Ese nawe uhura n'ingorane n'ububabare iyo ugiye mu bwiherero? Ese wumva inda yawe idafite ubusa ndetse na nyuma yo kuva mu bwiherero? Ese ubwiherero bwawe bwumye kandi bukomeye nk'amabuye? Ibi ni byo bimenyetso by'ingenzi byo kubabara mu nda twese tuzi. Mu by'ukuri iyi ni indwara ibabaza cyane.
Akenshi, impinduka nto mu mibereho yacu zishobora gukemura ikibazo cyo kubura impatwe. Urugero, kurya ibiryo byinshi birimo fibre (ibinyamisogwe, imboga, imbuto, umuceri w'umukara), kunywa amazi ahagije ku munsi, no gukora imyitozo ngororamubiri bishobora kugira itandukaniro rinini. Ariko, niba ugifite iki kibazo nyuma yo gukora ibi byose, ni ibisanzwe kumva ushaka gukoresha umuti woroshya imyanda nk'intambwe ikurikiraho.
Iyi miti yo gushyushya ni iyihe? Ni nde uyikeneye?
Mu magambo make, imiti yoroshya uburibwe ni imiti ifasha mu koroshya uburibwe bwo mu gifu iyo ufite impatwe. Akenshi iboneka ku giciro cya farumasi iyo ari yo yose. Ishobora kuvugwa ku mazina atandukanye, nko imiti yoroshya uburibwe , imiti yoroshya uburibwe bwo mu gifu, cyangwa imiti igabanya uburibwe bw’imitsi.
Muri rusange hari ibihe byinshi umuntu ashobora gukenera umuti wo koroshya ububabare:
- Kwihagarika rimwe na rimwe: Ku igogora rimwe na rimwe ritagenda neza nubwo wahindura imibereho yawe.
- Indwara zidakira: Hari abantu bashobora kugira impatwe bitewe n'indwara z'igihe kirekire, nka indwara ya Crohn cyangwa indwara y'igisebe.
- Kwitegura ibizamini byo kwa muganga: Hari igihe, mbere yo gupima amara, nka endoscopy cyangwa colonoscopy, hatangwa imiti yo gusukura amara burundu (laxative cleanser).
Ariko ibuka ko imiti yoroshya ububabare idakwiye abantu bose bafite ikibazo cyo kutagira impatwe. Niba uri umubyeyi utwite, ntuzigere uyikoresha utabanje kugisha inama muganga wawe. Nanone, ntugahe abana bato imiti yoroshya ububabare utabanje kugirwa inama na muganga w'abana. Niba urimo gufata imiti y'indi ndwara, banza uganire na muganga wawe mbere yo kuyikoresha, kuko imwe mu miti yoroshya ububabare ishobora kugira ingaruka kuri iyo miti.
Ubwoko bw'imiti yoroshya uburibwe n'uko ikora
Imiti yo koroshya igogora igira ingaruka ku buryo bworoshye mu igogora ryacu kandi ikoroshya gusohora imyanda. Hari ubwoko bumwe bukura amazi mu myanda, bukayoroshya. Hari n'ubundi butera imbaraga imitsi yo mu mara kandi bugafasha mu gusunika imyanda hasi. Reka turebe ubwoko bw'ingenzi bw'imiti yo koroshya igogora.
| Ubwoko bw'ibinure | Uko bikora | Ingero |
|---|---|---|
| Ibinyabutabire bitanga ubunini (inyongeramusaruro za fibre) (Ubwoko bwongera ingano y'indabyo) | Ibi byongera fibre ishongesha mu gituza, bikavana amazi mu mubiri, bigatuma kiba kinini kandi cyoroshye. Uko igituza kigenda kiba kinini, amara arashishikazwa kandi agafasha mu guca mu gituza. Ibi ni byo byoroshye cyane. | Psyllium (Metamucil®), Methylcellulose (Citrucel®), Fybogel, Polycarbophil (FiberCon®) |
| Imiti yo koroshya ubushyuhe bwa Osmotique (Ubwoko bukurura amazi mu mara) | Amazi akurwa mu bindi bice by'umubiri akajyanwa mu mara. Ayo mazi arundanyije yoroshya umwanda kandi bigatuma woroha gutambuka. | Polyethylene glycol (MiraLAX®), hydroxide ya manyeziyumu (Phillips'® Amata ya Magnesia), Gliserini |
| Indabyo zoroshya intebe (Ubwoko bw'icyuma cyoroshya intebe) | Ibi byongera amazi n'ibinure byinjizwa n'umwanda, bikaworoshya. | Docusate (Colace®) |
| Amavuta yo kwisiga (Ubwoko bw'amavuta yo kwisiga) | Ibi bikora nk'igishishwa imbere mu mara manini, bigatera kumva unyerera. Kubera iyo mpamvu, umubiri ufata amazi make mu mwanda, bigatuma umwanda woroha. | Amavuta y'ubutare |
| Imiti yo koroshya ubushyuhe (Ubwoko butera amara gukangura) | Bikangura imitsi igenzura imitsi yo mu mara, bigatera kwimuka kw'amara (peristalsis) no gusunika umwanda hasi. Ibi ni byiza iyo ubundi bwoko budakora. | Bisacodyl (Dulcolax®), Senna |
Imiti yo gukamura ibisebe isabwa na muganga
Niba imiti yoroshya uburibwe idafasha mu gihe cyo kuruhuka mu gihe cyo kwituma, muganga wawe ashobora kukwandikira umuti wihariye. Ibi ni ingenzi cyane cyane ku bantu bafite indwara nka IBS (Irritable Bowel Syndrome) cyangwa abarwaye impatwe bitewe no gukoresha imiti igabanya ububabare (opioids). Imiti nka Lactulose (Duphalac®), Linaclotide (Linzess®), na Lubiprostone (Amitiza®) iri muri iki cyiciro.
