Ese ujya uhura n'ikibazo cyo kuva inkari mu buryo butunguranye? Ibi byitwa "Functional Incontinence"! Reka tubiganireho na Nirogi Lanka.

Ese hari igihe ujya uhura n'udukoko duto tw'inkari mbere yo kugera mu bwiherero? Ntabwo uri wenyine; nubwo iki ari ikibazo gikunze kugaragara ko kitoroshye kuganiraho, nyamuneka menya ko nta mpamvu yo kugira isoni. Mu buryo bw'ubuvuzi, ibi tubyita `(Kutagira imibonano mpuzabitsina ikora)` . Mu magambo make, ibi bivuze ko ikibazo atari ngombwa ko kiba ku ruhago rwawe ubwarwo, ahubwo ko hari n'ibindi bintu bituma bigorana kugera mu bwiherero ku gihe. Muri Nirogi Lanka, turashaka kugufasha gusobanukirwa ibi neza, reka turebere hamwe ibisobanuro birambuye.

Kutagira indonke mu mubiri ni iki?

Mu magambo make, kudakora neza kw'inkari bibaho iyo unaniwe kugenzura uruhago rwawe, bigatera kuva inkari ku bushake. Ikintu cy'ingenzi ugomba gusobanukirwa ni uko ibi bidaterwa n'ikibazo kiri mu nzira y'inkari zawe ubwazo. Ahubwo, bibaho kubera ko ikibazo cy'umubiri cyangwa ubwonko kikugora kugera ku musarani ku gihe cyangwa kumenya icyifuzo cyo kunyara. Tekereza muri ubu buryo: ushobora kumva ushaka kujyayo, ariko bitewe n'imbogamizi cyangwa imbogamizi zo hanze, ntushobora kugera mu bwiherero, bigatera impanuka.

Iyi ndwara rimwe na rimwe yitwa "Functional Urinary Incontinence"; ayo magambo yombi asobanura imiterere imwe y'uburwayi.

Iyi ndwara ikunze kugaragara gute?

Muri rusange, kutagira indorerwamo y'inkari bikunze kugaragara cyane kurusha uko abantu benshi babyumva. Raporo zigaragaza ko abantu bagera kuri miliyoni 30 mu bihugu nka Leta Zunze Ubumwe za Amerika bahura n'ikibazo cyo kutagira indorerwamo y'inkari. Ushobora kwiyumvisha ko abantu benshi muri Sri Lanka nabo bahura n'ibi bibazo buri munsi. Kutagira indorerwamo y'inkari ni bumwe mu bwoko bw'iki kibazo kinini. Menya ko utari wenyine muri iki kibazo; abantu benshi muri iki gihe bahanganye n'iki kibazo.

Ni ibihe bimenyetso by'indwara yo kudakoresha imyitozo ngororamubiri (functional Incontinence)?

Ni gute wamenya niba ufite ikibazo cyo kudakora neza kw'umubiri? Itondere ibimenyetso bikurikira:

• Kugenda utemba inkari nkeya kenshi kandi nta bushake.
• Rimwe na rimwe, gusohora uruhago rwawe rwose ku buryo butunguranye nta nteguza.
• Kudashobora gufata inkari zawe kugeza ugeze mu bwiherero.
• Kubona impumuro y'inkariku myenda yawe cyangwa hafi y'aho utuye.

Niba ubona kimwe muri ibi bimenyetso, ni ngombwa kubyitondera no kubiganiraho n'umuganga wawe wo muri Nirogi Lanka.

Ni iyihe mpamvu ituma umuntu adakora neza mu mikorere y'umubiri?

