Wenda umuganga w’umuryango wawe yakwohereje kwa muganga w’inzobere mu by’ibihaha, cyangwa 'Pulmonologist' nkuko tubita mu Cyongereza. Cyangwa wenda nawe ubwawe urimo gushaka uwo muganga kuko umaze igihe urwaye inkorora cyangwa uhumeka nabi. Ni nde mu by’ukuri umuganga w’indwara z’ibihaha? Ni izihe ndwara avura? Reka tubiganireho mu buryo bworoshye kandi bw’ikinyabupfura.
Uyu muganga w’indwara z’ibihaha ni nde?
Mu magambo make, inzobere mu by’imitsi y’amagufwa ni umuganga wihariye mu ndwara z’imitsi y’ubuhumekero, ni ukuvuga ibihaha, inzira z’ubuhumekero, n’izindi ngingo zose zijyanye no guhumeka. Nk’uko inzobere mu by’umutima ireba umutima, aba baganga bita cyane ku mitsi y’ubuhumekero bwacu.
Bavura indwara zitandukanye, kuva ku ndwara zisanzwe nka asima kugeza ku ndwara zikomeye nka kanseri y'ibihaha. Banagira uruhare runini mu kuvura abarwayi bafite ibibazo byo guhumeka mu byumba byita ku barwayi barembye cyane (ICU) mu bitaro.
Bakorera he?
Abaganga b'indwara z'ibihaha bakunze gukora mu bitaro, cyane cyane mu byumba byita ku barwayi barembye cyane (ICU) no mu byumba by'ubuvuzi. Byongeye kandi, banayobora amavuriro mu bitaro byigenga no mu bigo by'ubuvuzi byihariye. Bamwe mu baganga bakora muri laboratwari zivura indwara zo gusinzira, bavura indwara nko guhumeka mu gihe cyo gusinzira.
Tekereza ku mutima n'ibihaha byacu nk'inshuti magara ebyiri. Iyo umwe agize ikibazo, undi aragikomeretsa. Niyo mpamvu abaganga b'indwara z'imitsi bakunze gukorana n'abaganga b'indwara z'umutima.
Hari kandi n'urwego rukura rwitwa `Interventional Pulmonology`. Ibi bikubiyemo gushyira umuyoboro muto ufite kamera (nk'iya `Endoscopy`) mu bihaha kugira ngo hakorerwe ubuvuzi bwihariye nko gukuraho ibibyimba bito mu bihaha no gukuraho amazi akikije ibihaha.
Ni izihe ndwara z'ingenzi abaganga b'indwara z'ibihaha bavura?
Indwara zisanzwe nk'inkorora n'ibicurane zikunze kuvurwa na muganga w'umuryango wawe. Ariko, indwara zigoye kandi zidakira nk'izi zikurikira zisaba ubufasha bw'inzobere mu by'imitsi y'ibihaha.
| Imiterere | Ibisobanuro byoroshye |
|---|---|
| Asima | Iki ni cyo gihe inzira z'ubuhumekero zibyimba, zigafungana, cyangwa zuzuyemo amatembabuzi. Asima isanzwe ishobora gucungwa na muganga w'umuryango wawe. Ariko, mu gihe cya asima igoye kuyigenzura kandi nta mpamvu iboneka, hakenewe ubufasha bw'inzobere. |
| COPD (Indwara y'ibihaha idakira) | Iyi ni indwara y'igihe kirekire. Irimo indwara ya bronchitis idakira na emphysema. Impamvu nyamukuru ni ukurwara ibintu bitera uburyaryate mu bihaha igihe kirekire, nko kunywa itabi. |
| Indwara y'ibihaha yo hagati mu bihaha | Iki ni cyo gihe uturemangingo tworoshye cyane (interstitium) mu bihaha twiyongera, tugakomera, bigatuma guhumeka bigorana. Ibi bishobora kubaho mu buryo butunguranye cyangwa nyuma y'igihe. |
| Kanseri y'ibihaha | Indwara ikomeye ishobora gutangirira mu bihaha igakwirakwira no mu bindi bice by'umubiri. Uruhare rw'inzobere mu by'imitsi ni ingenzi cyane mu gusuzuma ibi no gutegura uburyo bwo kuvura. |
| Kubura umwuka wo gusinzira | Indwara yo guhumeka ihagarara rimwe na rimwe mu gihe cyo gusinzira. Ibi bigabanya ingano ya ogisijeni umubiri ubona kandi bishobora gutera izindi ngorane zikomeye z'ubuzima . |
Ni ryari wagombye kubonana na muganga w’indwara z’ibihaha?
