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Ibibazo byo kubura umwanya bigabanywa mu byiciro bikuru byinshi, buri kimwe gifite imico yacyo n'impamvu zibyihishe inyuma. Gusobanukirwa ubwo bwoko bushobora kugufasha gusobanura neza ibimenyetso byawe ku muforomokazi wawe.
Indwara zifata urutugu rw'amatwi zigira ingaruka ku gutwi ryawe ryo imbere, ari ryo shingiro ry'umubiri wawe. Ibi birimo vertige ya paroxysmal positional (BPPV), aho amabuye mato mato mu gutwi ryawe ahindura aho ari, na neuritis vestibular, irimo kubyimba kw'umutsi w'umwanya.
Ibibazo byo kubura umwanya biterwa n'ubwonko bituruka ku bibazo biri mu bwonko bwawe cyangwa mu mugongo. Ibi bishobora kuba birimo ibibazo bijyanye na migraine, sclerosis nyinshi, cyangwa izindi ndwara z'imitsi zifata uburyo ubwonko bwawe bukoramo amakuru y'umwanya.
Ibibazo byo kubura umwanya bifitanye isano n'imyumvire bibaho iyo umubiri wawe ubuze amakuru ava mu maso yawe, imikaya, cyangwa ingingo. Ibi bibaho cyane iyo ugeze mu zabukuru, indwara ya diyabete itera imikaya kwangirika, cyangwa ibibazo bigira ingaruka ku bwumva bwawe no ku mwanya.
Ibibazo byo kubura umwanya bifitanye isano n'imiti bishobora kuvuka nk'ingaruka mbi z'imiti imwe n'imwe, cyane cyane izafasha gutwi ryawe ryo imbere cyangwa sisitemu y'imitsi. Imiti igabanya umuvuduko w'amaraso, imiti ituma utuza, na antibiyotike zimwe na zimwe ni zo zikunze gutera ibyo bibazo.
Ibibazo byo kubura umwanya bishobora guterwa n'ibibazo bitandukanye, kandi rimwe na rimwe ibintu byinshi bifatanije bigatuma ibimenyetso byawe bigaragara. Gusobanukirwa icyateye ikibazo bifasha mu gutoranya uburyo bwiza bwo kuvura.
Impamvu zikunze gutera ibyo bibazo harimo ibibazo byo mu gutwi ryo imbere, bigira uruhare mu bibazo byinshi byo kubura umwanya ushobora guhura na byo:
Uburwayi bwo mu bwonko bushobora kandi guhungabanya uburyo bwawe bw'umubiri mu buryo bukomeye. Ibi birimo migraine, ishobora gutera guhindagurika kw'umutwe kabone nubwo utababara umutwe, n'ibindi bibazo bikomeye nka stroke, sclerosis nyinshi, cyangwa indwara ya Parkinson. Uburibwe bw'ubwonko, nubwo ari bworoshye, bushobora kandi kugira ingaruka ku mibanire niba buri hafi y'ibice by'ubwonko bicunga imibanire.
Izindi ndwara zikunze gutera ibibazo byo kubura ubusugire. Igipimo cy'amaraso gito gishobora gutera guhindagurika kw'umutwe igihe uhagurutse, mu gihe diyabete ishobora kwangiza imiyoboro y'imbere ifasha mu kubungabunga ubusugire. Ibibazo by'umutima, indwara z'umwijima, ndetse n'ubukonje bukabije bishobora gutuma wumva udakomeye cyangwa uhindagurika.
Imiti ihagarariye ikundi kindi cy'ingenzi cy'ibitera ibibazo. Imiti igabanya umuvuduko w'amaraso, imiti igabanya ibitero by'indwara z'ubwonko, imiti ituza, ndetse na antibiyotike zimwe na zimwe zishobora kugira ingaruka ku mibanire yawe. Ndetse n'imiti igurishwa mu maduka idafite amabwiriza y'abaganga nka antihistamines ishobora rimwe na rimwe gutuma wumva udakomeye.
Wagomba kuvugana n’umuganga wawe niba ibibazo byo kubura umutekano bigukoma mu mirimo ya buri munsi cyangwa bikagutera impungenge zo kugwa. Nubwo guhindagurika gake gato bishobora kutakeneye ubutabazi bwihuse, ibimenyetso biramba cyangwa bikomeye bikwiye gusuzuma umwuga.
