Ese wowe cyangwa umuntu wawe wa hafi wabonye impinduka nini mu buryo atekereza cyangwa yitwara, maze ukibwira uti "Oh, uyu muntu ntiyari ameze atyo mbere?" Wenda ufite ikibazo cyo kwibuka ibintu, kugira ikibazo cyo kwibanda ku bintu, cyangwa kumva gusa urimo urujijo. Ibi bishobora kuba ibimenyetso by'indwara zitwa encephalopathy, zigira ingaruka ku mikorere y'ubwonko. Reka tubiganireho birambuye uyu munsi. Kuko gusobanukirwa iyi ndwara neza no gushaka inama z'abaganga vuba bibaye ngombwa ni ingenzi cyane ku buzima bwawe n'ubw'abakunzi bawe.

Uburwayi bw'indwara zo mu bwonko (encephalopathy) ni iki?

Mu magambo make, indwara ya encephalopati ni indwara aho ubwonko budakora neza . Iyi si indwara imwe, ahubwo ni ijambo rusange ry’indwara nyinshi zibangamira imikorere y’ubwonko bitewe n’impamvu zitandukanye. Tekereza muri ubu buryo: ubwonko bwacu bumeze nka mudasobwa igoye cyane. Iyi ndwara ibaho iyo hari ikintu kitagenda neza muri iyi mudasobwa.

Ibi bishobora guhungabanya imikorere isanzwe y'ubwonko. Ibi bishobora gutera urujijo, kwibagirwa, no guhinduka mu myitwarire no mu mico . Mu bihe bikomeye, gutakaza ubwenge ndetse no kuba umuntu yacitse intege bishobora kubaho. Ibi bishobora guterwa n'ibintu byinshi, harimo indwara zandura, ihungabana, n'indwara zisanzwe.

Ikirenze ibyo, iyo iyi ndwara idavuwe vuba, ishobora gushyira ubuzima mu kaga cyangwa igatera kwangirika burundu k'ubwonko. Niba rero wowe cyangwa undi muntu uzi afite ibi bimenyetso, cyane cyane niba yumva "atari nkuko byari bimeze mbere," jya kwa muganga ako kanya.

Ni ubuhe bwoko bw'indwara zo mu bwonko (encephalopathy)?

Hari ubwoko butandukanye bwa encephalopati, kandi impamvu zabyo nazo ziratandukanye. Reka turebe ubwoko bw'ingenzi bugaragara:

• Indwara yo mu bwonko iterwa n’uburozi bw’amaraso: Iki ni cyo gihe ubwonko bubura umwuka uhagije. Urugero, iyo ubwonko bubuze umwuka uhagije bitewe n’ikintu nk’umutima uhagaze cyangwa urohama, uturemangingo tw’ubwonko dutangira kwangirika. Iyi ndwara ikunze kugaragara cyane mu bantu bakuru.
• Indwara yo mu mutwe iterwa n’indwara y’ihungabana idakira: Ibi biterwa n’imvune zo mu mutwe zigaruka kenshi mu gihe kirekire, nko mu bakinnyi b’iteramakofe cyangwa abantu bakunze kugira imvune zo mu mutwe.
• Indwara y'umwijima: Ibi bishobora kubaho ku bantu bafite indwara ikomeye y'umwijima. Uburozi bukwiye gukurwa mu mwijima bwiyongera mu maraso bukagira ingaruka ku bwonko. Ibi byago biri hejuru ku bantu bafite indwara nka cirrhose.
• Indwara y'ubwonko iterwa n'umuvuduko ukabije w'amaraso:Iyi ndwara ishobora kubaho iyo umuvuduko w'amaraso ukabije udagenzuwe. Iyo umuvuduko w'amaraso ukabije ukabije, ushobora kugira ingaruka ku bwonko.
• Indwara ya Hypoxic ischemic encephalopathy: Iyi ni indwara ifata abana bato. Ishobora kubaho iyo ubwonko budahawe ogisijeni ihagije mu gihe cyo kuvuka cyangwa nyuma yo kuvuka.
• Indwara ya metabolike: Ibi biterwa n'indwara runaka igira ingaruka ku mikorere y'umubiri. Urugero, indwara nka diyabete idakora neza.
• Uburozi bwo mu mutwe: Indwara iterwa n'uburozi bwinjira mu mubiri. Ibi bishobora guterwa n'imiti igabanya ububabare, ibinini bisinziriza, imiti yo mu mutwe, imiti imwe n'imwe igabanya ubukana bw'indwara, imiti igabanya ubukana bw'indwara, cyangwa ubundi burozi.
• Uremic encephalopathy: Iyi ndwara ibaho iyo uburozi bwiyongera mu maraso iyo impyiko zidakora neza (indwara idakira y’impyiko). Ishobora kandi guterwa n’imiti imwe n’imwe, umwuma, indwara zandura, no kuva amaraso menshi.
• Wernicke encephalopathy: Indwara iterwa no kubura vitamine B1. Ishobora kugaragara ku bantu banywa inzoga n'abafite ikibazo cy'imirire mibi.

