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Histamine intradermal route ni isuzuma ryo mu buvuzi aho umubare muto wa histamine aterwa inshinge munsi y'uruhu rwawe. Iyi nzira ifasha abaganga gusuzuma uburyo umubiri wawe witwara ku bintu bitera allergie kandi ishobora kumenya indwara zimwe na zimwe ziterwa na allergie. Iri suzuma rikorerwa ahantu havurirwa kandi ritanga amakuru y'agaciro ku buryo umubiri wawe witwara kuri histamine.
Isuzuma rya histamine intradermal rigizwe no gutera inshinge ntoya ya histamine solution mu gice cyo hejuru cy'uruhu rwawe. Tekereza nk'inzira igenzurwa yo kureba uko umubiri wawe witwara kuri iyi shimi kamere ifite uruhare runini mu kwitwara kwa allergie.
Muri iri suzuma, muganga wawe akoresha urushinge ruto cyane gushyira histamine munsi y'uruhu rwawe. Urukinge rutera agahinda gato, nk'uko umubu aruma, bifasha abaganga gusuzuma ubushobozi bw'uruhu rwawe no kwitwara kw'umubiri.
Iri suzuma rifatwa nk'igikoresho cyo kumenya indwara aho kuba umuti. Akenshi rikoreshwa hamwe n'izindi suzuma rya allergie kugirango ubone ishusho yuzuye y'uburyo umubiri wawe ukunda allergie kandi ufasha kuyobora icyemezo cyo kuvura.
Abaganga bakoresha cyane iri suzuma kumenya no gusuzuma indwara ziterwa na allergie, cyane cyane iyo izindi suzuma zitatanze ibisubizo bisobanutse. Bifasha cyane mu gusuzuma ubushobozi bw'uruhu rwawe bwo kwitwara ku bintu bitera allergie.
Iri suzuma rikora nk'igenzura ryiza mu gipande cyo gupima allergie. Iyo uri gupimwa ibintu byihariye bitera allergie nk'umukungugu, imitungo y'umukungugu, cyangwa ibiryo, inshinge ya histamine yemeza ko uruhu rwawe rushobora koko gutera allergie. Niba uruhu rwawe rudahuye na histamine, bituma ibindi bisubizo bibi bishobora kutizewe.
Abaganga bakoresha kandi iyi test kugirango basuzume indwara zimwe na zimwe zifitanye isano n'ubudahangarwa bw'umubiri. Mu bihe bimwe na bimwe, abantu bafite ubudahangarwa bw'umubiri butameze neza ntibashobora gusubiza neza kuri histamine, ibyo bikaba bishobora kugaragaza indwara zishingiye ku buzima zisaba kwitabwaho.
Byongeye kandi, iyi test ifasha abaganga gusuzuma imikorere y'imiti igabanya allergie. Mugihe bareba uko uruhu rwawe rwitwara kuri histamine mugihe urimo gufata iyi miti, muganga wawe ashobora kumenya niba ubuvuzi bwawe buri gukora neza.
Iyi test ikora mugutera histamine mubice byuruhu rwawe, aho itera igisubizo cya allergie. Histamine ni imiti umubiri wawe ukora mubisanzwe mugihe cyo guhangana na allergie, bityo inshinge yigana ibibaho mugihe uhuye na allergen.
Iyo imaze guterwa, histamine ifatana na reseptori zihariye mumisemburo yuruhu rwawe n'imitsi y'amaraso. Iyi fatananya itera ibimenyetso bisanzwe bya allergie: gutukura, kubyimba, no kuribwa ahaterwa inshinge. Imbaraga z'iki gikorwa zibwira muganga wawe amakuru y'ingenzi yerekeye ubushobozi bw'umubiri wawe bwo kwihanganira indwara.
Iyi test ifatwa nkaho ikomeye ku rugero rwo gupima indwara. Nubwo ikora neza kurusha ibizamini byo gukora uruhu, ntikomeye cyane kurusha ubundi buryo bwo gupima allergie. Ubu bunganzanye butuma bikoreshwa mugushakisha allergie zishobora kutagaragara kuri test zoroheje.
