Ese rimwe na rimwe wumva ubabaye cyane, uri wenyine, kandi ntushake gukora ikintu icyo ari cyo cyose? Ushobora kuba wibaza uti 'Kuki ibi bingeraho?' Ibi ni byo abaganga bita kwiheba, cyangwa nk'uko abantu benshi babizi, 'Kwiheba'. Iyi ni indwara igoye cyane. Ntibishoboka kuvuga neza impamvu ibi biterwa n'iki. Impamvu zituma kwiheba bibaho kuri buri muntu zishobora kuba zitandukanye. Muri iyi nkuru, turaganira ku bintu by'ingenzi bishobora kugira ingaruka kuri iyi ndwara yitwa kwiheba.
Ni izihe mpamvu nyamukuru zitera kwiheba?
Ihungabana si indwara imwe. Ahubwo, ni uruvange rw'ibintu byinshi, harimo imiterere y'uturemangingo twacu, imiterere y'ubwonko, ibidukikije tubamo, n'ubuzima bwacu muri rusange. Kuri bamwe, ihungabana rishobora kubaho iyo barwaye indwara ikomeye. Ku bandi, rishobora kubaho nyuma y'impinduka zikomeye mu buzima, nko kwimuka cyangwa gupfusha uwo bakundaga. Mu miryango imwe, rishobora no kugaragara mu miryango.
Mu magambo make, dore ibintu bimwe na bimwe byongera ibyago byo kurwara indwara yo kwiheba.
| Impamvu/impamvu | Ibisobanuro byoroshye |
|---|---|
| Gutotezwa | Guhohoterwa ku mubiri, mu mibonano mpuzabitsina, cyangwa mu marangamutima mu bwana cyangwa mu myaka y'ubukure byongera ibyago byo kurwara indwara yo kwiheba mu gihe kizaza. |
| Imyaka | Abantu bakuze bafite ibyago byinshi byo kwiheba, cyane cyane bitewe n'ibintu nko kuba bonyine no kutagira aho bahurira n'abandi. |
| Imiti imwe n'imwe | Imiti imwe n'imwe, nka Isotretinoin , umuti w'ibiheri, Interferon-alpha, umuti urwanya virusi, na Corticosteroids, ishobora gutera kwiheba. |
| Amakimbirane akunze kubaho | Impaka n'amakimbirane akunze kubaho hagati y'umuryango cyangwa inshuti nabyo bishobora gutuma umubiri urwara indwara yo kwiheba. |
| Urupfu cyangwa gutandukana kw'uwo ukunda | Nubwo agahinda ari ibisanzwe iyo umuntu wa hafi yawe apfuye, nanone byongera ibyago byo kwiheba. |
| Ubugore/Ubugabo | Abagore bafite amahirwe abiri yo kurwara indwara yo kwiheba kurusha abagabo. Impamvu nyayo ntabwo izwi, ariko bikekwa ko ifitanye isano n'impinduka mu misemburo ziba mu bihe bitandukanye mu buzima bw'umugore. |
| Umurage (Gene) | Iyo hari umuntu wo mu muryango wagize ikibazo cyo kwiheba, abandi baba bafite ibyago byinshi byo kurwara. Iyi si gene imwe, ahubwo ni uruvange rw'uturemangingo twinshi. |
| Ibintu bikomeye byabayeho mu buzima | Ndetse n'ibintu byiza nko gutangira akazi gashya, kubona impamyabumenyi, cyangwa gushaka rimwe na rimwe bishobora gutera kwiheba. Nk'uko byagenda no gutakaza akazi, gutandukana, cyangwa kujya mu kiruhuko cy'izabukuru. |
| Ibiyobyabwenge n'inzoga | Abantu bagera kuri 30% babaswe n'ibiyobyabwenge cyangwa inzoga nabo bafite ikibazo cyo kwiheba. Nubwo ibi bishobora gutanga ihumure ry'igihe gito, amaherezo bituma ihungabana rirushaho kwiyongera. |
Isano iri hagati y'ihungabana n'imikorere y'ubwonko bwacu
Iki ni ikintu cy'ingenzi cyane. Abashakashatsi basanze ubwonko bw'umuntu ufite ikibazo cy'ihungabana bukora mu buryo butandukanye gato n'ubwonko bw'umuntu udafite icyo kibazo.
Urugero, hari agace gato k'ubwonko kitwa hippocampus gafite akamaro kanini mu kubika ibyo twibuka. Iyi hippocampus yagaragaye ko ari nto mu bantu bamwe na bamwe bafite ikibazo cyo kwiheba ugereranyije n'abandi bantu muri rusange.
