Reka tuvuge ku bijyanye no kutagira impatwe. Ese nawe ufite iki kibazo?

Kujya mu bwiherero buri gitondo kugira ngo worohereze inzira z'amara ni ibintu bikunze kugaragara ku bantu benshi. Ariko rimwe na rimwe, cyangwa kenshi, biragoye cyane kujya mu bwiherero, si byo se? Amara yumye, kandi biragoye cyane gusohora imyanda . Iyi ndwara yitwa `(Impatwe)` ni iyihe, cyangwa nkuko tuyita, "impatwe yumye"? Reka tubiganireho mu buryo burambuye uyu munsi. Nta kintu na kimwe cyo guhangayikishwa nacyo, iki ni ikibazo abantu benshi bafite.

Mu by'ukuri, impatwe ni iki?

Muri make, kuribwa mu nda ni indwara aho ubwiherero bwawe (buzwi kandi ku izina rya "amabyi") bwumye cyane, bugakomera , kandi bugatuma bugorana kunyura mu mara yawe. Hari abantu bibwira ko iyo utagiye mu bwiherero umunsi wose, uba ufite impatwe. Ariko si ko bimeze. Hari abantu bashobora kujya mu bwiherero kabiri cyangwa gatatu ku munsi, abandi bakajyayo rimwe mu minsi ibiri. Bitandukanye bitewe n'umuntu ku giti cye.

Ariko, niba ufite ibi bintu, bishobora kuba ari impatwe :

• Kwiyuhagira mu buryo bw'isuku munsi ya gatatu mu cyumweru.
• Gusunika no gusunika cyane iyo uri kwituma.
• Amase y'imbwa yumye cyane, akomeye, kandi afite ibibyimba (nk'amase y'ihene).
• Kumva ko igifu cyawe kitarashiramo umwuka wose ndetse no nyuma yo kujya mu bwiherero.
• Hari igihe iyi ndwara ishobora guherekezwa no kubabara mu gifu no kubyimba .

Tekereza nk'umuyoboro w'amazi. Iyo ikintu kiwufashemo, biragoye ko amazi anyuramo. Ibyo ni ko bigenda iyo umwanda ubaye ukomeye.

Ni ibihe bimenyetso by'ingenzi by'impatwe?

Nkuko twabiganiriyeho mbere, impatwe ishobora gutera ibimenyetso bitandukanye. Si abantu bose babibona kimwe. Ariko ibimenyetso bikunze kugaragara ni ibi bikurikira:

• Kugabanuka kw'imyakura: Nkuko byavuzwe mbere, niba ujya mu bwiherero gake ugereranije n'ibisanzwe, cyane cyane inshuro zitarenze eshatu mu cyumweru, ibi bigomba kwitabwaho.
• Gusunika: Kwicara ku musarani igihe kirekire no kusunika cyane ni bwo buryo bwonyine bwo guca mu mwenda.
• Imyanya ikomeye kandi yumye: Imyanya iba ifite ibibyimba, ibibyimba, cyangwa ikomeye cyane. Hari igihe ibi bishobora gutera umujinya mu kibuno .
• Gusohora igifu mu buryo butuzuye: Kumva ikintu cyafashe mu nda ndetse no nyuma yo kujya mu bwiherero ukumva ko hakiri ikindi kintu cyo gusiga.
• Kubabara mu nda cyangwa kumererwa nabi: Ushobora kumva ikintu kidasanzwe, rimwe na rimwe kikubabaza, mu nda yo hasi.
• Kubyimba no kubyimba: Hari abantu bumva barushye mu nda kandi bakagira ikibazo cyo kubyimba kenshi.
• Ku bana:Hari igihe abana bashobora kuvanga umwanda mu myenda yabo y'imbere batabizi nyuma yo kwifata mu mara (encopresis). Ibi biterwa no kuvanga umwanda w'amazi ukikije umwanda ukomeye.

Igikuru ni uko bishobora kuba ibisanzwe kubona kimwe cyangwa bibiri muri ibi bimenyetso rimwe na rimwe. Ariko niba bikomeje cyangwa bikiyongera, ugomba guhangayika rwose.

Kuki turwara impatwe? Ni izihe mpamvu zishobora kuba zihari?

Nta mpamvu imwe gusa itera impatwe. Hari ibintu byinshi bishobora kuyitera. Reka turebe impamvu nyamukuru.

