Ese waba waragize udufuka duto (diverticulosis) mu mara yawe? Reka tubiganireho!

Ese wigeze wumva udufuka duto twibasira amara? Wenda muganga wawe yarabikubwiye, cyangwa se hari umuntu uzi ufite. Iyi ni yo twita `(Diverticulosis)`. Ntugahangayike, iyi ni indwara ikunze kwibasira abantu benshi.

Iyi `(Diverticulosis)` ni iki?

Mu magambo make, diverticulosis ni ukwiyongera kw'udufuka duto cyangwa udufuka mu gice cy'amara yawe. Tekereza nk'ahantu hadakomeye mu muyoboro w'igare ushaje, aho udufuka duto cyangwa udufuka tubyimba. Uko igihe kigenda gihita, igice cy'amara yawe gisohoka kinyura mu bice bidakomeye mu rukuta. Uko tugenda turya ibiryo kandi uko imyanda inyura mu mara, utu dufuka tugenda twirema buhoro buhoro.

Ijambo `(Diverticulosis)` rikomoka kandi ku ijambo ry'Icyongereza `divert'. Risobanura `guhindukira ugana ku ruhande'. Ryitiriwe kubera ko inzira inyura mu mara isa n'aho igana kuri utu dufuka duto. Utwo dufuka twinshi nk'utwo twita `(Diverticula)`, n'agafuka kamwe `(Diverticulum)`. Ibi bikunze kugaragara mu mara manini (`(Colon)`) , kuko ariho imyanda y'ibiribwa iba ifite umwanya munini wo gukurura no gukanda ku nkuta. Bikunze kugaragara cyane ku mpera y'amara manini, ni ukuvuga muri `(Sigmoid Colon)` .

Ni irihe tandukaniro riri hagati ya `(Diverticulosis)` na `(Diverticulitis)`?

Noneho ushobora kuba wibaza itandukaniro riri hagati ya `(Diverticulosis)` na `(Diverticulitis)`. `(Diverticulosis)` ni indwara aho ufite udupfunyika (`(Diverticula)`) mu mara yawe, nk'uko nabivuze mbere. Ariko, `(Diverticulitis)` ni igihe umwe cyangwa myinshi mu dupfunyika twawe ibyimbye, bivuze ko ibyimbye kandi ikandura. Akenshi, ibi biterwa n'ubwandu bwa bagiteri (`( Infection ya Bagiteri)`). Kugira udupfunyika gusa bishobora kuba atari ikibazo gikomeye. Ariko, utu dupfunyika ni ahantu heza ho kwihisha no kororokera bagiteri. Rero niba urwaye `(Diverticulitis)`, ushobora kugira ibimenyetso nko kubabara mu nda no kugira umuriro.

Ese Diverticulosis ni indwara ikomeye?

Kurwara diverticulosis si ikibazo gikomeye. Abantu benshi nta bimenyetso cyangwa ingorane bagira. Ariko, ni gake cyane, bishobora kuba bikomeye. Urugero, niba urwaye indwara ya diverticulitis (yitwa diverticulitis) kandi ntivurwe neza, ishobora gutera indwara zikomeye nka sepsis (ubwandu bw'amaraso). Nanone, umubare muto cyane w'abantu bashobora kuva amaraso muri utu dupfunyika kenshi. Iyo bibaye, ushobora gutakaza amaraso menshi mu mubiri wawe ( gutakaza amaraso menshi).

Diverticulosis ikunze kugaragara gute?

Bikunze kugaragara cyane mu bihugu by'iburengerazuba, cyane cyane uko tugenda dusaza. Muri Leta Zunze Ubumwe za Amerika, 30% by'abantu barengeje imyaka 50, 50% by'abantu barengeje imyaka 60, na 75% by'abantu barengeje imyaka 80 bafite indwara ya diverticulosis. Ubusanzwe iboneka mu maraso ya sigmoid. Ntikunze kugaragara cyane ku bantu bari munsi y'imyaka 40. Nanone ntibikunze kugaragara cyane mu bihugu nka Afurika na Aziya birya ibiryo bike byatunganyijwe nk'uko bimeze mu bihugu by'iburengerazuba.

Ni ibihe bimenyetso bya `(Diverticulosis)`?

Abantu benshi nta bimenyetso bagira iyo bafite `(Diverticulosis)`. Ushobora no kutamenya ko uyifite. Ariko, niba ufite ibimenyetso nko kubabara mu nda yo hasi n'umuriro , bishobora guterwa n'ubwandu (`(Diverticulosis)`).

Hari igihe, niba ufite indi ndwara mu mara yawe, nka Irritable Bowel Syndrome (IBS) cyangwa Inflammatory Arrow Disease (IBD), utu dupfunyika twitwa diverticula dushobora kwangirika cyane iyo umuntu ahuye n'igitutu. Ibi bishobora gutera kumva yuzuye kandi ububabare iyo imyanda y'ibiryo inyuze muri utu dupfunyika. Iyo ufite impatwe , imyanda ikomeye ishobora gufatirwa muri utu dupfunyika, bigatuma indwara irushaho kuba mbi.

