Ese nawe wifuza kumenya ibyerekeye ubwo bwoko bw'indwara ikomeye kandi ifata imitsi? Reka tuganire!

Hari igihe ushobora kuba warabonye umuntu ahita atakaza ubwenge, agafatwa n'indwara, akagwa hasi asohoka mu kanwa. Cyangwa wenda nawe ubwawe warabyiboneye. Ibi ni byo twita indwara yo kurwara. Bishobora kuba ikintu giteye ubwoba. Ariko iyo uzi icyo ari cyo, nta kintu na kimwe ugomba gutinya. Reka turebe icyo indwara yo kurwara ari cyo, impamvu ibaho, n'icyo gukora.

Iyi 'gufatwa' ni iki?

Mu magambo make, gukubita ni ukwiyongera gutunguranye k'imikorere y'amashanyarazi hagati y'uturemangingo tw'imitsi (neurons) mu bwonko bwawe. Tekereza ubwonko bwawe nk'uburyo buto bw'amashanyarazi. Hari igihe ibi bishobora gutera 'umuvuduko mugufi'. Iki ni cyo gihe ibi bimenyetso bigaragara. Si abantu bose bagira gukubita mu buryo bumwe. Hari abantu bashobora guta ubwenge no kugira imitsi. Abandi bashobora kutayifata, ahubwo bagahagarika ibyo bakora bakareba ubusa akanya gato. Bashobora no kumva amaboko cyangwa amaguru yabo arimo kunyeganyega. Hari abantu bagira igicuri kimwe gusa mu buzima bwabo. Abandi bashobora kubigira inshuro nyinshi ku munsi. Bityo ibyo wahuye nabyo bishobora kuba bitandukanye cyane n'iby'undi muntu.

Ni ubuhe bwoko bw'ingenzi bw'indwara zo mu mutwe?

Noneho reka turebe ubwoko bw'ingenzi bw'indwara zo mu mutwe. Hari ubwoko bubiri bw'ingenzi:

1. Ibicurane rusange (cyangwa ibicurane rusange): Iki ni cyo gihe amashanyarazi atangira gukora ku mpande zombi z'ubwonko icyarimwe. Ushobora kugira ibicurane ku mpande zombi z'umubiri wawe, cyangwa uruhande rumwe gusa. Hari igihe ushobora guhagarara gusa nta gicurane. Ubu bwoko bukunze kugaragara cyane mu bana bato n'ingimbi, ariko bushobora kuba ku muntu uwo ari we wese w'imyaka iyo ari yo yose.

2. Ibibyimba byo mu mutwe (cyangwa ibibyimba byo mu mutwe): Muri ubu bwoko bw'ibibyimba, imikorere y'amashanyarazi itangirira ku ruhande rumwe rw'ubwonko, cyangwa mu gace kamwe ("icyitegererezo"). Ibimenyetso akenshi bigira ingaruka ku ruhande rumwe rw'umubiri. Ushobora kuba utazi icyo kibazo muri iki gihe cyangwa utabizi. Ibi bivuze ko ushobora kuba wibuka cyangwa utabyibuka. Ibibyimba byo mu mutwe rimwe na rimwe bishobora guhagarara, cyangwa bigakwirakwira ku mpande zombi z'ubwonko.

Ni ubuhe bwoko bw'indwara zo mu bwonko (`indwara zo mu bwonko rusange`)?

Reka turebere hamwe mu buryo burambuye ubwoko butandukanye bw'indwara zo mu bwonko (`indwara zo mu bwonko rusange`).