1. Ibibazo by'imirire

• Indyo irimo fibre nkeya: Iyi ni yo mpamvu nyamukuru ikunze kuba. Fibre ni yo idashobora kuribwa mu biribwa byacu. Ifasha mu kongera ubwinshi bw'amase, kuyaroshya, no gutuma byoroha kuyaterura. Imbuto , imboga, ibinyamisogwe, ibinyampeke byuzuye (nk'umuceri w'umukara, amashu, n'umuceri w'umukara) byose ni isoko nziza ya fibre. Iyo utabishyize mu mirire yawe, ushobora kurwara impatwe.
• Kubura amazi: Iyo utanyoye amazi ahagije ku munsi, imvubura zawe zizaba zumutse kandi zikomere. Amazi yo kunywa azoroshya imvubura zawe kandi bikorohere kuzinyura mu mara yawe.
• Kurya ibiryo byinshi byatunganyijwe: Ibintu nka noodles zikonjeshwa vuba, ibisuguti, keke, n'ibinyobwa biryoshye bifite fibre nke kandi birimo isukari n'amavuta menshi. Kurya ibi kenshi si byiza.

2. Ingaruka ku mibereho

• Kutagira imyitozo ngororamubiri: Iyo twicaye, amara yacu agenda buhoro. Gukora imyitozo ngororamubiri umunsi wose bishobora gufasha amara yawe gukomeza gukora.
• Kwirengagiza ko ugomba kujya mu bwiherero: Ni bibi cyane gusubika kujya mu bwiherero igihe ubikeneye, ukibwira uti "Ndahita njyayo." Kubikora bizakura amazi menshi mu mwenda uri mu mara yawe, bikagorana.
• Impinduka mu mikorere ya buri munsi: Iyo tugiye mu rugendo, tugiye mu biruhuko, cyangwa tugiye ahantu hashya, uburyo turya n'uburyo twitwara mu bwiherero birahinduka. Ibi bishobora no gutera impatwe kuri bamwe.

3. Imiti imwe n'imwe

• Imiti imwe ikomeye igabanya ububabare (urugero: opioids)
• Inyongeramusaruro z'icyuma
• Amwe mu mavuta arwanya aside yo mu gifu ( aside irimo aluminiyumu cyangwa kalisiyumu)
• Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso n'ihungabana.

Niba ufata umuti uwo ari wo wose kandi ukaba ubona ko ushobora kuba utera impatwe, vugana na muganga wawe. Ntugahagarike gufata umuti utabanje kubaza muganga wawe.

4. Izindi ndwara

• Indwara zigira ingaruka ku mikorere y'amara, urugero `(Irritable Bowel Syndrome - IBS)`.
• Kugabanuka k'imikorere y'agahu ka tiroyide (Hypothyroidism).
• Diyabete `(Diabete Mellitus)`.
• Indwara zifitanye isano n'imitsi (urugero: indwara ya Parkinson, Multiple Sclerosis).
• Indwara nka kanseri y'inkondo y'umura (izi ntabwo zikunze kugaragara cyane, ariko ntizigomba kwirengagizwa).

5. Ibindi birori bidasanzwe

• Gutwita: Ababyeyi batwite bashobora kugira impatwe bitewe n'impinduka mu misemburo ndetse n'umwana uri gukura agakandagira amara yabo.
• Gusaza: Kurya impatwe bishobora kubaho uko ugenda usaza kuko imikorere y'umubiri wawe igabanuka, wenda bitewe n'imiti ufata, no kugabanya imyitozo ngororamubiri.
• Guhangayika no guhangayika: Ntugatangare, ibibazo biri mu bwenge bwacu bigira ingaruka ku mikorere y'igifu.

6. Impamvu zihariye zitera abana

• Ubwoba buterwa no kubabara mu gihe cyo kuva mu nda mbere: Niba umwana yagorwaga no kujya mu musarani kandi bikababaza, abana bashobora gutinya kujya mu musarani ubutaha no kwifata ngo batajya mu gifu.
• Ibibazo byo kwimenyereza ubwiherero: Iyo ushyize igitutu ku mwana wawe mu gihe cyo kwimenyereza ubwiherero, ashobora gutangira kwanga no kwifata mu nda.
• Kubura fibre mu biribwa no mu binyobwa: Abana bakunze kudakunda kurya imboga n'imbuto, bityo bashobora no kubura fibre.

Ese umunwa wumye ushobora guteza akaga? Ni ryari wagombye kujya kwa muganga?