Ni gute wakoresha umuti wo koroshya ububabare neza?
Kugira ngo wungukire neza umuti wo koroshya ububabare no kugabanya ingaruka mbi, ni ngombwa gusoma witonze agapapuro kanditseho hanyuma ugakoreshe uko byategetswe. Ntukigere ufata ibirenze urugero rwatanzwe kuko ushaka kumva umeze neza vuba. Kubikora bishobora kugira ingaruka mbi.
Imiti yo gukurura iraboneka mu buryo butandukanye:
- Ibinini: Ibinini cyangwa udupira tunyobwa mu kanwa.
- Ifu: Ifu ishongeshwa mu mazi cyangwa ikindi kintu cy'amazi hanyuma ikanyobwa.
- Ibinyobwa/Sirupe: Imiti y'amazi ishobora gupimwa no kunywa.
- Udupira: Udupira duto tw’umuti dushongeshwa dushyirwa mu maraso.
- Enema: Imiyoboro mito ishyira amazi mu maraso.
Imiti ikoreshwa mu gutera amaraso mu nda n'imiti ikoreshwa mu gutera amaraso mu nda, ikunze gushyirwa mu nzira y'umura, igabanya ububabare mu minota cyangwa amasaha. Ariko kandi, ifite ibyago byinshi byo kugira ingaruka mbi nko kubabara mu gifu no gucibwamo. Ubwoko bworoheje nk'ubwo mu gutera amaraso menshi bushobora gufata iminsi mike kugira ngo bukore, ariko bugira ingaruka mbi nke.
Tumenye kandi ingaruka mbi n'ibyago bishobora gutera.
Gukoresha imiti yoroshya ububabare nabi cyangwa igihe kirekire bishobora guteza ibibazo bitandukanye.
- Kubura amazi mu mubiri: Iyo ukoresheje ibintu bikurura amazi mu mubiri, iyo utanyoye amazi ahagije icyarimwe, umubiri wawe ushobora kubura amazi mu mubiri.
- Kutagera ku rugero rwa electrolyte: Kugera ku rugero rw'umunyu n'amazi mu mubiri bishobora guhungabana.
- Impatwe idakira: Igitangaje ni uko gukomeza gukoresha imiti itera imbaraga mu mara bishobora gutuma imitsi yo mu mara icika intege, bigatuma bidashoboka ko umuntu yinjira mu mara nta miti.
- Kwirinda indwara ihishe inyuma:Imiti yo koroshya igabanya igihe gito gusa ibimenyetso byo kunyara. Ntivura impamvu nyamukuru. Kunyara kwawe bishobora guterwa n'indwara ikomeye. Gukoresha imiti yo koroshya imyuka bishobora gutinza gusuzuma iyo ndwara.
Bityo rero, niba uhora urwaye impatwe kandi imiti uguze muri farumasi ntigufashe, ugomba kujya kwa muganga vuba kugira ngo umenye impamvu. Niba ubabara cyane mu gifu cyangwa impiswi ikabije, jya mu biro by’ubutabazi bw’ibanze by’ibitaro biri hafi yawe (ETU).
Ubutumwa bwo kujyana mu rugo
- Intambwe ya mbere yo kugerageza impatwe si ukugerageza imiti yoroshya ububabare, ahubwo ni uguhindura imibereho nko kurya indyo irimo fibre nyinshi, kunywa amazi menshi, no gukora imyitozo ngororamubiri.
- Imiti yo gukamura amaraso ni iyo gukoreshwa igihe gito. Iyo ikoreshejwe igihe kirekire ishobora gutuma ikibazo kirushaho gukomera.
- Mbere yo gukoresha umuti wo koroshya uburozi, soma amabwiriza ari kumwe na wo witonze kandi uyakurikize. Ntukarenze urugero rw'umuti watanzwe.
- Ntukigere uha abana imiti yo koroshya ububabare batabanje kugisha inama muganga w'abana. Ababyeyi batwite n'abonsa nabo bagomba gushaka inama kwa muganga.
- Niba impatwe yawe ikomeje cyangwa ikakubaho kenshi, ntugatinye kubikora, kandi jya kwa muganga vuba kugira ngo aguhe impamvu n'uburyo bwo kuvura bikwiye.
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