Ese hari igihe ubabara mu gifu no mu myanya ndangagitsina irimo amaraso cyangwa amatembabuzi? Cyangwa umwana wawe yigeze agira ibi? Iki ni ikintu abantu benshi bavugaho kandi gishobora gutera ubwoba. Uyu munsi, reka tuvuge kuri iki kibazo cyitwa 'dysentery' mu buryo burambuye.
Iyi ndwara ya macinya ni iki?
Muri make, impiswi ni indwara igira ingaruka ku buryo igogora ryacu rigenda rigabanuka. Ikiba muri ibi ni uko igifu kiba kidendeje cyane. Ariko si uko igifu kiba kidendeje gusa, muri iki gihe ibintu nk'amaraso cyangwa amacandwe bishobora gusohoka hamwe n'umwanda . Tekereza ukuntu ibyo bibabaza kandi bikababaza.
Hari ubwoko bubiri bw'ingenzi bw'iyi ndwara yo gucibwamo. Reka natwe tuyigireho.
Indwara ya Amibe cyangwa Amibe
Ibi ahanini biterwa n'udukoko duto cyane twitwa `(Entamoeba histolytica)`. Mu by'ukuri, iyi ndwara ibaho iyo iyi dukoko twinjiye mu mubiri wacu. Rimwe na rimwe twitwa `(Amoebiasis)`. Iyi ndwara ya amoebic disenter ishobora no guterwa n'utundi dukoko nka `(E. histolytica)` (`B. coli`) na `(Strongyloidiasis)`.
Indwara ya mikorobe
Ibi biterwa n'ubwandu bwa bagiteri . Si udukoko twavuzwe haruguru, ahubwo ni bagiteri. Bagiteri zikunze gutera iki kibazo ni `(Shigella)`, `(Salmonella)`, `(Campylobacter)` na `(Escherichia coli)` (`E. coli`). Muri ubwo bwoko bubiri, iyi ndwara ya macillary niyo ikunze kugaragara cyane .
Icy'ingenzi kurushaho, impiswi ishobora kwica iyo idavuwe neza . Niba rero ufite ibi bimenyetso, ugomba guhita ubonana na muganga.
Ni nde ufite amahirwe menshi yo kurwara iyi ndwara y'impiswi?
Mu by’ukuri, umuntu wese ashobora kurwara impiswi . Ariko, bikunze kugaragara cyane mu bihugu bishyuha bifite isuku nke mu mazi , cyane cyane mu turere dushyuha. Isuku mu mazi ni inzira yo gusukura no kwica mikorobe mu mazi tunywa. Bityo ingaruka ziba nyinshi iyo zidakozwe neza.
Nanone, niba utitaye ku isuku yawe bwite, ushobora kurwara impiswi. Urugero, niba udakaraba intoki neza n'isabune nyuma yo kuva mu bwiherero, ushobora gukwirakwiza mikorobe utabizi ku biribwa, amazi, cyangwa ahandi hantu ukoraho. Ibi bishobora kwanduza indwara ku bandi byoroshye.
Ibi ni ibisanzwe gute?
Impiswi ni indwara ikunze kugaragara cyane . Nk’uko bivugwa n’Ishami ry’Umuryango w’Abibumbye ryita ku Buzima, buri mwaka habarurwa abantu bagera kuri miliyari 1.7 bandura impiswi ku isi . Ibi bivuze ko yibasira abantu benshi kurusha uko tubitekereza, kandi ni ikintu gisanzwe.
Ni ibihe bimenyetso by'iyi ndwara ya macinya?
Ibimenyetso by'impiswi bishobora gutandukana gato bitewe n'ubwoko bw'impiswi ufite. Reka turebe uko bikora.
Ibimenyetso bya Amibe disenteri
Akenshi, abantu barwaye indwara ya amibe ntibagira ibimenyetso . Ibyo biratangaje gato, si byo se? Ariko, hari abantu bashobora kugira ibimenyetso byoroheje. Dore bimwe mu bimenyetso ushobora kubona:
- Impiswi (kubyimba inda)
- Umuriro mwinshi
- Isesemi no kuruka
- Kugabanya ibiro
- Kumva nk'igifu kibabaye, icyuzuye mu nda
Ni gake cyane , iyi ndwara ishobora kugera mu bindi bice by'umubiri, urugero nk'umwijima, igatera ikibyimba . Ni ukuvuga ibyimbirwa.