Uko uruhu rwawe rwitwara bikunda kugaragara mumiminota 15-20 nyuma yo guterwa inshinge. Itsinda ry'ubuvuzi rizapima ubunini bwa buri gishyitsi cyazamutse (cyitwa wheal) n'ubutukura bukubiyeho kugirango bamenye imbaraga z'igikorwa cyawe.
Ntabwo rwose "ufata" uyu muti muburyo busanzwe kuko utangwa n'umuganga mugihe cyo kuvurwa. Ariko, hari intambwe z'ingenzi ugomba gukurikiza kugirango witegure iyi test.
Mbere yo kujya kwa muganga, ugomba guhagarika gufata imiti ya antihistamine mu gihe runaka. Muganga wawe azakubwira neza igihe cyo gutegereza, ariko akenshi ni iminsi 3-7 mbere yo gukorerwa ikizamini. Ibi bituma uruhu rwawe rushobora gusubiza neza ku nshinge ya histamine.
Ku munsi wo gukorerwa ikizamini, wambare imyenda yoroshye ituma uruhande rw'ukuboko kwawe cyangwa inyuma yawe bigerwaho byoroshye, aho inshinge izaterwa. Ntabwo ukeneye kwirinda kurya cyangwa kunywa, ariko ni byiza kuguma ufite amazi ahagije kandi ukarya uko bisanzwe kugira ngo wumve umeze neza mu gihe cyo gukorerwa icyo gikorwa.
Mu gihe cyo gukorerwa ikizamini, uzicara neza mugihe umuganga asukura ahantu inshinge izaterwa akoresha urushinge ruto ashyira histamine munsi y'uruhu rwawe. Inshinge nyirizina ifata amasegonda make gusa kandi yumvikana nk'urushinge rugufi.
Iki ni ikizamini kimwe cyo gupima, ntabwo ari ubuvuzi bukomeza ufata buri gihe. Icyo gikorwa cyose, harimo n'igihe cyo kureba, akenshi gifata iminota 30-45 mu biro bya muganga wawe.
Inshinge ubwayo iba mu masegonda make gusa, ariko ugomba gutegereza iminota 15-20 kugira ngo uruhu rwawe rusubize. Muri iki gihe, ikipe y'ubuvuzi izagenzura ahantu inshinge yatewe kandi ipime uko byagenze.
Nyuma yo kurangiza ikizamini no kwandika ibisubizo, nta muti ukomeza gufatwa. Muganga wawe azaganira nawe ku bisubizo kandi asobanure icyo bisobanuye ku buvuzi bwawe n'uburyo bwo kuvura.
Niba ukeneye gukorerwa ibizamini by'allergie mu gihe kizaza, muganga wawe ashobora kugusaba kongera gukora iki kizamini. Ariko, ikizamini cyose ni igikorwa kimwe gusa, aho kuba igice cy'ubuvuzi bukomeza.
Abantu benshi bagira ibimenyetso byoroheje gusa, biteganijwe ahantu batera urushinge kuko ikizamini kigamije guteza imbere uburyo bwo kwibasirwa n'umubiri. Ibi bimenyetso bisanzwe ni byo rwose abaganga baba bashaka kugira ngo basuzume uko umubiri wawe wikingira indwara.
Dore ibimenyetso bisanzwe, biteganijwe ushobora guhura na byo mu gihe cy'ikizamini no nyuma yacyo:
Ibi bimenyetso ni ibisanzwe kandi biteganijwe mu kizamini. Muri rusange bigenda bishira nyuma y'amasaha make hatagombye kuvurwa.
Ingaruka zitagaragara cyane ariko zishoboka zirimo ibimenyetso byo ku ruhu byagutse hanze y'ahantu batera urushinge. Abantu bamwe bashobora kugira ibindi bice bitukura cyangwa kuribwa ku bindi bice by'umubiri wabo, nubwo ibi bidakunze kubaho.
