Ese ubabara mu gifu iyo urya? Ntushobora kubona impamvu? Reka tuganire kuri (Dyspepsia ikora)!

Ese ukunze kumva uhaze, ukagira ubushyuhe mu nda, cyangwa ukumva ubabaye nyuma yo kurya? Hari igihe udashobora no kubona impamvu yabyo, si byo se? Ndetse no nyuma yo kujya kwa muganga no gukora ibizamini byinshi, bashobora kuvuga bati: "Ntabwo urwaye." Abantu benshi bagira ibibazo nk'ibi. Ibyo ni byo twita "Dyspepsia y'imikorere", indwara yo mu igogora igoye kubona impamvu isobanutse.

`(Dyspepsia ikora)` ni iki? Mu magambo make...

Mu magambo make, "Dyspepsia ikora neza" ni indwara ituma umuntu agira ikibazo cyo kudakora neza mu gifu, ariko nta mpamvu igaragara ihari. "Dyspepsia" ni irindi jambo risobanura kudakora neza mu gifu. Ni ikimenyetso cy'ibimenyetso bibaho nyuma yo kurya no mu gihe cyo kugogora. "Dyspepsia ikora neza" bivuze ko ibimenyetso byo kudakora neza mu gifu bitashobora guterwa n'impamvu zisanzwe zisanzwe (nk'igisebe cyangwa igifu).

Ibimenyetso byawe bishobora kumvikana nk'iby'indwara y'ibisebe byo mu gifu cyangwa indwara ya gastroesophageal reflux (GERD) . Ariko, ibizamini bigaragaza ko abantu bake gusa ari bo bafite izo ndwara. Abandi bafite icyo bita Functional Dyspepsia.

Tekereza, moteri y'imodoka yawe irimo gukora urusaku, ariko umukanishi nta kibazo abona. Ibintu byose bisa neza inyuma, ariko hari ikibazo kirimo.

Ese hari ubwoko butandukanye bw'ibi?

Dyspepsia iterwa n'imikorere y'umubiri ni indwara isanzwe kuruta indwara imwe gusa. Ibi bivuze ko uburyo igira ingaruka kuri buri muntu n'ibimenyetso abona bishobora gutandukana. Abaganga bayigabanyijemo ubwoko bubiri bw'ingenzi:

1. Indwara y'ububabare bwo mu gice cyo hejuru cy'igifu: Ubu bwoko bw'ububabare bukunze kugaragara mu gice cyo hejuru cy'igifu kandi busa n'ubwo gushyuha mu gifu . Ntabwo buri gihe bufitanye isano n'amafunguro. Rimwe na rimwe bushobora kubaho mu gifu kirimo ubusa. Ibi bisa gato n'ibimenyetso bya GERD.

2. Indwara yo kubabara mu nda nyuma yo kurya: Iyi ni indwara ituma mu nda havuka ububabare nyuma yo kurya. Urugero, kumva uhaze ndetse no nyuma yo kurya bike (guhaga hakiri kare), kumva uhaze, kubyimba, no kubabara mu nda nyuma yo kurya. Ibi bisa gato n'ibimenyetso by'indwara y'igisebe cy'imbere mu gifu.

Si buri wese uhura n’ibi byiciro bibiri. Hari abantu bashobora guhura n’ibi byombi, cyangwa bashobora guhura n’ibi byombi.

Ni ibihe bimenyetso by'ingenzi by'ibi?

Ufite "Dyspepsia ikora neza", ushobora kugira kimwe cyangwa byinshi muri ibi bikurikira:

• Kubabara mu nda yo hejuru (ububabare bwo mu gice cya epigastric):Kubabara mu nda yo hejuru, munsi gato y'urubavu. Aha hantu hitwa "epigastrium". Aha niho igifu cyawe, pancreas, duodenum (igice cya mbere cy'amara mato), n'igice cy'umwijima wawe biherereye.
• Igifu kibyimbye: Kumva ubabaye kandi wuzuye mu nda nyuma yo kurya. Ibi bikunze kujyana n'umwuka, kubyimba, n'ibindi bintu nk'umwuka. Bishobora kandi kumva nk'aho igifu cyawe kirimo gukurura.
• Kurya no kubura ubushake bwo kurya: Kumva uhaze mu gihe urya, nyuma yo kurya, cyangwa nyuma yo kutarya cyane (guhaga hakiri kare) . Hari igihe kubura ubushake bwo kurya bishobora kubaho na mbere yo kurya.
• Gushyukwa: Gushyukwa mu gituza, bizwi kandi nka "heartburn", ni ikintu gikunze kugaragara kuri ibi bimenyetso byo kubura ibiribwa. Ibi akenshi biterwa n'aside yo mu gifu iza mu muhogo wawe (acid reflux). Ushobora kandi kumva ubushyuhe mu gifu cyawe.

