Created at:1/13/2025
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Neutropenia ni indwara umubiri wawe ufitemo uturemangingo twa neutrophils duke cyane kuruta uko bisanzwe biba mu maraso yawe. Neutrophils ni ubwoko bw'uturemangingo twera tw'amaraso dukora nk'urukuta rwa mbere rw'umubiri wawe rwo kurwanya indwara, cyane cyane iziterwa na bagiteri. Iyo udafite utwo turemangingo turwanya indwara twihagije, urushaho kwibasirwa n'indwara ziterwa na mikorobe umubiri wawe wari gusanzwe ukurwanya byoroshye.
Neutropenia ibaho iyo umubare wa neutrophils yawe umanuka munsi y'uturemangingo 1,500 kuri microliter imwe y'amaraso. Tekereza neutrophils nk'abarinda umutekano b'umubiri wawe bazunguruka mu maraso yawe n'imitsi, bagahita bitabira ibitero byose bya bagiteri. Mu muntu muzima, utwo turemangingo tugize hafi 50-70% by'uturemangingo twera tw'amaraso twose.
Iyi ndwara ishobora kuba nto, iringaniye, cyangwa ikabije bitewe n'uko umubare wa neutrophils yawe umanuka cyane. Neutropenia nto ishobora kutagira ibibazo bigaragara, naho neutropenia ikabije ishobora gutuma wibasirwa cyane n'indwara zikomeye. Muganga wawe ashobora gupima urwego rwawe rwa neutrophils byoroshye akoresheje isuzuma ry'amaraso ryitwa kubara amaraso yuzuye.
Neutropenia ubwayo ntigira ibimenyetso byihariye ushobora kumva mu buryo butaziguye. Ahubwo, birashoboka ko uzabona ibimenyetso byerekana ko umubiri wawe urimo kurwana no kurwanya indwara. Abantu benshi bafite neutropenia nto bumva bameze neza rwose kandi bakamenya iyi ndwara gusa mugihe bakora isuzuma ry'amaraso risanzwe.
Iyo ibimenyetso bigaragara, akenshi biba bifitanye isano n'indwara umubiri wawe utabasha kurwanya neza nk'uko byagakwiye. Ushobora kwisanga urwara kenshi kuruta uko bisanzwe, cyangwa indwara zari gusanzwe zoroheje zishobora kugaragara nk'izimara igihe kirekire cyangwa kumvikana zikomeye kuruta uko byari byitezwe.
Dore ibimenyetso bisanzwe bishobora gutuma ubona ko umubiri wawe urimo guhangana n'indwara zikunze guterwa n'umubare muto wa neutrophils:
Birakwiye kuzirikana ko abantu bamwe bafite neutropenia bashobora kugira ibi bimenyetso byoroheje, mu gihe abandi bashobora kugira indwara zikunze cyangwa zikomeye. Ikintu cy'ingenzi ni ukwitondera uko ubuzima bwawe buhagaze aho kwitondera ibintu byabaye rimwe.
Neutropenia ishobora gutezwa iyo umushongi wawe utagira neutrophils zihagije, iyo izi ngingo zisenywa vuba cyane, cyangwa iyo zikoreshwa vuba kuruta uko zishobora gusimburwa. Umushongi wawe ni nk'uruganda rukora uturemangingo tw'amaraso, kandi rimwe na rimwe uru ruganda rushobora kugabanya umuvuduko cyangwa guhura n'inzitizi.
Impamvu nyinshi zishobora kubuza umubiri wawe gukomeza urwego rwa neutrophils rufite ubuzima bwiza. Zimwe mu mpamvu ni iz'agateganyo kandi zishobora gukosorwa, mu gihe izindi zishobora gusaba imicungire ikomeje. Kumva icyateye neutropenia yawe bifasha muganga wawe guhitamo uburyo bwo kuvura bwiza.
