Ese urimo urwana n'indwara yo kubabara cyangwa kugorana mu mara? Ese akenshi wumva amara yawe adasa neza, ndetse no mu gihe umaze kuyavamo? Ese intebe zawe zirakomeye, zumutse, cyangwa zifite ibibyimba? Ibi ni ibimenyetso by'indwara yo kutagira impatwe—indwara twese tuzi, kandi mu by'ukuri, iteye ubwoba cyane kwihanganira.
Kenshi na kenshi, guhindura imikorere mito y’ubuzima bishobora gukemura ikibazo cyo kubura impatwe. Urugero, kongera kurya ibiryo bikungahaye kuri fibre (imboga, imboga, imbuto n'umuceri w'umukara), kwemeza ko unywa amazi ahagije buri munsi, no gukomeza gukora imyitozo ngororamubiri bishobora kugira ingaruka zikomeye. Ariko, niba waragerageje izi mpinduka kandi uracyahanganye nazo, ni ibisanzwe gutekereza gufata umuti woroshya ububabare kugira ngo worohereze ibimenyetso byawe.
Imiti yo koroshya ububabare ni iki kandi ni nde uyikeneye?
Muri make, imiti yoroshya amara ni imiti igamije koroshya cyangwa gutera imbaraga mu gihe ufite impatwe. Muri rusange, iyi miti iboneka ku isoko y’imari muri farumasi nyinshi. Iza mu buryo butandukanye, harimo imiti yoroshya umwanda, inyunganiramirire ya fibre, n’imiti itera imbaraga mu mara.
Hari ibihe byinshi ushobora gukenera umuti woroshya ububabare:
- Kubura impatwe rimwe na rimwe: Ku ndwara zo kubura impatwe zidakira nubwo hari impinduka mu mibereho.
- Indwara zidakira:Hari abantu bahura n'ikibazo cyo kutagira impatwe gihoraho bitewe n'indwara z'igihe kirekire nka indwara ya Crohn cyangwa Ulcerative Colitis.
- Uburyo bwo Kwa muganga: Imiti yo koza amara ikunze gukoreshwa mu gusukura amara yose mbere yo kuyakoresha kwa muganga, nko gupima intanga mu mara cyangwa gupima ikibuno.
Ariko, wibuke ko imiti yo gushyushya idakwiriye buri wese. Niba utwite, ntuzigere uyikoresha utabanje kugisha inama muganga wawe. Mu buryo nk'ubwo, ntugahe abana imiti yo gushyushya keretse ubisabwe na muganga w'abana. Niba usanzwe ufata indi miti, gisha inama umuganga wawe kugira ngo urebe neza ko iyo miti yo gushyushya idafite ingaruka mbi ku miti ukoresha ubu.
Ubwoko bw'imiti yoroshya uburibwe n'uko ikora
Imiti yo koroshya igogora ikora ku buryo butandukanye kugira ngo igabanye ububabare bwawe. Hari ubwoko bumwe bunyunyuza amazi kugira ngo bworoshye umwanda, bigatuma woroha gutambuka, mu gihe ubundi butera imitsi yo mu mara kugenda neza. Reka turebe ubwoko bw'ibanze bw'imiti yo koroshya igogora iboneka.
| Ubwoko bw'ibinure | Uko bikora | Ingero |
|---|---|---|
| Ibinyabutabire bitanga ubunini (inyongeramusaruro za fibre) | Ibi byongera fibre isoba mu gituza cyawe, bikurura amazi kugira ngo byongere ubunini kandi byorohe. Uko igituza kigenda gikura, bituma amara yimuka, bigafasha mu nzira. Ubu bufatwa nk'uburyo bworoshye bwo koroshya. | Psyllium (Metamucil®), Methylcellulose (Citrucel®), Fybogel, Polycarbophil (FiberCon®) |
| Imiti yo koroshya ubushyuhe bwa Osmotique | Ibi bikurura amazi mu bice bikikije amara yawe. Amazi menshi yoroshya umwanda, bigatuma woroha cyane gutambuka. | Polyethylene glycol (MiraLAX®), hydroxide ya manyeziyumu (Phillips'® Amata ya Magnesia), Gliserini |
| Indabyo zoroshya intebe | Ibi bikora binyuze mu kongera amazi n'ibinure byinjira mu mwanda, bigafasha kuguma byoroshye kugira ngo byoroshye kugenda. | Docusate (Colace®) |
| Amavuta yo kwisiga | Ibi bituma imbere mu mara hagenda hanyerera. Ibi bigabanya amazi yinjira mu mubiri, bigatuma umwanda woroha kandi woroshye kuwucamo. | Amavuta y'ubutare |
| Imiti yo koroshya ubushyuhe | Ibi bitera imitsi igenzura imitsi y'amara yawe, bigatera kubyimba kw'inyuma (peristalsis) gusunika amabyi. Ibi akenshi ni byiza iyo hari ubundi buryo butagenze neza. | Bisacodyl (Dulcolax®), Senna |
Imiti yo koroshya ububabare yanditswe na muganga
Niba uburyo bwo kuvura impatwe zidatanga ubutabazi ku ndwara yo kuvura impatwe idakira, muganga wawe ashobora kukugira inama yo kuvura indwara runaka. Iyi miti ikunze kuba ikenewe ku ndwara nka Irritable Bowel Syndrome (IBS) cyangwa ku barwayi bafite impatwe iterwa na opioid. Harimo imiti nka Lactulose (Duphalac®), Linaclotide (Linzess®), na Lubiprostone (Amitiza®).
