Ese wigeze uruka amaraso? Cyangwa warigeze uruka ikintu cy'umukara, nk'ikawa? Ni ibisanzwe ko umuntu wese ubibonye yumva afite ubwoba bwinshi n'ubwoba. Kuko twese tugira ubwoba iyo tubonye amaraso. Ariko mbere yuko tugira ubwoba, reka dusobanukirwe neza icyo kibazo, ari cyo kuruka amaraso (mu buvuzi tuyita Hematemesis), ari cyo n'impamvu kibaho.
Ese kuruka amaraso ni ikibazo gikomeye koko?
Mu magambo make, yego . Kuruka amaraso ni ikintu tudakwiye gufata nk'ikintu cyoroshye. Hari impamvu nyinshi zibitera. Zimwe muri izo mpamvu zishobora kuba zitari zikomeye cyane, ariko zimwe muri zo zishobora kuba indwara zikomeye zishobora no kugira ingaruka ku buzima.
Ndetse n'abaganga ntibashobora kukubwira niba bikomeye cyangwa atari byo batagusuzumye. Niyo mpamvu, nk'abaganga, duhora dufata ikibazo icyo ari cyo cyose cy'amaraso mu birutsi nk'ikibazo cyihutirwa kugeza igihe tuzaba tubonye impamvu nyayo. Ni byiza ko nawe utekereza gutyo.
Ese hari amaraso make nta kibazo?
Oya. Kuruka amaraso ntabwo ari ibisanzwe . Hari igihe, iyo uruka cyane, ushobora kumva ufite agahu mu muhogo kandi igitonyanga kimwe cyangwa bibiri by'amaraso bishobora gusohoka. Ariko ntitwavuga ko ari ko bimeze. Kuko n'igitonyanga gito cy'amaraso gishobora kuba intangiriro yo kuva amaraso menshi. Kubwibyo, niba uruka amaraso, uko yaba ari make kose, ni ngombwa cyane kubibwira muganga .
Ntukirengagize ingano y'amaraso mu birutsi byawe, yaba ari make cyangwa menshi. Bishobora kuba ikimenyetso cy'ingenzi cy'ikibazo kiri mu mubiri wawe.
Kuki hari amaraso mu birutsi byanjye? Ibi bivuze iki?
Akenshi, amaraso mu birutsi byawe aba aturuka ahantu ho hejuru mu gice cy’igogora ryawe, nko mu muhogo, mu gifu, cyangwa mu duodenum . Hari igihe amaraso ava mu mazuru yawe akaza asohokana n’ibirutsi byawe iyo uyamize. Ariko bitabaye ibyo, amaraso aba aturutse mu nda yawe.
Dushobora kubona ibimenyetso bimwe na bimwe mu ibara ry'aya maraso:
- Amaraso atukura cyane: Ibi bivuze ko hari amaraso mashya. Bivuze ko kuva amaraso bishobora kuba muri iki gihe . Ibi bishobora kuba byihuta gato kandi bisaba kwitabwaho byihuse.
- Amaraso y'umukara/umukara, nk'ikawa: Aya ni amaraso ashaje. Aya maraso amaze igihe mu nda kandi yahindutse ibara nyuma yo kugira aside yo mu gifu. Ibi bivuze ko kuva amaraso bishobora kuba biremereye gato, cyangwa kuva amaraso gushobora kuba kwarahagaze.
Ubusanzwe, amaraso menshi agomba gusohoka mu mubiri kugira ngo atere kuruka.
Impamvu nyamukuru zitera amaraso mu rusenda
Hari impamvu nyinshi zikunze kandi zikomeye zitera amaraso mu birutsi. Reka turebe zimwe muri zo.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Ibisebe byo mu gifu (ibisebe byo mu nda cyangwa mu mara mato) | Ibi ni ibisebe biba mu gifu. Bishobora kumera no kuva amaraso bitewe n'indwara zimwe na zimwe za bagiteri cyangwa gukomeza gukoresha aspirine n'indi miti igabanya ububabare (NSAIDs). |
| Kubyimba igifu cyangwa umwobo (Gastritis/Esophagitis) | Kunywa inzoga nyinshi, gukoresha imiti igabanya ububabare, hamwe n’imiti igabanya ububabare ishobora gutuma inkuta z’imbere z’igifu cyangwa umwobo zibyimba kandi ziva amaraso mu mitsi iri munsi. |
| Imitsi y'amaraso yabyimbye (Oesophageal Varices) | Indwara nk'indwara ya cirrhose y'umwijima ishobora gutuma imiyoboro y'amaraso mu muhogo no mu gifu ibyimba kandi igacika intege cyane. Ibi bishobora guturika byoroshye bigatera kuva amaraso menshi. Iyi ni indwara ikomeye cyane. |
| Indwara ya Mallory-Weiss | Iyo kuruka cyane kandi bikomeye, urukuta rw'umuyoboro w'amaraso rushobora gucika. Ibi byitwa Mallory-Weiss syndrome. Iyi ndwara ikunze kugaragara nyuma yo kunywa inzoga nyinshi. |
| Ibibyimba cyangwa ibibyimba | Kuva amaraso bishobora guterwa n'ibibyimba bya kanseri cyangwa ibitari kanseri. Ni ngombwa gusuzuma kanseri yo mu gifu, mu muhogo, cyangwa mu impyiko. |
| Ibikomere by'ihungabana | Gukubitwa cyane ku nda cyangwa mu gituza bishobora gutera kuva amaraso imbere. |
Umuganga avura ate ibi?