Uretse ibi, hari n'ibindi bintu nk'ibi bishobora kugaragara:

• Kubyimba cyane
• Isesemi cyangwa gufunga
• Niba ufite IBS (indwara y’imiyoboro y’amaraso irakaza), ibimenyetso byawe (urugero nko kwihagarika cyangwa kunyara kenshi) nabyo bishobora kwiyongera.
• Kumva ufite stress cyangwa umerewe nabi mu byiyumvo.

Kuki iyi `(Dyspepsia ikora)` iba? Ni izihe mpamvu?

Abaganga bita indwara "ishingiye ku mikorere" indwara idafite impamvu igaragara kandi igaragara y’ibimenyetso. Impamvu imwe ishobora kuba ari isano ya hafi iri hagati y’amara yawe n’ubwonko bwawe (gut-brain axis) . Ubwo bwoko bw’indwara zishingiye ku mikorere busa n’aho bufitanye isano n’imitsi yawe n’uburyo ubona ububabare cyangwa kumva ububabare.

Nubwo nta mpamvu imwe ihari itera "Dyspepsia ikora neza", hari ibintu byinshi bishobora kuyitera:

• Kurwara indwara yo mu maso: Tekereza ko uturemangingo tw’imitsi yawe dufite ubushobozi bwo kubyihanganira cyane. Ushobora kugira ikibazo cyo kubyihanganira mu buryo bw’umubiri iyo ubyitabiriye. Ushobora kuba ukomeje imitsi yawe utabizi, cyangwa uturemangingo tw’igogora dushobora kuba turimo kugenda buhoro bitewe n’ihungabana. Ushobora kandi kuba wumva ibintu bisanzwe biba mu ngingo zawe. Ibi bishobora gutuma igogora ritumva rituje nubwo ryaba rimeze neza.
• Indwara zo mu gifu ziterwa no kugenda nabi:Ibi bivuze ko hari ibibazo ku buryo ibiryo bigenda kandi bikanyura mu buryo bw'igogora (igogora rya GI). Ibi bishobora kandi guterwa no kutamenyana neza hagati y'ubwonko bwawe n'uburyo bw'igogora. Imitsi n'imitsi yo mu buryo bw'igogora bishobora kudakora neza. Ibi bishobora gutuma ibiryo bihagarara ahantu hamwe, cyangwa ingingo zishobora kudatuza neza bigatuma ibiryo bitanyura.
• Kudakora neza kw'igifu: Kudakora neza kw'udukoko mu mara yawe (twitwa microbiome) bishobora gutera ibimenyetso byo kudakora neza kw'igifu. Urugero, bagiteri H. pylori ishobora kwangiza igice cy'igifu cyawe, bigatera kubyimba no gutuma kirushaho kwangirika n'aside yo mu gifu. Nanone, iyo bagiteri zikubye cyane mu mara mato, bishobora gutera kubyimba no kugorwa no gusya ibinure.
• Eosinophilic duodenitis: Bamwe mu bantu bafite ikibazo cyo kudakora neza kw'umubiri byagaragaye ko bafite ubwoko bwinshi bw'uturemangingo tw'amaraso tw'umweru twitwa eosinophils mu gice cya mbere cy'amara mato (duodenum). Ibi bishobora gutera ububyimbirwe bw'igihe kirekire (duodenitis). Izi eosinophils zihari kugira ngo zikurinde ubudahangarwa bw'umubiri wawe, indwara zandura, ndetse n'allergies. Ibi bishobora guterwa n'ubwandu wigeze uhura nabwo cyangwa allergies y'ibiribwa.

Ni ibihe bintu bishobora gutera iyi ndwara?

