Ese wigeze ugira ububabare bukabije kandi butuma ubabara bugahita butangirira ku ruhande rumwe rw'umugongo wawe bukagera mu nda yo hasi? Hari abantu bagereranya ubu bubabare n'ububabare bwo kubyara. Niba ufite ububabare bukabije nk'ubu, kandi bikakugora kunyara , cyangwa niba ufite amaraso mu nkari zawe, bishobora kuba ikimenyetso cy'uko ibuye ry'impyiko ryafatiwe mu muyoboro w'inkari. Uyu munsi turimo kuvuga ku mabuye y'inkari, ari yo mabuye y'impyiko afatirwa mu muyoboro w'inkari. Ntugahangayike, reka dusobanure byose mu buryo bworoshye.
Mu magambo make, amabuye yo mu muyoboro w'inkari ni iki?
Ibuye ryo mu muyoboro w'inkari mu by'ukuri ni ibuye ry'impyiko ryacitse rigashyirwa mu muyoboro muto ujyana inkari mu mpyiko ukazijyana mu ruhago. Uyu muyoboro witwa ureter. Twese dufite imiyoboro ibiri nk'iyo y'impyiko zacu.
Tekereza nk'utuyunguruzo tubiri mu mubiri wacu. Dusukura amaraso kandi tugakuraho imyanda nk'inkari. Hari igihe imyunyu ngugu n'umunyu mu nkari zawe bishobora gukora utubuye duto, dufite utubyimba. Ibi ni byo twita amabuye y'impyiko cyangwa calculi. Igihe cyose aya mabuye ari mu mpyiko , ashobora kutagira ikibazo. Ariko iyo acitse agatangira kugenda mu muyoboro muto, ikibazo kiratangira. Umuyoboro uba muto, bityo ibuye rigafatirwa aho. Hanyuma inzira y'inkari iraziba, umuyoboro urabyimba, kandi ni yo mpamvu y'ububabare bukabije.
Aya mabuye ashobora kuza mu bunini bwose. Amabuye mato cyane, mato cyane ku buryo atagaragara n'amaso, asohoka mu mubiri hamwe n'inkari nta kibazo. Ariko iyo ibuye rimaze kuba rinini, rihita rigwa mu muyoboro w'amazi rigatangira kugaragaza ibimenyetso.
Wibuke ko amabuye yo mu mpyiko atari make nkuko ushobora kubitekereza. Umuntu umwe gusa mu bantu icumi ku isi ni we ushobora kurwara iyi ndwara. Kubwibyo, ni ngombwa cyane kubimenya.
Ni ubuhe bwoko bw'ingenzi bw'amabuye y'impyiko?
Aya mabuye agaragara mu mibiri yacu si ubwoko bumwe. Hari ubwoko bwinshi bw'ingenzi bushingiye ku binyabutabire bibitera. Kumenya ubwoko bw'amabuye ufite bishobora kugufasha kuyavura no kuyakumira ko atazongera kubaho ukundi.
| Ubwoko bw'ibuye | Bikozwe muri ubu buryo: |
|---|---|
| Amabuye ya kalisiyumu | Izi ni zo zikunze kugaragara cyane. Iyo ingano ya kalisiyumu mu nkari yiyongera, ihuzwa na kalisiyumu oxalate cyangwa kalisiyumu fosfeti kugira ngo habeho ayo mabuye. |
| Amabuye ya aside urike | Ubu bwoko bw'ibuye bushobora kuvuka iyo ufite aside irike nyinshi mu nkari zawe. Abantu barya inyama n'amafi menshi kandi ntibanywe amazi ahagije bari mu kaga gakomeye. |
| Amabuye ya Struvite | Aya mabuye akunze kwibasira nyuma y’indwara y’inkari (UTI) . Bagiteri zitera iyi ndwara zihindura imiterere y’inkari, bigatuma aya mabuye yibasira. |
| Amabuye ya Cystine | Ibi ni gake cyane. Aya mabuye avuka bitewe n'indwara y'uruhererekane rw'uturemangingo yitwa Cystinuria, ituma aside amine cystine iva mu mpyiko ikajya mu nkari. |
Ni ibihe bimenyetso by'uko ibuye rifashe?
Utubuye duto twinshi duca mu mubiri nta rusaku. Ariko niba ibuye rinini bihagije kugira ngo rizibe umuyoboro w'amaraso, uzatangira kubyumva. Ibi bimenyetso bishobora gutangira mu buryo butunguranye.
