Ese hari ubwoko ki hagati ya fissures na piles?

Urubuka rw’inyuma n’ibicurane, bizwi kandi nka hemorrhoids, ni ibibazo bisanzwe bigira ingaruka ku gice kiri hafi y’inyuma. Nubwo bishobora kugira ibimenyetso bisa, ni ingenzi kumenya uko bitandukanye. Urubuka rw’inyuma ni umwenda muto mu ruhu rw’inyuma, ukunze gutera ububabare bukabije no kuva amaraso igihe umuntu ari kwikubita. Ibi bishobora kubaho kubera impamvu nyinshi, nko guhumeka, impiswi, cyangwa kubyara.

Ku rundi ruhande, ibicurane ni imiyoboro y’amaraso yabareye mu gice cy’umwijima, bishobora gutera ububabare no gukorora. Bishobora kuba imbere cyangwa hanze, bigatuma ababifite bahura n’ibibazo bitandukanye. Nubwo ibyo bibazo byombi bishobora kuba bibi cyane, impamvu zabyo n’uburyo bwo kuzivura bitandukanye. Niyo mpamvu ari ingenzi kumenya icyo urimo ufite.

Kumenya itandukaniro riri hagati y’urubuka rw’inyuma n’ibicurane bishobora kugufasha kumenya ibimenyetso no gufata umwanzuro ku bijyanye no kuvura. Urugero, kuvura urubuka rw’inyuma bikunze kuba bijyanye no kunoza imikorere y’amara no gukoresha amavuta, mu gihe ibikurane bishobora gusaba guhindura imibereho cyangwa n’ubuganga mu gihe bikomeye. Kumenya ibyo bitandukaniro ni intambwe ya mbere mu gucunga neza uburwayi bwawe. Kuba uzi igihe ukwiye gushaka ubufasha bw’abaganga bishobora gutuma ugira ubuzima bwiza kandi ubuzima buramba.

Kumenya Urubuka rw’inyuma

Urubuka rw’inyuma ni umwenda muto cyangwa igikomere mu ruhu ruri hafi y’inyuma, rukunze gutera ububabare bukomeye mu gihe cyo kwihagarika n’inyuma yaho. Urubuka rw’inyuma rushobora kugabanywamo ubwoko bubiri: acute na chronic.

• Urubuka rw’inyuma rwa Acute: Aya ni amavuko aherutse, akenshi aterwa no kunyura mu ntege nke, cyangwa impiswi iramara igihe kirekire. Ububabare bukabije kandi bushobora kumara iminota mike nyuma yo kwihagarika. Urubuka rushobora gukira rwonyine mu minsi mike cyangwa mu byumweru bike ukoresheje ubuvuzi bukwiye, harimo kongera ifiberi no gukoresha amavuta yo kwisiga kugira ngo ubone ubuvuzi muri ako gace.

• Urubuka rw’inyuma rwa Chronic: Iyo urubuka rw’inyuma rudakira mu gihe cy’ibyumweru bitandatu, ruhinduka chronic. Urubuka rw’inyuma rwa chronic rushobora kujyana n’igikomere cyangwa imikaya, bigatuma bikomerera kuvura. Aya marubuka ashobora gutera ububabare buhoraho, gukorora, no kutihanganira, cyane cyane nyuma yo kwihagarika. Mu bihe bimwe na bimwe, bishobora gutera udukoko hafi y’aho urubuka ruri.

Ibimenyetso:

• Ububabare bukabije mu gihe cyo kwihagarika cyangwa nyuma yaho

• Imyenda cyangwa ibikomere bigaragara hafi y’inyuma

• Kuva amaraso, akenshi atukura cyane ku mpapuro zo kwihagarika

• Gukorora cyangwa gucika intege hafi y’inyuma

• Udukoko cyangwa uruhu hafi y’urubuka (mu gihe rwa chronic)

Kuvura bikunze kuba birimo guhindura imirire, kuvura hifashishijwe amavuta, kandi, mu bihe bikomeye, ubuvuzi.

Kumenya Ibikurane (Hemorrhoids)

Ibikurane, bizwi kandi nka hemorrhoids, ni imiyoboro y’amaraso yabareye mu mwanya w’umwijima cyangwa inyuma bishobora gutera ububabare, kubabara, no kuva amaraso. Hemorrhoids ishobora kugabanywamo ubwoko bubiri nyamukuru: imbere na hanze, buri bwoko bufite ibimenyetso bitandukanye.

