Ufite Ububabare bwo mu nda? Bishobora kuba Pancreatitis! | Nirogi Lanka

Ese hari igihe ujya ugira ububabare budasanzwe butangirira mu nda yawe bukagera mu mugongo? Cyangwa wumva urya ibinure bihoraho cyangwa utameze neza nyuma yo kurya? Ibi bimenyetso bishobora kuba ari ukuvuga ikibazo cy'ubuzima mu ngingo ikunze kwirengagizwa, ariko ikaba ari ingenzi. Uyu munsi, reka tuvuge ku ndwara ya pancreatitis n'indwara izwi nka Pancreatitis .

Pancreas ni iki, kandi ikora iki?

Muri make, pancreas yawe ni urugingo ruto ariko rufite akamaro kanini ruherereye mu nda yawe. Tekereza ushyize ikiganza cyawe hagati mu nda yawe; aho niho cyicaye—kihishe inyuma y'inda yawe n'imbere gato y'umugongo wawe.

Uru rugingo rufite imbaraga rukora imirimo ibiri y'ingenzi:

1. Igogora: Ikora imisemburo yihariye (nka Amylase ) isenya ibiryo urya, bigatuma umubiri wawe ubasha kwinjiza intungamubiri neza. Iyi misemburo inyura mu muyoboro witwa pancreas duct ikajya mu mara mato.

2. Kugenzura isukari mu maraso: Ushobora kuba warumvise ibya insuline . Pancreas ikora iyi misemburo hamwe n'indi kugira ngo isukari mu maraso yawe igume mu rugero rwiza kandi rufite ubuziranenge.

None se, Pancreatite ni iki mu by'ukuri?

Pancreatite ni ububyimbirwe bw'agakoko kawe. Tekereza nk'igikomere kiri ahantu runaka aho ingingo zibyimba kandi zigababara. Uku kubyimba ni ko gutera ububabare bwo mu nda ushobora kumva.

Muri make, ububyimbirwe ni ubudahangarwa bw'umubiri wawe bwihutira gusana ibyangiritse mu ngingo. Iyo pancreas igize ikibazo nk'iki, ubu bubyimbirwe bubaho. Akenshi buterwa n'amabuye y'agahinda afunga umuyoboro wa pancreas cyangwa kunywa inzoga nyinshi.

Ese hari ubwoko butandukanye bwa Pancreatite?

Yego, hari imiterere ibiri y'ibanze:

1. Pancreatite ikabije

Iyi ni indwara y'igihe gito kandi itunguranye . Ibaho iyo pancreas yangiritse by'igihe gito, umubiri ukagerageza kuyisana. Kuri benshi, ikira mu minsi mike iyo ivuwe neza n'abaganga, harimo kuruhuka, kunywa amazi ahagije, no kugabanya ububabare . Ariko rimwe na rimwe, pancreas ikabije ishobora gukomera ikabyara ingorane zishobora gushyira ubuzima mu kaga .

2. Pancreatite idakira

Iyi ni indwara ifata igihe kirekire kandi ikomeza kwiyongera . Ntiyishira ubwayo kandi ikunze kwiyongera uko igihe kigenda gihita. Iyo pancreas ikomeje kwangirika, itera inkovu. Ingaruka zabyo ni uko pancreas itakaza ubushobozi bwo gukora imisemburo n'imisemburo bikenewe. Uku kugabanuka gushobora kubaho mu myaka myinshi.

Iyi ndwara ikunze kugaragara gute?

Mu bihugu byinshi byateye imbere, abantu barenga 200.000 bajyanwa mu bitaro buri mwaka kubera indwara ya pancreatitis ikabije, aho hafi 20% by’abantu bafatwa nk’abakomeye. Nubwo abarwayi ba pancreatitis idakira badakunze kugaragara, baracyari mu bitaro bigera ku 86.000 buri mwaka. Ku isi yose, iyi ndwara ikomeje kwiyongera.

Ibimenyetso ni ibihe, kandi wumva umeze ute?

Ikimenyetso cy'ibanze cya pancreatitis ni ububabare bwo mu nda . Ariko, hari n'ibindi bimenyetso bishobora kujyana nabyo.

Ibimenyetso bya Pancreatitis ikabije:

• Isesemi no kuruka .
• Umutima utera cyane.
• Guhumeka vuba kandi mu buryo buciriritse.
• Umuriro .

