Ese urwara impiswi iyo uri mu rugendo? Reka tuvuge ku ndwara ya diyare y'umugenzi!

Tekereza uri mu rugendo rugana ahantu heza cyane, ukumva urwaye mu buryo butunguranye, ukajya mu bwiherero inshuro nyinshi ku munsi... Wenda no kuruka hamwe n'umuriro. Urugendo rwose rushobora kurambirana gato, sibyo? Akenshi, ibi biterwa nuko turya cyangwa tunywa ikintu cyanduye tutabizi. Iyi ndwara yitwa 'Impiswi y'umugenzi'. Nk'uko izina ribigaragaza, ni ikintu gikunze kugaragara mu bagenzi.

Impiswi y'umugenzi ni iki?

Mu magambo make, iyi 'Diarrhea y'umugenzi' ni indwara ifata mu nda iyo turi mu rugendo, cyane cyane iyo tugiye mu kandi karere cyangwa mu gihugu, bitewe n'ibiryo cyangwa ibinyobwa bidasukuye. Mu by'ukuri, iyi ni ikibazo gito bigira ingaruka ku buryo bwacu bwo kugogora (inzira y'igifu) . Ni ukuvuga indwara ifata mu mara yawe. Nubwo ibi bikunze koroha mu minsi mike, ni ibintu bibabaza cyane muri iyo minsi mike. Igifu cyawe gitangira kubabara, ugomba kujya mu bwiherero kenshi, rimwe na rimwe uruka kandi ukumva ufite intege nke. Tekereza ukuntu wababara uramutse ugiye ahantu ukunda, ukarya ibiryo aho ngaho, maze ikintu nk'iki kikabaho!

Akenshi, ibi biterwa na bagiteri . Ariko, rimwe na rimwe virusi cyangwa udukoko two mu mara na byo bishobora kuba ari byo bitera. Ibi byago byiyongera iyo tugiye ahantu hatandukanye n'aho dusanzwe dutuye kandi hadafite isuku ihagije.

Ibi ni ibisanzwe gute?

Mu by’ukuri, 'Impiswi y’Abagenzi' ni ikibazo cy’ubuzima gikunze kugaragara mu bagenzi. Dukurikije ubushakashatsi, iki kibazo gishobora kugaragara hagati ya 30% na 70% by’abagenzi , bitewe n’aho bajya n’igihe cy’umwaka. Ibyo bivuze ko mu bantu icumi mu rugendo, batatu kugeza kuri barindwi bashobora kurwara.

Ibi byago biri hejuru cyane cyane mu bihugu bifite ikirere gishyushye kandi gishyushye . Ibi biterwa nuko bagiteri zishobora kwiyongera cyane muri bene ibyo bidukikije. Urugero, mu bice bimwe na bimwe bya Aziya, mu Burasirazuba bwo Hagati, muri Afurika, muri Megizike, no muri Amerika yo Hagati n'Amajyepfo, abantu bajya muri ibyo bice bashobora kurwara indwara yo gucibwamo kw'abashyitsi.

Ibimenyetso ni ibihe?

Niba ukeka ko ufite indwara ya Traveler's Diarrhea, reba ibimenyetso bikurikira:

• Guca imyenge idafite isuku (nk'amazi) inshuro zirenga eshatu mu masaha 24 .
• Gukenera kujya mu bwiherero kenshi kandi mu buryo butunguranye.
• Kubabara mu nda no kuruka.
• Isesemi no kuruka.
• Umuriro.

Akenshi, ibi bimenyetso ntabwo biba bikomeye. Iyo ari indwara ya bagiteri cyangwa virusi, ibimenyetso bishobora gutangira kugaragara mu masaha 6 kugeza kuri 24 nyuma yo kwandura . Ariko, iyo itewe n'udukoko, bishobora gufata icyumweru kugeza ku byumweru bitatu kugira ngo ibimenyetso bigaragare. Niyo mpamvu bamwe bakomeza kugira ibi bimenyetso ndetse no nyuma yo gusubira mu rugo bavuye mu rugendo.

Ibimenyetso bimara igihe kingana iki?

Ibyo biterwa n'impamvu.

