Ese imvure y'inyuma y'umubiri ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Ese imvure y'inyuma y'umubiri ni iki?

Imvure y'inyuma y'umubiri ni umucancuro muto cyangwa agace kaguye mu mubiri muto, woroshye kandi ushobora gukuraho amazi, uherereye inyuma y'umubiri. Utekereza nk'aho ari nk'umucancuro w'impapuro, ariko ahantu h'ingenzi cyane aho imyanda iva.

Iki kibazo gisanzwe kibasira abantu b'imyaka yose kandi gishobora gutuma ibintu bisanzwe nk'ukoresha ubwiherero biba bibi. Inkuru nziza ni uko imvure nyinshi z'inyuma y'umubiri zikira ubwazo hakoreshejwe ubuvuzi bukwiye, kandi hari ubuvuzi bukoreshwa iyo zitakize.

Ushobora kumva uhangayitse uvuga kuri iki kibazo, ariko mu by'ukuri ni cyo gisanzwe kurusha uko ubyumva. Abaganga babona kandi bavura imvure z'inyuma y'umubiri buri gihe, bityo nta mpamvu yo kumva uhangayitse ushaka ubufasha.

Ese ibimenyetso by'imvure y'inyuma y'umubiri ni ibihe?

Ikimenyetso cy'ingenzi cy'imvure y'inyuma y'umubiri ni ububabare bukabije, bumera nk'aho uca ibintu bya kirahuri cyangwa ibyuma by'irahuri, mu gihe cyo kunyara. Ubu bubabare bushobora kukubabaza cyane.

Dore ibimenyetso ushobora kugira:

• Ububabare bukabije, bumera nk'ubushye mu gihe cyo kunyara no nyuma yacyo
• Amaraso atukura cyane ku mpapuro zo kwikuraho cyangwa mu bwiherero
• Umunyenga usobanutse cyangwa umucancuro hafi y'inyuma y'umubiri
• Gukura cyangwa gucika intege hafi y'inyuma y'umubiri
• Igice gito cyangwa uruhu ruri hafi y'umucancuro
• Imihango y'imitsi mu mpeta y'imitsi iherereye ku mpera y'inyuma y'umubiri

Ububabare busanzwe butangira mu gihe cyo kunyara kandi bushobora kumara amasaha menshi nyuma yacyo. Bamwe bavuga ko ari ubushye cyangwa ububabare buhoraho butuma kwicara biba bibi.

Amaraso ava mu mvure y'inyuma y'umubiri asanzwe aba atukura cyane kandi agaragara ku ruhu rw'imyanda cyangwa ku mpapuro zo kwikuraho. Bitandukanye n'izindi ntandaro z'amaraso ava mu kibuno, ingano yayo isanzwe iba ntoya kandi ntiyihuza n'imyanda ubwayo.

Ese ubwoko bw'imvure y'inyuma y'umubiri ni ubuhe?

Imvure z'inyuma y'umubiri zigabanywamo ibice bibiri by'ingenzi hashingiwe ku gihe zimaze. Gusobanukirwa ubwoko ufite bifasha mu gutoranya uburyo bwiza bwo kuvura.

Imvure z'inyuma y'umubiri zikabije ni imicancuro mishya imaze ibyumweru bitarenze bitandatu. Izi mvure nshya zifite imiterere myiza kandi isobanutse, kandi zikira ubwazo hakoreshejwe ubuvuzi bukoreshwa nk'impinduka mu mirire n'imiti yo hanze.

Imvure z'inyuma y'umubiri zidakira ni izi zamaze ibyumweru birenga bitandatu kandi ntizikize nubwo hakoreshejwe ubuvuzi. Izi micancuro zikomeye zifite imiterere y'imbere, imitsi igaragara ku mpande, kandi zishobora kuba zarateye uruhu rwo hanze cyangwa ikintu cyo imbere cyitwa sentinel pile.

Imvure zidakira biragoye kuzivura kuko imitsi ibayengera isanzwe iba yifashe nabi, bigabanya amaraso ajya muri ako gace kandi bikabuza gukira. Isanzwe isaba ubuvuzi bukomeye kurusha imvure zikabije.

Ese ni iki giteza imvure y'inyuma y'umubiri?

