Ese nawe urimo kunyeganyega mu buryo butunguranye? Ibi bishobora kuba ari ugutakaza ubushobozi bw'imitsi yo mu bwonko!

Ese hari igihe wumva urimo kubura ubushobozi bwo kugenzura umubiri wawe? Ese wumva urimo kunyeganyega iyo uhagaze cyangwa ugenda, cyangwa wumva amagambo yawe ahindagurika iyo uvuga? Ibi bintu si ibintu bitunguranye gusa. Wenda biterwa n'ikibazo kiri mu gice gito cy'ubwonko bwacu. Ibyo nibyo tugiye kuvugaho uyu munsi.

Kugabanuka k'ubwonko bw'umugongo ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Reka tubanze turebe icyo iyi cerebellum ari cyo. Hari agace gato k'ubwonko bwawe, gato gato, twita cerebellum . Ni gato, ariko gakora akazi kenshi k'ingenzi. Tekereza kuri byo, bigenzura kuringaniza kwawe, bigufasha guhagarara no kugenda udahungabanye, bigumisha imvugo yawe isobanutse neza, kandi bigatuma ingingo zawe zikora neza.

Noneho, kwangirika kw'imitsi ni iki? Muri make, kwangirika kw'imitsi ni ukwangirika cyangwa gupfa buhoro buhoro kw'uturemangingo tw'imitsi mu bwonko. Bityo rero, kwangirika kw'imitsi mu bwonko ni indwara aho uturemangingo tw'imitsi mu bwonko twangirika kandi ntidukore neza.

Kuki ibi bibaho? Ni izihe mpamvu zibitera?

Hari impamvu nyinshi zishobora gutera iki kibazo. Reka turebe izikuru.

1. Kunywa inzoga nyinshi no kubura intungamubiri

Iyi ni yo mpamvu nyamukuru ikunze kugaragara. Iyo tunyoye inzoga nyinshi, umubiri wacu ntubona vitamine B1 yitwa thiamine ihagije. Ibi bishobora guterwa no kuba tutayibonye ihagije mu byo kurya, cyangwa se bikaba biterwa n'uko umubiri udashobora kuyifata. Thiamine ni ingenzi cyane ku mikorere y'uturemangingo tw'ubwonko. Iyo igabanutse, uturemangingo tw'ubwonko dutangira kwangirika.

2. Indwara zo kwangirika kw'imitsi

Hari indwara zimwe na zimwe zitera uturemangingo tw’imitsi mu ruti rw’umugongo rwacu no mu bice bitandukanye by’ubwonko, cyane cyane ubwonko bwo mu mutwe, kugenda dupfa buhoro buhoro.

• Ataxia ni indwara ikomeye nk'iyi. Irangwa no kubura ubushobozi bwo kugenzura umubiri no guhuza ibikorwa byawo.
• Kugabanuka kw'imitsi myinshi ni indi ndwara nk'iyo.
• Indwara idakunze kugaragara yitwa Creutzfeldt-Jakob Disease nayo ishobora kuba impamvu.
• Indwara ya sclerosis nyinshi (MS) rimwe na rimwe igira ingaruka kuri ibi.

Zimwe muri izi ndwara z’imitsi zishobora kuragwa , bivuze ko zanduzwa ababyeyi n’abana binyuze mu ngirabuzimafatizo. Zimwe zishobora no kurwara mu gihe cy’ubuzima.

3. Indwara zibaho bitewe na kanseri (Paraneoplastic Syndromes)

Iyi ni inkuru igoye cyane. Iyo abantu bamwe bakuze bafite uturemangingo twa kanseri, ubudahangarwa bwabo bw'umubiri bugerageza kurwanya kanseri. Ariko, rimwe na rimwe ubu budahangarwa bw'umubiri butangira kwibasira uturemangingo tuzima mu bwonko. Iyo cerebellum yangiritse, tuyita Paraneoplastic Syndromes . Iyi ndwara ikunze kugaragara cyane ku bantu barwaye kanseri nka kanseri y'ibere, kanseri y'intanga ngore, kanseri y'umura, kanseri ya Hodgkin's Lymphoma y'abantu bakuru, na kanseri y'ibihaha by'uturemangingo duto.

Ni nde wibasirwa cyane n'iki kibazo?

Nubwo bidashoboka kuvuga neza uzayitera, hari abantu bafite ibyago byinshi.

• Urugero, indwara ya paraneoplastic yavuzwe haruguru ikunze kugaragara cyane mu bagore barengeje imyaka 50.
• Ariko muri rusange, abagabo bakunze kugira ibibazo byo kuringaniza no guhuza imikorere uko bagenda bakura.
• Kugabanuka k'ubwonko guterwa n'inzoga cyangwa kubura imirire bikunze kugaragara mu myaka yo hagati, cyane cyane ku bantu bamaze igihe kinini banywa inzoga.
• Iyi ndwara ishobora no kugaragara ku bana bafite indwara zimwe na zimwe z’uruhererekane.

