Ese nawe ukunda kubabara uruhago? (Interstitial Cystitis/Bladder Pain Syndrome) - Reka tubiganireho!

Ese ukunze kumva ububabare cyangwa kutamererwa neza mu nda yo hasi, aho uruhago ruherereye? Ese ukunda kunyara igihe gito, ariko kenshi ? Niba ari uko bimeze, iki ni ikintu gishobora kuba ingenzi kuri wewe. Iyi ndwara tuyita "Interstitial Cystitis" cyangwa "Bladder Pain Syndrome" (BPS) . Muri make, ubu bubabare budashira cyangwa kutamererwa neza mu ruhago.

Interstitial Cystitis/Interstitial Pain Syndrome (IC/BPS) ni iki?

Mu magambo make, interstitial cystite ni indwara aho "interstitial" irimo bivuze ikintu gikora ku myanya iri hagati y’ingingo zacu cyangwa ingingo zacu. "Cystitis" bivuze kubyimba. Rero, ikibaho ni uko hari ububabare buterwa no kubyimba mu nkuta z’uruhago rwawe.

Niba ufite IC/BPS, ushobora gukenera koga kenshi (inshuro nyinshi) kurusha uko bisanzwe. Ushobora kandi kumva ukeneye koga mu buryo butunguranye (byihutirwa) . Ibi kandi byitwa:

• Indwara yo kubabara mu ruhago
• Indwara yo gucika intege mu gihe umuntu arwaye indwara ya dysuria
• Ububabare budakira mu kibuno

Hari ubwoko bubiri bw'ingenzi bwa IC/BPS.

Abaganga babigabanyamo ubwoko bubiri bw'ingenzi:

1. IC/BPS itera ibisebe: Muri ibi, ibisebe bibabaza byitwa "Hunner's ulcers" bikura ku rukuta rw'uruhago. Ariko, ibi ni gake cyane, bikagira ingaruka hagati ya 5% na 10% by'abantu bafite IC/BPS.

2. IC/BPS idatera ibisebe: Ubu bwoko ni bwo bukunze kugaragara cyane. Abantu bagera kuri 90% bafite IC/BPS bafite ubwo bwoko. Muri ubu bwoko, kuva amaraso guto cyane, nk'udusebe duto (glomerulations) , bigaragara mu rukuta rw'inkari.

Tekereza nk'aho uruhago rwawe rumeze nk'agapira gato. Rugenda rukura uko rwuzuye inkari , kandi rukongera rugaba ruto iyo urimo kunyara . Noneho, hamwe na IC/BPS, ni nk'aho agace k'imbere muri ako gapira kangiritse kandi kagatangira kumererwa nabi.

Iyi "Stage 4" IC/BPS ni iki?

Ushobora kuba warumvise ibyerekeye "Intambwe ya 4" IC/BPS. Ibi ni iby'abantu bamaze imyaka irenga ibiri bafite ibimenyetso bya IC/BPS. Muri iki gihe, uturemangingo tw'uruhago tuba dukomeye cyane, bityo ntitwongere kubika inkari nyinshi nkuko byari bimeze mbere. Iyi ndwara ikunze kugaragara ku bantu bafite "ibisebe bya Hunner" byavuzwe haruguru.

Iyi ndwara ikunze kugaragara gute?

IC/BPS mu by'ukuri ni indwara ikunze kugaragara cyane kurusha uko wabitekereza. Urugero, muri Leta Zunze Ubumwe za Amerika honyine:

• Abagabo bari hagati ya miliyoni 1 na 4
• Bivugwa ko iyi ndwara yibasira abagore bari hagati ya miliyoni 3 na 8.

Ibi bigaragaza ko iki ari ikintu kigaragara cyane mu bagore, ariko gishobora no kwiyongera no mu bagabo.

Ni ibihe bimenyetso bya IC/BPS?

Ibimenyetso bishobora gutandukana bitewe n'umuntu ku giti cye. Hari abantu bashobora kugira ububabare buke gusa, abandi bakababara cyane . Nanone, ibi bimenyetso bishobora kugaragara igihe cyose, cyangwa bikaba byaza rimwe na rimwe.

Ibi ni ibimenyetso bikunze kugaragara:

• Kubyimba k'uruhago (cystite)
• Kubabara mu nda yo hasi, ni ukuvuga ahantu uruhago rwawe ruri.
• Umuvuduko cyangwa kubabara iyo uruhago rwuzuye inkari .
• Kwihagarika cyane no kumva ugiye kunyara mu buryo butunguranye.
• Inkari nke cyane zisohoka iyo umuntu arimo kunyara .

