Ese wari uzi ko amara yawe arimo bagiteri nziza n'imbi? Igihe cyose izi ebyiri ziri mu rugero rwiza, ubuzima bwacu bumeze neza. Ariko rimwe na rimwe, cyane cyane iyo ufashe imiti irwanya udukoko twinshi, izi bagiteri nziza zose zirashira maze bagiteri mbi zigatangira kugaruka. Ni bwo utangira kugira ibibazo bikomeye nko kubabara mu gifu no gucibwamo bimara iminsi. Rero, uyu munsi tugiye kuvuga ku buryo budasanzwe ariko bufite akamaro cyane bushobora gutangwa mu bihe nk'ibi.
Gutera umwanda mu mabyi ni iki?
Izina rishobora kumvikana nk'aho ritangaje, ariko ni uburyo bworoshye cyane kandi bwa siyansi. Muri make, ubu buryo bwo kuvura bukubiyemo gushyira agace gato k'umwanda w'umuntu muzima mu mara y'umuntu urwaye .
Tekereza ku busitani bwuzuyemo ibyatsi bibi. Kugira ngo ubwo busitani bwongere butere imbere, tugomba kongeramo ubutaka bwiza, imbuto nziza, n'ibimera bishya. Uko ni ko bimeze kuri ibi. Icyitegererezo cy'umwanda w'umuntu muzima ni "ubutaka bwiza n'imbuto" birimo udukoko twinshi tw'ingirakamaro (microbiota) twatakaye mu mara y'umuntu urwaye. Iyo utu dukoko twiza twinjijwe mu mara arwaye, turwanya udukoko twangiza two muri ubwo bwoko kandi tugasubiza ubuzima bwiza mu mara.
Ubu buryo bwo kuvura bukora bute?
Amara yacu ni isi nto ituwe n’udukoko tutari duto. Ni urusobe rw’ibinyabuzima rworoshye. Utu dukoko twinshi turadufasha, ni ingenzi ku buzima bwacu. Ni two turwanya udukoko twangiza kandi tukaturinda indwara.
Ariko, imiti imwe n'imwe (cyane cyane antibiyotike), indwara, n'ibindi bintu bishobora kwangiza izi nshuti nziza mu mara yacu. Ibi bituma mikorobe mbi zikura neza, kandi uburinganire mu mara burahungabana. Gutera umwanda mu mara bigamije kugarura ubwo bwoko bw'ibinyabuzima byatakaye. Mikorobe ibihumbi n'ibihumbi nziza ziva mu mwanda muzima ziyongera mu mara arwaye, zigasubiza ubuzima bwazo.
Ni izihe ndwara zishobora kuvurwa no guterwa amacandwe?
Muri iki gihe, ubu buryo bwo kuvura ni bwo bwiza cyane kandi bugirwa inama ku ndwara imwe yihariye ya bagiteri. Ni ukuvuga indwara ya Clostridium difficile (CDI) isubiramo . Iyi C. diff ni bagiteri ikomeye rimwe na rimwe idashobora kugenzurwa na antibiyotike, igatera impiswi ikomeye. Iyo antibiyotike zananiwe gukiza iyo ndwara, uburyo bwo kuyitera mu mwanda burakora neza cyane.
Icy'ingenzi ni uko ubu buryo bwo kuvura bwagaragaye ko butera indwara ya C. diff gusa, ariko ubushakashatsi burakomeje.
Abaganga barimo gukora ubushakashatsi ku bijyanye n'uko ubu buryo bwo kuvura bushobora kuba ingirakamaro ku zindi ndwara nyinshi, kuko ubuzima bw'amara yacu bugira ingaruka zitaziguye ku buryo bw'igogora, imikorere y'umubiri, ndetse n'ubwirinzi bw'umubiri.
| Indwara zishobora kuba ingirakamaro mu gihe kizaza (icyiciro cy'ubushakashatsi) | |
|---|---|
| Indwara z'igogora | Indwara y'amara abyimba (IBD), Indwara y'amara arakaye (IBS) |
| Indwara za metabolike | Umubyibuho ukabije, Diyabete |
| Ibindi bihe | Allergie ku biribwa, Indwara ya Autism Spectrum Disorder (ASD), Ihungabana, Multiple Sclerosis (MS) |
Ubu buvuzi bukorwa bute?
Hari uburyo bwinshi bwo kwinjiza utwo dukoko mu mubiri w'umurwayi. Muganga wawe ni we uzaguhitiramo uburyo bukubereye.
- Binyuze muri colonoscopy: Ubu buryo ni bwo bukunze gukoreshwa cyane. Umuyoboro muto ufite kamera ufatanye ushyirwa mu kibuno hanyuma ugashyirwa mu mara manini. Umuti w'umwanda wateguwe hanyuma unyuzwa mu mara unyuze muri uwo muyoboro.
- Binyuze muri endoskopi: Muri ibi, umuyoboro unyura mu kanwa cyangwa mu mazuru hanyuma hagashyirwamo amazi mu gifu cyangwa mu mara mato. Ariko, ubu buryo ntibugira icyo bugeraho kuko udukoko tugomba gukora urugendo rurerure kugira ngo tugere mu mara manini.
- Enema: Amazi anyuzwa mu muyoboro winjizwa mu mara. Ibi bigira akamaro cyane kuko mikorobe zinjira mu mara manini.