Imvure z'inyuma y'umubiri isanzwe ziterwa n'ikintu cyose gikuramo cyangwa gikomeretsa umubiri woroshye uherereye inyuma y'umubiri. Ikintu gisanzwe gitera iyi mvure ni ukunyara imyanda ikomeye kandi nini, ituma umwanya wo kunyara ukurura kurusha uko bikwiye.

Ibintu byinshi bishobora gutera imvure z'inyuma y'umubiri:

• Impatwe ihoraho no gukomeretsa mu gihe cyo kunyara
• Impiswi ihoraho ikomeretsa umubiri wo inyuma y'umubiri
• Kubyara, cyane cyane kubyara mu nda
• Imibonano mpuzabitsina y'inyuma
• Indwara z'umwijima nk'indwara ya Crohn cyangwa indwara ya ulcerative colitis
• Amaraso make ajya mu gice cy'inyuma y'umubiri
• Imitsi y'inyuma y'umubiri ikomeye cyane

Rimwe na rimwe, impamvu zidafatika zishobora kuba zirimo. Ibi birimo kanseri y'inyuma y'umubiri, HIV, igituntu, syphilis, cyangwa herpes, nubwo ibi ari bike cyane kandi bisanzwe bifite ibindi bimenyetso.

Rimwe na rimwe, impamvu nyamukuru ntisobanutse, kandi imvure ishobora kubaho no mu bantu bafite imyifatire isanzwe yo kunyara. Imitsi yawe y'inyuma y'umubiri ishobora kuba ikomeye kurusha uko bikwiye, bigutera guhura n'imvure.

Ni ryari ukwiye kujya kwa muganga kubera imvure y'inyuma y'umubiri?

Ukwiye kujya kwa muganga niba ubona amaraso ava mu kibuno cyangwa ububabare buhoraho inyuma y'umubiri. Nubwo ibi bimenyetso bikunze kugaragaza imvure yoroshye y'inyuma y'umubiri, ni ingenzi kubona ubuvuzi bukwiye kugira ngo habeho gusesengura ibindi bibazo.

Shaka ubufasha bw'abaganga niba ibimenyetso byawe bikomeza iminsi irenga mike, bikaramba nubwo hakoreshejwe ubuvuzi bw'i mu rugo, cyangwa niba ugize umuriro hamwe n'ububabare inyuma y'umubiri. Muganga arashobora kwemeza icyo kibazo kandi akagutegurira ubuvuzi bukwiye.

Ntuzigere utinda gushaka ubufasha niba ufite ububabare bukabije butubuza gukora ibikorwa bisanzwe, amaraso menshi, cyangwa niba ubona impinduka mu myifatire yawe yo kunyara. Ubuvuzi bwihuse busanzwe butuma gukira bihuse kandi bikarinda ingaruka.

Niba ufite amateka y'indwara z'umwijima, ibibazo by'umubiri ukomeye, cyangwa izindi ndwara zidakira, ni ingenzi cyane ko ibibazo byose by'inyuma y'umubiri bisuzumwa vuba na muganga.

Ese ibyago byo guhura n'imvure y'inyuma y'umubiri ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yawe yo guhura n'imvure y'inyuma y'umubiri. Gusobanukirwa ibyo byago bifasha mu gufata ingamba zo kwirinda iki kibazo kitari cyiza.

Imyaka igira uruhare runini, abana bato n'abantu bakuze bamaze imyaka hagati ari bo bakunze kubibasirwa. Mu bana bato, impatwe n'umunaniro wo kwiga kugenzura kunyara bigira uruhare mu iterambere ry'imvure.

Ibyago bisanzwe birimo:

• Impatwe ihoraho cyangwa gukomeretsa kenshi
• Impiswi ihoraho
• Indwara z'umwijima (indwara ya Crohn cyangwa indwara ya ulcerative colitis)
• Igisubizo cy'inyuma y'umubiri cyangwa imvune
• Gutwite no kubyara
• Imitsi y'inyuma y'umubiri ikomeye
• Isuku mbi y'inyuma y'umubiri cyangwa gukuraho cyane

Ibintu bimwe na bimwe byo mu buzima bishobora kongera ibyago byawe. Imirire ikennye mu mfibiri, amazi make, no kutagira imyitozo ngororamubiri byose bishobora gutera impatwe n'imvure nyuma yayo.