Ibi bimenyetso bishobora kwiyongera mu gihe cy'imihango yawe ya buri kwezi , cyane cyane niba uri umugore.

Ibi bimera bite?

Ibi biratandukanye kuri buri wese. Hari abantu bashobora kumva uburemere buke cyangwa kutamererwa neza mu nda yo hasi. Abandi bashobora kumva ububabare bukabije, nk'aho umuntu abakuramo imbere, cyangwa akabatera icyuma. Hamwe n'ibi, guhora bashaka kunyara , no kongera kunyara nubwo wamaze kunyara bike, birababaza cyane.

Ni izihe mpamvu za IC/BPS?

Mu by’ukuri, abaganga n’abashakashatsi mu by’ubuvuzi ntibaramenya impamvu nyayo ya IC/BPS. Ariko, bakeka ko ishobora kuba ifitanye isano na zimwe muri izi ndwara zikurikira:

• Indwara ziterwa n'ubwirinzi bw'umubiri: Ni ukuvuga indwara aho ubudahangarwa bw'umubiri wacu bwibasira uturemangingo twacu.
• Allergie: Hari abantu bagira allergie ku bintu bitandukanye.
• Hari inenge zimwe na zimwe mu gice cy'uruhago rwawe.
• Indwara y'imitsi / indwara y'imitsi .
• Utumenyero duto mu "uturemangingo twa mast", ubwoko bw'uturemangingo butera ibimenyetso by'ubwivumbure.
• Kugira ibintu bidasanzwe mu nkari zawe. Urugero, urugero rwa poroteyine ruhoraho mu nkari (proteinuria) .
• Ubwandu butazwi.

Kimwe muri ibi bintu cyangwa byinshi bishobora kuba ari byo bitera iki kibazo.

Ni nde ugerwaho n'iki kibazo cyane?

Umuntu wese ashobora kurwara IC/BPS. Ariko, ushobora kuba uri mu kaga gakomeye ko kurwara iyi ndwara niba:

• Niba umugore .
• Imyaka 30 cyangwa irengaNiba hari umuntu.
• Niba urwaye indi ndwara itera ububabare bw'igihe kirekire (urugero: Irritable Bowel Syndrome, Fibromyalgia).

Ni gute wasuzuma neza IC/BPS? (Isuzuma)

Nta kizamini cyihariye gishobora kukwereka neza niba ufite IC/BPS. Ariko, muganga azagutegeka ibizamini byinshi kugira ngo arebe neza ko nta zindi ndwara cyangwa indwara ufite. Ibi bizamini bishobora kuba birimo:

• Amateka y'ubuvuzi: Muganga wawe azakubaza ibimenyetso byawe. Ushobora gusabwa kwandika mu ikaye, harimo ibimenyetso byawe, ibyo unywa, ingano y'ibyo unywa, n'ingano y'inkari zawe. Ibi bizafasha muganga wawe gusobanukirwa neza uburwayi bwawe.
• Isuzuma ry'inkari / ikizamini cy'inkari: Iyo utanze icyitegererezo cy'inkari , zisuzumwa hifashishijwe mikorosikopi kugira ngo harebwe amaraso mu nkari (hematuria) n'ibimenyetso by'ubwandu (bagiteri, amashyira, uturemangingo tw'amaraso). Iyo hari ubwandu, muganga azaguha imiti yica udukoko . Niba inkari zawe zidafite ubwandu nyuma yo kuvurwa, ariko ibimenyetso byawe bigakomeza, muganga wawe ashobora gukeka IC/BPS.
• Gupima indwara z'umubiri: Ibi bikubiyemo kugushyira munsi y'ikinyabutabire (bivuze ko usinziriye) no gukoresha urushinge ruto kugira ngo ufate urugero ruto rw'uturemangingo two mu rukuta rw'uruhago n'umuyoboro w'inkari. Ibi bikorwa kugira ngo hatagira izindi ndwara zikomeye, nka kanseri y'uruhago.
• Cystoscopy: Muri ubu buryo, umuganga areba imbere mu muyoboro wawe w'inkari n'uruhago. Ibi bikorwa hakoreshejwe umuyoboro muto kandi woroshye ufite kamera n'urumuri ku mpera imwe (cystoscope) . Ibi bishyirwa mu muyoboro wawe w'inkari no mu ruhago rwawe. Ubusanzwe ntukenera anesthesia muri ubu buryo. Ariko, niba umuganga wawe afashe icyemezo cy'uko biopsy ikenewe hamwe na cystoscopy, ushobora guhabwa anesthesia.
• Cystoscopy ikoreshwa mu gusinziriza hamwe no gusimbuka kw'amaraso: Hari igihe abaganga nabo bakora iki kizamini. Mu gihe cyo gusimbuza, uruhago rwuzura amazi hanyuma rukagera ku bunini bwarwo. Ubu buryo bushobora gusuzuma niba hari ibikomere cyangwa amarira mu ruhago. Birababaza, bityo bikorwa hakoreshejwe ikinyabutabire. Ariko, abantu benshi babona uruhu rworoshye rw'igihe gito nyuma y'ibi.