• Hemorrhoids zo imbere: Zikura imbere mu mwanya w’umwijima kandi akenshi nta bubabare zitera. Zishobora gutera kuva amaraso mu gihe cyo kwihagarika, akenshi bigaragara nk’amaraso atukura cyane ku mpapuro zo kwihagarika cyangwa mu musarani. Mu bihe bimwe na bimwe, hemorrhoids zo imbere zishobora kuva, bivuze ko zisohoka mu nyuma, bigatera ububabare, gukorora, cyangwa gucika intege.

• Hemorrhoids zo hanze: Zikura munsi y’uruhu ruri hafi y’inyuma kandi zishobora kubabaza. Ibimenyetso birimo ububabare, kubyimbagira, no gukorora, cyane cyane igihe wicaye cyangwa mu gihe cyo kwihagarika. Hemorrhoids zo hanze zishobora kandi gutera amaraso (thrombosed hemorrhoids), bigatera ububabare bukabije no kubyimbagira.

Ibimenyetso bya Hemorrhoids:

• Ububabare n’ubutayu, cyane cyane mu gihe cyo kwihagarika cyangwa wicaye igihe kirekire

• Kuva amaraso, akenshi amaraso atukura cyane ku mpapuro zo kwihagarika cyangwa mu musarani

• Gukorora cyangwa gucika intege hafi y’inyuma

• Kubyimbagira cyangwa udukoko hafi y’inyuma, cyane cyane kuri hemorrhoids zo hanze

• Kuva cyangwa kubyimbagira kwa hemorrhoids hanze y’inyuma (mu gihe gikomeye cy’izo imbere)

Kuvura birimo guhindura imibereho, guhindura imirire, imiti igurwa mu maduka, kandi mu bihe bikomeye, ubuvuzi.

Ugereraniro: Urubuka rw’inyuma vs. Ibikurane

Igice	Urubuka rw’inyuma	Ibikurane (Hemorrhoids)
Ibisobanuro	Umwenda mu ruhu rw’umwanya w’inyuma.	Imiyoboro y’amaraso yabareye kandi yanduje mu mwanya w’umwijima cyangwa inyuma.
Impamvu	Gukoresha imbaraga mu gihe cyo kwihagarika, kunyura mu ntege nke, cyangwa gukomeretsa umwanya w’inyuma.	Guhumeka igihe kirekire, gukoresha imbaraga, kwicara igihe kirekire, cyangwa gutwita.
Aho biri	Akenshi ku munwa w’inyuma.	Imbere: Imbere mu mwanya w’umwijima; Hanze: Hafi y’inyuma.
Ububabare	Ububabare bukabije, bukomeye mu gihe cyo kwihagarika n’inyuma yaho.	Ibikurane byo imbere akenshi nta bubabare bitera; ibyo hanze bishobora gutera ububabare n’ubutayu.
Kuva amaraso	Amaraso atukura cyane ku ntege nke cyangwa ku mpapuro zo kwihagarika.	Amaraso atukura cyane, haba mu ntege nke cyangwa amanuka mu musarani.
Ibimenyetso	Ububabare, imikaya y’umwanya w’inyuma, gukorora, no kutihanganira.	Gukorora, gucika intege, kubyimbagira, ububabare (hanze), no kuva amaraso.
Kuvura	Amavuta yo kwisiga, imiti yo koroshya intege nke, cyangwa ubuvuzi ku marubuka ya chronic.	Guhindura imirire, kuvura hifashishijwe amavuta, guhambira, cyangwa ubuvuzi mu bihe bikomeye.
Igihe kirekire	Bishobora kuba chronic bidakuwe.	Bishobora gukomeza cyangwa gusubiraho niba impamvu z’ibanze zitarakemuwe.
Ingaruka	Urubuka rwa chronic, kwandura, cyangwa kubyimba.	Amaraso mu bikurane byo hanze, kuva cyane, cyangwa kuva amaraso igihe kirekire.

Kwiringira Ibikurane n’Urubuka rw’inyuma

• Kugira imirire ifite ifiberi nyinshi: Koresha imbuto, imboga, ibinyampeke byuzuye, n’ibinyampeke kugira ngo woroshye intege nke kandi wirinde gukoresha imbaraga.