• Niba ari indwara ya bagiteri , uzatangira kumva umeze neza mu minsi ibiri cyangwa itatu, nubwo utafata umuti uwo ari wo wose. Ariko, bishobora gufata icyumweru kugira ngo ibimenyetso bishire burundu.
• Niba ari ubwandu bwa virusi , bizakira mu minsi mike.
• Ariko, niba impiswi y'umugenzi iterwa n'indwara yandurira mu biyobyabwenge , ibimenyetso bishobora kumara ibyumweru cyangwa amezi. Muri icyo gihe, ugomba kujya kwa muganga.

Kuki habaho impiswi ya Traveler?

Impiswi y'umugenzi mu by'ukuri ni uburyo ubudahangarwa bw'umubiri wawe buterwa n'umwanzi winjiye mu nzira y'igogora ryawe. Aba bagiteri bashobora kuba bagiteri, virusi, cyangwa udukoko. Uko byaba bimeze kose, ubudahangarwa bw'umubiri wawe bugerageza kubirimbura no kubirukana mu mubiri wawe. Uburyo bwo kubyimba bugaragara muri ubu buryo ni bwo butera ibimenyetso nko gucibwamo no kuribwa mu nda.

Mu magambo make, ibiri kuba hano ni nk'abasirikare b'umubiri wawe (ubudahangarwa bw'umubiri) barwana n'umwanzi (umugera) winjiye mu mubiri wawe. Ibi bimenyetso ni umusaruro w'iyo ntambara.

Ni ubwoko ki bwa mikorobe zitera ibi?

Nkuko twabivuze mbere, bagiteri, virusi, n'udukoko dushobora gutera iyi ndwara.

• Bagiteri: Indwara za bagiteri ni zo zikunze kugaragara cyane. Muri zo , E. coli ni yo nyirabayazana mukuru. Byongeye kandi:
• Salmonella
• Umugera wa kolera
• Campylobacter jejuni
• Bagiteri nka Shigella nazo zishobora kuyitera.

• Virusi:
• Norovirus
• Virusi ya Rotavirus
• Virusi nka Astrovirus nazo zigira ingaruka kuri ibi.

• Ibinyabuzima:
• Giardia
• Cryptosporidium
• Udukoko nka Cyclospora na two dushobora gutera iyi ndwara.

Ese ibi byandura?

Yego, indwara ya Traveler's Diarrhea ishobora kwanduzanya. Udukoko two mu nzira yawe y'igifu dushobora kwanduzwa undi muntu binyuze mu duce duto two mu mwanda wawe cyangwa mu kuruka. Urugero, niba urwaye impiswi ukajya mu bwiherero ugakora ku gikarabiro mbere yo gukaraba intoki zawe, udukoko dushobora kukwanduza intoki zawe niba utagisukuye. Niba undi muntu uyikoresheje agakora ku gikarabiro, ashobora kwandura udukoko. Niba akoze ku munwa we atabanje gukaraba intoki, ashobora kwanduzanya udukoko. Bityo rero, ugomba kwitondera cyane isuku yawe bwite .

Ni nde ufite amahirwe menshi yo kubyiteza imbere?

Kurya ibiryo byanduye n'amazi yo kunywa ni byo bintu by'ingenzi bishobora gutera ikibazo, ariko hari amatsinda amwe ashobora kubyibasira kurusha andi.

• Abakiri bato: Nubwo impuguke zitazi impamvu nyayo, abakiri bato bafite amahirwe menshi yo kurwara impiswi y’ingendo kurusha abakuze. Ibi bishobora kuba biterwa nuko abakiri bato bakunze kugerageza ibintu bishya, cyane cyane ibiryo byo mu muhanda.
• Abantu bafite ubudahangarwa bw'umubiri budakomeye: Kimwe n'izindi ndwara zose, impiswi y'umugenzi ishobora kugaragara ku muntu ufite ubudahangarwa bw'umubiri busanzwe budafite imbaraga.
• Abantu bafite indwara zidakira zo mu gifu: Urugero, abantu bafite indwara nka Crohn's disease , GERD (Gastroesophageal Reflux Disease) , cyangwa Irritable Bowel Syndrome (IBS) bari mu kaga gakomeye.

Ni izihe ngorane ibi bishobora gutera?

Kubura amazi mu mubiri ni yo ngorane ikunze kugaragara cyane. Ibi bivuze ko ingano y'amazi n'imyunyu mu mubiri igabanuka. Kubura amazi mu mubiri cyane bishobora kuba ikibazo cyihutirwa cy'ubuvuzi.