| Ibimenyetso | Ibyo wumva umeze ute? |
|---|---|
| Ububabare bukabije | Ububabare bukabije butangirira ku ruhande rumwe rw'umugongo, munsi y'imbavu. Ubu bubabare ntibuhoraho, ahubwo buraza bugashira (igihe gito). Ubu bubabare bushobora gukwirakwira mu nda yo hasi no mu kibuno. |
| Ububabare mu gihe cyo kwihagarika | Gushya cyangwa kubabara iyo uri kunyara. |
| Impinduka mu nkari | Inkari zishobora kugaragara nk'umutuku, umutuku cyangwa umukara bitewe n'amaraso ari mu nkari. Inkari zishobora kandi kugaragara nk'ibicu. |
| Gukenera kunyara kenshi | Nubwo uruhago rudakora, hari igihe wumva ukeneye kunyara. Ariko iyo unyara, ni gake cyane gasohoka. |
| Kuruka no kugira isesemi | Isesemi no kuruka bishobora kubaho hamwe n'ububabare bukomeye. |
| Umuriro n'ubukonje | Iyo indwara y’inkari igaragaye hamwe n’ibuye, ibimenyetso nk’umuriro, ubukonje, no gutitira bishobora no kugaragara. |
Impamvu n'ibintu bishobora gutera kurema amabuye
Impamvu yoroshye ni uko mu nkari zawe harimo imiti ikora amabuye (crystals) myinshi kurusha amazi. Iyo tunyoye amazi ahagije, iyi miti irashonga igasohoka mu nkari. Ariko iyo tunyoye amazi make, inkari ziba nyinshi kandi ibi bintu bitangira kwishyira hamwe bigahinduka amabuye.
Nubwo umuntu wese ashobora kugira amabuye, hari abantu bafite ibyago byinshi byo kuyarwara.
- Ku bagabo: Nubwo abagore n'abana nabo bashobora gukura amabuye, abagabo bafite amahirwe menshi yo gukura amabuye.
- Hagati y'imyaka 40 na 60: Abantu bo muri iki kigero cy'imyaka baba bari mu kaga gakomeye.
- Kugira amateka yo kurema amabuye mbere: Niba warigeze kugira amabuye mbere, ushobora kongera kuyarema.
- Amateka y'umuryango : Niba hari umuntu wo mu muryango wawe (mama, so, abavandimwe) warwaye indurwe, nawe uri mu kaga.
- Kutanywa amazi ahagije: Abantu bakora cyane cyangwa bakora siporo baba bari mu kaga gakomeye iyo batanyoye amazi ahagije.
- Indwara zimwe na zimwe: Diyabete yo mu bwoko bwa 2 , umubyibuho ukabije (BMI irengeje imyaka 30), indwara zo mu mara ziterwa n’ububabare nka Crohn's disease cyangwa ulcerative colitis, hamwe n’indwara z’impyiko za polycystic bishobora kongera ibyago byo kurema amabuye.
Ubibona ute, Muganga?
Niba ufite ibimenyetso byavuzwe haruguru, ugomba kujya kwa muganga vuba bishoboka. Azakubaza ibimenyetso byawe n'amateka y'umuryango wawe. Hanyuma, bazagutegeka ibizamini kugira ngo bemeze niba ari ibuye ry'impyiko.
- Isesengura ry'inkari: Ibi bigenzura ibimenyetso by'ubwandu, amaraso, n'imyunyungugu bishobora gutera amabuye. Isuzuma ry'inkari rishobora kandi gukorwa iyo hakekwa ko hari ubwandu.
- Gupima amaraso: Ibi bishobora kumenya uko impyiko zawe zikora, niba ufite ubwandu, ndetse niba hari ibindi bibazo bishobora gutuma amabuye avuka.
- Guskana:
- Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Bikoresha amajwi kugira ngo harebwe niba hari aho inzira y'inkari yazibye.
- X-ray: Hari ubwoko bumwe bw'amabuye bushobora kugaragara hakoreshejwe isuzuma rya X-ray.
- Gupima CT (Computed Tomography - CT scan): Iki ni cyo kizamini gikwiye cyane gikunze gukorwa. Gishobora kumenya neza ingano, aho ibuye riherereye n'ubukomere bwaryo. Aya makuru ni ingenzi cyane mu gutegura uburyo bwo kuvura.
Ni ubuhe buryo bwo kuvura ibi?
Uburyo bwo kuvura buterwa n'ingano y'ibuye, aho riherereye, n'ibikoresho rikozemo. Muganga wawe azasuzuma ibi bintu byose kandi aguhe inama yo kuvura neza.
Ku mabuye mato
Iyo ibuye riri munsi ya mm 4-5, rishobora gusohoka mu mubiri wawe hamwe n'inkari. Ibi bishobora gufata icyumweru kimwe cyangwa bibiri. Muri iki gihe:
- Imiti igabanya ububabare: Muganga aguha imiti yo kugabanya ububabare bukomeye.
- Umuti wo kuruka: Iyo hari isesemi no kuruka, hazatangwa umuti wo kuruka.
- Imiti ifasha amabuye gutambuka (Medical Expulsive Therapy - MET): Imiti nka "alpha-blockers" ishobora gutangwa kugira ngo imitsi yo mu muyoboro w'inkari iruhure kandi ifashe ibuye gutambuka byoroshye.
Muri iki gihe, uzabwirwa kunywa nibura litiro 3 z'amazi ku munsi . Ibi bizasukura inkari kandi bifashe ibuye gutambuka vuba.