• Kunywa amazi ahagije: Nywa amazi ahagije buri munsi kugira ngo kunoze igogora kandi wirinde guhumeka.

• Kugira imikorere myiza y’amara: kwirinda gukoresha imbaraga mu gihe cyo kwihagarika no guhita uhagarika igihe ukeneye kwihagarika.

• Gukora imyitozo ngororamubiri buri gihe: Kora imyitozo ngororamubiri kugira ngo kunoze amaraso kandi ushyigikire igogora ryiza.

• Kwima kwicara igihe kirekire: Koresha igihe gito wicaye ku musarani cyangwa mu myanya idakora kugira ngo ugabanye umuvuduko ku gice cy’inyuma.

• Kwita ku isuku: Kwoza umwanya w’inyuma neza kugira ngo wirinde gucika intege no kwandura.

Ubuvuzi bwiza bw’Ibikurane n’Urubuka rw’inyuma

• Guhindura imirire: ibiryo bifite ifiberi nyinshi n’amazi ahagije kugira ngo woroshye intege nke kandi ugabanye gukoresha imbaraga.

• Imiti: amavuta yo kwisiga, amavuta, cyangwa imiti yo mu kibuno kugira ngo ugabanye ububabare no kubyimbagira.

• Amazi ashyushye yo kwicara: Nywa umwanya w’inyuma mu mazi ashyushye iminota 10-15 kugira ngo ugabanye ububabare.

• Guhindura imibereho: Gukora imyitozo ngororamubiri buri gihe no kwirinda kwicara igihe kirekire kugira ngo kunoze amaraso.

• Ubuvuzi bw’abaganga: Mu bihe bikomeye, ibintu nko guhambira ibikurane hamwe n’umushumi cyangwa lateral internal sphincterotomy ku marubuka bishobora gusabwa.

• Kuvura hifashishijwe Laser: ntabwo ari bibi kandi bifite akamaro ku bihe bikomeye by’ibikurane n’amarubuka.
  

Incamake

Urubuka rw’inyuma n’ibicurane ni ibibazo bisanzwe by’inyuma bifite impamvu n’ibimenyetso bitandukanye. Urubuka rw’inyuma ni imyenda mito mu ruhu rw’inyuma, itera ububabare bukabije, kuva amaraso, no gukorora, akenshi biterwa no gukoresha imbaraga cyangwa intege nke. Ibikurane, cyangwa hemorrhoids, ni imiyoboro y’amaraso yabareye, haba imbere cyangwa hanze, itera ububabare, gukorora, kandi rimwe na rimwe kuva amaraso. Kwiringira birimo imirire ifite ifiberi nyinshi, amazi ahagije, gukora imyitozo ngororamubiri buri gihe, no kwirinda gukoresha imbaraga.

Kuvura birimo amazi ashyushye yo kwicara n’amavuta yo kwisiga kugeza ku bintu bikozwe nka laser cyangwa ubuvuzi mu bihe bikomeye. Kumenya ibyo bibazo no gushaka ubufasha bw’abaganga igihe gikwiye bihamya gucunga neza no kugira ubuzima bwiza.

Ibibazo bisanzwe

1. Umenya ute niba ari ibikurane cyangwa urubuka rw’inyuma?

   Ibikurane biterwa no kubyimbagira, gukorora, no kuva amaraso nta bubabare, mu gihe urubuka rw’inyuma ruterwa no kubabara cyane n’imyenda igaragara mu ruhu rw’inyuma.

2. Ibikurane n’urubuka rw’inyuma bishobora kuba hamwe?
   Yego, ibikurane n’urubuka rw’inyuma bishobora kuba hamwe, cyane cyane niba guhumeka igihe kirekire cyangwa gukoresha imbaraga biterwa n’imijyana y’amaraso yabareye (ibikurane) n’imyenda mu ruhu rw’inyuma (urubuka rw’inyuma).

3. Urubuka rw’inyuma cyangwa ibikurane ni ibyo bibabaza kurushaho?
   Urubuka rw’inyuma akenshi rubabaza kurushaho kubera ububabare bukabije mu gihe cyo kwihagarika, mu gihe ibikurane bishobora gutera ububabare, gukorora, cyangwa ububabare buke keretse byaba byarabyimbagira cyangwa byavuye.