Ese nawe uva umwanda utabizi? (Kutagira indorerwamo mu matuza) - Ntugire isoni, reka tubiganireho!

Ese rimwe na rimwe ujya usuka amase ku myenda yawe mu buryo butunguranye iyo useka cyane, ugakora siporo, cyangwa uhumeka gusa? Iki ni ikibazo abantu benshi bahura nacyo, ariko bakagira isoni zo kukivuga mu ruhame. Abantu benshi bababara bonyine nta muntu n'umwe babwiye. Ariko mu by'ukuri nta soni bafite. Iki ni ikibazo cy'uburwayi. Reka tubiganireho uyu munsi ku mugaragaro.

Kutagira indorerwamo mu gihe cy'amabya ni iki?

Mu magambo make, kunanirwa kwifata mu ijosi ni ukubura umwe mu mwenda wawe cyangwa wose utabishaka mu gihe utabishaka. Kuri bamwe, ibi bishobora kuba bito nko kubura akanya gato unyuze mu mwuka. Ku bandi, bishobora kuba bikomeye nk'imisemburo yose nta bushobozi ifite bwo kuyigenzura.

Uburyo bwo kugenzura amara n'inkari mu mubiri wacu buragoye cyane. Tekereza nk'amazi akoreshwa mu kuvoma. Imitsi yo mu kibuno cyacu, mu nda no mu kibuno byose bigomba gukorana neza. Iyi mitsi kandi igomba kwakira ibimenyetso bikwiye biva mu bwonko. Iyo hari intege nke cyangwa ibyangiritse gato muri iyi mikorere, ubu bwoko bw'ubudahangarwa bushobora kubaho.

Hari ubwoko bubiri bw'ingenzi bw'ibi.

Iki kibazo gishobora kugabanywamo ubwoko bubiri bw'ingenzi. Kugira ngo ubyumve neza, reba imbonerahamwe iri hepfo.

Ni izihe mpamvu nyamukuru zitera iki kibazo?

Nta mpamvu imwe rukumbi ihari. Hari ibintu byinshi bishobora kuba bifitanye isano.

• Impatwe zidakira: Umuntu ufite impatwe zidakira ashobora kwihatira kwituma, bikangiza imitsi n'imitsi igenzura imikorere y'amara. Nanone, uduce tw'imyanda ikomeye tuba twafatiwemo dushobora kuvamo.
• Impiswi: Imyakura idafite ishingiro iragoye kuyigenzura kurusha imyanda ikomeye. Impiswi ikunze kugaragara ishobora gutuma imitsi yo mu mara icika intege uko igihe kigenda gihita.
• Kwangirika kw'imitsi: Abagore, cyane cyane, bashobora kwangirika kw'imitsi iyo bagomba gukoresha ibikoresho nka forceps mu gihe cyo kubyara bigoranye cyangwa bakabagwa inshinge. Uku kwangirika gushobora no guterwa no kubagwa indwara nka hemorrhoids.
• Kwangirika kw'imitsi: Ibintu nko kubyara no kubagwa bishobora kwangiza imitsi n'imitsi iyiyobora. Indwara nka diyabete n'indwara z'imitsi nabyo bishobora gutuma iyo mitsi icika intege.
• Kugabanuka kw'ubudahangarwa bw'urukuta rw'inyuma: Inkuta z'inyuma, zifata umwanda, zigomba kuba zigoye cyane. Ariko, indwara nka Crohn's disease cyangwa ubuvuzi bwa radiation kuri kanseri zishobora gutera inkovu kandi ubu buryo bworoshye bushobora kubura. Hanyuma, nubwo umwanda wuzuye gato, bishobora kugorana kuwugumana no kuwusohokamo.
• Kugabanuka kw'uturemangingo tw'imbere mu nda (POP): Iyo imitsi ifata ingingo zo mu kibuno cyacu (nk'umura, uruhago, n'umura) icitse intege, izo ngingo ziragabanuka. Iyo umura umanuka muri ubu buryo, bishobora guteza ibibazo mu bijyanye no kugenzura amara.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Nubwo iyi ndwara ishobora kugaragara ku muntu uwo ari we wese, hari abantu bafite ibyago byinshi byo kuyirwara.

• Imyaka: Abantu barengeje imyaka 65 baba bafite ibyago byinshi. Ibi biterwa nuko imitsi igenda icika intege uko dusaza. Ariko ntugatekereze ko iki ari ikintu "gisanzwe" mu gusaza. Niba ufite iki kibazo, jya kwa muganga.
• Igitsina: Abagore bafite ibyago byinshi kurusha abagabo, cyane cyane nyuma yo kubyara no gucura.
• Izindi ndwara: Abantu bafite indwara zikurikira nabo bari mu kaga gakomeye.
• `Indwara ya Alzheimer` na `Dementia`
• `Indwara ya Parkinson`
• `Diyabete yo mu bwoko bwa 2`
• `Sclerosis nyinshi (MS)`
• "Indwara y'ububyimbirwe bw'amara (IBD)"
• "Indwara y'amara irakaza (IBS)"
• Igisebe cy'imitsi

Ni izihe ngorane zindi ibi bishobora gutera?

Kwiyuhagira mu buryo butunguranye bishobora gutera ibibazo by’umubiri n’iby’imitekerereze.

