Indwara ya Whipple ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Indwara ya Whipple ni indwara y’ubwandu bwa bakteri idahwitse, ikunda kwibasira uruhinja rwo mu nda, kandi ishobora gukwirakwira mu zindi ngingo z’umubiri. Iyi ndwara ibaho iyo bakteri yitwa Tropheryma whipplei yinjira mu ruhinja rw’amara igahagarika ubushobozi bw’umubiri bwo kubyaza umusaruro intungamubiri neza.

Nubwo ibi bishobora gutera impungenge, inkuru nziza ni uko indwara ya Whipple ivurwa neza n’imiti ya antibiyotike iyo imenyekanye hakiri kare. Gusobanukirwa ibimenyetso no kubona ubuvuzi bukwiye bishobora gutuma abantu benshi bakira burundu.

Ni ibihe bimenyetso by’indwara ya Whipple?

Ibimenyetso by’indwara ya Whipple bikunda kugaragara buhoro buhoro kandi bishobora gutandukana cyane, rimwe na rimwe bigatuma kuvura bigorana. Umubiri wawe ubusanzwe ugaragaza ibimenyetso bijyanye no kubura intungamubiri mbere, hagakurikiraho izindi ngaruka ku mubiri uko ubwandu bukwiriye.

Ibimenyetso bya mbere bikunze kugaragara ushobora guhura na byo birimo:

• Impiswi zidakira zishobora kuba amazi cyangwa amavuta
• Gutakaza ibiro cyane nubwo ufite ubushake bwo kurya
• Kubabara mu nda no guhumeka
• Kubabara no kubyimba mu ngingo, cyane cyane mu maboko, amaguru n’amavi
• Uburwayi n’intege nke
• Kubyimbagira mu nda no guhumeka

Uko indwara ikomeza, ushobora kubona ibimenyetso byiyongereye bigira ingaruka ku zindi ngingo z’umubiri. Ibi bishobora kuba harimo umuriro, ibyimba mu mitsi, umukara ku ruhu, ndetse n’ibimenyetso by’ubwonko nko gucika intekere cyangwa ibibazo byo kwibuka mu bihe bikomeye.

Birakwiye kuzirikana ko kubabara mu ngingo kenshi kugaragara imyaka mbere y’ibimenyetso byo mu gifu, ibyo bishobora gutuma umubano hagati y’indwara ya Whipple utaboneka hakiri kare. Niyo mpamvu abantu benshi batinda kuvurwa.

Ni iki gitera indwara ya Whipple?

Indwara ya Whipple iterwa n’ubwandu bwa bakteri yitwa Tropheryma whipplei. Iyi bakteri idasanzwe kuko ikura buhoro buhoro kandi ishobora kuba bigoye kuyibona mu bipimo bisanzwe bya laboratwari.

Iyi bakteri ikunda kwibasira uruhinja rw’amara, aho ihagarika imikorere isanzwe yo kubyaza umusaruro intungamubiri. Igihe kirekire, iyo idakize, ubwandu bushobora gukwirakwira mu mikaya y’umubiri yerekeza mu zindi ngingo z’umubiri, harimo umutima, ibihaha, ubwonko n’ingingo.

Icyatuma iyi ndwara iba idasanzwe ni uko iyi bakteri isa nkaho iba mu kirere, ariko abantu benshi bahura nayo ntibarwara. Ibi bigaragaza ko bamwe mu bantu bashobora kugira ubumenyi bw’impyiko cyangwa imiterere y’ubudahangarwa ibatera kwibasirwa n’ubwandu.

Abashakashatsi bemeza ko abantu barwara indwara ya Whipple bashobora kugira ikibazo runaka cy’ubudahangarwa kibabuza kurwanya iyi bakteri, nubwo ubudahangarwa bwabo bukora neza kurwanya izindi ndwara.

Ni ryari ukwiye kujya kwa muganga kubera indwara ya Whipple?