Uko hippocampus igenda igabanuka, niko serotonin irimo igabanuka.Umubare wa za receptors za serotonin y’ikinyabutabire nawo uragabanuka. Serotonin ni ubutumwa bw’ikinyabutabire bujyana ubutumwa hagati y’uturemangingo tw’ubwonko. By’umwihariko, ni neurotransmitter ifasha mu gutumanaho binyuze mu miyoboro igenzura amarangamutima yacu.
Abahanga mu bya siyansi ntibaramenya neza impamvu hippocampus igabanuka. Nyamara, ubushakashatsi bumwe bwerekana ko abantu bafite ikibazo cyo kwiheba bakora imisemburo myinshi ya stress ya cortisol . Iyi misemburo ya cortisol igira ingaruka mbi kuri hippocampus, bigatuma 'igabanuka'.
Ariko ntugire ubwoba. Inkuru nziza ni uko uburyo bwo kuvura indwara yo kwiheba, cyane cyane imiti, bwagaragaye ko bugaburira uturemangingo tw’imitsi two mu bwonko, bukabukomeza kandi bukabufasha kwihanganira imihangayiko.
Isano iri hagati y'indwara zidakira n'ihungabana
Ku bantu bamwe, kwiheba bishobora guterwa n'indwara y'igihe kirekire. Kuko kurwara indwara buri munsi, no gufata imiti yayo, ni stress ikomeye mu buzima. Kwiheba akenshi bikunze kugaragara ku ndwara nka diyabete, indwara z'umutima na kanseri.
Dore zimwe mu ndwara z'igihe kirekire zishobora kuba zifitanye isano n'ihungabana.
| Indwara zishobora kuba zifitanye isano n'ihungabana | |
|---|---|
| - Diyabete | - Indwara z'umutima |
| - Indwara ya rumatizime | - Indwara y'impyiko |
| - VIH na SIDA | - Indwara ziterwa n'ubwiyongere bw'umubiri nka lupus na rheumatoid arthritis |
| - Kanseri | - Stroke |
| - Indwara ya Parkinson | - Kugabanuka k'imikorere ya tiroyide (Hypothyroidism) |
Ikintu cyiza ni uko iyo indwara yo kwiheba ivuwe neza, bifasha cyane mu guhangana n'izindi ndwara zijyana na yo.
Ntukivange agahinda n'agahinda.
Iki ni ikintu abantu benshi bagitesha umutwe. Agahinda ni ikintu gisanzwe kandi gisanzwe iyo umuntu apfushije uwo yakundaga, abuze akazi, cyangwa yatandukanye n'abandi. Ariko si ukwiheba. Hari itandukaniro rigaragara hagati y'ibyo byombi.
- Agahinda: Nubwo ushobora kumva ubabaye, ushobora no kwibuka ibihe byiza wanyuzemo ku muntu wabuze. Agahinda karaza kagashira. Kwiyubaha kwawe akenshi ntiguhinduka.
- Kwiheba: Amarangamutima yawe ahora ari mabi . Nta byibutso byiza bigaruka mu mutwe. Ukumva "nta gaciro mfite" kandi ukumva urwango.
Ariko, ikintu nk'iki cyo kubura uwo ukunda gishobora gutera ihungabana. Ibi ni ukuri cyane cyane iyo ufite amateka y'ibibazo by'ubuzima bwo mu mutwe.
Igikuru ni uko, niba ufite ibi bimenyetso, ntubyirengagize, wibwira uti: "Ibi ni agahinda gusa." Ntubabare wenyine. Ibi bishobora kubaho kuri buri wese. Hari uburyo bwiza bwo kuvura ibi. Ikintu cyiza ni ukuganira na muganga wawe wizeye kuri ibi.
Ubutumwa bwo kujyana mu rugo
- Kwiheba si intege nke cyangwa ikimenyetso. Ni indwara nyayo kandi ishobora kuvurwa ijyanye n'impinduka mu bwonko.
- Nta mpamvu imwe rukumbi ihari. Ihungabana riterwa n'ibintu byinshi bitandukanye, birimo utunyangingo (genes), ibintu by'ibinyabuzima (biologique), ibintu bibaho mu buzima, n'ibidukikije .
- Imiti imwe n'imwe, indwara zimara igihe kirekire, n'ububabare budakira bishobora gutera kwiheba.
- Agahinda n'ihungabana ni ibintu bibiri bitandukanye. Ariko agahinda katavugwa gashobora guhinduka ihungabana.
- Niba wowe cyangwa undi muntu uzi afite ibimenyetso by'ihungabana, ndakwinginze ntubabare wenyine. Ni ngombwa kujya kwa muganga no kugisha inama . Iyo uvuwe neza, ushobora kongera kubaho neza.
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