Indwara ya Arthrite Iterwa n’Udukoko: Ibimenyetso, Intandaro, n’Umuti

Indwara ya Arthrite Iterwa n’Udukoko Ni Iki?

Arthrite iterwa n’udukoko ni ububabare bw’ingingo butera nyuma y’aho umubiri wawe urwanye ubwandu mu bundi buryo. Sisteme yawe y’ubwirinzi, mu gihe ikora akazi kayo ko kurwanya ubwandu, ishobora kwangiza utubuto tw’ingingo mu buryo butari bwiza.

Iyi ndwara ikunda kwibasira amaguru, ibibero, n’ibirenge, nubwo ishobora kwibasira n’izindi ngingo. Ubundi ubwandu butera arthrite iterwa n’udukoko bushira burundu mbere y’uko ibimenyetso by’ububabare bw’ingingo bigaragara, niyo mpamvu bitwa “iterwa n’ubwandu” aho kuba arthrite iterwa n’ubwandu.

Abantu benshi barwaye arthrite iterwa n’udukoko barakira neza mu mezi make cyangwa umwaka umwe. Ariko kandi, bamwe bashobora kugira ibibazo bisubira cyangwa bagakomeza kugira ibimenyetso bisaba ubuvuzi buhoraho.

Ibimenyetso by’Indwara ya Arthrite Iterwa n’Udukoko Ni Ibihe?

Ibimenyetso by’indwara ya arthrite iterwa n’udukoko bikunda kugaragara mu cyumweru kimwe cyangwa bine nyuma y’ubwandu bwambere. Ibimenyetso by’ingenzi birimo ububabare bw’ingingo no kubyimba, ariko iyi ndwara ishobora kwibasira n’ibindi bice by’umubiri.

Ibimenyetso by’ingingo bikunze kugaragara birimo:

• Ububabare no kubyimba mu maguru, ibibero, n’ibirenge
• Ubugufi bw’ingingo bubi cyane mu gitondo cyangwa nyuma yo kwicara
• Ububabare mu mugongo, cyane cyane mu bice by’ingingo za sacroiliac
• Ububabare mu ntugu cyangwa kubyimba kw’umutsi wa Achilles
• Iminwe cyangwa intoki zibyimba zisa n’isoseji

Uretse ibimenyetso by’ingingo, ushobora kugira n’ubwandu bw’amaso bwitwa conjunctivite, butera ubuhumyi n’uburiganya. Bamwe bagira ibibyimba ku ruhu, ibisebe mu kanwa, cyangwa ibisebe mu myanya ndangagitsina.

Mu bihe bitoroshye, arthrite iterwa n’udukoko ishobora kwibasira umutima, ibihumekero, cyangwa sisiteme y’imikorere y’ubwonko. Ibi bibazo si byo bikunze kugaragara ariko bisaba ubuvuzi bw’ihutirwa niba ibimenyetso nk’ububabare mu gituza, guhumeka nabi, cyangwa impinduka mu mikorere y’ubwonko bigaragaye.

Ubwoko bw’Indwara ya Arthrite Iterwa n’Udukoko Ni Buhe?

Abaganga bakunda gusesengura arthrite iterwa n’udukoko bashingiye ku cyateye ubwandu bwambere. Ubwoko bubiri nyamukuru bujyanye n’aho ubwandu bwambere bwabereye mu mubiri wawe.

Arthrite iterwa n’ubwandu bwo mu myanya ndangagitsina itera nyuma y’ubwandu bw’imiterere y’ubugabo cyangwa iy’ubugore, ikunze guterwa na chlamydia cyangwa gonorrhea. Ubu bwoko bukunda kwibasira urubyiruko kandi bushobora kuba burimo ibimenyetso nk’ubwandu bw’inkari cyangwa ubwandu bw’inkondo y’umura, hamwe n’ububabare bw’ingingo.

Arthrite iterwa n’ubwandu bw’amara itera nyuma y’ubwandu bw’igifu buterwa na bagiteri nka Salmonella, Shigella, Campylobacter, cyangwa Yersinia. Ubu bwoko busanzwe bukunze kugaragara nyuma yo kurwara isesemi cyangwa indwara y’igifu.

Bamwe mu baganga bamenyesha kandi icyiciro cyitwa Reiter's syndrome, gikubiyemo arthrite, ubwandu bw’amaso, n’ubwandu bw’inkari bihuriye hamwe. Ariko kandi, abaganga benshi ubu bakoresha ijambo arthrite iterwa n’udukoko kuko atari bose bagira ibimenyetso bitatu byose.