• `Ibibazo byo mu mutwe`: Muri ibi, uhita uhagarika ibyo wakoraga, ukareba nta cyo uvuze, kandi ukabona umenga ntushobora kumva ikintu na kimwe igihe runaka. Ni nk'aho 'wavuye ku isi' igihe gito. Ibi bishira ubwabyo mu masegonda make.
• `Atonic seizures` (bitwa kandi `drop seizures`): Muri ibi, umubiri uhita utakaza ubushobozi bwo kugenzura imitsi maze ugwa hasi.
• `Clonic serpes`: Muri ibi, impande zombi z'umubiri zirahinda umushyitsi, kandi hashobora kubaho gutakaza ubwenge. Hari igihe uruhande rumwe rw'umubiri rushobora guhinda umushyitsi, hanyuma ntihabeho gutakaza ubwenge.
• `Ibisebe bya myoclonic`: Muri ibi, umutsi umwe cyangwa imitsi myinshi ihujwe hamwe ihita yihuta. Ni nk'umuvuduko muto, nk'ihungabana ry'amashanyarazi.
• `Ibisebe bya kabiri bya rusange`: Muri ibi, amashanyarazi atangira gukora mu gice kimwe cy'ubwonko (`focal seizure`), hanyuma agakwirakwira mu bwonko bwose (`generalized seizure`).
• `Ibisebe bya Tonic-clonic`: Ubu ni bwo bwoko abantu benshi batekereza iyo bumvise ijambo `seizure`. Ubwa mbere, imitsi y'umubiri irakomera (`tonic phase`), hanyuma umuntu ntamenye maze umubiri wose ugatangira kunyeganyega (`clonic phase` - `convulsions`).
• Gufatwa n'indwara zo mu mutwe: Muri ibi, habaho gutakaza ubwenge n'imitsi y'umubiri igakomera, ariko gutitira (gucika intege) ntibibaho.

Ni ubuhe bwoko bw'indwara zo mu mutwe zifata igice kimwe gusa cy'ubwonko (`Focal seizures`)?

Noneho reka turebe ubwoko bw'indwara zo mu bwonko zifata igice kimwe gusa cy'ubwonko (`Focal seizures`).

• Ibisebe by’inyuma (cyahoze cyitwa simple partial seizures): Muri ubu bwoko bw’ibisebe, uba uzi ibiri kuba, bivuze ko ubyumva, hanyuma ukabyibuka nyuma.
• Ibisebe by’inyuma (cyahoze cyitwa complex partial seizures): Iyo ufashwe n’ibisebe, utakaza ubwenge, ntumenye ibikukikije, kandi ntukibuke ibyabaye nyuma yaho.

Indwara zo mu mutwe zikunze kugaragara gute?

Ushobora kuba wibaza uburyo izi ndwara zo mu mutwe zikunze kugaragara. Ku isi yose, bivugwa ko umuntu umwe muri buri 10 azagira nibura indwara imwe mu buzima bwe. Ibi rero ntabwo ari ibintu bidasanzwe.

Ni ibihe bimenyetso by'igicuri?

Ibimenyetso by'igicuri biratandukanye bitewe n'ubwoko n'uburemere bw'igicuri, ariko ibimenyetso bisanzwe birimo:

• Gutakaza ubwenge.
• Imigendere y'umubiri idahwitse (kubabara mu nda, gucika intege kw'imitsi, kunyeganyega).
• Kureba, nta kintu na kimwe ureba .

Uretse ibi, hashobora kubaho n'ibindi bintu:

• Impinduka zitunguranye mu byiyumvo (urujijo, ubwoba, ibyishimo, imihangayiko).
• Ifishi y'amenyo.
• Kuramo amate.
• Amaso agendagenda mu buryo budasanzwe.
• Kubura uburyo bwo kugenzura inkari cyangwa amara.
• Gukora urusaku rudasanzwe (nk'induru, kwishima).

Ariko ibuka ko ibi bimenyetso ari iby'igihe gito . Akenshi bimara amasegonda make kugeza ku minota mike.

Ni ibihe byiciro by'indwara yo gupfukama?

Indwara zimwe na zimwe zifata ibyiciro bitandukanye, ariko si buri wese uhura nabyo byose.

1. Icyiciro cya Prodrome:Ushobora kubona impinduka mu byiyumvo byawe n'imyitwarire yawe iminsi mike mbere yuko urwara isereri. Ushobora kumva uzunguze umutwe, ukagira ingorane zo kwibanda ku kintu runaka, cyangwa ukagira ingorane zo gusinzira.