Indwara ya IC/BPS ivurwa ite?

Icy'ingenzi ni uko IC/BPS idashobora gukira burundu . Ariko, hari uburyo bwinshi bwo kuvura. Intego nyamukuru yo kuvura ni ukugenzura ibimenyetso byawe no kuguha ihumure.Umuganga azavugana nawe maze aguhitiremo uburyo bwiza bwo kuvura. Hari igihe hashobora gukoreshwa uburyo butandukanye bwo kuvura.

Abaganga ntibashobora guhanura uko uzakira ubuvuzi ubwo aribwo bwose. Rero, ushobora kugerageza uburyo butandukanye bwo kuvura ukareba uko umubiri wawe witwara. Ibimenyetso byawe bishobora kugenda burundu, cyangwa bikarushaho kwiyongera. Nubwo ibimenyetso byawe byagenda bishira, bishobora kugaruka nyuma.

Uburyo bwo kuvura bwa IC/BPS bushobora kuba burimo:

Impinduka mu mirire yawe

Bamwe mu bantu barwaye IC/BPS bavuga ko hari ibyo kurya n'ibinyobwa bimwe na bimwe bitera ibimenyetso byabyo. Kubwibyo, ni ngombwa kwandika ibyo urya n'ibyo unywa umunsi wose, n'ingano y'ibyo urya n'ibyo unywa. Mu kwandika ibyo wariye n'ibyo wanyoye mbere yuko ibimenyetso byawe bitangira, cyangwa mbere yuko bitangira, ushobora kumenya no kwirinda ibyo kurya bitera ibimenyetso byawe.

Niba usanze ibiryo n'ibinyobwa birimo aside (nk'imbuto z'indimu nk'indimu n'amacunga, urusenda, ibinyobwa birimo karubone, inyanya) birushaho kubabaza, muganga wawe ashobora kukugira inama yo gufata umuti ugabanya aside mu mafunguro yawe. Aside zigabanya aside mu nkari zawe.

Ni ibihe biribwa n'ibinyobwa bishobora kwangiza ubuzima bwawe uramutse ufite IC/BPS?

Ibi ni ibiryo n'ibinyobwa bishobora gutuma ibimenyetso bya IC/BPS birushaho kwiyongera:

• Inzoga
• Ibiryo biryoshye by'ubukorano
• Kafeyine (iboneka mu cyayi no mu ikawa)
• Ibinyobwa birimo karubone (nk'isukari)
• Shokora
• Inyanya
• Imitobe y'imbuto (cyane cyane iyo ifite aside nyinshi)

Muganga ashobora kandi kukwohereza ku muganga w’imirire ushobora kugufasha gutegura indyo nziza yo kugabanya ibimenyetso bya IC/BPS.

Igikorwa cy'umubiri

Imyitozo ngororamubiri n'imyitozo ngororamubiri bishobora gufasha kugabanya ibimenyetso bya IC/BPS. Ibi birimo:

• Kugenda n'amaguru
• Kugendera ku igare
• Kurambura umubiri buhoro cyangwa yoga

Kugabanya stress

Guhangayika bishobora gutera kwibasirwa n'ibimenyetso bya IC/BPS. Kubwibyo, kumenya kumenya no gucunga stress bishobora kugufasha kugabanya ibimenyetso byawe. Kuvugana n'umujyanama w'ubuzima bwo mu mutwe (psychotherapy) bishobora kugufasha kugabanya stress.

