Ese ubwonko bwawe bumeze nk'aho bukora nabi? Bishobora kuba ari indwara ya Metabolic Encephalopathy!

Ese hari igihe wumva urujijo rudasobanutse, kwibagirwa, no guhinduka mu myitwarire, nk'aho utari uwo wari usanzwe uri we? Cyangwa hari ikintu nk'iki cyabaye ku muntu wo mu muryango cyangwa inshuti? Imwe mu mpamvu nyamukuru zituma ibi bintu bibaho ni uko hari ikindi kibazo cy'ubuzima mu mubiri wacu bigira ingaruka ku mikorere isanzwe y'ubwonko. Uyu munsi tugiye kuvuga kuri iyo ndwara, ari yo `(Metabolic Encephalopathy)` . Ntutinye, tuzabivugaho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

`(Metabolic Encephalopathy)` ni iki? Mu magambo make...

Mu magambo make, `(Metabolic Encephalopathy)` ni indwara yo mu bwonko iterwa n'indwara iri mu mubiri wawe. Hari impamvu nyinshi zishobora kubitera, ariko inyinshi muri izi mpamvu zigira ingaruka cyane cyane ku mikorere y'umubiri wawe. Tekereza nawe, umubiri wacu umeze nk'imashini nini. Iyi mashini ikenera ingufu kugira ngo ikore. Izo ngufu zikomoka ku byo turya n'ibyo tunywa. `(Metabolism)` twita inzira ya shimi ihindura ibyo bintu imbaraga.

Rero, iyo imikorere y'ubwonko ihungabanye muri ubu buryo, bishobora kugira ingaruka zikomeye ku byiyumvo byawe, imitekerereze yawe, no kwibuka kwawe. Mu bihe bimwe na bimwe bikomeye, ushobora no gutakaza ubwenge (coma) .

Ibi ni ingenzi cyane, kuko izi ndwara zose (Metabolic Encephalopathy) zisaba ubufasha bwa muganga . Iyo zitavuwe, zishobora gushyira ubuzima mu kaga, cyangwa zikanatera kwangirika k'ubwonko burundu . Kubwibyo, ni ingenzi cyane kubimenya.

Ni ubuhe bwoko bw'ingenzi bwa `(Metabolic Encephalopathy)`?

Dushobora kubona ubwoko bubiri bw'ingenzi bw'iyi `(Metabolic Encephalopathy)`:

1. Indwara ya "Acute Metabolic Encephalopathy": Ibi bikunze kubaho iyo umubiri wawe utabonye vitamine, ogisijeni, cyangwa isukari ihagije. Tekereza nk'aho moteri y'imodoka idakora iyo amavuta ashize.

2. Uburwayi bwo mu mubiri buterwa n’imikorere mibi y’ingingo, nko mu mpyiko cyangwa mu mwijima, cyangwa mu gihe ingingo zidakora neza. Ibi bivuze ko ibintu by’uburozi byirundanya mu bwonko kubera ko imyanda y’umubiri idakurwamo neza.

Iyi ndwara ikunze kugaragara gute?

Iyi ndwara, yitwa "Metabolic Encephalopathy," ikunze kugaragara cyane mu bantu "barwaye cyane" bitewe n'indwara ikomeye y'umubiri. Ibi bivuze ko umuntu usanzwe arwaye indi ndwara ikomeye ashobora kurwara iyi ndwara.

Ni ibihe bimenyetso by'ibi? Twumva tumeze dute?

Ibimenyetso bya mbere uzabona ni ibi bikurikira:Imikorere y'ubwenge ifitanye isano n'ubushobozi bwo gutekereza . Ni:

• Urujijo no kubura aho uherereye: Kumva utazi aho uri, isaha ni iyihe, uwo uri we, cyangwa uwo uri iruhande rwawe. Ushobora no kumva umutwe wawe ubaye ubusa mu buryo butunguranye.
• Gutakaza kwibuka: Ushobora no kwibagirwa ibintu biherutse kuba. Ushobora no kutibuka ibyo wakoze mu gitondo nimugoroba.
• Impinduka mu miterere: Urugero, umuntu wari utuje cyane ashobora gutangira kurakara igihe cyose, cyangwa agatangira guhangayika cyane. Hari n'abantu bashobora guceceka cyane.