2. Icyiciro cya aura: Ushobora kugira ibimenyetso bimwe na bimwe mbere yuko ibimenyetso bya mbere by'igicuri bitangira. Ibi bishobora kuba birimo impinduka mu byo ubona (kubona amatara yaka, kubona ibintu mu buryo butari bwo), kuribwa umutwe, isereri, isesemi, kumva ufite ubwoba, guhangayika, n'impinduka mu buryo wumva (impinduka mu buryohe, impumuro, ijwi, no gukoraho).

3. Ictal phase: Iki ni cyo gihe koko ihungabana riba. Iki ni cyo gihe uzabona ibimenyetso byavuzwe haruguru.

4. Igice cyo mu mutwe: Iyo indwara yo mu mutwe irangiye, ushobora kugira urujijo, umunaniro ukabije, ububabare bw'umubiri, n'amarangamutima akomeye (agahinda, uburakari, ibyishimo).

Igikuru ni uko atari ko indwara zose zifata iyi ndwara mbere y’uko zitangira kugaragara zitwa "aura". Akenshi, indwara zifata iyi ndwara zitunguranye, nta nteguza.

Ni ibihe bimenyetso by'umuburo mbere yo gufatwa n'igicuri?

Hari abantu bashobora kugira ibimenyetso by'umuburo mbere yuko igicuri kibaho, ariko ibi si ibisanzwe kuri buri wese.

• Ibimenyetso by'amatwi: kubona amatara yaka, kubona ibintu mu buryo butandukanye, kumva amajwi adasanzwe mu buryo butunguranye, kumva uburyohe budasanzwe (nk'icyuma, ububabare) cyangwa impumuro, kumva ibintu bidasanzwe mu ruhu (nk'ibishishwa cyangwa gucika intege).
• Impinduka mu byiyumvo: Gutangira gutunguranye kw'amarangamutima akomeye (ubwoba, ibyishimo), kumva nk'aho hari ikintu cyabaye mbere nubwo ari gishya (`déjá vu`), cyangwa kumva nk'ikintu gishya nubwo ari ikintu kimenyerewe cyane (`jamais vu`).
• Ibimenyetso by’ubwiyongere bw’umubiri: Ibi ni ibimenyetso bigira ingaruka ku mikorere y’umubiri igenzurwa n’ubwonko bwawe mu buryo bwikora. Urugero, harimo ibyuya, gutemba amate, igifu kibabara, n’uruhu rwerurutse.

Ni izihe mpamvu zitera indwara zo mu mutwe?

Kuki habaho indwara zo mu bwonko? Nkuko nabivuze mbere, impamvu nyamukuru ibitera ni ukwiyongera gutunguranye, kudasanzwe, kandi kudagenzurwa kw'imikorere y'amashanyarazi hagati y'uturemangingo tw'imitsi (`Neurons`) mu bwonko bwawe. Utu turemangingo tw'imitsi tubwirana binyuze mu bimenyetso by'amashanyarazi. Mu gihe cy'indwara yo mu bwonko, utwo turemangingo tw'ubwonko twagizweho ingaruka twohereza ibyo bimenyetso ku tundi turemangingo two mu gace kabukikije nta genzura. Uku gukwirakwira gukabije kw'imikorere y'amashanyarazi ni byo bitera ibimenyetso by'indwara yo mu bwonko.

Impamvu zitera indwara y'ibicurane zishobora kugabanywamo ibyiciro bibiri by'ingenzi:

1. Ibicurane byatewe n'indwara y'ibicurane (cyangwa ibicurane bitari ibicurane): Ibi biterwa n'indwara y'agateganyo cyangwa ikintu runaka (cyitwa imbarutso). Ibi bivuze ko iyo ndwara iterwa n'ikintu runaka.

2. Ibisebe bitarabyutse (`Ibisebe bitarabyutse` cyangwa `ibisebe by'igicuri`):Ibi bibaho mu buryo butunguranye, nta mpamvu igaragara ihari. Bishobora no kubaho kenshi. Ibi bicurane ni cyo kimenyetso cy'ingenzi cy'indwara yitwa igicuri.

Hari igihe nta mpamvu igaragara ishoboka itera indwara y'igicuri. Ibi tubyita 'ibicurane by'ibyihebe'.

Ni ibihe bintu bitera indwara y'igicuri?

