Urahanganye n'indwara yo kuribwa mu nda vuba aha? Reka tubiganireho! | Nirogi Lanka

Ese uherutse kumara igihe kinini mu bwiherero? Ese inda yawe yumva yabyimbye, cyangwa ufite icyo kigutera kumva utarigeze usohora amara yawe yose ndetse na nyuma yo kugenda? Ntabwo uri wenyine rwose—iki ni ikibazo gikunze kugaragara kandi giteye ishozi, ariko nta mpamvu yo kumva ufite isoni cyangwa ngo ugire impungenge. Muri Nirogi Lanka, turashaka kugufasha gusobanukirwa impatwe mu buryo burambuye kugira ngo ubashe kugenzura ubuzima bw'igogora ryawe.

Impatwe ni iki?

Mu buvuzi, impatwe muri rusange isobanurwa nko kugira amara make inshuro zitarenze eshatu mu cyumweru. Ariko, ibuka ko "ibisanzwe" bitandukanye cyane bitewe n'umuntu ku giti cye. Hari abantu bajyayo inshuro nyinshi ku munsi, abandi bashobora kujyayo rimwe cyangwa kabiri mu cyumweru. Uko umuvuduko wawe bwite waba uri kose, ni ibisanzwe kuri wowe . Ikibazo kivuka iyo utandukanye cyane n'uburyo usanzwe ukora.

Uko gahunda yawe imeze kose, hari ikintu kimwe kizwi: uko umara igihe kirekire utegereje, niko birushaho kugorana guca mu myanya y'imboro. Ushobora kuba ufite ikibazo cyo kutagira impatwe niba ubonye ibi bikurikira:

• Imyanya yawe y'inyuma iba ikomeye, yumye, cyangwa ifite ibibyimba.
• Ugira ububabare cyangwa ukagira imitsi myinshi mu gihe cyo kwimura amara.
• Ugira isereri yo kuva mu nda mu buryo butunguranye, bivuze ko amara yawe yumva adasa neza.

Impatwe irakunze kugaragara cyane; abantu babarirwa muri za miriyoni ku isi barayirwaye. Ni indwara ishobora gukemuka, kandi gufata ingamba zikwiye ni ingenzi kugira ngo umererwe neza.

Gutinda mu nda bivuka bite?

Muri make, impatwe iba iyo amara yawe (amara manini) yinjije amazi menshi mu mwanda wawe. Ibi bituma umwanda wumuka, ukomera, kandi ukagorana cyane kuwusohokamo.

Kugira ngo ubicemo ibice byinshi: uko ibiryo bigenda binyura mu buryo bw'igogora, amara yawe akura intungamubiri. Imyanda isigaye ijya mu mara manini, akura amazi, agahindura imyanda ihinduka umwanda ukomeye. Iyo urwaye impatwe, imyanda igenda buhoro cyane mu nzira y'igogora. Ibi biha amara umwanya uhagije wo kwinjiza amazi menshi, bigatuma umwanda ubura amazi kandi bikagorana kuwusohora.

Ni iki gitera impatwe?

Kurya impatwe bishobora guterwa n'ibintu bitandukanye, harimo amahitamo y'ubuzima, imiti imwe n'imwe, ndetse n'indwara zisanzwe.

Ibintu bifitanye isano n'imibereho

Ingeso zawe za buri munsi zigira uruhare runini mu buzima bwawe bw'igogora. Reba niba hari kimwe muri ibi kikureba:

• Kurya fibre nke: Indyo idafite fibre ituma bigorana ko imyanda ikora neza kandi ikagenda neza.
• Kubura amazi mu mubiri: Udafite amazi ahagije, umubiri wawe ugorwa no gutuma amase yoroha.
• Kutagira imyitozo ngororamubiri: Kuba umuntu wicaye bishobora kugabanya imikorere y'amara yawe.
• Impinduka mu mikorere: Ingendo, impinduka mu mikorere yo gusinzira, cyangwa impinduka mu gihe cyo kurya bishobora guhungabanya uturemangingo tw’umubiri wawe.
• Kurya amata menshi cyane: Kuri bamwe, kurya foromaje nyinshi cyangwa amata bishobora gutera impatwe .
• Stress : Ntukigere usuzugura ingaruka ubuzima bwawe bwo mu mutwe bugira ku mara yawe.
• Kwirengagiza icyifuzo: Gutinda gukoresha ubwiherero ni ikosa rikunze kubaho. Tega amatwi umubiri wawe kandi ujyeyo iyo icyifuzo kivutse.