Byongeye kandi, nubwo bidakunze kubaho, impiswi y’umugenzi ishobora kongera ikibazo cy’igogora. Urugero, ushobora kurwara indwara yitwa post-infectious irritable bowel syndrome (PI-IBS) . Niba ufite imiterere y’uturemangingo yo kurwara indwara y’umugongo itera indwara y’umugongo (IBD) , ibimenyetso bya mbere bya IBD bishobora kugaragara nyuma yo kugira impiswi y’umugenzi. Niba impiswi y’umugenzi wawe ikomeye kandi iterwa n’ubwandu bwa bagiteri, ushobora kandi kugira ibimenyetso nk’amaraso cyangwa amatembabuzi mu mwanda wawe no kugira umuriro.

Ni gute umuganga abimenya?

Akenshi, muganga ashobora kumenya niba ufite impiswi yo mu rugendo akubaza ibimenyetso byawe n'aho wagiye. Ariko rimwe na rimwe, muganga wawe ashobora kukugira inama yo gupima intebe kugira ngo amenye neza ubwoko bw'ubwandu ufite. Ibi bishobora gufasha kumenya uburyo bwiza bwo kuvura, cyane cyane niba hari ukekwaho ubwandu bwa parasitiki. Bishobora kuba ngombwa gupima ingero zirenze imwe kugira ngo hemezwe ubwandu.

Ni ubuhe buryo bwo kuvura?

Muganga wawe azakubwira kuruhuka bihagije no kunywa ibinyobwa byinshi . Ibinyobwa bimwe na bimwe bya siporo n'ibindi binyobwa byo kongera amazi mu mubiri bidakoreshejwe mu iduka bishobora gufasha gusimbuza electrolytes zatakaye.

Ariko, niba ibimenyetso byawe bikomeye kandi ntibikongere mu minsi mike, ugomba kujya kwa muganga.Ushobora guhabwa imiti igabanya impiswi cyangwa imiti igabanya ubukana bw'indwara.

Imiti igabanya impiswi

Iyi miti igenzura impiswi yawe gusa, ntabwo ivura ubwandu. Igabanya umuvuduko w'amara yawe (guhindagurika) - imitsi isunika imyanda mu mara yawe - gato. Ibi biha amara yawe umwanya uhagije wo kwinjiza amazi mu myanda yawe mu mubiri wawe.

Ikibi ni uko mikorobe zikiri mu mubiri wawe. Uracyarwaye, kandi ushobora kwanduza abandi. Bityo rero, ugomba gukurikiza amabwiriza ya muganga wawe neza neza mu gihe ukoresha iyi miti. Ni byiza gutwara imwe muri iyi miti mu gihe uri mu rugendo:

• Atropine diphenoxylate (urugero: Lomotil® )
• Bismuth (urugero: Pepto-Bismol® )
• Loperamide (urugero: Imodium® )

Antibiyotike

Niba ufite indwara ikomeye ya bagiteri, cyangwa impiswi yawe itarakira nyuma y'iminsi mike, muganga wawe ashobora kukwandikira imiti yica udukoko. Amwe mu moko asanzwe ya antibiyotike ni:

• Ciprofloxacin (urugero: Cipro® )
• Levofloxacin (urugero: Levaquin® )
• Azithromycin (urugero: Zmax® )
• Rifaximin (urugero: Xifaxan® )
• Metronidazole (urugero: Flagyl® ) (cyane cyane ku ndwara zandurira mu mitsi)
• Nitazoxanide (urugero: Alinia® ) (ku ndwara zandurira mu mitsi)

Icy'ingenzi: Ntuzigere ufata imiti yica udukoko wenyine utabanje kugisha inama muganga. Kubikora bishobora guteza ibindi bibazo.

Ese hari uburyo bwo kuvura busanzwe?

Imiti imwe n'imwe karemano, nk'amavuta ya oregano cyangwa echinacea, bivugwa ko ifasha mu gukumira indwara zitera impiswi y'umugenzi. Ariko, ugomba guhora ubaza muganga wawe kugira ngo umenye neza ko ari nta kibazo ushobora gukoresha.

Ni iki wakwitega mu gihe urwaye indwara ya Traveler's Diarrhea?