Nta mpamvu zimwe zitera ikibazo kuri buri wese, ariko hari zimwe muri zo zikunze kugaragara:

• Isukari mu maraso idakwiranye n’urugero rusanzwe (hasi cyane cyangwa hejuru cyane).
• Imiti imwe (nka `Wellbutrin®` cyangwa `bupropion`).
• Amatara yaka cyane, arabagirana cyangwa arazima.
• Indwara z'ubushyuhe.
• Umuriro mwinshi.
• Kubura ibitotsi.
• Guhangayika.
• Kunywa ibiyobyabwenge cyangwa inzoga (cyane cyane ibimenyetso byo kubireka iyo uhagaritse inzoga).

Niba ukunze kugira igicuri, ni ngombwa cyane kwandika ibyo wakoraga n'uko byari bimeze mbere y'uko ufatwa n'igicuri. Aya makuru azafasha muganga wawe kumenya impamvu zigutera.

Ni izihe ndwara zindi zishobora gutera ibicurane?

Indwara zishobora guterwa n'izindi ndwara zitandukanye. Dore ingero nke:

• Utumenyero duto mu mitsi y'amaraso yo mu bwonko (`Aneurysms`).
• Ibibyimba byo mu bwonko.
• Kubura umwuka wa ogisijeni mu bwonko (`hypoxia yo mu bwonko`).
• Indwara y'imitsi yo mu bwonko.
• Diyabete.
• Ibikomere bikomeye mu mutwe (`Severe concussion` na `traumatisme brain injury`), cyane cyane mu gihe umuntu yatakaje ubwenge.
• Indwara zigabanya ubwonko buhoro buhoro, urugero nk'indwara ya Alzheimer cyangwa indwara yo kwibagirwa imbere mu gihe cy'amarangamutima.
• Umuvuduko ukabije w'amaraso n'ibicurane (`Eclampsia`) mu gihe cyo gutwita.
• Ibibazo bya electrolyte, cyane cyane urugero ruto rwa sodium (hyponatremia), calcium, cyangwa manyeziyumu.
• Igicuri - Ibi birangwa no gukubita ibicurane kenshi nta mpamvu igaragara.
• Indwara z'uturemangingo.

Hari izindi mpamvu zishobora kuba:

• Impinduka mu misemburo (`Impinduka zijyanye na hormone`).
• Kwandura indwara (cyane cyane indwara ya encephalite, meningitis, cyangwa sepsis).
• Kubyimba biturutse ku ndwara ziterwa n’ubwiyongere bw’umubiri.
• Ingorane z'ubuzima bwo mu mutwe (zitwa 'psychogenic seizures'), urugero 'conversion disorder'.
• Ibibazo bijyanye n'iterambere ry'ubwonko bibaho igihe umuntu avuka (`Ibitagenda neza mu bwonko bw'umwimerere`).
• Imitsi yo mu bwonko (stroke).
• Kurya uburozi (uburozi bwa monoxide ya karubone, uburozi bw'ibyuma biremereye).
• Kurumwa n'inzoka cyangwa ubundi burozi bw'inyamaswa.

Ni nde uri mu kaga gakomeye ko kurwara ibicurane?

Umuntu wese, ku myaka iyo ari yo yose, ashobora kugira isereri. Ariko, hari abantu bafite ibyago byinshi byo kurwara iyi ndwara:

• Ku bafite izindi ndwara.
• Niba hari umuntu wo mu muryango wagize indwara yo gucika intege (ingaruka za genetiki).
• Ku bana (bari munsi y'imyaka 18).
• Ku bantu barengeje imyaka 50.

Ni izihe ngorane zishobora guterwa n'indwara zo mu mutwe?

Mu gihe cy'igicuri, hari ibyago byinshi byo gukomereka , kuko abantu bakunze guta ubwenge no kugwa. Impanuka zishobora kubaho iyo umuntu aguye, cyangwa arimo gukora ikindi kintu (nko gutwara imodoka, gukoresha imashini, cyangwa kuzamuka uburebure). Iyo umubiri uhugiye, amaguru n'amaboko bishobora kugonga ibintu bikomeye, bigatera gukomereka, gukomereka ndetse no kuvunika amagufwa.

