Ese nawe ufite ikibazo cyo kujya mu bwiherero? Reka tumenye byinshi kuri Obstructed Defecation Syndrome!

Ese hari igihe wumva ufite ikibazo cyo kuva mu bwiherero iyo ugiye mu bwiherero? Ese wumva wumye, ufunze, kandi utararangiza neza? Cyangwa umara iminsi myinshi utagiye mu bwiherero? Wenda ibi si impatwe isanzwe gusa. Uyu munsi, reka tuvuge ku ijambo ry'ubuvuzi ry'iyi ndwara, Obstructed Defecation Syndrome. Nubwo iri ari izina rirerire, mu magambo make, ni ukubangamira cyangwa kumererwa nabi bibaho mu gihe cyo kuva mu bwiherero.

Ni iki kigoye mu kwituma mu buryo bw'imyanda? ('Indwara yo kwituma mu buryo bw'imyanda' ni iki?)

Muri make, indwara yo kwituma mu buryo butunguranye (ODS) ni indwara ituma ugomba kwituma mu buryo butunguranye ariko ntubishobore neza. Hari impamvu nyinshi zibitera. Zimwe ni iz’umubiri, bivuze ko ziterwa n’ibibazo biri mu mubiri wawe. Izindi zishobora kuba iz’imitekerereze.

Umuntu ufite iyi ndwara ashobora guhura n'ibi bikurikira:

• Kumva udashobora kujya mu bwiherero igihe cyose ushakiye.
• Ngomba kujya mu bwiherero rimwe mu minsi mike gusa, bivuze ko ntakunze kwituma.
• Ndetse na nyuma yo kujya mu bwiherero, uracyatekereza ko utarakora isuku burundu.

Ibi bituma barwara impatwe . Hari igihe, umwanda ufatiwe imbere ushobora gusohoka buhoro buhoro nta kuwigenzura. Ibi kandi byitwa `(Kudakomeza kwihagarika mu matungo)`. Aba bantu bamara igihe kinini ku musarani, bategereje ko umwanda usohoka, cyangwa bakawugora cyane. Bitewe no kugorana gutya igihe kirekire no kunyura mu mwanda wumye kandi ukomeye, imitsi n'imitsi bifitanye isano no kwihagarika bishobora kwangirika. Hanyuma ibintu birushaho kuba bibi. Tekereza, niba ugerageza gufungura urugi rugahagarara, iyo dusunitse cyane, ibintu nk'amapine y'urugi nabyo bishobora kwangirika, si byo se? Ibyo ni byo biba hano.

Iyi ndwara igira ingaruka zite ku mubiri wawe?

ODS si indwara imwe. Ni nk'umutaka. Munsi y'uwo mutaka, hari indwara zitandukanye zitera impatwe no kugorwa no kwituma. Ikigaragara muri ibi byose ni ibimenyetso byo kugorwa.

Kugira ngo abaganga bamenye indwara yo kutagira impatwe, ibimenyetso bibiri cyangwa byinshi muri ibi bikurikira bigomba kumara iminsi 90 :

• Gukoresha imbaraga zirenga 25% by'umura bituma utangira kwihagarika.
• Kumva ko umuntu atarangije kwimuka mu mara arenga 25%.
• Guca mu myanya ndangagitsina ikomeye kandi yumye inshuro zirenga 25%.
• Gukoresha ibintu nk'intoki kugira ngo wiyongere inshuro zirenga 25%.
• Kwiyuhagira mu buryo bw'isuku munsi ya gatatu mu cyumweru.

Ariko ibi bimenyetso bishobora kuba ari byo byonyine bitera ikibazo. Hashobora kuba hari izindi ndwara zitaramenyekana.

Kurwara impatwe bidakira bishobora gutera ibindi bibazo byinshi uko igihe kigenda gihita. Hari igihe bigorana kumenya icyabiteye n'icyabiteye nyuma.