Ingaruka zikomeye zo kwibasirwa n'umubiri ntizikunze kubaho cyane muri iki kizamini kuko histamine ikoreshwa ari nto cyane kandi igenzurwa. Ariko, abantu bafite allergie zikomeye cyangwa imikorere y'umubiri yagabanutse bashobora kugira ibimenyetso bikomeye kurusha uko byari biteganijwe.
Gake cyane, abantu bamwe bashobora kugira isereri, isesemi, cyangwa kumva bameze nk'abenda guta ubwenge mu gihe cy'ikizamini. Ibi bishoboka cyane niba wumva cyane ibijyanye n'ubuvuzi cyangwa utararya vuba.
Amatsinda menshi y'abantu agomba kwirinda iki kizamini cyangwa akaganira n'abaganga babo ku bindi bisubizo. Ikintu cy'ingenzi ni ukumenya niba uri gukoresha imiti ishobora kubangamira ibisubizo.
Ntugomba gukora iki kizamini niba uri gukoresha imiti irwanya allergie, kuko iyi miti izabuza uruhu gukora nkuko byitezwe. Muganga wawe azakugira inama yo guhagarika iyi miti iminsi myinshi mbere yo gupimwa, ariko niba udashobora kuyihagarika neza, hashobora gushyirwaho uburyo bwo gupima bundi.
Abantu bafite asima ikaze, idahagaze bagomba kwitonda bakora iki kizamini. Nubwo urushinge rwa histamine rukorerwa ahantu hamwe, rushobora gutera ingorane zo guhumeka ku bantu bafite inzira z'umwuka zoroheje cyane. Muganga wawe azasuzuma uko asima yawe ikora mbere yo gukomeza.
Niba ufite indwara z'uruhu zikora nka eczema cyangwa dermatitis ahantu hazaterwa urushinge, ikizamini gishobora gusubikwa. Izi ndwara zirashobora kubuza gusobanura ibisubizo kandi zikaba zatera kutumva neza.
Abagore batwite muri rusange bagirwa inama yo kwirinda ibikorwa by'ubuvuzi bitari ngombwa, nubwo iki kizamini gifatwa nkicyizewe. Muganga wawe azagereranya inyungu zo kumenya indwara n'ibishobora kuba byatera wowe n'umwana wawe.
Abantu bakoresha imiti imwe n'imwe itari irwanya allergie bashobora kandi gukenera guhindura uburyo bavurwa. Beta-blockers, tricyclic antidepressants, na bimwe mu bindi byongera uburyo uruhu rwawe rwitwara kuri histamine.
Histamine yo gupima intradermal isanzwe itegurwa n'amasosiyete yihariye y'imiti ashyira imbaraga mu gupima allergie. Bitandukanye n'imiti isanzwe ushobora gufata muri farumasi, ibi bisubizo bisanzwe bitangwa mu buryo butaziguye ku bigo by'ubuzima.
Amazina asanzwe arimo Histatrol, ikoreshwa cyane muri za clinique z'allergie n'ibitaro. Iyi myiteguro isanzwe ituma haboneka ibisubizo bihamye mu bigo bitandukanye by'ubuvuzi n'abaganga.
Ibikorwa by'ubuvuzi bimwe na bimwe bikoresha imiti ya histamine itunganywa n'amavuriro yihariye. Iyi miti ikurikiza amabwiriza akomeye kugira ngo umutekano n'ubushobozi byizewe, nubwo bishobora kutagira amazina yihariye y'ubwoko.
Uburyo histamine itunganywamo burashobora gutandukana gato hagati y'abakora imiti, ariko abaganga bahugurwa gusobanura ibisubizo bishingiye ku muti runaka bakoresha. Ibi bituma diagnosis ikorwa neza hatitawe ku bwoko bukoreshwa.
Niba ikizamini cya histamine intradermal kitagukwiriye, hari uburyo bwinshi bwo gupima bushobora gutanga amakuru asa n'ayo. Muganga wawe ashobora kugufasha kumenya uburyo bukora neza kuri wowe.