Intandaro y’Indwara ya Arthrite Iterwa n’Udukoko Ni Iki?

Arthrite iterwa n’udukoko ibaho iyo sisiteme y’ubwirinzi y’umubiri ikabije mu kurwanya ubwandu. Nyuma yo kurwanya bagiteri neza, sisiteme y’ubwirinzi ikomeza kwangiza utubuto tw’umubiri, cyane cyane mu ngingo.

Bagiteri zikunze gutera iyi ndwara zirimo:

• Chlamydia trachomatis (iterwa n’imibonano mpuzabitsina)
• Salmonella species (isesemi)
• Shigella (indwara y’amara)
• Campylobacter (isesemi)
• Yersinia (isesemi)

Uburanga bufite uruhare runini mu bantu barwara arthrite iterwa n’udukoko. Abantu bafite gene yitwa HLA-B27 bafite amahirwe menshi yo kurwara iyi ndwara nyuma y’ubwandu bumwe na bumwe, nubwo kugira iyi gene bidatuma ugomba kurwara arthrite iterwa n’udukoko.

Mu bihe bitoroshye, ubundi bwandu nk’ubwo guterwa na Clostridium difficile cyangwa ubundi bwandu bw’agakoko ka virusi bushobora gutera arthrite iterwa n’udukoko. Uburyo nyabwo ntibwumvikana neza, ariko bigaragara ko bujyanye no guhuza imisemburo aho sisiteme y’ubwirinzi y’umubiri ivangura utubuto tw’umubiri n’imisemburo ya bagiteri.

Ryari Ukwiye Kubona Muganga kubera Arthrite Iterwa n’Udukoko?

Wagomba kuvugana na muganga wawe niba ubona ububabare bw’ingingo no kubyimba mu byumweru bike nyuma yo kurwara. Kumenya hakiri kare no kuvurwa birashobora gufasha kwirinda ibibazo no kugabanya igihe cyo gukira.

Shaka ubuvuzi bw’ihutirwa niba ufite ibimenyetso bikomeye nk’umuriro mwinshi, ububabare bukomeye bw’ingingo butubuza kugenda, cyangwa ibimenyetso by’ibibazo bikomeye. Ububabare bw’amaso buzana impinduka ku kubona, ububabare mu gituza, cyangwa kugira ikibazo cyo guhumeka byose bisaba ubuvuzi bw’ihutirwa.

Ntugategereze kubona muganga wawe niba ubona ingingo nyinshi zibyimba kandi zikubabaza, cyane cyane niba uherutse kurwara isesemi cyangwa ubwandu bwo mu myanya ndangagitsina. Nubwo ubwandu bwawe bwambere bwasaga nkaho buke, arthrite iterwa n’udukoko ishobora kuba ikibazo gikomeye idakize.

Ibyago byo Kurwara Arthrite Iterwa n’Udukoko Ni Ibihe?

Ibintu byinshi bishobora kongera amahirwe yo kurwara arthrite iterwa n’udukoko nyuma y’ubwandu. Gusobanukirwa ibi byago bishobora kugufasha kumenya igihe ukwiye gushaka ubuvuzi vuba.

Ibintu by’ingenzi byongera ibyago birimo:

• Kugira gene yitwa HLA-B27 (iboneka mu bantu bagera kuri 8% by’abantu)
• Kuba uri hagati y’imyaka 20-40
• Kuba umugabo, cyane cyane ku bwandu buterwa n’imibonano mpuzabitsina
• Ubwandu bwa bagiteri mu mara cyangwa mu myanya ndangagitsina
• Amateka y’umuryango wa arthrite iterwa n’udukoko cyangwa indwara zifitanye isano

Imibereho imwe na imwe ishobora kongera ibyago. Kugira abantu benshi bakorana imibonano mpuzabitsina cyangwa gukora imibonano mpuzabitsina idakingiye byongera amahirwe yo kwandura indwara nk’iya chlamydia.

Mu bihe bitoroshye, abantu bafite sisiteme y’ubwirinzi idakora neza cyangwa abafata imiti igabanya ubudahangarwa bw’umubiri bashobora kuba bafite ibyago byinshi. Ariko kandi, arthrite iterwa n’udukoko ishobora kwibasira uwo ari we wese wahura na bagiteri zitera iyi ndwara, uko ubuzima bwe bwaba bumeze kose.

