Ni ibisanzwe ko ababyeyi benshi bagira isesemi mu gitondo no kugira isesemi mu gihe batwite. Ariko rimwe na rimwe iyi ndwara ishobora kuba ikomeye kurushaho. Niba ufite kuruka cyane bigatuma udashobora kurya cyangwa kunywa, bigatuma ugabanya ibiro, kandi bigatuma ubura amazi mu mubiri, tuyita
Hyperemesis Gravidarum . Iyi ni indwara itandukanye kandi ikomeye kurusha indwara isanzwe ya 'Sickness ya mu gitondo'. Reka tubiganireho birambuye, si byo se?
Ni irihe tandukaniro riri hagati ya 'Indwara ya mu gitondo' na Hyperemesis Gravidarum?
Ese wari uzi ko ku bantu benshi, hafi 80% by'abagore batwite, isesemi ya mu gitondo, rimwe na rimwe
kuruka rimwe cyangwa kabiri mu gihe batwite, ari byo bikunze kugaragara. Ntibitera
umwuma cyangwa kugabanuka kw'ibiro. Ushobora kureka kurya no kunywa umunsi wose. Akenshi, ibi bigabanuka mu byumweru 12, ari nabyo birangira mu gihembwe cya mbere cy'amezi atatu. Ariko,
hyperemesis gravidarum ni indwara ikomeye cyane. Tekereza kuruka inshuro nyinshi ku munsi. Ibi bishobora gutera kugabanuka kw'ibiro no kugabanuka kw'amazi. Ibi bimenyetso bishobora kumara igihe kirekire kuruta isesemi ya mu gitondo. Hari igihe, niba wabuze amazi, ushobora gukenera kujya mu bitaro kugira ngo uhabwe amazi
yo mu miyoboro y'amaraso . Kubwibyo, ni ngombwa gusobanukirwa itandukaniro riri hagati y'ibyo byombi.
Ni ibihe bimenyetso bya Hyperemesis Gravidarum?
Ubusanzwe iyi ndwara itangira mu gihembwe cya mbere cyo gutwita, hafi ibyumweru 6. Ibi bimenyetso bishobora kumara ibyumweru, amezi, cyangwa kugeza umwana avutse. Ibi bishobora gutuma bigorana gukora imirimo yawe isanzwe. Ibimenyetso bikunze kugaragara ni ibi bikurikira:
- Isesemi ikomeye .
- Kuruka inshuro zirenze eshatu ku munsi.
- Kugabanya ibiro byawe mbere yo gutwita birenga 5%.
- Kudashobora kugumana ibiryo cyangwa ikinyobwa icyo ari cyo cyose.
- Kubura amazi mu mubiri.
- Kuzungera , kumva ufite umutwe wishimye.
- Umusaruro w'inkari muke ugereranije n'uko bisanzwe.
- Kumva unaniwe cyane .
- Wenda gucika intege.
- Umutwe.
Uretse ibi, hari n'ibimenyetso bimwe na bimwe bidakunze kugaragara:
- Umuvuduko w'amaraso uri hasi .
- Umutima utera cyane.
- Uruhu rwumye.
- Urujijo.
- Guhinduka umuhondo w'uruhu (Jaundice) bitewe no kwangirika k'umwijima.
- Indwara zidasanzwe cyane nka Wernicke-Korsakoff syndrome.
Kuki Hyperemesis Gravidarum ibaho?
Abaganga ntibaramenya neza icyabitera. Ariko bikekwa ko kwiyongera kw'imisemburo mu mubiri mu gihe utwite ari byo bitera. By'umwihariko, imisemburo yitwa
HCG (Human Chorionic Gonadotropin) ikorwa n'umubiri wawe iyo utwite. Iyi misemburo ikorwa vuba cyane kandi ku bwinshi. Iyi misemburo ya HCG igera ku byumweru 10 utwite. Ni bwo abantu benshi bahura n'ibimenyetso bikomeye cyane. Nanone, indi misemburo yiyongera mu gihe utwite, yitwa
estrogen, ikekwaho kugira uruhare muri iyi sesemi no kuruka.
Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?
