

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ukwisimba mu buriri, bizwi kandi nka enuresis ya nijoro, ni uko umuntu ashobora kwinjira mu mugozi ari gusinzira. Ibi bibaho kuko umubiri utaramenya kubyuka iyo umufuka wujuje, cyangwa umufuka ukora imyanda myinshi kurusha uko ushobora kuyifata mu ijoro.
Ni ibisanzwe ku bana, kandi birakwiye kurusha uko wabitekereza. Abana benshi bakuramo kwisimba mu buriri uko imibiri yabo ikura, nubwo bamwe bashobora gukenera inkunga yongeyeho.
Ikimenyetso nyamukuru ni ukubyutsa mu mapaji cyangwa imyenda y’imbere y’amazi. Ku bana benshi, ibi bibaho nta kintu na kimwe babizi mu gihe barimo gusinzira.
Ushobora kubona umwana wawe asinziriye cyane kandi ntabyuke nubwo umufuka we wujuje. Bamwe mu bana bashobora kandi kugira ingendo nyinshi zo mu bwiherero cyangwa bagaragara nk’abafite umufuka muto kurusha abandi bafite imyaka nk’iyabo.
Ariko rero, niba kwisimba mu buriri gutangira gitunguranye nyuma y’amezi menshi y’amajoro yumye, cyangwa niba bije hamwe n’ibindi bimenyetso nka kubabara, guhumeka, cyangwa inyota nyinshi, ni byiza kujya kwa muganga kugira ngo uhagarike ibibazo byihishe.
Ukwisimba mu buriri kwa mbere bivuze ko umwana atigeze agira amahoro yumye igihe kirekire kurusha amezi atandatu. Ubu ni bwo bwoko bugaragara cyane kandi busanzwe bibaho kuko umubiri w’umwana ukirimo kwiga kugenzura umufuka.
Ukwisimba mu buriri kwa kabiri bibaho iyo umwana atangira kongera kwisimba mu buriri nyuma yo kumara nibura amezi atandatu yumye. Ubu bwoko si bwo bugaragara cyane kandi bushobora kugaragaza uburwayi, umunaniro wo mu mutwe, cyangwa impinduka mu buzima zikenewe kwitabwaho.
Ukwisimba mu buriri bisanzwe bibaho kuko umubiri w’umwana wawe ukirimo kwiga guhuza ibintu byinshi bigoye mu ijoro. Tekereza ko ibice bitandukanye by’uburyo bikeneye igihe kugira ngo bikore neza.
Dore impamvu zisanzwe ziterwa no kwisimba mu buriri:
Gake, kwisimba mu buriri bishobora guhuzwa n’uburwayi nka kanseri y’inzira z’umuyoboro w’inkari, diyabete, cyangwa ibibazo byo gusinzira. Umunaniro wo mu mutwe ukomoka ku mpinduka zikomeye mu buzima na wo ushobora gutera ibibazo byo kwisimba mu buriri by’igihe gito.
Ikintu gikomeye cyo kwibuka ni uko kwisimba mu buriri gake ari amakosa y’umuntu. Abana benshi bakeneye igihe kinini kugira ngo imibiri yabo ikure kandi ihuze ibyo bikorwa nijoro.
Wagombye gutekereza kuvugana na muganga w’umwana wawe niba kwisimba mu buriri bikomeza nyuma y’imyaka 7, cyangwa niba umwana wawe atangira kwisimba mu buriri gitunguranye nyuma yo kumara igihe kinini yumye. Ibi bihe bishobora kugira akamaro mu buyobozi cyangwa isuzuma ry’umwuga.
Ni igihe cyo kuvugana niba kwisimba mu buriri bije hamwe n’ibindi bimenyetso bibangamira. Ibimenyetso by’uburwayi birimo kubabara mu gihe cyo kwinjira, amaraso mu mugozi, inyota nyinshi, guhumeka, cyangwa impinduka zitunguranye mu myitwarire yo mu bwiherero mu manywa.
Byongeye kandi, niba kwisimba mu buriri biteye umwana wawe agahinda gakomeye cyangwa bikagira ingaruka ku bushake bwe bwo kwitabira ibitotsi cyangwa ingendo zo kwiga, umukozi w’ubuzima ashobora gutanga ingamba n’inkunga zo gufasha buri wese kumva afite icyizere.
Ibintu byinshi bishobora gutuma kwisimba mu buriri kubaho cyane, nubwo kugira ibyo byago ntibisobanura ko umwana wawe azabona. Kubyumva bishobora kugufasha kwegera icyo kibazo ufite kwihangana n’ibitekerezo bifatika.
Ibyago bisanzwe birimo:
Uburwayi nka kubabara, kanseri y’inzira z’umuyoboro w’inkari, cyangwa uburwayi bwo kutamenya kwicara (ADHD) bishobora kandi kongera amahirwe yo kwisimba mu buriri. Ariko rero, abana benshi bafite ibyo byago bazakira kwisimba mu buriri uko bakura.
