Amabuye mu Muyonga: Ibimenyetso, Intandaro, n’Uko Avurwa

Amabuye mu muyonga ni ibintu bikomeye by’imyunyu y’ubutare biba mu muyonga wawe iyo umushishi w’inkari uhindutse ukaba mwinshi cyane maze imyunyu ikabumbana. Tekereza ku mabuye mato cyane, kuva ku nto cyane kugeza ku manini nk’amabuye y’igikoma, akura buhoro buhoro iyo muyonga wawe udasohoka neza.

Aya mabuye arushaho kugaragara kurusha uko wabitekereza, cyane cyane mu bagabo barengeje imyaka 50, nubwo ashobora kwibasira umuntu uwo ari we wese, wese ku myaka yose. Nubwo igitekerezo cy’amabuye mu muyonga gishobora gutera ubwoba, uburyo bwinshi bushobora kuvurwa neza igihe bimaze kuvurwa.

Amabuye mu Muyonga ni ayahe?

Amabuye mu muyonga ni ibintu bikomeye bikorerwa imyunyu y’ubutare n’umunyu bikabumbana mu muyonga wawe. Akura iyo umushishi w’inkari umaze igihe kinini mu muyonga, bikaba byatuma imyunyu nka calcium, magnésium na phosphate bihuza bikaba ibintu bikomeye.

Aya mabuye ashobora kuba mato nk’umusenyi cyangwa akaba manini nk’umupira wa golf mu bihe bidasanzwe. Bamwe bagira ibuye rimwe, abandi bagira amabuye menshi icyarimwe. Amabuye ashobora kuba yoroshye cyangwa akaba arakarishye, kandi imiterere yayo itandukanye bitewe n’imyunyu iboneka cyane mu mushishi w’inkari zawe.

Bitandukanye n’amabuye yo mu mpyiko akura mu mpyiko kandi ashobora kujya mu muyonga, amabuye yo mu muyonga akura muri muyonga ubwayo. Ariko rero, amabuye yo mu mpyiko afunze mu muyonga ashobora guteza ibibazo nk’ibyo.

Ibimenyetso by’amabuye mu muyonga ni ibihe?

Amabuye mato yo mu muyonga akenshi nta bimenyetso aba afite kandi ashobora kutaramenyekana mu mezi cyangwa imyaka myinshi. Ariko kandi, amabuye manini cyangwa ayakomeretsa uruhu rw’umuyonga ashobora guteza ibimenyetso bitari byiza bikarushaho kuba bibi uko igihe kigenda.

Dore ibimenyetso bisanzwe ushobora kugira:

• Kubabara mu nda hasi bishobora kuza no kugenda
• Kumva ubushyuhe cyangwa kubabara mu gihe uri kwinjira
• Kwinjira kenshi, cyane cyane nijoro
• Kugorana gutangira kwinjira cyangwa umushishi w’inkari udafite imbaraga
• Kumva ko muyonga wawe utasohokeye neza
• Umushizi w’inkari utari mwiza cyangwa ufite ibara ryijimye
• Amaraso mu mushizi w’inkari, awutera ibara ry’umutuku, umutuku cyangwa umukara
• Umushizi w’inkari ufite impumuro ikomeye

Bamwe bagira ikibazo cyo guhagarika umushishi w’inkari, aho umushishi uhagarara ukongera ugatangira. Ibi bibaho iyo ibuye rifunze aho umushishi w’inkari usohoka.

Ubwoko bw’amabuye yo mu muyonga ni buhe?

Amabuye yo mu muyonga agabanywa mo ubwoko hashingiwe ku myunyu y’ubutare ayagize, ibi bifasha abaganga kumenya icyayateje n’uburyo bwo kuyavura. Ubwoko busanzwe harimo amabuye ya calcium, amabuye ya struvite, n’amabuye ya acide urique.