Shaka ubutabazi bwa muganga ako kanya niba ufite guhindagurika gitunguranye, bikomeye hamwe n’ububabare bw’umutwe, ububabare bwo mu gituza, ugutinda kuvuga, cyangwa intege nke ku ruhande rumwe rw’umubiri wawe. Ibi bimenyetso bishobora kugaragaza umwijima cyangwa izindi ndwara zikomeye zisaba ubutabazi bwihuse.
Tegura gahunda yo kubonana n’umuganga wawe buri gihe niba ufite ibibazo byo kubura umutekano bisubira, nubwo bigaragara ko ari bito. Gusuzumwa hakiri kare bishobora gufasha kumenya impamvu zishobora kuvurwa no gukumira kugwa bishobora gutera imvune. Muganga wawe arashobora kandi gusubiramo imiti yawe kugira ngo arebe niba hari ibyaba bigira uruhare mu bimenyetso byawe.
Ntugatege amatwi gushaka ubufasha niba ibibazo byo kubura umutekano bigutera ubwoba bwo kugenda, kuzamuka imirongo, cyangwa kwitabira ibikorwa usanzwe ukunda. Ubu bwoba bushobora gutera kugabanuka kw’ibikorwa, ibyo bigatuma ibibazo byo kubura umutekano birushaho kuba bibi uko iminsi igenda.
Ibintu byinshi bishobora kongera amahirwe yo kugira ibibazo byo kubura umutekano, kandi byinshi muri ibyo birakomeza kuba byinshi uko dukera. Gusobanukirwa ibintu byongera ibyago bishobora kugufasha gufata ingamba zo kwirinda no kumenya igihe ushobora kuba ukeneye ubufasha bw’umwuga.
Imyaka ni yo ntandaro ikomeye cyane, kuko uburyo bwawe bwo kubura umutekano buhinduka uko iminsi igenda. Nyuma y’imyaka 40, uturemangingo two mu gutwi ryawe ryo hagati dutangira kugabanuka, kandi ugeze ku myaka 70, uba wabuze hafi 40% y’utwo turemangingo tw’ingenzi two kubura umutekano. Ububonye bwawe, imbaraga z’imitsi, n’ubushobozi bw’ingingo na byo bihinduka uko ukura.
Dore izindi ntandaro z’ingenzi ukwiye kumenya:
Ibibazo byo kubura umwanya bishobora gutera ingaruka nyinshi zirenga ibimenyetso byambere, bikagira ingaruka ku buzima bwawe bw'umubiri n'imibereho yawe. Gusobanukirwa izi ngaruka zishoboka bifasha gushimangira akamaro ko kuvurwa neza no gucunga neza.
Kugwa ni cyo kibazo gikomeye kandi cyihuse cyaterwa no kubura umwanya. Ndetse no kugwa gake bishobora gutera amagufwa yavunitse, cyane cyane amagufwa y'ikibero mu bantu bakuze, ibyo bishobora gutera ubumuga bw'igihe kirekire cyangwa ibindi bibazo by'ubuzima. Imvune z'umutwe ziterwa no kugwa zishobora kuba ziteye impungenge cyane, cyane cyane niba ufashe imiti igabanya amaraso.
Ubwoba bwo kugwa bukunze kuza nyuma yo kugira ibibazo byo kubura umwanya, nubwo utaraguka. Ubu bwoba bushobora kuba kimwe n'ibimenyetso by'umubiri ubwayo. Ushobora gutangira kwirinda ibikorwa ukunda, nko kugenda hanze, kuzamuka imbaho, cyangwa no kuva mu rugo rwawe. Iyi myitwarire yo kwirinda ituma habaho ikibazo gikomeye aho kugabanuka kw'imikino bigatuma imitsi yawe idakomeye kandi bigatuma ubushobozi bwawe bwo kubura umwanya bugenda bucye.
Kwikurura mu muryango kenshi bibaho iyo ibibazo byo kubura umwanya bigutera ubwoba bwo kwitabira ibikorwa by'abantu. Ushobora gusiba amateraniro y'umuryango, ugahagarika gutwara imodoka, cyangwa ukirinda ahantu hahuriye abantu benshi aho wumva udakomeye. Uku kwikurura mu muryango bishobora gutera kwiheba no guhangayika, ibyo bishobora kongera kubisha ingaruka.