Ukwiye gushaka ubuvuzi iyo ufite ibimenyetso byo mu gifu bidakira bifatanije no gutakaza ibiro bitasobanuwe, cyane cyane iyo ibyo bimenyetso bikamara ibyumweru byinshi. Kuvurwa hakiri kare bishobora kubuza ubwandu gukwirakwira mu zindi ngingo.

Hamagara umuganga wawe vuba iyo ubona:

• Impiswi zidakira zikamara ibyumweru birenga bike
• Gutakaza ibiro bitateganijwe by’ibiro 5 cyangwa birenga
• Kubabara mu nda bidakira bifatanije n’impinduka mu gifu
• Kubabara mu ngingo bidakira nubwo uburuhukira cyangwa ukoresha imiti yo kwivura
• Uburwayi budakira bugahungabanya ibikorwa bya buri munsi

Shaka ubuvuzi bw’ibanze iyo ufite ibimenyetso by’ubwonko nko gucika intekere, ibibazo byo kwibuka, kugorana mu kugenda, cyangwa impinduka mu kubona. Ibi bishobora kugaragaza ko ubwandu bwakwirakwiriye mu mikaya y’ubwonko kandi bikeneye ubuvuzi bw’ihutirwa.

Ibuka ko indwara ya Whipple idahwitse, bityo ibimenyetso byawe bishobora guterwa n’izindi ndwara zisanzwe. Ariko, niba ubuvuzi busanzwe bw’ibibazo byo mu gifu budafasha, birakwiye kuganira ku bishoboka bitari bisanzwe n’umuganga wawe.

Ni ibihe bintu byongera ibyago byo kurwara indwara ya Whipple?

Ibintu byinshi bishobora kongera amahirwe yo kurwara indwara ya Whipple, nubwo ari ngombwa kwibuka ko iyi ndwara idahwitse muri rusange. Gusobanukirwa ibyo bintu bishobora kugufasha wowe n’umuganga wawe gusuzuma uko umerewe.

Ibintu byongera ibyago by’ingenzi birimo:

• Kuba umugabo w’umuzungu uri mu kigero cy’imyaka y’ubukuru (iyi ndwara ikunda kwibasira abagabo inshuro zigera kuri 8 kurusha abagore)
• Kugira amateka y’iyi ndwara mu muryango, bigaragaza ko ishobora kuba ifitanye isano n’impyiko
• Kuba mu cyaro cyangwa ahantu hahurira abantu benshi cyangwa mu mirima
• Kugira akazi gafitanye isano n’ubutaka, amatungo cyangwa imyanda
• Kugira impinduka runaka z’impyiko zigira ingaruka ku mikorere y’ubudahangarwa

Imyaka ikinisha uruhare, aho ibimenyetso byinshi bigaragara mu bantu bari hagati y’imyaka 40 na 60. Ariko, iyi ndwara ishobora rimwe na rimwe kwibasira abana n’abakuze.

Birakomeye gusobanukirwa ko kugira ibyo bintu bitavuze ko uzahura n’indwara ya Whipple. Iyi ndwara igumye ari idahwitse, ikaba ibasira abantu bake cyane.

Ni ibihe bintu bishobora guterwa n’indwara ya Whipple?

Iyo indwara ya Whipple idakize, ubwandu bwa bakteri bushobora gukwirakwira uvuye mu mara bugatera ibibazo bikomeye mu mubiri wose. Inkuru nziza ni uko kuvurwa hakiri kare kw’antibiyotike bishobora kubuza ibyo bibazo byinshi kuvuka.

