Ese wowe cyangwa umuntu wawe wa hafi ukunda kugira igicuri? Reka tuvuge ku ndwara y'igicuri!

Turamutse tubonye umwe mu bo dukunda agwa mu gituza, acura imitsi, agatakaza ubwenge, akagwa hasi, twese twagira ubwoba cyane, si byo se? Ni ikintu giteye ubwoba koko. Ariko niba tuzi neza iyi ndwara, tuzaba dufite imbaraga zo gufasha uwo muntu no kubaho n'iyi ndwara. None rero uyu munsi, reka tuvuge kuri iyi ndwara yitwa igicuri, cyangwa nk'uko abantu benshi babizi.

Indwara y'igicuri ni iki? Reka tuyisobanukirwe mu buryo bworoshye!

Mu magambo make, igicuri ni indwara idakira. Iterwa n'uko ibimenyetso by'amashanyarazi biva mu bwonko bwacu bidakora neza, bigatera indwara yo gucika intege kenshi. Tekereza nk'amatara mato. Ahujwe kandi agakora mu buryo runaka bw'amashanyarazi. Ariko mu bwonko bw'umuntu urwaye igicuri, iyi nzira y'amashanyarazi ihita ihinduka, ikabyara ingufu z'amashanyarazi zitagira umupaka nk'inkuba. Ni bwo umuntu afatwa n'igicuri. Ibi bishobora gutuma habaho impinduka mu bwenge bwe, kugenzura imitsi (nko gutitira amaboko n'amaguru), kumva ibintu, amarangamutima, n'imyitwarire. Ibi kandi byitwa indwara yo gucika intege .

Ni nde ushobora guteza ubu burangare?

Mu by’ukuri, umuntu wese, mu kigero icyo ari cyo cyose, hatitawe ku gitsina cyangwa ubwoko, ashobora kurwara indwara yo kubabara umutwe. Bityo biragoye gutekereza uti "Sinzayirwara."

Iki kibazo gikunze kugaragara ku isi mu rugero rungana iki?

Muri Leta Zunze Ubumwe za Amerika honyine, abantu bagera kuri miliyoni 3.4 barwaye migraine. Ni ukuvuga abantu bakuru bagera kuri miliyoni 3 n'abana 470.000. Ku isi yose, abantu bagera kuri miliyoni 65 barwaye iyi ndwara. Rero ntabwo ari ibintu bidasanzwe.

Ni iki koko kiba mu bwonko mu gihe cy'igicuri?

Uturemangingo two mu bwonko bwacu twohereza kandi tukakira ubutumwa mu mubiri wose. Ubu butumwa bugenda nk'insinga z'amashanyarazi, ziva mu turemangingo tujya mu tundi mu buryo bw'ingufu z'amashanyarazi. Igicuri giterwa no kubangamira iyi miterere y'amashanyarazi igenda neza kandi ikora neza. Ahubwo, habaho kwiyongera gutunguranye kw'ingufu z'amashanyarazi hagati y'uturemangingo mu gace kamwe cyangwa menshi mu bwonko, nk'inkuba itunguranye . Uku guhungabana kw'amashanyarazi bitera gutakaza ubwenge, impinduka mu buryo umuntu yumva, impinduka mu byiyumvo, n'imitsi idakora neza.

Ni ubuhe bwoko bw'indwara zo mu mutwe n'ibimenyetso byazo?

Abaganga bashyira mu byiciro indwara y'igicuri bakurikije ubwoko bw'indwara y'igicuri ibaho. Iyi ndwara iterwa n'aho mu bwonko itangiriye, uko ubyitayeho mu gihe cy'indwara y'igicuri, ndetse niba hari imitsi ikora cyangwa idakora.