Abantu bagera kuri 10% bafite indwara ya diverticulosis bashobora kuva amaraso muri utwo dupfunyika (diverticulate bleeding). Ibi bibaho iyo umutsi w'amaraso uri mu gipfunyika wacitse cyangwa wacitse ubwo umwanda ukomeye unyura muri diverticulate. Akenshi, ibi bihagarara nyuma y'igihe runaka kandi ntibibabaza. Ariko, iyo bibaye, ushobora kubona amaraso mashya mu mwanda wawe. Niba ufite ubwoko bw'amaraso, niba ufite ibimenyetso bikomeza, cyangwa niba ufite ingorane zikomoka kuri diverticulate, byitwa diverticulate disease.

Ni iyihe mpamvu nyamukuru itera diverticulose?

Abashakashatsi bemeza ko impamvu nyamukuru itera diverticulose ari indyo yo mu Burengerazuba. Ni ukuvuga indyo idafite fibre nyinshi kandi irimo ibinyampeke byinshi. Ubwo bwoko bw'indyo butuma umwanda wiyongera kandi ugenda buhoro buhoro mu mara, kandi amara ntasukurwe neza. Ibi biterwa nuko umwanda uba munini uko ugenda, ari nayo mpamvu diverticulose ikunze kugaragara mu gice cya nyuma cy'amara manini (sigmoid colon).

Ese hari ibindi bintu bishobora gutera ibyago?

Hashobora kandi kuba hari ingaruka ku miterere y’umubiri. Nubwo indyo y’iburengerazuba ikoreshwa, ikunze kugaragara cyane mu bazungu b’Abanyamerika, Abanyaburayi, n’Abanya-Ositaraliya kurusha mu birabura cyangwa mu yandi moko. Nanone, abashakashatsi basanze iyo abantu bo mu bihugu bya Aziya barwaye indwara ya diverticulosis, ikunda kugaragara mu gice gitandukanye cy’amara - mu ntangiriro aho kuba mu iherezo. Ibi kandi bikunze kugaragara mu baturage b’Abayapani bo muri Hawayi.

Ni gute wasuzuma `(Diverticulosis)`?

Muganga ashobora kubona izi polyps mu gihe cyo gupimwa colonoscopy cyangwa GI X-ray. Diverticulosis ikunze kuboneka muri ubu buryo kuko akenshi idatera ibimenyetso. Ariko niba ufite ibimenyetso, muganga wawe azagerageza gushaka impamvu intambwe ku yindi. Azagusuzuma akubaza amateka y'uburwayi bwawe, imiti ufata, imirire yawe, n'imyakura yawe.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane iyi ndwara?

Ushobora gukora ibi bikurikira nk'ibizamini:

• Isuzuma ry'umubiri: Muganga azasuzuma ibimenyetso by'ubuzima bwawe, akore ku nda yawe, kandi atege amatwi amajwi y'amara yawe. Ashobora kandi gushyira urutoki rufite agapfukamunwa mu mara yawe ( Digital Rectal Exam ).
• Isuzuma ry'amaraso: Icyitegererezo gito cy'amaraso gifatwa mu mutsi uri mu kuboko kwawe kikoherezwa muri laboratwari. Isuzuma ry'amaraso rishobora kureba niba ufite ubwandu cyangwa niba uva amaraso menshi imbere.
• Ikizamini cy'umwanda : Icyitegererezo cy'umwanda wawe gifatwa kigapimwa muri laboratwari. Ikizamini cy'umwanda gishobora kureba ibimenyetso by'ubwandu cyangwa kuva amaraso mu nzira y'igogora (Kuva amaraso mu nda (GI).
• Ibizamini byo Gupima: Muganga azakoresha ibizamini byo gupima nka CT scan, barium enema , flexible sigmoidoscopy, cyangwa colonoscopy kugira ngo arebe ibi bibyimba n'izindi ngorane zose zijyanye nabyo.

Ni ubuhe buryo bwo kuvura `(Diverticulosis)`?

Abantu benshi ntibakeneye kuvurwa indwara ya diverticulose. Ariko, muganga wawe ashobora kukugira inama yo kongeramo fibre nyinshi mu mirire yawe. Ibi ni ukugira ngo hakemurwe impamvu nyamukuru ya diverticulose no gukumira ingorane ziterwa n'ibindi bimenyetso, nko kubyimba no kubyimba. Fibre y'inyongera ifasha umwanda kugenda byoroshye mu mara manini, bigafasha gusukura amara uko agenda.

Abantu bagera kuri 3% bashobora gukenera kuvurwa kugira ngo bahagarike kuva amaraso mu buryo bunyura mu miyoboro y'amaraso. Ibi bikunze gukorwa mu gihe cyo gupima colonoscopy. Iyo umuganga w’inzobere mu bijyanye n’igogora abonye aho kuva amaraso kwavuye mu gihe cyo gupima colonoscopy, ashobora gushyiramo ibikoresho binyuze muri colonoscopy kugira ngo afunge umuyoboro w’amaraso wacitse. Ubundi buryo, umuganga ashobora gukoresha angiogram kugira ngo amenye aho kuva amaraso kwavuye hanyuma agatera imiti mu muyoboro w’amaraso kugira ngo avane amaraso.