Ingaruka zo kwisimba mu buriri ku mubiri zisanzwe ari nto kandi zirakomeza. Ikibazo nyamukuru gisanzwe ari ukubabara kw’uruhu kubera guhora guhuza n’imyenda cyangwa ibitanda by’amazi.
Ariko rero, ingaruka zo mu mutwe zishobora kuba zikomeye kurushaho niba zitavuwe neza. Abana bashobora kugira ipfunwe, isoni, cyangwa icyizere gito, cyane cyane niba bafite abavandimwe cyangwa bagenzi babo babashinyagura.
Dore ingaruka zishoboka zo kumenya:
Inkuru nziza ni uko, hamwe no gufashwa neza no gucunga neza, ibyo bibazo byose birinda. Kurema ibidukikije bidatuma umuntu agira ipfunwe no kwibanda ku bisubizo bifatika bifasha abana kugumana icyizere cyabo mu gihe imibiri yabo ikomeza gutera imbere.
Nubwo utazi kwirinda kwisimba mu buriri rwose kuko ahanini ari ukura, ingamba zimwe na zimwe zishobora gufasha umwana wawe kugera ku mahirwe yumye. Ibyo bigendanye no guhanga ibintu byiza byo gutera imbere.
Dore ingamba zifasha mu kwirinda:
Kumenya ko kwirinda atari ukwihuta, ahubwo ni ugufasha umwana wawe gutera imbere. Bamwe mu bana bazagira amahoro yumye mbere y’abandi, kandi ibyo ni ibisanzwe.
Kumenya kwisimba mu buriri bisanzwe byoroshye kandi bishingiye ku mateka y’umwana wawe n’ibimenyetso. Muganga wawe azabaza ibyerekeye kenshi kwisimba mu buriri, amateka y’umuryango, n’ibindi bimenyetso umwana wawe ashobora kuba afite.
Umuntu wita ku buzima azashaka kumenya igihe kwisimba mu buriri byatangiye, niba umwana wawe yigeze agira igihe kinini yumye, niba hari imikorere wabonye. Bazabaza kandi ku myitwarire yo mu bwiherero mu manywa n’iterambere muri rusange.
Mu bihe byinshi, nta bipimo bidasanzwe bikenewe. Ariko rero, muganga wawe ashobora kugutegeka gupima umusaruro kugira ngo arebe niba hari indwara cyangwa ibindi bibazo, cyane cyane niba kwisimba mu buriri byatangiye gitunguranye cyangwa bije hamwe n’ibindi bimenyetso nka kubabara cyangwa guhumeka.
Rimwe na rimwe, kubika ibitabo by’ibwiherero ibyumweru bike bishobora gufasha kumenya imikorere. Ibi birimo gukurikirana ifunguro ry’amazi, ingendo zo mu bwiherero, n’amajoro yumye cyangwa amazi kugira ngo muganga wawe abone ishusho isobanutse y’ibiri kubaho.
Kuvura kwisimba mu buriri kenshi bitangira no kwihangana n’ingamba zifasha, kuko abana benshi barakuramo. Uburyo bwo kuvura biterwa n’imyaka y’umwana wawe, uko kwisimba mu buriri kenshi bibaho, niba biteye agahinda.
Ku muryango mwinshi, impinduka zoroheje mu mibereho n’ishishikariza bihagije. Ariko rero, niba kwisimba mu buriri bikomeza nyuma y’imyaka 7 cyangwa bikagira ingaruka ku mibereho y’umwana wawe, ubundi buryo bwo kuvura bushobora gufasha.
Dore uburyo nyamukuru bwo kuvura:
Uburyo bukoreshwa cyane buhuza ingamba zifatika hamwe n’inkunga yo mu mutwe. Wibuke ko guhana cyangwa ipfunwe ntibyigeze bifasha kandi bishobora gutuma kwisimba mu buriri kuba kibi kurushaho kongera umunaniro n’agahinda.
Ukugenzura kwisimba mu buriri murugo kwibanda ku guhanga ibidukikije bifasha mu gihe ugabanya ibibazo kuri buri wese. Ikintu nyamukuru ni uguteza imbere imikorere ifatika iroroshya gusukura kandi ifasha umwana wawe kumva afite icyizere.
Tangira ukoresheje uburyo bwo kurinda bugabanya ingaruka z’amajoro y’amazi. Ibitanda by’amazi bidakora amazi, ibitanda bifata amazi, n’imyenda y’imbere yo gukurura bishobora gufasha buri wese gusinzira neza azi ko gusukura bizakorwa neza.
Dore ingamba zifatika zo gucunga murugo:
Wibuke ko gukomeza no kwihangana ari byo bikoresho byawe byiza. Himura amahoro yumye nta gushyira igitutu ku mwana wawe, kandi ugenzure amahoro y’amazi nk’ibintu bibaho mu gihe umubiri we ukirimo kwiga.