Uretse ibi bimenyetso by'ibanze, hari n'ibindi bimenyetso bishobora kubaho, nka:

• Isesemi no kuruka
• Umunaniro n'Ibibazo byo Kudasinzira
• Indwara zo mu mutwe nko kwiheba
• Kudatekereza: Gutakaza ubwenge butunguranye, kumva udafite aho uhuriye n'ibyo ushaka no kubura icyo usobanura mu byo umuntu abamo.
• Kurota ibintu bitagaragara: Kubona, kumva, cyangwa kumva ibintu bitariho mu by'ukuri.
• Guhinda umushyitsi
• Ibimenyetso by'igicuri (igicuri)
• Guhumeka bigoranye
• Gutakaza ubwenge cyangwa koma

Hari igihe ibi bimenyetso bishobora kugaragara mu buryo butunguranye cyangwa butunguranye . Ariko kuri bamwe, ibi bimenyetso bigenda buhoro buhoro, buhoro buhoro . Ariko, niba wowe cyangwa undi muntu uzi agize kimwe muri ibi bimenyetso, ibuka guhita ubonana na muganga .

Kuki ibi bibaho? Ni izihe mpamvu za `(Metabolic Encephalopathy)`?

Impamvu nyamukuru ya `(Metabolic Encephalopathy)` ni indwara y’ibanze igize ingaruka ku mikorere yawe ya `(Metabolism)` . Nkuko twabivuze, metabolism ni inzira y’ibinyabutabire ihindura ibyo turya n’ibyo tunywa mo ingufu. Izi ngufu ni ingenzi kugira ngo ubwonko bwacu bukore neza. Bitewe n’indwara y’ibanze, uburinganire bw’ibinyabutabire mu maraso yawe bushobora guhungabana. Ingaruka zabyo ni uko ubwonko butakira intungamubiri na ogisijeni bukeneye, bigatera ibimenyetso bya `(Metabolic Encephalopathy)`.

Zimwe mu ndwara zikunze gutera ibi ni izi:

• Diyabete: Ibi bivuze ko urugero rw'isukari mu maraso ruri hejuru cyane (Hyperglycemia) cyangwa ruri hasi cyane (Hypoglycemia) nta gipimo.
• Umutima unanirwa
• Kunanirwa kw'impyiko
• Indwara y'umwijima cyangwa umwijima unanirwa
• Imirire mibi (kubura intungamubiri zikenewe n'umubiri)
• Pancreatite
• Sepsis (ubwandu bukomeye bukwirakwira mu mubiri wose)
• Vasculitis (kubyimba kw'imitsi y'amaraso)

Nanone, indwara ya Metabolic Encephalopathy ishobora guterwa no kunywa ibintu bimwe na bimwe by’uburozi . Urugero:

• Inzoga zirenze urugero
• Uburozi bw'ibyuma biremereye buterwa no kunywa ibyuma biremereye nka lisansi
• Imiti imwe cyangwa indi miti ifatwa nta nama za muganga

Ni nde ufite amahirwe menshi yo kurwara ibi? (Ibintu bishobora gutera ibyago)

Ushobora kuba uri mu kaga gakomeye ko kurwara `(Metabolic Encephalopathy)` niba:

• Niba ufite indwara y’umubiri ifata ingingo nyinshi z’umubiri icyarimwe. (Urugero, indwara ifata umubiri wose, nka diyabete)
• Niba ufite indwara nyinshi (Comorbidities) icyarimwe. (Urugero, kuba ufite diyabete n'umuvuduko ukabije w'amaraso)
• Niba ufite imyaka irenga 65.
• Niba usanzwe ufite ibibazo ku bushobozi bwawe bwo gutekereza (kudashobora gutekereza neza), nko kubura ubwenge, kugorwa no kwiga ibintu bishya, kugorwa no gufata ibyemezo, no kudashobora guhuza ibitekerezo byawe.
• Niba ufite ikibazo cyo gukoresha ibiyobyabwenge.

Ni izihe ndwara zikomeye zishobora kubaho iyo zitavuwe?

Iyo idavuwe vuba kandi neza, Metabolic Encephalopathy ishobora gushyira ubuzima mu kaga . Ishobora kandi gutera ingaruka zikomeye kandi z'igihe kirekire nka:

• Kwangirika k'ubwonko burundu.
• Gutakaza ubwenge burundu (Coma) n'ingorane zabyo.