Imiti

Imiti myinshi isanzwe ishobora gutera impatwe:

• Imiti igabanya ububabare cyane, nk'irimo codeine, Oxycodone (urugero, Oxycontin®), naHydromorphone (urugero, Dilaudid®).
• Imiti igabanya ubushyuhe itari iya steroide (NSAIDs) nka Ibuprofen (urugero: Advil®, Motrin®) na Naproxen (urugero: Aleve®).
• Imiti igabanya ububabare , nka Fluoxetine (urugero: Prozac®) cyangwa Amitriptyline (urugero: Elavil®).
• Aside zimwe na zimwe zikoreshwa mu kuvura indwara ya gastritis, cyane cyane izirimo kalisiyumu cyangwa aluminiyumu (urugero, Tums®).
• Inyongeramusaruro z'icyuma.
• Antihistamines , nka Diphenhydramine (urugero: Benadryl®).
• Imiti imwe n'imwe y'umuvuduko w'amaraso , harimo imiti igabanya ubushyuhe bwa kalisiyumu na beta-blockers.
• Imiti imwe n'imwe igabanya ubukana bw'indwara zo mu mutwe , nka Clozapine (urugero: Clozaril®) na Olanzapine (urugero: Zyprexa®).
• Imiti igabanya ubukana bw'indwara , nka Phenytoin na Gabapentin.
• Imiti igabanya isesemi , nka Ondansetron (urugero, Zofran®).

Niba ufite impungenge ko imiti yawe ishobora kuba itera ibi bibazo, nyamuneka banza ubaze muganga wawe cyangwa umufarumasiye mbere yo kugira icyo uhindura.

Izindi ndwara

Hari igihe impatwe iba ikimenyetso cy'ikibazo cy'uburwayi:

• Indwara z'imisemburo: Hypothyroidism, diyabete, uremia, cyangwa hypercalcemia.
• Kanseri y'inkondo y'umura.
• Indwara y'amara iterwa n'uburakari (IBS).
• Diverticulitis.
• Kudakora neza kw'imyanya y'imbere mu gituza (Kudakora neza kw'impatwe).
• Indwara yo kwituma mu buryo butunguranye.
• Kwibasira amara mu buryo bw'impimbano.
• Indwara zo mu bwonko: Ibikomere byo mu mugongo, Multiple Sclerosis, indwara ya Parkinson, cyangwa indwara yo gucika imitsi.
• Indwara y'umura urembye.
• Kuziba amara.
• Ibitagenda neza mu miterere y'umubiri (urugero: fistula, atresia y'imitsi).
• Indwara nyinshi z'ingingo , nka amyloidosis, lupus, cyangwa scleroderma.
• Gutwita.

Ni ibihe bimenyetso by'indwara yo kuribwa mu nda?

Ibimenyetso bisanzwe birimo:

• Gukoresha amara make inshuro eshatu mu cyumweru.
• Imyenge yumye, ikomeye, cyangwa ifite ibibyimba.
• Kubabara cyangwa kubabara mu gihe cyo kwituma mu mara.
• Kubabara mu nda cyangwa kubabara mu nda.
• Kumva ufite ibibyimba cyangwa isesemi nkeya.
• Kumva nta gikozwe neza nyuma yo kuva mu nda.

Ni nde uri mu kaga gakomeye? (Ibintu bishobora gutera ibyago)

Guhagarika umutima rimwe na rimwe bishobora kuba ku muntu wese uri mu kigero icyo ari cyo cyose cy'imyaka. Ariko, hari abantu bakunda guhura n'ibibazo bihoraho kandi by'igihe kirekire, bizwi nka guhagarara umutima igihe kirekire . Hari ibintu byinshi by'ingenzi bigira uruhare muri ibi:

• Imyaka: Abantu barengeje imyaka 65 bakunze kugira ubuzima budakora cyane ugereranije n'abakiri bato, kandi imikorere yabo igenda igabanuka. Byongeye kandi, imitsi yo mu nzira y'igogora ishobora gucika intege uko igihe kigenda gihita.
• Kuba Umugore, cyane cyane mu gihe cyo gutwita no nyuma yo kubyara: Ihindagurika ry'imisemburo rishobora gutera impatwe. Mu gihe cyo gutwita, igitutu cy'umwana uri mu nda gitera amara gishobora no kugabanya umuvuduko w'amara.
• Kurya ibiryo bike: Indyo idafite ibiryo bihagije.
• Imiti ikoreshwa: Hari imiti imwe n'imwe itangwa na muganga n'indi igurishwa mu kigo.
• Ingorane z'ubuzima: Indwara zihariye z'imitsi (zigira ingaruka ku bwonko cyangwa uruti rw'umugongo) n'indwara z'igogora.

Ese impatwe ishobora gutera izindi ngorane z'ubuzima?

Yego, niba udashobora guca mu gituza neza kandi buri gihe, hashobora kubaho ingorane nyinshi:

• Kubyimba no kubyimba kw'imitsi yo mu mara (Hemorrhoids).
• Amarira mu gice cy'inyuma cy'inkari aterwa no kwituma mu myanya ikomeye (Anal fissures).
• Kwandura mu duce duto, tumeze nk'udufuka mu rukuta rw'amara, aho umwanda ushobora gufatwa (Diverticulitis).
• Igiti kinini cy'umwanda ukomeye cyafashe mu nda y'igifu (Fecal impaction).
• Kwangirika kw'imitsi yo hasi mu kibuno bitewe no kubyimba cyane kenshi. Iyi mitsi ifasha kugenzura imikorere y'uruhago; kubyimba gukabije bishobora gutuma inkari zidakora neza.

Icyitonderwa: Ubusanzwe, kuribwa mu nda ntibituma umubiri wawe uba "uburozi" buturutse ku myanda yakusanyirijwe hamwe. Amara yawe yagenewe gufata no kwaguka kugira ngo yinjiremo imyanda. Keretse niba ufite indwara ikomeye nka Toxic Megacolon , urukuta rw'amara yawe ntirusohora uburozi mu mubiri wawe.

Bigenda bite iyo uganiriye na muganga wawe kuri ibi?

Kuganira na muganga ku ngeso zawe zo mu mara (cyangwa kutagira!) bishobora kugorana, ariko ibuka ko umuganga wawe wa Nirogi Lanka ari hano kugira ngo agufashe. Ni inzobere zahuguwe zumvishe kandi zafashije abarwayi ku ngingo zose z'ubuzima ushobora kwiyumvisha.

Muganga wawe azatangira asuzuma amateka y'ubuzima bwawe, ingeso zo mu mara, imibereho yawe, n'ibikorwa byawe bya buri munsi.

Ibibazo bijyanye n'amateka yawe y'ubuvuzi:

• Ni izihe ndwara zawe z'ubu n'iza kera?
• Ese hari ikintu na kimwe wahuye na cyo mu gihe gishize cyo kugabanya ibiro cyangwa kwiyongera ibiro mu buryo butari bwo?
• Ese wigeze ubagwa urugimbu mbere?
• Ni iyihe miti, inyongeramusaruro, cyangwa imiti yoroshya ubu ngubu urimo gufata?
• Ese mu muryango wanyu hari amateka yo kurwara impatwe, indwara zo mu gifu, cyangwa kanseri y'amara?
• Ese wigeze ukorerwa isuzuma rya colonoscopy ?

Ibibazo bijyanye n'ingeso zawe zo mu nda:

• Ni kangahe ujya mu nda?
• Ese intebe yawe imeze ite kandi isa ite?
• Ese hari imirongo y'amaraso cyangwa itukura wabonye?
• Ese wabonye amaraso mu gikapu cy'ubwiherero cyangwa ku rupapuro rw'ubwiherero nyuma yo guhanagura?

Ibibazo bijyanye n'imibereho yawe n'imyitwarire yawe:

• Ku munsi usanzwe wo kurya, umeze ute?
• Urya imbuto n'imboga zingana iki buri munsi?
• Unywa amazi angahe?
• Ni iyihe myitozo ngororamubiri ukunda?

Byongeye kandi, muganga wawe azagusuzuma. Ibi birimo kugenzura ubushyuhe bwawe, umuvuduko w'amaraso n'umuvuduko w'amaraso. Bashobora kumva inda yawe bakoresheje stethoscope no gukanda (gukanda) inda yawe kugira ngo barebe ko hari ubworohe, kubyimba, cyangwa ibibyimba.

