Twese tuzi ukuntu bibabaza cyane kugira impatwe mu gihe cy'umunsi umwe cyangwa ibiri. Ariko tekereza uko byagenda iyo iyi ndwara ikomeje amezi menshi? Ni cyo twita "Impatwe idakira". Ibi birababaza cyane kandi bishobora kubangamira imirimo ya buri munsi. None rero uyu munsi, reka tuvuge ku cyakorwa kuri iyi mpatwe idakira.
Mbere yo gufata imiti, ese twagombye kubanza kugerageza ibi bintu?
Iyo ugiye kwa muganga, ntabwo azahita akwandikira imiti ahubwo azabanza kukubwira guhindura bimwe mu byo ukora buri munsi. Kuko akenshi izi mpinduka zoroshye zishobora gukemura iki kibazo.
- Kurya ibiryo byinshi bikungahaye kuri fibre : Mu magambo make, ongeramo imboga nyinshi, imbuto , ibinyamisogwe, n'ibinyampeke byuzuye mu ndyo yawe. Imboga z'imboga nka epinari, kale, n'imboga za collard, imbuto nka papayi, imineke, na mango, oats, n'ibishyimbo byose ni amahitamo meza. Ni ngombwa kandi kugabanya ibiryo bifite fibre nke, nk'amata n'inyama.
- Nywa amazi menshi: Amazi ni ingenzi kugira ngo igogora ryacu rikore neza. Kugira ngo amara yoroherwe, umubiri ugomba kugira amazi menshi. Gira akamenyero ko kunywa nibura litiro 2-3 z'amazi ku munsi.
- Imyitozo ngororamubiri: Iyo ukora imyitozo ngororamubiri, imitsi yo mu mara irakora, ibi bikaba bifasha umwanda wawe kwinjira mu mara yawe mu buryo bworoshye. Niba muganga wawe abikwemereye, gerageza gukora imyitozo yoroshye nko kugenda n'amaguru iminsi mike mu cyumweru.
- Ntugatinde kujya mu bwiherero: Hari abantu bamwe, baba bari ku kazi cyangwa hanze, batinya kujya mu bwiherero, bitewe no kurambirwa cyangwa izindi mpamvu. Iyi ni ingeso mbi cyane. Jya mu bwiherero ukimara kumva ukeneye. Nanone, ntukihutire, fata umwanya wawe ubyikore.
Akenshi, izi mpinduka zonyine zishobora kuba igisubizo cyiza ku kibazo cyawe. Ariko bitabaye ibyo, ushobora gukenera ubundi buvuzi. Ubwoko bw'ubuvuzi buzaterwa n'impamvu yaguteye ubugumba.
Imyitozo ngororamubiri y'imitsi y'ikibuno ni iki?
Hari igihe impatwe iterwa n'imitsi yo mu kibuno igufasha gusohora umwanda. Mu by'ukuri, iyi mitsi igomba kuruhuka iyo urimo kwituma. Ariko kuri bamwe, iyi mitsi irakomera. Ibi bishobora kongera kwigishwa hifashishijwe umuvuzi w'umubiri. Iyi myitozo yitwa "biofeedback." Aha, umuvuzi w'umubiri ashyira umuyoboro muto witwa catheter mu gace k'umura. Upima ubukana bw'imitsi yawe. Mu gihe ukora imyitozo ngororamubiri, imashini ikwereka niba imitsi yawe irakomeye cyangwa irekuye. Ibi bishobora kugufasha kwiga uburyo bwo kuruhuka imitsi yawe iyo urimo kwituma.
Ibisubizo bivuye mu miti
Niba guhindura imibereho yawe bitagufashije, muganga wawe ashobora kukwandikira imiti. Hari ubwoko butandukanye bw'imiti. Niba impatwe yawe iterwa na IBS cyangwa impatwe idakira, muganga wawe ashobora kukwandikira umuti nka lubiprostone (Amitiza). Ibi bikora mu gutuma amara yawe akora amazi menshi. Hanyuma:
- Ububabare bwo mu gifu buragabanuka.
- Abapfuye bahinduka boroshye.
- Gukoresha imbaraga mu gihe cyo kwituma mu mara biragabanuka
- Inshuro ujya mu bwiherero ziyongera.
Imiti nka `linaclotide (Linzess)` na `plecanatide (Trulance)` nayo irakoreshwa muri bene ibyo bihe. Byongeye kandi, bitewe n'impamvu, muganga ashobora kuguha indi miti. Urugero:
- `Misoprostol (Cytotec)`: Ibi bitera imbaraga amara. Uyu muti ntukwiriye abagore batwite.