Ibibazo bikomeye ushobora guhura na byo birimo:

• Imivure ikomeye iterwa no kubura intungamubiri
• Ibibazo by’umutima, harimo ubwandu bw’amavuta y’umutima (endocarditis)
• Ibibazo by’ubwonko nko gutakaza kwibuka, gucika intekere, cyangwa gufata
• Ibibazo byo kubona cyangwa indwara z’amaso
• Ibibazo by’ibihaha harimo inkorora idakira cyangwa kubyimbagira
• Gukomeretsa bikomeye mu ngingo biterwa n’ububabare budakira

Mu bihe bidafite akenshi, iyo ubwandu bugera mu bwonko, bushobora gutera kwangirika kw’ubwonko bigoye gukira, nubwo waba uvurwa. Niyo mpamvu kuvurwa hakiri kare ari ingenzi.

Inkuru ishimishije ni uko abantu benshi bakira burundu indwara ya Whipple babonye ubuvuzi bukwiye bwa antibiyotike. Nubwo hari ibibazo byavuye, byinshi bishobora gukira cyangwa bigakira neza babonye ubuvuzi bukwiye.

Indwara ya Whipple imenyekanwa gute?

Kumenya indwara ya Whipple bishobora kuba bigoye kuko ibimenyetso byayo bikunda kumera nk’iby’izindi ndwara zisanzwe zo mu gifu. Umuganga wawe azakoresha uburyo bwo kuvura butandukanye kugira ngo yemeze uburwayi kandi akureho izindi ndwara.

Uburyo bwo kuvura busanzwe butangira harebwe amateka y’uburwayi n’isuzuma rusange. Umuganga wawe azakubaza ibimenyetso byawe, igihe byatangiye, n’ibintu byose bishobora kongera ibyago byawe.

Ikizamini cyizewe cyo kumenya indwara ya Whipple ni ugusuzumwa kw’uruhinja rw’amara, bikunze gukorwa hakoreshejwe endoskopi. Muri ubu buryo, umuganga wawe azakuramo igice gito cy’uruhinja rw’amara akacyisuzuma kuri mikoroskopi kugira ngo arebe ibimenyetso by’ubwandu bwa Tropheryma whipplei.

Ibindi bipimo umuganga wawe ashobora gusaba birimo ibizamini by’amaraso kugira ngo arebe ibimenyetso byo kubura intungamubiri cyangwa kubabara, ibipimo by’amashyira kugira ngo akureho izindi mpamvu z’impinduka mu gifu, n’ibipimo by’amashusho nka CT scan iyo hari impungenge ko ubwandu bwakwirakwiriye mu zindi ngingo.

Uburyo bushya bwo kuvura bwitwa PCR (polymerase chain reaction) bushobora kubona ibice bya bakteri mu mubiri, bigatanga uburyo bworoshye kandi bwizewe bwo kwemeza uburwayi.

Ni iki kivura indwara ya Whipple?

Kuvura indwara ya Whipple bikubiyemo gukoresha imiti ya antibiyotike ishobora gukuraho bakteri Tropheryma whipplei mu mubiri wawe. Abantu benshi bakira neza babonye ubuvuzi bukwiye.

Ubuvuzi bwawe busanzwe bukorwa mu byiciro bibiri. Igice cya mbere gikubiyemo ibyumweru bibiri by’imiti ya antibiyotike iterwa mu mitsi, akenshi ceftriaxone cyangwa penicillin, ibyo bigafasha kugabanya umubare w’ubwandu mu mubiri.

Igice cya kabiri gikubiyemo imiti ya antibiyotike ifatwa mu kanwa igihe kirekire, akenshi trimethoprim-sulfamethoxazole, ifatwa mu gihe cy’umwaka umwe cyangwa ibiri. Iki gihe kirekire cyo kuvura ni ngombwa kuko iyi bakteri ishobora kuba bigoye kuyikuraho burundu kandi ishobora kwihisha mu bice by’umubiri aho imiti ya antibiyotike itabasha kugera.

Mu gihe cyo kuvura, umuganga wawe azakurikirana uko ugendera mu buvuzi akoresheje gukurikirana buri gihe kandi ashobora gusubiramo ibizamini kugira ngo yemeze ko bakteri imaze gukurwaho.