Ibuka ko muganga wawe ashobora kuba akeneye gupimwa mu maraso . Ubu buryo ni bwo bwihuse aho bakoresha agakoresho k'urutoki kugira ngo barebe niba hari ibibyimba cyangwa indwara z'umubiri mu gice cy'ikibuno.

Ni ibihe bipimo bikoreshwa kugira ngo hamenyekane icyateye impatwe?

Muganga wawe ashobora kudasaba ibizamini na gato, cyangwa ashobora gutegeka uburyo bwihariye bushingiye ku bimenyetso byawe, amateka yawe, ndetse n'ubuzima bwawe muri rusange. Akenshi, nta gupimwa by'inyongera bikenewe, ariko niba ibimenyetso byawe bikenewe, ibi bikurikira bishobora gukorwa:

• Ibizamini byo muri laboratwari: Ibizamini by'amaraso n'inkari bishobora gufasha mu kumenya indwara nka hypothyroidism , kubura amaraso , cyangwa diyabete . Icyitegererezo cy'umwanda gishobora gupimwa kugira ngo harebwe ibimenyetso by'ubwandu, ububyimbirwe, cyangwa kanseri.
• Ibizamini byo gufata amashusho: Muganga wawe ashobora gusaba ko wakorerwa isuzuma rya CT , MRI , cyangwa serivise yo mu gifu kugira ngo hamenyekane izindi ngorane z’imiterere y’umubiri. Ibi ntibikunze gutangwa buri gihe.
• Colonoscopy: Muganga wawe ashobora gukora colonoscopy cyangwa sigmoidoscopy akoresheje umuyoboro muto kandi woroshye ufite kamera kugira ngo arebe imbere mu mara. Muri iki gihe, bashobora gufata biopsy (ingero y'uturemangingo) cyangwa gukuramo polyps.nibiba ngombwa.
• Inyigo ku bijyanye no gukwirakwiza amaraso mu mara: Ibi bikubiyemo gufata ibinini cyangwa ibiryo birimo agace gato kandi gafite umutekano wa radiation tracer, bigatuma muganga abona uburyo ibintu byinjira vuba kandi neza mu nzira y’igogora ryawe.
• Ibindi bizamini by'imikorere y'amara: Muganga wawe ashobora gutumiza ibizamini kugira ngo arebe uburyo rectum na anus bifata neza kandi birekure umwanda. Ibi birimo defecography (X-ray yihariye ikoreshwa mu gusuzuma ikibazo cyo gufungana kw'inyuma) n'ibizamini birimo agapira gato kinjiye mu rectum ( ikizamini cyo gusohora agapira n'ingero z'amaraso ).

Ni gute wabona ubutabazi bwo kugabanya impatwe?

Indwara nyinshi zo mu bwonko zoroshye kugeza ku ziciriritse zishobora gukemurwa neza mu rugo. Kwita ku buzima bwawe bitangirira ku kwita ku mirire yawe no kugira ibyo uhindura bikenewe.

Intambwe ushobora gutera mu rugo kugira ngo ugire ubutabazi bwihuse:

• Nywa ibirahuri bibiri cyangwa bine by'amazi buri munsi. Irinde ibinyobwa birimo kafeyine na alcool, kuko bishobora gutuma umuntu abura amazi. Mu buryo nk'ubwo, gabanya imitobe y'imbuto n'ibinyobwa birimo isukari nyinshi.
• Irinde inyama zatunganyijwe, ibiryo birimo ibinure byinshi, na karubohidrati nziza nk'umugati wera, makaroni n'ibirayi. Inyama zitarimo ibinure nk'inkoko n'amata afite ibinure bike ni amahitamo meza.
• Shyiramo imbuto, imboga, imboga, ibinyampeke byuzuye, n'ibindi biribwa bikungahaye kuri fibre mu mafunguro yawe ya buri munsi. Gabanya kurya ibiryo birimo ibinure byinshi nk'inyama zitukura, amagi na foromaje.
• Kurya imbuto zikungahaye kuri fibre n'ibiribwa nk'ibirayi by'amapera, ibinyampeke by'amapera, amacunga, inanasi, sitrobere, imyembe, avoka, na papayi.
• Andika mu ikaye y'ibiribwa kugira ngo umenye ibiryo byihariye bitera impatwe.
• Gukora imyitozo ngororamubiri buri gihe. Ibikorwa byoroshye nko kugenda n'amaguru akenshi birahagije kugira ngo bifashe.
• Witondere uko uhagaze uri mu bwiherero. Kuzamura ibirenge byawe gato, kunama inyuma, cyangwa kwikubita hasi bishobora koroshya imisemburo.
• Tekereza gukoresha inyongeramusaruro za fibre zigurishwa mu buryo butari ubwa muganga (nka Metamucil®, MiraLAX®, Citrucel®, cyangwa Benefiber®). Ni byiza gutangirira ku dozi nto hanyuma ukaziyongera buhoro buhoro.
• Niba bibaye ngombwa, koresha umuti woroshya intebe cyangwa umuti woroshya umwijima ugurishwa ku iduka (urugero, Docusate). Amavuta ya mineral oil enema n'imiti yoroshya umwijima ni andi mahitamo. Hari ubwoko bwinshi bw'imiti yoroshya umwijima ihari; gana farumasi cyangwa muganga wawe kugira ngo aguhitiremo ikwiranye nawe. Ntugakoreshe imiti yoroshya umwijima mu gihe kirenze ibyumweru bibiri utabanje kugisha inama muganga wawe. Gukoresha imiti myinshi bishobora gutuma ibimenyetso byawe birushaho kwiyongera.
• Irinde gukoresha telefoni yawe cyangwa gusoma ibinyamakuru mu gihe ugerageza kujya mu bwiherero.
• Ntugahagarike ubushake bwo gukora imibonano mpuzabitsina. Kwirengagiza ubushake buri gihe bishobora gutuma ikimenyetso kiva mu mara yawe kikagera mu bwonko kigabanuka, bigatuma bigorana kumenya igihe cyo kugenda.

Witondere imiti n'inyongeramusaruro

Uretse uburyo bwo kwiyitaho, muganga wawe azasuzuma imiti n'inyongeramusaruro ufata, kuko imwe muri zo ishobora gutera impatwe. Niba ari uko bimeze, muganga wawe ashobora guhindura ingano y'umuti wawe, agahindura imiti yawe, cyangwa akakugira inama yo guhagarika iyi nyongeramusaruro. Ntuzigere uhagarika cyangwa ngo uhindure imiti yawe cyangwa inyongeramusaruro utaraganiriye na muganga wawe.

Imiti yo kuvura impatwe na muganga

Hari imiti myinshi abaganga bashobora gutanga inama yo kuvura impatwe:

• Lubiprostone (Amitiza®)
• Prucalopride (Prudac®, Motegrity®)
• Plecanatide (Trulance®)
• Lactulose (Cephulac®, Kristalose®)
• Linaclotide (Linzess®)

Bitewe n'ibisubizo by'ibizamini byawe, muganga wawe azakwandikira umuti ukubereye ibyo ukeneye byihariye.

Kubaga

Kubagwa impatwe ntibikunze kuba ngombwa. Ariko, niba impatwe yawe iterwa n'ikibazo cy'imiterere y'amara yawe, muganga wawe ashobora kukugira inama yo kubikora. Ingero zirimo:

• Kuziba amara.
• Kuziba amara (gufungana kw'amara).
• Uduce tw'ikibuno.
• Gutemba kw'imitsi mu buryo bw'inyuma.

Hari indwara zimwe na zimwe zitera ikibazo cyo kubura aho uborera mu nda zishobora gukosorwa no kubagwa. Ubu buryo bukunze kuganirwaho nyuma yo gupimwa. Byongeye kandi, niba isuzuma rya colonoscopy rigaragaza kanseri mu mara yawe cyangwa mu nda, bishobora kuba ngombwa ko ubagwa.

Ni gute wakwirinda impatwe?