Niyo mpamvu ari ngombwa cyane gushaka inama kwa muganga vuba vuba ibimenyetso bikigaragara, kandi vuba. Kubimenya hakiri kare bishobora gukumira ingaruka zikomeye cyane.

Ni gute umuganga asuzuma ibi? (Isuzuma)

Umuganga azasuzuma indwara ya metabolike y’ubwonko akoresheje isuzuma ry’umubiri , isuzuma ry’imitsi , n’ibindi bizamini byihariye . Ibi bizafasha muganga wawe kumenya izindi ndwara zitera ibimenyetso bisa (ni ukuvuga kumenya izindi ndwara) no kumenya neza ingingo n’imitsi yo mu mubiri wawe byagizweho ingaruka.

Ibi bizamini bishobora kuba birimo:

• Ibipimo by'amaraso: Ibi bishobora kugenzura ibintu byinshi, nko urugero rw'isukari mu maraso, urugero rw'amashanyarazi akoreshwa mu mubiri, n'imikorere y'umwijima n'impyiko.
• Ibipimo by'inkari:Ibi kandi bigenzura niba hari ibitagenda neza mu mubiri.
• Electroencephalography (EEG): Iyi ikoreshwa mu kwandika imikorere y'amashanyarazi y'ubwonko. Ishobora kumenya imikorere iyo ari yo yose idasanzwe mu bwonko.
• Gutobora mu gituza: Ibi bikubiyemo gufata amazi make yo mu bwonko mu muyoboro w'umugongo no kuyapima. Ibi bishobora gufasha gusuzuma ibintu nk'indwara zo mu bwonko.
• CT scan cyangwa MRI: Ubwo bwoko bwa scan bushobora kureba imiterere y'ubwonko cyangwa kureba niba hari icyangiritse ku bwonko.

Ivurwa ite? Ni ubuhe buryo bwo kuvura?

Ubuvuzi bwa "metabolic encephalopathy" bwibanda ku kugenzura ikibazo cyangwa imikorere mibi y'ingingo itera ibimenyetso byawe no gucunga ingaruka mbi n'ibimenyetso bizana na "encephalopathy". Ubu buvuzi bushobora gutandukana bitewe n'umuntu ku giti cye, ariko bushobora kuba burimo:

• Gutanga vitamine cyangwa intungamubiri zikenewe n'umubiri. (Urugero: vitamine nka thiamine)
• Gutanga imiti yihariye. (Tuzabivugaho gato)
• Guhindura ibyo urya n'ibyo unywa: Urugero, kugabanya ibinyobwa niba urwaye impyiko, cyangwa indyo irimo poroteyine nkeya niba urwaye umwijima.
• Uburyo bwo kuvura indwara zo mu mutwe nko kuvura indwara zijyanye n'akazi (kugira ngo bigufashe gusubira mu mirimo ya buri munsi), uburyo bwo kuvura imyitwarire mu bwenge (ku bibazo byo gutekereza no mu myitwarire), na/cyangwa uburyo bwo kuvura indwara mu mvugo (ku bibazo byo kuvuga).
• Plasmapheresis: Ubu buryo bwihariye bukuraho ibintu byangiza (urugero: uburozi, abasirikari b'umubiri) mu maraso.
• Dialysis: Ubu buryo bwo kuvura bukoreshwa mu gukura imyanda mu mubiri ku barwayi bafite ikibazo cy'impyiko.
• Gutera ingingo: Mu bihe bimwe na bimwe bikomeye, urugero nk'iyo umwijima cyangwa impyiko byananiwe burundu, bishobora kuba ngombwa gutera ingingo.

Kubera ko ushobora kumva uhangayitse kandi utazi icyo ukora muri iki gihe, itsinda ry’abaganga bawe rizakuvura mu bitaro, ahantu hatuje, hatarimo imihangayiko, kandi hatekanye . Niba ari nta kibazo kuri wewe, bazaguteganyiriza igihe cyo kuva mu buriri no kugendagenda gato bagukurikira kugira ngo wirinde ingorane (urugero: kubyimba kw'amaraso, ibisebe byo ku buriri) bishobora guterwa no kuryama igihe kirekire mu buriri.