"Ubu bwoko bw'indwara yo kubura ubwonko ntabwo bukunze kugaragara cyane. Abantu bari munsi ya 1% barwaye kanseri barwara indwara zo mu bwonko ziterwa n'inzoga. Ariko, indwara yo kubura ubwonko iterwa n'inzoga ikunze kugaragara cyane."

Ni ibihe bimenyetso tugomba kwitondera?

Ibimenyetso by'iyi ndwara bishobora gutandukana gato bitewe n'umuntu ku wundi, ariko hari ibimenyetso bimwe na bimwe bisanzwe:

• Kubura uburinganire (Ibibazo byo kuringaniza) , kumva uzungurutse cyangwa uzunguruka (Vertigo cyangwa urujijo). Bishobora kandi kumvikana nk'aho uri kwigaragura hasi.
• Kumva nta mbaraga z'imitsi (Hypotonia) . Amaguru ashobora kumva adafite ubuzima cyangwa acumbagira.
• Ibibazo by'amaso: Kubona ibintu bibiri icyarimwe (kubona kabiri), kugenda kw'amaso vuba kandi kutagira aho bibogamiye (nystagmus).
• Kudashobora guhuza neza ingendo z'amaguru n'amaboko (Ataxia) . Urugero, iyo ufashe igikombe, ukuboko kwawe kuranyeganyega, cyangwa ntushobore kugera ku gikombe neza.
• Ibibazo byo kugira ubushobozi bwo gufata imiyoboro y'umubiri . Ibintu nko kugorwa no gufata umutwe wawe ugororotse, kudashobora gukoresha amaboko cyangwa amaguru yawe neza.
• Guhinda umushyitsi cyangwa kunyeganyega kw'ingingo iyo ugerageza gukora igikorwa runaka .
• Kugenda udahamye cyangwa udahuje imiterere, ugenda uzunguruka uva ku ruhande rumwe ujya ku rundi, kandi ugenda urambuye amaguru yombi .

Uretse ibi bimenyetso, abantu bafite ikibazo cya paraneoplastic bashobora kugira ibindi bimenyetso byinshi, cyane cyane:

• Kugabanuka k'ubushobozi bwo kwibuka, ubushobozi bwo gutekereza, n'ubushobozi bwo gutekereza (Dementia).
• Imvugo igenda buhoro kandi idasobanutse neza (Dysarthria) .

Nanone, bamwe mu bantu bafite ubumuga bwo mu bwonko bashobora guhura n'izindi ndwara nka:

• Indwara yo kudahangarwa neza/Guhangayika cyane (ADHD)
• Indwara ya Autism Spectrum
Schizophrenia-amarangamutima `(Schizophrenia)`

Abaganga babibona bate?

Niba ufite ibi bimenyetso, nujya kwa muganga, babanza kukubaza ibibazo byinshi ku bimenyetso byawe. Ni ibihe bimenyetso ufite, ni ibihe biremereye, bigira ingaruka ku mirimo yawe ya buri munsi, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira iyi ndwara.

Hanyuma, muganga azagutanga inama yo gupima byinshi kugira ngo yemeze ko indwara imeze:

• Isuzuma rya MRI (Magnetic Resonance Imaging) cyangwa isuzuma rya CT (Computed Tomography): Ibi bifotora neza ubwonko n'ingingo zabwo. Iyo ubwonko bumaze guhagarara, ibi bipimo bishobora kwerekana uburyo ubwonko bwagabanutse kandi bugacika. Bishobora kandi kubona ibindi bibazo, nk'ikibyimba cyo mu bwonko, cyangwa ibimenyetso by'indwara yo mu bwonko.
• Gupfuka umugongo / Gupfuka mu gituza: Amazi akikije ubwonko bwacu n'umugongo yitwa Cerebrospinal Fluid (CSF) . Ingero nto y'aya mazi irafatwa ikanapimwa. Hari igihe, ibikubiye muri aya mazi bishobora gukoreshwa mu gusuzuma indwara y'ubwiyongere bw'umubiri, nka paraneoplastic syndrome.
• Gupima amaraso: Hari igihe urwego rw'uturemangingo tw'umubiri mu maraso rugenzurwa. Izi antibodies zishobora kwiyongera ku bantu bafite kanseri n'indwara za paraneoplastic.
• Gupima imiterere y'uturemangingo: Niba umuganga abona ko iyi ari indwara ikomoka ku murage, ashobora no gukora isuzuma ry'imiterere y'uturemangingo.

Ese hari umuti wuzuye w'ibi? Ni ubuhe buryo bwo kuvura?

Mu by'ukuri, nta muti uhari kuri ubu uvura indwara y'ubwonko. Ariko, uburyo bwo kuyivura buterwa n'impamvu. Hariho kandi imiti ifasha mu kugenzura bimwe mu bimenyetso (nk'imitingito, kugorwa no kugenda, no kuzerera).