Abantu bafite ingorane zo kwituma mu buryo bw'isuku bashobora no guhura n'izindi ndwara nka:

• Indwara yo mu gituza: Imitsi n'imitsi yo mu gituza cyawe (agace kari munsi y'ikibuno cyawe) ntibikorana neza kugira ngo bive mu mwanda. Tekereza nk'ikipe ikorana, ariko buri muntu akora ibintu bitandukanye.
• Gutemba kw'ingingo: Urugingo rwo mu gice cy'ikibuno, nko mu ruhago, mu nda, cyangwa mu mara, rugwa rukava mu mwanya warwo usanzwe, rusunika urundi rugingo cyangwa rugerageza gusohoka mu mubiri.
• Kubura ubushobozi bwo kumva ko hari umwanda cyangwa ko umuntu akeneye kwituma mu nda. Kimwe no gutakaza ibyiyumvo byo gushyuha mu biganza byacu.
• Guhangayika mu by'isuku: Hari abantu bashobora kwirinda kwituma cyangwa batabizi bitewe n'imyanya ikomeye kandi ibabaza bagira. Nk'uko iyo ukoze ku kintu gishyushye ukitwika, ushobora gutinya kongera kugikoraho.

Iyi ndwara ikunze kugaragara gute?

Hafi 18% by'abatuye isi, cyangwa abantu 18 kuri buri 100, barwaye iyi ndwara ikunze kugaragara yitwa incontinence mu mara. Ikunze kugaragara cyane mu bagore n'abantu bari mu kigero cyo hagati . Menya rero ko utari wowe wenyine ufite iki kibazo.

Ni ibihe bimenyetso by'indwara yo kunanirwa kwihagarika amara?

Umuntu ufite iyi ndwara ashobora kumva atya:

• Nkeneye kujya mu bwiherero, ariko numva ntabishoboye.
• Biragoye cyane kwiyuhagira, rimwe na rimwe ubabara.
• Uko nagerageza kose, numva ntarava mu gitereko burundu.
• Bisa nkaho hari ikintu cyafatiwe mu nzira y'intebe.

Ibi bishobora kandi kugusaba gukora ibi bikurikira:

• Kwiyuha akuya kugira ngo yiyongere.
• Gutegereza igihe kirekire kugira ngo intebe isohoke.
• Hari igihe ugomba gukoresha intoki zawe kugira ngo wifashe mu kwituma. (Ntugatinye ibi, ni kimwe mu bigize iyo ndwara.)
• Gukoresha imiti yoroshya uburibwe cyangwa iy'imitsi yo gusohora umwanda.

Ibi bishobora gutera ibindi bintu nka:

• Kwihagarika impatwe.
• `Kunanirwa kwifata mu mara` (gukora imibonano mpuzabitsina mu mara mu buryo budagenzurwa).
• Ingorane zihoraho.
• Indwara zo mu mutwe nko guhangayika cyangwa kwiheba, kuko ibi bigira ingaruka zikomeye ku buzima bwa buri munsi.

Ibirego bikunze kugaragara ni ibi bikurikira:

• Agace k'inyuma kumvikana nk'aho kabyimbye cyangwa kakomeretse.
• Kubabara mu nda no kubyimba kw'inda.
• Ububabare mu kibuno.
• Isesemi, umunaniro, no kubura ubushake bwo kurya.

Kuki ntashobora kujya mu bwiherero neza? Impamvu ni izihe?

Hari impamvu nyinshi zitera ODS. Izi zishobora kuba organic cyangwa mechanical . Ni ukuvuga ibintu nk'ubumuga bw'umubiri cyangwa kuziba kw'imyanda mu buryo bw'umubiri. Ku rundi ruhande, hari n'impamvu zifatika . Izi zifitanye isano n'imikorere y'ubwonko n'imitsi.

Akenshi, ubwoko bw'impamvu zombi bushobora kuba bumwe. Hari igihe ubwoko bumwe bw'impamvu bushobora gutera indi.