- `Colchicine/probenecid (Col-Probenecid): Yongera inshuro zo kwihagarika amara. Ibi ntibyemewe ku bantu bafite indwara z'impyiko.
- `OnabotulinumtoxinA ( Botox )`: Ibi bigabanya ububabare bw'uruhu.
Ubwoko bw'imiti igabanya ubushyuhe
Ushobora kandi kugerageza imiti yoroshya ububabare (
imiti yoroshya ububabare ). Ariko iyi miti igomba gukoreshwa
igihe gito gusa kandi ikagirwa inama na muganga gusa. Ubwoko butandukanye bw'imiti yoroshya ububabare bukora mu buryo butandukanye. Reka turebe ibyo ari byo.
| Ubwoko bw'ibinure | Uko bikora n'ingero |
|---|
| Inyongeramusaruro za Fibre | Ibi byongera ku musemburo kandi byongera ubunini bwawo, bigatuma byoroha gutambuka. Urugero: Psyllium (Metamucil), Methylcellulose (Citrucel), Calcium polycarbophil (FiberCon). |
| Imashini zoroshya intebe | Bakura amazi mu mara bakayashyira mu mwenda kugira ngo woroshye. Ibi bizarinda ko umwanda ukomera nk'ibuye. Urugero: Docusate sodium (Colace), Docusate calcium (Surfak). |
| Amavuta yo kwisiga | Ibi bikora urwego rwo kurinda amashyira, bikarinda gutakaza amazi yayo no kuyafasha gusohoka byoroshye. Amavuta ya mineral ni kimwe mu bintu nk'ibyo. |
| Osmotike | Ibi bifasha mu kubika amazi mu mwanda. Ibi bituma umwanda woroha. Ariko, abantu bafite indwara z'umutima cyangwa impyiko bagomba kwitonda cyane mu gihe bakoresha ibi. Urugero: Magnesium hydroxide (Amata ya Magnesia), Lactulose (Kristalose), Polyethylene glycol (Miralax). |
| Ibitera imbaraga | Ibi bifasha mu gufunga amara no gusunika umwanda imbere. Abaganga bakunze kubikora iyo ubundi buryo bwo kuvura bwananiwe. Urugero: Bisacodyl (Dulcolax), Senna (Senokot). |
Wibuke ko ubwo bwoko bw'imiti yo gusohora amaraso mu nda idakwiye gukoreshwa igihe kirekire hatabayeho inama za muganga. Kubikora bishobora gutuma umubiri wawe utakaza ubushobozi bwo gusohora umwanda mu buryo busanzwe.
Ni ryari kubagwa biba ngombwa?
Niba ubundi buryo bwose bwo kuvura budafasha mu impatwe yawe, kubagwa bishobora kuba igisubizo cya nyuma. Ariko iki si ikintu buri wese yakora. Biterwa n'icyaguteye ikibazo. Urugero, niba ufite ikibazo mu mara yawe, gucika kw'impyiko, cyangwa gucika kw'inyuma y'ikibuno, kubagwa bishobora gukosora. Nanone, niba igice cy'amara yawe kidakora neza kandi kikaba ari cyo gitera impatwe yawe, kubagwa bishobora gukuraho icyo gice. Ibi akenshi bikorwa gake cyane. Bityo rero muganga wawe ni we uzabimenya neza.
Ubutumwa bwo kujyana mu rugo
- Kurwara impatwe bidakira si ikintu cyo kwirengagizwa. Ni ngombwa cyane kumenya impamvu nyayo.
- Mbere yo gutangira imiti, gerageza ibintu byoroshye nko kongeramo fibre mu mirire yawe, kunywa amazi menshi, no gukora imyitozo ngororamubiri.
- Niba ukoresha imiti yoroshya uburibwe, bikore gusa ubanje kugirwa inama na muganga kandi mu gihe gito. Gukomeza kuyikoresha bishobora guteza izindi ngorane.
- Niba nta na kimwe muri ibi kigukora, ntutinye cyangwa ngo ugire isoni zo kubibwira muganga wawe. Azaguha inama y'uburyo bwiza bwo kuvura.
Impatwe, impatwe idakira, kuvura impatwe mu buryo bwa Sinhala, imiti yo kuvura impatwe, impatwe,
impatwe ( impatwe ) mu buryo bwa Sinhala, impamvu zitera impatwe
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