Ni ubuhe bwoko bw'imiti ikoreshwa?

Ubwoko bw'imiti muganga azaguha buzaterwa n'impamvu y'ibimenyetso byawe. Imwe mu miti ikoreshwa mu kuvura no kugenzura ibimenyetso bya Metabolic Encephalopathy irimo:

• Benzodiazepines (ku ndwara nk'imihangayiko, igicuri) cyangwa imiti irwanya opiate (urugero: Naloxone - ku burozi bw'ibiyobyabwenge)
• Glucocorticoids (ubwoko bwa steroid - ku ndwara nko kubyimba ubwonko)
• Thiamine (Vitamine B1 - cyane cyane ku ndwara zo mu mutwe ziterwa n'inzoga)
• Lactulose (ikoreshwa mu gukura uburozi nka ammonia mu mubiri mu gihe cy'indwara z'umwijima ziterwa n'indwara z'umwijima)
• Imiti igabanya igicuri nka Levetiracetam cyangwa aside Valproic
• Imiti igabanya ubukana bw'indwara zo mu mutwe ni imiti itangwa kugira ngo igabanye ibimenyetso byo mu mutwe (urugero: 'Delirium', 'Hallucinations').

Ese imiti ishobora gutera ingaruka mbi?

Birumvikana ko kimwe n'ubundi buryo bwose bwo kuvura, hari ingaruka zimwe na zimwe zishobora kubaho . Ziratandukanye bitewe n'umuntu. Urugero, imiti imwe n'imwe ishobora gutera gusinzira cyangwa kuzungera. Itsinda ry'abaganga rizagukurikiranira hafi izi ngaruka mu gihe urimo kuvurwa kandi rizahindura uburyo uvurwa nibiba ngombwa. Niba ufite ikibazo ku bijyanye na gahunda yawe yo kuvurwa, igihe cyo gukira, cyangwa uko umerewe, ntutindiganye kuvugana na muganga wawe.

Bizakira vuba gute? Ese ni kimwe kuri buri wese?

Iki ni ikibazo abantu benshi bibaza. Abantu bafite indwara zimwe na zimwe, nka "Metabolic Encephalopathy", bashobora gukira mu munsi umwe cyangwa ibiri, kandi imikorere y'ubwonko bwabo ishobora gusubira mu buryo busanzwe, iyo indwara imenyekanye hakiri kare kandi impamvu ivurwa neza .

Ariko, rimwe na rimwe, cyane cyane iyo kuvurwa bitinze, indwara y’ibanze ikaba ikomeye cyane, cyangwa hari ikibazo cy’ubwonko, bamwe bashobora kutakira burundu. Bashobora gukenera kuvurwa no gushyigikirwa igihe kirekire, wenda ubuzima bwabo bwose. Bityo rero, ni byiza gusuzuma indwara no gutangira kuyivura vuba bishoboka.

Ni iki giteganyijwe kuri iki kibazo?

Ahazaza hawe, ni ukuvuga igipimo cyo gukira kwawe, gishingiye ahanini ku bintu bibiri:

1. Igihe wahawe imiti nyuma y'uko ibimenyetso byawe bitangiye.

2. Ni iyihe mpamvu nyamukuru itera iyi ndwara `(Metabolic Encephalopathy)` kandi ni mu rugero rungana iki ishobora kugenzurwa ?

Iyo ivuwe hakiri kare, ingaruka zishobora kuba nziza cyane . Abantu benshi basubira mu mikorere y'ubwonko hafi ya yose nyuma yo kuvurwa. Ariko, nk'uko twabivuze mbere, mu bihe bimwe na bimwe, `(Metabolic Encephalopathy)` ishobora kwangiza ubwonko burundu, ndetse ikaba yanahitana. Iyo iyi ndwara iteye kwangiza ubwonko, ushobora gukenera ubufasha bw'ubuzima bwawe bwose no kuvurwa mu buryo bworoshye (urugero: ubuvuzi bw'umubiri, ubuvuzi bwo kuvuga).

Twakora iki kugira ngo twirinde ibi?