Impamvu za tekiniki:

• Hernia yo mu nda yawe cyangwa mu gice cy'ikibuno inyura mu gice cyo hasi cy'ikibuno.
• Gutemba kw'ingingo z'ikibuno: Urugingo ruri mu kibuno cyawe rusohoka mu mwanya warwo usanzwe rukajya mu kibuno cyangwa mu gituza. Urugero:
• Gutemba kw'inyuma: Igice cy'inyuma cy'inyuma gisohoka mu mwenge w'ikibuno.
• Uburyo bwo kwinjira mu ruhu: Igice cyo hejuru cy'uruhinja gihita gicikamo imbere nk'icyuma gikoresha ikoranabuhanga rya telesikope.
• Urukuta rw'inyuma rw'inyuma rucika intege: Ku bagore, urukuta ruri hagati y'inyuma n'igitsina rucika intege, bigatuma inyo isohoka mu gitsina. Ibi bishobora gutuma umwanda ufatwa n'agace kavuyemo.
• Indwara y'ibisebe byo mu nda: Itera ry'igisebe kimwe cyangwa byinshi mu nda. Ibi bishobora guterwa no gukanda kenshi.

Impamvu z'imikorere:

• Anismus (dyssynergic woge): Kugira ngo winjire mu mwenda, imitsi ya sphincter ikikije ikibuno igomba kuruhuka. Igomba kandi gusunikwa n'imitsi yo mu nda. Iyi gahunda ntihuzwa neza, kandi aho kuruhuka, imitsi irakomera. Ni nko kugerageza gufungura urugi no kurufunga cyane.
• Kudashyira mu mwanya w’inyuma: Ugomba kuba ushobora kumva ibyiyumvo byo kuzura kwawe mu mwanya w’inyuma. Kwangirika kw’imitsi bishobora kugabanya ubwo burwayi, bikabuza ubwonko kohereza ibimenyetso bikubwira ko ugomba kujya mu nda.
• Indwara zo mu mutwe: Guhangayika, kwiheba, ubwoba bumwe na bumwe, OCD (indwara yo guhangayika cyane), n'indwara zo kurya byose bishobora kugira ingaruka kuri ibi. Uru ni urugero rwiza rw'uburyo ibibazo byo mu mutwe bishobora kugira ingaruka ku mubiri.

Ibyo ari byo byose muri ibi bishobora kuba impamvu y'ibanze ya ODS, cyangwa ingaruka ya kabiri iterwa na ODS.

Nanone, ibintu bikurikira bishobora gutera ibi bibazo:

• Gutwita no kubyara.
• Kubagwa byakorewe mu gice cy'ikibuno.
• Gukomeretsa cyangwa guhohoterwa byatewe n'impanuka.

Ni gute abaganga basuzuma iyi ndwara neza?

Iyo ugiye kwa muganga, bazabanza kukubaza ibimenyetso byawe. Bashobora kandi gukoresha imbonerahamwe igaragaza amanota kugira ngo bapime ubukana bw'ibimenyetso byawe.

Nubwo ibi bimenyetso bishobora kugufasha kumenya niba impatwe yawe ari iy’igihe kirekire, kugira ngo umenye neza indwara ya ODS, muganga wawe azakenera kugenzura neza ko impamvu zoroshye (nk'impinduka z'igihe gito mu mirire) atari zo ziyitera. Ibi bizasaba gufata amateka y'ubuzima bwawe no gukora ibizamini byinshi.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane iyi ndwara?

Nyuma yo gusobanukirwa ibimenyetso byawe, muganga wawe ashobora kukugira inama yo gupima ibipimo nk'ibi kugira ngo amenye byinshi:

• Isuzuma rya digitale rectal: Iki ni cyo kizamini cya mbere gikorwa. Muganga azakoresha urutoki rufite agapfukamunwa kandi rurimo amavuta kugira ngo asuzume rectum. Ibi bishobora kuguha igitekerezo cy'ingano y'rectum, icyateye ububabare, niba ingingo zaracitse, n'uburyo imitsi ikora neza. Ibi bishobora gusa nkaho bitameze neza, ariko ni ikizamini cy'ingenzi cyane.
• Gupima imyanda (X-ray cyangwa MRI y'impinduka mu mara): Ibi bikubiyemo gufata amafoto y'imbere mu mara yawe. Muganga azashyiramo ikintu cyihariye (nka barium) mu mara yawe. Hanyuma, uzasabwa kugishyiramo nk'aho uri kwihagarika. Ibi bikorerwa mu cyumba cyihariye cyo gufatiramo amashusho. Muganga azareba ingingo zawe z'imbere kuri mudasobwa. Ibi bishobora gufasha kumenya imiterere y'amagufwa yawe, imikorere y'imitsi yawe, n'imbogamizi zishobora kubuza umwanda wawe kwinjira.
• Manometriya y'imitsi: Iki kizamini gipima uburyo imitsi n'imitsi yawe bikora hamwe kugira ngo bigufashe gusohora umwanda. Umuyoboro muto (catheter) ufite agapira gato ufatanye ushyirwa mu kibuno cyawe, maze agapira kuzuzwamo amazi ashyushye. Impande y'umuyoboro ifatanye n'imashini ipima imikorere y'imitsi. Ibi bishobora gupima umuvuduko, ibyiyumvo, n'imikoranire y'umuyoboro wawe.

Ushobora kumva ufite ubwoba cyangwa ukumva utameze neza iyo wumvise iby’ibi bipimo. Ariko bishobora kugufasha cyane mu gushaka impamvu nyayo y’uburwayi bwawe. Baza muganga wawe ikibazo icyo ari cyo cyose ushobora kuba ufite.

Ni ubuhe buryo bwo kuvura ibi?

Impamvu zitera ODS akenshi ziba zigoye, zifite ibintu byinshi bifitanye isano, bityo ubuvuzi akenshi buba bwuzuye kandi bugendera ku mahame agenga imikorere y’umubiri.Bikorwa mu buryo runaka. Ntabwo bishoboka ko ibi bishobora gukira hakoreshejwe kubagwa rimwe gusa. Nubwo byaba ari byiza kubagwa, kandi bigakosora inenge y'umubiri, si ko buri gihe bitanga gukira burundu. Ibimenyetso bishobora gukomeza cyangwa bigasubira. Kubera ko hari ibindi bintu bigomba gukemurwa, wenda bitaramenyekana.

Ibi ni byo bintu bya mbere abaganga basaba buri wese:

• Kongeramo fibre nyinshi mu mirire yawe: Garama 30-40 ku munsi. Ibintu nk'imboga, imboga, imbuto, n'ibinyampeke byuzuye.
• Nywa amazi menshi: arenga litiro 2 ku munsi.
• Imiti yoroshya ubwiherero cyangwa imiti yoroshya uburibwe, imiti yo mu rugo , no kuhira mu maraso iyo bibaye ngombwa.
• Yoga n'uburyo bwo kuruhuka buyobowe na muganga bishobora gufasha kuruhuka imitsi yo hasi mu kibuno no kugabanya stress.

Ku bafite ibimenyetso biterwa n'imitsi cyangwa impamvu zo mu mutwe (hafi bibiri bya gatatu by'abantu bafite iyi ndwara bagizweho ingaruka n'izo mpamvu):

• Uburyo bwo kuvura indwara za Biofeedback: Ibi ni ingirakamaro cyane cyane ku ndwara nka anismus (kudashobora kuruhuka imitsi yo mu kibuno) no kudakora neza kw'imitsi yo mu kibuno. Muri ibi, imikorere y'umubiri wawe (nk'imitsi ifungana) igaragazwa binyuze mu mashini. Hanyuma ushobora kwitoza kugenzura icyo gikorwa ubyitondeye.
• Ubuvuzi bw'imitekerereze: Niba bibaye ngombwa, shaka ubufasha ku muganga w'indwara zo mu mutwe cyangwa umujyanama. Ibi bishobora kuvura indwara nko guhangayika, kwiheba, no gutinya kwituma.