Indwara yo mu mutwe ni indwara iteje akaga. Ibaho iyo umuntu afashwe n'igicuri mu gihe kirenze iminota itanu, cyangwa iyo undi muntu afashwe n'igicuri atarakira neza indwara imwe. Iyi ni indwara yihutirwa ishobora gushyira ubuzima bwe mu kaga. Ishobora kwangiza ubwonko ndetse n'urupfu.

Hariho kandi isano ikomeye hagati y’indwara zo mu mutwe n’ubuzima bwo mu mutwe. Abantu bafite indwara zo mu mutwe bashobora kugira ibibazo byo mu mutwe nko guhangayika no kwiheba . Ibi biterwa nuko indwara zo mu mutwe zishobora kubangamira ibikorwa bya buri munsi n’ibintu bakunda. Ushobora kumva uhangayitse kandi uhangayikishijwe no kongera kugira indi ndwara. Ushobora kunanirwa gusinzira nijoro wibaza igihe indi ndwara izazira. Niba ufite indwara yo mu mutwe imbere y’abandi, ushobora kumva ufite isoni kandi ntushake gusohoka cyangwa kumarana umwanya n’inshuti. Kubera ko indwara zo mu mutwe ari ibintu bikubera hanze y’ubushobozi bwawe, ni ibisanzwe kugira izo mitekerereze. Umujyanama mu by’ubuzima bwo mu mutwe ashobora kugufasha gucunga izo mitekerereze.

Ni gute wamenya ko hari indwara yo gupfukama?

Umuganga, ubusanzwe inzobere mu ndwara z’imitsi, ni we usuzuma indwara y’igicuri. Ibi bikubiyemo isuzuma ry’umubiri, isuzuma ry’imitsi, n’ibindi bizamini. Muri ibi bizamini, muganga azabaza ibimenyetso byawe, amateka y’ubuzima bwawe, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira indwara nk’izo.

Ni ingirakamaro cyane kuzana umuntu wabonye urwara indwara yo mu mutwe kugira ngo ajye kwa muganga. Kubera ko ushobora kuba utibuka ibyabaye icyo gihe, uwo muntu ashobora kubwira muganga amakuru arambuye.

Ni ibihe bipimo bikoreshwa mu gusuzuma indwara y'igicuri?

Ibi bizamini bifasha kwemeza niba koko ufite igicuri, kandi niba ari cyo, icyagiteye. Kimwe mu bintu by'ingenzi mu gusuzuma igicuri ni ukumenya niba hari ahantu runaka mu bwonko (`focal point`) aho igicuri gitangirira. Iyo iyi 'focal point` ibonetse, biroroha kwa muganga gutegura uburyo bwo kuvura.

Dore bimwe mu bipimo byakoreshejwe mu gusuzuma indwara y'igicuri:

• Gupima amaraso.
• Isuzuma rya CT (`Isuzuma rya CT ryakoreshejwe ku ikoranabuhanga`).
• Ikizamini cya EEG (`Electroencephalogram (EEG)`). Iki gipimo cy'imikorere y'amashanyarazi y'ubwonko.
• Ibipimo by'uturemangingo.
• MRI scan (Ishusho ya Magnetic resonance (MRI)).
• Gupima PET (Positron emission tomography (PET) scan).
• Gutobora umugongo cyangwa gutobora uruhu rwo mu kibuno.

Iyo umuganga akeka ko hari imvune cyangwa ingorane yatewe n’igicuri, ashobora no gutumiza ibizamini. Muganga azakubwira (cyangwa umuntu ugufatira ibyemezo by’ubuvuzi) ibizamini birimo gukorwa n’impamvu.

Ni ubuhe buryo bwo kuvura indwara y'igicuri?

