Ni ibintu bingahe biba mu mibiri yacu tutabizi? Ntabwo duhora dutekereza ku bintu nko guhumeka, gutera k'umutima, igogora, no kugenzura ubushyuhe bw'umubiri. Ibi bintu bibaho mu buryo bwikora, nk'uburyo bw'imodoka bwikora. Ikintu cyose kibaho mu buryo bwikora kigenzurwa n'igice cyihariye cy'uburyo bwacu bw'imitsi. Ariko se, bigenda bite iyo ubu buryo bw'imitsi bwangiritse bitewe n'indwara zimwe na zimwe? Ni bwo ubwo buryo bwo kugenzura bwikora butangira kugenda nabi. `Autonomic Neuropathy`, tuvuga uyu munsi, ni ikibazo nk'iki.
Iyi ndwara y’ubwonko ikoresha ikoranabuhanga (Autonomic Neuropathy) ni iki?
Mu magambo make, 'Autonomic Neuropathy' ni ukwangiza imitsi igenzura imikorere y'umubiri wacu. Iyi mitsi yitwa 'Autonomic Nervous System'. Iyi mitsi, hamwe n'ubwonko bwacu n'umugongo, igenzura imikorere y'ingingo z'ingenzi nk'umutima, igifu, amara, n'uruhago.
Tekereza gato, ndetse n'ibintu nk'imizingo y'umukara mu maso yawe irushaho kuba myinshi iyo ugiye mu cyumba cyijimye, cyangwa inzoga iyo uhumura ibiryo biryoshye, bigenzurwa n'ubu buryo. Rero iyo iyi mitsi yangiritse, ibyo bintu byikora ntibikora neza. Ibintu by'ingenzi bishobora kugira ingaruka ni ibi:
- Umuvuduko w'amaraso
- Igipimo cy'umutima
- Igogora
- Kwihagarika inkari
- Ingendo z'amara
- Kugenzura ubushyuhe bw'umubiri
- Imikorere y'imibonano mpuzabitsina
Ni ibihe bimenyetso by'ibi?
Ibimenyetso uhura nabyo bizaterwa n'imitsi yafashwe. Ibimenyetso bishobora gutandukana bitewe n'umuntu ku wundi. Reka turebe ibimenyetso by'ingenzi.
| Sisitemu yagizweho ingaruka | Ibimenyetso bishoboka |
|---|---|
| Sisitemu yo gugogora | Kurya impatwe, kuribwa mu nda, kumva uhaze ndetse no nyuma yo kurya ibiryo bike, kuruka, kongera kunyara ibiryo bitaragera mu nda, kugorwa no kumira, no kubabara mu gatuza. |
| Umutima n'imitsi y'amaraso | Kuzungera cyangwa gucika intege biterwa no kugabanuka gutunguranye k'umuvuduko w'amaraso iyo uhagaze, umutima utera cyane (cyane cyane mu gihe cy'imyitozo ngororamubiri), umuvuduko ukabije w'amaraso. |
| Uturemangingo tw'inkari | Kugorwa no kunyara, kudashobora kugenzura inkari, kudashobora gukuramo burundu uruhago, kwandura indwara zikunze kugaragara mu nzira y'inkari. |
| Ubushyuhe bw'umubiri | Kubira ibyuya nijoro, kubira ibyuya byinshi cyangwa bike cyane, kubira ibyuya mu gihe urya. |
| Igikorwa cy'imibonano mpuzabitsina | Abagabo bagira ingorane zo gushyukwa, abagore bakagira ubwumye mu gitsina, ubushake bwo gukora imibonano mpuzabitsina bugabanuka, ndetse n'ibibazo byo kugera ku ndunduro. |
| Ibihaha n'amaso | Kugorwa no guhumeka, kugorwa no guhindura amaso iyo uvuye ahantu haka cyane ujya ahantu hijimye, kugorwa no gutwara imodoka nijoro. |
Kutamenya Diyabete na Hypoglycemia
Iyo umuntu urwaye diyabete agize "Autonomic Neuropathy", hashobora kubaho indi ngorane ikomeye. Ni ukuvuga kutamenya ibimenyetso by'umuburo by'uko isukari iri hasi cyane mu maraso (Hypoglycemia). Abaganga babyita "Hypoglycemia Unawareness".