Uretse ibi, hari ubwoko budakunze kugaragara nka `Hashimoto's encephalopathy`.

Indwara ya encephalopati ikunze kugaragara gute?

Zimwe mu mpamvu zitera indwara ya encelopathy zikunze kugaragara cyane. Urugero, muri Leta Zunze Ubumwe za Amerika honyine, abantu bagera kuri kimwe cya kabiri cya miliyoni bajyanwa mu bitaro kubera guhagarara k'umutima buri mwaka, ariko abagera kuri kimwe cya kabiri ni bo barokoka. Mu barokotse, abenshi bazagira ikibazo cy'ubwonko (anoxic encephalopathy). Indwara za encelopathy zirimo uburozi n'imikorere y'umubiri zikunze kugaragara mu barwayi bari mu bitaro. Indwara ya encelopathy igaragara ku bantu barenga kimwe cya kabiri bafite cirrhosis y'umwijima. Abasinzi bari mu kaga ko kurwara Wernicke encephalopathy.

Ni ibihe bimenyetso by'indwara yo mu bwonko (encephalopathy)?

Encephalopathy ishobora guhindura uko utekereza n'uko wumva. Niba umuntu witaho afite iyi ndwara, ushobora kumva ko "atari uwo yari ameze mbere" kandi imyitwarire ye ishobora kugaragara nk' "idasanzwe". Ibimenyetso bishobora gutandukana bitewe n'umuntu ku wundi, ariko ibimenyetso bisanzwe birimo:

• Urujijo, kubura ubumenyi buhagije ku bidukikije, kugorwa no kwibanda ku bintu. Nk'aho utabasha kumenya aho uherereye cyangwa ibiri kuba.
• Gutakaza ubwenge cyangwa ubumuga. Ushobora kutibuka ibintu biherutse kuba, cyangwa ukibagirwa abantu cyangwa ahantu nzi.
• Gusinzira cyane.Ushobora kumva unaniwe kandi uhora usinziriye.
• Impinduka mu myitwarire. Izi zishobora kuba zirimo kurakara, kurakara, kutita ku bintu, cyangwa kwiheba.

Uretse ibi, hari n'ibindi bimenyetso bishobora kugaragara:

• Kubona cyangwa kumva ibintu bitariho mu by'ukuri (`Hallucinations`).
• Kumva imitsi yawe irimo kunyeganyega, kunyeganyega, cyangwa amaso yawe arimo kugenda nta bushake (`Imikorere y'imitsi idakora ku bushake`).
• Indwara ziba nk'aho hari ikintu kigiye gutera.
• Kugorwa no guhumeka.
• Gutakaza ubwenge.
• Mu bihe bikomeye cyane, koma.