Hari ibintu byinshi bishobora gutuma umuntu adakora neza:

• Indwara zo mu mutwe: Indwara nko kwibagirwa (kwibagirwa buhoro buhoro), kwibagirwa (guhungabana mu mutwe mu buryo butunguranye), cyangwa ubumuga bwo mu mutwe bishobora kugira ingaruka ku bushobozi bw'ubwonko bwawe bwo gukemura ikibazo cyo kunyara cyangwa gushaka ubwiherero.
• Indwara z'imitsi: Indwara nka Multiple Sclerosis (MS), indwara ya Parkinson, cyangwa indwara yo gucika kw'imitsi bishobora kubangamira uburyo ibimenyetso biva mu bwonko bwawe bijya mu ruhago rwawe.
• Inzitizi z'umubiri: Indwara nka rubagimpande zishobora gutuma bigorana kwimuka, gukoresha amabuto, amazipu, cyangwa imyenda vuba bihagije kugira ngo umuntu agere ku musarani ku gihe.
• Intege nke zo hasi mu gituza: Imitsi idakomeye ishobora gutuma bigorana kugabanya inkari.
• Imbogamizi ku bidukikije: Imbogamizi nko kuzamuka ingazi, urumuri rudahagije, cyangwa ahantu hahurira abantu benshi aho ubwiherero budashoboka kugerwaho bishobora guteza impanuka.
• Ibibazo by'imitsi: Kugabanuka kw'imitsi yo mu gitsina cyangwa kwandura indwara zikomoka ahantu runaka.
• Imiti: Imiti imwe n'imwe, nk'imiti igabanya ububabare cyangwa ibinini bisinziriza, ishobora kugabanya ubushobozi bwo kumva ushaka kugenda, mu gihe imiti igabanya ububabare yongera umusaruro w'inkari.
• Indwara zo mu nzira y'inkari (UTI): Ni indwara ikunze kugaragara cyane isaba ubufasha kwa muganga.
• Kurya impatwe: Kurya impatwe cyane bishobora gushyira igitutu ku ruhago, bigatera kunanirwa kwiyahuza.

“Nkuko mubibona, hari impamvu nyinshi zishobora gutera; si ko buri gihe biba ari ikintu kimwe gusa gitera ikibazo.”

Ni nde uri mu kaga gakomeye ko kugira ikibazo cyo kutabona neza imikorere y'umubiri?

Nubwo umuntu uwo ari we wese ashobora guhura n’ibi, ibyago byawe bishobora kuba byinshi niba ufite indwara yo mu mutwe cyangwa ubwonko, urwaye rubagimpande, ufata imiti nka diuretics cyangwa se imiti igabanya ububabare, cyangwa urengeje imyaka 65. Niba udakora cyane cyangwa utuye mu kigo cyita ku barwayi, ushobora no kuba uri mu kaga gakomeye.

Ni gute indwara yo kunanirwa kwifata ipimwa?

Niba ukeka ko ufite ibi bimenyetso, nyamuneka gisha inama umuganga. Muganga wawe azagusuzuma neza kandi akubaze ibibazo byinshi kugira ngo asobanukirwe neza uko uhagaze.

• Ese ubu uri kuvurwa izindi ndwara?
• Ni iyihe ndyo usanzwe urya kandi unywa angahe buri munsi?
• Unywa amazi angahe ku munsi, kandi ni ubuhe bwoko bw'amazi unywa?
• Ese unywa inzoga cyangwa kafeyine (icyayi, ikawa)?
• Ukora siporo zingana iki, kandi ni iyihe myitozo ngororamubiri ukora?
• Ese ufite ingorane zo kugendagenda cyangwa kugenda mu bidukikije?

Ni ingenzi cyane gusubiza ibi bibazo mu buryo buboneye , kuko ibi bituma muganga wawe asobanukirwa neza ikibazo cyawe.

Ni ubuhe bwoko bw'ibizamini bizakorwa?

Muganga wawe ashobora gutegeka ko hakorwa ibizamini bimwe na bimwe kugira ngo amenye impamvu nyayo y’uburwayi bwawe.