Ubusanzwe, iyo sisitemu yawe y'imitsi ikora neza, iyo isukari mu maraso yawe igabanutse cyane, uzabona ibimenyetso nko kunyeganyega, kubira ibyuya, no gutera umutima cyane. Ibi ni "ibimenyetso by'umuburo" umubiri wawe uguha. Ariko, umuntu urwaye Autonomic Neuropathy ashobora kutabyumva.
Iki ni ikibazo gikomeye cyane kuko, niba utazi ko isukari iri kugabanuka mu maraso yawe, ushobora gucika intege, guta ubwenge, cyangwa se ukazagira ingaruka mbi kurushaho.
Niba ufite ubu bwoko bwa `Hypoglycemia Unawareness`, muganga wawe azakubwira kugenzura urugero rw'isukari mu maraso yawe kenshi. Bashobora kandi kukugira inama yo gukoresha `Continuous Glucose Monitor`, ipima urugero rw'isukari mu maraso yawe buri gihe kandi ikagutera integuza iyo igabanutse.
Ni izihe mpamvu zitera iki kibazo?
Impamvu nyamukuru kandi ikunze gutera iyi ndwara ni diyabete . Uko igihe kigenda gihita, diyabete idakurikiranwa ishobora kwangiza iyi ndwara. Uretse ibyo, hari n'izindi mpamvu nyinshi zishobora gutuma iyi ndwara irushaho kwangirika.
- Diyabete: Impamvu nyamukuru.
- Indwara ziterwa n'ubwiyongere bw'umubiri: Indwara aho ubudahangarwa bw'umubiri bwibasira imitsi. Ingero zirimo `Rheumatoid Arthritis`, `Lupus`, `Guillain-Barré syndrome`.
- Utundi twandu: Indwara nka VIH n'indwara ya Lyme.
- Izindi ndwara: Indwara ya Parkinson, amyloidosis, indwara iterwa no kuba poroteyine zitagira ingano.
- Imiti imwe n'imwe itangwa ku ndwara ya kanseri: Imiti imwe n'imwe ya chimiotherapie.
- Kunywa inzoga nyinshi.
- Kubagwa cyangwa gukomereka k'umugongo.
- Guhura n'ibinyabutabire: Urugero, ibyuma biremereye.
- Zimwe mu ndwara z’uruhererekane.
Ni gute wasuzuma indwara?
Nta kizamini kimwe cyo gusuzuma iyi ndwara. Muganga wawe azabanza kumva ibimenyetso byawe kandi agukorere isuzuma ry’umubiri. Hanyuma, bashobora kukugira inama yo gupima amaraso menshi kugira ngo bamenye icyayiteye.
- Suzuma diyabete.
- Suzuma izindi ndwara ziterwa n'ubwiyongere bw'umubiri.
- Suzuma niba hari ubwandu nka virusi itera SIDA.
Byongeye kandi, hari ibindi bizamini byihariye bishobora gukorwa bitewe n'ibimenyetso:
- Ikizamini cyo ku meza yo kuryama: Uryama ku gikoresho gisa n'igitanda, igice cyo hejuru cy'umubiri wawe kikazamuka buhoro buhoro nk'aho uhagaze. Umuvuduko w'amaraso yawe n'umuvuduko w'umutima wawe biragenzurwa. Ibi ni ingirakamaro cyane cyane ku bantu bagira isereri iyo bahagaze.
- Ikizamini cya Quantitative Sudomotor Axon Reflex Test (QSART): Iki kizamini gipima uburyo imvubura zawe z'ibyuya bikora hakoreshejwe amashanyarazi make cyane.
- Ibizamini by'uburodinamike: Ibizamini bigenzura uburyo uruhago rubika kandi rugasohora inkari neza.