Hari ibyiciro bibiri by'ingenzi by'indwara zo mu mutwe:

1. Indwara zo mu mutwe (Focal Onset Arsecure)

Ubu bwoko bw'indwara yo gupfupfunuka butangirira ku ruhande rumwe rw'ubwonko, mu gace kamwe cyangwa urusobe rw'uturemangingo. Iyi ndwara mbere yitwaga "partial intention seizure". Hariho kandi ubwoko bubiri bw'iyi ndwara:

• Indwara yo mu mutwe ifata umuntu ku buryo bworoshye:Muri iki gihe, uba uzi ibiri kuba kandi uzi ibiri kuba. Ibi byahoze byitwa "simple partial seizure". Ibimenyetso bishobora kuba birimo:
• Impinduka mu byumviro byawe - impinduka mu buryohe, impumuro, no kumva.
• Impinduka mu marangamutima.
• Imitsi ihindaguritse, akenshi mu maboko cyangwa amaguru.
• Ukumva umeze nk'ureba urumuri, ukumva umeze nk'ufite isereri, ukumva nta kintu na kimwe kigutwaye.

• Gufatwa n'indwara yo mu mutwe: Muri ibi, ubushobozi bwawe bwo kumenya ibintu buhinduka urujijo, cyangwa ushobora guta ubwenge burundu. Ibi byari byitwaga "complex partial seizure". Ibimenyetso bishobora kuba birimo:
• Kureba ahantu hamwe nta cyo witayeho.
• Gusubiramo ibintu bimwe inshuro nyinshi, nko guhumbya amaso, kwiruka iminwa, kwigira nk'aho uhekenya ikintu, cyangwa gukanda intoki.

2. Gufatwa n'indwara zo mu mutwe (Assuming) mu buryo rusange

Ubu bwoko bw'indwara yo gupfukirana bugira ingaruka ku rusobe rw'uturemangingo ku mpande zombi z'ubwonko icyarimwe. Hari ubwoko butandatu bw'ingenzi:

• Gupfa kw'imbwa: Ibi ni ugupfa kw'imbwa gutunguranye, bivuze ko bihita bitakaza ubwenge by'igihe gito. Bishobora kujyana n'imitsi mito nko guhumbya, kwiruka iminwa, cyangwa gukora intoki nto. Ibi bikunze kugaragara cyane ku bana kandi bimara amasegonda make (ubusanzwe munsi y'amasegonda 10). Akenshi bishobora kwitiranywa no kurota ku manywa. Byari bisanzwe byitwa 'petit mal seizures'.

• Indwara zo mu mutwe: `Atonic` bisobanura ``nta jwi rihagije``. Ibi bivuze ko muri iki gihe cyo kurwara, imitsi yawe irabura cyangwa igacika intege. Ibintu nk'amaso yawe n'umutwe bishobora kunama, cyangwa ushobora kugwa hasi mu buryo butunguranye. Iki kandi ni igihe gito cyo kurwara (ubusanzwe kitarenze amasegonda 15). Ibi kandi byitwa ``indwara zo mu mutwe`` cyangwa ``igitero cyo kurwara.

• Gufatwa n'indwara zo mu mutwe: `Tonic` bisobanura ``gufata neza``. Iki ni cyo gihe imitsi yawe ihita ikomera, nk'aho irimo kunyeganyega. Amaboko yawe, amaguru, umugongo, cyangwa umubiri wose bishobora gukomera, kandi ushobora kugwa. Muri iki gihe gito cyo gufatwa n'indwara zo mu mutwe (ubusanzwe mu gihe kitarenze amasegonda 20), ushobora kuba ufite ubwenge, cyangwa se ukaba waragize impinduka nto mu bwenge.

• Ibicurane bya Clonic: Clonus ni ukubyimba kw'imitsi vuba kandi gasubiramo ("gutitira"). Muri ibi, imitsi ikomeza gutitira mu masegonda make kugeza ku munota umwe, cyangwa imitsi igatitira hanyuma igatitira mu masegonda make kugeza ku minota ibiri.

• Ibisebe bya Tonic-clonic: Ubu ni bwo bwoko abantu benshi batekereza iyo bumvise ijambo "seizure".Iyi ni uruvange rw'imitsi itera imitsi ku buryo bworoshye (tonic) n'imitsi itera imitsi ku buryo bworoshye (clonic). Abaganga nabo bayita "convulsion", kandi byahoze byitwa "grand mal seizure". Ibi bikubiyemo gutakaza ubwenge, kugwa hasi, no gucika intege kw'imitsi mu gihe cy'umunota umwe kugeza kuri itanu. Ururimi rushobora gupfunyika, amacandwe ashobora gutemba mu kanwa, kandi inkari cyangwa amacandwe bishobora gusohoka.