Dore impamvu zisanzwe ziteza neutropenia, dutangiriye ku zikunze kubaho:
Mu buryo butajegajega, neutropenia ishobora kubaho kuva umuntu avuka bitewe n'indwara zishingiye ku mikorere y'uturemangingo, cyangwa ishobora gutezwa n'ingaruka z'indwara zimwe na zimwe zidakira. Muganga wawe azakorana nawe kugira ngo amenye impamvu yihariye mu bihe byawe, ibyo bikaba ari ingenzi mu kumenya uburyo bwo kuvura bwiza.
Neutropenia ishobora kuba ikimenyetso cy'indwara zitandukanye zishingiye ku buzima, kuva ku bibazo by'igihe gito kugeza ku ndwara zikomeye. Rimwe na rimwe ni ikimenyetso cya mbere kiburira abaganga kugira ngo bakore iperereza ryimbitse ku ndwara zishobora kuba zitagaragaza ibimenyetso byihariye.
Mu bihe byinshi, neutropenia ni ingaruka zo kuvurwa mu buvuzi aho kuba ikimenyetso cy'indwara y'ibanze. Urugero, birakunda cyane mugihe cyo kuvura kanseri kandi bikunze gukira mugihe cyo kuvura kirangiye. Ariko, neutropenia idahinduka ishobora kugaragaza indwara y'ibanze ikeneye kwitabwaho.
Dore indwara z'ingenzi neutropenia ishobora kugaragaza:
Mu buryo butajegajega, neutropenia ishobora kuba ikimenyetso cy'indwara zishingiye ku mikorere y'uturemangingo tw'umurage zigira ingaruka ku buryo umushongi w'amagufa ukora uturemangingo twera tw'amaraso. Izi ndwara zimenyekana cyane mu bwana, ariko ubwoko bworoshye bushobora kutamenyekana kugeza mu gihe cy'ubukure mugihe cyo gukora ibizamini by'amaraso bisanzwe.
Muganga wawe azatekereza ku buzima bwawe muri rusange, amateka yawe y'ubuvuzi, n'ibindi bimenyetso kugira ngo amenye niba neutropenia yerekeza ku ndwara yihariye y'ibanze ikeneye kuvurwa.
Niba neutropenia ikira yonyine biterwa n'icyayiteye. Niba iterwa n'ikintu cy'igihe gito nk'indwara iterwa na virusi cyangwa ingaruka ziterwa n'imiti, umubare wawe wa neutrophil akenshi usubira mu buryo busanzwe igihe icyayiteye cyakemutse.
Neutropenia iterwa na chimiothérapie cyangwa imiti imwe na imwe akenshi irakira nyuma yo kurangiza kuvurwa cyangwa iyo umuti uhagaritswe. Umushongi wawe w'amagufa akenshi usubirana ubushobozi bwo gukora urwego rusanzwe rwa neutrophils mu byumweru bike cyangwa amezi, nubwo iki gihe gishobora gutandukana ku muntu ku giti cye.
Ariko, neutropenia iterwa n'indwara zidakira nk'indwara ziterwa n'ubwirinzi bw'umubiri cyangwa indwara z'umushongi w'amagufa akenshi bisaba ubuvuzi bukomeza. Ubu bwoko ntibusanzwe bukira hatabayeho kuvurwa, kandi gukurikiranwa biba igice cy'ingenzi cy'ubuzima bwawe.
Muganga wawe azagufasha gusobanukirwa niba uko wifashe bishobora kuzakira byonyine cyangwa niba uzakenera kuvurwa kugira ngo usubize urwego rwa neutrophils ruzima. Bazanakurikirana imibare y'amaraso yawe buri gihe kugira ngo bakurikirane impinduka zose kandi bahindure gahunda yawe yo kwitabwaho uko bikwiye.
Nubwo neutropenia ubwayo idashobora kuvurwa n'imiti yo mu rugo, hari intambwe z'ingenzi ushobora gufata kugira ngo wikingire indwara kandi ushyigikire ubuzima bwawe muri rusange. Intego nyamukuru ni kugabanya ukuntu uhura na mikorobe mugihe umubiri wawe ufite uturemangingo duke turwanya indwara.
