Hepatite yo mu gifu iterwa n’inzoga: Ibimenyetso, Intandaro, n’Ubuvuzi

Hepatite yo mu gifu iterwa n’inzoga ni iki?

Hepatite yo mu gifu iterwa n’inzoga ni ububabare bw’umwijima buterwa no kunywa inzoga nyinshi mu gihe kirekire. Umwijima wawe uba ufite ububabare kandi wangiritse kuko uhangayikishwa no gutunganya inzoga unywa.

Tekereza ku mwijima wawe nk’urugingo rukuru rw’umubiri wawe rushinzwe gukora isuku no gutunganya ibintu. Iyo unyweye inzoga nyinshi mu mezi cyangwa imyaka myinshi, uru rugingo rukomeye rurahangayikishwa kandi rugasiba. Iyi ndwara ishobora kuba kuva ku bubabare buke kugeza ku yangirika rikomeye ry’umwijima rishobora no gutera urupfu.

Ibi bitandukanye na hepatite iterwa na virusi ushobora kwandura uvuye ku wundi muntu. Hepatite yo mu gifu iterwa n’inzoga iterwa no kunywa inzoga, kandi igaragaza uburyo umwijima wawe ugaragaza ko ukeneye ubufasha no kuruhuka inzoga.

Ibimenyetso bya hepatite yo mu gifu iterwa n’inzoga ni ibihe?

Ibimenyetso bya hepatite yo mu gifu iterwa n’inzoga bishobora kuza buhoro buhoro cyangwa bigakubita mu buryo butunguranye. Umubiri wawe ukenshi uza kukwereka ibimenyetso bigaragara ko umwijima wawe uhangayitse.

Ibimenyetso bisanzwe ushobora kubona birimo:

• Umuhondo ku ruhu no mu maso (jaundice)
• Kubabara cyangwa kubabara mu gice cy’iburyo hejuru y’inda
• Kumva unaniwe cyangwa udakomeye
• Kubura ubushake bwo kurya no kugabanya ibiro bitateganijwe
• Isesemi no kuruka
• Kubyimbagira mu birenge no mu maguru
• Inkorora n’umuriro

Mu bihe bikomeye, ushobora kumva udasobanukiwe, ugira ikibazo cyo gutekereza neza, cyangwa amazi akaba menshi mu nda. Ibi bimenyetso bivuga ko imikorere y’umwijima wawe yangiritse cyane kandi ukeneye ubuvuzi bw’ihutirwa.

Bamwe mu bantu bafite hepatite yo mu gifu iterwa n’inzoga idakomeye bashobora kutagera ku bimenyetso na gato. Umwijima wawe ushobora kuba ufite ububabare kandi ukora nabi nta bimenyetso bigaragara, niyo mpamvu gusuzuma buri gihe ari ingenzi niba unywa inzoga buri gihe.

Intandaro ya hepatite yo mu gifu iterwa n’inzoga ni iyihe?

Hepatite yo mu gifu iterwa n’inzoga itera iyo umwijima wawe udashobora gukomeza gutunganya inzoga unywa. Kunywa inzoga nyinshi mu gihe kirekire bituma umwijima wawe udashobora gutunganya inzoga neza.

Iyo unywa inzoga, umwijima wawe ukora cyane kugira ngo uwuhinduke mu bintu bidakomeye. Muri uwo mujyo, ibintu byangiza uturemangingo tw’umwijima biraba. Iyo unyweye inzoga nyinshi mu gihe kirekire, ibyo bintu byangiza birakomeza kwiyongera kurusha uko umwijima wawe ushobora kubikuraho.

