Muganga, ese ufite ikibazo cyo kudakora neza kw'ifunguro rya Exocrine Pancreatic Insufficiency cyangwa EPI nk'uko tubyita mu magambo ahinnye? Noneho ushobora kuba uzi uko wabyiboneye uburyo ugomba kwitonda ku byo urya n'ibyo unywa. Ugomba gufata imiti wahawe na muganga buri gihe. Rero, mu gihe nk'iki, iyo ubonye ubutumire mu birori by'isabukuru y'inshuti yawe, cyangwa ugasohokana n'umuryango wawe, ni ibisanzwe kumva ufite ubwoba no guhangayika. Ibibazo nka "Ese hari ibiryo bimbereye?", "Ese nzashobora gufata imiti yanjye ku gihe?", "Ese ibiryo bizaba biryoshye cyane kandi birambabaza mu nda?" biraza mu mutwe, si byo se? Ariko ntugire ubwoba na gato. Ntabwo ugomba kureka kumarana n'inshuti no kwishimisha kubera ko ufite EPI. Hamwe no kwitegura gato no gutegura neza, dushobora kubitsinda byoroshye cyane. Reka turebe uko bigenda?
Intambwe ya 1: Reka dukore ubushakashatsi gato kuri resitora.
Ibi ni nko gusuzuma gato mbere yo kujya mu butumwa. Bisobanura gukora ubushakashatsi ku hantu wahisemo kurira mbere yo kujyayo. Ibi bizagufasha cyane kugira ngo ifunguro ryawe rigende neza.
Tekereza ko witegura kujya muri resitora izwi cyane i Colombo hamwe n'inshuti zawe. Gerageza ibi bintu umunsi umwe cyangwa ibiri mbere yuko ugenda.
| Icyo gukora | Ni iyihe nyungu y'ibyo? |
|---|---|
| Reba menu kuri interineti. | Resitora nyinshi ubu zifite menu zazo ku mbuga zazo cyangwa ku mbuga za Facebook. Ushobora kuzireba kugira ngo umenye amafunguro akubereye. Kubera ko ufite EPI, amahitamo meza kuri wewe ni ibiryo bifite ibinure bike . Ibyo bivuze gushaka amafi yokeje cyangwa yokejwe, inkoko, imboga nshya, n'imbuto. |
| Hamagara resitora. | Niba utabona ikintu kikubereye kuri menu, cyangwa niba utazi neza, bahamagare umubaze. Sobanura gusa ikibazo cy'ubuzima bwawe ("Sinshobora kwihanganira ibintu nk'amavuta, amavuta, cyangwa foromaje, none se ushobora guteka ifunguro rikubereye?"), kandi ubaze niba bashobora kugufasha. Akenshi, bazagufasha niba ubamenyesheje mbere y'igihe. |
| Ubwogero buri he nyuma yo kugenda? | Ukimara kujya muri resitora, menya neza aho ubwiherero buri. Ibi bizagufasha kwirinda ingorane zo gushaka ubwiherero niba ibiryo birimo ibirungo byinshi, niba ufite ikibazo cyo mu nda, cyangwa niba ufite ikibazo cyihutirwa. |
Reka twitegure dutyo mu rugo mbere yo gusohoka.
Kwitegura gato mu rugo mbere yo kujya muri resitora bishobora gutuma uburambe bwawe burushaho kugira icyo bugeraho. Ibi ni ibintu byoroshye cyane, ariko ni ingenzi cyane.