Ibimenyetso bya Diyase yo mu bwoko bwa Bacillary
Mu ndwara ya mikorobe iterwa na bacillary, ibimenyetso biragaragara cyane. Ibi ni byo bikunze kugaragara cyane:
- Impiswi irimo amaraso cyangwa amatembabuzi (iki ni cyo kimenyetso cy'ingenzi kandi kigaragara cyane)
- Umuriro mwinshi
- Isesemi no kuruka
- Ububabare bukomeye mu gifu (Ububabare bwo mu nda)
Iyo ufite impiswi ikomeye , hari ingorane zimwe na zimwe zishobora kubaho. Urugero, indwara zikomeye nko kubyimba gukabije kw'amara, kwaguka (kwaguka) kw'amara, n'indwara z'impyiko zikomeye zishobora kubaho.
Ese indwara ya macinya ishobora kwica?
Yego, indwara ya macinya ishobora kwica iyo idavuwe neza . Abantu bakurikira ni bo bafite ibyago byinshi:
- Ku bana bato (bari munsi y'imyaka 5)
- Ku bantu barengeje imyaka 50
- Ku bafite ikibazo cyo kubura amazi cyangwa imirire mibi
Bityo rero, tugomba kwitonda cyane kuri aba bantu.
Ni iki gitera indwara ya macinya? Ikwirakwira gute?
Indwara zandurira mu mitsi n'udukoko dutera impiswi zirandura cyane . Muri make, ikwirakwira iyo mikorobe (udukoko cyangwa bagiteri) mu mwanda w'umuntu wanduye zigeze mu kanwa k'undi muntu. Tekereza ukuntu byaba ari bibi! Dore uko ikwirakwira:
- Ku muntu udakaraba intoki neza cyangwa ngo ateke ibiryo mu buryo buhumanye.
- Kunywa amazi yanduye kandi yanduye .
- Binyuze mu gukorana imibonano mpuzabitsina , cyane cyane gukorana mu kanwa no mu kibuno.
Indwara ya mikorobe iterwa n'udukoko two mu bwoko bwa bagiteri (bacillary disenter) ibaho iyo bagiteri y'abanyamahanga yinjiye mu mubiri iturutse hanze maze ubwandu bukarushaho gukomera. Ubwoko busanzwe bwa bagiteri butera ibi ni ubu:
- `(Shigella)` (Ibi bitera indwara `(Shigellose)`)
- `(Salmonella)` (Ibi bitera ubwandu bwa salmonella)
- `(Campylobacter)` (Ibi bitera `(Campylobacteriosis)`)
- `(Escherichia coli)` (`E. coli`) (Ibi bitera ubwandu bwa `E. coli`)
Amibe ibaho iyo hari agakoko runaka kinjiye mu mubiri, nka Entamoeba histolytica yavuzwe haruguru.
Ni gute abaganga basuzuma indwara ya disenter?
Muganga wawe ni we wenyine ushobora kukubwira neza niba urwaye impiswi cyangwa utayirwaye. Azakubaza ibimenyetso byawe, agukorere isuzuma ry’umubiri, hanyuma agutegeke ko hagira ibizamini bikenewe.
Ni ubuhe bwoko bw'ibizamini bikorwa?
Niba umuganga wawe akeka ko ufite impiswi, azagutegeka ko bagutera ubuvuzi bw'imyakura .
Ibi biroroshye kubikora. Muganga azaguha icupa ryihariye n'ikiyiko cyo gukoresha mu gihe cyo kwiyahura. Ubutaha uzava mu nda, ugomba gushyira agace ka pulasitiki cyangwa ikinyamakuru hejuru y'ikiyiko cy'ubwiherero hanyuma ugafata umwanda. Cyangwa, ushobora kwiyahura mu kintu gisukuye, ugafata agace gato k'ingero n'ikiyiko, ugashyira mu icupa ryihariye, hanyuma ukakazanira muganga.
Hanyuma muganga yohereza icyitegererezo muri laboratwari, aho bapimisha icyitegererezo cy'umwanda wawe kugira ngo barebe niba hari bagiteri, udukoko, cyangwa amagi y'udukoko (intanga).
Hari igihe bishobora kuba ngombwa gutanga ingero z'umwanda mu minsi myinshi kugira ngo hamenyekane neza.
Muganga wawe ashobora kandi kukugira inama yo gukora sigmoidoscopy . Iki kizamini gishobora kwemeza ko wanduye cyangwa kikavanaho izindi mpamvu zitera ibimenyetso byawe. Sigmoidoscopy isaba muganga wawe gukoresha umuyoboro wa kamera (scope) wihariye kugira ngo asuzume imbere mu mara yawe yo hasi (sigmoid colon) n'inyuma y'umura.
Ni gute wakira impiswi vuba? Ni ubuhe buryo bwo kuvura?
Niba urwaye indwara ya amibe (amoebiasis), icy'ingenzi ni ukuvanamo iyi ndwara mu mubiri wawe . Kugira ngo ubigereho, muganga azaguha umuti w'indwara zandurira mu mitsi, nka metronidazole (izina ry'ikirango Flagyl®). Muganga wawe ashobora kandi kuguha imiti igabanya ubukana n'imiti igabanya isesemi, nka bismuth subsalicylate (izina ry'ikirango Pepto-Bismol®).