• Isuzuma ry'inkari : Muri iki kizamini, icyitegererezo cy'inkari zawe kirasesengurwa kugira ngo harebwe niba nta ndwara cyangwa ibindi bintu bidasanzwe byanduye.
• Ibizamini by’imikorere mibi y’imitsi yo mu kibuno : Ibi bizamini bisuzuma uburyo imitsi yo mu kibuno ikora neza kandi bigasuzuma imbaraga zayo muri rusange.
• Isuzuma ry'imitsi y'uruhago : Iri ni isuzuma rirambuye. Risuzuma uburyo uruhago rwawe, imitsi n'imitsi yarwo bikora, ripima umuvuduko w'inkari zitembera , n'umuvuduko w'uruhago imbere no hafi yarwo.

Mu bihe bimwe na bimwe, umuganga wawe ashobora kukwohereza kwa muganga w’inzobere mu by’inkari n’imyororokere (inzobere mu by’inkari n’imyororokere) cyangwa ku muganga w’inzobere mu by’inzobere mu by’imitsi (inzobere mu by’indwara zo mu kibuno ku bagore).

Ni gute wagabanya ikibazo cyo kudakora neza kw'umubiri?

Noneho, reka tuganire ku buryo bwo kugabanya cyangwa gucunga ikibazo cyo kudakora neza kw'umubiri. Uburyo bwo kuvura bushingiye gusa ku mpamvu nyamukuru.

Urugero, niba ufite rubagimpande ituma kwiyambura bigorana, kwambara imyenda ifite imikandara yo mu rukenyerero cyangwa Velcro bishobora kugufasha cyane. Niba ufite UTI (indwara yo mu nzira y'inkari), muganga wawe azakwandikira imiti igabanya ubukana bw'indwara . Niba imiti ukoresha ubu irimo gutera ikibazo, vugana na muganga wawe kugira ngo ushake ubundi buryo bwo kuvura.

Byongeye kandi, ingamba zikurikira zishobora gufasha:

• Udupira two mu nda cyangwa imyenda yo mu nda : Ibi biraboneka muri farumasi. Ibirango nka Depends® ni amahitamo azwi cyane. Kubikoresha bishobora gufasha kwirinda ko imyenda itoha no kugabanya ububabare cyangwa isoni.
• Gutoza inkari : Bizwi kandi nka "timed voiding" , ibi bikubiyemo kujya mu bwiherero ku masaha yagenwe (urugero, buri masaha abiri), nubwo waba utabishaka. Ibi bifasha mu gutuma inkari yawe iguma irimo ubusa mbere yuko yuzura. Uko igihe kigenda gihita, ushobora kongera buhoro buhoro ibihe hagati y'izi ngendo.
• Katheta y'inkari : Mu bihe bikomeye, muganga wawe ashobora kukugira inama yo gukoresha katheta y'inkari y'igihe gito cyangwa iy'igihe kirekire. Ibi bisaba gushyiramo umuyoboro muto kandi woroshye unyuze mu muyoboro w'inkari mu ruhago kugira ngo inkari zisohoke mu gafuka ko kuzikuramo.
• Katheteri y'agakingirizo : Iyi ni amahitamo ku bagabo, aho igikoresho gisa n'agakingirizo cyambarwa hejuru y'igitsina cy'umugabo, gifatanye n'umuyoboro usohoka mu gakapu ko gukusanyamo.
• Ubuvuzi bw'umubiri bwo mu gituza : Inzobere ishobora kukwigisha imyitozo ngororamubiri (nk'imyitozo ya Kegel ) kugira ngo ikomeze imitsi yo mu gituza cyawe. Gukomeza iyi mitsi bishobora kugufasha kugumana inkari zawe igihe kirekire kugeza ugeze mu bwiherero.

Iyo uri mu rugo, komeza inzira ijya mu bwiherero isobanutse.Guma ufunguye inzugi kandi ukureho akajagari mu nzu kugira ngo ugabanye ibyago byo kugwa cyangwa kunyerera. Niba utabona neza, shyiramo andi matara hirya no hino mu nzu yawe, cyangwa ushyireho itara rito hafi yawe. Iyo uri hanze, ni byiza kumenya aho ubwiherero buri mbere yuko wumva ukeneye kubukoresha.