Uburyo bwo kuvura indwara y'igicuri buratandukanye bitewe n'ubwoko, uburemere bwayo, n'impamvu yayo. Muganga wawe ashobora kukugira inama yo kuvura indwara nk'iyi:

• Kuvura impamvu cyangwa ikibazo cy’intandaro: Muganga azabanza kugerageza kuvura ikibazo cy’intandaro cyateye icyorezo (nk'indwara yo mu bwonko cyangwa isukari nke mu maraso). Ibi bishobora gufasha gukumira icyorezo mu gihe kizaza.
• Gufata imiti yo kurwanya ihungabana ry'ihungabana: Iyi miti ishobora guhagarika ihungabana cyangwa ikagabanya inshuro nyinshi z'ihungabana.
• Kubagwa: Gukuraho cyangwa guhindura aho igicuri gitangira mu bwonko bishobora kugabanya inshuro n'ubukana bw'igicuri.
• Gukangura ubwonko: Umuganga ubaga ashyira igikoresho gito mu bwonko bwawe. Ibi bitanga umuriro w'amashanyarazi mu bwonko. Uyu muyaga ubangamira imikorere idasanzwe y'amashanyarazi kandi ukagerageza kuwuhagarika. Hari ubwoko butandukanye bwo gukangura ubwonko, urugero rumwe ni ugukangura imitsi yo mu bwoko bwa vagus.

Niba hari uburyo bwo kuvura budakora, muganga wawe ashobora kukugira inama yo guhindura indyo yawe. Ubushakashatsi bumwe bwagaragaje ko indyo irimo karubohidrati nke cyangwa ketogenic ishobora kugabanya inshuro zo gufatwa n'indwara zo mu mutwe. Ariko, ibi biracyakorerwa ubushakashatsi.

Ni iyihe miti ikoreshwa mu kuvura ibicurane?

Imiti ishobora gufasha mu kuvura indwara zo mu mutwe binyuze mu:

• Irahagarara ako kanya iyo umuntu agize isereri.
• Birinda indwara zo mu gihe kizaza.
• Bigabanya ubukana bw'indwara zo mu mutwe.
• Bigabanya inshuro zo gukubita ibisebe.

Dore imiti isanzwe ivura indwara zo mu mutwe (izi ni ingero gusa; muganga wawe ni we uzagena umuti ukubereye):

• `Benzodiazepine`
• 'Carbamazepine'
• 'Diazepam'
• `Gabapentin`
• `Lamotrigine`
• 'Oxcarbazepine'
• 'Fenytoin'
• `Pregabalin`
• 'Aside Valproic'

Nyuma yo gutangira umuti mushya, muganga wawe azagusuzuma buri gihe kugira ngo arebe uko ukora. Bishobora gufata amezi menshi kugira ngo wowe na muganga wawe mubone umuti ukwiye n'ingano yawo. Nubwo waba wumva umeze neza, ni ngombwa cyane gukomeza gufata umuti wawe nk'uko muganga wawe abikubwira.

Ubushakashatsi bwerekana ko abantu bagera kuri 33% bafata imiti igabanya ubukana bw'indwara yo mu mutwe (anti-seizure) bakira burundu ibimenyetso by'indwara yo mu mutwe (seizure). Abandi 33% bavuga ko ibimenyetso byabo bigabanuka inshuro nyinshi nyuma yo gufata imiti.

Ese indwara zo mu mutwe zishobora kwirindwa?

Kubera ko indwara zo mu mutwe zibaho mu buryo butunguranye, ntabwo zishobora kwirindwa burundu. Ikintu cyiza wakora ni ukwirinda ibintu bishobora gutera indwara zo mu mutwe, cyangwa "ibitera indwara". Urugero, genzura urugero rw'isukari mu maraso yawe, kandi ukirinde indwara n'ibikomere.

Bigenda bite iyo ngize isereri? Ni iki nkwiye kwitega?

Abantu bari munsi ya kimwe cya kabiri barwaye icyorezo kimwe nta mpamvu bazagira ikindi. Ariko, iyo habayeho ikindi cyorezo, abaganga bakunze gutangira imiti yo kugabanya icyorezo. Mu gihe umuntu arwaye icyorezo, ibyago byo kongera kugira ikindi cyorezo biterwa n'icyateye icyorezo cya mbere. Iyo icyo kibazo gishobora kuvurwa, ntabwo ushobora kongera kugira ikindi cyorezo (keretse niba ikibazo kimwe n'icyateye icyorezo cya mbere kigarutse).