Uburyo bwo kwiyitaho bukoreshwa mu kuvura impatwe ni bumwe bukoreshwa mu kwirinda ko iba ikibazo kidakira:

• Guma urya indyo yuzuye kandi ikungahaye kuri fibre. Imbuto, imboga, imboga, imbuto z'ubunyobwa, umugati w'ibinyampeke, n'ibinyampeke ni isoko nziza ya fibre. Fibre n'amazi bifasha mu kwimura umwanda mu mara yawe. Imbuto nyinshi zirimo fibre mu ruhu rwazo; kurya imbuto zifite imbuto (nk'inkeri) nabyo byongera fibre. Fibre ni ubundi buryo bukungahaye kuri fibre - gerageza ibinyampeke bya fibre cyangwa ubyongere mu isupu na yawurute. Abantu bafite ikibazo cyo kutagira impatwe bagomba kwihatira kurya garama 18 kugeza kuri 30 za fibre buri munsi. (Niba urwaye Diverticulitis, muganga wawe ashobora kukugira inama yo kwirinda imbuto zimwe na zimwe).
• Shaka ibirahuri umunani bya garama 2.8 z'amazi ku munsi. (Icyitonderwa: Kuri bamwe, amata ashobora gutera impatwe.) Kafeyine iboneka mu ikawa, icyayi na soda ishobora gutuma ubura amazi. Ushobora kubigabanya kugeza igihe amara yawe asanzwe.
• Siporo buri gihe. Ntabwo ukeneye imyitozo ngororamubiri ikomeye; no kugenda n'amaguru buri gihe bifasha cyane.
• Tekereza ku nyongeramusaruro za manyeziyumu. (Si buri wese ugomba gufata manyeziyumu; nyamuneka banza uganire na muganga wawe).
• Ihutire guhita ugenda. Ntugatinde.

Ni ryari ukwiye kujya kwa muganga?

Nyamuneka gisha inama muganga mu bihe bikurikira:

• Niba impatwe ari ikibazo gishya kuri wewe.
• Niba ubonye amaraso mu mwenda wawe.
• Niba ufite ikibazo cyo kugabanya ibiro mu buryo budasanzwe.
• Niba ufite ububabare bukomeye mu gihe ugerageza kwituma mu gituba.
• Niba impatwe yawe ikomeje mu gihe kirenga ibyumweru bitatu.
• Niba ufite ibimenyetso by'uko ufite ikibazo cyo kubura aho usohoka mu nzu.

Ibibazo byo kubaza muganga wawe

Iyo ugiye kwa muganga wawe, ushobora kubaza ibi bikurikira:

• Kuki mfite ikibazo cyo kutagira impatwe?
• Ni iki nakora cyangwa nafata kugira ngo ngire ubutabazi bwihuse?
• Ni iyihe miti yo mu rugo utanga inama?
• Ni iki ngomba kurya cyangwa kunywa kugira ngo menye uko ibintu bimeze?
• Ni gute nakwirinda impatwe mu gihe kizaza?

Wibuke ko ugomba kuvugisha ukuri kandi ukabwira muganga wawe ku bijyanye n'ingeso zawe zo mu bwiherero ndetse n'ibibazo ushobora kuba ufite. Kwiyuhagira amara ni ikintu gisanzwe, ni ngombwa mu buzima. Kwiyuhagira inda bishobora kuba iby'igihe gito, ibihe bidakira, cyangwa bikaba ikimenyetso cy'indwara ikomeye cyane. Rinda ubuzima bwawe—niba ubonye impinduka mu miterere y'amara yawe cyangwa wumva ubuzima bwawe burimo kugenzurwa n'imyitozo ngororamubiri yawe, nyamuneka gana muganga.

Ubutumwa bwo kujyana mu rugo

Impatwe ni ikibazo gikunze kugaragara, ariko akenshi gishobora gukemurwa no kwiyitaho. Gukomeza kunywa amazi menshi, kurya indyo irimo fibre nyinshi, gukora imyitozo ngororamubiri, no kutirengagiza icyifuzo cyo kugenda ni byo bintu by'ingenzi cyane. Hari igihe imiti cyangwa izindi ndwara zishobora kuba ari byo bitera. Niba ikibazo cyawe kigikomeje cyangwa ukabona ibimenyetso biteye ubwoba nko kuva amaraso, nyamuneka gisha inama inzobere muri Nirogi Lanka. Nta mpamvu yo kugira isoni cyangwa ubwoba; ubuzima bwawe ni bwo bugomba kwitabwaho cyane.

Impatwe, ubuzima bw'igogora, fibre, ingeso zo mu mara, ubuzima bwiza