Ubuvuzi bw'umubiri

Imitsi yo hasi mu kibuno niyo ifata uruhago rwawe mu mwanya warwo kandi ikagufasha kugenzura inkari zawe . Gukomeza iyi mitsi (imyitozo ngororamubiri ya Kegel)Kurambura imitsi, cyane cyane kuruhuka bishobora gufasha kugabanya ibimenyetso bya cystiti/ububabare bw'uruhago. Muganga ashobora kugufasha kumenya neza ko ukora iyi myitozo neza. Abantu benshi bakorana n'umuganga w'imitsi yo mu kibuno kugira ngo bige uburyo bwo kuruhuka neza iyi mitsi.

Kongera gutoza inkari

Iyo urwaye ububabare mu ruhago, biroroshye kugira akamenyero ko kujya mu bwiherero ukimara kumva ububabare cyangwa icyifuzo cyihutirwa cyo kunyara, nubwo uruhago rwawe rwaba rutaruzuye neza. Ibi bizafasha umubiri wawe kumenyera kujya mu bwiherero kenshi. Gutoza inkari kongera kugerageza bikubiyemo kugufasha gufata inkari zawe igihe kirekire no kuzireka.

Kugira ngo ubimenyere, andika urutonde rw'inshuro unyara n'inshuro wumva ukeneye kunyara . Ukoresheje urutonde rwawe rw'inshuro, gerageza kongera buhoro buhoro igihe hagati y'urugendo rwo mu bwiherero.

Imiti yo kunywa

Imiti ikurikira ikoreshwa mu kunywa ishobora gufasha kuvura ibimenyetso bya IC/BPS:

• Imiti yo kuribwa mu gifu: Imiti igabanya aside itangwa na muganga (urugero: Tums®, Rolaids®) ishobora gufasha kugabanya aside mu mubiri wawe no kugabanya ibimenyetso by'indwara.
• Imiti igabanya ububabare: Ingano nke y'imiti igabanya ububabare nka amitriptyline (Elavil®) ishobora gufasha kugabanya ububabare no kwihagarika kenshi.
• Hydroxyzine: Ikinyabutabire cyitwa histamine gishobora gutera ibimenyetso bya IC/BPS. Hydroxyzine ni ubwoko bwa antihistamine . Ifasha gukura histamine mu ruhago rwawe.

Gutera inkari mu ruhago

Muri ubu buryo, umuganga ashyira umuyoboro muto wa pulasitiki (catheter) mu muyoboro w'inkari (urethra) maze akawushyira mu ruhago rwawe. Hanyuma, binyuze mu muyoboro, uruhago rwawe rwuzuramo imiti myinshi, irimo dimethyl sulfoxide (DMSO) , steroid, n'umuti ugabanya ububabare. DMSO ni umuti w'amazi ufasha kugabanya ibimenyetso.

Hydrodistension - nk'uburyo bwo kuvura

Muganga azuzuza uruhago rwawe amazi yanduye hanyuma akarurambura. Ibi bizafasha uruhago kugumana inkari nyinshi.Ingano iriyongera. Nanone, gucika intege kw'amaraso bishobora gutuza cyangwa gusenya imitsi ikora cyane ibwira ubwonko bwawe ko ufite ububabare mu ruhago. Uhabwa ikinya mu gihe cyo gucika intege kw'amaraso, bityo ukaba usinziriye, bityo ntugire ububabare ubwo aribwo bwose mu gihe cyo kubagwa.

Gukangura imitsi

Uburyo bwo kuvura indwara z'ubwonko bugenzura imikorere y'uruhago rwawe, bugabanye ubushake bwo kunyara no kunyara kenshi. Bukoresha amashanyarazi kugira ngo butere imbaraga imitsi yawe kandi bugatuma habaho igisubizo. Hari igihe bushobora kandi kugabanya ububabare mu ruhago rwawe no mu nda.

Inshinge z'uburozi bwa botulinum

Muganga atera uburozi bwa Botulinum (Botox®) mu mitsi y'uruhago rwawe akoresheje cystoscope. Ingano nto ya Botox igabanya imitsi kandi ikagabanya ububabare. Ariko, ushobora gukenera guterwa inshinge za Botox buri mezi ane kugeza ku icyenda.

Kubaga

Niba ufite ibimenyetso bikomeye cyane bya IC/BPS kandi ntusubize ubundi buryo bwo kuvura, muganga wawe ashobora kukugira inama yo kubagwa. Ibi bikubiyemo gukuraho igice cy'uruhago rwawe cyangwa igice cyose cy'uruhago rwawe (cystectomy) . Ariko ibi bikorwa gusa nk'uburyo bwa nyuma.