Ibintu byihariye bigira uruhare muri hepatite yo mu gifu iterwa n’inzoga birimo:

• Kunywa inzoga nyinshi buri munsi mu myaka myinshi
• Kunywa inzoga nyinshi mu gihe gito cyane cyane bigatuma umwijima wawe uhangayika
• Imirire mibi ituma ubushobozi bw’umwijima wawe bwo gusana bugabanuka
• Kugira izindi ndwara z’umwijima uherekejwe no kunywa inzoga
• Ibintu by’umurage bigira ingaruka ku buryo umubiri wawe utunganya inzoga

Si buri wese unywa inzoga nyinshi uzagira hepatite yo mu gifu iterwa n’inzoga. Umurage wawe, ubuzima bwawe muri rusange, imirire yawe, n’uburyo unywa inzoga byose bigira uruhare mu kaga kawe. Ariko rero, uko unywa cyane kandi igihe kirekire, ni ko amahirwe yawe yo kuyirwara yongera.

Ni ryari ukwiye kujya kwa muganga kubera hepatite yo mu gifu iterwa n’inzoga?

Ukwiye kujya kwa muganga ako kanya niba ubona umuhondo ku ruhu cyangwa mu maso, ububabare buhoraho mu nda, cyangwa isesemi no kuruka bihoraho. Ibi bimenyetso bigaragaza ko umwijima wawe ukeneye isuzuma n’ubuvuzi bw’ihutirwa.

Shaka ubuvuzi bw’ihutirwa niba ufite ibimenyetso bikomeye nko kudasobera, kugira ikibazo cyo gukomeza kuba maso, kuruka amaraso, cyangwa kubyimbagira cyane mu nda. Ibi bimenyetso bigaragaza ko umwijima wawe wangiritse cyane kandi ukeneye ubuvuzi bw’ihutirwa.

Ndetse niba ibimenyetso byawe bigaragara ko bidakomeye, ni ingenzi kuvugana n’umuganga wawe ukuri ku myitwarire yawe yo kunywa inzoga. Kumenya hakiri kare no kuvura bishobora kubuza hepatite yo mu gifu iterwa n’inzoga gutera iyangirika rikomeye ry’umwijima.

Ntugatege amatsiko ibimenyetso bikomeza cyangwa wizeye ko bizagenda ubwabyo. Umwijima wawe ufite ubushobozi bwo gukira neza iyo uhawe amahirwe, ariko ukeneye ubufasha bw’abaganga kugira ngo ukire neza.

Ibyago byo kurwara hepatite yo mu gifu iterwa n’inzoga ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yawe yo kurwara hepatite yo mu gifu iterwa n’inzoga uretse ubwinshi bw’inzoga unywa. Gusobanukirwa ibyo byago bishobora kugufasha gufata ibyemezo byiza bijyanye n’ubuzima bwawe.

Ibyago by’ingenzi birimo:

• Kunywa inzoga zirenze 3-4 ku bagabo, cyangwa 2-3 ku bagore
• Gukomeza kunywa inzoga nyinshi mu myaka 5 cyangwa irenga
• Kuba umugore (abagore bagira iyangirika ry’umwijima vuba kurusha abagabo)
• Kuba ufite umubyibuho ukabije cyangwa ukaba urengeje ibiro
• Imirire mibi n’ikibazo cyo kubura vitamine
• Kugira indwara ya hepatite B cyangwa C
• Kunywa imiti imwe n’imwe ituma umwijima uhangayika
• Kugira amateka y’umuryango w’indwara z’umwijima ziterwa n’inzoga

Abagore bafite ibyago byinshi kuko imibiri yabo itunganya inzoga mu buryo butandukanye n’imibiri y’abagabo. Bakunze kugira iyangirika ry’umwijima bafite inzoga nke kandi mu gihe gito.

Imyaka igira uruhare, abantu barengeje imyaka 35 bafite ibyago byinshi. Ariko kandi, abantu bakiri bato banywa inzoga nyinshi ntibarinda, kandi bashobora kurwara hepatite yo mu gifu iterwa n’inzoga bafite imyaka makumyabiri cyangwa mirongo itatu.

Ingaruka zishoboka za hepatite yo mu gifu iterwa n’inzoga ni izihe?