Hari abantu bashobora kurwara hyperemesis gravidarum (HG). Ibintu bishobora gutera ibyago birimo:
- Niba warigeze kugira HG mu gihe utwite mbere.
- Niba utwite impanga, impanga eshatu, cyangwa nyinshi (gutwita inshuro nyinshi).
- Niba ari ubwa mbere utwite .
- Niba hari umuntu wo mu muryango wawe, nka mama wawe cyangwa mushiki wawe, wagize isesemi ikomeye ya mugitondo cyangwa HG (amateka y'umuryango w'umuntu).
- Niba ufite akamenyero ko kurwara indwara yo kugenda cyangwa umutwe uterwa n'umutwe uterwa n'umutwe uterwa n'imitsi mu gihe uri mu rugendo.
- Niba ufite indwara yitwa Gestational Trophoblastic Disease (GTD) , ikaba ari indwara aho uturemangingo two mu mura dukura mu buryo budasanzwe.
Ni izihe ngorane zishobora guterwa na Hyperemesis Gravidarum?
Mu by’ukuri, impamvu y’ingorane nyinshi ziterwa n’iyi ndwara ya HG ni ukubura intungamubiri n’amazi umubiri ukeneye, ni ukuvuga
imirire mibi . Iyo ukomeje kuruka, umubiri ntubona vitamine n’intungamubiri ukeneye neza. Ibi bishobora gutera indwara nko
kubyara umwana utagejeje igihe cyangwa
kubyara umwana ufite ibiro bike . Nanone, kuruka cyane bishobora gutuma mu muhogo wawe hava amaraso ndetse bigatera izindi ngaruka mbi. Kubwibyo, ni ngombwa cyane kubyitaho. Ntugahangayike, niba uvuwe vuba, ibi bishobora kugenzurwa ku rugero runini.
Ni gute abaganga bapima Hyperemesis Gravidarum?
Iyo ugiye kwa muganga, bazakubaza ibimenyetso byawe n'indwara zose wagize mbere. Hanyuma bazagusuzuma. Bazagusuzuma cyane cyane ibiro byawe barebe niba waragabanutse cyane. Bashobora kandi gukora ibizamini by'amaraso n'inkari kugira ngo barebe niba ufite amazi make. Bashobora kandi kugenzura niba utwite umwana umwe cyangwa benshi, cyangwa niba ufite ibimenyetso bya GTD (Indwara yo Gutwita), indwara yari yavuzwe mbere.
Nanone hashobora gukorwa ultrasound. Hari igihe muganga asuzuma niba kuruka biterwa n'indi ndwara yo mu gifu. Ni ubuhe buryo bwo kuvura ibi?
Uburyo bwo kuvura buterwa n'uburemere bw'ibimenyetso byawe, bityo ni ngombwa kuganira kuri ubu buryo bwose bwo kuvura n'umuganga wawe utwite. Ntugahangayike, akenshi hari uburyo bwiza bwo kuvura iyi ndwara. Niba ibimenyetso bidakomeye cyane...
Hari igihe ibintu nk'ibi bishobora gufasha:- Guhindura imibereho: Hari abantu bakoresha imigozi yo gukamura isesemi kugira ngo bagabanye isesemi. Hari n'abantu babona ihumure mu bintu nko guhekenya ibinini bya tangawizi cyangwa kunywa icyayi cya tangawizi.
- Guhindura imirire: Kurya amafunguro make buri masaha abiri aho kurya amafunguro menshi. Nanone, kurya ibiryo bifite ibinure bike, bidakomeye, kandi byoroshye gusya (urugero: ibisuguti, umugati, ibirayi bitose, umuceri). Ubushakashatsi bwagaragaje ko ibiryo birimo ibinure byinshi bishobora kongera isesemi mu gihe utwite. Bityo, muganga wawe ashobora kukubwira kwirinda ibiryo birimo ibinure byinshi kandi bidakomeye.