Hari izindi mpamvu nyinshi zongera ibyago byo kurwara "Dyspepsia ishingiye ku mikorere":

• Ibintu byo mu mutwe: Indwara zo mu mutwe nko guhangayika, kwiheba (indwara zo mu mutwe), cyangwa ibintu bibabaza cyangwa ihohoterwa ryabayeho mu bihe byashize.
• Amateka y'umuryango: Amateka y'umuryango y'ibibazo by'imitsi cyangwa izindi ndwara z'imikorere y'igifu nka IBS.
• Kubabara mu biribwa: Kubabara mu biribwa bimwe na bimwe (urugero, ibiryo biri mu itsinda rya `(FODMAPs)`) cyangwa kubabara mu biribwa bimwe na bimwe (urugero, `(kubabara mu nda ya lactose)` - kugorwa no gusya amata n'ibikomoka ku mata).
• Atopy: Ibi bivuze kugira indwara nyinshi ziterwa n'ubwivumbure, nka asima, eczema, na mouveau fierce.

Abaganga babisobanukirwa bate neza?

Abaganga basuzuma `(Dyspepsia ikora)` nyuma yo kwemeza ibimenyetso byawe no gukuraho izindi mpamvu (urugero `(GERD)`, `(Indwara y'ibisebe byo mu gifu)`). Hari igihe ushobora kuba ufite imwe muri izi ndwara kandi ukayivurirwa. Ariko, niba ubwo buryo bwo kuvura budagabanya ibimenyetso byo kubura ibiribwa, ugomba gukomeza gutekereza `(Dyspepsia ikora)`.

Ibimenyetso bya "Dyspepsia ikora" ntibihora biboneka kandi bishobora kuza bigashira. Abaganga bayisuzuma bakurikije ibintu bikurikira:

• Ese ibimenyetso byakomeje byibuze amezi atatu ?
• Ese hari nibura amezi atandatu kuva ibimenyetso byatangira?
• Ese ibi bimenyetso ntibigabanuka iyo umuntu amize, asohotse umwuka (impiswi), cyangwa agiye mu mara?
• Ese ibi bimenyetso ntibifitanye isano n'ububabare buterwa n'utubuye tw'indurwe (colic y'inkari) cyangwa ubundi bubabare bw'indurwe?

Abaganga bamaze kwemeza ko ufite ikibazo cyo kubura ibiribwa (dyspepsia), bazashakisha impamvu ifatika (urugero: igisebe, ubwandu). Bashobora gukora ibizamini nk'ibi:

• Gupima amaraso: Reba niba hari indwara zisanzwe n'izindi ndwara.
• Ibipimo by'umwuka: Urugero, ikizamini cya urea breath gishobora gusuzuma niba hari bagiteri H. pylori. Ikizamini cya hydrogen breath gishobora gusuzuma niba hari bagiteri zikura mu mara.
• Inyigo ku bijyanye no gusohora ibiryo mu gifu: Reba uburyo ibiryo biva mu gifu cyawe byinjira mu mara mato vuba/buhoro.
• Endoscope yo hejuru: Umuyoboro muto unyura mu kanwa kugira ngo urebe imbere mu gifu, mu muhogo , no mu gice cya mbere cy'amara mato. Ibi bikorwa kugira ngo harebwe ikintu cyose kidasanzwe, nk'igisebe. Iyo bibaye ngombwa, agace gato k'umubiri (biopsy) gashobora gufatwa kugira ngo gasuzumwe.

Ni ubuhe buryo bwo kuvura ibi?

Niba ibizamini byerekanye impamvu y’ishingiro (urugero: kwiyongera kwa bagiteri, indwara yo kugenda), muganga wawe azabanza kuvura. Ariko, inshuro nyinshi, ndetse na nyuma yo kuvura izi mpamvu z’ishingiro, ibimenyetso byawe bya "Dyspepsia ikora" ntibishira burundu. Kubwibyo, muganga wawe azagutanga inama ku bundi buryo bwo kuvura kugira ngo bugufashe kugenzura ibimenyetso byawe. Ubusanzwe ubu ni uruvange rw’uburyo butandukanye bwo kuvura .

Imiti imwe ikoreshwa mu kuvura indwara ya "Functional Dyspepsia":

• Iyo hari ubwandu bwa bagiteri , imiti igabanya ubukana bw'ibiyobyabwenge iratangwa.
• Prokinetics ni imiti itera imbaraga mu igogora.
• Imiti igabanya aside yo mu gifu: imiti igabanya ubukana bwa proton pump (PPIs) (urugero: omeprazole) cyangwa imiti igabanya ubukana bwa H2 (urugero: Ranitidine).
• Imiti igabanya ububabare mu bice bitatu (tricyclic antidepressants) ku gipimo gito kugira ngo ituze uturemangingo tw’imitsi no kugabanya ububabare (nubwo iyi ari imiti itangwa ku ndwara yo kwiheba, ikoreshwa no ku gipimo gito ku ndwara nk’iyi).