Ibimenyetso bya Pancreatitis idakira:

• Kubabara mu gifu no mu gihe cyo kurya.
• Kubura ubushake bwo kurya no kugabanya ibiro .
• Imyanya y'ibinure cyangwa amavuta(ushobora kubona urumuri cyangwa agahu k'amavuta mu gikombe cy'ubwiherero).
• Kuzungera, akenshi biterwa n'umuvuduko w'amaraso uri hasi.

Ibi bimenyetso akenshi bigaragaza ko pancreas yawe igenda itakaza imikorere yayo buhoro buhoro.

Ububabare bugaragara bute?

Ububabare bwa pancreatite buri hagati y’uburinganire n’ubukomeye . Bukunze kuva mu nda kugera mu mugongo . Ububabare bwa pancreatite ikabije akenshi buba bukomeye kandi bukabije , bigatuma mu nda hakosorwa. Ububabare bwa pancreatite idakira bushobora guhindagurika—bushobora kuza bukagenda, ariko akenshi ntibushira burundu, bugakomera cyane nyuma yo kurya.

Ibintu bishobora gutuma ububabare burushaho kwiyongera:

• Uryamye wubitse umugongo.
• Gukorora.
• Imyitozo ngororamubiri.
• Kurya ifunguro rinini.

Ibintu bishobora kugabanya ububabare:

• Yicaye ahagaze.
• Gutega amatwi imbere.
• Kwizingira mu mwanya w'umwana uri mu nda.
• Kurya amafunguro mato kandi yoroheje.

Ni gute ikibazo cyo kubura kwa pancreas kimenyekana?

Iyo indwara ya pancreatitis idakira ibangamiye imikorere ya pancreas, ubanza kubona impinduka mu igogora ryawe. Kubera ko pancreas idashobora kugeza imisemburo ihagije mu igogora mu mara, umubiri wawe ntushobora kwinjiza intungamubiri neza, cyane cyane ibinure. Ibi bitera kubabara nyuma yo kurya no gusohora ibinure bitaragera mu mubiri, amaherezo bigatera kugabanya ibiro.

Ni izihe mpamvu z'ingenzi?

Impamvu ebyiri z’ingenzi zitera pancreatitis ni izi:

1. Amabuye y'indurwe

2. Gukoresha inzoga nyinshi

Ibyo byose hamwe, bingana na 80% by'abarwayi ba pancreatitis.

1. Pancreatite y'ibuye ry'umukara

Inyo iva mu gasabo k'inkari yinjira mu mara inyuze mu muyoboro w'inkari usanzwe . Uyu muyoboro ujya mu muyoboro w'inkari mbere yo kwinjira mu mara. Iyo ibuye ry'inkari rigiye rigafatana n'iyi ihuriro, imitobe y'inkari ntishobora gusohoka. Imitobe ifashwe itera umuvuduko kwiyongera, bigatuma imisemburo ikora neza imbere mu gasabo k'inkari, bigatuma urugingo rwinjirira mu gifu. Ibi bitera ububyimbirwe.

2. Gukoresha inzoga

Kunywa inzoga nyinshi ni byo bituma habaho ikwirakwizwa ry’indwara ya pancreatitis. Nubwo uburyo nyabwo bukirimo kwigwa, abahanga bemeza ko uburozi buturuka ku nzoga butera kubyimba cyangwa bugatuma imisemburo yo mu igogora itangira gukora imburagihe. Inzoga zigaragara mu bantu hafi kimwe cya kabiri cy’abarwayi ba pancreatitis ikabije n’iya karande.

Izindi mpamvu

Uretse ibi bintu bibiri by'ingenzi, hari n'ibindi bishobora gutera icyorezo, ariko bidakunze kugaragara.

• Indwara zitandukanye, nk'indwara za virusi.
• Ubudahangarwa bw'umubiri bwawe bwite bwibasira pancreas yawe (Autoimmune pancreatitis).
• Impinduka mu miterere y’uturemangingo (Hereditary pancreatitis).
• Ingorane ziterwa n'izindi ndwara nka cystic fibrosis.
• Urugero rwinshi rw'ibinure (triglycerides) mu maraso yawe (Hypertriglyceridemia).
• Ingano nyinshi ya kalisiyumu mu maraso yawe (Hypercalcemia).
• Kugabanuka kw'amaraso agera kuri pancreas (Ischemia).
• Indwara za kanseri.
• Ibikomere by'umubiri cyangwa ihungabana rya pancreas.
• Imiti yihariye ishobora kugira ingaruka mbi ku imisemburo yawe.

