Ese umuganga w’umuryango wawe cyangwa umuganga wawe w’ibanze yaba yarakubwiye kujya kwa muganga w’inzobere mu by’impyiko? Ushobora kuba waragize ubwoba gato, ukibaza uti: "Ese hari ikibazo gikomeye kiri mu mpyiko zanjye?" Ariko nta mpamvu yo gutinya. Wageze ahantu heza. Aba baganga ni inzobere mu ndwara z’impyiko. None uyu munsi, reka tuvuge ku muganga w’inzobere mu by’impyiko, cyangwa umuhanga mu by’imitsi, uwo ari we, icyo bakora, n’icyo ugomba kumenya igihe ugiye kureba.
Uyu muganga w’impyiko (Nephrologist) ni nde?
Mu magambo make, inzobere mu ndwara z’impyiko ni umuganga wihariye mu kuvura impyiko zacu n’indwara iyo ari yo yose ifata impyiko. Nanone tuyita "abaganga b’impyiko." Nyuma yo kuba umuganga mukuru (MBBS), bamara indi myaka ibiri cyangwa irenga biga by’umwihariko ku ndwara z’impyiko.
Niba umuganga w’umuryango wawe afite impungenge ku mikorere y’impyiko zawe, urugero niba ikizamini cy’amaraso yawe kigaragaza ko urugero rwa creatinine ruri hejuru gato, azakohereza kwa muganga w’indwara z’imitsi. Uyu muganga w’inzobere azasuzuma icyateye ikibazo cyawe kandi akore gahunda yo kugikemura, agihagarike, cyangwa ngo agikize.
Indwara z'ingenzi zivurwa na muganga w'indwara zo mu bwonko
Inzobere mu ndwara z'imitsi yibanda ku bibazo bitandukanye bifitanye isano n'impyiko. Reka turebe bimwe muri byo.
| Indwara | Ibisobanuro byoroshye |
|---|---|
| Indwara y'impyiko | Iyi ni indwara igenda yangiza impyiko buhoro buhoro uko igihe kigenda gihita. Nta bimenyetso bikomeye bishobora kugaragara mu ntangiriro. Ariko, iyo bigaragaye hakiri kare, imiti n'impinduka mu mibereho bishobora gufasha gukumira kwangirika kurushaho. |
| Kunanirwa kw'impyiko | Iki ni cyo cyiciro cya nyuma cy'indwara y'impyiko. Aha, muganga azakugira inama yo gukoresha dialyse.- Ibyo bivuze ko ugomba gusukura amaraso ukoresheje imashini - nibiba ngombwa, azakurikirana neza ubwo buryo bwo kuvura. Ashobora no gusaba ko impyiko ziterwa . |
| Umuvuduko ukabije w'amaraso | Niba ufite umuvuduko ukabije w'amaraso ugoye kugenzura, abaganga b'indwara z'imitsi bashobora kugufasha. Hari igihe ibibazo by'impyiko bishobora no gutuma bigorana kugenzura umuvuduko w'amaraso. |
| Kwangirika kw'impyiko guterwa na kanseri | Ubwoko bumwe na bumwe bwa kanseri cyangwa uburyo ivura bishobora kwangiza impyiko. Urugero, indwara nka myeloma nyinshi, kanseri y'uruhago, kanseri y'inkondo y'umura, na kanseri y'amara. |
| Indwara ya Nephrotic | Ibi bituma poroteyine nyinshi zisohoka mu nkari. Ibi bishobora gutera kubyimba mu bice bitandukanye by'umubiri, cyane cyane hafi y'amaso n'amaguru. |
| Indwara y'impyiko ya Polycystic | Ibi ni byo bituma impyiko zikora nk'ibinyabutabire byuzuye amazi. Iyo bibaye binini, bishobora kwangiza impyiko ndetse bigatuma zinanirwa gukora neza. |
Ibintu ugomba kuzana iyo ugiye kwa muganga ku nshuro ya mbere
Iyo witeguye mbere gato y'igihe ugiye kwa muganga, bizoroha cyane kuri wowe no kuri muganga. Dore ibintu bimwe na bimwe ugomba kwibuka no kujyana.
| Ibyo kuzana | Kuki ari ibyo? (Akamaro) |
|---|---|
| Ibimenyetso byaweN'urutonde rwanditse rw'igihe bamaze. | Ibi byorohereza muganga kumenya neza uko umerewe. |
| Urutonde rw'imiti yose urimo gufata ubu (harimo n'iyo mu zindi ndwara). | Hari imiti ishobora kugira ingaruka ku mpyiko, bityo aya makuru ni ingenzi cyane. |
| Amateka yawe y'ubuvuzi n'inyandiko zabanje z'ubuvuzi , cyane cyane amaraso, raporo z'inkari, na raporo zo gupima inda. | Ibi bifasha kugereranya inyandiko za kera no kwirinda kongera gupimwa bitari ngombwa. |
| Amazina n'amakuru y'abandi baganga urimo gufata imiti. | Ibi bizagufasha kuvugana na bo no kubona amakuru nibiba ngombwa. |
Ni ubuhe bwoko bw'ibizamini muganga azakorera?