Isuku nziza iba ingenzi cyane iyo ufite neutropenia. Imyitozo yoroheje ushobora gufata nk'ibisanzwe ishobora gutanga umusaruro mu gukumira indwara zishobora kuba zikomeye iyo umubare wawe wa neutrophil uri hasi.
Dore ingamba zikora cyane zo kwitabwaho mu rugo zo kwirinda:
Bikora kandi gufata indyo yuzuye irimo vitamine n'imyunyu ngugu byongera umubare w'uturemangingo tw'amaraso, nk'ibiryo birimo vitamine B, icyuma, na folate. Ariko, izi mpinduka mu mirire zikora neza nk'igice cy'uburyo bwawe bwose bwo kuvura aho kuba ibisubizo byonyine.
Wibuke ko kwita ku rugo ari ukwirinda no gushyigikira, atari kuvura. Ugomba gukorana n'ikipe yawe y'ubuvuzi kugira ngo uvure icyateye neutropenia yawe.
Ubuvuzi bwa neutropenia bushingiye ku kuvura icyateye ikibazo no kukurinda indwara. Uburyo umuganga wawe azakoresha buzaterwa n'icyateye umubare muto wa neutrophil, uko bikomeye, niba urwaye indwara kenshi.
Niba imiti ariyo itera neutropenia yawe, umuganga wawe ashobora guhindura urugero rwa imiti cyangwa akaguha indi miti niba bishoboka. Ku bijyanye na neutropenia iterwa n'ibura ry'intungamubiri, imiti yongera intungamubiri akenshi ishobora gufasha kugarura urwego rusanzwe nyuma y'igihe.
Dore imiti nyamukuru umuganga wawe ashobora kugusaba:
Mu gihe cy'indwara zikomeye, cyane cyane iyo ubuke bw'uturemangingo tw'amaraso twitwa neutrophils buterwa n'ibibazo byo mu mushubuzi, ubuvuzi bukomeye burakenewe. Ibi bishobora kuba harimo imiti ivura kanseri y'amaraso cyangwa, rimwe na rimwe, kwimura umushubuzi mu gihe cy'indwara zimwe na zimwe zishingiye ku bimenyetso by'imiryango.
Muganga wawe azagenzura imibare y'amaraso yawe buri gihe mu gihe cy'ubuvuzi kugira ngo arebe uko urimo witwara kandi akore impinduka uko bikwiye. Bazareba kandi ibimenyetso by'indwara kandi bashobora kugusaba ingamba zo kwirinda mu gihe imibare y'uturemangingo twawe tw'amaraso twitwa neutrophils iri hasi cyane.
Ukwiriye kujya kwa muganga niba ubonye indwara zikunze kugaruka cyangwa niba ibizamini by'amaraso bisanzwe byerekana imibare mike y'uturemangingo tw'amaraso twitwa neutrophils. Kubera ko ubuke bw'uturemangingo tw'amaraso twitwa neutrophils ubwabyo ntibitera ibimenyetso bigaragara, abantu benshi babimenya mu gihe cyo kugenzura amagara yabo buri gihe cyangwa mu gihe bavurwa kubera izindi mpamvu z'ubuzima.
Witondere cyane indwara zisa nkaho zikunze kugaruka, zikomeye, cyangwa zimara igihe kirekire kurusha uko byari bisanzwe. Nubwo buri wese arwara rimwe na rimwe, ubuke bw'uturemangingo tw'amaraso twitwa neutrophils bushobora gutuma indwara ntoya zigaragara nkaho zikomeye cyangwa zikagaruka kenshi.
Dore ibintu byihariye bikwiriye kwitabwaho kwa muganga:
Niba waramaze kumenyekana ko ufite neutropenia, ugomba guhita uvugana na muganga wawe ako kanya niba ufite umuriro cyangwa ibimenyetso by'indwara. N'ubwo ibimenyetso bito bishobora kuba bikomeye iyo umubare wawe wa neutrophil uri hasi, ni byiza kwisuzumisha hakiri kare kuruta gutegereza kureba niba ibintu bizagenda neza.
