’ingenzi bwo kwirinda burimo:

• Kwikingiza grippe buri mwaka no gukomeza gukingirwa indwara y’icurane
• Kwoza intoki kenshi kugira ngo wirinde indwara z’ubuhumekero
• Kureka itabi kugira ngo ubuzima bw’ibihaha bube bwiza
• Guhangana n’indwara zidakira nk’indwara ziterwa n’ubudahangarwa bw’umubiri
• Gushaka ubuvuzi bw’indwara z’ubuhumekero vuba
• Kugira ubudahangarwa bw’umubiri buzira umuze binyuze mu mirire myiza no kuryama bihagije

Gukingiza ni ingenzi cyane ku bantu bakuze n’abafite ibibazo by’ubuzima bidakira. Urushinge rwo kwirinda indwara y’icurane rushobora kwirinda indwara nyinshi ziterwa na bagiteri zitera indwara y’ibitugu.

Niba ufite indwara idakira iterwa n’ubudahangarwa bw’umubiri, gukorana n’umuganga wawe kugira ngo uyigumane neza bishobora kugabanya cyane ibyago byo kurwara indwara y’ibitugu. Ibi bishobora kuba bikubiyemo gufata imiti nk’uko yagutegetswe no kujya mu buvuzi buhoraho.

Wategura gute uruzinduko kwa muganga?

Gutegura uruzinduko rwawe kwa muganga bifasha guhamya ko muganga wawe abona amakuru yose akenewe kugira ngo amenye icyo urwaye kandi akwitaho neza. Gutegura neza bishobora kandi kugufasha kugabanya impungenge zerekeye uruzinduko.

Mbere y’uruzinduko rwawe, kora ibi bikurikira:

• Andika igihe ibimenyetso byawe byatangiye n’uko byahindutse
• Inyandiko y’imiti yose, amavitamini, n’ibindi biribwa ufata
• Andika indwara, imvune, cyangwa uburyo bwo kuvura uheruka kugira
• Tegura ibibazo ku ndwara yawe n’uburyo bwo kuvura
• Zana umuntu wo mu muryango cyangwa inshuti kugira ngo aguhe inkunga niba bibaye ngombwa
• Gira amakuru y’ubwisungane bwawe n’andi makuru y’ubuvuzi uheruka

Tegura gusobanura ububabare bwawe mu buryo burambuye, harimo aho bubabaza, icyabubabaza cyangwa icyakibabaza, n’uko bigira ingaruka ku mirimo yawe ya buri munsi. Aya makuru afasha muganga wawe gusobanukirwa uburemere n’imiterere y’uburwayi bwawe.

Ntuzuyaze kubabaza ibibazo ku ndwara yawe, uburyo bwo kuvura, cyangwa icyo witeze mu gihe cyo gukira. Muganga wawe arashaka kugufasha gusobanukirwa uburwayi bwawe kandi ukumva ufite icyizere ku gahunda yawe y’ubuvuzi.

Ni iki gikuru wakuramo ku ndwara ya pleurisy?

Pleurisy ni indwara ivurwa, nubwo ibabaza kandi ikaba itera impungenge, isanzwe ikira neza hamwe n’ubuvuzi bukwiye. Ububabare bukabije bwo mu gituza buranga pleurisy busubiza neza ku buvuzi buhangana n’uburiganya, kandi abantu benshi barakira neza.

Ikintu cy’ingenzi cyo kwibuka ni uko isuzuma rya muganga hakiri kare rizana ibyiza byinshi. Ntugerageze kwihanganira ububabare bukabije bwo mu gituza, cyane cyane niba buherekejwe na firive, guhumeka nabi, cyangwa ibindi bimenyetso bishishikaje.

Hamwe n’ubuvuzi bukwiye bukubiyemo impamvu nyamukuru n’ibimenyetso byawe, ushobora kwitega kumva umeze neza mu minsi mike cyangwa mu byumweru bike. Ikipe yawe y’ubuvuzi iri aho kugufasha mu gihe cyo gukira no kugufasha kwirinda ibindi bibazo.

Ibibazo bikunze kubaho kuri pleurisy

Umuntu arwara pleurisy igihe kingana iki?

Igihe pleurisy imara bitewe n’icyayiteye. Ubusanzwe pleurisy iterwa na virusi ikira mu cyumweru kimwe cyangwa ibiri hakoreshejwe ubuvuzi bukwiye, naho iyo iterwa na bagiteri ishobora kumara igihe kirekire ariko ikakira neza hakoreshejwe imiti ya antibiyotike. Pleurisy iterwa n’indwara zifata umubiri wose ishobora gusaba kuvurwa buri gihe, ariko ibimenyetso bikomeye bisanzwe bigabanuka mu minsi mike uhereye igihe watangiye kuvurwa uko bikwiye.

Ese pleurisy yandura?

Pleurisy ubwayo ntiyandura, ariko indwara ziterwa na virusi cyangwa bagiteri zishobora kuyitera zishobora kwandura. Niba pleurisy yawe iterwa n’indwara y’ubuhumekero iterwa na virusi cyangwa bagiteri, ushobora kwanduza abandi iyo ndwara. Ariko, kubyimba kwa pleurisy ni uburyo umubiri wawe uhangana n’indwara kandi ntibishobora kwandurira undi muntu.

Ese pleurisy ishobora kugaruka nyuma yo kuvurwa?

Yego, pleurisy ishobora kugaruka, cyane cyane niba ufite ibyago bikomeye nk’indwara zifata umubiri wose cyangwa niba ugize izindi ndwara z’ubuhumekero. Ariko, kuba wararwaye pleurisy rimwe ntibikwongerera amahirwe yo kuyirwara ukundi keretse ibyago bikomeye bikomeje kubaho. Gukurikiza amabwiriza yo kwirinda no gucunga indwara zidakira bishobora kugabanya ibyago byo kurwara ukundi.

Ese nagomba kujya mu bitaro byihuse mfite pleurisy?

Shaka ubuvuzi bwihuse niba ufite ububabare bukomeye mu gituza ukaba unagira ikibazo cyo guhumeka, umuriro ukabije urenze dogere 39°C, iminwa cyangwa imisumari y’intoki ifite ibara ry’ubururu, cyangwa niba usohora amaraso mu gihe utsemba. Ku bimenyetso bidakomeye nko kubabara mu gituza bitakubuza guhumeka, ushobora gukora gahunda yo kubonana na muganga wawe mu minsi umwe cyangwa ibiri.

Ese imyitozo ngororamubiri ishobora kongera ubukana bwa pleurisy?

Mu gihe cy’uburwayi bukabije bwa pleurisy, imyitozo ngororamubiri isanzwe irushaho kuba mbi kubabara mu gituza kandi ikwiye kwirindwa kugeza igihe ibimenyetso byakize. Guhumeka cyane mu gihe cy’imyitozo ngororamubiri bishobora kongera ububabare bw’imikaya y’ingingo za pleural zifite uburibwe. Iyo ububabare bwawe buciye kandi muganga akwemereye, imyitozo ngororamubiri yoroheje ishobora gufasha gukumira ingaruka mbi no gufasha gukira.