Niba ufite indwara ya bacillary disenter, abantu benshi bazakira batavuwe mu minsi mike cyangwa icyumweru . Ariko, niba ukeneye ubufasha bwa muganga, ubuvuzi bushobora kuba burimo imiti yica udukoko n'amazi yo mu mibonano mpuzabitsina, cyangwa umunyu. Ni gake cyane, guterwa amaraso bishobora kuba ngombwa.
Nitwara nte?
Iyo ufite impiswi, ni byiza gukora ibi bikurikira:
- Ntugafate imiti igabanya impiswi (nka `(Loperamide)` - `Imodium Advanced®`). Iyi miti ishobora gutuma ibimenyetso birushaho kwiyongera.
- Nywa ibinyobwa byinshi nk'amazi, umutobe, n'umutobe w'icunga kugira ngo wirinde umwuma . Impiswi ituma umubiri utakaza amazi menshi.
- Kugira ngo ugabanye ububabare n'umuriro, fata imiti igabanya ububabare idakoresha steroide (NSAIDs) igurishwa na muganga. Imiti ikoreshwa cyane ni aspirine (Bayer®), acetaminophen (Tylenol®), na ibuprofen (Advil®). Ariko, ni byiza kugisha inama muganga mbere yo kuyifata, cyane cyane niba ufite izindi ndwara cyangwa urimo kuyiha umwana muto.
- Ushobora kugura imiti ivura isesemi ukoresheje `(Bismuth subsalicylate)` (`Pepto-Bismol®`), ariko ni byiza kuyifata ubanje kugirwa inama na muganga.
Nzakira vuba gute nyuma yo kuvurwa?
Niba wararwaye indwara ya amibe, abantu benshi bumva bameze neza mu minsi 14. Ariko niba wararwaye indwara ya bacillary, ugomba kuba wakize neza mu cyumweru kimwe .
Ni gute wakwirinda impiswi?
Uburyo bwiza bwo kwirinda impiswi ni ukugira isuku . Karaba intoki zawe n'isabune n'amazi atemba nyuma yo kuva mu bwiherero, mbere yo gutegura ibiryo, na mbere yo kurya. Iki ni cyo kintu cy'ingenzi cyane. Byongeye kandi, ushobora gukora ibi bikurikira:
- Ntugasangire n'abandi ibintu byawe bwite (nk'uburoso bw'amenyo, ibirahuri byo kunyweramo, amasume).
- Ntugakoreshe amazi utazi neza ko adafite mikorobe . Ibi ntibireba amazi yo kunywa gusa, ahubwo bireba n'amazi akoreshwa mu guteka no koza amenyo.
- Koresha amazi ari mu macupa cyangwa ukoreshe ibinini bya chlorine kugira ngo usukure amazi.
- Ubundi buryo, teka amazi kugeza abira neza (ashyushye) byibuze umunota umwe, hanyuma uzimye umuriro hanyuma ukoreshe.
- Irinde abantu bafite impiswi.
- Karaba imbuto n'imboga neza mu mazi meza atemba mbere yo kurya. Niba bishoboka, banza ukureho uruhu mbere yo kurya .
- Teka ibiryo byose neza . Tekereza ku isuku mugihe utegura ibintu nka salade ziriwe ari mbisi.
Niba ugiye mu gace gakunze kugaragaramo impiswi, zirikana ibi bikurikira:
- Ntukanywe ibinyobwa birimo urubura (keretse niba ubyizeye).
- Ntukanywe ibinyobwa byo mu mazi .
- Ntukanywe amazi cyangwa ibinyobwa bidasembuye mu macupa adafunze neza .
- Ntugakoreshe amata n'ibikomoka ku mitobe y'imbuto bitarangiritse . Gukoresha uburyo bwo kwica bagiteri.
Niba mfite impiswi, nayirinda nte ko idakwirakwira mu bandi?
Niba ufite impiswi, ushobora kwirinda kwanduzanya indwara n'abandi ukurikije izi nama:
- Irinde abandi bantu , cyane cyane niba ufite impiswi.
- Ntugakore imibonano mpuzabitsina n'undi muntu uwo ari we wese .
- Ntugateke abandi .
- Ntukajye koga mu mazi (nk'ibidendezi byo koga, imigezi, cyangwa inyanja).
- Sukura ahantu nk'ubwiherero , aho kogereza n'aho gufunga inzugi buri gihe ukoresheje imiti yica udukoko.
- Mu gihe umesa imyenda yawe, uyimese mu mazi ashyushye (nibura dogere selisiyusi 60 / dogere selisiyusi 130).