Ibindi bintu by'ingenzi

Uretse kuvura uruhago rwawe n'uruhago rwawe, muganga azasuzuma n'izindi ndwara zishobora gutera ububabare. Urugero:

• Kudahuza kw'imisemburo
• Endometriosis (ikura ry'uturemangingo tw'umura hanze ya nyababyeyi)
• Ibibazo bigira ingaruka ku mara yawe mato cyangwa manini

Ese indwara yo kubabara mu nda/interstitial cystitis/abdader pain syndrome izigera ikira burundu?

Biragoye kubivuga. Abantu benshi barwaye indwara ya cystitis/border pain syndrome bazakenera kuvurwa ubuzima bwabo bwose. Iyo batabonye ubuvuzi, ibimenyetso byabo bishobora kugaruka. Bashobora kugira ibimenyetso bidasanzwe nubwo baba bakiri gufata imiti ya IC/BPS.

Ariko, hari abantu bakira neza iyo bavuwe. Ibimenyetso byabo biragabanuka buhoro buhoro, ndetse rimwe na rimwe bigashira burundu.

Ese hari uburyo bwo kwikuramo IC/BPS byihuse?

Ikintu cyiza cyo gukora ni ukujya kwa muganga ako kanya . Ashobora kukubwira uburyo bwo kuvura buzagufasha kugabanya vuba ibimenyetso bya IC/BPS. Ni byiza gushaka inama za muganga aho gukora ibyo wumva ushaka gukora gusa.

Nzumva meze neza nyuma y'igihe kingana iki?

Bishobora gufata ibyumweru cyangwa amezi menshi kugira ngo ibimenyetso byawe bitangire kumera neza nyuma yo kuvurwa na IC/BPS. Ni ngombwa kwihangana mu miti yawe.

Ese iterambere rya IC/BPS rishobora kwirindwa?

Abaganga n'abashakashatsi mu by'ubuvuzi ntibaramenya neza uburyo bwo kugabanya ibyago byo kurwara indwara ya cystitis/ububabare bw'inkari cyangwa uburyo bwo kwirinda ko ibimenyetso bigaruka. Ariko, ushobora gukora ibi bikurikira kugira ngo wirinde ko habaho kubyimba:

• Andika mu ikaye ibyo kurya, menya ibyo kurya bigutera ibibazo, kandi ubyirinde.
• Komeza kuvurwa nubwo ibimenyetso byawe byashira.
• Kugerageza kugabanya stress mu buzima bwawe.

Ni iki nkwiye kwitega mu gihe mfite IC/BPS?

Ku bantu benshi, indwara yo kubabara mu kibuno (interstitial cystite/abdader pain syndrome) ni indwara ifata igihe kirekire. Ibimenyetso byawe bishobora kuba byoroheje cyangwa bikomeye. Bishobora kubaho rimwe na rimwe cyangwa bikaba bihoraho.

Ni ngombwa kuvugana na muganga kugira ngo amenye uko umerewe n'uburyo bwiza bwo kuvura.

Imyaka yo kubaho y'umuntu urwaye IC/BPS ni iyihe?

Indwara yo kubabara mu ruhago/interstitial cystitis si indwara ishobora gushyira ubuzima mu kaga. Ntabwo itera kanseri y'uruhago cyangwa ngo igire ingaruka ku buzima bwawe. Ariko, ishobora kugira ingaruka ku mibereho yawe.

Nitwara nte iyo mfite IC/BPS?

Ibi bikurikira bishobora gufasha kugabanya igihe n'ubukana bw'indwara yo kubabara mu nda/interstitial cystitis/abdader pain syndrome:

• Ukimara kumva ibimenyetso byiyongera mu buryo butunguranye (flare-up), fata imiti igufasha kugabanya ibimenyetso.
• Nywa amazi menshi kugira ngo woroshye inkari zawe.
• Irinde ibiryo n'ibinyobwa byongera ibimenyetso.
• Shyira agapaki k'urubura cyangwa agakoresho gashyushya ku nda yawe cyangwa hagati y'igitsina cyawe n'ikibuno (perineum) .
• Icara mu gikombe cy'amazi y'akazuyazi (sitz boga) .
• Gerageza uburyo bwo gukora yoga kugira ngo ufashe kuruhuka imitsi yo hasi mu kibuno. Urugero, ushobora kwikubita hasi amaguru yawe atandukanijwe ("goddess squat"), cyangwa ukaryama ugaramye amavi yawe afashe ku gituza cyawe, ibirenge byawe birambuye hejuru, n'ibirenge byawe bifatanye ("hello baby").
• Gerageza uburyo bwo kuruhuka, nko gukora imyitozo ngororamubiri yo guhumeka cyane, gutekereza cyane, cyangwa gukora massage.
• Irinde kwambara imyenda igufashe cyane (urugero: ipantalo igufashe cyane, amakanzu agufata ku maguru, imikandara) igabanya inda yawe.
• Niba imibonano mpuzabitsina yiyongereye ibimenyetso, fata imiti igabanya ububabare mbere yo gukora imibonano mpuzabitsina kandi ukoreshe amavuta yo kwisiga kugira ngo ugabanye ububabare.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso bya cystiti/ububabare bw'igisebe, fata gahunda yo kubonana na muganga ako kanya . Muganga azagutegeka ibizamini kugira ngo arebe neza ko nta bwandu cyangwa izindi ndwara zishobora gutera ibimenyetso bya IC/BPS. Ashobora kandi kukwandikira imiti no kukugira inama.

Ni ryari nkwiye kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Niba ibimenyetso byawe bikomeye cyane, cyangwa bitagenze neza nyuma yo kuvurwa, jya mu cyumba cy’ubutabazi kiri hafi yawe .

Ni ibihe bibazo ngomba kubaza muganga?

Bishobora kuba byiza kubaza muganga wawe ibi bibazo:

• Wamenya ute ko mfite indwara ya cystitis/ububabare bw'uruhago?
• Niba ntafite indwara yo kubabara mu nda/interstitial cystitis/abdader pain syndrome, ni iyihe ndwara yindi nagira?
• Ni ubuhe bwoko bw'ibizamini wakora kugira ngo wemeze umwanzuro wawe?
• Ni ubuhe buryo bwo kuvura usaba?
• Ese hari ingaruka mbi ku buvuzi utanga?
• Ese utanga inama yo kuvura rimwe cyangwa uruvange rw'uburyo butandukanye bwo kuvura?
• Ni uruhe rutonde rwuzuye rw'ibiribwa n'ibinyobwa nkwiye kwirinda?
• Ni izihe mpinduka mu mibereho yanjye zishobora kumfasha mu guhangana n'ibimenyetso byanjye?
• Ese nkwiye kujya kwa muganga w’imirire, umuganga w’inzobere mu bijyanye n’imirire, cyangwa undi muganga w’inzobere mu bijyanye n’imirire?

Ni irihe tandukaniro riri hagati y’indwara yo mu kibuno/ububabare bw’inkari (interstitial cystitis/abdader pain syndrome) n’indwara yo mu nzira y’inkari (UTI)?

Hari igihe abantu bitiranya indwara ya cystiti/ububabare bw'inkari n'indwara y'inkari (UTI) . Ariko IC/BPS na UTI si ibintu bimwe. UTI ziterwa na mikorobe (akenshi bagiteri, cyane cyane E. coli ). Abaganga ntibaramenya neza icyatera IC/BPS. Ariko, indwara zishobora kuba zifitanye isano na IC/BPS zirimo indwara ziterwa n'umubiri, allergie, n'ibibazo by'imitsi y'amaraso.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara yo kubabara mu rukenyerero (IC/BPS) ni indwara ikunze kugaragara kandi ifata igihe kirekire itera kubyimba no kumererwa nabi mu rukenyerero rwawe. Ishobora kandi kugira ingaruka ku ngeso zawe zo kunyara - ushobora gukenera kunyara inshuro nyinshi ku munsi, kandi iyo ukeneye kunyara , bishobora kuba ngombwa byihutirwa.

Ububabare, kubabara, n'ibibazo byo mu nkari bishobora gutuma wumva ufite isoni n'ubwoba. Ariko, niba ufite ibimenyetso bya IC/BPS , ntugatinye kuvugana na muganga. Ashobora gukora ibizamini kugira ngo arebe neza ko nta zindi ndwara ufite. Ashobora kandi gukorana nawe kugira ngo agufashe gutegura gahunda nziza yo kuvura ishobora kugabanya igihe n'ubukana bw'indwara zawe no kunoza ubuzima bwawe.Ntabwo uri wenyine, hari ubufasha kuri ibi.

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