Ingaruka zidashimishije ariko zikomeye zishobora kuba harimo gucika intege bikabije niba isesemi no kuruka bigukomereye. Bamwe mu bantu barwara umunaniro ukomeye uterwa n'imbaraga zihoraho zisabwa kugira ngo ubashe kugumana umwanya. Mu bihe bitoroshye, indwara zidakomeye ziterwa no kubura umwanya, nko kuba hari uburibwe cyangwa indwara ziterwa na système immunitaire, bishobora gutera ingaruka zikomeye ku buzima.
Ndetse n’ubwo utazibuza ibibazo byose byo kubura umubano, cyane cyane ibyo biterwa n’imyaka cyangwa imvange, ushobora gufata ingamba nyinshi kugira ngo ugabanye ibyago kandi ukomeze kugira umubano mwiza mu buzima bwawe bwose. Kwirinda kwibanda ku kugumisha sisitemu yawe y’umubano ikora neza n’umubiri wawe ukomeye.
Imikino ngororamubiri ni imwe mu nzira zikomeye zo kubungabunga umubano mwiza. Ibikorwa biguhangayikisha umubano, nka tai chi, yoga, cyangwa imyitozo yoroshye yo kubungabunga umubano, bifasha kugumisha sisitemu yawe y’umubano ikora neza. Gukora imyitozo yo gushimangira imitsi bigumisha imbaraga z’imitsi ukeneye kugira ngo wirinde kugwa.
Dore ingamba z’ingenzi zo kwirinda ushobora gutangira uyu munsi:
Guhangana n’ibibazo by’ubuzima nk’indwara ya diyabete, indwara z’umutima, cyangwa umuvuduko w’amaraso ukabije bifasha kwirinda ibibazo byo kubura umubano bifitanye isano n’izo ndwara. Kuryama bihagije no guhangana n’umunaniro na byo bishyigikira ubuzima bwawe bwose bwo kubungabunga umubano. Niba ufite amateka y’ibibazo by’amatwi, kurinda amatwi yawe kwandura no kwirinda urusaku rwinshi bishobora kugufasha kubungabunga imikorere yawe y’umubano.
Kumenya ibibazo byo kubura umutekano mu mubiri bisaba isuzuma rirambuye kugira ngo hamenyekane icyateye ibyo bibazo. Umuganga wawe azatangira aganira nawe ku bibazo ufite, amateka yawe y’ubuzima n’imiti ukoresha kugira ngo amenye uko ibyo bibazo bigenda n’ibyabyateye.
Isuzuma ngirakamaro riba rigamije gusuzuma uko uhagaze, uko uringaniza umubiri, n’uko amatwi yawe yo hagati akora. Muganga azareba uko ugenda, azasuzume ubushobozi bwawe bwo kuguma uhagaze amaso afunguye n’amaso afunze, kandi azasuzume amatwi yawe arebe niba hari ubwandu cyangwa ibindi bibazo. Azareba kandi igitutu cyawe cy’amaraso uri kuryamye n’ugihagaze.
Bishobora kuba ngombwa gukora ibizamini byihariye bitewe n’ibibazo ufite. Ibyo bizamini bishobora kuba harimo ibizamini by’umva kugira ngo hamenyekane uko amatwi yawe yo hagati akora, ibizamini by’imiyoboro y’amaso kugira ngo harebwe uko uburyo bwawe bwo kubura umutekano mu mubiri buhuza n’ubuhanga bwawe, cyangwa ibizamini byo ku bipima byo kugenzura uko uhagaze neza mu buryo butandukanye.
Ibizamini by’amaraso bishobora gufasha kumenya ibibazo by’ubuzima nk’indwara ya diyabete, ibibazo by’umwijima, cyangwa ikibazo cyo kubura vitamine bishobora gutera ibibazo byo kubura umutekano mu mubiri. Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba gukora ibizamini byo kubona ishusho nk’ibya CT scan cyangwa MRI niba akeka ko ibibazo byawe byatewe n’ubwonko.
Muganga wawe ashobora kukwerekeza ku baganga babigize umwuga nk’umuganga w’amatwi, izuru n’umunwa (ENT), umuganga w’indwara z’ubwonko, cyangwa umuganga w’imibiri ukora ku bibazo byo kubura umutekano mu mubiri. Aba baganga bafite amahugurwa y’inyongera n’ibikoresho byo gukora isuzuma rirambuye ry’uburyo bwawe bwo kubura umutekano mu mubiri.