Ibizami byo gukanda uruhu nibyo bikoreshwa cyane kandi ntibikomeretsa cyane kurusha inshinge za intradermal. Muri ibi bizami, umubare muto w'ibintu bitera allergie bishyirwa ku ruhu rwawe, kandi uruhu rukandwa buhoro kugira ngo rwemere kwinjira gake. Nubwo bidakora neza nka intradermal, ibizamini byo gukanda akenshi birahagije mugusuzuma allergie zambere.
Ibizami by'amaraso, nko gupima IgE yihariye, birashobora gupima imibiri yawe irwanya allergie nta ruhu rugize uruhare. Ibi bizami bifitiye akamaro cyane niba udashobora kureka gufata imiti irwanya allergie cyangwa ufite indwara zikomeye z'uruhu zashobora kubangamira ibizamini by'uruhu.
Gupima ibice ni ubundi buryo bushobora gufasha cyane mugusuzuma allergie zitinda, nko contact dermatitis. Umubare muto w'ibintu bishobora gutera allergie bishyirwa ku bice biguma ku ruhu rwawe amasaha 48-72, bigatuma abaganga bareba ibisubizo bitinze.
Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba ibizamini byo gushyira mu bikorwa, aho ushyirwa ku bintu bikekwa ko bitera allergie bikurikiranwa n'abaganga. Ibi bizami bikoreshwa cyane cyane mugihe izindi nzira zo gupima zitatanze ibisubizo bisobanutse.
Ibizamini bya histamine intradermal n'ibizamini byo gukora ku ruhu bifite akamaro mu kumenya allergie, kandi nta kimwe kiruta ikindi. Guhitamo biterwa n'uburwayi bwawe bwihariye n'amakuru umuganga wawe akeneye.
Ibizamini bya intradermal birusha ibizamini byo gukora ku ruhu, bivuze ko bishobora kumenya allergie zitagaragara ku bizamini byoroheje. Uku kongera ubushobozi bituma ibizamini bya intradermal bifite agaciro cyane iyo abaganga bakeka allergie ariko ibizamini bya mbere byagaragaje ko bidafite icyo byerekana.
Ariko, ubushobozi bwo hejuru bw'ibizamini bya intradermal bisobanura ko bishobora gutanga ibisubizo bitari byo. Rimwe na rimwe ikizamini gishobora gutanga allergie mugihe utagira ibimenyetso bifatika bya kliniki bivuye kuri allergen.
Ibizamini byo gukora ku ruhu ntibigira ingaruka nyinshi kandi biraruhura abantu benshi. Nanone birihuta gukora kandi bishobora gupima allergie nyinshi icyarimwe. Mugihe cyo gupima allergie, ibizamini byo gukora ku ruhu akenshi nibyo byatoranijwe.
Umuganga wawe akenshi azatangira n'ibizamini byo gukora ku ruhu hanyuma akajya kuri intradermal gusa niba hakenewe kumenya neza. Ubu buryo bufasha gushyira mu gaciro ukuri hamwe n'ihumure ry'umurwayi n'ibiciro.
Muri rusange, ikizamini cya histamine intradermal gifatwa nkigikwiriye abantu barwaye indwara z'umutima, ariko umuganga wawe w'umutima n'umuganga w'allergie bagomba guhuza ubuvuzi bwawe. Umubare wa histamine ukoreshwa ni muto cyane kandi wibanze, bityo ntibishoboka ko byagira ingaruka ku mikorere y'umutima wawe.
Ariko rero, niba ufata imiti ya beta-blockers kubera uburwayi bwawe bw'umutima, iyi miti irashobora kubangamira ibisubizo by'ibizamini kandi bikaba byahisha uburyo uruhu rwawe rusanzwe rwitwara kuri histamine. Abaganga bawe bazagomba gupima akamaro ko gupima allergie n'ibishobora guterwa no guhindura by'agateganyo imiti yawe y'umutima.
Abantu bafite uburwayi bukomeye bw'umutima cyangwa abafite ibitero by'umutima bya vuba bagomba kuganira n'ikipe yabo y'ubuzima ku gihe cyo gupima allergie. Nubwo ikizamini ubwacyo gifite ibyago bike, uburyo ubwo aribwo bwose bwo kuvura bugomba gusuzumwa neza iyo urimo gukemura ibibazo bikomeye by'umutima.