Niba wowe cyangwa umuntu uzi afite kimwe muri ibi bimenyetso, nyamuneka gana muganga cyangwa ujye mu cyumba cy’ubutabazi bwihuse. Igihe ni ingenzi cyane.

Ni izihe mpamvu zitera indwara yo mu bwonko (encephalopathy)?

Encephalopathy ifite impamvu nyinshi. Akenshi, izi mpamvu ntizifitanye isano n'impinduka zikomeye mu bwonko. Izindi ndwara zishobora gutera ibimenyetso bya encephalopathy. Urugero:

• Indwara. Iyi ishobora kuba indwara y'ubwonko ubwabwo (encephalitis), ibipfukisho by'ubwonko (meningitis), cyangwa ahandi hantu mu mubiri.
• Ikibyimba cyo mu bwonko.
• Umuvuduko ku bwonko imbere mu gahanga (umuvuduko wo mu bwonko).
• Igikomere gikomeye cyo mu mutwe.
• Indwara isa n'indwara yo mu bwonko.
• Indwara z'igicuri zitavuwe.
• Kubura Vitamine cyangwa imirire mibi.
• Ni gake cyane, indwara z’ubwiyongere bw’umubiri cyangwa indwara za mitochondrial .

Hari igihe, impamvu igaragara ishobora kudashobora kuboneka kuri buri kibazo cy’indwara y’ubwonko.

Ni ibihe bintu bishobora gutera indwara ya encephalopati?

Indwara ya Encephalopati ishobora kwibasira umuntu uwo ari we wese w’imyaka iyo ari yo yose, kuva ku bana bato kugeza ku bakuru. Ariko, ikunze kugaragara cyane mu matsinda akurikira:

• Abantu barengeje imyaka 65. Abantu bakuze bagomba kwitaho cyane cyane ibi.
• Abahuye n'ingorane zikomeye zo kubyara.
• Abantu bafite ibikomere ku mutwe.
• Abantu bafite ibibazo by’ubuzima bigira ingaruka ku mikorere y’umubiri, nk’indwara z’impyiko n’indwara z’umwijima.
• Abantu bakoresha ubwoko butandukanye bw'imiti icyarimwe.
• Abantu babaswe n'ibiyobyabwenge cyangwa inzoga, cyangwa abahura n'ibiyobyabwenge.

Ni izihe ngorane zishobora guterwa n'indwara ya encephalopati?

Encephalopathy ishobora gutera ingorane zitandukanye, niyo mpamvu ubuvuzi bwihuse ari ingenzi.

• Kwangirika k'ubwonko burundu bishobora kugira ingaruka z'igihe kirekire ku bumenyi n'imikorere yabwo bwite.
• Impinja n'abana bato bashobora kugira ibibazo by'imikurire mibi, iterambere ry'ubwenge, cyangwa ibibazo by'imikorere.
• Ushobora no kuba ugomba guhumekwa n'icyuma gifasha guhumeka bitewe n'ingorane zo guhumeka no kuba uri mu kababaro.

Hari indwara ya encephalopathy ishobora gushyira ubuzima mu kaga , bityo rero ni ngombwa gufata ingamba ukimara kubona ibimenyetso.

Indwara ya encephalopathy ipimwa ite?

Umuganga asuzuma indwara ya encephalopathy akurikije izi ntambwe:

• Kubona amateka arambuye y'ubuzima bwawe. Tuzakubaza ibyerekeye indwara warwaye n'imiti ufata.
• Isuzuma ry'umubiri.
• Gukora ikizamini cy'imitsi.
• Isuzuma ryihariye.

Muganga azakubaza ibibazo bijyanye n'ibimenyetso byawe n'amateka y'ubuzima bwawe. Ariko, kubera ko indwara ya encelopathy yahinduye uburyo ubwonko bwawe bukora, ushobora kudashobora gusubiza ibi bibazo neza. Muri ibyo bihe, amakuru abakurera, nk'umuryango wawe n'inshuti zawe, baha muganga ni ingirakamaro cyane. Bashobora kandi kuba ari bo bagusaba ubufasha. Niba ufite ibyago byo kurwara encelopathy, ni byiza kandi kwambara umukandara w'umuganga.