Niba ufite ibibazo by’ubwonko, umuganga wawe ashobora guhindura uburyo bwo kuvura akoresheje imiti igera neza mu bwonko, nka doxycycline cyangwa chloramphenicol.

Uko wakwita ku bimenyetso byawe iwawe mu rugo mu gihe cyo kuvura

Nubwo imiti ya antibiyotike ariyo ivura indwara ya Whipple, hari uburyo bwo kwivuza ushobora gukora iwawe mu rugo kugira ngo ufashe mu gukira. Ibi bintu bifasha kuvura, si ukubisimbura.

Ubufasha mu bijyanye n’imirire ni ingenzi cyane kuko umubiri wawe ushobora kugira ikibazo cyo kubyaza umusaruro intungamubiri neza. Tekereza gukorana n’umuhanga mu mirire kugira ngo ugire gahunda y’ibiryo iboneye.

Urashobora kubona ibi bikurikira bifasha:

• Kurya ibiryo bike, bikunze kuruta ibiryo bitatu bikomeye kugira ngo biryohere
• Kwita ku biribwa bifite intungamubiri nyinshi kugira ngo wirinde imivure
• Fata intungamubiri nk’uko umuganga wawe yabisabye
• Kunywa amazi ahagije, cyane cyane niba ufite impiswi
• Kuryama bihagije kugira ngo ubudahangarwa bwawe bugire imbaraga
• Kwirinda ibiryo bigaragara ko bigutera ibibazo byo mu gifu

Kuvura ububabare mu ngingo bishobora kuba harimo gukora imyitozo ngororamubiri, gushyira ibintu bishyushye, no gukoresha imiti yo kugabanya ububabare nk’uko umuganga wawe yabyemeje. Ariko, buri gihe banza ubaze umuganga wawe mbere yo gufata imiti nshya mu gihe uri kuvurwa indwara ya Whipple.

Andika ibimenyetso byawe kugira ngo ukureho impungenge ukeneye kuganira n’abaganga bawe mu gihe cyo gukurikirana.

Uko wakwitegura kujya kwa muganga

Kwita ku kwitegura kujya kwa muganga bishobora kugufasha kubona ubuvuzi bukwiye. Kubera ko indwara ya Whipple idahwitse, gutanga amakuru arambuye ku bimenyetso byawe n’amateka y’uburwayi byawe ni ingenzi cyane.

Mbere yo kujya kwa muganga, fata umwanya wo kwandika ibimenyetso byawe neza. Andika igihe buri kimenyetso cyatangiye, uko cyakomeye, n’icyo gikora kugira ngo kigabanye cyangwa kigire ingaruka. Aya makuru azagufasha umuganga wawe gusobanukirwa uko uburwayi bwawe bugenda.

Zana ibi bikurikira mu buvuzi bwawe:

• Urutonde rwuzuye rw’ibimenyetso byawe byose n’igihe byatangiye
• Amateka y’uburwayi bwawe, harimo ibibazo byo mu gifu wari usanzwe ufite
• Urutonde rw’imiti yose n’imiti y’inyongera ufashe
• Amakuru yerekeye ingendo za vuba aha cyangwa ibyago byo kwibasirwa n’ikirere
• Amateka y’uburwayi bw’umuryango wawe, cyane cyane indwara zidasanzwe
• Ibibazo ushaka kubaza umuganga wawe

Ntugatinye kubaza umuganga wawe icyo udasobanukiwe. Ibibazo ushobora kubaza birimo ibizamini bikenewe, icyo ibisubizo bisobanura, uburyo bwo kuvura buhari, n’icyo ugomba kwitega mu gihe cyo gukira.

Niba bishoboka, zana inshuti cyangwa umuryango wawe kugira ngo bagufashe kwibuka amakuru akomeye kandi bagufashe mu gihe cyo kuvurwa.