Indwara zifata amaraso, nka diyabete cyangwa indwara z'imitsi, zishobora kongera ibyago byawe. Byongeye kandi, imiti imwe itera impatwe nk'ingaruka ishobora gutera imvure z'inyuma y'umubiri mu buryo butaziguye.

Ese ingaruka zishoboka z'imvure y'inyuma y'umubiri ni izihe?

Nubwo imvure nyinshi z'inyuma y'umubiri zikira nta kibazo gikomeye, zimwe mu ngaruka zishobora kubaho niba iki kibazo kibaye gikomeye cyangwa ntikivuwe neza. Gusobanukirwa ibyo bibazo bifasha kumenya igihe ukwiye gushaka ubuvuzi bundi.

Ingaruka isanzwe ni iterambere ry'imvure idakira nubwo hakoreshejwe ubuvuzi. Ibi bibaho iyo imitsi y'inyuma y'umubiri iba yifashe nabi, bigabanya amaraso ajya muri ako gace kandi bikabuza gukira.

Ingaruka zishoboka zirimo:

• Ububabare buhoraho bugira ingaruka ku bikorwa bya buri munsi n'imibereho
• Anal stenosis (kugabanya umwanya wo kunyara)
• Imvure zisubira inyuma muri ako gace
• Iterambere rya fistula (umubano utari mwiza hagati y'umwanya wo kunyara n'uruhu)
• Iterambere ry'ibisebe bitewe n'ubwandu bwa bagiteri
• Ingaruka zo mu mutwe nko guhangayika kubera kunyara

Bamwe bagira ubwoba bwo kunyara kubera ububabare, ibyo bishobora gutera gufata imyanda ku bushake. Ibi bituma habaho ikibazo gikomeye aho gufata imyanda bituma bikomerana kandi bikaba byoroshye gutera ibindi byangiritse.

Mu bihe bike, imvure idakira idavuwe ishobora gutera ibikomere bikomeye n'impinduka ziramba ku mwanya wo kunyara. Ariko, hakoreshejwe ubuvuzi bukwiye, abantu benshi bashobora kwirinda izi ngaruka.

Ese imvure y'inyuma y'umubiri ishobora kwirindwa gute?

Uburyo bwiza bwo kwirinda imvure y'inyuma y'umubiri ni ugukomeza kunyara imyanda yumye kandi buri gihe no kwirinda gukomeretsa. Ingamba nyinshi zo kwirinda zibanda ku kugumisha ubuzima bw'igogorwa bwiza no kugabanya umuvuduko ku gice cy'inyuma y'umubiri.

Impinduka mu mirire zigira uruhare mu kwirinda. Kurya ibiryo byinshi bifite imfibiri nka imbuto, imboga, ibinyampeke byuzuye, n'ibinyampeke bifasha mu gukora imyanda yumye kandi ijyana neza.

Ingamba z'ingenzi zo kwirinda zirimo:

• Kunywamo amazi menshi umunsi wose (hafi igikombe cya 8)
• Kurya imfibiri 25-35 garama buri munsi
• Gukora imyitozo ngororamubiri buri gihe kugira ngo bigogorwa bigende neza
• Gusubiza vuba ubushake bwo kunyara
• Kwima amatwi igihe kirekire ku bwiherero
• Gukoresha impapuro zo kwikuraho zoroheje kandi zitagira impumuro cyangwa ibikoresho byo kwikuraho
• Koga mu mazi ashyushye kugira ngo imitsi y'inyuma y'umubiri irutuze

Niba ufite impatwe, tekereza kongera imiti y'imfibiri mu buzima bwawe nyuma yo kuganira na muganga wawe. Imiti yo kworoshya imyanda ishobora kandi gufasha mu bihe urimo ibyago byinshi, nko nyuma y'ubuganga cyangwa mu gihe utwite.

Gugenzura indwara zidakira nk'indwara z'umwijima cyangwa guhangana n'impinduka z'impinduka mu mirire bigira uruhare mu kwirinda imvure cyangwa kongera kubaho.

