Indwara ya Wilson ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Indwara ya Wilson ni indwara idasanzwe iterwa na gène aho umubiri wawe udashobora gukuraho umuringa neza, bigatuma ugereranya mu mwijima, mu bwonko, no mu zindi ngingo. Iyi gereranya y'umuringa ibaho kuko urazwe gène mbi zombi zivuye ku babyeyi bawe zigira ingaruka ku buryo umubiri wawe utunganya uyu muringa ukenewe.

Nubwo umuringa ubusanzwe ari ingirakamaro ku mubiri wawe mu bwinshi buke, ubwinshi burenze urugero buhinduka uburozi igihe kirekire. Iyi ndwara igaragara kuri umwe kuri 30.000 ku isi, kandi ibimenyetso bisanzwe bigaragara hagati y'imyaka 5 na 35, nubwo bishobora kugaragara hakiri kare cyangwa nyuma muri bimwe mu bihe.

Ibimenyetso by'indwara ya Wilson ni ibihe?

Ibimenyetso by'indwara ya Wilson bitandukanye cyane bitewe n'ingingo zikabije zikabije zikabije. Ibimenyetso bya mbere bishobora kuba bito kandi byoroshye guhuza n'izindi ndwara, ariyo mpamvu abantu benshi batabona ubuvuzi vuba.

Ibimenyetso bisanzwe ushobora kubona birimo:

• Uburwayi n'intege nke bidakira n'ikiruhuko
• Kubabara mu nda cyangwa kubyimba mu gice cy'inda
• Kubira umuhondo kw'uruhu cyangwa amaso (jaundice)
• Kujijinganya cyangwa guhindagurika, cyane cyane mu ntoki
• Kugorana kuvugira neza cyangwa kuvugisha ururimi
• Ibibazo byo guhuza no kubungabunga umubiri
• Ubugufi bw'imitsi
• Guhinduka kw'imitekerereze, kwiheba, cyangwa guhangayika
• Kugorana gutekereza cyangwa ibibazo byo kwibuka

Bamwe mu bantu baragaragaza impeta y'umukara cyangwa umuhondo ku maso yitwa Kayser-Fleischer rings. Izi mpeta ni ubucukuzi bw'umuringa kandi zishobora kuboneka mu isuzuma ry'amaso, nubwo zidataboneka kuri buri wese ufite indwara ya Wilson.

Mu bihe bikomeye, ushobora guhura n'ikibazo cy'umwijima gitunguranye, ibimenyetso bikomeye by'ubwonko nko kugorana kwishima, cyangwa guhinduka bikomeye mu mitekerereze. Ibi bimenyetso bikomeye bisaba ubuvuzi bw'ihutirwa kandi ntibikwiye kwirengagizwa.

Ubwoko bw'indwara ya Wilson ni ubuhe?

Indwara ya Wilson isanzwe igabanyijemo ibice bitewe n'ibimenyetso bigaragara mbere n'ingingo zikabije. Gusobanukirwa ibi bice bifasha abaganga gutegura gahunda y'ubuvuzi ikubereye.

Ubwoko bwa hepatic bugira ingaruka ku mwijima cyane kandi busanzwe bugaragarira abana n'abangavu. Ushobora kubona uburwayi, kubabara mu nda, cyangwa ibimenyetso by'ibibazo by'umwijima nka jaundice mbere y'uko ibimenyetso by'ubwonko bigaragara.

Ubwoko bw'ubwonko bugira ingaruka ku bwonko n'ubwonko, busanzwe bugaragarira urubyiruko. Iyi ndwara ikunze gutera ibibazo byo kugenda, guhindagurika, kugorana kuvugira, n'ibibazo byo guhuza nk'ibimenyetso bya mbere bigaragara.

Ubwoko bw'imitekerereze bugira ingaruka ku mitekerereze n'imyitwarire, butera kwiheba, guhangayika, guhinduka kw'imico, cyangwa kugorana gutekereza neza. Iyi ndwara ishobora kuba igoranye cyane kuvura kuko ibimenyetso bihuza n'ibibazo bisanzwe by'ubuzima bwo mu mutwe.