Kubera ko iki kizamini gikorerwa n'abantu b'inzobere mu buvuzi bafite imyitozo mu rwego rw'ubuvuzi, gukoresha histamine nyinshi ku buryo butunguranye ntibishoboka. Histamine ipimwa mbere mu bipimo bito cyane, bifite umutekano, kandi ntuzaba uri gukoresha umuti wenyine.
Niba hari impamvu runaka wakiriye histamine nyinshi kuruta uko byari biteganyijwe, ikipe y'ubuzima yahita ikugenzura niba hari ibintu bidasanzwe byagaragara. Bafite imyitozo yo kumenya no gukemura ibibazo byose bishobora kuvuka biturutse ku buryo bwo gupima.
Ibimenyetso bya histamine nyinshi mubisanzwe byakubiyemo ibisubizo byinshi byo ku ruhu, kuribwa cyane, cyangwa bikaba byatera ibibazo byo mu gihe cyo gukora ibintu. Mu gihe bidasanzwe ibi bibaye, ikipe yawe y'ubuvuzi ifite imiti n'amabwiriza yiteguye gufasha gukemura ibisubizo byose.
Iki kibazo ntigisobanura neza gupima histamine intradermal kuko ni uburyo bumwe bwo gupima aho gukoresha umuti ufata buri gihe. Ntabwo ushobora "gutsindwa urugero" kuko hari urushinge rumwe rutangwa mugihe cyo guhura kwawe.
Niba warasuzumwa ntukore ku gihe cyagenwe, ohereza ubutumwa mu biro bya muganga wawe kugira ngo usubize gahunda. Nta ngaruka z'ubuvuzi zo gutinda isuzuma, nubwo bishobora gutinda kumenya indwara yawe no gutegura uburyo bwo kuvura.
Wibuke gukurikiza amabwiriza yo mbere yo gusuzumwa iyo usubiza gahunda, cyane cyane yerekeye guhagarika imiti ya antihistamine mu gihe cyagenwe mbere y'itariki nshya yo gusuzumwa.
Kubera ko iri ari isuzuma rimwe ryo kumenya indwara aho kuba uburyo bwo kuvura buri gihe, nta ngingo yo guhagarara yo gutekereza. Iyo isuzuma rirangiye kandi ibisubizo byanditswe, uburyo burarangiye.
Nyuma yo gusuzumwa, urashobora guhita wongera gufata imiti ya antihistamine wagombaga guhagarika mbere, keretse muganga wawe akugiriye andi mabwiriza. Nta muti ukomeza wo guhagarika cyangwa kugabanya.
Ingaruka z'urushinge rwa histamine mubisanzwe zirashira mu masaha make, kandi nta muti usigaye mu mubiri wawe ugomba gukurwaho cyangwa guhagarikwa.
Abantu benshi barashobora gutwara neza imodoka nyuma yo gukora isuzuma rya histamine intradermal kuko uburyo mubisanzwe ntibitera gusinzira cyangwa kubuza ubushobozi bwawe bwo gukoresha ikinyabiziga. Histamine iterwa ahantu hato kandi mubisanzwe ntigira ingaruka ku bwenge bwawe cyangwa guhuza.
Ariko, niba ubonye ibintu bidasanzwe mugihe cyo gusuzumwa nko kuribwa, isesemi, cyangwa kumva urwaye, ugomba gutegereza kugeza ibi bimenyetso bikize rwose mbere yo gutwara. Itsinda ryawe ryita ku buzima rizasuzuma uko wumva mbere yo kuva mu kigo.
Abantu bamwe bashobora kumva bahangayitse cyangwa bahangayitse nyuma yuburyo bwo kuvura, bishobora kugira ingaruka ku rwego rwabo rwo guhumurizwa no gutwara. Wizere ibitekerezo byawe niba wumva witeguye gutwara, kandi ntugatinye gusaba umuntu kugutwara niba wumva utizeye.