Ese imvure y'inyuma y'umubiri imenyekanwa gute?

Kumenya imvure y'inyuma y'umubiri isanzwe bisaba isuzuma ry'amaso n'ibiganiro ku bimenyetso byawe. Muganga wawe ashobora kumenya imvure gusa arebye inyuma y'umubiri mu isuzuma rya fiziki.

Isuzuma risanzwe ritangira muganga wawe akubajije ku bimenyetso byawe, imyifatire yawe yo kunyara, n'amateka yawe y'ubuzima. Azashaka kumenya ububabare ufite, amaraso, n'igihe umaze ufite ibyo bimenyetso.

Mu gihe cy'isuzuma rya fiziki, muganga wawe azasuzumana ubwitonzi inyuma y'umubiri mu gihe uri kuryama kuruhande. Ashobora kubona imvure nk'umucancuro muto ku ruhu. Isuzuma risanzwe riba rihuta kandi, nubwo ritari ryiza, ntirigutera ububabare bukabije.

Mu bihe bimwe na bimwe, muganga wawe ashobora gukora isuzuma ry'inyuma y'umubiri akoresheje urutoki rwambaye utwenda, rwose, mu kibuno. Ariko, ibi bikunze kwirindwa mu ntangiriro niba ufite ububabare bukabije, kuko bishobora kuba bibi cyane ufite imvure.

Ibisuzumwa byongeyeho ntabwo bikenewe cyane ku mvure zisanzwe z'inyuma y'umubiri. Ariko, niba muganga wawe akekako hari ikibazo cyihishe cyangwa niba imvure igaragara nabi, ashobora kugutegurira anoscopy (gukoresha ikintu gito cyo kureba imbere mu mwanya wo kunyara) cyangwa ibindi bisuzumwa byihariye.

Ese ubuvuzi bw'imvure y'inyuma y'umubiri ni ubuhe?

Ubuvuzi bw'imvure z'inyuma y'umubiri busanzwe butangira hakoreshejwe uburyo bukoreshwa kugira ngo umucancuro ukire neza. Imvure nyinshi zikabije zisubiza neza ibyo buryo budakoresha ubuvuzi, bukoreshwa kugabanya ububabare no guteza imbere gukira.

Ubuvuzi bwa mbere burimo gukora imyanda yumye kandi ijyana neza. Ibi bigabanya imvune ku mvure ikira kandi bikuraho ikibazo cy'ububabare n'imihindagurikire y'imitsi ishobora kubuza gukira.

Uburyo bw'ubuvuzi bukoreshwa harimo:

• Imirire ifite imfibiri nyinshi no kongera amazi
• Imiti y'imfibiri cyangwa imiti yo kworoshya imyanda
• Imiti yo hanze yo kubabaza cyangwa amavuta
• Koga mu mazi ashyushye inshuro nyinshi kumunsi
• Imiti yo hanze ya nitroglycerin cyangwa calcium channel blockers
• Injuru ya botulinum toxin kugira ngo imitsi irutuze

Imiti yo hanze ikora ituma imitsi y'inyuma y'umubiri irutuza, ibyo bikongerera amaraso ajya muri ako gace kandi bikatuma gukira bibaho. Ibyo buvuzi bigira uruhare mu gukiza hafi 70-80% by'imvure zidakira.

Niba ubuvuzi bukoreshwa budakora nyuma y'ibyumweru bike, muganga wawe ashobora kugutegurira ubuvuzi buto bwa ogisite bwitwa lateral internal sphincterotomy. Ibi birimo gukata gato imitsi y'inyuma y'umubiri kugira ngo hagabanywe umuvuduko kandi habeho gukira.

Ubuvuzi busanzwe bukoreshwa ku mvure zidakira zitavuwe n'ubundi buvuzi. Ubu buvuzi busanzwe bukorwa nk'ubuvuzi bwo hanze kandi bufite amahirwe menshi yo gukiza imvure zidakira.

Ese imvure y'inyuma y'umubiri ishobora kuvurwa gute mu rugo?

Ubuvuzi bw'i mu rugo bugira uruhare mu gukiza imvure z'inyuma y'umubiri no kubabuza gusubira. Icy'ingenzi ni ugukora ibintu byatuma umucancuro ukira mu gihe ugumisha kunyara neza kandi buri gihe.