Bamwe mu bantu bahura n'ubwoko buvange aho ibimenyetso by'umwijima, ubwonko, n'imitekerereze bigaragara hamwe cyangwa mu buryo bwihuse. Ubu buryo bushobora gutera imbogamizi mu kuvura ariko bunatanga amakuru menshi ku itsinda ry'ubuvuzi.

Impamvu z'indwara ya Wilson ni izihe?

Indwara ya Wilson iterwa n'impinduka mu gène yitwa ATP7B igenzura uburyo umubiri wawe ukoresha umuringa. Urazwa iyi ndwara mu babyeyi bawe, kandi ugomba kwakira kopi mbi ya gène kuva kuri nyoko na so kugira ngo ugire iyi ndwara.

Gène yawe ya ATP7B isanzwe ikora poroteyine ifasha gukura umuringa mu mwijima no kuwushyira mu mpyiko, hanyuma uwo muringa ukajya hanze y'umubiri wawe ukoresheje uburyo bw'igogorwa. Iyo iyi gène idakora neza, umuringa utangira guterana mu mwijima aho gukurwaho.

Igihe kirekire, iyi gereranya y'umuringa ihinduka uburozi kandi itangira kwangiza uturemangingo tw'umwijima. Iyo umwijima udashobora kubika umuringa neza, umuringa urenze urugero ujya mu maraso hanyuma ujya mu zindi ngingo nko mu bwonko, impyiko, n'amaso.

Ubwinshi bw'umuringa ugereranya n'uburyo bwihuse bwo guterana bitandukanye ku muntu ku wundi, ndetse no mu muryango umwe. Ibi bisobanura impamvu bamwe mu bantu bagaragaza ibimenyetso hakiri kare mu buto naho abandi batabona ibibazo kugeza bakuze.

Ni ryari ukwiye kubona muganga kubera indwara ya Wilson?

Ukwiye kubona muganga niba ufite ibimenyetso biramba bishobora kugaragaza indwara ya Wilson, cyane cyane niba ufite amateka y'iyi ndwara mu muryango wawe. Kuvurwa hakiri kare bishobora gukumira ingaruka zikomeye kandi bikagufasha kugira ubuzima bwiza.

Hamagara umuganga wawe niba ubona uburwayi buhoraho, kubabara mu nda bitazwi, guhindagurika, cyangwa guhinduka mu guhuza igihe kirekire kurusha ibyumweru bike. Ibi bimenyetso bishobora kugaragara nk'ibidafite aho bihuriye, ariko hamwe bishobora kugaragaza indwara ya Wilson.

Shaka ubuvuzi bw'ihutirwa niba ugize ibimenyetso bikomeye nk'ububabare bukomeye mu nda, kubira umuhondo kw'uruhu cyangwa amaso, guhuzagurika, cyangwa kugorana kwishima. Ibi bimenyetso bishobora kugaragaza ko urwego rw'umuringa rwageze ku rwego rw'akaga kandi bisaba ubuvuzi bw'ihutirwa.

Niba ufite abagize umuryango bafite indwara ya Wilson, ni ngombwa cyane gupimwa nubwo wumva umeze neza. Ibizamini bya gène bishobora kumenya iyi ndwara mbere y'uko ibimenyetso bigaragara, bigatuma ubuvuzi bwa hakiri kare bukumira kwangirika kw'ingingo.

Ibyago byo kurwara indwara ya Wilson ni ibihe?

Ikimuga gikomeye cyo kurwara indwara ya Wilson ni ukugira ababyeyi bafite gène mbi ya ATP7B. Kubera ko iyi ari indwara iterwa na gène isubira inyuma, ugomba kwakira kopi imwe mbi kuva kuri buri mubyeyi kugira ngo ugire iyi ndwara.