Imiti ishobora guhagarika indwara zo mu mutwe cyangwa ikagabanya inshuro zikunze kugaragara. Ariko, hari igihe ugomba kugerageza imiti myinshi (cyangwa imiti ivanze) kugira ngo ubone igufasha.

Mu bihe bimwe na bimwe, gukubita ibisebe bishobora kugorana kubirwanya ukoresheje imiti gusa. Muri ibyo bihe, muganga ashobora kukugira inama yo kubagwa, kurya indyo yihariye, cyangwa ubundi buryo bwo kuvura.

Niba ukunze kugira igicuri, muganga wawe azakubwira ingamba zishobora kugufasha kwirinda. Ushobora kwambara cyangwa gutwara umukufi cyangwa ikarita y'indangamuntu ya muganga. Ibi bizamenyesha abandi icyo bakora niba ufite igicuri.

Hashize igihe kingana iki urwaye isereri?

Ibimenyetso byo gufatwa n'indwara akenshi bimara amasegonda make kugeza ku minota mike, mu gihe ntarengwa cy'iminota 15. Ariko, iyo habayeho indwara nyinshi zikurikirana (iyi ni indwara yihutirwa), ibimenyetso bishobora kumara igihe kirekire.

Ni iki nzatekereza ku byerekeye indwara z'igicuri mu gihe kizaza?

Kubera ko abantu bose bahura n'ikibazo cyo gupfukama mu buryo butandukanye, uko umuntu abibona bishobora gutandukana cyane. Biterwa n'ibintu byinshi:

• Wabonye impamvu?
• Ese iyo mpamvu ishobora kuvurwa no gukemurwa?
• Ni ubuhe bwoko bw'indwara yo gupfukama wagize?
• Indwara yari ikomeye gute kandi yamaze igihe kingana iki?
• Ese iyi ni yo ndwara yawe ya mbere yo gufatwa n'indwara y'icyorezo?
• Ese ufite ikibazo cy’uburwayi kidasanzwe, kikaba ari ikimenyetso gisanzwe cy’indwara?
• Ni ubuhe buryo bwo kuvura buhari bwo kuvura ubu bwoko bw'indwara yo mu mutwe?

Muganga wawe ni we muntu mwiza wo kuguha amakuru agezweho ku byo witeze. Menya neza ko umubajije niba ufite ikibazo.

Ni ryari ngomba kujya kwa muganga?

Niba ufite indwara yo gucurama ku nshuro ya mbere mu buzima bwawe , cyangwa niba watakaje ubwenge ntumenye impamvu, ugomba kujya mu cyumba cy’ubutabazi bw’ibanze.Niba utekereza ko ufite indwara yo kurwara bwa mbere uri wenyine, ugomba kubonana na muganga vuba bishoboka.

Niba warigeze kugira igicuri mbere, ni ngombwa kwitondera ibimenyetso by'ikindi. Niba ufite igicuri cya kabiri, ni ngombwa cyane kubonana na muganga vuba bishoboka. Ibi biterwa nuko igicuri gishobora gutera impinduka mu bwonko bwawe, bigatuma ushobora kongera kugira igicuri. Kubwibyo, ni byiza kwisuzumisha no gutangira kuvurwa vuba bishoboka.

Niba umuntu akunze kugira igicuri, bishobora kuba atari ngombwa guhamagara imbangukiragutabara nyuma ya buri cyorezo. Ariko, nubwo waba uzi impamvu yaguteye igicuri, ibikomere byatewe nacyo bishobora gukenera ubuvuzi.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba ufite isereri, ushobora kubaza muganga wawe ibibazo nk'ibi:

• Kuki nagize iyi ndwara y'igicuri?
• Ni gute nakwirinda "ibintu bishobora gutera"?
• Ni ubuhe bwoko bw'ubuvuzi ungira inama yo kunkorera?
• Ese hari ingaruka mbi zikomoka ku buvuzi?
• Ese nzongera kugira igicuri?
• Nakora iki ngo nkomeze umutekano?

Ni ubuhe bwoko bw'indwara zo mu mutwe zigira ingaruka ku bana?