Ubuvuzi bw’ibibazo byo kubura umutwe biterwa n’icyateye icyo kibazo, ariko ubundi buryo bwinshi burakemuka neza hakoreshejwe ubuvuzi bukwiye. Umuganga wawe azakuganirira kuri gahunda y’ubuvuzi ibereye ikibazo cyawe n’ibimenyetso.
Ku bibazo byo mu matwi y’imbere nka BPPV, guhindura umutwe gukorwa n’umuganga wawe bishobora guhita bigufasha. Ibi bikubiyemo kugenda uhindura umutwe mu buryo runaka kugira ngo utere utunyangingo twimutse mu gutwi ryawe y’imbere dusubire aho bikwiye.
Imiti ishobora gufasha gucunga ubwoko bumwe bw’ibibazo byo kubura umutwe. Imiti yo kurwanya iseseme ifasha mu gihe cy’ikibazo gikomeye, mu gihe bamwe bafashwa n’imiti igabanya amazi menshi mu gutwi ryawe y’imbere cyangwa ivura ibibazo by’indwara nka migrane cyangwa imihangayiko bigira uruhare mu bibazo byo kubura umutwe.
Siporo yo kuvura, cyane cyane kuvura vestibular, ifite akamaro cyane ku bibazo byinshi byo kubura umutwe. Umuganga w’inzobere azakwigisha imyitozo igamije gufasha ubwonko bwawe guhangana n’ibibazo byo kubura umutwe. Iyi myitozo iragenda ikwereka imitwaro itera ibimenyetso, ifasha ubwonko bwawe kwiga uburyo bushya bwo kubungabunga umutwe.
Dore uburyo busanzwe bwo kuvura itsinda ryawe ry’abaganga rishobora kugutekerezaho:
Inkuru nziza ni uko abantu benshi bafite ibibazo byo kubura umutwe barushaho kumererwa neza hakoreshejwe ubuvuzi bukwiye. Nubwo umutwe wawe utasubira mu buryo busanzwe, kwiga ingamba zo gucunga ibimenyetso byawe bishobora kugufasha kuguma ufite ubuzima bukora, ubaho wenyine.
Gutegura uruzinduko kwa muganga bifasha guhamya ko ubonye ubuvuzi bukwiye n’uburyo bwiza bwo kuvurwa. Gutegura neza bituma umuganga wawe yumva neza ibimenyetso byawe akaba afata ibyemezo byiza ku bijyanye no kwita kuri wewe.
Komeza inyandiko y’ibimenyetso byawe byibuze icyumweru mbere y’uruzinduko rwawe kwa muganga. Andika igihe ibimenyetso bigaragaye, icyo wakoraga igihe bitangira, igihe byamaze, n’icyo cyabafashije cyangwa cyabibyutse. Aya makuru atanga ibimenyetso by’ingenzi ku cyabiteye.
Kora urutonde rwuzuye rw’imiti yose ukoresha, harimo imiti y’amabanga, imiti yo mu maduka, amavitamini, n’ibindi byongerwamo. Bandika umubare w’imiti n’igihe umaze uyinywa. Ibibazo byinshi byo kubura umutekano uterwa n’imiti, bityo aya makuru akaba afite akamaro gakomeye.
Andika ibibazo byawe mbere y’uruzinduko kugira ngo utibagiwe ibibazo by’ingenzi. Tekereza kubabaza icyateye ibimenyetso byawe, ibizamini bishobora gukenerwa, uburyo bwo kuvura buhari, n’icyo ushobora gukora mu rugo kugira ngo ufashe gucunga uburwayi bwawe.
Zana inshuti cyangwa umuryango niba bishoboka, cyane cyane niba ibibazo byawe byo kubura umutekano bikomeye. Bashobora kugufasha kwibuka amakuru yavuzwe mu gihe cy’uruzinduko kandi bagatanga ibitekerezo byiyongereye ku bimenyetso byawe ushobora kutamenya.
Tegura kuvugana amateka yawe y’ubuzima, harimo indwara z’amatwi, imvune z’umutwe, cyangwa izindi ndwara zishobora kuba zifitanye isano n’ibibazo byawe byo kubura umutekano. Kandi witegure gusobanura ibimenyetso byawe neza, harimo niba ari igihe cyose cyangwa bigenda bigaruka, icyabibyutsa cyangwa icyabinoza, n’uburyo bigira ingaruka ku buzima bwawe bwa buri munsi.