Itsinda ryawe ry'ubuvuzi rizagutera amabwiriza yihariye yerekeye igihe ugomba guhamagara, kuko urugero rwo guhangayika rushobora kuba rutandukanye bitewe n'uko neutropenia yawe ikomeye kandi icyo itera.
Ibintu byinshi bishobora kongera amahirwe yawe yo kurwara neutropenia, nubwo kugira ibintu byongera ibyago ntibisobanura ko uzarwara neza iyo ndwara. Kumva ibyo bintu byongera ibyago bifasha wowe na muganga wawe gukomeza kuba maso ku bimenyetso bya mbere no gufata ingamba zo gukumira igihe bishoboka.
Ibintu bimwe byongera ibyago biri mu maboko yawe, mu gihe ibindi bifitanye isano n'indwara cyangwa imiti ushobora gukenera kubera izindi ngorane z'ubuzima. Imyaka nayo igira uruhare, kuko zimwe mu mpamvu za neutropenia zikunda kugaragara mu byiciro bitandukanye by'imyaka.
Dore ibintu byongera ibyago bya neutropenia:
Ibintu bifitanye isano n'imyaka nabyo biragira uruhare. Abantu bakuze bashobora kwibasirwa na neutropenia bitewe n'imihindukire ifitanye isano n'imyaka mu mikorere y'ubwoko bw'amagufa, mu gihe abana bato n'abana bafite ibibazo bya genetike bashobora kugaragaza ibimenyetso bya neutropenia hakiri kare.
Niba ufite ibintu byinshi bigushyira mu kaga, muganga wawe ashobora kugusaba gukurikiranwa amaraso kenshi kugira ngo bamenye neutropenia hakiri kare niba yagaragaye. Ubu buryo bufasha gutanga ubuvuzi bwihuse kandi bugabanya ibyago byo kwandura indwara zikomeye.
Ingaruka nyamukuru ya neutropenia ni ukwiyongera kw'ibyago byo kwandura indwara, bishobora kuva ku bibazo bito kugeza ku bibazo bikomeye, bishobora no guhitana. Iyo umubare wawe wa neutrophil uri hasi, umubiri wawe urwana no kurwanya bagiteri na fungi byari bisanzwe byoroshye.
Abantu benshi bafite neutropenia yoroheje bahura n'ingaruka nto, nk'ibicurane byinshi cyangwa indwara nto zo ku ruhu zitinda gukira. Ariko, neutropenia ikomeye ishobora gutera ibibazo bikomeye bisaba ubuvuzi bwihuse.
Dore ingaruka zishobora guterwa, zateguwe kuva ku zikunze kugaragara kugeza ku zitagaragara cyane:
Ibyago byo kugira ingaruka ziterwa n'iyi ndwara biterwa ahanini n'uko umubare wawe wa neutrophil uri hasi kandi ukaba umaze igihe kingana iki uri hasi. Abantu bafite neutropenia ikomeye (umubare uri munsi ya 500) bahura n'ibyago byinshi kurusha abafite umubare muto.
Ku bw'amahirwe, ingaruka nyinshi zirashobora kwirindwa cyangwa zigakira neza iyo neutropenia ivurwa neza. Itsinda ry'abaganga bazakorana nawe kugira ngo bagabanye ibyago byo kwandura kandi bakore vuba ku kimenyetso icyo aricyo cyose cy'ingaruka.
Neutropenia ishobora kwitiranywa n'izindi ndwara zitera udukoko twibasira umubiri kenshi cyangwa umunaniro, kuko nta bimenyetso byayo byihariye ifite. Ibimenyetso byerekana neutropenia – nk'udukoko twibasira umubiri kenshi cyangwa gukira bigurumuka – bishobora kandi kwerekana ibindi bibazo bitandukanye by'ubudahangarwa.
Rimwe na rimwe abantu bafata udukoko twibasira umubiri kenshi nk'ikintu giterwa n'umunabi, kutaryama bihagije, cyangwa "gusa kugira ubudahangarwa buke" batabona ko hari impamvu yihariye ya muganga nka neutropenia. Iyi niyo mpamvu ibizamini by'amaraso ari ngombwa cyane kugira ngo umuntu abone icyemezo cy'indwara cy'ukuri.