Ni gute wakoresha imiti yoroshya ububabare mu buryo bwizewe?
Kugira ngo ubone umusaruro mwiza kandi ugabanye ingaruka mbi, soma amabwiriza witonze kandi ukurikize neza urugero rw'umuti. Ntukarenze urugero rw'umuti watanzwe kugira ngo ubone umusaruro wihuse; kubikora bishobora gutera ingorane zikomeye ku buzima.
Imiti yo gukamura iboneka mu buryo butandukanye:
- Ibinini: Ibinini cyangwa capsules binyobwa.
- Ifu: Igomba gushonga mu mazi cyangwa mu bindi bintu by'amazi.
- Ibinyobwa/Sirupe: Ibipimo by'ibinyobwa byapimwe.
- Udupira: Imiti mito kandi ishongeshwa ishyirwa mu mara.
- Enema: Imiyoboro mito ikoreshwa mu gusohora amazi mu maraso.
Imiti igabanya ububabare n'imiti igabanya ububabare akenshi bitanga ubutabazi mu minota mike cyangwa amasaha make, nubwo ifite ibyago byinshi byo kugira ingaruka mbi nko kubabara mu nda cyangwa impiswi. Imiti igabanya ububabare ifata igihe kirekire—rimwe na rimwe iminsi mike—kugira ngo ikore, ariko muri rusange iba yoroshye ku mubiri wawe.
Menya ingaruka mbi n'ingaruka mbi
Gukoresha nabi cyangwa gukoresha imiti yoroshya uburibwe igihe kirekire bishobora guteza ibibazo byinshi:
- Kubura amazi mu mara: Imiti ikura amazi mu mara ishobora gutuma amazi abura niba utongeyeho amazi unywa.
- Kudahuza kwa Electrolyte: Ushobora kugira ikibazo cy’imyunyu ngugu n’imyunyu ngugu by’ingenzi mu mubiri.
- Impatwe zidakira: Igitangaje ni uko gukoresha imiti itera imbaraga mu mara igihe kirekire bishobora gutuma imitsi y’amara icika intege, bigatuma bigorana kugira impatwe idafite iyo miti.
- Gupfuka indwara zishingiye ku gitsina: Imiti yo gupfuka ivura gusa ikimenyetso cyo kutagira impatwe, ntabwo ari impamvu nyamukuru. Impatwe yawe ishobora kuba ikimenyetso cy'indwara ikomeye ikeneye ubuvuzi. Gukoresha imiti yo gupfuka impatwe bishobora gutinza gusuzuma bene ibyo bibazo.
Niba uhora uhura n'ikibazo cyo kutagira impatwe kandi imiti itangwa mu iduka idakora,ntutinde—gana muganga kugira ngo amenye impamvu nyamukuru. Niba ubabara mu nda cyane cyangwa ugahora urwara impiswi, shaka ubufasha bwihuse mu ishami ryihutiyeho ryihariye.
Ibintu by'ingenzi byakunzwe (Nirogi Lanka)
- Ku bijyanye no kutagira impatwe, imiti yoroshya uburibwe ntabwo igomba kuba yo nzira ya mbere yo kwirwanaho. Shyira imbere impinduka mu buzima bwiza, nko kongera fibre, kugumana amazi meza, no gukora imyitozo ngororamubiri buri gihe.
- Imiti yo gukamura amara igenewe kugabanya ububabare bw'igihe gito gusa. Kuyishingikirizaho igihe kirekire bishobora kwangiza imikorere y'amara yawe.
- Mbere yo gukoresha umuti wo koroshya uburozi, soma amabwiriza ari kumwe na wo witonze. Ntukarenze urugero rw'umuti watanzwe n'uwakoze uwo muti cyangwa uwagufashije mu by'ubuzima.
- Ntuzigere uha abana imiti yo koroshya uburibwe nta buyobozi bw'umuganga w'abana. Niba utwite cyangwa wonsa, nyamuneka banza uganire na muganga wawe mbere yo gutangira imiti iyo ari yo yose.
- Niba impatwe yawe ikomeje cyangwa ikagaruka kenshi, ntugire isoni cyangwa ngo utinde gushaka ubufasha. Teganya gahunda yo kubonana na muganga wawe kugira ngo umenye impamvu nyamukuru kandi ubone ubuvuzi bukwiye.
impatwe, imiti yoroshya amara, uburyo amara ahora akoresha neza, ubuzima bw'igogora, imiti yoroshya umwanda