Koga mu mazi ashyushye ni imwe mu miti ikomeye yo mu rugo. Kwibira mu mazi ashyushye iminota 10-15 inshuro nyinshi kumunsi, cyane cyane nyuma yo kunyara, bifasha mu gutuza imitsi y'inyuma y'umubiri no guteza imbere gukira.

Gucunga imirire ni ingenzi mu buvuzi bwiza bw'i mu rugo:

• Kurya imbuto nyinshi, imboga, n'ibinyampeke byuzuye
• Kunywamo amazi nibura igikombe cya 8 buri munsi
• Tegura kongera psyllium husk cyangwa methylcellulose
• Kwima ibiryo bishobora gutera impatwe cyangwa impiswi
• Kugabanya ibiryo bitegurwa kandi ukongeramo imfibiri nyinshi

Gukaraba inyuma y'umubiri neza kandi ukayumisha, ariko wirinde amasabune akomeye cyangwa gukuraho cyane. Koresha impapuro zo kwikuraho zoroheje kandi zitagira impumuro cyangwa tekereza gukoresha bidet cyangwa ibikoresho byo kwikuraho byakozwe ku ruhu rworoshye.

Imiti yo kugabanya ububabare yo mu maduka nk'acetaminophen cyangwa ibuprofen ishobora gufasha mu guhangana n'ububabare. Imiti yo hanze irimo lidocaine ishobora gufasha mu gihe gito, ariko uyikoreshe gato kandi ukurikije amabwiriza.

Shyiraho imyifatire isanzwe yo kujya ku bwiherero ugusubiza vuba ubushake bwo kunyara. Ntukomeze cyangwa umara igihe kirekire ku bwiherero, kuko ibyo bishobora kongera iki kibazo.

Ese ukwiye gutegura gute uruzinduko rwawe kwa muganga?

Gutegura uruzinduko rwawe kwa muganga bishobora gufasha mu kubona ubuvuzi bukwiye n'uburyo bwiza bwo kuvura. Kugira amakuru akwiye bitegura bizatuma uruzinduko rwawe ruba rwiza kandi rudateza umunaniro.

Andika ibimenyetso byawe mbere y'uruzinduko, harimo igihe byatangiye, uko bikomeye, n'ibyatumye bigenda neza cyangwa bigakomeza. Bandika ibintu byose wabonye, nko kubabara mu gihe cyo kunyara gusa cyangwa amaraso aba mu bihe runaka.

Amakuru yo gutegura harimo:

• Urutonde rwuzuye rw'imiti n'imiti yongewemo ubu
• Ibisobanuro by'imyifatire yawe isanzwe yo kunyara n'impinduka zihariye
• Ibisobanuro ku mirire yawe n'amazi unywa
• Ubuvuzi bwose wari warigeze ugerageza n'ingaruka zabyo
• Ibibazo ku bijyanye n'uburyo bwo kuvura n'icyo witeze
• Amateka y'ubuzima, harimo ibibazo byari bihari mbere mu kibuno

Ntugomba kugira ipfunwe uvuga kuri ibyo bimenyetso kwa muganga. Barabonye kandi bavura abarwayi benshi bafite ibibazo nk'ibyo, kandi gutanga amakuru yuzuye kandi y'ukuri bibafasha kuguha ubuvuzi bwiza.

Tegura kuzana inshuti cyangwa umuryango wawe wizeye niba urimo guhangayika kubera uruzinduko. Bashobora kugufasha kwibuka amakuru akomeye no kugufasha mu gihe ushobora kumva uhangayitse.

Ese icy'ingenzi cyo kuzirikana ku mvure y'inyuma y'umubiri ni iki?

Imvure z'inyuma y'umubiri ni ibibazo bisanzwe, bivurwa, bishobora gutera ububabare bukabije ariko bike cyane bigatera ingaruka zikomeye. Ikintu cy'ingenzi cyo kuzirikana ni uko imvure nyinshi zikira neza hakoreshejwe ubuvuzi bukwiye n'impinduka mu buzima.