Hepatite yo mu gifu iterwa n’inzoga ishobora gutera ingaruka zikomeye niba idakuweho cyangwa niba ukomeje kunywa inzoga. Umwijima wawe ukora ibintu byinshi by’ingenzi, bityo iyo wangiritse cyane, imikorere y’umubiri ishobora kugira ingaruka.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Ibironda ku mwijima (cirrhosis) byangiza burundu uturemangingo tw’umwijima
• Umuvuduko ukabije mu mwijima utera amaraso menshi mu mara
• Amazi menshi mu nda (ascites)
• Gusinzira kw’impyiko kubera ibintu byangiza
• Kudakora neza kw’ubwonko kubera ibintu byangiza umwijima udashobora gukuraho
• Ibyago byinshi byo kwandura kubera ubudahangarwa bw’umubiri bugabanutse
• Ibibazo byo gukama amaraso bigatera kwishimagura cyangwa kuva amaraso byoroshye

Mu bihe bikomeye, hepatite yo mu gifu iterwa n’inzoga ishobora gutera gucika burundu kw’umwijima. Iyi ndwara ishobora gutera urupfu ishobora gusaba ko umwijima usimbuzwa undi. Ariko kandi, ibitaro byinshi byita ku ndwara z’umwijima bisaba ko abarwayi bareka kunywa inzoga burundu mbere yo kubatekerezaho.

Inkuru nziza ni uko kumenya hakiri kare no kuvura hepatite yo mu gifu iterwa n’inzoga bishobora kubuza ingaruka nyinshi. Umwijima wawe ufite ubushobozi bwo gukira neza iyo uhawe ubuvuzi bukwiye kandi ukareka inzoga.

Hepatite yo mu gifu iterwa n’inzoga ishobora kwirindwa gute?

Uburyo bwiza bwo kwirinda hepatite yo mu gifu iterwa n’inzoga ni ukunywa inzoga mu rugero rwiza cyangwa kuzirinda burundu. Ibi biha umwijima wawe amahirwe meza yo kuguma muzima kandi ukora neza mu buzima bwawe bwose.

Niba uhisemo kunywa, komeza urugero rwemererwa: ntushobora kunywa inzoga zirenze imwe ku bagore n’ebyiri ku bagabo. Jya ufata iminsi myinshi udatanywa inzoga kugira ngo umwijima wawe uruhuke kandi ukire.

Ubundi buryo bwo kwirinda burimo:

• Kugira imirire myiza yuzuye vitamine n’imyunyungugu
• Kuguma ufite ibiro bikwiye binyuze mu myitozo ngororamubiri
• Kwirinda imiti ishobora gutuma umwijima wawe uhangayika
• Kwikingiza hepatite A na B
• Kugira isuzuma buri gihe kugira ngo ugenzure ubuzima bw’umwijima wawe
• Gushaka ubufasha niba ugira ikibazo cyo kugenzura inzoga unywa

Niba usanzwe unywa inzoga nyinshi, kugabanya buhoro buhoro inzoga unywa ubufatanyije n’abaganga biruta guhagarika gukoresha inzoga mu buryo butunguranye. Umuganga wawe ashobora kugufasha gushyiraho gahunda ikingira ubuzima bwawe mu gihe wirinde ibimenyetso by’akaga byo guhagarika kunywa inzoga.

Hepatite yo mu gifu iterwa n’inzoga ipima ite?

Kumenya hepatite yo mu gifu iterwa n’inzoga bisaba intambwe nyinshi kugira ngo hamenyekane ububabare bw’umwijima kandi hamenyekane izindi ndwara. Umuganga wawe azatangira avugana nawe ku mateka yawe yo kunywa inzoga no gukora isuzuma ry’umubiri.

Ibizamini by’amaraso bigira uruhare rukomeye mu kumenya iyi ndwara. Ibyo bizamini bireba imisemburo y’umwijima, izamuka iyo umwijima wawe ufite ububabare cyangwa wangiritse. Umuganga wawe azapima kandi urwego rwa bilirubine, itera umuhondo uboneka muri jaundice.