Uko ukomoka bishobora kugira ingaruka gato ku kaga, kuko bimwe mu bwoko bw'abantu bafite umubare munini wo gutwara gène y'indwara ya Wilson. Abantu bakomoka mu burasirazuba bw'Uburayi, Mediterane, cyangwa hagati ya Aziya bafite umubare munini, nubwo iyi ndwara ishobora kugira ingaruka kuri uwo ari we wese utabaye uko akomoka.

Kugira abavandimwe bafite indwara ya Wilson byongera ibyago byinshi, kuko mwagabana ababyeyi n'amateka y'imiryango. Niba umwe mu bavandimwe bawe yaravuwe, ufite amahirwe 25% yo kugira iyi ndwara.

Imyaka ntiyatera indwara ya Wilson, ariko igira ingaruka ku gihe ibimenyetso bisanzwe bigaragara. Abantu benshi bagaragaza ibimenyetso hagati y'imyaka 5 na 35, nubwo bimwe mu bihe bidasanzwe bigaragara mu buto cyangwa nyuma y'ubukure.

Ingaruka zishoboka z'indwara ya Wilson ni izihe?

Utabonye ubuvuzi bukwiye, indwara ya Wilson ishobora gutera ingaruka zikomeye kuko umuringa ukomeza guterana mu ngingo zawe. Inkuru nziza ni uko ingaruka nyinshi zishobora gukumirwa cyangwa gucungwa neza ukoresheje ubuvuzi bukwiye.

Ingaruka zisanzwe ushobora guhura nazo harimo:

• Cirrhosis y'umwijima cyangwa ibikomere bigira ingaruka ku mikorere y'umwijima
• Igufatwa ry'umwijima rikomeye risaba ubuvuzi bw'ihutirwa
• Kwangirizwa burundu kw'ubwonko bigira ingaruka ku mikorere n'imvugo
• Ibibazo by'impyiko bituruka ku muringa
• Guhindagurika kw'umutima
• Ibibazo by'amagufwa n'amagufwa
• Ibimenyetso bikomeye by'imitekerereze harimo psychosis

Mu bihe bidasanzwe, indwara ya Wilson itabonye ubuvuzi ishobora gutera ipfu ry'umwijima cyangwa kwangirika bikomeye kw'ubwonko. Bamwe mu bantu bashobora kurwara indwara yitwa hemolytic anemia, aho umuringa wangiza utubuto tw'amaraso atukura kandi ugatuma ubora vuba kurusha uko bisanzwe.

Gutwita bishobora gutera ibibazo ku bagore bafite indwara ya Wilson, kuko urwego rw'umuringa rushobora guhinduka kandi imiti ishobora guhinduka. Ariko, ukoresheje ubugenzuzi n'ubuvuzi bukwiye, abagore benshi bafite indwara ya Wilson bashobora kugira utwite n'abana bazima.

Uko indwara ya Wilson ivurwa

Kuvura indwara ya Wilson byibanda ku gukuraho umuringa urenze urugero mu mubiri wawe no gukumira ko ukomeza guterana. Ukoresheje ubuvuzi bukwiye, abantu benshi bashobora kugira ubuzima busanzwe, bwiza kandi bakumira ingaruka zikomeye.

Imiti ikomeye ikoreshwa ni imiti ihambira umuringa kandi ifasha umubiri wawe kuwukuraho mu mpisho. Penicillamine na trientine ni imiti ikunze guhabwa, kandi ikora ifata imyunyu y'umuringa ikayikura mu mubiri wawe.

Ibyongerwamo bya Zinc ni ubundi buryo bwo kuvura bukorera mu kuburizamo umuringa mu mara. Aho gukuraho umuringa uriho, Zinc ibuza umuringa mushya kwinjira mu mubiri wawe kandi ikunze gukoreshwa mu buvuzi bw'igihe kirekire.

