Uyu muganga w’inzobere mu by’imisemburo (Endocrinologist) ni nde? Reka tumenye neza ibi!

Ibintu byinshi biba mu mibiri yacu bigenzurwa, cyangwa se, n'uburyo bw'ibinyabutabire bikora nk'intumwa. Tubyita imisemburo. Iyi misemburo igira uruhare mu bintu byinshi udashobora kwiyumvisha, nko gukura k'umubiri wawe, uko wumva umeze, ubushobozi bwo kubyara, ndetse n'imikorere y'umubiri. Iyo ibintu byose mu mubiri bikora neza, ntabwo tuba dutekereza kuri iyi misemburo. Ariko hari ubwoko burenga 50 bw'imisemburo mu mubiri wacu. Rero niba hari ikibazo gito cyangwa ubusumbane muri iyi sisitemu, dukeneye ubufasha bw'inzobere. Icyo gihe ni bwo dukeneye umuganga wihariye mu misemburo, cyangwa inzobere mu by'indwara z'imitsi.

Mu magambo make, uyu muganga w’indwara z’imitsi ni nde?

Inzobere mu by'imiti y'amaraso ni umuganga w’inzobere mu gusuzuma no kuvura indwara zigira ingaruka ku misemburo y’umubiri wacu, ku ngirabuzimafatizo zikora imisemburo, n’izindi ngingo zifitanye isano. Mu magambo make, umuganga ufite ubumenyi bwimbitse ku kibazo icyo ari cyo cyose kijyanye n’imisemburo.

Sisitemu y'imisemburo mu mubiri wacu ni urusobe rugoye cyane. Inshingano nyamukuru y'aba bahanga ni ugusuzuma no kuvura indwara ziterwa n'ibibazo biri muri iyi sisitemu, no gufasha abarwayi kubana n'izo ndwara.

Ni izihe ndwara z'ingenzi abaganga b'indwara z'imitsi bavura?

Iyo utekereje ku ndwara ziterwa n'imisemburo, hari ikintu kimwe cyangwa bibiri bishobora kuza mu mutwe. Ariko izi nzobere zivura indwara zitandukanye cyane kurusha izo. Reka turebere hamwe izo ari zo.

Umuganga w’indwara z’imitsi avuka ate?

Ibi ni ingenzi cyane. Kuba umuganga w’indwara z’imitsi ntabwo ari urugendo rworoshye. Bizaguha igitekerezo cy’ubumenyi bwimbitse aba baganga bafite.

Tekereza, nyuma yo kurangiza impamyabumenyi yabo rusange y’ubuvuzi (MBBS), bagomba gukomeza amahugurwa yihariye y’imyaka myinshi.

• Ubwa mbere, bitoza imyaka myinshi kugira ngo babe inzobere mu buvuzi bw'imbere mu mubiri cyangwa mu buvuzi bw'abana.
• Nyuma y'ibyo, umara indi myaka ibiri cyangwa itatu wigishwa by'umwihariko ibijyanye n'ubuhanga mu by'imitsi, diyabete, na metabolisme.

Nyuma y’iki gihe kirekire cy’amahugurwa ni bwo baba bujuje ibisabwa kugira ngo bakore nk’inzobere mu by’imisemburo. Bityo rero urabona ubwitange busabwa kugira ngo umuntu agire ubumenyi.

Ni ryari ukwiye kujya kwa muganga w’indwara z’imitsi (endocrinologist)?

Ubusanzwe, umuganga w’umuryango wawe (Dogiteri w’ibanze / Muganga w’indwara z’intangarugero) ni we uguha serivisi zo kuvura indwara z’imitsi iyo bakeka ko ufite ikibazo kijyanye n’imisemburo. Reka turebe bimwe muri ibyo bibazo.

Niba diyabete igoye kuyigenzura

Ubusanzwe ushobora kuvurwa diyabete na muganga w’umuryango wawe. Ariko niba isukari yawe mu maraso idagenzurwa n’imiti n’ubuvuzi uhabwa, muganga wawe ashobora kukwohereza kwa muganga w’indwara z’imitsi. Uyu muganga ashobora kureba ubundi buryo bwihariye n’uburyo bwo kuvura kugira ngo agufashe mu kugenzura diyabete yawe.

Niba ufite ikibazo cya tiroyide

Iyo umenyekanye bwa mbere ko ufite ikibazo cya tiroyide, ushobora koherezwa kwa muganga w’indwara z’imitsi kugira ngo agufashe gutegura gahunda yo kuvura. Hari igihe, niba utwite cyangwa uteganya kubyara, ubufasha bw’uyu muganga ni ingenzi kugira ngo ugenzure neza urugero rw’imisemburo ya tiroyide. Nanone, niba goiter yawe yariyongereye, ufite utubyimba ku ngirabuzimafatizo ya tiroyide, cyangwa niba indwara yawe idakira neza iyo uvuwe, ushobora kongera gukenera kubonana na muganga w’indwara z’imitsi.

Indwara ya osteoporose

Niba umuganga wawe akeka ko impinduka mu misemburo zituma amagufwa atakaza, ashobora kukwohereza kwa muganga w’indwara z’imitsi kugira ngo akore iperereza kuri iki kibazo kandi akore gahunda yo kuvura.

Indwara y'intanga ngabo (PCOS)

PCOS, indwara ikunze kugaragara cyane mu bagore bakiri bato muri iki gihe, iterwa n'ihindagurika ry'imisemburo. Ni ngombwa kugisha inama abaganga b'indwara z'imitsi kugira ngo bayivure neza kandi barebe ingaruka zayo (urugero: diyabete, cholesterol nyinshi).

Kugabanuka k'urugero rwa testosterone

Hari impamvu nyinshi zituma testosterone, imisemburo nyamukuru y'abagabo, ishobora kugabanuka. Inzobere mu by'imiti y'amaraso ni we muntu mwiza wo kumenya impamvu, gutangira imiti igabanya imisemburo (Testosterone Therapy) nibiba ngombwa, no kuyikurikirana.

Ni iki wakwitega iyo ugiye kubonana n'umuganga w'indwara z'imitsi (endocrinologists)?

Mbere na mbere, nta cyo ugomba gutinya. Ibi ni nko kujya kwa muganga undi.

1. Ababaza ibibazo: Ubwa mbere, umuganga azaganira nawe neza. Azakubaza ibibazo byinshi ku bimenyetso byawe, igihe umaze ubirwaye, imiti ufata, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira indwara nk'izo. Azasuzuma kandi inyandiko zoherejwe na muganga w'umuryango wawe.

2. Isuzuma ry'umubiri: Hanyuma, hazasuzumwa umuvuduko w'umutima wawe, umuvuduko w'amaraso, n'umuvuduko w'amaraso. Ahantu nk'uruhu rwawe, umusatsi, n'umunwa na ho hashobora gusuzumwa, kuko aha niho ibimenyetso by'ibibazo bimwe na bimwe by'imisemburo bishobora kugaragara.

3. Gupima amaraso: Iyo bibaye ngombwa, hashobora gutegekwa gupima amaraso, gupima inkari, gupima biopsy, gupima ultrasound cyangwa gupima CT/MRI.

4. Gahunda yo kuvura: Nyuma y'ibi byose, indwara yawe izasuzumwa kandi hagashyirwaho gahunda yo kuvura ikubereye.

Hari abarwayi bazakenera gukomeza kuvurwa na muganga w’indwara zo mu mutwe (urugero: diyabete). Ku bandi, nyuma yo gusuzuma no kuvura, ibisigaye bishobora gukorwa na muganga w’umuryango. Biterwa n’uko urwaye.