Ese wigeze ubyuka mu gitondo ufite umusego utose? Cyangwa wigeze wumva ufite ubwoba igihe wabonaga umwana wawe muto ahora atera amate? Ibi mu by'ukuri ni ibintu bisanzwe ku bantu benshi. Hari igihe ibi biba ari ibisanzwe kandi nta kintu cyo guhangayikishwa nabyo, ariko hari igihe biba ngombwa kubihangayikishwaho gato. None rero uyu munsi, reka tuvuge kuri iyi ndwara yitwa gutema amate.
Reka tubanze turebe icyo iyi mashini yo kuyungurura amacandwe ari cyo?
Mu magambo make, gutemba amate ni ugutemba amate mu kanwa ku buryo budasubirwaho, nubwo tutabizi. Nubwo mu buvuzi ibi tubyita ptyalisme cyangwa sialrhea, mu mvugo ya buri munsi dukoresha ijambo 'kutemba amate'.
Akenshi, iki si ikibazo gikomeye. Ni ibisanzwe ko abana bato batemba amate, cyane cyane kugeza ku myaka ibiri. Ibi biterwa nuko muri iyo myaka, baba bataramenya kugenzura imitsi yo mu kanwa kabo neza. Nanone, iyi ndwara ikunze kugaragara cyane uko amacandwe yiyongera mu gihe cyo kumera amenyo. Ni ibisanzwe kandi ko benshi muri twe batemba amate mu gihe dusinziriye.
Ariko, hari igihe ibi bishobora kuba ikimenyetso cy'indwara z'imitsi nka cerebral palsy cyangwa Parkinson's disease, bityo rero ni ngombwa kubimenya.
Ni izihe mpamvu nyamukuru zitera amacandwe?
Nta mpamvu n'imwe itera amacandwe, ariko hari ibintu byinshi bishobora kuyatera. Ikintu cyose gituma bigorana kumira, kikagira ingaruka ku mitsi yo mu kanwa, cyangwa kikongera umusaruro w'amacandwe gishobora kubitera. Reka turebe impamvu nyamukuru.
| Impamvu | Ibisobanuro |
|---|---|
| Imyaka | Ibi ni ibisanzwe ku bana bavutse ndetse n'abana bafite imyaka 2. Cyane cyane hagati y'amezi 3-6 no mu gihe amenyo atangiye kumera, amacandwe ashobora kwiyongera. |
| Indyo | Ibiryo birimo aside nk'indimu n'amacunga hamwe n'ibiryo birimo isukari nyinshi bishobora kongera umusaruro w'amacandwe. |
| Indwara z'ubwonko | Indwara nka stroke, palsy yo mu bwonko, Parkinson's disease, Amyotrophic Lateral Sclerosis (ALS), Multiple Sclerosis (MS), Down Syndrome, na Autism bishobora gutera intege nke mu kumira no kugenzura imitsi yo mu kanwa. |
| Indwara zandurira mu mubiri | Indwara nka strep throat, mononucleosis, infections za sinus, tonsillitis, na peritonsillar abscess, ari byo byanduza tonsils zikwirakwira mu ijosi no mu gituza, zishobora gutera ingorane zo kumira no gutemba. |
| Izindi ndwara | Allergies, GERD (gurgitation of aside mu gifu), adenoids zibyimbye, isesemi mu gihe utwite, imiti imwe n'imwe, kurumwa n'udukoko cyangwa inzoka, hamwe n'imiti yica udukoko na byo bishobora gutera amacandwe. |
Icy'ingenzi cyane: Niba ufite amakenga ko amacandwe aterwa no kunywa ikintu cy’uburozi nk'umuti wica udukoko, hita ujyana umurwayi mu bitaro bikuru byita ku barwayi barembye (ETU). Niba bibaye ngombwa, ushobora kandi guhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo uhabwe inama zirambuye.
Kuki utemba amate mu gihe usinziriye?
Iki ni ikibazo abantu benshi bagira. Hari igihe impamvu yabyo ishobora kuba uko uryamye. Tekereza nawe, niba uryamye ugaramye (ufite umutwe uzamuye), imbaraga zituma amacandwe aguma mu kanwa. Ariko niba uryamye ugaramye cyangwa ugaramye inda, hari amahirwe menshi ko amacandwe azava mu kanwa kawe.
Ariko iki ni iki: Nubwo waba usinziriye iruhande rwawe buri munsi, niba uherutse gutangira gutemba amate, bishobora guterwa n'ubwivumbure, ubwandu, cyangwa indi ndwara, nka aside reflux.
Ni ubuhe buryo bwo kuvura ibi?