Kimwe n'abantu benshi, uzakira mu minsi mike. Niba ufite ibimenyetso bikomeye, cyangwa niba ibimenyetso bikomeje, kandi ukiri mu rugendo, baza ambasade yawe mu gihugu cyawe, umuntu wizeye, cyangwa umuganga mwiza wo muri ako gace.

Ni gute warokoka ibi?

Ntibishoboka kwirinda mikorobe zose zitera impiswi y'umugenzi, ariko ushobora kugabanya cyane ibyago byawe ukurikije izi ntambwe:

• Karaba intoki zawe neza , cyane cyane mbere yo kurya. Siga isabune hanyuma uhanagure intoki zawe byibuze amasegonda 20.
• Koresha ahantu hataboneka ibikoresho byo gukaraba intoki.Ujye witwaza umuti wo gusukura intoki urimo inzoga.
• Mu gihe wiyuhagira, witondere ko amazi yo mu bwogero atakwinjira mu kanwa .
• Koresha amazi yo mu macupa kugira ngo woze amenyo yawe. Ntukigere ukoresha amazi yo mu robine.
• Irinde ibinyobwa birimo uduce twa barafu, kuko uduce twa barafu dushobora kuba twarakozwe mu mazi ya robine.
• Niba urya imboga n'imbuto nshya, hitamo gusa izo ushobora gukuraho ubwazo. Ntukagure imbuto zaciwe mbere mu iduka.
• Kurya ibiryo bitetse neza kandi bishyushye gusa. Ntukajye mu maduka yose uhura na yo.
• Koresha ibinyobwa biri mu macupa cyangwa mu macupa gusa. Reba kandi ko bifunze neza.

Nitwara nte?

Niba wowe cyangwa umwana wawe arwaye impiswi y’umugenzi, ibi bintu bishobora gufasha:

• Nywa ibinyobwa byinshi: Amazi yo mu macupa, ibinyobwa bimwe na bimwe bya siporo, hamwe n'imiti yo kongera amazi mu mubiri nka Jeevani, ushobora kugura muri farumasi, byose bifasha mu kubungabunga urugero rw'amazi mu mubiri.
• Kurya , ariko witondere: Banza ugerageze isupu yoroheje n'udupaki tw'urubura . Hanyuma ugerageze indyo ya BRAT (Imineke, Umuceri, Isosi y'amapera, Umutsima ). Ibi biroroshye kugogora. Ni byiza kwirinda ibiryo birimo amavuta, ibirungo n'amata mu minsi mike.

Ni ryari ugomba kujya kwa muganga?

Niba ubonye kimwe muri ibi bimenyetso, menya neza ko wagiye kwa muganga:

• Niba ubonye amaraso cyangwa ibibyimba mu mwenda wawe , cyangwa umaze kwihanagura nyuma yo kujya mu bwiherero.
• Umuriro mwinshi (urengeje dogere selisiyusi 38.5 / dogere selisiyusi 101.3).
• Niba wicaye nabi inshuro zirenze eshatu ku munsi , haba mu gihe uvurwa cyangwa ufata imiti.
• Niba urwaye igifu cyane .
• Niba ufite ibimenyetso byo kubura amazi mu mubiri (umunwa wumye, amaso yazimye, kugabanuka k'inkari, inkari zijimye, inyota ikabije, umutima utera vuba, isereri).
• Iyo ibimenyetso bitarushijeho kumera neza nyuma y'iminsi mike cyangwa bikarushaho kuba bibi.

Ikintu cy'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Impiswi y'umugenzi ishobora kuba idafite uruhare mu ngendo zawe, ariko ishobora kubaho iyo uriye ibiryo cyangwa ikinyobwa cyanduye ku bushake. Ushobora kugabanya ibyago byo gukaraba intoki kenshi, kunywa amazi yo mu macupa, no kugabanya kurya ibiryo byatetse neza n'ibinyobwa byo mu macupa .

Niba uhuye n'iki kibazo, ntugatinye. Ruhuka bihagije kandi unywe ibinyobwa byinshi. Akenshi uzumva umeze neza mu minsi mike. Bitabaye ibyo, jya kwa muganga ako kanya. Gira urugendo rwiza kandi rutekanye!

Impiswi y'umugenzi, impiswi, kubabara mu nda, mikorobe, ingendo, uburozi bw'ibiryo, amazi make