Ibindi bizamini byo kumenya iyi ndwara bishobora kuba:

• Igipimo cyuzuye cy’amaraso kugira ngo harebwe anemi na infection
• Ibizamini bya hepatite B na C
• Ultrasound cyangwa CT scan kugira ngo harebwe umwijima
• Mu bihe bimwe na bimwe, gufata igice cy’umwijima kugira ngo harebwe
• Ibizamini byo kureba ubushobozi bw’umwijima bwo gukora poroteyine

Umuganga wawe azabara kandi amanota yawe ya MELD, afasha kumenya uburemere bw’uburwayi bwawe no kuyobora ibyemezo byo kuvura. Aya manota abara ibintu byinshi byavuye mu bipimo by’amaraso kugira ngo arebe uko umwijima wawe ukora.

Kuvuga ukuri ku myitwarire yawe yo kunywa inzoga ni ingenzi kugira ngo hamenyekane neza. Ikipe yawe y’abaganga ikeneye amakuru yuzuye kugira ngo iguhe ubuvuzi bwiza n’uburyo bwiza bwo kuvura.

Ubuvuzi bwa hepatite yo mu gifu iterwa n’inzoga ni buhe?

Ubuvuzi bwa hepatite yo mu gifu iterwa n’inzoga bugamije guhagarika iyangirika ry’umwijima no gufasha umwijima wawe gukira. Intambwe y’ingenzi ni ukureka kunywa inzoga burundu, ibi biha umwijima wawe amahirwe meza yo gukira.

Gahunda yawe yo kuvura ishobora kuba irimo imiti igabanya ububabare bw’umwijima. Corticosteroids nka prednisolone ishobora kugabanya kubyimbagira mu bihe bikomeye. Umuganga wawe ashobora kandi kwandika imiti ifasha mu guhangana n’ibimenyetso byo guhagarika kunywa inzoga.

Ubuvuzi bw’abaganga bugomba kuba:

• Ubufasha mu mirire hamwe na vitamine n’imirire ikwiye
• Imiti igabanya ububabare bw’umwijima
• Kuvura ingaruka nko kubyimbagira
• Gukurikirana no gufasha mu gihe cyo guhagarika kunywa inzoga
• Ibizamini by’amaraso buri gihe kugira ngo harebwe uko umwijima wawe ukomeza gukira
• Umujyanama n’ubufasha mu guhangana n’ubusinzi

Mu bihe bikomeye aho imikorere y’umwijima yangiritse cyane, ushobora kuba ukeneye kujya mu bitaro kugira ngo ugenzurwe kandi uhabwe ubuvuzi bw’ihutirwa. Bamwe mu bantu bafite hepatite yo mu gifu iterwa n’inzoga ikomeye bashobora guhabwa umwijima mushya niba bujuje ibisabwa.

Gukira bisaba igihe, ariko abantu benshi babona iterambere rikomeye mu mikorere y’umwijima wabo mu byumweru cyangwa amezi make nyuma yo guhagarika inzoga no gukurikiza gahunda yabo yo kuvura. Ubushobozi bw’umwijima bwo gukira butuma gukira bishoboka iyo uhawe ubuvuzi bukwiye.

Uko wakwitaho iwawe mu gihe ufite hepatite yo mu gifu iterwa n’inzoga

Kwitaho iwawe bigira uruhare rukomeye mu gukira hepatite yo mu gifu iterwa n’inzoga. Ikintu cy’ingenzi cyane ushobora gukora ni ukwirinda inzoga burundu, ibi bituma umwijima wawe utangira gukira ako kanya.

Fata umwanya wo kurya ibiryo biringaniye kugira ngo ufashe umwijima wawe gukira. Fata imbuto, imboga, ibinyampeke, n’ibinyampeke byuzuye mu mirire yawe. Umwijima wawe ukeneye imirire ikwiye kugira ngo usubiremo uturemangingo twangiritse kandi usubire mu mikorere isanzwe.