Amabuye ya calcium ni yo asanzwe, akenshi akorwa na calcium phosphate cyangwa calcium oxalate. Akenshi akura iyo umushishi w’inkari ubaye alkaline cyangwa iyo hari calcium nyinshi mu mubiri wawe.

Amabuye ya struvite akura iyo ufite indwara zimwe na zimwe ziterwa na bagiteri zituma umushishi w’inkari uba alkaline. Aya mabuye ashobora gukura cyane kandi akenshi yitwa “amabuye y’indwara” kuko ahana n’ubwiyongere bw’abagiteri mu muyonga.

Amabuye ya acide urique akura iyo umushishi w’inkari ubaye acide cyane, akenshi biterwa n’ibiryo, imiti imwe na imwe, cyangwa indwara nka gout. Aya mabuye akenshi aba akomeye kandi ashobora guteza ububabare bukabije iyo yimuka.

Mu bihe bidasanzwe, ushobora kugira amabuye ya cystine niba ufite indwara idasanzwe y’umuzuko witwa cystinuria, cyangwa amabuye avangavanze afite imyunyu itandukanye.

Icyateye amabuye mu muyonga ni iki?

Amabuye mu muyonga akura iyo muyonga wawe udasohoka neza mu gihe cyo kwinjira, bikaba byatuma umushishi w’inkari mwinshi ubaho maze ukabumbana. Uku kudasohoka neza bishobora guterwa n’impamvu nyinshi zitandukanye, kandi kumenya icyabiteye bifasha mu kuvura.

Impamvu zisanzwe harimo:

• Umuhogo w’umuyonga waguye mu bagabo, ubuza umushishi w’inkari guhita
• Ikibazo cyo gufunga umuyonga giterwa n’udukoma cyangwa ibibyimba
• Muyonga udakora neza uterwa n’ubushashatsi bw’imitsi bugira ingaruka ku kugenzura umuyonga
• Kuvimba cyangwa indwara y’umuyonga bihindura imiterere y’umushishi w’inkari
• Amabuye yo mu mpyiko amanuka agafungirwa mu muyonga
• Udukoba tw’umuyonga, ari two tudufuka dufata umushishi w’inkari
• Imiti imwe na imwe ihindura imiterere y’umushishi w’inkari
• Kubuza amazi mu mubiri bikaba byatuma umushishi w’inkari uba mwinshi

Rimwe na rimwe, ibikoresho by’ubuvuzi nka catheter cyangwa umuyonga w’umuyonga bishobora kuba intangiriro yo gukura kw’amabuye. Ibintu byinjira mu muyonga, nubwo bidasanzwe, bishobora kandi gutera amabuye.

Mu bihe bimwe na bimwe, indwara z’imiterere y’umubiri nka hyperparathyroidism cyangwa ibibazo by’umuyonga kuva ku ivuka bishobora kongera ibyago byo kugira amabuye mu buzima bwawe bwose.

Ni ryari ukwiye kubona muganga kubera amabuye mu muyonga?

Ukwiye kuvugana na muganga wawe niba ufite ibimenyetso byo kwinjira bidashira, cyane cyane niba biri kuba bibi uko igihe kigenda. Kumenya hakiri kare bishobora gukumira ingaruka mbi kandi bikaguha amahoro vuba.

Shaka ubufasha bw’abaganga niba ubona amaraso mu mushizi w’inkari, nubwo ari umutuku muke. Nubwo ibi bishobora guterwa n’ibintu byinshi, ni ingenzi gukumira amabuye n’izindi ndwara zikomeye zishobora gusaba kuvurwa.

Hamagara muganga wawe ako kanya niba ufite ububabare bukomeye mu nda hasi, cyane cyane niba bifatanije n’umuriro, guhinda umuriro, cyangwa isereri. Aya bimenyetso bishobora kugaragaza indwara ikomeye cyangwa gufunga rwose bisaba ubufasha bw’abaganga ako kanya.