Tekereza, inshuti yawe Kamal irataka cyane igwa hasi. Hanyuma umubiri we urahinda umushyitsi, hanyuma amaguru ye atangira kunyeganyega vuba. Asohoka amabyi mu kanwa, kandi wenda amaze kugarura ubwenge, yatose imyenda ye atabizi. Uko ni ko iyi ndwara yo gucika intege mu mubiri (tonic-clonic attack).

• Ibicurane bya myoclonic: Ibi ni uguhubuka cyangwa kunyeganyega kw'imitsi mu buryo butunguranye, nk'amashanyarazi ("myo" bivuze imitsi, "clonus" bivuze kunyeganyega kw'imitsi). Akenshi bimara amasegonda make.

Uko muganga wawe akomeje gukora iperereza ku ndwara yawe, ubwoko bw'indwara yo gupfukama bushobora guhinduka bumwe muri ubwo bwoko bubiri: `focal` cyangwa `generalized introduction seizure`.

Ese hari impamvu zihariye (impamvu zitera ihungabana) zitera ihungabana?

Yego, hari ibintu bimwe na bimwe bibaho mbere yuko isereri itangira, cyangwa bigafasha isereri kubaho. Ibyo tubyita intandaro y'isereri .

Ibintu bikunze kuvugwa cyane ni ibi bikurikira:

• Guhangayika.
• Ibibazo bifitanye isano n'ibitotsi - nko kubura ibitotsi, kutabona ibitotsi bihagije, umunaniro ukabije, kubura ibitotsi, n'ibibazo byo gusinzira nka ``(Sleep apnea)''.
• Kunywa inzoga, kureka inzoga, gukoresha ibiyobyabwenge.
• Impinduka mu misemburo, cyane cyane izijyanye n'ukwezi k'abagore.
• Indwara, umuriro.
• Amatara cyangwa imiterere birabagirana.
• Kutarya indyo yuzuye kandi yuzuye, kutanywa amazi ahagije, kubura vitamine na myunyu ngugu, no gusiba kurya.
• Umunaniro w'umubiri.
• Hari ibiryo bimwe na bimwe (kafeyine ni yo mpamvu ikunze gutera ikibazo).
• Kubura amazi mu mubiri.
• Amasaha yihariye y'amanywa cyangwa nijoro.
• Ikoreshwa ry'imiti imwe n'imwe. Ikigize ``(Diphenhydramine)`` kiboneka mu miti imwe n'imwe iterwa n'ibicurane, aleriji, n'ibitotsi byavuzwe ko ari cyo gitera.
• Gusiba igihe cyo gufata imiti yo gukubita ibisebe.

Namenya nte ibintu bitera igicuri?

Hari abantu basanga indwara zo mu mutwe ziba mu gihe runaka cy'umunsi, cyangwa zigahurirana n'ikintu runaka cyangwa ikindi kintu runaka. Ushobora kwandika mu ikaye y'indwara zo mu mutwe.Bikomeze. Andika igihe cyo kurwara, ibintu byihariye byabaye muri icyo gihe, n'uko wiyumvise. Niba ubona ko hari ikintu gitera, gerageza kumenya niba ari cyo. Urugero, niba ubona ko kafeyine ari yo itera, reba niba urwara buri gihe urya cyangwa unywa ikintu kirimo kafeyine, cyangwa niba urya kafeyine "x", cyangwa niba unywa kafeyine mu gihe runaka cy'umunsi. Ishobora kuba atari yo itera nyuma y'igihe runaka.

Ni ibihe bimenyetso by'indwara yo gucurama?

Ikimenyetso cy'ingenzi cy'igicuri ni indwara yo kurwara inshuro nyinshi. Ariko ibimenyetso biratandukanye bitewe n'ubwoko bw'indwara yo kurwara.