Ese indwara ya Diverticulosis ishobora kwirindwa?

Kurya ibimera byinshi n'ibiribwa byuzuye, gukora imyitozo ngororamubiri buri gihe, no kunywa amazi ahagije buri munsi bishobora gufasha mu gutuma amara yawe ahora ameze neza kandi ahora ahindagurika. Ibi bishobora gufasha mu gukumira indwara ya diverticulose. Niba usanzwe ufite diverticulose, ibi bintu bishobora gufasha mu gukumira izindi nshya. Nubwo ibi bidashidikanywaho, iyi mico myiza ikunze gufasha mu gukumira indwara nyinshi zo mu mara yo hasi.

Ni iki twakwitega niba iki kibazo kibayeho?

Niba utarigeze ugira ibimenyetso cyangwa ingorane zikomoka kuri diverticulose, birashoboka ko utazigera uhura na zo. Ariko, niba ufite izindi ndwara zigora diverticulose, nko kuribwa mu nda, IBS, cyangwa IBD, ushobora kuba uri mu kaga ko kurwara ibimenyetso. Umubare muto cyane w'abantu bagira ibihe byo kuva amaraso kenshi. Aba bantu bashobora gukenera kuvurwa kenshi kugira ngo bahagarike kuva amaraso cyangwa bagabanye kuva amaraso.

Ese indwara ya Diverticulosis ishobora gusubizwa inyuma?

Iyo umaze kugira indwara ya diverticula, ubu nta buryo bwo kuyikuraho. Abantu benshi nta kibazo bafitanye na yo, ariko iyo iguteye ikibazo, uzakenera guhindura imibereho yawe uko bikwiye.

Nitwara nte iyo mfite indwara ya diverticulosis?

Waba ufite ibimenyetso bya diverticulosis cyangwa udafite, kugira iyi ndwara bivuze ko ushobora kungukirwa no kongeramo fibre nyinshi mu mirire yawe . Uburyo bwiza bwo kubikora ni ukurya ibinyampeke byinshi, imbuto n'imboga. Hari abantu bakoresha inyunganiramirire nka psyllium. Icy'ingenzi ni ukunywa amazi menshi iyo ufashe fibre kugira ngo ijye mu mara yawe neza. Bitabaye ibyo, impatwe ishobora kwiyongera.

Niba ufite indwara ya diverticular (izwi kandi nka diverticulosis), ugomba gukurikirana ibimenyetso byawe kugira ngo ubigenzure. Urugero, reba niba hari ibiryo bimwe na bimwe bituma ibimenyetso byawe birushaho kwiyongera, cyangwa niba hari imiti ufata igira ingaruka ku bimenyetso byawe. Niba urwaye amaraso yo mu maraso, nubwo yahagarara ubwayo, menya neza ko wabibwiye muganga wawe. Ibi bizamufasha kwirinda gutakaza amaraso menshi.

Ese diverticulosis ishobora kubaho hanze y'amara?

Diverticula ishobora kugaragara ahantu hose mu buryo bw'igogora ryawe, harimo n'amara mato, igifu, ndetse n'umuyoboro w'amaraso. Ariko, ibi ntibikunze kubaho cyane. Akenshi bikunze kubaho nk'ikibazo cy'indi ndwara, nko kurwara imikorere y'umubiri ituma ibiryo bigorana kunyura mu nzira y'igogora. Meckel's diverticulum ni indwara ivuka mu mara mato.

Ku bantu benshi, diverticulosis nta mpungenge ifite. Ubusanzwe ivumburwa na muganga mu gihe cyo kwipimisha bisanzwe. Niba ufite imyaka irenga 40, ntabwo ari ikibazo gikomeye. Nanone, niba idatera ibimenyetso, ushobora kwiherera. Ariko niba ufite ibimenyetso, menya neza ko wabiganiriyeho na muganga wawe. Bishobora kuba bifitanye isano n'indi ndwara, cyangwa ushobora kuba ufite ubwandu.

Ubutumwa twifuza kujyana mu nkuru ni

Sawa, rero ndizera ko usobanukiwe neza ``(Diverticulosis)'' twaganiriyeho uyu munsi.

Ikintu cy'ingenzi cyo kwibuka ni uko nubwo ibi bibaho ku bantu benshi, abenshi bashobora kubaho nta kibazo.

• Shyiramo ibiryo bikungahaye kuri fibre (imboga, imbuto, ibinyampeke byuzuye) mu ndyo yawe.
• Nywa amazi menshi.
• Imyitozo ngororamubiri kenshi.
• Niba ubonye ibimenyetso nko kubabara mu gifu, umuriro, cyangwa amaraso mu mwanda wawe, menya neza ko wagisha inama kwa muganga.

Ntabwo ari ikintu cyo gutinya, ariko birakwiye kubimenya!