Ubusanzwe impatwe ishobora kuvurwa n'imiti yo mu rugo. Ariko, rimwe na rimwe ishobora kuba ikimenyetso cy'indwara ikomeye. Kubwibyo, ni ngombwa kujya kwa muganga niba ufite kimwe muri ibi bikurikira:

• Niba uhuye n'impinduka zikomeye mu mara yawe (niba mbere wari umeze neza ugahita ucika intege).
• Niba ufite amaraso mu mwanda wawe (ashobora kuba umutuku cyangwa umukara wijimye), ntugafate ibi nk'ibi byoroshye.
• Niba urimo kugabanya ibiro nta mpamvu.
• Niba ufite ububabare bukomeye mu gifu hamwe no kutagira impatwe.
• Niba uri kuruka.
• Iyo impatwe idashize nyuma y'ibyumweru bibiri cyangwa bitatu imiti yo mu rugo.
• Niba hari umuntu wo mu muryango wawe wigeze kugira indwara nka kanseri y'amara.
• Iyo umuntu afite impatwe hamwe n'umuriro.

Niba ufite ibimenyetso nk'ibi, ni byiza kujya kwa muganga vuba bishoboka aho gutegereza kubona "reka dutegereze gato."

Ni gute umuganga abyemeza?

Iyo ugiye kwa muganga, ikintu cya mbere azabaza ni iki:

• Ibimenyetso byawe ni ibihe? Umaze igihe kingana iki ubirwaye?
• Urya ute? Unywa amazi angahe?
• Ukora siporo?
• Hari umuti urimo gufata?
• Hari umuntu wo mu muryango wawe wagize ibi bibazo cyangwa ibibazo byo mu mara?

Hanyuma, muganga azagusuzuma. Ashobora gukora ku nda yawe. Hari igihe ushobora no gukenera gushyira urutoki mu maraso yawe (Digital Rectal Exam). Ntutinye, ibi ni ukureba ibibyimba cyangwa ibindi bibazo.

Akenshi, ibi bisobanuro byonyine bishobora kugufasha kumenya icyateye impatwe yawe. Ariko, rimwe na rimwe bishobora kuba ngombwa ko ukorerwa ibizamini birambuye:

• Gupima amaraso: Reba ikibazo cya tiroyide cyangwa ikindi kintu.
• Ibipimo bya X-ray: Kugira ngo harebwe uburyo umwanda uhagaze mu mara.
• `(Sigmoidoscopy)` cyangwa `(Colonoscopy)`: Ibi bikubiyemo gushyiramo umuyoboro muto ufite kamera unyuze mu kibuno kugira ngo usuzume imbere mu mara. Ariko, si buri wese ubikeneye. Muganga azakohereza ibi gusa iyo afite gushidikanya.

Ni iyihe miti yo mu rugo ivura impatwe?

Inkuru nziza ni uko impatwe ishobora kugenzurwa no guhindura gato imibereho yawe n'imirire yawe.

1. Kurya no kunywa neza!

• Kurya ibiryo byinshi birimo fibre: Imibiri yacu ikenera nibura garama 25-30 za fibre ku munsi. Iyi fibre ituruka he?
• Imbuto: Igitoki, ipapayi, mango, inanasi, orange, tangerine, indimu, tamarind.
• Imboga: ibishyimbo, karoti, igihaza, igitoki, amashu, beterave, ibijumba.
• Imboga: epinari, gotukola, mukunuwenna, kathurumurunga, tampala.
• Ubunyobwa butoshye: ubunyobwa, amashaza, ibishyimbo bibisi, lentile.
• Ibinyampeke byuzuye: umuceri w'umukara, buckwheat, ingano, sayiri. Niba urya umugati, hitamo umugati w'ingano zuzuye.
• Nywa amazi menshi: Nywa nibura ibirahuri 8-10 by'amazi ku munsi. Kunywa ikirahuri cy'amazi ukimara kubyuka mu gitondo ni byiza cyane. Kunywa umutobe w'icunga, imbuto z'umuhondo, n'umutobe w'imbuto (harimo isukari nke) nabyo ni byiza. Ariko ibinyobwa biryoshye (nk'ibinyobwa bya cola) si byiza cyane.
• Gabanya ibiryo bimwe na bimwe: Kurya ibintu byinshi nka foromaje, inyama zatunganyijwe (nk'isosiso), ice cream, na shokora bishobora kongera impatwe.

2. Gukora imyitozo ngororamubiri umunsi wose.

Ni ingenzi cyane gukora imyitozo ngororamubiri nibura iminota 30 ku munsi. Kugenda n'amaguru, kwiruka, kugendera ku igare, kubyina, cyangwa se gukora imirimo yo mu rugo byose ni byiza. Gukora imyitozo ngororamubiri kandi binongera imikorere y'amara.