Ibibazo Bishoboka by’Indwara ya Arthrite Iterwa n’Udukoko Ni Ibihe?

Abantu benshi barwaye arthrite iterwa n’udukoko barakira neza nta kibazo gihoraho. Ariko kandi, gusobanukirwa ibibazo bishoboka bishobora kugufasha kumenya igihe ukwiye gushaka ubuvuzi bundi.

Ibibazo bikunze kugaragara birimo:

• Arthrite ihoraho imara amezi cyangwa imyaka
• Ibibazo bisubiraho byo kubyimba kw’ingingo
• Kwangirika burundu kw’ingingo niba bitavuwe
• Ubwandura buhoraho bw’amaso bushobora kugira ingaruka ku kubona
• Ububabare buhoraho mu mugongo n’ubugufi

Ibibazo bikomeye si byo bikunze kugaragara ariko bishobora kuba harimo ibibazo by’umutima nk’ubwandu bw’umuvure wa aortic cyangwa impinduka mu mikorere y’umutima. Bamwe bashobora kugira ubwandu bw’ibihaha cyangwa ibibazo by’imikorere y’ubwonko, nubwo ibi bibaho mu kigero kiri munsi ya 5% by’ababirwaye.

Inkuru nziza ni uko, hakoreshejwe ubuvuzi bukwiye, ibibazo byinshi bishobora kwirindwa cyangwa bigacungwa neza. Kujya gukurikiranwa n’abaganga buri gihe bifasha gutahura ibibazo byose bigenda bigaragara hakiri kare igihe bishobora kuvurwa.

Uko Arthrite Iterwa n’Udukoko Yakwirindwa

Kwiringira arthrite iterwa n’udukoko byibanda ku kwirinda ubwandu buyitera. Nubwo utazashobora gukuraho burundu ibyago, uburyo butandukanye bushobora kugabanya cyane amahirwe yo kurwara iyi ndwara.

Kora imibonano mpuzabitsina y’umutekano ukoresheje agakingirizo kandi ugende ukoresha ibizamini byo kwipimisha indwara zandurira mu mibonano mpuzabitsina. Niba ukora imibonano mpuzabitsina n’abantu benshi, uganire na muganga wawe ku buryo bwo kwipimisha kugira ngo umenye kandi uvure ubwandu mbere y’uko butera arthrite iterwa n’udukoko.

Umutekano w’ibiribwa ni ingenzi mu kwirinda ubwandu bw’igifu. Teka inyama neza, kora isuku y’imbuto n’imboga, wirinde kwanduza ibiryo mu gikoni, kandi witondere ibiryo bituruka ahantu hatanyuze igihe uri mu rugendo.

Niba urwaye ubwandu bwa bagiteri, kurangiza imiti ya antibiyotike yose nk’uko yagutegetswe. Ibi bizatuma ubwandu buvaho burundu kandi bishobora kugabanya ibyago byo kwangirika kw’ubwirinzi bw’umubiri butera arthrite iterwa n’udukoko.

Uko Arthrite Iterwa n’Udukoko Imenyekana

Kumenya arthrite iterwa n’udukoko bisaba guhuza amateka y’ubwandu bwawe n’ibimenyetso ugaragaza ubu. Muganga wawe azakubaza ibibazo birambuye ku bwandu ubaye ufite mu mezi ashize, harimo indwara z’igifu cyangwa indwara zandurira mu mibonano mpuzabitsina.

Muganga wawe azakora isuzuma ry’umubiri, akareba niba ingingo zibyimba, zikubabaza, n’uburyo zigenda. Azareba kandi amaso, uruhu, n’imiterere y’ubugabo cyangwa iy’ubugore kugira ngo arebe ibimenyetso by’ubwandu bikunze kujyana na arthrite iterwa n’udukoko.

Ibizamini by’amaraso bishobora gufasha kumenya iyi ndwara harebwa ibimenyetso by’ubwandu na gene yitwa HLA-B27. Ariko kandi, nta kizami kimwe cyonyine kimenya neza arthrite iterwa n’udukoko, bityo muganga wawe azishingira ku guhuza ibimenyetso, igihe, n’ibisubizo by’ibizamini.

