Icyititsi ni iki? Ibimenyetso, Impamvu, n’Ubuvuzi

Icyititsi ni ububabare bw’umwijima, akenshi guterwa n’ubwandu bw’ibyorezo. Tekereza ko umwijima wawe ubabaye kandi ukaba warabyimbye, kimwe n’uko umunwa wawe wumva iyo ufite ibyuya.

Iyi ndwara igera kuri miliyoni z’abantu buri mwaka, cyane cyane abagore. Nubwo bishobora kuba bibi kandi bikagutera impungenge iyo bikubayeho, icyititsi gisanzwe kivurwa neza kandi gake cyane bigira ingaruka zikomeye iyo kivuwe vuba.

Icyititsi ni iki?

Icyititsi kibaho iyo uruhu rw’umwijima wawe rubabaye, akenshi biterwa n’ibyorezo binjira mu gitsina. Umuwijima wawe ubusanzwe aba ari ahantu hatagira ibyorezo, bityo iyo ibyorezo byiyongereye, umubiri wawe uba uhanganye n’ububabare kugira ngo urwanye ubwandu.

Ibyinshi mu bwandu biterwa na E. coli, isanzwe iba mu mara yawe idakora ikibi ariko ishobora gutera ibibazo iyo igeze mu nzira y’inkari. Abagore barwara icyititsi kenshi kurusha abagabo kuko igitsina cyabo kiba gito, bituma ibyorezo byoroshye kugera ku mwijima.

Inkuru nziza ni uko icyititsi kivurwa neza. Hamwe no kwitaho neza, abantu benshi bumva bameze neza mu minsi mike uhereye igihe batangiye kuvurwa.

Ni ibihe bimenyetso by’icyititsi?

Ikimenyetso cy’icyititsi gikunze kugaragara ni ububabare bwaka umuriro mu gihe uri kwinjira, akenshi bivugwa ko ari nk’aho uri gucaho icyuma. Ushobora kandi kubona ko ukeneye kujya kwinjira kenshi kurusha uko bisanzwe, nubwo umwijima wawe wumva udafunze.

Dore ibimenyetso ushobora kugira ufite icyititsi:

• Ububabare bwaka umuriro cyangwa ubushyuhe mu gihe uri kwinjira
• Ukeneye kujya kwinjira kenshi, na nyuma yo kujyayo
• Urinjira utonnye gato buri gihe
• Inkari zifite ibara ry’umweru, ibara ryijimye, cyangwa zifite impumuro ikomeye
• Amaraso mu nkari (abigira ibara ry’umutuku cyangwa ibara ry’umutuku)
• Ububabare mu kibuno cyangwa umuvuduko, cyane cyane mu bagore
• Ububabare mu nda yo hasi
• Kumva utameze neza cyangwa unaniwe

Bamwe mu bantu bagira n’umuriro muke cyangwa gukonja. Niba ufite umuriro mwinshi, ububabare bukomeye mu mugongo, cyangwa ukumva urwaye cyane, ibyo bishobora kuba ibimenyetso by’uko ubwandu bwagera ku mpyiko, bikaba bisaba ubuvuzi bw’ihutirwa.

Ni iyihe mitype y’icyititsi?

Icyititsi gikubiyemo ibice bibiri by’ingenzi: icyititsi giterwa n’ubwandu n’icyo kitaterwa n’ubwandu. Icyititsi giterwa n’ubwandu, giterwa n’ibyorezo, ni cyo cyititsi gikunze kugaragara.

Icyititsi giterwa n’ibyorezo bigize hafi 85% by’ibyo byose. Ibi bibaho iyo ibyorezo, akenshi E. coli iva mu mara yawe, binjira mu nzira y’inkari kandi bikagwira mu mwijima.

Icyititsi kitaterwa n’ubwandu gishobora guterwa n’ibintu byinshi. Ibintu byangiza uruhu nka za shampo, imiti yo kumesa igitsina, cyangwa imiti imwe na imwe bishobora kubabaza umwijima. Ubuvuzi bw’amiradiyo ya kanseri na bwo bishobora gutera ubwo bubabare.