Muganga wawe azakurikirana uko ubuvuzi bwawe bugenda binyuze mu bipimo by'amaraso n'impisho kugira ngo abemeze ko imiti ikora neza kandi yongere umwanya uko bikenewe. Abantu benshi bakeneye gufata imiti ubuzima bwabo bwose kugira ngo bagumane urwego rw'umuringa ruri munsi y'urugero.

Mu bihe bikomeye aho kwangirika kw'umwijima ari byinshi, gushimangira umwijima bishobora kuba ngombwa. Ibi bisanzwe biba ku bantu bafite ipfu ry'umwijima cyangwa cirrhosis ikomeye badakira imiti.

Uko wacunga indwara ya Wilson iwawe

Gucunga indwara ya Wilson iwawe bisobanura gukurikiza gahunda yawe y'imiti neza no gukora impinduka mu mirire kugira ngo ushyigikire ubuvuzi bwawe. Kugira umuco wo gufata imiti yawe ni ingenzi cyane mu kugumana urwego rw'umuringa ruri munsi y'urugero.

Ugomba kugabanya ibiryo birimo umuringa mwinshi, cyane cyane mu mwaka wa mbere w'ubuvuzi iyo umubiri wawe ukorera gukuraho umuringa urenze urugero. Ibiryo byo kwirinda cyangwa kugabanya birimo umwijima, imboga zo mu nyanja, imyembe, shokola, ibihumyo, n'imbuto zumye.

Guta imiti yawe mu bihe bikwiye no kurya ibiryo bikwiye ni ingenzi kugira ngo ikore neza. Imiti ihambira umuringa ikora neza iyo ifashwe udafite ikintu mu gifu, naho Zinc igomba gufatwa hagati y'ibiribwa kugira ngo igogorwe neza kandi igabanye kubabara mu gifu.

Gukora siporo bishobora kugufasha kugumana ubuzima bwiza kandi bishobora gushyigikira imikorere y'umwijima, nubwo ukwiye kuganira n'umuganga wawe ku rwego rw'imikino ikwiye. Ibikorwa byoroshye nko kugenda, koga, cyangwa yoga bisanzwe ari byiza kandi byiza.

Kwirinda inzoga ni ingenzi kuko bishobora kongera kwangirika kw'umwijima kandi bikabuza ubuvuzi bwawe. Nubwo utonze gato inzoga bishobora kugira ingaruka mbi iyo umwijima wawe umaze guhura n'uburozi bw'umuringa.

Uko wakwitegura gusura muganga wawe

Kwita ku gusura kwawe kwa muganga bifasha kwemeza ko uboneye ibyiza byinshi mu ruzinduko rwawe kandi bitanga amakuru itsinda ryawe ry'ubuvuzi rikeneye kugira ngo rikugireho ingaruka. Tangira wandike ibimenyetso byawe byose, ndetse n'ibidafite aho bihuriye.

Kora urutonde rw'imiti n'ibindi byongerwamo ufashe ubu, harimo n'umwanya uyafata. Ibi birimo imiti yo mu maduka n'amavuta, kuko bimwe bishobora kubangamira ubuvuzi bw'indwara ya Wilson.

Kora amakuru yerekeye amateka y'ubuzima bw'umuryango wawe, cyane cyane abagize umuryango bafite ibibazo by'umwijima, ibibazo by'ubwonko, cyangwa ibibazo by'imitekerereze. Niba uzi abagize umuryango bafite indwara ya Wilson, uzane ayo makuru.

Andika ibibazo ushaka kubabaza muganga wawe mbere y'uruzinduko rwawe kugira ngo utabyibagirwa mu ruzinduko rwawe. Tekereza kubabaza ibijyanye n'uburyo bwo kuvura, impinduka mu mibereho, ibyo gukurikirana, n'ibyo kwitega mu gihe kiri imbere.

Zana inshuti cyangwa umuryango w'umuryango wizewe mu ruzinduko rwawe niba bishoboka, cyane cyane niba ufite ibibazo byo kwibuka cyangwa kugorana gutekereza. Bashobora kugufasha kwibuka amakuru akomeye no gutanga inkunga yo mu mutima.