Byongeye kandi, hari uburyo bw'ubuvuzi bwuzuzanya n'ubundi busanzwe :

• Amafuru ashingiye ku bimera: Urugero, kapsule zirimo peppermint n'amavuta ya karawudi, cyangwa uruvange rw'ibimera nka Iberogast® (uzabazwa na muganga wawe niba ibi biboneka muri Sri Lanka).
• Uburyo bwo kuruhuka mu mutwe no mu mubiri:Gutekereza ku bintu bishya, yoga, biofeedback (uburyo bwo kumenya imikorere y'umubiri no kumenya kuyigenzura), ubuvuzi bw'imitekerereze.
• Guhindura imirire: Menya ibiryo bitakubereye kandi birushaho gutuma ibimenyetso byawe birushaho kwiyongera ukoresheje "Indyo yo Kurandura" (guhagarara ukareba itsinda rimwe ry'ibiribwa) no guhindura indyo yawe ya buri munsi uko bikwiye.
• Gutera umuti mu buryo bwa acupuncture: Hari ubushakashatsi bwagaragaje ko ubu buryo butanga ihumure.

Bigenda bite iyo ufite `(Dyspepsia ikora)`? Ni iki wakwitega?

Ku bantu benshi, indwara ya Dyspepsia iterwa n'imikorere y'umubiri ni indwara idakira igaruka mu buzima bwabo bwose. Bishobora gufata igihe, ndetse no kugerageza no gukora amakosa, kugira ngo ubone uburyo bwo kuvura n'ingeso zikugirira akamaro no kugabanya ibimenyetso byawe. Ushobora kubona uruhutse, ariko bishobora kudashira burundu. Ariko, ikiruta byose, ntabwo ari ikibazo gikomeye. Ntugahangayike rero.

Ni ryari ngomba kujya kwa muganga?

Ugomba gushaka inama kwa muganga niba ufite:

• Niba utarapimwa indwara z'igogora.
• Niba ibimenyetso byawe bihindutse cyangwa bikarushaho kuba bibi.
• Niba uhora uruka.
• Niba ibiro byawe birimo kugabanuka nta mpamvu.

Kubera ko nta mpamvu isobanutse neza cyangwa umuti uhamye, gusuzuma "Dyspepsia ishingiye ku mikorere" bishobora gutera urujijo ku bashaka ibisubizo. "Indwara zo mu nda zishingiye ku mikorere" ziragoye cyane. Zifata ubwonko bwawe, uturemangingo tw'imitsi, imirire yawe, imibereho yawe, ndetse rimwe na rimwe n'izindi mpamvu zihishe mu mubiri wawe. Niyo mpamvu zishobora kugorana kuzikemura.

Ibizamini byo kwa muganga bishobora gufasha kumenya no gukuraho ibintu bimwe na bimwe bitera indwara. Ariko amaherezo, ni wowe wenyine ushobora gusobanukirwa neza icyatuma ibimenyetso byawe birushaho kuba byiza n'icyabitera kuba bibi kurushaho. Uko ugerageza uburyo butandukanye bwo kuvura no kumenya impamvu zigutera indwara, uzabona uburyo bwawe bwihariye bwo kubaho ufite indwara ya Dyspepsia.

Jyana ubutumwa mu rugo

• "(Dyspepsia ikora)" ni ikibazo gikomeye wumva. Ntabwo ari "mu bitekerezo byawe gusa."
• Ibi bigenzurwa no kugenzura ibimenyetso, bishobora gufashwa no guhindura imibereho, imirire, ndetse n'imiti.
• Ni ingenzi cyane gukorana na muganga. Ganira neza ibimenyetso byawe, icyo wumva, n'ibyo wagerageje.
• Ntugacike intege. Abantu benshi bashakisha uburyo bwo guhangana n'iki kibazo. Ntabwo uri wenyine!

Kubabara mu gifu, kubabara mu gifu, kubyimba inda , kubyimba mu gituza, igogora, stress