Ese kutagira imyitozo ngororamubiri mu mubiri bishobora kwirindwa?

Nubwo tudashobora buri gihe gukumira impamvu zitera kunanirwa kwifata mu mubiri—nk'indwara zimwe na zimwe z'imitsi, ubwonko, cyangwa ubwonko—cyangwa guhagarika indwara nk'indwara yo kwibagirwa, ushobora kwibanda ku kugabanya ibintu bishobora gutera ibyago. Urugero, kugira ubuzima bwiza no gukomeza gukora imyitozo ngororamubiri ni intambwe nziza zo kugera ku buzima bwiza muri rusange.

Ni iki nakwitega mu gihe mfite ikibazo cyo kudakora neza kw'umubiri?

Niba kudakora neza kw'umubiri wawe bifitanye isano n'indwara idakira, nka Parkinson's disease, ushobora gukenera gukemura iki kibazo igihe kirekire. Ariko, ibi ntibivuze ko ugomba kubabara. Ni ngombwa gukorana bya hafi na muganga wawe kugira ngo ucunge neza ibimenyetso byawe. Hari ingamba nyinshi zagaragaye zo kugufasha kugumana ubuzima bwiza.

Nitwara nte?

Niba ubana n'ikibazo cyo kudakora neza kw'umubiri, izi ntambwe zishobora kugufasha kwiyitaho:

• Andika urutonde rw'amazi unywa, ubwoko bw'ibiryo n'ibinyobwa unywa (cyane cyane kafeyine n'ibintu biryoshye), inshuro n'igihe inkari zawe zamaze, igihe buri cyuho cyamaze, n'igihe cyose cyo kuva amazi. Aya makuru ni ingenzi cyane ku myitozo y'inkari kandi afasha muganga wawe gusobanukirwa neza uburwayi bwawe.
• Irinde ibintu bitera ububabare mu ruhago : Kafeyine (iboneka mu cyayi, ikawa, na shokora), inzoga, soda zirimo karubone, ibiryo biryoshye, n'imitobe ikomoka kuri aside nka inyanya, indimu, cyangwa orange bishobora kubangamira uruhago rwawe no kongera ubushake bwo kunyara. Gerageza kubigabanya kugira ngo urebe niba hari icyo ubonye cyateye imbere.
• Komeza kugira ibiro byiza : Kuremererwa cyane mu nda bishobora gushyira igitutu kidakenewe ku ruhago rwawe. Kugabanya ibiro bike bishobora kugabanya iki gitutu.
• Tembera buri gihe : Kugenda n'amaguru bituma umubiri wawe ukomeza gukora kandi bigufasha gukomeza kumenya ibimenyetso by'inkari zawe n'uko ukeneye kumenya aho zishyirwa. Gerageza kugenda nibura iminota 30 ku munsi.
• Kureka kunywa itabi : Kunywa itabi bitera inkorora idakira, bishobora gutuma umuntu ava amaraso mu buryo butunguranye, kandi muri rusange bigira ingaruka mbi ku buzima bw'inkari. Kureka itabi bishobora kuba intambwe nziza mu guhangana n'iki kibazo.

Ni ryari nkwiye kubonana n'umuganga wanjye?

Niba ubonye ibimenyetso byo kutagira indorerwamo —nk'ibitonyanga mbere yo kugera mu bwiherero —ni byiza kugisha inama umuganga ako kanya ibi bimenyetso bikimara kugaragara. Ntugatinye cyangwa ngo wumve ufite isoni; muganga wawe ahura nabyo buri gihe. Kumenya impamvu nyamukuru ni intambwe ya mbere igana ku micungire myiza no kongera kugenzura ubuzima bwawe.