- Gupima uturemangingo (ultrasound scan): Ibi bifasha kubona amashusho y'imbere mu ngingo nk'uruhago no kureba neza ikibazo kirimo.
- Ikizamini cyo gukuramo ibinure mu gifu: Ikizamini cyo kugenzura ko igifu kidakora neza, cyane cyane ko kirimo gukuramo ibinure buhoro buhoro (Gastroparesis).
Ivurwa ite?
Uburyo bw'ingenzi bwo kuvura hano niKuvura indwara y’ibanze yateje kwangirika kw’imitsi. Urugero, niba urwaye diyabete, ugomba kugenzura urugero rw’isukari mu maraso yawe binyuze mu mirire, imyitozo ngororamubiri, ndetse nibiba ngombwa, n’imiti. Niba ari indwara iterwa n’ubwiyongere bw’umubiri, ugomba kuyivurwa.
Muri icyo gihe, muganga azanatanga inama ku bintu bitandukanye kugira ngo agenzure ibimenyetso byagaragaye.
Icy'ingenzi: Buri gihe banza uganire na muganga wawe mbere yo gukurikiza umuti cyangwa uburyo ubwo aribwo bwose bwavuzwe hano.
| Ibimenyetso/Sisitemu | Ibintu byo gukora n'uburyo bwo kuvura |
|---|---|
| Ibibazo by'igogora | - Ntukarye byinshi icyarimwe, urye amafunguro make menshi. - Irinde impatwe urya ibiryo n'amazi menshi arimo fibre. - Gufata imiti yoroshya ububabare nk'uko muganga yabigutegetse. - Gufata imiti yo kuvura impiswi n'ububabare bwo mu gifu. |
| Ibibazo by'inkari | - Igire akamenyero ko kunyara mu masaha asanzwe. - Gufata imiti ifasha gukuramo ubusa bw'inkari burundu. - Gukuramo inkari ushyiramo katheteri mu ruhago. |
| Ibibazo byo kubira ibyuya | - Gufata imiti igabanya ibyuya (urugero: glycopyrrolate) nk'uko muganga yabigutegetse. - Guguma mu nzu mu gihe cy'ubushyuhe bukabije. |
| Ibibazo by'umutima n'umuvuduko w'amaraso | - Gufata imiti yongera umuvuduko w'amaraso (fludrocortisone, midodrine). - Gufata imiti nka `beta-blockers` kugira ngo igabanye umuvuduko w'umutima. - Haguruka buhoro buhoro kugira ngo wirinde isereri. - Fata umunyu n'amazi make gusa niba muganga wawe yabigusabye. |
| Ibibazo by'imibonano mpuzabitsina | - Gukoresha imiti nka `sildenafil (Viagra)` mu gihe cyo kudakora neza k'uburemba, nk'uko byategetswe na muganga. - Ku bagore, koresha amavuta yo kwisiga akozwe mu mazi kugira ngo ugabanye ubushyuhe bw'igitsina cy'umugore. |
Ubutumwa bwo kujyana mu rugo
- Indwara y’imitsi ikora ku buryo bwikora ni ukwangiza imitsi igenzura imikorere y’umubiri wacu (nk’umutima, igogora).
- Nubwo impamvu ikunze gutera ibi ari diyabete, hari izindi ndwara nyinshi n'izindi mpamvu zishobora kubitera.
- Ibimenyetso bidafite aho bihuriye nko kuzungera, kubira ibyuya, ibibazo by'igogora, no kugorwa no kunyara bishobora kugaragara mu buryo butunguranye.
- Icy'ingenzi mu kuvura ni ukuvura impamvu nyamukuru. Cyane cyane niba urwaye diyabete, kugenzura neza urugero rw'isukari mu maraso yawe bishobora kugabanya umuvuduko ndetse wenda no gusubiza mu buryo bumwe na bumwe bw'ibyangiritse mu mitsi.
- Niba ufite ibimenyetso nk'ibi, ni ngombwa cyane kutabyirengagiza, ahubwo ujye kwa muganga vuba bishoboka kugira ngo amenye impamvu kandi ahabwe ubuvuzi bukenewe.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.