- Imiti yo kugira isesemi: Imiti imwe n'imwe itangwa mu iduka rya muganga (OTC) ishobora gufasha kugabanya isesemi. Pyridoxine (vitamine B6) na doxylamine (urugero, Unisom®) ni byo bikunze gukoreshwa cyane. Iyo ibi bidafashije, muganga wawe ashobora kukwandikira umuti urwanya antihistamine nka diphenhydramine (urugero, Benadryl®) . Ariko ibuka ko utafata imiti iyo ari yo yose yo kugira isesemi cyangwa kuruka utabanje kuvugana na muganga wawe. Ni byiza gufata imiti yanditswe na muganga.
- Kwirinda ibintu bigutera isesemi: Ushobora gusanga impumuro zimwe na zimwe n'ibintu nko kugenda mu modoka bigutera isesemi. Gerageza kwirinda ibyo bintu uko bishoboka kose.
Niba ibimenyetso bikomeye gato...
Niba urimo kuruka cyane kandi ukaba warabuze amazi mu mubiri, ushobora kuba ugomba kujya mu bitaro. Dore bumwe mu buryo bwo kuvura indwara zoroshye zo mu nda:- Imiti yanditswe na muganga: Hari ubwoko butandukanye bw'imiti ishobora gufasha kugabanya isesemi no kuruka. Mu ntangiriro, muganga ashobora kuguha uruvange rwa doxylamine na vitamine B6. Ariko, imiti ikomeye ishobora gukenerwa. Imiti ikunze kwandikirwa yo kurwanya isesemi no kuruka ni promethazine na metoclopramide . OndansetronUyu ni undi muti ushobora gufasha mu kugira isesemi no kuruka. Imwe muri iyi miti ishobora gutangwa mu mitsi (IV), nk'urushinge, cyangwa nk'umuti wo mu nda niba udashobora kuyifata ukoresheje umunwa.
- Ibinyobwa biva mu mitsi (ibinyobwa biva mu mitsi): Muganga azaguha ibinyobwa n'intungamubiri binyuze mu mutsi uva mu mitsi ushyizwe mu mutsi wo mu kuboko kwawe. Ibi bishobora gusaba ko ujya mu bitaro.
- Gutanga indyo: Muganga aguha intungamubiri binyuze mu muyoboro woroshye ushyirwa mu mazuru cyangwa mu nda. Akenshi uzakirwa mu bitaro kugira ngo uhabwe ubu buvuzi.
- Indyo yuzuye y’ababyeyi (TPN): Mu bihe bikomeye cyane by’indwara ya hyperemesis gravidarum, ushobora gukenera guhabwa intungamubiri binyuze mu mutsi (IV), ukirengagiza inzira y’igogora burundu. Ibi bituma inzira y’igogora yawe ikira nta kintu na kimwe ikora.
Wibuke ko ari ngombwa kuganira na muganga wawe ku ngaruka zo gufata imiti imwe n'imwe ya HG mu gihe utwite. Muri ubwo buryo, ushobora kubona ubuvuzi bwizewe kuri wowe no ku mwana wawe.
Ese ibi bizagenda neza?
Yego, bishobora koroha. Hari igihe ibimenyetso byawe bishobora kugabanuka nyuma y'igihembwe cya mbere. Nanone, hari abantu bashobora kugira ibi bimenyetso mu gihe cyose batwite. Ariko abantu benshi bavuga ko uburemere bw'ibimenyetso bugenda bugabanuka uko igihe kigenda gihita. Inkuru nziza ni uko ibi akenshi bishira burundu umwana amaze kuvuka. Tekereza kuri ibyo hanyuma ufate umwanzuro. Ese Hyperemesis Gravidarum ishobora kwirindwa?
Ikibabaje ni uko ibi bitakwirindwa. Kumenya niba uri mu kaga ko kurwara iyi ndwara ni cyo kintu cyiza ushobora gukora kugira ngo witegure. Niba ibi byarakubayeho mu gihe watwite mbere, ni byiza kuvugana na muganga wawe akakugira inama mbere yuko wongera gutwita. Ni izihe ngaruka ibi bishobora kugira ku mwana?