Ku bibazo by'umubiri (nk'ibibazo by'imiterere y'umubiri nka prolapse): Iyo ubundi buryo bwo kuvura budafashije, abaganga bashobora kukugira inama yo kubaga. Hari ubwoko butandukanye bwo kubaga bushobora gukorwa:

• Indwara yo mu gice cy'inyuma cy'umugongo: Kugarura no gukomeza urukuta rw'umugongo rwavuyemo.
• Gukata rectal transanal resection (STARR) hakoreshejwe stapled transanal rectal resection kugira ngo hakorwe rectocele na intussusception: Kubaga kugira ngo bikomeze urukuta rw'imbere rw'amara.
• Rectopeksi: Ku bijyanye no gucika kw'inyuma y'umura, rectum isubizwa mu mwanya wayo usanzwe kandi igakosorwa. Hari igihe hakoreshwa inyunganizi kuri ibi. Hari igihe igice cy'amara gishobora no gukenera gukurwaho muri iki gihe cyo kubagwa.

Wibuke ko kubagwa ari uburyo bwa nyuma. Muganga wawe azasuzuma neza ikibazo cyawe maze aguhe inama yo kuvura ikubereye.

Ejo hazaza hazamera iki ku bafite iyi ndwara?

Uburyo bwo kuvura bushobora gufasha abantu bagera kuri 30% kubona gukira cyangwa kugabanya ibimenyetso. Guhindura imibereho (imirire, amazi, imyitozo ngororamubiri) no kuvura mu rugo (imiti, enemas) bishobora gukenera gukomeza, ariko bishobora gutanga ihumure.

Ubuvuzi nka biofeedback na psychotherapy bifata igihe n'ubwitange kugira ngo butange umusaruro, ariko inyungu zabwo zishobora kuramba. Ibisubizo bivuye mu kubagwa biratandukanye. Kubagwa bisa nkaho bigira ingaruka nziza iyo bihujwe n'ubundi buryo bwo kuvura.

Kugorwa no kwituma mu buryo bwihuse ni ikibazo gikeneye kwitabwaho byihutirwa. Ariko bishobora kugorana kumenya ikibitera. Watangazwa n'uburyo hari ibice byinshi mu mubiri wacu - ndetse n'ubwonko - bigira uruhare mu kwituma mu buryo bwihuse!

Ku bw'amahirwe, uburyo bwinshi abaganga basaba bwo kuvura indwara ya ODS bushobora no gufasha umuntu wese ufite ikibazo cyo kubura impatwe buri gihe. Ushobora gutangirana no guhindura imibereho yawe, imiti yo mu rugo, n'uburyo bwo kuvura uyu munsi. Ariko ni byiza kujya kwa muganga kugira ngo agusuzume. Ashobora gukuraho izindi ndwara cyangwa ibibazo by'umubiri bishobora kugira uruhare mu ndwara yawe no kuvura. Kandi, nyuma yo kumenya byinshi ku ndwara yawe, ashobora kukubwira uko wayirwaye.

Amaherezo, ibuka ibi !

Noneho rero, dore ibintu bimwe na bimwe ugomba kwibuka mu byo twaganiriyeho uyu munsi:

• Kunanirwa kwihagarika inkari (UDI) ni indwara igoye cyane ishobora guterwa n'impamvu nyinshi.
• Niba ufite ikibazo cyo kujya mu bwiherero, amara yawe yumye, kandi ukaba wumva utarava mu mwenda, ntukabirengagize gusa.
• Niba ufite ibi bimenyetso, ntugire isoni cyangwa ngo ugire ubwoba, gana muganga. Niba ubonye impamvu kandi ukabona ubuvuzi bukwiye, ushobora kuva muri iki kibazo.
• Guhindura imibereho yoroheje (ibiryo birimo fibre nyinshi, amazi, siporo) bishobora kugira ingaruka zikomeye.
• Hari igihe ubuvuzi bwihariye nka 'Biofeedback' cyangwa kubagwa bishobora kuba ngombwa. Muganga wawe azakugira inama kuri ibi.
• Ntabwo uri wenyine ufite iki kibazo. Abantu benshi barwaye iki kibazo. Komeza ukomere kandi ukurikize inama za muganga wawe.

Mbifurije ubuzima bwiza!

` Impatwe, Kugorwa no kwituma, Indwara yo kwituma, Indwara yo mu myanya ndangagitsina, Intege nke zo hasi mu gituza, Kuma, Kuvura intebe