Gutabara hakiri kare bigira uruhare mu gihe cyo gukira no mu mibereho. Ntugatere utwatsi ibimenyetso cyangwa ugerageze kubihanganira, kuko imvure idavuwe ishobora kuba ikomeye kandi ikaba ingorabahizi kuvura.

Guhuza impinduka mu mirire, kongera amazi, n'isuku ikwiye bigira uruhare mu buvuzi no kwirinda. Ibyo bintu byoroshye bishobora kubuza imvure kubaho no gufasha izindi gukira vuba.

Zirikana ko gushaka ubufasha bw'abaganga kubera ibibazo by'inyuma y'umubiri ntabwo ari ikintu cyo kugira ipfunwe. Abaganga bahuguwe mu guhangana n'ibyo bibazo neza kandi babikunda, kandi bashaka kugufasha kumva neza vuba bishoboka.

Ibibazo byakunze kubaho ku mvure y'inyuma y'umubiri

Ese imvure y'inyuma y'umubiri imara igihe kingana iki gukira?

Imvure nyinshi zikabije z'inyuma y'umubiri zikira mu byumweru 4-6 hakoreshejwe ubuvuzi bukwiye. Ariko, imvure zidakira zimaze ibyumweru birenga 6 zishobora kumara amezi menshi gukira, cyane cyane niba zikeneye ubuvuzi cyangwa ubuvuzi bwa ogisite. Igihe cyo gukira kigendera ku bintu nk'uburemere bw'imvure, ubuzima bwawe muri rusange, n'uko ukurikiza amabwiriza y'ubuvuzi.

Ese nshobora gukora imyitozo ngororamubiri mfite imvure y'inyuma y'umubiri?

Yego, ushobora gukomeza gukora imyitozo ngororamubiri ufite imvure y'inyuma y'umubiri, ariko ushobora gukenera guhindura gahunda yawe. Ibikorwa bitagira ingaruka nk'ugenda, koga, na yoga yoroshye ni byiza kandi bishobora gufasha guteza imbere igogorwa ryiza. Kwima ibikorwa byashyira umuvuduko ku gice cy'inyuma y'umubiri cyangwa bikatera gukomeretsa, nko gufata ibiremereye cyangwa kugenda kuri bisikileti bifite imyanya ikomeye, kugeza imvure ikize.

Ese bisanzwe guhura n'imvure z'inyuma y'umubiri zisubira?

Nubwo bamwe bahura n'imvure zisubira, ntabwo bifatwa nk'ibisanzwe kandi bikunze kugaragaza ikibazo cyihishe gikwiye kuvurwa. Imvure zisubira kenshi ziba mu bantu bafite impatwe ihoraho, indwara z'umwijima, cyangwa abantu batakoze impinduka zikenewe mu buzima. Gukorana na muganga wawe kugira ngo umenye kandi uvure icyateye ikibazo bizafasha mu kwirinda ibindi bibazo.

Ese itandukaniro hagati y'imvure y'inyuma y'umubiri na hemorrhoids ni irihe?

Imvure z'inyuma y'umubiri ni imicancuro ku ruhu rwo inyuma y'umubiri itera ububabare bukabije mu gihe cyo kunyara. Hemorrhoids ni imitsi y'amaraso yabareye ishobora gutera gukura, ubushye, n'ububabare buhoraho, ariko isanzwe ntigira ububabare bukabije bw'imvure. Hemorrhoids ishobora kandi gutera kumva ufite ibintu byinshi cyangwa igice kinini inyuma y'umubiri, mu gihe imvure igaragara nk'imicancuro isobanutse ku ruhu.

Ese imvure y'inyuma y'umubiri ishobora gutera kanseri?

Oya, imvure z'inyuma y'umubiri ubwayo ntiziterwa na kanseri. Ni imicancuro yoroshye ku ruhu ikira idatera impinduka z'uturemangingo zishobora kuba kanseri. Ariko, ni ingenzi ko ibibazo byose by'inyuma y'umubiri bisuzumwa na muganga, kuko ibimenyetso bimwe bya kanseri y'inyuma y'umubiri bishobora kumera nk'iby'imvure. Kumenya hakiri kare no kuvura ibibazo byose by'inyuma y'umubiri ni byo byiza.