Icyititsi cya Interstitial ni indwara idasanzwe, ikomeza igihe kirekire aho umwijima wawe ubabara buri gihe nta mpamvu isobanutse y’ibyorezo. Ubu bwoko busaba ubuvuzi bwihariye no guhora ugenzurwa n’umuganga w’inzira z’inkari.

Icyititsi giterwa n’iki?

Impamvu nyamukuru y’icyititsi ni ibyorezo binjira mu nzira y’inkari binyuze mu gitsina kandi bigera ku mwijima. Ubusanzwe umubiri wawe uvanaho ibyorezo bike mu gihe uri kwinjira, ariko rimwe na rimwe ibyorezo bishobora kwiyongera vuba kurusha uko umubiri wawe ushobora kubikuraho.

Ibintu byinshi bishobora kongera amahirwe yo kurwara icyititsi giterwa n’ibyorezo:

• Imibonano mpuzabitsina, ishobora gutuma ibyorezo bigera mu gitsina
• Kumesa inyuma uhereye inyuma ujya imbere nyuma yo kujya ku musarani
• Kufata inkari igihe kirekire
• Kudakoresha amazi ahagije
• Ubwoko bumwe bw’uburyo bwo kuboneza urubyaro, nka za diaphragmes
• Gutwite, kubera impinduka z’imisemburo n’umuvuduko ku mwijima
• Kugira imyaka y’ubukure, iyo urwego rwa estrogen rugabanuka rugira impinduka mu nzira y’inkari
• Gukoresha catheter y’inkari

Gake, icyititsi gishobora guterwa n’izindi mpamvu. Imiti ya chimiothérapie, ubuvuzi bw’amiradiyo, cyangwa indwara ziterwa n’ubudahangarwa bw’umubiri bishobora kubabaza umwijima nta byorezo. Bamwe mu bantu barwara icyititsi nk’ingaruka z’ibicuruzwa byo kwita ku mubiri cyangwa ibiryo.

Ni ryari ukwiye kujya kwa muganga ufite icyititsi?

Ukwiye kuvugana n’abaganga bawe niba ufite ububabare bwaka umuriro mu gihe uri kwinjira hamwe no gukenera kujya kwinjira kenshi bidashira mu masaha 24-48. Ubuvuzi bwa vuba bushobora kubuza ubwandu kuba bubi cyangwa bugakwirakwira.

Shaka ubuvuzi bw’ihutirwa niba ufite ibyo bimenyetso bikomeye:

• Umuriro urenze 101°F (38.3°C)
• Ububabare bukomeye mu mugongo cyangwa ku ruhande
• Isesemi no kuruka
• Amaraso mu nkari asa n’umutuku cyane
• Ibimenyetso bikomeza kuba bibi nubwo ukoresha ubuvuzi bw’iwabo
• Kudashaka kwinjira nubwo wumva ukeneye kujyayo

Niba utwite, ufite diyabete, cyangwa ufite ubudahangarwa bw’umubiri buke, ntuzategereze kureba niba ibimenyetso bizagenda byonyine. Izo ndwara zishobora gutuma ubwandu bw’inzira z’inkari bukomeye, bityo ubuvuzi bwa vuba bukaba ingenzi cyane.

Ni ibihe bintu byongera ibyago byo kurwara icyititsi?

Kuba umugore ni cyo kintu cyongera ibyago byo kurwara icyititsi. Abagore bafite amahirwe menshi yo kurwara ubwandu bw’inzira z’inkari kurusha abagabo kuko igitsina cyabo gifite ubugari buke, ugereranyije n’abagabo.

Imyaka yawe na yo igira uruhare mu kintu cyongera ibyago. Abagore bakiri bato, bakora imibonano mpuzabitsina, barwara icyititsi kenshi, mu gihe abantu bakuze bombi barwara icyititsi kubera kudakoresha umwijima neza no guhinduka mu budahangarwa bw’umubiri.