Ibimenyetso n'ibimenyetso bisanzwe birimo:

• Gutakaza ubwenge by'igihe gito cyangwa kugabanuka k'ubwenge.
• Imitsi ikora nabi, imitsi irahindagurika, imitsi itakaza imiterere yayo.
• Bisa nkaho arimo kureba ahantu hamwe nta cyo yitayeho.
• Urujijo rw'igihe gito, gutekereza buhoro, kugorwa no kuvuga no gusobanukirwa.
• Impinduka mu byiyumvo nko kumva, kureba, uburyohe, impumuro, gucika intege, cyangwa gucika intege.
• Kugorwa no kuvuga cyangwa kumva.
• Kubabara mu gifu, kumva ubushyuhe cyangwa ubukonje, cyangwa kugira umutwe.
• Ingendo nko kwiruka ku minwa, guhekenya ikintu, gukanda intoki, gukora ikintu n'intoki.
• Ibimenyetso byo mu mutwe nko gutinya, ubwoba, guhangayika, cyangwa se déjà vu (ibyiyumvo nk'ibi byigeze kubaho mbere).
• Umutima utera cyane cyangwa umuvuduko wo guhumeka.

Abantu benshi barwaye igicuri bahora bagira ubwoko bumwe bw'igicuri. Kubwibyo, ibimenyetso birasa kuri buri cyorezo.

Ni izihe mpamvu zitera igicuri?

Mu bihe byinshi (hafi 70% by'abarwaye) , nta mpamvu iboneka itera indwara y'igicuri. Zimwe mu mpamvu zizwi zirimo:

• Genetike: Amoko amwe y’igicuri (urugero: igicuri cy’abana bato, igicuri cyo kubura abana) ashobora kugaragara mu miryango. Abashakashatsi bemeza ko hari imiterere y’uturemangingo ibigiramo uruhare, ariko izi ngirabuzimafatizo zongera ibyago byo kurwara igicuri, kandi hari n’ibindi bintu bishobora kugira uruhare muri ibyo.
• Indwara ya “Mesial temporal sclerosis”: Iki ni igisebe gifata igice cy’imbere cy’ubwonko. Gishobora gutera indwara yo gucika intege.
• Gukomereka mu mutwe : Bishobora guterwa n'impanuka z'imodoka, kugwa, cyangwa ikindi gikomere ku mutwe.
• Indwara zo mu bwonko: Ingero zirimo `(igisebe cy'ubwonko)`, `(meningitis)`, `(encephalitis)` na `(neurocysticercosis)`.
• Indwara z'ubudahangarwa bw'umubiri: Indwara z'ubudahangarwa bw'umubiri wawe zishobora gutera migraine.
• Indwara z'iterambere:Utumenyero duto two mu bwonko tubaho igihe umuntu avutse ni yo mpamvu ikunze gutera igicuri, cyane cyane ku bantu bafite igicuri kidashobora gukemurwa n'imiti. Urugero: `(focal cortical dysplasia)`, `(polymicrogyria)`, `(tuberous sclerosis)`.
• Indwara za metabolike: Abantu bafite ibibazo ku buryo umubiri ubona ingufu (imiterere ya metabolike) bashobora kurwara migraine.
• Indwara z'ubwonko n'indwara z'imitsi y'amaraso: Migraine ishobora guterwa n'indwara z'imitsi y'amaraso nk'ibibyimba byo mu bwonko, indwara zo mu bwonko zo mu bwoko bwa stroke, indwara yo kwibagirwa, n'indwara z'imitsi itera imitsi.

Ibi bipimwa gute?

Mu by’ukuri, niba warigeze kugira indwara y’igicuri kabiri cyangwa rirenze, kandi idaterwa n’indi mpamvu izwi (urugero: kureka inzoga, isukari nke mu maraso), ufatwa nk’ufite igicuri. Mbere yo gusuzuma indwara, muganga wawe (cyangwa umuganga w’inzobere mu ndwara y’igicuri) azagusuzuma umubiri, akubaze amateka y’ubuzima bwawe, kandi ashobora gutumiza ibizamini by’amaraso (kugira ngo amenye izindi mpamvu). Azagusaba kumenya ibimenyetso byawe mu gihe cy’indwara y’igicuri kandi ashobora no gutumiza ibindi bipimo.