Uburyo bwo kwitaho iwawe burimo:

• Kunywa imiti yanditswe neza nk’uko byategetswe
• Kurya ibiryo biringaniye, nubwo ubushake bwawe bwo kurya buke
• Kuryama bihagije kugira ngo ufashe umubiri wawe gukira
• Kunywa amazi ahagije no kwirinda ibinyobwa birimo caffeine
• Kunywa vitamine nk’uko umuganga wawe yabitegetse
• Kwima imiti yo mu maduka ishobora gutuma umwijima wawe uhangayika

Kwihitiramo ibimenyetso byawe neza kandi uhamagare umuganga wawe niba ubona umuhondo ukomeye, ububabare mu nda, kudasobera, cyangwa ibindi bihinduka bibangamira. Komeza gupima buri gihe kugira ngo ugenzure aho ugeze.

Tekereza kwinjira mu matsinda y’ubufasha cyangwa gahunda yo kugisha inama kugira ngo ufashe gukomeza kudakoresha inzoga. Kugira ubufasha bukomeye bigira uruhare rukomeye mu gukira igihe kirekire no mu buzima bw’umwijima.

Uko wakwitegura kujya kwa muganga

Kwitoza kujya kwa muganga bigufasha kubona ubuvuzi burambuye. Za uriteguye kuganira ku myitwarire yawe yo kunywa inzoga ukuri kandi yuzuye, harimo ubwinshi n’igihe unywa.

Andika ibimenyetso byawe byose, harimo igihe byatangiye n’uko byahindutse mu gihe. Andika imiti, ibinyobwa, cyangwa imiti y’ibimera unywa, kuko bishobora kugira ingaruka ku mwijima wawe.

Zana amakuru akurikira:

• Urutonde rwuzuye rw’imiti n’ibinyobwa byose
• Amakuru arambuye ku mateka yawe yo kunywa inzoga n’uburyo bwayo
• Amateka y’umuryango w’indwara z’umwijima cyangwa ibibazo by’inzoga
• Ibizamini by’umwijima byabanje cyangwa imyirondoro y’ubuvuzi
• Urutonde rw’ibibazo ushaka kubabaza umuganga wawe
• Amakuru y’ubwishingizi n’imyirondoro

Tekereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe kandi bafashe kwibuka amakuru y’ingenzi. Bashobora kandi gutanga amakuru y’inyongera ku guhinduka mu buzima bwawe cyangwa imyitwarire.

Tegura ibibazo bijyanye n’uburyo bwo kuvura, uko ubuzima bwawe buzaba bimeze, n’impinduka mu mibereho ukwiye gukora. Gusobanukirwa neza uburwayi bwawe bigufasha gufata ibyemezo byiza bijyanye n’ubuvuzi bwawe no gukira.

Icyingenzi cyo kumenya kuri hepatite yo mu gifu iterwa n’inzoga

Hepatite yo mu gifu iterwa n’inzoga ni indwara ikomeye ariko ishobora kuvurwa iterwa no kunywa inzoga nyinshi mu gihe kirekire. Ikintu cy’ingenzi cyo kumenya ni uko umwijima wawe ufite ubushobozi bwo gukira neza iyo uhawe amahirwe yo gukira.

Guhagarika kunywa inzoga burundu ni inkingi y’ubuvuzi no gukira. Hamwe n’ubuvuzi bukwiye, ubufasha mu mirire, no kureka inzoga, abantu benshi babona iterambere rikomeye mu mikorere y’umwijima wabo no mu buzima muri rusange.

Kumenya hakiri kare no kuvura bigira uruhare rukomeye mu mibereho. Ntugatege amatsiko ibimenyetso bikomeza mbere yo gushaka ubufasha. Ikipe yawe y’abaganga ishobora kuguha ubufasha n’ubuvuzi ukeneye kugira ngo ukire kandi ukingire ubuzima bwawe bw’igihe kirekire.