• Indwara z'uruhu: Uruhu rukikije ikibuno rukunze kuba rutose kandi rwuzuye amase, bishobora gutera gutukura, kubyimba, uburyaryate, no kubabara . Hari n'igihe ibisebe bishobora no kuvuka.
• Ingaruka zo mu mutwe: Abantu benshi mu by’ukuri bumva bafite stress yo mu mutwe kuruta stress yo mu mubiri. Isoni, guhangayika, no guhangayika bishobora gutuma wumva udashobora kuva mu rugo, kumarana iminsi n'inshuti, cyangwa kujya mu birori. Ibi bishobora gutuma wumva usigaye hanze ya sosiyete.

Ubibona ute, Muganga?

Mbere na mbere, ntugatinye kuvugana na muganga wawe kuri iki kibazo. Iki ni ikibazo cy’ubuzima gikunze kugaragara kuri bo. Kuvuga ku bibazo byawe mu buryo bweruye ni byo byonyine bishobora gutuma ubona ubuvuzi bukwiye.

Muganga azakubaza ibimenyetso byawe kandi agukorere isuzuma ry’umubiri. Byongeye kandi, bashobora no gukora ibizamini kugira ngo bamenye impamvu nyayo.

• Manometriya y'imitsi: Ikizamini gipima imbaraga z'imitsi yo mu maraso.
• `Ikizamini cyo Kwirukana Balloon`: Ikizamini gipima uburyo inzira yo gusohora imyanda ikora neza.
• `Endorectal Ultrasound` cyangwa `MRI`: Reba imiterere y'imitsi yo mu maraso n'uko hari ibyangiritse.
• `Anal Sphincter Electromyography (EMG):` Ikizamini cyo gusuzuma niba imitsi yangiritse.
• Endoskopiya: Gusuzuma imbere mu mara (Colonoscopy) cyangwa rectum (Proctoscopy) hakoreshejwe umuyoboro ufite kamera.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura buratandukanye bitewe n'icyateye n'uburemere bw'indwara.

Impinduka mu mirire

Niba ikibazo cyawe giterwa no kurwara impiswi cyangwa impatwe, guhindura indyo yawe bishobora kugufasha cyane.

• Niba ufite impiswi: Gabanya kafeyine (ikawa, icyayi), ibiryo biryoshye, ibiryo by'amata, n'ibindi bintu biryoshye by'ubukorano.
• Niba ufite impatwe: Rya ibiryo byinshi birimo fibre (imbuto, imboga, ibinyampeke). Nywa nibura ibirahuri 8-10 by'amazi ku munsi.

Imyitozo ngororamubiri n'imyitozo

• Imyitozo yo gupima amara:Kumenyera kujya mu bwiherero ku gihe runaka buri munsi (urugero: nyuma yo kunywa ikawa ya mu gitondo). Ibi bitera ingeso mu mubiri.
• Imyitozo ngororamubiri ya Kegel: Iyi ni ingenzi cyane. Ushobora kubaza muganga wawe cyangwa umuganga w’imitsi uburyo bwo gukora iyi myitozo neza kugira ngo ukomeze imitsi yo mu kibuno.
• Biofeedback: Ubu buryo bukoresha igikoresho cyihariye kugira ngo umenye kandi ukomeze imitsi igufasha kugenzura amara yawe.

Imiti (imiti)

Muganga wawe ashobora kukugira inama yo kugabanya impiswi cyangwa imiti ivura impatwe.

Kubaga

Iyo ubundi buryo bwo kuvura budafashije, kubagwa bishobora kuba ngombwa. Hari ubwoko butandukanye bwo kubaga, nko kubaga imitsi yangiritse cyangwa gutera imitsi yo mu gice cy'imbere cy'umugongo. Mu bihe bikomeye cyane, gukorerwa isuzuma rya colostomy bishobora kuba ngombwa.

Ibintu ugomba kwitaho mu gihe ubana n'iki kibazo

Mu gihe uhabwa ubuvuzi, hari ibintu byinshi ushobora gukora kugira ngo wicunge iki kibazo kandi ubeho neza.

• Rinda uruhu rwawe:
• Karaba n'amazi y'akazuyazi nta sabune nyuma ya buri gihe cyo kwiyuhagira.
• Aho gukaraba cyane ukoresheje impapuro z'isuku, sukura witonze ukoresheje udutambaro dutose hanyuma wumishe neza.
• Siga ikintu nk'amavuta yo kwisiga ku ruhu ('amabara y'urubura') kugira ngo urinde uruhu.
• Aho kwambara imyenda ifatanye, ambara imyenda y'imbere n'imyenda ikoze mu myenda ihumeka, nk'ipamba.

• Tekereza ku mibereho myiza yo mu mutwe:
• Niba ufite ubwoba bwo gusohoka, koresha agatambaro cyangwa imyenda yo munsi ikoreshwa rimwe. Ibi bizakongerera icyizere.
• Mbere yo kuva mu nzu, jya mu bwiherero hanyuma usukemo amazi mu mara yawe.
• Shyira imyenda y'inyongera n'udutambaro two kwihanagura mu gikapu cyawe. Bizaguha amahoro menshi yo mu mutima.
• Buri gihe banza urebe aho ubwiherero buri mbere yo kujya. Muri ubwo buryo, niba hari ikibazo cyihutirwa, ntuzahangayika.