Kubaga indwara y'igicuri? Ntutinye, reka tubiganireho! - Nirogi Lanka

Kubaga indwara y'igicuri? Ntutinye, reka tubiganireho! - Nirogi Lanka

Physician Reviewed — Not Medical Advice

Ese urwana n'indwara y'igicuri ? Niba umaze igihe ufata imiti ariko ugasanga indwara yo gucika intege idakira neza, umuganga w'indwara z'imitsi ashobora kuba yaragusabye kubagwa. Igitekerezo cyo "kubagwa ubwonko " gishobora gutuma wumva ubabaye cyane, kandi ni ibisanzwe kumva uhangayitse. Ariko, iyi ishobora kuba inzira yo kunoza ubuzima bwawe cyane. Reka dushyire ku ruhande ubwo bwoba maze tunyure mu byo iyi nzira ikubiyemo, twagejejweho na Nirogi Lanka.

Kubaga indwara y'igicuri ni iki mu by'ukuri?

Mu magambo make, ubu ni uburyo bwo kubaga bukorwa kugira ngo buhagarike cyangwa bugabanye cyane inshuro n'ubukana bw'indwara zo mu bwonko . Kugira ngo wumve impamvu iterwa, ibuka ko indwara yo mu bwonko ibaho iyo habayeho kwiyongera gutunguranye kw'imikorere idasanzwe y'amashanyarazi hagati y'uturemangingo tw'imitsi mu bwonko bwawe. Uku "guhindagurika nabi" kw'amashanyarazi gushobora kubangamira ubwenge bwawe, imyitwarire, amarangamutima, no kugenzura imitsi.

Ni ngombwa kumva ko nubwo ubu buvuzi ari igikoresho gikomeye, ntabwo butanga icyizere cy’uko ubuzima bwawe buzakira burundu 100%. Ariko, kuri benshi, butanga amahirwe yo guhindura ubuzima bwawe mu buryo bugaragara . Urugendo rwa buri murwayi ni urw’umwihariko, kandi umusaruro ushobora gutandukana bitewe n’imimerere ye bwite.

Itsinda ry’abaganga rizakorana nawe bya hafi kugira ngo rigusobanurire niba uri umukandida wo kubagwa n’ibisubizo nyabyo ushobora kwitega.

Kubagwa bitekerezwaho ryari?

Kubaga muri rusange si bwo buryo bwa mbere bwo kuvura. Mu gihe muganga wawe azajya asuzuma ubu buryo iyo:

  • Indwara ziterwa n'ikibazo cyihariye cy'imiterere y'umubiri, nk'ikibyimba cyo mu bwonko cyangwa imitsi idafite aho ihuriye n'amaraso (malformation y'imitsi ifungana).
  • Wagerageje imiti myinshi yo kurwanya ihungabana ry'icyorezo ariko ntugire icyo ugeraho mu kugenzura neza.
  • Ingaruka mbi z'imiti yawe ziruta inyungu.
  • Ubundi buryo bwo kuvura, nko gukoresha indyo yihariye (ketogenic diet)`, ntabwo bwagenze neza.
  • Inshuro cyangwa ubukana bw'indwara yo gukubita bigira ingaruka zikomeye ku bwigenge bwawe bwa buri munsi n'ubushobozi bwawe bwo gukora.

Wibuke ko niba agace k'ubwonko gatera indwara z'igicuri kari hafi y'ahantu hakomeye hagenzura imvugo, kwibuka, cyangwa kugenda, umuganga wawe ashobora kubona ko kubagwa ari ibintu biteje akaga cyane maze agashakisha ubundi buryo bwo kuvura.

Ni ubuhe bwoko bw'ubuvuzi buhari?

Hari ubwoko butandukanye bwo kubaga indwara y'igicuri. Uburyo bukoreshwa buterwa gusa n'aho indwara y'igicuri ikomoka n'impamvu yayo. Dore uburyo busanzwe:

Ubwoko bw'UbuvuziUko bikora
Kubagwa Gukuraho igice cyihariye cy'ubwonko aho indwara z'ibicurane zitangirira cyangwa ingingo zidasanzwe zibitera.
Guhagarika imikorere y'umubiri mu kubaga Guca inzira z'imitsi hagati y'uduce tw'ubwonko kugira ngo hirindwe ko ibimenyetso by'indwara yo gupfukama bikwirakwira.
Ubuvuzi bw'ubushyuhe bwa Laser Interstitial Gukoresha ubuyobozi bwa MRI kugira ngo uyobore laser ntoya kugira ngo usenye uturemangingo dutera igicuri; ubu buryo ni uburyo budatera ingaruka nyinshi.
Guhindura imitsi y'ubwonko Gushyiramo igikoresho cyohereza impulses z'amashanyarazi kugira ngo zihagarike indwara zo mu mutwe, nko gukangura imitsi yo mu bwoko bwa Vagus.
Gutera Electrode Hari igihe tuba tugomba gusesengura imikorere y'ubwonko mu buryo butaziguye; hashyirwaho electrode kugira ngo hakusanyirizwe amakuru, bigafasha umuganga kubaga gutegura uburyo bwiza bwo kuvura.