Mu bihe bimwe na bimwe, muganga wawe ashobora gupima amazi ava mu ngingo zibyimba cyangwa akakora ibizamini byo kubona ishusho nk’ama rayons X cyangwa MRI. Ibi bizamini bifasha gukuraho izindi ndwara z’ingingo no kureba uko ingingo zibyimba.

Umuti w’Indwara ya Arthrite Iterwa n’Udukoko Ni Uhe?

Umuti wa arthrite iterwa n’udukoko ugamije kugabanya ubwandu no gucunga ibimenyetso mu gihe sisiteme y’ubwirinzi y’umubiri ihoraho. Abantu benshi batangira kumva neza mu byumweru bike cyangwa amezi hakoreshejwe ubuvuzi bukwiye.

Muganga wawe ashobora gutangira akoresheje imiti igabanya ubwandu nk’ibuprofen cyangwa naproxen kugira ngo agabanye ububabare bw’ingingo no kubyimba. Iyi miti ikora neza ku bantu benshi kandi ifite ingaruka nke kurusha izindi miti ikomeye.

Niba imiti yo mu iduka idahagije, muganga wawe ashobora kugutegeka imiti ikomeye igabanya ubwandu cyangwa imiti ihindura uburyo indwara ikora. Sulfasalazine ikoreshwa cyane kuri arthrite iterwa n’udukoko kandi ishobora gufasha kwirinda kwangirika kw’ingingo mu gihe cy’indwara ihoraho.

Ku ndwara zikomeye cyangwa zihoraho, muganga wawe ashobora kugutegeka guterwa inshinge za corticosteroids mu ngingo zirwaye. Mu bihe bitoroshye aho indwara iba ihoraho kandi idakira hakoreshejwe izindi miti, imiti ya biological igamije ibice bimwe na bimwe by’ubwirinzi ishobora kugenwa.

Niba ugifite ubwandu bukomeye, kuvura hakoreshejwe antibiyotike bikwiye ni ingenzi, nubwo antibiyotike zitavura arthrite ubwayo. Ubuvuzi bw’umubiri bushobora kandi gufasha kugumisha ingingo zifite ubushobozi bwo kugenda no gukomera mu gihe cyo gukira.

Uko Wakwitwara mu Rugo mu Gihe ufite Arthrite Iterwa n’Udukoko

Guhangana na arthrite iterwa n’udukoko mu rugo bisaba guhuza kuruhuka n’imikino yoroheje kugira ngo ingingo zawe zigume zigenda. Urashobora gufata ingamba zitandukanye kugira ngo ufashe gukira no kugabanya ububabare mu gihe umubiri wawe ukomeza gukira.

Shira ubukonje ku ngingo zibyimba iminota 15-20 incuro nyinshi ku munsi kugira ngo ugabanye ubwandu n’ububabare. Ubushyuhe bushobora kandi gufasha mu bugufi bw’ingingo, bityo gerageza koga mu mazi ashyushye cyangwa gukoresha ibintu bishyushye igihe ingingo zawe zimeze nabi aho kubyimba.

Imikino yoroheje nko kugenda, koga, cyangwa gukora imyitozo yoroheje ishobora gufasha kugumisha ingingo zifite ubushobozi bwo kugenda nta gukomeretsa cyane ahantu habyimba. Tega amatwi umubiri wawe kandi uruhuke igihe ukeneye, ariko gerageza kwirinda kutagenda na gato kuko bishobora kongera ubugufi bw’ingingo.

Fata imiti igabanya ubwandu hamwe n’ibiribwa kugira ngo ugabanye kubabara mu gifu, kandi ukomeze gahunda muganga wawe yagutegetse. Kuryama neza no guhangana n’umunaniro bifasha sisiteme y’ubwirinzi y’umubiri gukira.

Uko Wakwitegura Kugenda kwa Muganga

Kwitwara neza igihe ugiye kwa muganga bifasha muganga wawe gukora isuzuma ryiza no gutegura gahunda nziza y’ubuvuzi. Gukusanya amakuru mbere bishobora kugabanya igihe kandi bikarinda kwibagirwa amakuru y’ingenzi.

Andika ibimenyetso byawe byose, harimo igihe byatangiye n’uko byahindutse uko iminsi igenda. Jya ugaragaza neza ingingo zikubabaza, igihe ububabare buri bubi, n’icyo kibubabaza cyangwa kikagabanya.