Ukwiye kandi kubona umuganga niba ugira ikibazo cyo kwinjira, ukumva ko muyonga wawe utasohokeye neza, cyangwa ukabona ko umushishi w’inkari wawe wabaye muke cyangwa uhagarara ukongera ugatangira kenshi.

Ibyago byo kugira amabuye mu muyonga ni ibihe?

Ibintu byinshi bishobora kongera ibyago byo kugira amabuye mu muyonga, imyaka n’igitsina bikaba ari byo bikomeye. Kumenya ibi byago bishobora kugufasha gufata ingamba zo kwirinda no kumenya ibimenyetso hakiri kare.

Ibyago by’ingenzi harimo:

• Kuba umugabo, cyane cyane uwo mu myaka irenga 50
• Kugira umuhogo w’umuyonga waguye
• Amateka y’indwara z’umuyonga cyangwa kuvumba
• Indwara z’imitsi zigira ingaruka ku mikorere y’umuyonga
• Kubagwa mu muyonga mbere cyangwa kuvurwa n’imirasire
• Kubuza amazi mu mubiri cyangwa kunywa amazi make
• Imiti imwe na imwe nka diuretiques cyangwa antacides
• Kudakora cyangwa kuryama igihe kirekire

Abantu bafite ibikomere by’umugongo, sclerosis multiple, cyangwa stroke bafite ibyago byinshi kuko izi ndwara zishobora kugira ingaruka ku gusohora neza kw’umuyonga. Byongeye kandi, abagize amateka y’amabuye yo mu mpyiko bafite ibyago byinshi byo kugira amabuye mu muyonga.

Ibiryo nko kurya umunyu mwinshi, kurya proteine nyinshi z’amatungo, cyangwa kurya ibiryo bike by’imbuto n’imboga bishobora kandi gutera amabuye uko igihe kigenda.

Ingaruka zishoboka z’amabuye mu muyonga ni izihe?

Nubwo amabuye menshi yo mu muyonga ashobora kuvurwa nta kibazo gikomeye, kuyareka atavuwe bishobora gutera ingaruka nyinshi zigira ingaruka ku mibereho yawe n’ubuzima muri rusange. Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa hakoreshejwe ubuvuzi bukwiye.

Ingaruka zisanzwe ushobora kugira harimo:

• Indwara z’umuyonga zidakira zigenda zigaruka
• Guhagarika rwose umushishi w’inkari, ari byo byago mu buzima
• Kuvimba kw’umuyonga bidashira no gukomeretsa
• Ibibazo by’impyiko biterwa n’umushishi w’inkari udasohoka
• Kudakora neza kw’umuyonga bigatuma udashobora kugenzura inkari
• Sepsis iterwa n’indwara zikomeye zitavuwe

Indwara zigaruka zikomeye cyane kuko zishobora gukomeretsa uruhu rw’umuyonga uko igihe kigenda kandi bigatuma bigoye ko umuyonga wawe ukora neza. Bamwe bagira ububabare budashira bubabangamira ibikorwa bya buri munsi n’amazina.

Mu bihe bidasanzwe, amabuye manini cyane ashobora gukomeretsa umuyonga burundu cyangwa akaba intandaro y’ingaruka zikomeye zihitana ubuzima niba afunze umushishi w’inkari rwose. Ariko kandi, izi ngaruka zikomeye zishobora kwirindwa hakiri kare kuvurwa.

Uko amabuye mu muyonga ashobora kwirindwa

Kwiringira amabuye mu muyonga byibanda ku kugumisha umuyonga wawe muzima no kuwusohokera neza mu gihe cyo kwinjira. Nubwo udashobora kugenzura ibyago byose, impinduka nyinshi mu mibereho zishobora kugabanya cyane amahirwe yo kugira amabuye.

Intambwe y’ingenzi ni ukunywa amazi ahagije umunsi wose. Gerageza kugira umushishi w’inkari usa neza cyangwa ufite ibara ry’umuhondo, ibi bigaragaza ko uhawe amazi ahagije kandi bifasha mu kwirinda imyunyu y’ubutare kubumbana mu muyonga wawe.