Kuvura gutemba amatemba si ngombwa buri gihe. Indwara zisanzwe, nk'iziba ku bana bato, ntizisaba kuvurwa kandi zizakemuka ubwazo uko igihe kigenda gihita. Ariko, iyo ndwara ikomeye cyangwa ikabangamira ubuzima bwawe bwa buri munsi cyangwa imibanire yawe n'abandi, muganga wawe azasuzuma impamvu ayiteye maze aguhe inama yo kuvura ikwiye.
Hari uburyo bwinshi bwo kuvura:
- Imiti: Muganga wawe ashobora kukwandikira imiti nka Scopolamine na Glycopyrrolate ifasha kugabanya umuvuduko w'amacandwe.
- Inshinge za Botulinum toxin (Botox®): Uru rushinge rushobora gutangwa ku ngirabuzimafatizo z'amacandwe kugira ngo bigabanye urujya n'uruza rw'amacandwe.
- Kuvura imitsi: Imyitozo ngororamubiri ishobora gukomeza imitsi ikikije umunwa no gufasha kugenzura kumira.
- Igikoresho cyo mu kanwa: Hari igihe umuntu ashobora gusaba igikoresho cyihariye kugira ngo gifashe iminwa gufunga neza igihe amira.
- Kubaga: Iyo ubundi buryo bwo kuvura budafashije, kubaga bishobora gufatwa nk'uburyo bwa nyuma. Ibi bikubiyemo guhindura imikorere y'uturemangingo tw'amacandwe cyangwa kohereza imiyoboro y'amacandwe inyuma y'umunwa.
- Ubuvuzi bushingiye ku mirasire: Ubu bukunze gukoreshwa mu bihe bikomeye cyane kandi nk'uburyo bwa nyuma.
Ese hari ibintu ushobora gukora mu rugo?
Yego, hari utuntu duto duto.
Ku bana bato batemba amenyo mu gihe cyo kumera amenyo, byaba byiza kubaha ikintu gikonje cyo guhekenya, nka ice popsicles . Ku bantu bakuru batemba kenshi, ni byiza kugabanya ibiryo bikarishye (nk'indimu n'amacunga) n'ibiryo birimo isukari , kuko byongera umusaruro w'amacandwe.
Bigenda bite iyo idavuwe?
Nubwo gucika amacandwe bisanzwe atari ikibazo, indwara ihoraho kandi ikomeye ishobora gutera ibibazo by'ubuzima. Urugero, gucika amacandwe menshi bishobora gutera imikaya ibabaza mu mfuruka z'umunwa (Angular Cheilitis) . Birushijeho kuba bibi, mu bihe bimwe na bimwe bikomeye, amacandwe menshi ashobora kugera mu bihaha. Ibi bishobora no gutera indwara iteje akaga nka pneumonia .
Niba rero wumva ko iki ari ikibazo, ntugatinde kubibwira muganga.
Ni ryari twagombye kubonana na muganga kuri ibi?
Nkuko twabivuze mbere, guterura amate ni ikintu gisanzwe mu bana bakura. Ariko, niba ubonye ko watangiye guterura amate mu buryo butunguranye, cyangwa ko watangiye guterura amate cyane , bishobora gutera impungenge.
Wibuke ko gutemba amate rimwe na rimwe bishobora kuba ikimenyetso cy'indi ndwara. Niba rero ubonye ibimenyetso by'umuburo, cyangwa niba wumva iyi ndwara ibangamiye ubuzima bwawe, ntutindiganye kujya kwa muganga kugira ngo akugire inama. Muganga wawe ashobora kubona impamvu nyayo kandi akakugira inama yo kuvura neza.
Ubutumwa bwo kujyana mu rugo
- Ni ibisanzwe ko abana bato batemba amate kugeza bafite imyaka ibiri, cyane cyane iyo batangira kumera amenyo.
- Impamvu nyamukuru ituma umuntu aryamye mu gihe asinziriye ni ukuryama aryamye ku ruhande cyangwa mu nda.
- Iyo utangiye gucira amacandwe mu buryo butunguranye cyangwa bukabije, bishobora kuba ikimenyetso cy'ubwandu, allergie, cyangwa indi ndwara y'imitsi.
- Niba ugize ikibazo cyo gucikagurika mu mfuruka z'umunwa wawe cyangwa ikindi kintu kikubabaza bitewe no gucika amacandwe, hita ubonana na muganga wawe.
- Niba ukeka ko amacandwe yawe aterwa no kunywa imiti yica udukoko, jya mu bitaro byihutirwa (ETU) byihutirwa.
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