Ni ibihe bipimo bikoreshwa mu gusuzuma indwara ya encephalopathy?

Muganga wawe ashobora gutegeka ko hakorwa ibizamini byinshi kugira ngo hamenyekane izindi ndwara zifite ibimenyetso bisa no kumenya icyateye indwara yawe. Ibi bizamini bishobora kuba birimo:

• Gupima amaraso.
• Ibipimo byo gupima ubwonko, nka CT scan cyangwa MRI (Magnetic Resonance Imaging), ni nko gufata amafoto y'imbere mu bwonko.
• Ikizamini cya EEG (Electroencephalogram). Iki kizamini gipima imikorere y'amashanyarazi y'ubwonko.
• Gutobora amenyo mu ruti rw'umugongo (cyangwa gukubita umugongo). Ibi bisaba gufata amazi make mu ruti rw'umugongo no kuyapima.

Indwara ya encephalopati ivurwa ite?

Uburyo bwo kuvura buri bwoko bw'indwara yo mu bwonko buterwa n'impamvu. Muganga wawe azagusaba gahunda yo kuvura hashingiwe ku bimenyetso byawe n'impamvu. Ubu buryo bwo kuvura bushobora kuba burimo:

• Gutanga imiti cyangwa inyongeramusaruro.Urugero, ibintu nka antibiyotike, imiti igabanya ubukana bw'indwara, cyangwa vitamine B1.
• Gucunga izindi ndwara zishingiye ku buzima.
• Gufata ingamba zo kurokora ubuzima, nko gukoresha imashini ihumeka (`ventilator`) mu gihe bibaye ngombwa.
• Kubagwa cyangwa guterwa ingingo ( urugero: guterwa umwijima).

Niba ubwonko bwawe bwangiritse bitewe n'iyi ndwara, ushobora gukenera kuvurwa mu buryo butandukanye kugira ngo wongere gukora imirimo isanzwe ya buri munsi. Muri ubu buryo harimo:

• Ubuvuzi bw'umubiri
• Ubuvuzi bw'akazi
• Ubuvuzi bw'imivugire
• Ubuvuzi bw'imyitwarire mu buryo bwo gutekereza (`Ubuvuzi bw'imyitwarire mu buryo bwo gutekereza - CBT`)

Ese hari ingaruka mbi zikomoka ku buvuzi?

Yego, kimwe n'ubundi buryo bwose bwo kuvura, ibi bishobora kugira ingaruka mbi. Kubwibyo, ni ngombwa cyane kuganira na muganga wawe ku ngaruka mbi z'ubuvuzi urimo guhabwa. Ingaruka mbi zishobora gutandukana cyane bitewe n'uburyo bumwe bwo kuvura. Mu gihe uri mu bitaro, abaganga bawe bazagukurikiranira hafi kandi baguhe amakuru menshi ku ngaruka mbi ugomba kwitondera mu gihe cyo kuvurwa.

Nzumva meze neza nyuma y'igihe kingana iki?

Ibi biratandukanye bitewe n'umuntu ku giti cye. Hari abantu bashobora kuvurwa bagakira burundu mu minsi mike. Abandi bashobora gufata igihe kirekire, wenda ibyumweru cyangwa amezi, kugira ngo basubire mu buzima bwabo bwa buri munsi. Ni gake cyane, hari abantu bashobora kutakira burundu. Biterwa n'uburemere bw'indwara n'ibyangiritse ku bwonko.

Ni iki giteganyijwe kuri iyi ndwara ya Encephalopathy?