Muganga ashobora kukubaza wowe cyangwa undi muntu wo mu muryango wawe wabonye igicuri cyawe niba ibintu bikurikira byabayeho mu gihe cy'igicuri:

• Wakuruye imitsi?
• Ese imitsi yarafashe umurego?
• Ese waraye umwanda cyangwa inkari?
• Ese hari impinduka mu guhumeka?
• Ese ibara ry'uruhu rwawe ryahindutse ibara ry'umukara?
• Ese wari utegereje nta kumwenyura?
• Ese watakaje ubwenge?
• Ese byakugoye kuvuga cyangwa kumva ibyavuzwe?

Ni ibihe bipimo bikorwa kugira ngo hamenyekane iyi ndwara?

Ibizamini by'ingenzi ni ibi bikurikira:

• Electroencephalography (EEG): Iyi niyo ipima imikorere y'amashanyarazi y'ubwonko bwawe. Imiterere imwe n'imwe y'amashanyarazi idasanzwe ifitanye isano n'indwara zo mu bwonko.
• Gupima ubwonko: Ibizamini nka `(Magnetic Resonance Imaging - MRI)` bisuzuma ibintu nk'ibibyimba byo mu bwonko, indwara zandura, cyangwa ibitagenda neza mu mitsi y'amaraso.

Ni ubuhe buryo bwo kuvura migraine?

Uburyo bwo kuvura migraine burimo imiti igabanya ububabare, gahunda zihariye zo kurya (ubusanzwe zivanze n'imiti), no kubagwa .

Imiti igabanya ifatwa ry'ibyihebe

Iyi miti ishobora kurwanya indwara y'igicuri ku bantu bari hagati ya 60% na 70% barwaye igicuri. Ingufu z'iyi miti ziratandukanye bitewe n'umuntu ku giti cye. Ikigo gishinzwe ibiribwa n'imiti muri Amerika (FDA) cyemeje imiti irenga 20 yo kuvura igicuri. Muganga wawe ashobora kugerageza imiti itandukanye kugeza igihe azabona umuti ukubereye, urugero, cyangwa uruvange rw'imiti ikubereye.

Mu guhitamo umuti, tekereza kuri ibi bikurikira:

• Ubwoko bw'ifatwa ry'ibisebe.
• Uko wabyitwayemo ku miti ya kera yo gukubita ibicurane.
• Izindi ndwara ufite.
• Hari ingaruka zishobora guterwa n'indi miti ufata.
• Ingaruka mbi z'umuti wo gukubita ibisebe (niba uhari).
• imyaka yawe.
• Imiterere y'ubuzima muri rusange.
• Ikiguzi.

Icy'ingenzi: Imiti imwe n'imwe igabanya ububabare ishobora kwangiza umwana mu gihe atwite, bityo rero menya neza ko ubimenyesheje muganga wawe niba utwite cyangwa uteganya gutwita.

Niba imiti igabanya ubukana bw'indwara idakurinda indwara yo gucika intege, muganga wawe azakubwira ubundi buryo bwo kuvura, bushobora kuba burimo indyo yihariye, ibikoresho by'ubuvuzi, cyangwa kubagwa.

Ubuvuzi bw'imirire

Indyo ya ketogenic hamwe n'indyo ya Atkins yahinduwe - haba ikubiyemo ibinure byinshi, poroteyine iringaniye, n'indyo nkeya za karubohidrati - ni inama ku bantu bamwe na bamwe barwaye igicuri. Akenshi ikunze kugirwa inama ku bana batakiriye imiti kandi batabereye kubagwa. Indyo ifite igipimo gito cya glycemic ishobora kandi gufasha kugabanya indwara zo mu mutwe ku bantu bamwe na bamwe.