• Uburyo bwo kuvura indwara za paraneoplastic:
• Kuvura kanseri: Chimiotherapie , Imirasire .
• Imiti igabanya ubudahangarwa bw'umubiri .
• Ubudahangarwa bw'umubiri .
• Kubaga kugira ngo ikibyimba cya kanseri gikureho, hamwe na chemotherapy na radiation therapy, bishobora guhuzwa.

• Uburyo bwo kuvura indwara ziterwa n'inzoga:
• Reka kunywa inzoga burundu. Iki ni cyo kintu cy'ingenzi kurusha ibindi.
• Guhindura imirire: Ugomba kongeramo ibindi biribwa birimo thiamine n'izindi vitamine B (urugero: ibinyampeke byuzuye, inyama zitarimo ibinure, amafi) mu mirire yawe.
• Gufata inyunganiramirire ya thiamine .

Uko impamvu yateye ubumuga bwo mu bwonko yaba iri kose, uburyo bwo kuvura indwara nko gukoresha physiotherapy, ubuvuzi bw'akazi, cyangwa ubuvuzi bwo kuvuga bushobora kuba ngombwa. Ibi bishobora gufasha:

• Tegura ubuhanga bwo gukora imitsi kugira ngo ubashe gukora imirimo ya buri munsi ku giti cyawe.
• Komeza imitsi no kunoza imikorere y'umubiri .
• Kunoza ingorane zo kumira, ingorane zo kuvuga, n'ubumenyi bw'ururimi .

Ese ibi bishobora kwirindwa?

Kwirinda indwara yo kwibagirwa iterwa n'inzoga bishobora kwirindwa ahanini no kwirinda kunywa inzoga . Ariko, nta buryo bwizewe bwo kwirinda ubundi bwoko bw'indwara yo kwibagirwa buhari.

Ni iki kizakurikiraho? Ni gute ibintu bizagenda?

Iterambere ry'iyi ndwara riterwa n'impamvu nyamukuru.

• Kuvura kanseri, kureka inzoga, cyangwa guhindura indyo yawe rimwe na rimwe bishobora kugabanya cyangwa guhagarika uku kugabanuka kw'umubiri.
• Ariko, mu zindi ndwara zo kwangirika kw'imitsi, indwara ishobora kwiyongera uko igihe kigenda gihita ku rugero rutandukanye.

Uko indwara ikomeza kwiyongera, abantu bashobora gutakaza ubushobozi bwo guhuza imikorere no kugira ubumuga bukomeye. Bashobora gukenera gukoresha intebe y'abamugaye cyangwa ikindi gikoresho cyo gufasha mu kugenda. Ibi bishobora kandi gufasha kwirinda kugwa. Niba badashobora gukora imirimo ya buri munsi bonyine, bashobora gutakaza ubushobozi bwo kubaho mu buryo bwihariye . Bamwe bashobora no kubura ubumuga bwo kuryama mu buriri.

Iyo abana barwaye iyi ndwara, bashobora kugira ibibazo byo kudakura neza .

Ni ryari ugomba kujya kwa muganga?

Niba ubonye impinduka cyangwa ingorane mu kuringaniza imikorere yawe, mu mivugire yawe, mu kureba, cyangwa mu bikorwa byawe bya buri munsi, hita ubonana na muganga . Hari abantu batekereza ko izi ari impinduka zisanzwe uko bagenda bakura. Ariko, zishobora no kuba ibimenyetso by'ikibazo gikomeye kurushaho. Niba rero ufite impungenge, ni byiza kujya kwisuzumisha.

Ni ibihe bibazo ugomba kubaza muganga?

Niba wowe cyangwa umuntu wo mu muryango wawe afite ubumuga bwo mu bwonko, ni byiza kubaza muganga wawe ibi bibazo:

• Ni izihe mpinduka mu mibereho yanjye kugira ngo mbeho neza n'iyi ndwara?
• Ni hehe nabona ubufasha? (urugero: amatsinda y'ubufasha)
• Ese nkwiye gutangira ubuvuzi bw'umubiri, ubuvuzi bw'akazi, cyangwa ubuvuzi bwo kuvuga?
• Ni iyihe mpamvu nyamukuru y'iyi ndwara?
• Ese iyi ndwara izakwirakwira? Niba ari uko bimeze, ni vuba gute?

Ikintu cy'ingenzi tugomba kwibuka!

Kugabanuka k'ubwonko bw'imitsi ni indwara igira ingaruka ku gice cy'ubwonko bwacu kigenzura kuringaniza imitsi, imitsi n'imivugire. Ibi bishobora gutera ingorane zo kugenda, kuvuga no gukora imirimo ya buri munsi. Hari impamvu nyinshi zibitera. Imiti no kuvura indwara bishobora gufasha mu gucunga ingaruka z'iyi ndwara. Kubwibyo, ni ngombwa gushaka inama kwa muganga niba ufite ibimenyetso.

Kugabanuka k'ubwonko , kwangirika k'ubwonko, indwara z'ubwonko, gutakaza uburinganire, ingorane zo kugenda, indwara z'imitsi, inzoga