| Uburyo bwo kwitegura | Ibisobanuro n'akamaro |
|---|---|
| Fata utuntu duke urye mbere yuko ugenda. | Ntukajye muri resitora wishwe n'inzara. Rya utuntu duto cyangwa ifunguro ryoroheje mbere yo kugenda. Bitabaye ibyo, inzara izagutsinda kandi ushobora kurarikira ibiryo bitameze neza nk'uduti twa foromaje tukaranze ku ifunguro. Nurya ikintu kirimo poroteyine nyinshi (igi ritetse, ubunyobwa), ntuzumva ushaka kubirya kuko inda yawe izaba yuzuye. |
| Witondere ibinini. | Bika PERT (uburyo bwo kuvura indwara ya pancreas replacement enzymes) mu gikapu cyangwa mu gikoresho gikingiye. Ubushyuhe si bwiza kuri iyi miti. Niba ugiye gusohoka ku manywa, ntugasige imiti yawe ahantu hashyushye, nko ku gikoresho cyangwa mu gice cy'imodoka yawe. Ubushyuhe buri hejuru ya dogere selisiyusi 25 (77 F) bushobora kwangiza iyi miti no kuyigabanya. Ubushyuhe bw'icyumba ni bwo bwiza. |
| Tegura ibindi bintu bikenewe. | Hari abantu bagira ikibazo cyo kumira imiti. Niba uvanga ifu iri mu icupa ryawe ry'umuti n'ikintu nk'isosi y'amapera cyangwa yawurute, uyibike mu gacupa gato. Ni byiza kandi gutwara icupa ry'amazi ryinshi, kuko ushobora gutegereza ko umukozi akuzuza ikirahuri cyawe cy'amazi. |
Tekereza kuri ibi bintu mugihe utumiza ibiryo.
Noneho wagiye muri resitora. Ufite menu mu ntoki. Noneho haje igice cy'ingenzi. Ni ngombwa cyane kuba umunyabwenge mu gihe utumiza ibiryo.
Ntutinye kubaza ibibazo umukozi utanga serivisi.
Niba ufite amatsiko ku ifunguro runaka, ntugatinye kubaza uko rikorwa cyangwa icyo rishyirwamo.
- "Ese ushyira amavuta menshi muri iyi curry?"
- "Iyi fi irakaranze cyangwa irakaranze?"
- "Ni iki kiri mu isosi ya salade?"
Baza ibibazo nka hanyuma uhitemo ibikubereye.
Saba impinduka ku mafunguro
Akenshi, umutetsi aba yiteguye guhindura gato ku ifunguro bitewe n'ibyo ukeneye.
- "Ushobora kuzana isosi/isosi mu gikombe gito gitandukanye?" (Hanyuma ushobora kongeramo ibyo ushaka).
- "Ese ushobora guteka ibi mu muriro cyangwa kubiteka mu buryo bushyushye aho kubiteka?"
- "Ese ushobora gukora imboga udafite amavuta?"
Wibuke ko ubuzima bwawe ari cyo kintu cy'ingenzi kurusha ibindi, bityo ntugatinye gusaba icyo ushaka mu buryo busobanutse neza, ariko mu kinyabupfura.
Ntiwibagirwe gufata umuti wawe!
Iri ni ryo tegeko ry'ingenzi cyane mu gihe urya hanze ufite EPI. Ugomba gufata umuti wa enzyme (PERT) wanditswe na muganga wawe mu gihe cyo kurya bwa mbere .
Muri make, iyi miti irimo imisemburo igufasha gusya ibiryo urya. Iyo ufashe iyi miti mbere gato yo gutangira kurya, imisemburo izavanga neza n'ibiryo kandi igafasha mu igogora. Iyo ufashe umuti urangije kurya, ntabwo bizagufasha cyane. Rero, menya neza ko ufata umuti wawe vuba ibiryo bikimara kuboneka, mbere yo kurya bwa mbere.
Ntugatinye gufata umuti wawe imbere y'abandi ku meza. Ni ingenzi ku buzima bwawe. Urashobora kubikora mu buryo bworoshye cyane, nta muntu uwo ari we wese ubangamiye.
Ubutumwa bwo kujyana mu rugo
- Kugira EPI ntibisobanura ko ugomba kureka kwishimisha mu buzima bwawe n'inshuti zawe.
- Tegura gahunda mbere yo kujya kurya hanze. Reba menu y'ibiryo biri muri resitora hanyuma uhamagare nibiba ngombwa.
- Mbere yo kuva mu rugo, jya urya utuntu duto, ufate imiti yawe neza, hanyuma unywe icupa ry'amazi ryinshi.
- Mu gihe utumiza ibiryo, ntutinye kubaza ibibazo no gusaba impinduka kugira ngo bikunogeye.
- Icy'ingenzi kurushaho: Ntukibagirwe gufata umuti wa enzyme (PERT) mu gihe cyo kurya kwa mbere.
- Niba ugifite gushidikanya cyangwa ibibazo kuri ibi, menya neza ko wavuganye na muganga wawe kandi akagusaba inama.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.