Ibibazo byo kubura umutekano mu gihe uhagaze ni ibintu bisanzwe, bishobora kuvurwa kandi bitagomba kuguhangayikisha cyane mu buzima bwawe. Nubwo bishobora gutera ubwoba no kubangamira, abantu benshi babona ubuvuzi buhagije babonye ubuvuzi bukwiye n'ubuvuzi. Ikintu nyamukuru ni ukudapfobya ibimenyetso biramba cyangwa gutekereza ko ari ibintu bisanzwe bijyana no gusaza.
Kuvurwa hakiri kare no kuvurwa kenshi biyobora ku musaruro mwiza kandi bishobora gukumira ingaruka mbi nko kugwa cyangwa kwikura mu muryango.
Uburwayi bwinshi butuma umuntu adafite umutekano mu gihe ahagurutse bugira igisubizo cyiza ku buvuzi bworoheje, kandi n'uburwayi bugoranye bushobora guhangana neza uko bikwiye.
Wibuke ko ibibazo byo kubura umutekano mu gihe uhagaze bigira ingaruka ku bantu b'ingeri zose, nubwo bigenda byiyongera uko tugenda dukera. Ntawe uri wenyine ufite ibi bimenyetso, kandi ubufasha burahari. Gukorana n'itsinda ryawe ry'ubuvuzi no gukurikiza imiti yatanzwe ni byo biguha amahirwe meza yo kubungabunga ubwigenge bwawe n'imibereho myiza.
Intambwe y'ingenzi ni ukugana ubufasha igihe ubukeneye. Nturetse gutinya kugwa cyangwa ipfunwe ku bimenyetso byawe bikubuze kwitabwaho nkuko bikwiye.
Ibibazo bimwe byo kubura umwanya, cyane cyane ibyatewe n'indwara ziterwa na virusi cyangwa ibibazo bito mu gutwi ryo hagati, bishobora gukira byonyine mu gihe cy'iminsi mike cyangwa ibyumweru. Ariko kandi, ibibazo byo kubura umwanya bikomeza bisaba ko umuntu asuzumwa n'abaganga kandi agakurikiranwa. Nubwo ibimenyetso bisa nkaho bigenda bigabanuka by'agateganyo, ikibazo nyacyo gishobora kuba gikenewe kuvurwa kugira ngo birinde kongera kubaho cyangwa ingaruka mbi.
Ibibazo byinshi byo kubura umwanya ntabwo biba biba byica, ariko bishobora kugira ingaruka ku mibereho yawe no kongera ibyago byo kugwa. Nubwo bimwe mu bintu bibitera ari bito kandi byoroshye kuvurwa, ibindi bishobora kugaragaza ibibazo bikomeye. Ibibazo byo kubura umwanya bikomeza cyangwa bikomeye bigomba gusuzuma umuganga kugira ngo amenye icyabiteye n'uburyo bukwiye bwo kubuvura.
Yego, stress n'ihungabana bishobora gutera ibibazo byo kubura umwanya. Stress ishobora kugira ingaruka ku mikorere y'amatwi yo hagati, guhindura uburyo uhumeka, no kongera umunaniro w'imitsi, ibyo byose bishobora kugira ingaruka ku mwanya wawe. Byongeye kandi, guhangayika kubyerekeye ibibazo byo kubura umwanya bishobora gutera ikibazo aho guhangayika kubyerekeye ibimenyetso bigatuma biba bibi kurushaho.
Igihe cyo gukira gitandukanye bitewe n'icyo kibazo cyatewe n'uburyo bwo kuvura. Bamwe bagira impinduka mu gihe cy'amasaha cyangwa iminsi bavurwa nka repositioning maneuvers kuri BPPV. Abandi bashobora gukenera ibyumweru cyangwa amezi y'ubuvuzi bwo kuvugurura vestibular kugira ngo babone impinduka ikomeye. Muganga wawe ashobora kuguha igitekerezo cyiza cy'icyo witezeho hashingiwe ku mimerere yawe.
Biterwa n'uburemere n'imiterere y'ibibazo byo kubura umwanya. Niba ufite uburwayi bukomeye cyangwa guhindagurika bishobora kubaho mugihe utwaye ikinyabiziga, ugomba kwirinda gutwara ikinyabiziga kugeza ibibazo byawe bigabanutse. Suzuma uko uhagaze n'umuganga wawe, ashobora kugufasha kumenya igihe ari cyo gihe cyo gutwara ikinyabiziga hashingiwe ku bimenyetso byawe n'uburyo wakiriye ubuvuzi.