Dore indwara neutropenia ishobora kwitiranywa na zo:
Ku rundi ruhande, neutropenia ubwayo rimwe na rimwe ishobora kwitiranywa n'izindi ndwara z'amaraso niba hakozwe isuzuma ry'ibanze ry'amaraso gusa. Ibizamini birambuye bishobora gukenerwa kugira ngo hatandukanywe neutropenia n'indwara zigira ingaruka ku zindi moko y'uturemangingo twera tw'amaraso.
Iyi ni yo mpamvu ari ngombwa kugira isuzuma ry'ubuvuzi rikwiye aho gufata umwanzuro w'uko uzi icyateye indwara zikunze kugaragara. Isuzuma ry'amaraso ryoroshye rishobora kumenya vuba niba neutropenia igira uruhare mu bimenyetso byawe.
Oya, neutropenia si kanseri ubwayo, ahubwo ni indwara ufite aho utugingo twera tw'amaraso duke cyane mu maraso yawe. Ariko, neutropenia ishobora guterwa na kanseri z'amaraso nka leukemia, cyangwa ishobora gutezwa n'ingaruka z'imiti ivura kanseri nka chemotherapy. Abantu benshi bafite neutropenia ntibafite kanseri na gato – indwara yabo ishobora guterwa n'imiti, indwara, cyangwa izindi mpamvu.
Yego, mubisanzwe urashobora gukora imyitozo ngororamubiri ufite neutropenia, ariko uzakenera kubikora neza. Imyitozo ngororamubiri yoroheje cyangwa y'ikigereranyo ishobora gufasha ubudahangarwa bwawe n'ubuzima muri rusange. Ariko, irinda ibikorwa bishobora kongera ibyago byo gukomereka cyangwa gukomeretsa, kandi wirinde amashuri y'imyitozo ngororamubiri yuzuye abantu mu bihe by'indwara nyinshi. Koga mu mazi yo koga asukuye neza muri rusange biratekanye, ariko wirinde ibizenga bishyushye cyangwa amazi karemano ashobora kuba arimo bagiteri.
Ibi biterwa rwose n'icyateye neutropenia yawe. Niba biterwa n'umuti cyangwa indwara iterwa na virusi, imibare yawe ishobora gusubira mu buryo busanzwe mu byumweru bike nyuma yo gukuraho icyateye. Neutropenia iterwa na chimiothérapie mubisanzwe irushaho mu byumweru 2-4 nyuma yo kurangiza kuvurwa. Ariko, neutropenia iterwa n'indwara zihoraho zishobora gusaba kuvurwa bihoraho kandi ntishobora gukira neza hatabayeho ubufasha bwa muganga.
Umunaniro ukabije, uhoraho ushobora gutuma habaho neutropenia binyuze mu kugira ingaruka ku mikorere y'ubudahangarwa bwawe n'ubwonko bw'amagufa uko igihe kigenda gihita. Ariko, umunaniro wenyine ntugira neutropenia ikomeye. Muri rusange, umunaniro ushobora gutuma wibasirwa n'indwara iyo umaze kugira imibare mike ya neutrophil biturutse ku zindi mpamvu. Gucunga umunaniro binyuze mu guhitamo ubuzima bwiza buri gihe bifitiye akamaro ubuzima bwawe bwose bw'ubudahangarwa.
Yego, ugomba kwirinda ibiryo bifite ibyago byinshi byo kwandura mikorobe. Ibi birimo inyama mbisi cyangwa zitateguye neza, amafi mbisi, ibikomoka ku mata bitaranyuzwe, n'amagi mbisi. Imbuto n'imboga zishya muri rusange zifite umutekano niba zameswe neza, ariko ushobora kwirinda imitsi mbisi. Foromaje yoroshye n'inyama zitunganyirijwe mu iduka na byo bigomba kwirindwa keretse zishyushye kugeza zishyushye cyane. Muganga wawe ashobora gutanga amabwiriza yihariye yerekeye imirire ashingiye ku buryo neutropenia yawe ikomeye.