Wibuke ko gukira bishoboka, kandi ntugomba guhura n’ibi wenyine. Hamwe n’ubuvuzi bukwiye, impinduka mu mibereho, n’ubufasha, ushobora guha umwijima wawe amahirwe meza yo gukira no gusubiza imikorere yayo y’ingenzi.

Ibibazo byakenshi bibazwa kuri hepatite yo mu gifu iterwa n’inzoga

Hepatite yo mu gifu iterwa n’inzoga ishobora gukira?

Yego, hepatite yo mu gifu iterwa n’inzoga ishobora kenshi gukira, cyane cyane mu ntangiriro. Iyo uretse kunywa inzoga burundu kandi ukagira ubuvuzi bukwiye, umwijima wawe ushobora gukira kandi usubire mu mikorere isanzwe. Ariko rero, niba iyi ndwara imaze gutera ibironda bikomeye (cirrhosis), iyangirika rimwe na rimwe rishobora kuba burundu, nubwo guhagarika inzoga bishobora kubuza iyangirika ryakomeza.

Igihe kingana gute gikenewe kugira ngo ukire hepatite yo mu gifu iterwa n’inzoga?

Igihe cyo gukira gitandukanye bitewe n’uburemere bw’uburwayi bwawe n’uburyo wihutira guhagarika kunywa. Abantu benshi batangira kumva barushaho kumererwa neza mu byumweru bike nyuma yo guhagarika inzoga, ibipimo by’umwijima bikagenda birushaho kumera neza mu mezi menshi. Gukira burundu bishobora gufata amezi atandatu kugeza ku mwaka cyangwa igihe kirekire. Umuganga wawe azakurikirana aho ugeze akoresheje ibizamini by’amaraso buri gihe kugira ngo akurikirane uko umwijima wawe ukomeza gukira.

Ushobora kongera kunywa inzoga nyuma yo gukira hepatite yo mu gifu iterwa n’inzoga?

Oya, ntugomba kongera kunywa inzoga nyuma yo kurwara hepatite yo mu gifu iterwa n’inzoga. Ndetse n’inzoga nke zishobora gutera ububabare n’iyangirika ku mwijima wawe usanzwe uhangayitse. Kunywa inzoga mu gihe kizaza bigushyira mu kaga gakomeye ko kongera kurwara iyi ndwara, bishobora kuba bikomeye kurushaho kandi bikagutera urupfu.

Hepatite yo mu gifu iterwa n’inzoga isa na cirrhosis?

Oya, hepatite yo mu gifu iterwa n’inzoga na cirrhosis ni indwara zitandukanye, nubwo zifitanye isano. Hepatite yo mu gifu iterwa n’inzoga ni ububabare bw’umwijima bushobora gukira hamwe n’ubuvuzi bukwiye. Cirrhosis ni ibironda byangiza umwijima bikunze kubaho nyuma y’imyaka myinshi y’iyangirika ry’umwijima. Ariko kandi, hepatite yo mu gifu iterwa n’inzoga idakuweho ishobora gutera cirrhosis mu gihe kirekire.

Ni iki kibaho niba ukomeje kunywa inzoga ufite hepatite yo mu gifu iterwa n’inzoga?

Komeza kunywa inzoga ufite hepatite yo mu gifu iterwa n’inzoga ni ikintu cy’akaga kandi gishobora gutera kwangirika vuba kw’imikorere y’umwijima wawe. Ufite ibyago bikomeye birimo gucika kw’umwijima, kuva amaraso bishobora gutera urupfu, gusinzira kw’impyiko, n’urupfu. Ububabare n’iyangirika bizakomeza kwiyongera vuba, kandi amahirwe yawe yo gukira agabanuka cyane. Guhagarika kunywa inzoga ako kanya ni ingenzi kugira ngo ubashe gukira.