- Kapsule yo mu kanwa: Ibi ni nko kumira ikinini. Hari kapsule zirimo mikorobe zumye kandi zateguwe. Izi kapsule zagenewe kujya mu mara manini, aho gushonga mu gifu.
Uburyo bwo kwitegura kuvurwa mu buryo bwa capsule
Ubusanzwe, muganga wawe azakubwira gutangira gufata izi capsules iminsi ibiri cyangwa itatu nyuma yo kurangiza gufata imiti igabanya ubukana bwa C. diffuse. Ubu ni uburyo bwo kuvura bw'iminsi itatu. Uzakenera kumira capsules enye ku munsi. Umunsi umwe mbere yuko utangira ibi, uzakenera gufata umuti wo koza amara yawe. Hanyuma, ntugomba kurya cyangwa kunywa ikintu icyo ari cyo cyose mu gihe cy'amasaha agera ku munani mbere yo gufata capsules za mbere. Ibi byose bigomba gukorwa neza neza nk'uko muganga wawe yabigutegetse .
Ni hehe uvana umwanda ukenewe kuri ibi? Ni nde utanga umusanzu?
Kubera iyo mpamvu, intebe itangwa n'abakorerabushake bazima rwose . Uyu muterankunga atoranywa nyuma yo gupimwa mu buryo buhanitse.
Ntugatekereze gusa ko iki ari ikintu ushobora gukora uri mu rugo. Intambwe yose, kuva ku watanze kugeza ku murwayi, igomba gukorwa uyobowe na muganga kandi ahantu hatanduye.
Mbere yo kuba umutanga, umuntu akorerwa ibizamini by'amaraso, ibizamini by'umwanda, n'ibindi bipimo byinshi. Ibi ni ukugira ngo hamenyekane neza ko nta ndwara zishobora kwandurira mu mwanda. Umuntu wese ufite ibi bikurikira ntazatoranywa nk'umutanga.
- Izindi ndwara zikomeye za bagiteri (urugero: E. coli)
- Kwandura virusi (urugero: umwijima, VIH, COVID-19)
- Udukoko mu mara
- Niba uherutse gukoresha imiti igabanya ubukana
- Ikoreshwa ry'ibiyobyabwenge
- Indwara nk'indwara y'amara abyimba (IBD)
- Indwara z'ubudahangarwa bw'umubiri
- Kugira amateka y'umuryango ku ndwara ya kanseri
Icyitegererezo cy'umwanda, gisuzumwa neza muri ubu buryo, kivangwa na saline muri laboratwari hakoreshejwe uburyo bwihariye, kikayungururwa, kigategurwamo amazi meza. Cyangwa kikamishwa kikavamo capsule.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Akamaro nyamukuru ku muntu urwaye indwara ya C. diff ni uko akira neza . Ubu buryo bwo kuvura bufite akamaro ka 80% - 95% mu kwirinda kongera kwandura nyuma yo gukoresha imiti yica udukoko. Iki ni ikintu gikomeye cyane.
Ingaruka mbi:
Ingaruka nke zishobora kubaho mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo kuvurwa. Izi ni ibisanzwe kandi nta mpungenge zikwiye guhangayikishwa nazo.
- Kubyimba no kuzura umwuka
- Isesemi no kuruka
- Kubabara gato mu nda
- Hari abantu bagira umuriro n'ubukonje.
Ingaruka zikomeye:
Hari ibyago bidasanzwe cyane, ariko bikomeye. Ni ukuvuga ko hari amahirwe ko mikorobe yari igenzurwa mu mubiri w'uwayitanze ishobora gukora iyo yinjiye mu mubiri w'umurwayi ufite ubudahangarwa bw'umubiri budafite imbaraga. Ariko kugira ngo bigabanye ibi byago, abatanga imiti basuzumwa neza cyane kandi hagakoreshwa imiti yemewe. Kubwibyo,Ni ngombwa cyane gukurikiza gusa uburyo bwatanzwe kandi bwemewe na muganga wawe.
Bishobora kugaragara nk'ibitangaje kuri twe ko amase ashobora gukoreshwa nk'umuti, ariko ku muntu umaze amezi menshi arwaye indwara ikomeye nka C. diff, iki gitekerezo gishya ni icyizere gikomeye.
Ubutumwa bwo kujyana mu rugo
- Gutera umwanda mu mara ni uburyo bwiza kandi bwizewe bwo kuvura ubwandu bwa C. difficile (CDI) busubira.
- Ibi bikubiyemo kwinjiza mikorobe nzima mu mara arwaye no kugarura ubuziranenge bwayo karemano.
- Kubera iyo mpamvu, abaterankunga bakusanya imyanda bakorerwa isuzuma rikomeye rya muganga. Kubwibyo, ibyago byo kwandura indwara zandura ni bike cyane.
- Ibi rwose si ibintu ushobora gukora uri mu rugo cyangwa uri wenyine. Bigomba gukorerwa mu bitaro cyangwa ivuriro ukurikiranwe n'abaganga.
- Niba wowe cyangwa undi muntu uzi afite iyi ndwara, vugana na muganga wawe ku bijyanye n'ubu buryo bwo kuvura kugira ngo umenye byinshi.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.