Nubwo izi mpamvu zagaragajwe zifata hafi 20% by'abanduye, hari igihe impamvu nyamukuru y'iyi ndwara idashobora kumenyekana.

Ese impamvu zitera ububyimbirwe butunguranye n'igihe kirekire ni zimwe?

Akenshi, pancreatitis ibaho mu buryo butunguranye nk'indwara y'igihe gito (Acute). Ariko, ibintu bidashira nk'indwara z'uruhererekane bishobora gutera pancreatitis y'igihe kirekire cyangwa idakira. Byongeye kandi, iyo ugize pancreatitis ikabije igaruka, ishobora guhinduka indwara idakira.Tekereza kuri ubu buryo: iyo pancreas yawe ikomeje guhura n'imihangayiko cyangwa imvune, umubiri wawe ushobora kumenyera mu buryo butuma ububyimbirwe bukomeza ndetse na nyuma y'uko imvune ya mbere irangiye.

Ese iyi ndwara ishobora gushyira ubuzima mu kaga?

Yego, iyo pancreatitis ikabije ibaye ikomeye, ingorane ziyikomokaho zishobora gushyira ubuzima mu kaga. Mu bantu bake, pancreatitis ikabije ishobora gutera ingaruka ku mubiri wose. Ibi bishobora gutera guturika no kunanirwa kw'ingingo nyinshi. Iyo udahawe ubufasha bwihuse kwa muganga, ibi bishobora kwica. Kubera ko bigoye kumenya uburemere bw'ibimenyetso byawe wenyine, gushaka ubuvuzi bwihutirwa mu bitaro ni bwo buryo bwiza kandi bwizewe bwo gukora.

Ni izihe ngorane zishobora guterwa n'iki kibazo?

Inshuro nyinshi z'indwara ya pancreatitis ikabije ntizitera ingorane. Ariko, hafi 1 kuri 5 ishobora gukomera. Ntibirasobanuka neza impamvu bamwe bahura n'ingaruka zikomeye kurushaho. Nubwo pancreatitis idakira nayo itera ingorane, ikunda kwiyongera buhoro buhoro kandi ntabwo ishobora guteza akaga gakomeye ku buzima. Ibyinshi muri ibi bibazo bishobora gukemurwa n'ubuvuzi bukwiye.

Ingorane za Pancreatite ikabije:

• Gupfa kw'uturemangingo (Necrosis) no kwandura: Mu gihe cy'uburwayi bukabije bwa 1 kuri 3, pancreas irabyimba cyane, kandi amaraso yayo arahagarara. Ibi bitera urupfu rw'uturemangingo twa pancreas, biba ahantu ho kororokera bagiteri. Iyo habayeho ubwandu, bushobora gukwirakwira vuba mu maraso (Septicemia), ari na byo byihutirwa mu buvuzi. Umubiri wawe ushobora gusubiza indwara ya Systemic Inflammatory Response Syndrome (SIRS). Ibi bishobora gutuma imiyoboro y'amaraso yaguka, bigatera kugabanuka k'umuvuduko w'amaraso (Septic shock) bigatera gucika intege kw'ingingo nyinshi.
• Udukoko tw’imisemburo ya Pancreatic: Kubyimba bishobora kuziba umuyoboro wa pancreatic, bikabuza enzymes zo mu gifu kugera mu mara. Izi enzymes zishobora kuva, bigatera ububyimbirwe mu ngingo zikikije. Uko igihe kigenda gihita, umubiri ushobora kuzenguruka kuri aya mazi, ugakora imiterere yitwa pseudocyst. Izi akenshi ntizigaragaza ibimenyetso kandi ntizikeneye kuvurwa, ariko rimwe na rimwe zishobora kwandura cyangwa gukura bihagije ku buryo zitera ububabare. Ni gake cyane, umuyoboro w’amaraso ushobora gucika mu gice cy’imisemburo, bigasaba abaganga b’inzobere kugira ngo bakure amazi cyangwa bahagarike kuva amaraso.
• Pancreatitis idakira: Gusubiramo indwara ya Pancreatitis ikabije bishobora guhinduka indwara idakira. Kubyimba guhoraho bitera inkovu (fibrosis) ku ngingo, ibi bikaba bibangamira ubushobozi bwa Pancreatitis bwo gukora nk'ingirabuzimafatizo. Uko igihe kigenda gihita, ikorwa rya enzymes n'imisemburo by'ingenzi biragabanuka, bigatera izindi ngorane z'ubuzima.