Abana nabo bashobora kugira ibicurane. Impamvu zimwe zitera ibicurane ku bantu bakuru zikunze kugira ingaruka ku bana. Dore zimwe mu ndwara zikunze kugaragara ku bana zo mu bwoko bwa "depression" (izi ni ingero gusa):

• Indwara yo kubura ubumuga (izwi kandi nk'igicuri cyo kubura ubumuga mu bwana).
• Indwara y'igicuri mu bana.
• Indwara zo mu mutwe ziterwa n'ubushyuhe.
• Kubabara kw'abana bato.
• Indwara y'igicuri cy'abana.
• "Indwara ya Lennox-Gastaut".
• `Ibisebe bya Tonic-clonic`.

Ese nta kibazo mfite cyo gutwita iyo mfite igicuri?

Yego, ushobora gutwita neza niba urwaye igicuri. Ariko muganga wawe azashaka kugusuzuma buri gihe wowe n'umwana wawe. Hari imiti imwe n'imwe igabanya igicuri idakwiriye gukoreshwa mu gihe utwite. Hanyuma muganga wawe azashobora kuguha indi miti yizewe kugira ngo igufashe kugenzura ibimenyetso byawe. Niba ufite ikibazo cyangwa impungenge kuri ibi, umuntu mwiza wo kuvugana na we ni muganga wawe.

Nubwo indwara yo gupfusha ishobora gusa n'ikintu ubona kuri televiziyo cyangwa muri filime, ishobora kuba ikintu wowe cyangwa uwo ukunda muhura nacyo buri munsi, cyangwa se kenshi. Mu by'ukuri ntibishimishije kubibona, ndetse bikanatera ubwoba kubireba. Ushobora kumva utari wowe ubwawe mbere, mu gihe, na nyuma y'indwara yo gupfusha, kandi bishobora gufata igihe kugira ngo ukire.

Nubwo indwara yawe yaba idashoboka, muganga ashobora kugufasha guhangana n'ibimenyetso hakiri kare. Muganga wawe ashobora kukwigisha uburyo bwo gucunga ikibazo cyawe, cyangwa akagufasha kumenya no kwirinda icyagutera. Imiti ishobora kugabanya inshuro zikunze gutera indwara, kandi kubagwa bishobora kuba amahitamo niba ubundi buryo bwo kuvura budakora.

Ni ibihe bintu by'ingenzi twifuza kujyana mu nkuru? (Ubutumwa bwo kujyana mu rugo)

Sawa, dore ibintu bimwe na bimwe ugomba kuzirikana mu byo twavuze:

• Indwara yo gupfukama ni ikintu kidasanzwe mu mikorere y'amashanyarazi y'ubwonko. Nubwo ishobora gutera ubwoba, hari uburyo bwo kuvura bushoboka bitewe n'icyayiteye n'ubwoko bwayo.
• Si indwara zose zo mu mutwe zimeze kimwe. Hari abantu bagira imigendere ihindagurika, abandi bakakwitegereza gusa. Ibimenyetso bishobora gutandukana cyane.
• Niba ufite indwara yo kurwara bwa mbere nta mpamvu iyo ari yo yose, cyangwa niba watakaje ubwenge, shaka ubufasha bwa muganga ako kanya. Nubwo byaba bibaye ubwa kabiri, hita ubonana na muganga ako kanya.
• Ni ngombwa cyane gufata imiti wahawe na muganga wawe neza kandi ku gihe. Ntureke kuyifata wenyine.
• Menya "ibintu bigutera" kandi ugerageze kubyirinda.
• Ntabwo uri wenyine. Hari abaganga, umuryango, n'inshuti bashobora gufasha no gushyigikira abantu bafite igicuri. Wite ku buzima bwawe bwo mu mutwe.
• Indwara yo mu mutwe (status epilepticus) ni ikibazo cyihutirwa cy’ubuvuzi. Bisaba kujya mu bitaro byihutirwa.

Niba wowe cyangwa undi muntu uzi afite ibindi bibazo bijyanye n'indwara y'igicuri, ntutinye kuvugana na muganga. Bazagufasha.

Indwara zo mu bwonko , igicuri, indwara z'ubwonko, indwara z'imitsi, ibimenyetso