Icyemezo gikuru ku ndwara ya Wilson

Indwara ya Wilson ni indwara ishobora kuvurwa isaba ubuvuzi bw'ubuzima bwose ariko ntikwiye kugabanya ubuzima bwawe. Ikintu gikomeye cyo kwibuka ni uko kuvurwa hakiri kare no kuvurwa neza bishobora gukumira ingaruka zikomeye kandi bikagufasha kubaho ubuzima busanzwe.

Nubwo kuvurwa bishobora kuguhagarara, abantu benshi bafite indwara ya Wilson bakomeza kugira akazi keza, imibanire, n'imiryango ukoresheje ubuvuzi bukwiye. Ikintu nyamukuru ni ugukorana n'itsinda ryawe ry'ubuvuzi no gukomeza gahunda yawe y'ubuvuzi.

Wibuke ko indwara ya Wilson igira ingaruka kuri buri wese mu buryo butandukanye, bityo uburambe bwawe bushobora kutahuza ibyo usoma kuri interineti cyangwa ibyo wumva ku bandi. Shyira imbaraga mu gahunda yawe bwite y'ubuvuzi no gutera imbere, kandi ntutinye kuvugana n'umuganga wawe ufite ibibazo cyangwa impungenge.

Ibibazo bikunze kubaho ku ndwara ya Wilson

Ese indwara ya Wilson ishobora gukira burundu?

Indwara ya Wilson ntishobora gukira, ariko ishobora gucungwa neza ukoresheje ubuvuzi bw'ubuzima bwose. Abantu benshi bavurwa neza bashobora gukumira kwangirika kw'ingingo kandi bagira ubuzima busanzwe, bwiza. Ikintu nyamukuru ni gutangira kuvurwa hakiri kare no gufata imiti uko byategetswe na muganga wawe.

Ese nzakwirakwiza indwara ya Wilson ku bana banjye?

Niba ufite indwara ya Wilson, buri mwana wawe afite amahirwe 50% yo kuba umutwaje kandi amahirwe make yo kugira iyi ndwara. Uwo mubana nawe agomba kuba umutwaje kugira ngo umwana wawe arware indwara ya Wilson. Inama y'abavura indwara ziterwa na gène ishobora kugufasha gusobanukirwa ibyago n'amahirwe byihariye by'umuryango wawe.

Birama igihe kingana iki kugira ngo ubuvuzi bugire akamaro?

Ushobora gutangira kumva umeze neza mu mezi make utangiye kuvurwa, ariko bishobora gufata imyaka 1-2 kugira ngo ubone iterambere rikomeye mu bimenyetso by'ubwonko. Imikorere y'umwijima ikunze gutera imbere vuba, rimwe na rimwe mu byumweru cyangwa amezi. Muganga wawe azakurikirana uko ubuvuzi bwawe bugenda binyuze mu bipimo by'amaraso kandi ahindura ubuvuzi uko bikenewe.

Ese nshobora kubaho ubuzima busanzwe mfite indwara ya Wilson?

Yego, abantu benshi bafite indwara ya Wilson bashobora kubaho ubuzima busanzwe ukoresheje ubuvuzi bukwiye. Ushobora gukora, gukora siporo, kugira imibanire, no gutangira umuryango nk'abandi bose. Icyo ukeneye ni ugutwara imiti yawe buri gihe no gukurikirana n'itsinda ryawe ry'ubuvuzi buri gihe.

Ni iki kiba niba nsiga gufata imiti yanjye?

Guhagarika imiti yawe y'indwara ya Wilson bishobora kuba bibi kuko umuringa utangira guterana mu ngingo zawe ukundi. Ibi bishobora gutera ingaruka zikomeye harimo ipfu ry'umwijima, ibibazo by'ubwonko, cyangwa ibimenyetso by'imitekerereze. Niba ufite ibibazo ku miti yawe ubu, vugana na muganga wawe kubijyanye n'ubundi buryo aho guhagarika ubuvuzi burundu.