Nyuma yo kuganira ku bimenyetso byawe n'amateka yawe, muganga wawe azagusuzuma. Byongeye kandi, bashobora kugutegeka ibizamini byinshi kugira ngo bamenye impamvu nyayo, nko:
- Ibizamini by'inkari: Uzasabwa gukusanya inkari nke mu gikombe. Hari igihe ushobora no gusabwa gukusanya icyitegererezo cy'inkari mu masaha 24. Laboratwari izapima inkari kugira ngo irebe ibintu nk'imyanda, poroteyine, imisemburo, n'imyunyu ngugu. Inkari zizasuzumwa kandi niba nta maraso cyangwa ibimenyetso by'ubwandu.
- Gupima imiterere y'impyiko mu buryo bwa Ultrasound: Ibi bikoresha amajwi kugira ngo bifate amafoto y'impyiko zawe. Ibi bishobora kugufasha kubona ingano n'imiterere y'impyiko zawe, ndetse no kureba niba hari amabuye cyangwa ibibyimba. Nta bubabare.
- Gupima CT: Uru ni urukurikirane rw'amashusho ya X-ray. Ibi bituma impyiko zigaragara neza kandi zifite imiterere itatu (3D).
- Gupima indwara: Ibi bikubiyemo gukuraho agace gato cyane k'umubiri mu mpyiko hakoreshejwe urushinge no kugasuzuma hifashishijwe mikorosikopi. Ibi bishobora gufasha kumenya neza ubwoko bw'indwara yangije impyiko.
Igikuru ni uko niba muganga agusabye ikizamini, ubaze impamvu n'icyo wakwitega kuri cyo.
Ibibazo byo kubaza umuhanga mu by'imitsi
Nubonana na muganga wawe, ntugatinye kubaza ikibazo icyo ari cyo cyose ufite. Uko urushaho kumenya indwara yawe, niko urushaho kumererwa neza. Dore bimwe mu bibazo ushobora kubaza:
- Kuki muganga wanjye yanyohereje kuri wewe?
- Kuki imikorere y'impyiko zanjye iri kugabanuka?
- Ni uruhe rwego rw'imikorere y'impyiko zanjye ugereranije n'impyiko nzima?
- Ese mfite indwara y'impyiko? Niba ari yo, igeze ku kigero ki? Ibyo bivuze iki?
- Ni ubuhe buryo bwo kuvura mfite?
- Ingaruka mbi za buri buryo bwo kuvura ni izihe?
- Nimara gutangira kuvurwa, ni izihe nama zizamfasha gukomeza kuvurwa neza?
- Ese ngomba guhindura imibereho yanjye (nk'imirire, imyitozo ngororamubiri)?
- Ese nkwiye kuguhamagara niba mfite ikibazo gishya cyangwa ikimenyetso gishya?
Andika ibisubizo by'ibi bibazo, cyangwa usabe umuntu mugendana nawe kubyandika. Muri ubwo buryo, bizarushaho kubyibuka nyuma.
Ubutumwa bwo kujyana mu rugo
- Umuganga w’indwara z’impyiko ni umuganga w’inzobere mu kuvura indwara z’impyiko. Niba umuganga wawe usanzwe yarakohereje, ntugire ikibazo, uri mu maboko meza.
- Iyo ugiye kwa muganga, shyira ibimenyetso byose by'indwara yawe, imiti ufata, na raporo zabanje zikurikirana.
- Ntutindiganye kubaza muganga wawe ikibazo icyo ari cyo cyose ufite, nubwo cyaba gito gute. Ni ngombwa kumenya neza uko indwara yawe imeze.
- Kurikiza gahunda yo kuvurwa na muganga wawe hamwe n'impinduka mu mibereho (imirire, imyitozo ngororamubiri) neza. Ibi bizagufasha kugenzura kwangirika kw'impyiko zawe.
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