Ingorane za Pancreatite idakira:

Izi ngorane zikunze kubaho uko igihe kigenda gihita:

• Kubura ingufu mu mubiri w’agakoko gatera pancreas (EPI), kudafata neza imisemburo, no kubura imirire myiza: Uko inkovu ziyongera, pancreas ikora imisemburo mike yo mu gifu. Ibi bituma umubiri wawe udashobora kwinjiza ibinure na vitamine zishonga mu gifu. Ibi bishobora gutera umwanda w’ibinure no gucibwamo. Uko umubiri wawe ubona intungamubiri nke mu biribwa, ushobora kugabanuka ibiro no kubura ibinure.
• Ihindagurika ry'isukari mu maraso (Hypoglycemia, Hyperglycemia, na diyabete yo mu bwoko bwa 1): Kubyimba gukabije bigira ingaruka ku misemburo igenga isukari mu maraso yawe. Bitewe n'imisemburo ibanza kwibasirwa, ushobora kugira isukari nke mu maraso (bitewe no kubura glukagoni) cyangwa isukari nyinshi mu maraso (bitewe no kubura insuline). Amaherezo, kubura byombi bishobora gutera diyabete.
• Ububabare budakira: Nubwo abarwayi bamwe babona ubutabazi, abandi bashobora kugira ububabare bukabije cyangwa budashira. Ibi bishobora kugorana kubyitwaramo nubwo waba ufite imiti kandi bishobora kugira ingaruka zikomeye ku buzima bwawe bwo mu mutwe.
• Ubwiyongere bw'ibyago byo kurwara kanseri y'indurwe:Kubyimba guhoraho ahantu hose mu mubiri byongera ibyago byo kurwara kanseri. Abantu barwaye pancreatitis idakira bahura n'ibyago byiyongeraho 1% kugeza 2% byo kurwara adenocarcinoma ya pancreas. Kubera ko ibimenyetso bishobora gusa n'iby'ububyimbirwe budakira, kanseri ishobora kutamenyekana. Abaganga ba Nirogi Lanka basaba cyane ko abarwayi bafite indwara zidakira basuzumwa buri gihe.

Ipimwa ite?

Niba ufite ibimenyetso, muganga azasuzuma pancreas yawe akoresheje ibizamini by'amaraso n'ibizamini byo gufata amashusho. Ibizamini by'amaraso bireba urugero rw'imisemburo ya pancreas ruri hejuru—niba byibuze inshuro eshatu z'urugero rusanzwe, pancreas irakekwa. Hanyuma hakoreshwa CT scan cyangwa MRI kugira ngo hemezwe ko isuzuma ryabyo rigaragaza kubyimba cyangwa amazi yiyongera. Niba hakekwa pancreas idakira, ibindi bizamini bishobora gukorwa:

• Ikizamini cya glucose (kugira ngo urebe niba pancreas yawe ikora insuline ihagije).
• Ikizamini cya elastase y'imyenge (kugira ngo harebwe niba pancreas yawe ikora imisemburo ihagije yo mu gifu).
• Isesengura ry'ibinure mu mwanda (kugira ngo harebwe ibimenyetso by'uko ibinure bidakora neza).
• Gupima amaraso (kugira ngo harebwe uko imirire yawe ihagaze n'urugero rwa vitamine zishonga mu binure).

Ivurwa ite?

Uburyo bwo kuvura buterwa n'impamvu, yaba ari indwara ikomeye cyangwa idakira, ndetse n'ubukana bwayo. Buri gihe shaka abaganga bihutirwa niba ufite ibimenyetso bya pancreatitis. Nubwo hari indwara zidasanzwe zihita zikira ubwazo, uko uhagaze biterwa gusa n'impamvu n'ubukana bwayo. Hagati aho, abantu benshi bakeneye imiti igabanya ububabare. Bamwe bashobora gukenera ubuvuzi bwihuse, abandi bashobora gusaba kujya mu cyumba cyita ku barwayi barembye iyo habayeho ingorane.