Mu by’ukuri, si indwara zose zifata umubiri zishobora kwirindwa, kuko zimwe mu ndwara zishobora kuvuka mu buryo butunguranye. Ariko hari ibintu ushobora gukora kugira ngo ugabanye ibyago byawe kandi ukomeze kugira ubuzima bwiza muri rusange :

• Kurya indyo yuzuye kandi iboneye (kurya imboga nyinshi, imbuto, n'ibinyampeke byuzuye, no kugabanya ibiryo biryoshye n'ibinure).
• Nywa amazi ahagije umunsi wose (komeza kunywa amazi).
• Imyitozo ngororamubiri ihoraho (ndetse no kugenda n'amaguru iminota 30 ku munsi ni byiza).
• Gukomeza ubwonko bwawe: Komeza ubwonko bwawe bukore neza usoma ibitabo, urangize ibishushanyo mbonera, wiga ikintu gishya, kandi ugakora ibikorwa by'uburezi.
• Niba ufite indwara zidakira nka diyabete cyangwa umuvuduko ukabije w'amaraso, kurikiza amabwiriza ya muganga kugira ngo uzigenzure neza.

Ni ryari twagombye kubonana na muganga?

Ibi ni ingenzi cyane. Niba wowe cyangwa umuntu wawe wa hafi ufite ibimenyetso bya `(Metabolic Encephalopathy)` (nk'urujijo, kwibagirwa, impinduka mu myitwarire, no kwibagirwa twavuze mbere), jya kwa muganga ako kanya, bidatinze .

Hari ibintu bishobora kuba ikibazo cyihutirwa cy’ubuvuzi . Cyane cyane niba ufite indwara nk’indwara ya diyabete, indwara y’umwijima, cyangwa indwara y’impyiko, muganga wawe ashobora kukubwira kujya mu cyumba cy’ibitaro byihutirwa vuba niba ubonye ibi bimenyetso. Kuvurwa hakiri kare bishobora kugira ingaruka zikomeye.

Ni ibihe bibazo by'ingenzi ugomba kubaza muganga?

Iyo ugiye kwa muganga wawe, ni byiza kubaza ibibazo nk'ibi kugira ngo usobanukirwe neza ikibazo cyawe:

• "Ni ubuhe bwoko bwa `(Encephalopati)` bwateye ibimenyetso njye/umurwayi wacu afite?"
• "Ni iyihe mpamvu nyamukuru ishingiye kuri ibi?"
• "Ni ubuhe bwoko bw'uburyo bwo kuvura usaba?"
• "Ni izihe ngaruka mbi zishobora guterwa n'ubu buryo bwo kuvura?"
• "Umurwayi wanjye/wacu azakenera kumara igihe kingana iki mu bitaro kugira ngo avurwe?"
• "Bizatwara igihe kingana iki kugira ngo umuntu akire neza? Ni ubuhe bwoko bw'ubuvuzi bwo kuvura cyangwa bwo kuvura buzakenerwa?"
• "Ni ibihe bintu tugomba kwitondera cyane nyuma yo gutaha?"

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

Indwara ya Metabolic Encephalopathy ni indwara iteye ubwoba, nta gushidikanya ko ari yo. Iyo idasuzumwe cyangwa ngo ivurwe hakiri kare, iyi ndwara ishobora kugira ingaruka ku buryo buhoraho ku mikorere y'ubwonko bwawe.

Ariko, ikiruta byose, iyo ugiye kwa muganga ukimara kubona ibimenyetso, abantu benshi bazakira neza. Iyo havuwe neza impamvu y’icyo kibazo, imikorere y’ubwonko ishobora gusubira mu buryo busanzwe.

Uburyo bwo kugarura ubuzima bukenewe nyuma yo kuvurwa buzagufasha gusubira mu mirimo yawe ya buri munsi no kubaho ubuzima busanzwe. Bityo, uzatangira kumva umeze neza mu mutwe no mu mubiri.

Niba ufite ikibazo icyo ari cyo cyose ku bijyanye n'uburyo bwo kuvura indwara yawe cyangwa indwara ubwayo, ntutinye cyangwa ngo utinye kubaza muganga wawe. Barahari kugira ngo bagufashe.

` Metabolic Encephalopathy, indwara z'ubwonko, metabolism, imikorere y'ubwonko, urujijo, gutakaza kwibuka, ibimenyetso, uburyo bwo kuvura