Ibibazo byo kubaza muganga wawe

Iyo ugiye kwa muganga wawe, tekereza ku kubaza ibi bibazo:

• Ni iyihe mpamvu nyamukuru ituma imikorere yanjye yo kutabasha kwihagarika (functional incontinence) itera?
• Ni ibihe bipimo byo gusuzuma bizakorwa kugira ngo byemezwe?
• Ni ryari ibisubizo by'ibizamini bizaboneka?
• Ese hari ibikorwa nkwiye kwirinda?
• Ese hari ibiryo cyangwa ibinyobwa byihariye ngomba kugabanya?
• Nabigenza nte kugira ngo ibi bigende neza mu rugo?
• Nabyitwaramo nte iyo ndi kure y'urugo?
• Ese hari ibindi bimenyetso by'umuburo nkwiye kwitondera?

Kubaza ibi bibazo bizagufasha gusobanukirwa neza urugendo rwawe rw'ubuzima.

Ese hari ubundi bwoko bw'indwara yo kutagira indonke mu nkari?

Yego, indwara yo kutabasha kwifata ni imwe mu ndwara zikunze kugaragara. Dore izindi ugomba kumenya:

• Kunanirwa kwifata mu gihe uruhago rwawe rwuzuye cyane kandi ntushobora kurukuraho burundu. Uruhago rurarenza urugero, bigatuma usohoka kenshi, nubwo waba udafite icyifuzo gikomeye cyo kugenda.
• Kunanirwa kwifata mu gihe umuntu ananiwe kwifata : Ibi bibaho iyo umuvuduko w'umubiri—nk'inkorora, guseka, kwitsamura, guterura ibintu biremereye, cyangwa gukora imyitozo ngororamubiri—bitumye inkari zisohoka nta bushake.
• Gusaba kudakora imibonano mpuzabitsina : Ibi birangwa no gukenera kunyara mu buryo butunguranye, bukomeye kandi budashobora kugenzurwa, akenshi bigatuma bigorana kugera mu bwiherero ku gihe.

Ubu ni bwo bwoko bw'ibanze; bamwe mu bantu bashobora guhura n'ubu burwayi nk'ubwo.

Ubutumwa bwo kujyana mu rugo

Kutagira isuku mu mubiri bishobora kugira ingaruka zikomeye ku buzima bwawe bwa buri munsi. Nubwo ari ibintu bisanzwe cyane kurusha uko abantu babizi, birumvikana ko ushobora kugira isoni cyangwa ugatinya kubiganiraho. Ushobora no kuba ugabanya ibikorwa byawe byo gusabana kubera gutinya kutabona ubwiherero ku gihe.

Wibuke ko utari wenyine muri ibi.

• Kutagira isuku mu mubiri si ikosa ryawe. Bishobora guterwa n'ibintu bitandukanye by'umubiri cyangwa ibyo mu mutwe.
• Intambwe y'ingenzi cyane ni ukuvugana na muganga wawe nta bwoba cyangwa isoni.
• Iyo impamvu imaze kumenyekana, hari uburyo bwinshi bwiza bwo gucunga no kugenzura iyi ndwara.
• Guhindura imibereho yawe byoroheje, imyitozo ngororamubiri yihariye, ndetse nibiba ngombwa, ubuvuzi bushobora kugufasha kubaho ubuzima bwiza kandi bushimishije.
• Hari ubufasha buhari. Shaka ubuyobozi bw'abaganga b'inzobere muri Nirogi Lanka.

Niba wowe cyangwa undi muntu uzi ufite ibi bimenyetso, nyamuneka hamagara muganga kugira ngo akugire inama. Iyo witabwaho neza, ushobora gukomeza kugira ubuzima bwiza.

Tags: Kunanirwa kwihagarika, kuva amaraso mu nkari, kubura uburyo bwo kugenzura uruhago, ubuvuzi bw'abageze mu zabukuru, indwara z'imitsi, indwara zo mu mutwe