Kora uko ushoboye ngo usohoke neza buri gihe ujya kwinjira, kandi ntukabike inkari igihe kirekire. Niba ugira ikibazo cyo gusohora neza umuyonga wawe, korana na muganga wawe kugira ngo ukemure ibibazo byose.

Kujya gusuzuma buri gihe ni ingenzi, cyane cyane niba ufite ibibazo nko kugira umuhogo w’umuyonga waguye cyangwa ibibazo by’imitsi bigira ingaruka ku mikorere y’umuyonga. Kuvura ibyo bibazo bishobora gukumira amabuye.

Kurya indyo yuzuye ifite umunyu mu rugero ruhagije n’imbuto n’imboga nyinshi bishobora kandi gufasha. Niba warigeze kugira amabuye, muganga wawe ashobora kugutegeka impinduka runaka mu byo urya hashingiwe ku bwoko bw’amabuye wari ufite.

Uko amabuye yo mu muyonga apimwa

Kumenya amabuye yo mu muyonga bisanzwe bitangira kuvugana n’ibimenyetso byawe n’amateka yawe y’ubuzima na muganga wawe. Azashaka kumenya ibimenyetso byo kwinjira, ububabare ubona, niba warigeze kugira amabuye yo mu mpyiko cyangwa ibibazo by’umuyonga.

Muganga wawe ashobora gutegeka ikizamini cy’umushishi w’inkari kugira ngo arebe amaraso, indwara, cyangwa imyunyu ishobora kugaragaza amabuye. Iki kizamini cyoroshye gishobora gutanga amakuru y’ingenzi ku byabaye mu muyonga wawe.

Ibizamini byo kubona amafoto bifasha kwemeza uburwayi no kugaragaza ubunini n’aho amabuye ari. Ultrasound akenshi ni ikizamini cya mbere cyo kubona amafoto kuko kidatera ububabare kandi ntikikoresha imirasire. CT scan itanga amafoto arambuye kandi ishobora kubona amabuye ataragaragaye mu bindi bizamini.

Rimwe na rimwe muganga wawe ashobora gukoresha X-ray yihariye yitwa intravenous pyelogram, aho umunyu ugaragara ushyirwa kugira ngo ugaragaze umuyonga wawe. Mu bihe bimwe na bimwe, ashobora kureba muri muyonga wawe akoresheje umuyonga muto, woroshye witwa cystoscope.

Ibindi bizamini bishobora kuba harimo gupima amaraso kugira ngo harebwe imikorere y’impyiko n’imyunyu ishobora gutera amabuye.

Uko amabuye yo mu muyonga avurwa

Uburyo bwo kuvura amabuye yo mu muyonga biterwa n’ubunini bwabo, umubare wabo, n’icyo byateye. Amabuye mato rimwe na rimwe asohoka wenyine unywa amazi menshi, mu gihe amabuye manini akenshi asaba ubufasha bw’abaganga kugira ngo akurwe neza.

Kubera amabuye mato, muganga wawe ashobora kugutegeka kunywa amazi menshi no gufata imiti ifasha mu kuruhuza imitsi y’umuyonga no koroshya gusohora amabuye. Imiti igabanya ububabare ishobora gufasha mu kugabanya ububabare muri uwo mujyo.

Amabuye manini akenshi asaba uburyo bwo kuvura bwitwa cystolitholapaxy, aho muganga wawe akoresha kamera nto kugira ngo abone amabuye maze ayamenagure akoresheje laser cyangwa ultrasound. Ibice by’amabuye hanyuma bisukurwa mu muyonga wawe.

Mu bihe bimwe na bimwe, gukuraho amabuye hakoreshejwe ubuganga bishobora kuba ngombwa, cyane cyane kubera amabuye manini cyangwa igihe ubundi buryo butavuyemo umusaruro. Ibi bishobora gukorwa hakoreshejwe umwanya muto mu nda hasi cyangwa rimwe na rimwe hakoreshejwe umuyonga.