Kwitegura igikorwa cyawe cyo kubagwa

Mbere yuko ubagwa, uzabazwa neza n'umuganga w'imitsi. Iki ni cyo gihe cyiza cyo kubaza ibibazo ku ntambwe, ingaruka, n'ibisubizo byitezwe. Uzamenyeshwa neza mbere yo gusinya impapuro zo kwemerera. Umuganga wawe ashobora gutanga amabwiriza yihariye, nka:

  • Kugaragaza ibizamini bikenewe mbere yo kubagwa.
  • Guhindura uburyo bwo gufata imiti ukoresha ubu.
  • Kukugira inama yo kureka kunywa itabi kugira ngo bigufashe gukira.
  • Gutegura uburyo bwawe bwo gufasha nyuma yo kubagwa uri mu rugo.

Ni ibihe bizamini bikorwa mbere y'igihe?

Isuzuma rirambuye rikorwa mbere yo kubagwa kugira ngo:

  • Garagaza aho indwara yawe ituruka.
  • Menya niba ako gace gashobora gukurwaho mu buryo bwizewe.
  • Menya neza ko imikorere y'ingenzi iri hafi aho nko kuvuga no kwibuka birinzwe.
  • Tanga igitekerezo cy'uko kubagwa bishobora kuzagenda neza.

Ibi bizamini akenshi bigabanyijemo ibice bibiri: ibizamini byo gusuzuma indwara bidakoresha uburyo bwa "invasive" mu cyiciro cya mbere, rimwe na rimwe, uburyo buto mu cyiciro cya kabiri bwo gukusanya amakuru nyayo.

Icyiciro cy'isuzuma Ubwoko bw'ibizamini byakozwe
Icyiciro cya Mbere (Kidatera Ubugizi bwa nabi)
  • EEG (Electroencephalogram):Ibi bireba imikorere y'ubwonko bwawe. Ushobora kwakirwa kugira ngo ukurikirane EEG mu buryo bwa videwo, ibi bikaba bireba imikorere y'ubwonko bwawe mu gihe nyacyo icyorezo cyabaye.
  • Gupima PET (Positron Emission Tomography): Ibi bipima imikorere mu bice bitandukanye by'ubwonko, bidufasha kumenya aho igicuri cyibasira, ndetse no mu gihe udafite igicuri.
  • Isuzumabumenyi bw'imitsi n'ubwonko: Dusuzuma ubuhanga bwawe bwo kuvuga, kwibuka no kwiga. Ibi bitanga ishingiro ry'ingenzi ryo kugenzura imikorere y'ubwonko bwawe mbere na nyuma yo kubagwa.
  • MRI ikora neza: Iyi MRI iragaragaza ibikorwa by'ubwonko bwawe mu gihe ukora imirimo nko kwibuka amakuru cyangwa gusoma, idufasha gusobanukirwa uburyo ubwonko bwawe bukora iyi mirimo.
Icyiciro cya Kabiri (Icyateye)
  • Gushyiramo Electrode: Insinga nto (electrodes) zishyirwa ku bwonko bwawe cyangwa imbere mu bwonko bwawe kugira ngo zandike ibimenyetso by'amashanyarazi mu buryo butaziguye. Ibi bifasha kumenya neza uburyo bwo gufata igicuri. Uburyo busanzwe ni `Stereoelectroencephalography (SEEG)`.
  • Gushushanya Ubwonko: Dukoresheje izi electrode, dukora "ikarita" y'ubwonko bwawe kugira ngo tumenye ibice by'ingenzi bigira uruhare mu ngendo zawe no mu mivugire yawe ugereranije n'ibifitanye isano n'indwara zo mu mutwe.

Ni iki kibaho mu gihe cyo kubagwa?

Ubwa mbere, agace gato k'umusatsi wawe kazakogoshwa; ndakwinginze ntugire ikibazo, kazongera kumera. Umuganga w'ikinya azaguha ikinya rusange, akwemeze ko ukomeza gusinzira cyane mu gihe cyose cy'igikorwa. Itsinda ry'abaganga bawe rizakurikirana umuvuduko w'umutima wawe, umuvuduko w'amaraso, n'urugero rwa ogisijeni buri gihe.

Umuganga wawe azakuraho agace gato k'agahanga kawe kugira ngo agere ku bwonko. Bashobora gukora EEG mu gihe cyo kubaga kugira ngo bemeze neza aho indwara y'igicuri iri.