Bizagenda bite nindwara impiswi? Ese nzakira?
Niba ufite indwara ya amibe (amibe), iyo usuzumye neza kandi ukavurwa neza, ubuzima bwawe buzagenda neza . Ugomba kuba umeze neza mu minsi 14. Ariko, iyo itavuwe, indwara ya amibe ishobora no gutuma umuntu apfa .
Niba ufite indwara ya macillary, abantu benshi bazakira mu cyumweru kimwe batavuwe . Ariko, hari abantu bashobora kugira ingorane zikomeye zishobora gushyira ubuzima bwabo mu kaga. Rero, niba ufite ibimenyetso bya macillary mu gihe kirenze iminsi mike, menya neza ko wagiye kwa muganga .
Ni ryari ngomba kujya kwa muganga?
Niba ibimenyetso byawe bitarushijeho kumera neza mu minsi mike, bikarushaho kuba bibi uko igihe kigenda gihita, cyangwa se ntibyitabire neza mu gihe cy'ubuvuzi, menya neza ko wavuganye na muganga .
By'umwihariko, shakisha ubufasha bwa muganga vuba niba ufite ibimenyetso byo kubura amazi mu mubiri . Ibi ni ibimenyetso:
- Urujijo (kudashobora kwibanda ku kintu runaka, gutakaza ubwenge)
- Inkari z'ibara ryijimye
- Kugabanuka k'inshuro zo kunyara cyangwa kugorwa no kunyara
- Kuzunguza cyangwa gucika intege , cyane cyane iyo uhagaze
- Kuma mu kanwa, ururimi, cyangwa inkorora yumye
- Umutwe
- Nta marira ava mu maso , amaso yaguye
- Kuribwa imitsi
- Kubyimba kw'ibirenge
- Umutima utera cyane
Ni ibihe bibazo ugomba kubaza muganga?
Iyo ugiye kwa muganga, ni byiza kubaza ibibazo nk'ibi:
- "Muganga, wamenya ute ko mfite indwara ya macinya?"
- "Ese mfite indwara ya amibe cyangwa indwara ya bacillary?"
- "Ni amazi angahe ngomba kunywa kugira ngo wirinde amazi menshi?"
- "Ni ubuhe bwoko bw'ibinyobwa nkwiye kunywa? Ikintu nk'icya Jeevani?"
- "Ese hari ibiryo ntagomba kurya? Ni ibihe biribwa byiza?"
- "Ni iyihe miti muganga yampaye? Nkeneye kuyifata igihe kingana iki?"
Ni irihe tandukaniro riri hagati ya macinya na kolera?
Indwara ya macinya na kolera byombi ni indwara zifitanye isano n'igogora . Ariko itandukaniro riri hagati yabyo ni impamvu zibitera .
Hari ubwoko bubiri bw'ingenzi bwa macinya: amoebiasis na bacillary dysentery. Amoebiasis iterwa n'udukoko nka E. histolytica, B. coli, na Strongyloidiasis. Macinya ya bacillary iterwa na bagiteri nka Shigella, Salmonella, Campylobacter, na E. coli.
Ariko, Kolera iterwa na bagiteri yitwa Vibrio cholerae (V. cholerae) . Kubwibyo, impamvu niyo tandukaniro nyamukuru. Hariho kandi itandukaniro mu bimenyetso, urugero, muri kolera, ikimenyetso nyamukuru ni impiswi nyinshi y'amazi.
Ubutumwa bwa nyuma bwo kujyana mu rugo
Indwara ya macinya ni indwara yo mu mara. Ikimenyetso nyamukuru ni umwanda udafite amazi, ushobora kuba ufite amaraso cyangwa ukagira ibisebe . Iterwa n'indwara za bagiteri cyangwa udukoko. Abantu benshi bakira mu minsi mike batavuwe, ariko macinya ishobora kwica , cyane cyane ku bana bato, abageze mu zabukuru, ndetse n'ababuze amazi cyangwa abarya nabi.
Igikuru ni isuku! Gukaraba intoki neza, gukoresha amazi meza n'ibiribwa bishobora gufasha cyane mu kwirinda iyi ndwara.
Waba ufite indwara yandurira mu biyobyabwenge cyangwa izindi ngorane zikomeye, ni ngombwa kujya kwa muganga kugira ngo agufashe kuvurwa . Niba ibimenyetso bikomeje iminsi irenga mike, niba umuriro wawe utagabanutse, cyangwa niba ugaragaje ibimenyetso byo kubura amazi mu mubiri cyane, menya neza ko wagisha inama muganga. Wite ku buzima bwawe!
` Indwara y'impiswi, impiswi, mikorobe, isuku, umwuma, umutekano w'ibiribwa











💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.