Nta kintu cyitwa "umuti" w'indwara ya encephalopati. Ariko, ushobora gukira uvurwa impamvu nyamukuru. Uko uvurwa vuba kandi ukavurwa, niko ubona ibintu neza. Ushobora no gutangira kumva "wongeye kumera neza" mu minsi mike nyuma yo kuvurwa.

Ariko, hari ubwo indwara ya encephalopathy ikabije cyane, ndetse ikanashyira ubuzima mu kaga. Iyi ndwara ishobora kugira ingaruka ku mikorere y'ubwonko burundu. Ushobora gukenera kwitabira gahunda zo kugarura ubuzima kugira ngo wongere gukora imirimo yawe ya buri munsi. Hari igihe, nyuma yo kurwara encephalopathy, ushobora gukenera guhindura cyangwa gushaka ubufasha ku bintu washoboraga gukora wenyine, nko gutegura amafunguro cyangwa gukomeza imiti yawe neza.

Niba ufite indwara idakira, indwara ya encephalopati ishobora kongera kugaruka mu gihe kizaza. Kubwibyo, gukurikiza gahunda yo kuvura muganga wawe bizagufasha kwirinda ibi. Encephalopati ishobora gushyira ubuzima mu kaga, bityo jya kwa muganga ukimara kubona ibimenyetso.

Ese indwara ya encephalopati ishobora kwirindwa?

Nta buryo bwo kwirinda ubwoko bwose bwa encelopathy. Ariko, ushobora kugabanya ibyago byawe witaye ku buzima bwawe muri rusange. Ibi birimo kurya indyo yuzuye, gukora imyitozo ngororamubiri, no kurinda umutwe wawe imvune (urugero, kwambara ingofero). Niba ufite indwara zishobora gutera encelopathy, muganga wawe ashobora kugufasha kuzirwanya.

Ni ryari ngomba kujya kwa muganga?

Niba wowe cyangwa umuntu witaho afite ibimenyetso bya encelopathy, vugana na muganga cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze ako kanya. Niba ufite ikibazo cy’uburwayi nk’igisukari cyangwa indwara y’umwijima, kandi ufite ibimenyetso bya encelopathy, jya mu cyumba cy’ubutabazi bw’ibanze ako kanya. Encelopathy ishobora gushyira ubuzima mu kaga, bityo uko witabira vuba ibimenyetso, ni ko umusaruro uba mwiza.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ushobora kubaza muganga ibibazo nk'ibi:

• "Muganga, ni ubuhe bwoko bw'indwara ya encephalopati itera ibi bimenyetso?"
• "Ni ubuhe bwoko bw'ubuvuzi ungira inama yo kunkorera?"
• "Ingaruka mbi z'ubu buryo bwo kuvura ni izihe?"
• "Nkwiye kwihanganira gute izindi ndwara zanjye kugira ngo ngire indwara yo mu bwonko?"
• "Ese nkeneye kwitabira gahunda zo kuvura cyangwa gahunda zo kugarura ubuzima?"

Amaherezo, ibuka ibi...

Bishobora gutera ubwoba gutekereza ko ubwonko bwawe budakora nk'uko byari bimeze mbere. Ni ibisanzwe cyane. Ubwonko bwacu bushobora kugira ingaruka ku bintu byinshi, kuva ku gukomereka mu mutwe kugeza ku kwandura. Niba wumva uti "Sindi we," nyamuneka shaka inama kwa muganga. Uko uvura vuba indwara ya encephalotie, ni ko umusaruro wawe uba mwiza. Muganga wawe azishimira gusubiza ibibazo byose ushobora kuba ufite ku bijyanye n'ubuvuzi bwawe n'ubuvuzi bwawe bw'igihe kirekire nyuma yo kurwara encephalotie. Rero menya neza ko ubaza ibibazo byawe.

` Encephalopathy, indwara z'ubwonko, urujijo, gutakaza kwibuka, imikorere y'ubwonko, uturemangingo tw'imitsi, kwangirika k'ubwonko