Kuvura Pancreatitis ikaze:

Ubuvuzi bufasha

Iyo impamvu ikemutse kandi ikibazo kitari gikomeye, icyo wibandaho ni ugushyigikira inzira isanzwe y'umubiri wawe yo gukira. Ibi bikubiyemo:

• Amazi yo mu minota: Pancreatite itera umwuma mwinshi, bityo kongera amazi mu mubiri ni intambwe ya mbere y'ingenzi mu gukira kwawe.
• Kugaburira abana mu cyuma: Niba indwara yawe ikubuza kurya neza, itsinda ry’abaganga rishobora kuguha intungamubiri binyuze mu cyuma gishyirwa mu nda cyangwa mu mara yawe.
• Indyo y'ababyeyi: Mu bihe bikomeye, ubufasha bw'imirire mu mitsi bushobora kuba ngombwa kugira ngo umubiri wawe ubone intungamubiri z'ingenzi.
• Kugabanya ububabare: Uzahabwa imiti yo kugabanya ububabare, uyihabwa mu mitsi cyangwa mu kanwa, kugira ngo ugire impumuro nziza.

Gukuraho Agakoko k'Inyo

Niba pancreatitis yawe iterwa n'amabuye y'indurwe, abaganga bawe bashobora gukenera gukuraho amabuye yose aziba imiyoboro y'indurwe. Byongeye kandi, bashobora kukugira inama yo kubaga indurwe (cholecystectomy) kugira ngo hirindwe ko habaho ibihe bizaza. Uburyo busanzwe burimo:

• Gupima indwara ya Endoscopic Retrograde Cholangiopancreatography (ERCP): Ubu buryo busaba gukoresha endoscope—umuyoboro muto kandi woroshye ufite kamera—kugira ngo urebe imiyoboro y’inkondo y’umura. Amabuye menshi ashobora gukurwa muri iki gikorwa. Umuyoboro unyura mu muhogo wawe ukagera mu nda hanyuma ukagera mu miyoboro y’inkondo y’umura.
• Kubaga Indwara yo Gukuraho Indwara: Niba warajyanywe mu bitaro kubera amabuye y’indurwe, ibyago byo kongera kugaruka biba byinshi, niyo mpamvu akenshi bigirwa inama yo kubaga. Ibi bikorwa hakoreshejwe uburyo bwa laparoscopic cholecystectomy , uburyo bwo gukata bukoresha uburyo buke bwo gukatamo uduce duto.

Ubufasha bw'inyongera

Bitewe n'ingorane zishobora kubaho, ushobora kandi gusaba:

• Antibiyotike: Kuvura cyangwa gukumira indwara zandura.
• Uburyo bwo kubaga: Gukuramo amazi yakusanyijwe cyangwa gukuraho ingirangingo zangiritse/zifite imiyoboro.
• Ubuvuzi bwimbitse: Gukurikiranira hafi niba indwara yawe ibaye ikomeye.

Kuvura Pancreatitis idakira

Iyo ufashwe n'iyi ndwara, umuganga wawe w'ibanze azakohereza kwa muganga w'indwara z'igifu . Ubuvuzi butangirana no gucunga ububabare bwawe no guhindura imibereho yawe kugira ngo ugabanye iterambere ry'indwara. Uko igihe kigenda gihita, ushobora gukenera imisemburo y'igogora na insuline y'inyongera niba pancreas yawe itagishoboye kuyikora neza.

Impinduka mu mibereho

Ibi ni ingenzi cyane. Ugomba kureka kunywa inzoga no kunywa itabi burundu. Byombi byongera cyane pancreatitis kandi byihutisha iterambere ry’indwara. Muganga wawe azaguhuza n’inkunga igufasha kubireka. Byongeye kandi, gufata indyo yuzuye ibinure bike kandi ikungahaye ku ntungamubiri nyinshi mu mboga n’imbuto, hamwe n’amazi ahagije ya buri munsi, ni ingenzi ku buzima bwawe bw’igihe kirekire.

Kurwanya Ububabare

Kuvura ububabare budakira bishobora kugorana kandi bisaba uburyo bwihariye. Ushobora kugerageza imiti cyangwa uburyo butandukanye bwo kuvura kugira ngo ushake ikikubereye. Buri gihe ganira na muganga wawe ku buryo bweruye ku rugero rw'ububabare bwawe n'ingaruka mbi; bashobora kukwohereza kwa muganga w'inzobere mu bubabare budakira . Hari ubwo uburyo bwo gukuraho inkovu cyangwa amabuye ya pancreas bushobora kugufasha. Gutera celiac plexus block - urushinge rwo kuziba imitsi runaka - ni ubundi buryo bushoboka ku barwayi batoranijwe.