Iyo uruka amaraso ukajya kwa muganga, itsinda ry’abaganga ribikemura nk’ikibazo cyihutirwa.
1. Ikintu cya mbere ugomba gukora ni ukugutuza (Gusubiza umubiri wawe mu buryo burambye): Niba watakaje amaraso menshi mu mubiri wawe, bivuze ko urwaye isereri, ufite uruhu, nibindi, ikintu cya mbere ugomba gukora ni ugutuza uburwayi bwawe. Ibi birimo kuguha amazi yo mu miyoboro y'amaraso, guterwa amaraso nibiba ngombwa, na ogisijeni.
2. Kubona impamvu: Iyo indwara yawe imaze gukomera, muganga wawe azatangira gushaka impamvu yo kuva amaraso. Bazakubaza ibibazo - kuva amaraso bimaze igihe kingana iki? Amaraso afite ibara ringana iki? Ese ibi byaba byarabayeho mbere? Bazababaza imiti ufata, cyane cyane imiti igabanya ububabare (NSAIDs) nka aspirine na ibuprofen .
3. Endoskopiya: Iki ni cyo kizamini nyamukuru cyo kumenya aho amaraso aherereye neza. Ibi bikubiyemo kuguha umuti woroshye wo kuruhura no gushyiramo umuyoboro muto ufite kamera inyura mu kanwa kawe kugira ngo usuzume umwobo wawe, igifu, n'igice cya mbere cy'amara yawe mato.
- Igishimishije ni uko iki kizamini gishobora no gukoreshwa mu kuvura kuva amaraso. Iyo muganga amaze kubona aho kuva amaraso kwabereye, ashobora kohereza ibikoresho bito muri uwo muyoboro kugira ngo ahagarike kuva amaraso (urugero: gukata cyangwa kuyikamura).
4. Gupima indwara: Iyo hari ahantu hakekwa mu gihe cyo gusuzuma, agace gato k'urupapuro karakurwa aho ngaho kakoherezwa muri laboratwari.
Akenshi, izi ndwara zishobora kuvurwa n'imiti, ariko mu bihe bimwe na bimwe bikomeye, kubagwa bishobora kuba ngombwa.
Ni ryari ngomba kubonana na muganga ako kanya?
Hari igisubizo kimwe gusa kuri ibi. Ukimara kubona ko uri kuruka amaraso. Ntugatinde. Cyane cyane niba uri kuruka amaraso hamwe n'ibimenyetso bikurikira, jya kwa muganga vuba bishoboka. Hamagara imbangukiragutabara niba bibaye ngombwa.
- Niba wumva uzungeranye cyane cyangwa unaniwe.
- Niba wumva utazi icyo ukora cyangwa ufite ipfunwe.
- Niba ufite ububabare bukomeye mu gifu.
- Niba ufite ububabare bukomeye mu gituza.
Kuruka amaraso ni ikimenyetso cy'umuburo cy'uko hari ikintu gikomeye gishobora kuba kirimo kuba mu mubiri wawe, bityo ntukirengagize.
Ubutumwa bwo kujyana mu rugo
- Kuruka ukoresheje amaraso ntabwo ari ibintu bisanzwe . Buri gihe ni ikibazo cyihutirwa gisaba ubuvuzi.
- Nubwo ibara ry'amaraso (umutuku utukura cyangwa ifu ya kawa) rishobora gutanga ibimenyetso bimwe na bimwe, umuganga ni we wenyine ushobora kumenya impamvu nyayo.
- Niba uruka amaraso, cyane cyane niba ufite ibindi bimenyetso nko kuzungera no kubabara cyane, jya kwa muganga wita ku barwayi b’inkeragutabara (ETU) vuba.
- Bwira muganga wawe imiti yose ufata, cyane cyane imiti igabanya ububabare (NSAIDs) nka aspirine na ibuprofen.
- Ntugahangayike. Iyo uvuwe ku gihe, akenshi ushobora guhagarika kuva amaraso no kuvura indwara yateye.
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