3. Teza imbere ingeso yo kwiyuhagira

• Ntugatinde kujya mu bwiherero: Jya mu bwiherero ukimara kumva ukeneye . Ntugatinde kuvuga ngo "hashize igihe gito."
• Igire akamenyero ko kujya mu bwiherero mu gihe kimwe buri munsi: Gerageza kujya mu bwiherero mu minota 15-20, cyane cyane nyuma ya saa sita. Muri icyo gihe amara yacu aba akora cyane.
• Uburyo bwiza bwo kwicara ku musarani: Iyo wicaye ku musarani, biroroha kwiyuhagira ushyira ikintu kimeze nk'intebe nto munsi y'amaguru yawe kandi ugakomeza amavi yawe hejuru gato ugereranyije n'ikibuno cyawe, aho kuruhuka ibirenge byawe hasi. Kimwe n'ubwiherero bwo mu mwobo bwo mu bihe byashize.

4. Imiti yo gukamura amaraso

Ushobora kubikoresha, ariko uramutse uhawe inama na muganga. Si byiza kubigura muri farumasi no kubinywa uko ubyishakiye. Kuko, niba ukomeje kumenyera ibi, amara yawe ashobora kwibagirwa gukora ubwayo kandi ushobora kudashobora kujya mu bwiherero udafite uyu muti.

Hari ubwoko butandukanye bw'imiti yoroshya ububabare:

• ( Imiti yoroshya uburibwe ikora ku bwinshi): Iyi ikora nk'imigozi, yongera ubwinshi bw'umwanda kandi ikawuroshya.
• `( Imiti yo kuvura indwara ya Osmotic laxatives):` Iyi ikurura amazi mu mara ikagabanya umwanda.
• `( Imiti yoroshya uburibwe):` Iyi itera imbaraga imitsi yo mu mara kandi igasunika intebe imbere.

Muganga wawe ni we uzaguhitiramo ubwoko bw'imiti ikubereye n'igihe ugomba kuyifata.

Bite ho niba abana bacu bato barwaye impatwe?

Kudafata impatwe ni ikibazo gikomeye ku bana. Bashobora kugira ubwoba no kubabara.

• Ntugatinye, vuga ubigiranye urukundo: Mbere na mbere, ntugatinye. Vugana n'umwana ubigiranye urukundo kandi umuhumurize uti: "Nta kintu na kimwe giteye impungenge, mwana wanjye, tuzabikemura."
• Kwita ku mirire yabo: Shyira imbuto (nk'imineke, amapapayi, imyembe), imboga n'imboga mu mirire yabo. Nywa amazi menshi. Gabanya ibinyobwa birimo isukari, shokora, na biscuits.
• Shishikariza umwana wawe gukina, kwiruka no gusimbuka: Uko umwana agira imbaraga nyinshi, ni ko amara ye arushaho gukora neza.
• Gerageza kwiyuhagira buri gihe: Bashyire ku musarani iminota 5-10, kabiri cyangwa gatatu ku munsi, nyuma gato yo kurya. Ntimubashyire ku gahato. Bareke basome igitabo, cyangwa ngo baganire.
• Gabanya ububabare: Niba ubabara mu mara, ushobora kubaza muganga wawe niba ukoresha amavuta agabanya ububabare.
• Niba bitagenze neza nyuma y'iminsi myinshi, cyangwa niba umwana wawe asa n'aho ari kubabara, jya kwa muganga w'abana. Muganga ashobora kumenya impamvu nyayo no kumuha imiti bibaye ngombwa.

Hanyuma, hari ibintu bike ugomba kwibuka:

Noneho twavuze byinshi ku bijyanye no kutagira impatwe. Hanyuma, dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• Impatwe ni indwara ikunze kwibasira abantu benshi kandi akenshi ntabwo ari ikibazo gikomeye. Ariko, iyo ikomeje, ikagutera ububabare bwinshi, cyangwa niba ufite kimwe mu bimenyetso twavuze mbere (nk'amaraso, kugabanya ibiro), ugomba gushaka inama kwa muganga aho kubabara wenyine.
• Indyo nziza (irimo fibre nyinshi, amazi menshi), imyitozo ngororamubiri ya buri munsi, no kwimenyereza ubwiherero neza ni bwo buryo bwiza kandi bwizewe bwo kwirinda no kuvura impatwe.
• Niba ukoresha imiti, bikore gusa ubyemerewe na muganga.
• Niba abana bawe bafite iki kibazo, bafashe kwihangana no gukunda. Niba bibaye ngombwa, shaka ubufasha bw'umuganga w'abana.

Wibuke ko kugira amara mazima ari ingenzi kugira ngo ubeho neza. Rero yitaho ubuzima bw'amara yawe. Niba ufite ibindi bibazo, ntutinye kuvugana na muganga.

` Impatwe, igifu cyumye, impatwe, fibre ikomoka ku mirire, ingorane zo kwituma, inama za muganga, ubuzima