Kuvura ibibazo byose byateye amabuye ni ingenzi. Ibi bishobora kuba harimo imiti yo kuvura umuhogo w’umuyonga waguye, antibiotique yo kuvura indwara, cyangwa ubundi buryo bushingiye ku mimerere yawe.

Uko wakwitwara iwawe ufite amabuye mu muyonga

Nubwo kuvurwa kw’abaganga bisanzwe bikenewe kubera amabuye yo mu muyonga, uburyo bwinshi bwo kwitwara iwawe bushobora kugufasha kumva utekanye kandi bugufasha gukira. Ubu buryo bukora neza iyo buhujwe n’ubuvuzi bukwiye.

Kunywa amazi menshi ni ikintu cy’ingenzi cyane ushobora gukora iwawe. Gerageza kunywa nibura ibirahuri 8-10 buri munsi, cyangwa bihagije kugira ngo umushishi w’inkari wawe ube umuhondo mucyeya. Ibi bifasha mu gusukura umubiri wawe kandi bishobora gufasha amabuye mato gusohora byoroshye.

Kugabanya ububabare mu buryo bw’umwimerere bishobora kuba harimo gushyira igipfunsi gishyushye mu nda hasi cyangwa koga amazi ashyushye kugira ngo kuruhuze imitsi yawe. Imiti igabanya ububabare iboneka mu maduka nka ibuprofen ishobora gufasha mu kugabanya kuvumba n’ububabare.

Witondere ibyo urya ugahagarika umunyu mwinshi kandi ukirinda ibiryo bifite oxalates nyinshi niba muganga wawe abikubwiye. Kurya indyo yuzuye ifite imbuto n’imboga nyinshi bifasha ubuzima bw’umuyonga muri rusange.

Komeza ukureho ibimenyetso byawe, harimo igihe ubona ububabare, impinduka mu kwinjira, cyangwa amaraso mu mushizi w’inkari. Aya makuru afasha itsinda ry’abaganga bawe gukurikirana amajyambere yawe no guhindura uburyo bwo kuvura niba ari ngombwa.

Uko wakwitegura kujya kwa muganga

Kwitunganya mbere yo kujya kwa muganga bifasha kwemeza ko ubona uburwayi nyabwo n’uburyo bwiza bwo kuvura. Gukoresha iminota mike gutegura ibitekerezo byawe no gukusanya amakuru bishobora gutuma uruzinduko rwawe ruba rwiza.

Andika ibimenyetso byawe byose, harimo igihe byatangiye, uko bikomeye, n’icyo biba byiza cyangwa biba bibi. Bandika impinduka zose mu buryo bwawe bwo kwinjira, ububabare, cyangwa imiterere y’umushishi w’inkari mu byumweru bishize.

Zana urutonde rwuzuye rw’imiti yose ufata, harimo imiti y’abaganga, imiti iboneka mu maduka, n’ibindi byongerwamo. Imiti imwe na imwe ishobora kugira ingaruka ku mimerere y’umushishi w’inkari cyangwa imikorere y’umuyonga.

Tegura urutonde rw’ibibazo ushaka kubaza muganga wawe. Ibibazo bisanzwe bishobora kuba harimo icyateye amabuye yawe, uburyo bwo kuvura buhari, n’uko wakwirinda amabuye azakurikira.

Niba bishoboka, zana icyitegererezo cy’umushishi w’inkari niba ibiro by’umuganga wawe bibisabye, kandi witegure kuzana umuntu wo mu muryango cyangwa inshuti kugira ngo aguhe inkunga kandi aguhe gufata amakuru y’ingenzi yavuzwe mu ruzinduko rwawe.

Icyo ugomba kumenya cyane ku mabuye yo mu muyonga

Amabuye yo mu muyonga ni indwara ishobora kuvurwa ikibasira abantu benshi, cyane cyane abagabo barengeje imyaka 50. Nubwo ashobora guteza ibimenyetso bitari byiza, abantu benshi barakira neza hakoreshejwe ubuvuzi bukwiye kandi ntibagira ibibazo by’igihe kirekire.