Kubaga n'ibikoresho

Niba imiti idakurinda indwara yo kurwara, kandi indwara yo kurwara ikaba ikomeye, muganga wawe ashobora gutekereza kubagwa. Niba indwara yo kurwara idakurwanya hakoreshejwe imiti irenze ibiri, kubagwa indwara yo kurwara igicuri bishobora kuba uburyo bwiza kandi bwizewe bwo kuvura. Niba indwara yo kurwara igicuri idakurwanya hakoreshejwe imiti, ni ngombwa ko ugenzurwa n’ikigo cyita ku ndwara yo kurwara igicuri kugira ngo urebe niba uri umuntu mwiza wo kubagwa.

Uburyo bwo kubaga burimo kubaga ingingo zitameze neza, gukata insinga zihuza ibice by'ubwonko, kubaga hakoreshejwe radio stereotactic (gusenya ingingo zitameze neza z'ubwonko), cyangwa gushyiramo ibikoresho byo guhindura imitsi. Ibi bikoresho byohereza impulses z'amashanyarazi mu bwonko, bigagabanya indwara zo mu mutwe uko igihe kigenda gihita.

Ese indwara y'igicuri ishobora kwirindwa?

Nubwo ibintu byinshi bitera migraine ari ibintu tudashobora kugenzura cyangwa gukumira, ushobora kugabanya ibyago byo kurwara zimwe mu ndwara zishobora gutera migraine:

• Gabanya ibyago byo gukomereka mu bwonko: Buri gihe mbara umukandara w'imodoka igihe utwaye imodoka kandi utware neza; mbara ingofero iyo utwaye igare; shyira ibintu n'insinga bitari ngombwa hasi mu rugo kugira ngo wirinde kugwa; wirinde kuzamuka urwego.
• Gabanya ibyago byo kurwara indwara yo mu bwonko: Kurya indyo yuzuye (urugero: indyo yo mu nyanja ya Mediterane), komeza ibiro byawe, kandi ugire imyitozo ngororamubiri buri gihe.
• Shaka ubuvuzi bw'ibiyobyabwenge. Inzoga n'ibindi biyobyabwenge bitemewe n'amategeko bishobora kwangiza ubwonko bwawe, bigatera indwara yo kwibagirwa.

Ese hari umuti wuzuye w’indwara ya migraine?

Oya, nta muti wuzuye w’indwara ya migraine uhari. Ariko hari uburyo bwinshi bwo kuvura indwara ya migraine.

Ese nzahora ngira indwara y'igicuri?

Iyo abantu bavuwe neza, bagera kuri 70% ntibazarwara indwara y'igicuri mu myaka mike. Abasigaye 30% bafite indwara yitwa igicuri kidakira imiti. Aba bantu bagomba kujya mu kigo cyita ku barwayi b'igicuri kugira ngo barebe niba ari bo bashobora kubagwa igicuri.

Nzafata imiti y'igicuri igihe kingana iki?

Biterwa n'ubwoko bw'igicuri ufite n'uko witwara ku miti. Hari abantu bamaze imyaka myinshi badafatwa n'igicuri bashobora guhagarika gufata imiti yabo. Iki cyemezo gifatwa na muganga wawe. Azasuzuma ibintu byinshi, nko kutagira ibisebe byo mu bwonko kuri MRI yawe, inyandiko za EEG, n'amateka y'ubuzima bwawe. Hari abantu bashobora gukenera gufata imiti ubuzima bwabo bwose.

Ni ryari nkwiye kujya kwa muganga? Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba utarigeze ugira isereri mbere, kandi ukaba utekereza ko uri kuyirwara - cyangwa abantu bakukikije bakavuga ko "wakuwe mu mwanya" cyangwa ko wataye ubwenge - reba muganga w'umuryango wawe. Ashobora kukwohereza kwa muganga w'indwara z'imitsi kugira ngo agupime ibindi bipimo.

Gutungukirwa! Niba ufite isereri imara iminota irenga itanu, cyangwa niba ufite isereri nyinshi zikurikiranye kandi ntushobore kugarura ubwenge, hamagara 911 ako kanya (cyangwa ubwire inshuti yawe cyangwa undi muntu uri hafi aho guhamagara 911). Muri Sri Lanka, hamagara Serivisi y’Indwara z’Abatabazi ya Suwaseriya yo mu 1990.