Ibintu byinshi bishobora kongera amahirwe yo kurwara icyititsi:

• Imibonano mpuzabitsina iheruka cyangwa umukunzi mushya
• Gukoresha imiti imwe yo kuboneza urubyaro nka za diaphragmes cyangwa spermicides
• Kuba umaze imyaka y’ubukure kubera kugabanuka kw’urwego rwa estrogen
• Kugira diyabete, bishobora kugabanya ubudahangarwa bw’umubiri
• Gukoresha imiti igabanya ubudahangarwa bw’umubiri
• Kugira amabuye y’impyiko cyangwa izindi ndwara z’inzira z’inkari
• Gukoresha catheter y’inkari
• Amateka y’ubwandu bw’inzira z’inkari

Niba ufite icyititsi kenshi (inshuro eshatu cyangwa zirenze mu mwaka), muganga wawe ashobora kugusaba ibizamini by’inyongera kugira ngo amenye impamvu cyangwa ubuvuzi bwo kwirinda.

Ni iyihe ngaruka zishoboka z’icyititsi?

Ibyinshi mu bwandu bw’icyititsi bikira neza hamwe no kuvurwa neza kandi ntibigira ibibazo birambye. Ariko kandi, ubwandu butavuwe cyangwa bukomeza kugaruka rimwe na rimwe bishobora gutera ingaruka zikomeye.

Ingaruka zikomeye cyane ni iyo ubwandu bugera ku mpyiko, bugatera pyelonephritis. Ubu bwandu bw’impyiko bushobora gutera ibibazo birambye ntibuvuwe vuba kandi bishobora gusaba kujya mu bitaro kugira ngo ubone antibiotique mu mitsi.

Dore ingaruka zishoboka ukwiye kumenya:

• Ubwandu bw’impyiko (pyelonephritis) hamwe n’umuriro n’ububabare mu mugongo
• Ubwandu bw’inzira z’inkari buhora busubira bugahinduka bugorana kuvura
• Ibibazo by’impyiko biterwa n’ubwandu busubira
• Sepsis, ubwandu bw’amaraso buhitana (bibujijwe ariko bikaba bibi)
• Ibibazo byo gutwite niba icyititsi kibaye mu gihe utwite
• Ibibazo by’umwijima birambye mu bantu barwara ubwandu kenshi

Abagore batwite bafite ibyago byiyongereye, kuko ubwandu bw’inzira z’inkari butavuwe bushobora gutera kubyara imburagihe cyangwa abana bafite ibiro bike. Niyo mpamvu abagore batwite bajya bapimwa ibyorezo mu nkari zabo, nubwo badafite ibimenyetso.

Icyititsi gishobora kwirindwa gute?

Ushobora kugabanya cyane ibyago byo kurwara icyititsi ukora impinduka zimwe mu myitwarire yawe ya buri munsi. Ikintu nyamukuru ni ukurema ibidukikije bituma bigorana ku byorezo kwishyira mu nzira y’inkari.

Kunywamo amazi menshi ni imwe mu nzira zikomeye zo kwirinda. Gerageza kunywa amazi nibura 6-8 buri munsi kugira ngo ufashe gukuraho ibyorezo mbere y’uko bigwira.

Dore uburyo bwo kwirinda bwemewe ushobora gukoresha:

• Urinjira vuba nyuma yo gukora imibonano mpuzabitsina kugira ngo ukureho ibyorezo
• Kumesa imbere uhereye imbere ujya inyuma nyuma yo kujya ku musarani
• Ntufate inkari iyo wumva ukeneye kujya kwinjira
• Kambara imyenda y’ipamba n’imyenda idafunze
• Irinde ibintu bishobora kubabaza igitsina nka za douches
• Koga mu rwambari aho koga mu mazi
• Tegereza guhindura uburyo bwo kuboneza urubyaro niba ukoresha za diaphragmes
• Komeza kunywa amazi ahagije umunsi wose

Bamwe mu bantu basanga kunywa umutobe w’inzabibu cyangwa gukoresha imiti y’inzabibu bifasha kwirinda ubwandu busubira, nubwo ibimenyetso bya siyansi bitari byinshi. Niba uri umuntu ukunda kurwara icyititsi, muganga wawe ashobora kugusaba antibiotique nke nk’uburyo bwo kwirinda.

Icyititsi kibujijwe gute?

Muganga wawe ashobora kubona icyititsi hashingiwe ku bimenyetso byawe n’ikizamini cyoroshye cy’inkari. Uburyo ni bworoshye kandi busanzwe butanga ibisubizo byihuse ku cyatera ububabare.