Ikintu cy’ingenzi cyo kwibuka ni uko kuvurwa hakiri kare bikurinda ingaruka mbi kandi bikagufasha kumva utekanye vuba. Niba ufite ibimenyetso byo kwinjira bikuguha impungenge, ntutinye kuvugana n’umuganga wawe kugira ngo akumenye.

Ukoresheje uburyo bukwiye bwo kuvura n’ingamba zo kwirinda nko kunywa amazi ahagije no kuvura ibibazo by’umuyonga, abantu benshi barinda amabuye kudakomeza. Itsinda ry’abaganga bawe rishobora gukorana nawe kugira ngo utegure gahunda ihuye n’imimerere yawe n’ibyo ukeneye mu buzima.

Ibibazo byakenshi bibazwa ku mabuye yo mu muyonga

Amabuye yo mu muyonga ashobora gusohora wenyine?

Amabuye mato yo mu muyonga rimwe na rimwe ashobora gusohora wenyine mu muyonga mu gihe uri kwinjira, cyane cyane niba unywa amazi menshi. Ariko kandi, amabuye manini akenshi asaba ubufasha bw’abaganga kugira ngo akurwe neza. Muganga wawe ashobora kumenya niba amabuye yawe ashobora gusohora wenyine hashingiwe ku bunini bwabo n’ibimenyetso byawe.

Igihe kingana iki amabuye yo mu muyonga amara kugira ngo akure?

Amabuye yo mu muyonga ashobora gukura mu byumweru ku mezi, bitewe n’ibintu bitandukanye nko gusohora neza kw’umuyonga wawe n’imiterere y’umushishi w’inkari. Amabuye amwe akura vuba niba ufite ikibazo gikomeye cyo gufunga, mu gihe ayandi ashobora gukura buhoro buhoro mu mezi menshi cyangwa imyaka nta bimenyetso bigaragara.

Amabuye yo mu muyonga asa n’amabuye yo mu mpyiko?

Amabuye yo mu muyonga n’amabuye yo mu mpyiko ni indwara zitandukanye, nubwo bishobora guhurirana. Amabuye yo mu muyonga akura muri muyonga ubwayo, mu gihe amabuye yo mu mpyiko akura mu mpyiko. Ariko kandi, amabuye mato yo mu mpyiko rimwe na rimwe ashobora kujya amanuka agafungirwa mu muyonga, aho ashobora gukura cyangwa guteza ibimenyetso nk’iby’amabuye yo mu muyonga.

Ni ibihe biryo nakwirinda niba mfite amabuye yo mu muyonga?

Inama ku byo kurya biterwa n’ubwoko bw’amabuye ufite, ariko muri rusange, ukwiye kugabanya ibiryo bifite umunyu mwinshi, oxalates, na proteine nyinshi z’amatungo. Muganga wawe ashobora kugutegeka kugabanya ispinachi, imyembe, shokola, n’ibiryo bitegurwa mu ruganda mu gihe wongera kunywa amazi n’imbuto za citrus. Umuganga w’ibiryo ashobora kugufasha gutegura gahunda y’ibiryo ihuye n’ubwoko bw’amabuye ufite.

Amabuye yo mu muyonga azagaruka nyuma yo kuvurwa?

Amabuye yo mu muyonga ashobora kugaruka niba icyayateye kitavuwe. Urugero, niba umuhogo w’umuyonga waguye cyangwa kudakora neza kw’umuyonga byateye amabuye yawe, kuvura ibyo bibazo bigabanya cyane ibyago byo kugira amabuye mashya. Gukurikiza inama za muganga wawe zo kwirinda, kunywa amazi ahagije, no kujya gusuzuma buri gihe bishobora gufasha mu kwirinda kugaruka kw’amabuye.