Niba muganga wawe akurikirana neza inda yawe kandi ukaba ufata ubuvuzi bukwiye, HG ntabwo igira ingaruka ku mwana wawe. Ariko, ni gake cyane, iyo ugabanutse ibiro byinshi cyangwa ukabura amazi mu mubiri, umwana wawe ashobora kuvukana ibiro bike. Niyo mpamvu ari ngombwa kuvurwa vuba bishoboka. Ese hari ingaruka z'igihe kirekire z'ibi?
Abantu benshi nta ngaruka z'igihe kirekire zigira ziterwa na hyperemesis gravidarum nyuma yo kubyara umwana. Nubwo hari ibyago byinshi byo kongera kugaragara mu gihe cyo gutwita nyuma yo kubyara, ntugomba kugira ibimenyetso nyuma yo kubyara umwana. Ababyeyi benshi bavurwa HG babyara abana bazima. Ese Hyperemesis Gravidarum ni indwara ishobora gutera gutwita mu kaga gakomeye?
Yego, akenshi muganga wawe azafata gutwita kwawe nk'ikintu gishobora gutera ibyago byinshi. Ibi bivuze ko muganga wawe azakurikirana neza gutwita kwawe kugira ngo arebe neza ko nta ngorane zihari. Uzakenera kujya kwisuzumisha buri gihe no gukurikiza amabwiriza ya muganga wawe. Ni ikihe kintu cyiza nakora mu gihe mfite Hyperemesis Gravidarum?
Ikintu cyiza wakora ni ukugana muganga wawe. Muganga wawe ni we wenyine ushobora kuvura ibimenyetso bikomeye bya HG, nko kubura amazi mu mubiri. Kurikiza inama za muganga wawe ku bintu ushobora gukora mu rugo kugira ngo urusheho kumva umeze neza. Urugero:- Kurya ifunguro rito buri masaha make.
- Kurya ibiryo birimo ibirungo, bitarimo amavuta, kandi byoroshye kugogora. Irinde ibiryo birimo amavuta menshi.
- Koresha uduce twa acupressure, vitamine B6, cyangwa tangawizi kugira ngo ufashe mu gihe cyo kugira isesemi (banza ubaze muganga wawe mbere yo kubikoresha).
- Irinde ibintu byongera isesemi, nko kugenda mu modoka.
- Igikuru ni uko, ntugomba guhangana n'ibi wenyine. Saba ubufasha ku muryango wawe n'inshuti zawe. Ni ingenzi cyane kandi gukomeza kugira ubwenge bukomeye.
Ni ryari nagombye kubonana na muganga?
Kuruka cyane cyangwa kunanirwa kugira icyo ukora si ibintu bidasanzwe mu gihe utwite. Bishobora gusaba ubufasha kwa muganga. Shaka muganga wawe vuba niba ufite kimwe muri ibi bimenyetso:- Iyo ufite isesemi imara umunsi wose kandi ikaba mbi cyane ku buryo udashobora kurya.
- Niba uruka inshuro zirenze eshatu ku munsi mu gihe cy'iminsi myinshi.
- Niba ugabanya ibiro.
- Niba wumva umeze nk'uzuzuwe, unaniwe, cyangwa utazi icyo ukora.
- Niba utarimo kunyara, cyangwa inkari zawe zifite ibara ryijimye cyane.
Amaherezo, ibintu ugomba kwibuka
Hyperemesis gravidarum ni ubwoko bukomeye bw'isesemi ya mu gitondo ibaho mu gihe cyo gutwita. Ishobora gutera kuruka inshuro nyinshi ku munsi. Mu bihe bikomeye, ishobora gutera umwuma no kubyara umwana utageze ku gihe. Ariko ntugahangayike, iyo uvuwe neza, abantu benshi bashobora kubona uruhu rwo kuruhuka kuri ibi bimenyetso no kubona indyo bakeneye mu gihe batwite.
Niba urimo kugira isesemi ikabije mu gihe utwite, cyangwa uruka inshuro nyinshi ku munsi, menya neza ko wavuganye na muganga wawe. Ashobora kugufasha kubona ihumure no kugufasha wowe n'umwana wawe kubona indyo bakeneye. Nubwo iki ari igihe kigoye, ibuka ko uzabigeraho. Amahirwe masa kuri wewe!
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