Ku mabuye manini cyangwa ahantu hafunganye
Niba ibuye ari rinini, ritera ububabare bukabije, cyangwa rigafunga burundu inzira y'inkari, muganga wawe (ubusanzwe ni umuganga w'inkari) ashobora kukugira inama imwe muri izi nzira zikurikira:
| Uburyo bwo kuvura | Bisobanuwe mu buryo bworoshye |
|---|---|
| Umuraba wo mu bwoko bwa "shock wave lithotripsy" | Imiraba y'ingufu nyinshi yoherezwa hanze y'umubiri kugira ngo imenye amabuye. Hanyuma uduce duto twoherezwa mu nkari byoroshye. |
| Gukuraho amabuye binyuze mu muyoboro w'amaraso (Ureteroscopy) | Umuyoboro muto, muremure kandi woroshye ufite kamera ifatanye na wo unyuzwa mu muyoboro w'amaraso, maze ibuye rikagerwaho, rikafatwa, rikavanwaho. Iyo ibuye ari rinini, hakoreshwa umuyoboro wa laser kugira ngo uricemo ibice hanyuma rikureho ibice. |
| Gukuraho ibuye binyuze mu gukata gato ku ruhu (Percutaneous nephrolithotomy) | Ibi bikorwa ku mabuye manini cyane. Hakorwa akato gato inyuma, aho igikoresho gishyirwa mu mpyiko kugira ngo hamenyekane kandi hakureho ibuye. |
| Imisemburo yo mu mura | Iki ni igisubizo cy'agateganyo. Umuyoboro muto ushyirwa mu muyoboro w'inkari kugira ngo ufashe inkari gutembera mu gihe cy'ibuye ryazibye. Ibi ni ingirakamaro cyane mu bihe byihutirwa. |
Ese amabuye ashobora kubuzwa kongera kubaho?
Yego rwose birashoboka! Iyo umuntu amaze kugira ibuye, aba afite amahirwe menshi yo kongera kurirwara. Niyo mpamvu ari ngombwa guhindura gato imibereho yawe n'imirire yawe.
- Amazi, amazi, amazi menshi! Ikintu cyiza ushobora gukora ni ukunywa amazi menshi. Nywa nibura litiro 3 z'amazi ku munsi. Amazi ni meza cyane. Ibintu nk'umutobe w'indimu n'umutobe w'icunga nabyo ni byiza. Uburyo bwiza bwo kumenya niba unywa amazi ahagije ni ukureba ibara ry'inkari zawe. Niba ari umuhondo woroshye, unywa amazi ahagije.
- Gabanya poroteyine y'amatungo: Kurya poroteyine nyinshi y'amatungo nk'inyama zitukura, amafi n'amagi bishobora kongera urugero rwa aside urique ndetse bigatera ubwiza bw'amabuye. Ahubwo, ongeramo poroteyine ikomoka ku bimera nk'amashu, ibishyimbo, ibishyimbo bibisi na soya mu ndyo yawe.
- Genzura umunyu: Gabanya umunyu urya ku munsi. Aho gukoresha umunyu, ongeramo indimu, urusenda n'ibirungo mu biryo byawe kugira ngo wongere uburyohe bwabyo.
- Gabanya ibiryo birimo oxalate nyinshi: Ibiryo nka epinari, ubunyobwa, cashew, ibirayi, na beterave birimo oxalate nyinshi. Ntabwo ugomba kwirinda burundu ibi, ariko ni byiza kugabanya ibyo urya. Kubirya hamwe n'ibiryo birimo kalisiyumu nyinshi (amata, yawurute) bishobora kugabanya ibyago byo kurema amabuye.
Muganga wawe ashobora kuguha akayunguruzo kadasanzwe ko gukusanya amabuye azavamo. Hanyuma azasuzuma amabuye, kandi bitewe n'ubwoko bwayo, aguhe amabwiriza yihariye yo kwirinda amabuye azavamo.
Ubutumwa bwo kujyana mu rugo
- Ububabare buterwa n'ibuye ry'impyiko burakomeye cyane. Niba ufite ibimenyetso nko kubabara umugongo/ukuguru bitunguranye, amaraso mu nkari zawe, hita ubonana na muganga. Niba bibaye ngombwa, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry'ibitaro biri hafi yawe.
- Uburyo bwiza kandi bworoshye bwo kwirinda kwirema kw'amabuye ni ukunywa amazi ahagije buri munsi.
- Amabuye mato akunze kwiyanduzanya n'imiti no kunywa amazi menshi. Ubu hari uburyo bwiza kandi bwizewe bwo kuvura amabuye manini.
- Guhindura indyo yawe n'uburyo ubayeho, bishobora kugabanya cyane ibyago byo kongera kurema amabuye mu gihe kizaza.
- Nubwo iyi ndwara ibabaza kandi ikababara, ishobora gukira burundu iyo ivuwe neza. Ntugatinye rero kandi ukurikize amabwiriza ya muganga wawe.
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