Tegura urutonde rw’ubwandu ubaye ufite mu mezi 6 ashize, harimo indwara z’igifu, indwara zandurira mu mibonano mpuzabitsina, cyangwa indwara nto. Harimo antibiyotike wafashe niba warangije imiti yose.

Zana urutonde rw’imiti yose n’ibindi ufashe ubu, harimo imiti igabanya ububabare yo mu iduka. Kandi, tegura ibibazo ku ndwara yawe, uburyo bwo kuvurwa, n’icyo witeze mu gihe cyo gukira.

Icyo Ugomba Kumenya Ku bijyanye na Arthrite Iterwa n’Udukoko

Arthrite iterwa n’udukoko ni uburyo sisiteme y’ubwirinzi y’umubiri ikora ikabije nyuma yo kurwanya ubwandu. Nubwo ishobora kuba ikubabaza kandi ikahangayikisha, abantu benshi barakira neza hakoreshejwe ubuvuzi bukwiye n’igihe.

Icyingenzi mu guhangana na arthrite iterwa n’udukoko neza ni ukumenya hakiri kare no kuvurwa neza. Niba ubona ububabare bw’ingingo no kubyimba mu byumweru bike nyuma y’ubwandu, ntutinye kuvugana na muganga wawe kugira ngo akumenye.

Wibuke ko arthrite iterwa n’udukoko ivurwa, kandi hakoreshejwe uburyo bukwiye, ushobora kwitega gusubira mu mirimo yawe isanzwe. Komeza gahunda yawe y’ubuvuzi, wirinde ubwandu, kandi ukomereze kuganira n’abaganga bawe mu gihe cyose cyo gukira.

Ibibazo Bikunze Kubahwa Ku bijyanye na Arthrite Iterwa n’Udukoko

Q.1 Ese arthrite iterwa n’udukoko yandura?

Oya, arthrite iterwa n’udukoko ubwayo ntiyandura. Ariko kandi, ubwandu bwambere bwayiteye bushobora kuba bwandura, nk’indwara zandurira mu mibonano mpuzabitsina cyangwa indwara ziterwa n’ibiribwa. Arthrite ni uburyo sisiteme y’ubwirinzi y’umubiri ikora kandi ntishobora kwandura abandi mu buryo bw’ubuhari.

Q.2 Arthrite iterwa n’udukoko imara igihe kingana iki?

Ibihe byinshi bya arthrite iterwa n’udukoko bikira mu mezi 3-12 hakoreshejwe ubuvuzi bukwiye. Ariko kandi, abantu bagera kuri 15-20% bashobora kugira ibimenyetso bihoraho cyangwa ibibazo bisubira. Kuvurwa hakiri kare no gukurikiza amabwiriza ya muganga wawe bishobora kugabanya igihe cy’ibimenyetso.

Q.3 Ese arthrite iterwa n’udukoko ishobora gusubira?

Yego, arthrite iterwa n’udukoko ishobora gusubira, cyane cyane niba ugize ubundi bwandu. Abantu bafite gene yitwa HLA-B27 bafite amahirwe menshi yo kugira ibibazo bisubira. Ariko kandi, ibibazo bikurikiraho bikunze kuba byoroheje kandi bigapfa vuba kurusha ibyambere.

Q.4 Ese ngomba gufata antibiyotike kubera arthrite iterwa n’udukoko?

Antibiyotike zikenerwa gusa niba ugifite ubwandu bukomeye. Kuko arthrite iterwa n’udukoko iba nyuma y’aho umubiri umaze gukuraho ubwandu, antibiyotike ntizifasha arthrite ubwayo. Ariko kandi, niba ibizamini bigaragaza ko ugifite chlamydia cyangwa ubundi bwandu bwa bagiteri, muganga wawe azakutegeka antibiyotike zikwiye.

Q.5 Ese imyitozo ishobora kongera arthrite iterwa n’udukoko?

Imikino yoroheje ikunda gufasha arthrite iterwa n’udukoko mu kugumisha ingingo zifite ubushobozi bwo kugenda no kwirinda ubugufi bw’ingingo. Ariko kandi, imikino ikomeye cyangwa imyitozo ikomeye ishobora kongera ubwandu mu gihe cy’ibibazo. Koga, kugenda, no gukora imyitozo yoroheje ni byiza kandi nta kibazo. Buri gihe ubaze muganga wawe ku bijyanye n’imyitozo ikwiye ku mimerere yawe.