Nakwitwara nte mu gihe mfite igicuri?

Ibi bintu bishobora kugufasha guhangana n'indwara z'igicuri:

• Fata umuti wawe neza neza nk'uko muganga wawe yabigutegetse. Niba wabuze ingano, hamagara muganga wawe ako kanya.
• Gusinzira bihagije (ubusanzwe hagati y'amasaha arindwi n'icyenda mu ijoro).
• Gucunga imihangayiko. Imihangayiko irekura imiti imwe n'imwe mu bice by'ubwonko bikunze kurwara indwara zo mu bwonko. Gerageza yoga, gutekereza cyane, imyitozo ngororamubiri, biofeedback, cyangwa ubundi buryo bwo kuruhuka kugira ngo ugabanye imihangayiko.
• Imyitozo ngororamubiri buri gihe (iminota 30 ku munsi, iminsi itanu mu cyumweru).
• Irinde kunywa inzoga nyinshi.
• Bwira abaganga bawe bose ko urwaye igicuri. Niba undi muganga akwandikiye imiti y’indi ndwara, baza muganga ukuvura igicuri cyawe. Imiti imwe, nka imiti igabanya ubukana bw’indwara zo mu mutwe, imiti igabanya ubukana bw’indwara zo mu mutwe, n’imiti itera imbaraga, ishobora kubangamira imikorere y’imiti yawe itera indwara zo mu mutwe cyangwa ikakuzanira ingaruka mbi.
• Buri gihe bwira muganga wawe ibyo ufata byose - imiti igurishwa mu kigo, vitamine, inyongeramusaruro, n'imiti gakondo.
• Menya ibintu bigutera gucurama hanyuma ubyirinde.
• Kurya indyo yuzuye.

Ese nshobora gutwara imodoka mfite igicuri?

Muri Sri Lanka, raporo y'ubuvuzi irakenewe mu gihe usaba cyangwa wongera uruhushya rwo gutwara ibinyabiziga. Niba ufite indwara nk'igicuri, ugomba kubimenyesha muganga wawe. Baza muganga wawe niba ushobora gutwara ibinyabiziga. Muri rusange, si byiza gutwara ibinyabiziga kugeza igihe indwara yawe yo gukubita igaruriye neza.

Ni izihe ngorane zishobora guterwa n'umutwe ukabije?

Indwara zo mu mutwe zishobora gutera imvune zikomeye ku mubiri. Byongeye kandi, indwara zishobora gushyira ubuzima mu kaga zijyanye n’igicuri zirimo indwara y’igicuri n’urupfu rutunguranye mu gihe cy’igicuri (SUDEP).

Indwara y'igicuri

Iyi ni indwara yo gucura imara igihe kirekire (iminota 5 kugeza kuri 30), cyangwa indwara yo gucura ikurikira indi, nta mwanya wo gukira hagati yayo. Ibi bifatwa nk'ikibazo cyihutirwa cy'ubuvuzi.

Ibi bikurikira bishobora gukorwa nk'ubuvuzi bwihutirwa mu bitaro:

• Gutanga imiti, ogisijeni, n'amazi binyuze mu mutsi.
• Gutanga imiti igabanya ububabare kugira ngo umuntu agire koma kandi ahagarike igicuri.
• Gukurikirana EEG kugira ngo barebe uko witwara mu gihe cy'ubuvuzi.
• Ibizamini kugira ngo hamenyekane icyateye iyi ndwara.

Urupfu rutunguranye mu gihe cy'igicuri (SUDEP)

Urupfu rutunguranye ruturutse ku gisebe ni indwara idakunze kubaho aho umuntu ufite igicuri, ukiri muto cyangwa uri mu kigero cyo hagati, apfa nta mpamvu igaragara. Akenshi, uru rupfu rubaho nijoro cyangwa mu gihe asinziriye, nta muntu ubizi. Abashakashatsi batekereza ko zimwe mu mpamvu zishobora kuba zitera igicuri ni izi:

• Umutima utari mwiza: Indwara zishobora gutera ikibazo gikomeye cy'umutima cyangwa guhagarara k'umutima.
• Kugorwa no guhumeka: Iyo guhumeka bihagaze (urugero, bitewe no kubura umwuka uhagije mu gihe umuntu asinziriye), kubura umwuka wa ogisijeni mu mutima no mu bwonko bishobora gushyira ubuzima mu kaga. Nanone, rimwe na rimwe mu gihe umuntu afashwe n'igicuri, inzira y'ubuhumekero ishobora kuziba, bigatuma umuntu abura umwuka.
• Guhumeka kuruka: Guhumeka kuruka mu gihe cy'igicuri cyangwa nyuma yacyo bishobora kuziba inzira z'ubuhumekero.
• Guhungabana k'imikorere y'ubwonko: Indwara yo mu bwonko ishobora guhungabanya ibice by'ubwonko bigenzura guhumeka no gutera k'umutima.

Umuntu umwe ku 1.000 urwaye igicuri apfa buri mwaka azize SUDEP. Ni yo mpamvu nyamukuru itera impfu ku bantu bafite igicuri kidacunzwe. Kugira ngo ugabanye ibyago byo kurwara SUDEP, menya kandi wirinde ibintu bigutera igicuri, fata imiti yawe uko wabitegetswe, kandi ukurikize imico y'ubuzima muri rusange (sinzira bihagije, kora imyitozo ngororamubiri, rya indyo yuzuye, wirinde kunywa itabi, kandi wirinde kunywa inzoga nyinshi cyangwa ibiyobyabwenge).

Ni irihe tandukaniro riri hagati y'"guhungabana", "gufatwa n'indwara" na "igicuri"?

• Gucika intege:Iyi ni indwara ituma imitsi ihindagurika kandi igatakaza ubwenge. Nyamara, abantu benshi bakoresha amagambo "guhungabana" na "gufatwa n'ibisebe" mu buryo bumwe. Ijambo "guhungabana" rikoreshwa kandi mu kuvuga indwara yo mu mutwe (tonic-clonic seizures).
• Indwara zo mu bwonko: Ibi biterwa n'imikorere idasanzwe y'amashanyarazi ituruka mu ngirabuzimafatizo z'ubwonko bwawe. Ushobora kugira indwara zo mu bwonko nubwo nta bimenyetso ufite. Abaganga babyita 'indwara zo mu bwonko' (zishobora kumenyekana hakoreshejwe ibizamini bya EEG). Akenshi, indwara zo mu bwonko zijyana n'ibimenyetso bitandukanye byavuzwe haruguru. Indwara zo mu bwonko ni ikimenyetso cy'igicuri, ariko si indwara zose ziterwa n'igicuri.
• Igicuri: Iyi ni indwara ifata uturemangingo tw'imitsi. Isobanurwa nk'igicuri gihoraho kandi gisubirwamo. Igicuri ni indwara ibaho ubuzima bwose.

Amaherezo, ibuka ibi !

Indwara y'igicuri ntabwo ikunze kugaragara nkuko ushobora kubitekereza. Abantu benshi ku isi babana n'iyi ndwara. Icy'ingenzi ni uko ishobora kugenzurwa.

Wibuke ko utari wenyine. Iyo uvuwe neza n'abaganga, ukagira impinduka nziza mu mibereho yawe, kandi ugaterwa inkunga n'abakunzi bawe, ushobora kubaho neza ufite iyi ndwara.

• Niba wowe cyangwa undi muntu uzi afite migraine, kurikiza inama za muganga zikwiye.
• Fata umuti wawe ku gihe.
• Menya ibintu bigutera gucurama hanyuma ubyirinde.
• Gerageza gusinzira neza, kurya indyo yuzuye, no kubaho ubuzima budafite stress nyinshi.
• Ntugacike intege. Uko ikoranabuhanga ritera imbere, ni ko havuka uburyo bushya bwo kuvura.

Niba ufite ikindi kibazo kuri ibi, ntutinye kuvugana na muganga wawe. Bahora biteguye kugufasha!

Migraine , kuribwa mu mutwe, igicuri, indwara zo mu bwonko, indwara zo mu bwonko, gucika intege, ubuvuzi