Inyongeramusaruro

Uko igihe kigenda gihita, abarwayi benshi bagira ikibazo cyo kunanirwa kwa pancreatic (EPI). Ushobora gukenera inyunganizi za enzymes za pancreatic kugira ngo zifashe mu igogora. Byongeye kandi, ushobora gukenera inyunganizi mu mirire kugira ngo wuzuze ibyo ukeneye mu bijyanye na karori, vitamine, n'imyunyungugu. Niba umubiri wawe utakaje ubushobozi bwo kugenzura isukari mu maraso, ushobora kurwara diyabete hanyuma ugakenera imiti ya insuline.

Kubaga

Niba ububyimbirwe budakira bugaragara mu gice runaka cya pancreas bigatera ububabare cyangwa ingorane zidashobora kwitabwaho, muganga wawe ashobora kukugira inama yo kubaga (kubaga icyo gice). Mu bihe bikomeye aho pancreas yangiritse cyane kandi ububabare bugakomeza kwiyongera, ushobora kubazwa pancreas yose .

Ni iki giteganijwe mu gihe kirekire?

Abantu benshi bakira burundu indwara ya pancreatitis ikabije . Iyo indwara yoroheje, ushobora gukira mu minsi 5-10. Indwara zikomeye cyangwa izifite ibibazo zishobora gusaba ibyumweru byinshi kwitabwaho mu bitaro. Mu gukemura impamvu nyamukuru, ushobora kwirinda ko yongera kugaruka. Mu bake bafite ikibazo cyo kunanirwa kw'ingingo, umubare w'impfu ni hafi 20%.

Pancreatitis idakira ni indwara ikomeza kwiyongera. Gukurikiranwa na muganga buri gihe ni ingenzi kugira ngo ukurikirane uko uhagaze no guhangana n'ibibazo hakiri kare. Guhangana n'ububabare ni ikibazo gikomeye gishobora kugira ingaruka ku buzima bwawe bwo mu mutwe no ku mibereho yawe muri rusange. Uburyo bwo kubaga bushobora kwitabwaho iyo uburyo bwo kwivuza budahagije. Nubwo ushobora kubaho udafite pancreas, bizagusaba uburyo bwo kubaho ubuzima bwawe bwose hamwe no gusimbuza insuline na enzymes.

Ese bishobora kwirindwa?

Si impamvu zose zishobora kwirindwa; icyakora, ushobora kugabanya ibyago byawe cyane ugabanya inzoga . Ushobora kandi kugabanya ibyago byo kurwara pancreatitis iterwa n'udukoko tw'umukara ugenzura urugero rwa cholesterol mu mubiri wawe . Niba warigeze kugira ikibazo gikomeye, kureka inzoga no kunywa itabi ni yo ntambwe y'ingenzi yo kwirinda ibitero bizaza. Niba indwara yawe yaratewe n'udukoko tw'umukara, gukuraho agasabo k'umukara bizakurinda kongera kugaruka.

Ushobora gutekereza gake cyane ku ndwara ya pancreas yawe kugeza igihe iguteye ububabare. Bishobora kuba ibintu biteye ubwoba kandi bikunaniza, ariko bigufasha gushyira imbere ubuzima bwawe bw'igihe kirekire.

Ibyibutswa by'ingenzi bya nyuma

Niba ubonye ibimenyetso bya pancreatitis, nyamuneka ntubyirengagize.Shaka abaganga vuba. Pancreatitis ikabije ikunze kurangira mu minsi mike iyo witabwaho neza, kandi kumenya icyayiteye ni ingenzi kugira ngo wirinde ibibazo bizaza.

Indwara ya pancreatitis idakira ishobora kwiyongera buhoro buhoro, rimwe na rimwe igakomeza kugaragara kugeza igihe indwara ikomeje. Nubwo ibintu by’ubuzima nk’inzoga bizwi ko ari byo biyitera, ibindi bishobora kuba bitunguranye cyangwa bikaba ari imiterere y’umubiri. Kwiga kubaho n’indwara idakira ni urugendo. Uzakenera umuganga wizeye kugira ngo agufashe mu buzima bwawe bwose. Ubuzima bwawe ni inshingano zawe, bityo rero ubwitaho neza ubifashijwemo n’itsinda rya Nirogi Lanka.

Pancreatite, Pancreatite, Ububabare bwo mu nda, Agakoko gatera inyo, Inzoga, Igogora