Igishimishije ni uko rimwe na rimwe, itsinda rishobora kugukangura igihe gito mu gihe cyo kubagwa kugira ngo rikubaze ibibazo cyangwa riguhe imirimo. Ibi bidufasha gushushanya neza imikorere y'ubwonko nk'imvugo n'ingendo. Ntuzumva ububabare muri iki gice cy'igikorwa.

Umaze kurangiza, uzasinzira. Umuganga azakira ubwonko bwagize ikibazo, asimbuze igice cy'igufwa, hanyuma agishyiremo uduce duto twa titanium. Amaherezo, umutwe w'umutwe urapfundikirwa kandi upfundikizwe n'igitambaro cy'uruhu.

Ni iki wakwitega nyuma yo kubagwa n'igihe uzakira?

Nyuma yo kubagwa, uzajya mu cyumba cyihariye cyo gukira, ushobora kumara umunsi wose mu cyumba cy’indembe (ICU). Abarwayi benshi bamara iminsi itatu kugeza kuri itanu mu bitaro.

Ushobora kubyimba buhoro no kubabara mu mutwe no mu maso, ibyo tukabikemura dukoresheje imiti. Ibi bimenyetso akenshi bishira mu byumweru bike. Ariko, nyamuneka menyesha itsinda ry’abaganga bawe vuba niba ugize ububabare bukabije cyangwa ibimenyetso bidasanzwe.

Kuruhuka ni ingenzi cyane. Ushobora gusubira buhoro buhoro mu mirimo ya buri munsi mu byumweru bine kugeza kuri bitandatu. Gusubira ku kazi cyangwa ku ishuri akenshi bifata ukwezi kumwe kugeza kuri bitatu, nubwo bishobora gufata imyaka ibiri kugira ngo ubone inyungu z'igihe kirekire z'ubu buryo.

Icy'ingenzi ni uko ugomba gukomeza imiti igabanya ububabare mu gihe runaka nyuma yo kubagwa kugira ngo ubwonko bwawe bukire kandi bukomeze kurindwa. Iyo ukomeje kuba nta burwayi mu gihe cy'umwaka umwe, umuganga w'indwara z'imitsi ashobora kugabanuka buhoro buhoro ndetse amaherezo akareka imiti yawe.

Inyungu n'Ingaruka

Nkuko bigenda mu kubagwa gukomeye kose, hari ibyiza n'ingaruka bishobora kubaho. Tuzabiganiraho nawe mu buryo burambuye.

Ibyiza Ingaruka
  • Kugabanuka gukomeye cyangwa guhagarika burundu indwara zo gupfusha.
  • Gushobora kugabanya cyangwa guhagarika imiti igabanya ihungabana ry'icyorezo.
  • Gusubira mu gutwara imodoka, ku kazi, n'ibindi bikorwa bibujijwe.
  • Kugabanya ibyago byo kurwara impanuka ziterwa n'igicuri zishobora no kubangamira ubuzima.
  • Kurushaho kugira ubuzima bwiza n'imibereho myiza yo mu mutwe muri rusange.
  • Uburyo bwo gusinziriza bujyanye n'indwara yo gusinziriza.
  • Kuva amaraso cyangwa kwandura.
  • Amahirwe make yo kugira ibibazo by'imitsi nko kuvuga cyangwa ubumuga bwo gukora imitsi.
  • Hydrocephalus (amazi yiyongera mu bwonko).
  • Gutinda gukira kw'ibikomere.
  • Impinduka z'igihe gito cyangwa zihoraho ku kwibuka, amarangamutima, cyangwa kureba.

Ntugahangayikishwe n'izi ngaruka. Isuzuma ryacu rirambuye mbere yo kubagwa ryagenewe kugabanya izi ngaruka no kwemeza ko uzavamo umusaruro utekanye.

Ubutumwa bwo kujyana mu rugo

  • Kubaga indwara y'igicuri ni uburyo bukomeye mu gihe indwara y'igicuri idashobora kugenzurwa hakoreshejwe imiti.
  • Iki ni icyemezo gikomeye. Turagushishikariza kuba ufunguye umuganga wawe no kubaza buri kibazo cyose ufite.
  • Isuzuma rikomeye rikorwa mbere yo kubagwa kugira ngo umenye neza umutekano wawe n'ibisubizo byiza bishoboka.
  • Nubwo nta kubagwa gushobora kwemeza gukira 100%, ubushobozi bwo guhindura ubuzima bwawe mu buryo bugaragara ni bwinshi cyane muri Nirogi Lanka.
  • Gukira bisaba kwihangana. Gukurikiza gahunda yawe yo kwita ku buzima nyuma yo kubagwa ni yo ntambwe y'ingenzi cyane mu rugendo rwawe rwo kugera ku buzima bwiza.

igicuri, ibibyimba, kubagwa igicuri, kubagwa ubwonko, Nirogi Lanka