Wibuke ko udakeneye kujya kwa muganga w’inzobere ako kanya kubera ibicurane cyangwa inkorora. Ubwa mbere, reba muganga mukuru wawe (Dogiteri) cyangwa umuganga w’umuryango wawe.Azasuzuma ibimenyetso byawe hanyuma akwohereze kwa muganga w’indwara z’ibihaha nibiba ngombwa.
Dore zimwe mu bihe umuganga wawe ashobora kukwohereza kwa muganga w’indwara z’ibihaha:
- Niba ufite asima bigoye kuyigenzura cyangwa ikunze kwiyongera.
- Niba urwaye bronchitis ikomeza kugaruka .
- Niba ufite inkorora imara igihe kirekire, ibyumweru birenga 3-4 .
- Niba uvuza ijwi ry'umwotsi iyo uhumeka cyangwa niba uhora wumva ufite ikibazo cyo guhumeka.
- Niba wumva igituza kidakomeye cyangwa ububabare (ni ngombwa gushaka inama kwa muganga kuko ibi bishobora guterwa n'indwara z'umutima).
- Ibibazo byo gusinzira, cyane cyane iyo ufite ibimenyetso nko kwitsamura no guhumeka mu gihe cyo gusinzira .
- Iyo hagaragaye ikintu kidasanzwe mu bihaha mu gihe cyo gupima X-ray cyangwa CT scan.
Bisaba angahe kugira ngo umuntu abe umuhanga nk'uyu?
Kuba umuganga w’indwara z’ibihaha ni urugendo rurerure kandi rwihariye. Si akazi uhabwa gusa.
Ubusanzwe, nyuma yo kurangiza impamyabumenyi y'imyaka 5 mu ishuri ry'ubuganga no kuba umuganga, bagomba kumara imyaka myinshi y'amahugurwa y'ikirenga mu buvuzi rusange (`Ubuvuzi bw'imbere`). Nyuma y'ibyo, bagomba kwiga by'umwihariko `Ubuvuzi bw'ibihaha` mu gihe cy'imyaka myinshi, bagatsinda ibizamini bikenewe, kandi bagahabwa amahugurwa akomeye mbere y'uko bemererwa gukora nk'umuganga w'ibihaha. Bityo rero urashobora kubona ubwitange n'ubuhanga bisaba kugira ngo ubone.
Ubutumwa bwo kujyana mu rugo
- Umuganga w’indwara z’ibihaha ni umuganga ufite ubumenyi bwihariye mu kuvura ibibazo bifitanye isano n’ibihaha byawe, inzira z’ubuhumekero, n’ubuhumekero.
- Bavura indwara nka asima, COPD, kanseri y'ibihaha, no guhumeka nabi mu gihe cyo gusinzira.
- Niba ufite ibimenyetso bifitanye isano n'uburyo bwo guhumeka, banza urebe muganga w'umuryango wawe. Nibiba ngombwa, azakohereza kwa muganga w'inzobere.
- Ntuzigere wirengagiza ibimenyetso nko gukorora guhoraho, guhumeka, cyangwa kubabara mu gatuza. Menya neza ko wabibwiye muganga wawe.
- Aba bahanga bahuguwe cyane kandi bitanga ubwitange mu kugufasha, bityo gukurikiza inama zabo ni ingenzi cyane ku mibereho yawe myiza.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.