Icyo ukwiye kumenya cyane ku ndwara ya Whipple

Ikintu gikomeye cyo gusobanukirwa ku ndwara ya Whipple ni uko nubwo ari indwara ikomeye, ariko ivurwa neza iyo imenyekanye hakiri kare. Abantu benshi bakira neza babonye ubuvuzi bukwiye bwa antibiyotike.

Kumenya ibimenyetso hakiri kare ni ingenzi kuko kuvurwa bitinze bishobora gutera ibibazo bigoye gukira. Niba ufite ibimenyetso byo mu gifu bidakira bifatanije no gutakaza ibiro bitasobanuwe n’ububabare mu ngingo, ntutinye gushaka ubuvuzi.

Ibuka ko indwara ya Whipple idahwitse, bityo ibyo bimenyetso bishobora guterwa n’izindi ndwara zisanzwe. Ariko, niba ubuvuzi busanzwe budafasha, birakwiye kuganira ku bishoboka bitari bisanzwe n’umuganga wawe.

Uburyo bwo kuvura indwara ya Whipple muri rusange ni bwiza. Abantu benshi babona impinduka nziza mu bimenyetso byabo mu byumweru bike batangiye gufata antibiyotike, kandi ibyavuye mu gihe kirekire ni byiza cyane kubafashe imiti yose.

Ibibazo bikunze kubaho ku ndwara ya Whipple

Ese indwara ya Whipple yandura?

Oya, indwara ya Whipple ntiyandura kandi ntishobora kwandurira undi muntu. Nubwo bakteri iyitera ishobora kuba mu kirere, iyi ndwara isa nkaho iba mu bantu bafite ubumenyi bw’impyiko. Ntugomba guhangayika ko uyanduye ku muntu uyirwaye cyangwa kuyanduza abandi.

Ese indwara ya Whipple ishobora gusubira nyuma yo kuvurwa?

Ishobora gusubira iyo ubuvuzi butarangiye neza cyangwa iyo bakteri itarakuweho burundu mu mubiri wawe. Niyo mpamvu abaganga bagenera imiti ya antibiyotike igihe kirekire kandi bakurikirana abarwayi neza mu gihe cyo kuvura no nyuma yaho. Gukurikiza amabwiriza y’umuganga wawe neza no kurangiza imiti ya antibiyotike bigabanya ibyago byo gusubira.

Biramaramo igihe kingana iki gukira indwara ya Whipple?

Abantu benshi batangira kumva neza mu byumweru bibiri cyangwa bine batangiye kuvurwa, ibimenyetso byo mu gifu bikagenda mbere. Ariko, gukira burundu bishobora kumara amezi menshi, kandi ugomba gukomeza gufata antibiyotike mu gihe cy’umwaka umwe cyangwa ibiri kugira ngo ubwandu buve burundu. Kubabara mu ngingo n’ibimenyetso by’ubwonko, niba bihari, bishobora kumara igihe kirekire kugira ngo bikire burundu.

Ese abana barwara indwara ya Whipple?

Nubwo indwara ya Whipple idahwitse cyane mu bana, ishobora kubaho rimwe na rimwe. Iyo iba mu bana, ibimenyetso bishobora kuba bitandukanye n’ibyo mu bakuru, kandi iyi ndwara ishobora kuba ikomeye kurushaho kuvura. Niba umwana afite ibimenyetso byo mu gifu bitasobanuwe bifatanije no gutakaza ibiro, kuvurwa ni ingenzi.

Ese hari ibiryo byo kwirinda mu gihe cyo kuvura indwara ya Whipple?

Nta biribwa byo kwirinda bikenewe mu kuvura indwara ya Whipple, ariko umuganga wawe ashobora kugutegeka uburyo bumwe bw’imirire kugira ngo ufashe mu gukira. Kwita ku biribwa byuzuye kandi bifite intungamubiri nyinshi, kandi wirinda ibiryo bigaragara ko bigutera ibibazo byo mu gifu. Umuganga wawe cyangwa umuhanga mu mirire ashobora kugufasha.