Kwitoza ku bw’umuganga bifasha kumenya ko uzabona ubuyobozi bufasha cyane ku kibazo cyo kwisimba mu buriri cy’umwana wawe. Gukusanya amakuru mbere yo kujya kwa muganga bituma umukozi wita ku buzima yumva neza imikorere n’ibikenewe by’umwana wawe.
Tangira ukureba imikorere y’umwana wawe mu bwiherero nibura icyumweru kimwe mbere yo kujya kwa muganga. Andika amahoro yumye n’amazi, uburyo bwo kunywa amazi, n’ibindi bimenyetso wabonye.
Dore ibyo wakwizana n’ibyo wakuganiraho:
Ntukabe umuntu utinya kubabaza ibibazo ku buryo bwo kuvura, igihe cyitezwe, cyangwa ingamba zo guhangana n’ibikorwa by’abantu. Muganga wawe ashobora gutanga ubuyobozi bushingiye ku mimerere y’umwana wawe n’icyiciro cy’iterambere.
Ukwisimba mu buriri ni igice gisanzwe cy’iterambere ry’abana, abana benshi barakuramo uko imibiri yabo ikura. Si ikimenyetso cy’ubushotoranyi, ibibazo by’imyitwarire, cyangwa kurangwa n’ababyeyi babi, ahubwo bisobanura ko umubiri w’umwana wawe ukeneye igihe kinini kugira ngo uhuze kugenzura umufuka nijoro.
Ikintu cy’ingenzi cyane ushobora gukora ni ukwegera kwisimba mu buriri ufite kwihangana, ubwumvikane, n’ibisubizo bifatika. Kurema ibidukikije bifasha bifasha umwana wawe kugumana icyizere mu gihe umubiri we ukomeza gutera imbere ibyo bikorwa bigoye nijoro.
Mu gihe utegereje gukira, ibanda ku gucunga ibintu bifatika no kurinda umwana wawe amahoro yo mu mutwe. Abana benshi bagera ku mahirwe yumye ku myaka 7, nubwo bamwe bashobora gukenera igihe kinini, kandi ibyo ni byiza.
Wibuke ko inkunga ikomeye ihuza ingamba zifatika hamwe no guhumuriza mu mutwe. Hamwe n’uburyo bukwiye, kwisimba mu buriri bihinduka ikibazo gishobora gucungwa umuryango wawe ushobora kunyuramo hamwe n’icyizere n’ubwitonzi.
Abana benshi barareka kwisimba mu buriri hagati y’imyaka 3-5, ariko biracyafatwa nk’ibisanzwe kugeza ku myaka 7. Wagombye gutekereza kuvugana na muganga w’umwana wawe niba kwisimba mu buriri bikomeza kenshi nyuma y’imyaka 7, cyangwa niba umwana wawe atangira kwisimba mu buriri gitunguranye nyuma yo kumara amezi menshi yumye.
Kugabanya ibinyobwa isaha 1-2 mbere yo kuryama bishobora gufasha kugabanya umunaniro w’imyanda nijoro, ariko ntibizabuza kwisimba mu buriri mu bihe byinshi. Ikintu nyamukuru ni ukumenya ko umwana wawe anywa amazi ahagije umunsi wose mu gihe uzirikana kunywa amazi nijoro. Ntuzigere uhagarika amazi ku buryo umwana wawe aba adafite amazi ahagije.
Ibyuma by’amazi bishobora kuba bifite akamaro cyane, hamwe n’amahirwe yo gutsinda agera kuri 60-70% iyo bikoreshejwe buri gihe mu mezi menshi. Ibyo bikoresho bifasha gutoza ubwonko bw’umwana wawe kumenya ibimenyetso by’umufuka mu gihe cyo gusinzira. Ariko rero, bisaba kwihangana no gukomeza, kandi bikora neza ku bana bafite ubushake bwo kugira amahoro yumye kandi bashobora kubyuka kubera ibyuma.
Yego, kwisimba mu buriri kenshi bibaho mu miryango. Niba umubyeyi umwe yagize ibibazo byo kwisimba mu buriri akiri umwana, hari amahirwe agera kuri 40% ko umwana we azabona. Niba ababyeyi bombi bagize ibibazo byo kwisimba mu buriri, amahirwe aragera kuri 75%. Iyo miterere ya gene ifasha gusobanura impamvu bamwe mu bana bakenera igihe kinini kugira ngo bagere ku kuba batagisimba mu buriri kurusha abandi.
Guhaguruka cyangwa kubyuka umwana wawe kugira ngo ajye mu bwiherero bishobora gufasha kugumana uburibwe bwumye igihe gito, ariko ntibyigisha umubiri we kumenya ibimenyetso by’umufuka wenyine. Niba uhisemo ubu buryo, menya ko umwana wawe yuzuye kandi akoresha ubwiherero. Ariko rero, impuguke nyinshi zirasuzuma gutera imbere kw’umwana kurusha gahunda yo kubyuka nijoro.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.