Mbere na mbere, umuganga wawe azakubaza ibibazo ku bimenyetso byawe n’amateka yawe y’ubuzima. Azashaka kumenya igihe ibimenyetso byawe byatangiye, uko bikomeye, niba wari waramaze kugira ibibazo nk’ibyo.

Ikizamini nyamukuru cyo kubona indwara ni urinalysis, aho utanga urugero rw’inkari zisuzumwa ibyorezo, uturere tw’amaraso yera, n’ibindi bimenyetso by’ubwandu. Uzakeneye gusukura igitsina cyawe mbere kandi utange urugero rwa “midstream” kugira ngo wirinde kwanduza.

Niba ufite ubwandu busubira cyangwa ibimenyetso byawe bikomeye, muganga wawe ashobora kugusaba ibizamini by’inyongera:

• Urugero rw’inkari kugira ngo umenye ibyorezo byihariye kandi upime uko antibiotique ikora
• Ibizamini by’amashusho nka ultrasound cyangwa CT scan kugira ngo urebe ibibazo by’imiterere
• Cystoscopy, aho kamera yoroheje isuzumira imbere y’umwijima wawe
• Isuzumwa rya post-void residual kugira ngo urebe niba umwijima wawe ufunze neza

Ibyo bizamini by’inyongera bifasha kumenya ibibazo byose bishobora gutera ubwandu busubira kandi bigatuma ubuvuzi bugira intego.

Ubuvuzi bw’icyititsi ni bwoki?

Icyititsi giterwa n’ibyorezo gisanzwe kivurwa neza hamwe no kuvurwa antibiotique, abantu benshi bumva bameze neza mu minsi 1-3 uhereye igihe batangiye imiti. Muganga wawe azahitamo antibiotique hashingiwe ku byorezo bishobora gutera ubwandu bwawe n’uburyo bwo kurwanya ubwandu muri ako gace.

Antibiotique zisanzwe zikoreshwa mu kuvura icyititsi harimo trimethoprim-sulfamethoxazole, nitrofurantoin, cyangwa fosfomycin. Ubuvuzi busanzwe buramara iminsi 3-7, bitewe n’imiti n’uburemere bw’ubwandu.

Gahunda yawe yo kuvurwa ishobora kuba irimo:

• Antibiotique zinyobwa zinyobwa mu gihe cyose cyategetswe
• Imiti igabanya ububabare nka ibuprofen kugira ngo igabanye ububabare n’ububabare
• Phenazopyridine kugira ngo igabanye ububabare bw’inzira z’inkari (ihindura inkari ibara ry’icyatsi)
• Kunywa amazi menshi kugira ngo ufashe gukuraho ibyorezo mu mubiri wawe
• Ubuvuzi bw’ubushyuhe hamwe n’igitambaro cy’ubushyuhe kugira ngo ugabanye ububabare mu kibuno

Birakomeye gufata antibiotique yawe yose, nubwo wumva umeze neza nyuma y’umunsi umwe cyangwa ibiri. Guhagarika vuba bishobora gutuma ibyorezo bisubira kandi bikaba byatera ubudahangarwa ku miti.

Ku cyititsi gisubira, muganga wawe ashobora kugusaba antibiotique nke mu mezi menshi cyangwa akagusaba gufata antibiotique nyuma yo gukora imibonano mpuzabitsina nk’uburyo bwo kwirinda.

Uko wakwitaho iwawe ufite icyititsi

Nubwo antibiotique ivura ubwandu, uburyo bwo kuvura iwawe bushobora kugufasha kumva umeze neza mu gihe umubiri wawe uri gukira. Ibyo bintu byo gufasha bikorana n’imiti yawe kugira ngo bigabanye ibimenyetso.

Kunywa amazi menshi ni ikintu cy’ingenzi cyane ushobora gukora iwawe. Gerageza kunywa ikirahure cy’amazi buri saha mu gihe uri maso kugira ngo ufashe kugabanya inkari zawe no gukuraho ibyorezo mu mwijima wawe.

Dore uburyo bwo kuvura iwawe bukoreshwa:

• Shira igitambaro cy’ubushyuhe ku nda yawe yo hasi cyangwa ku mugongo iminota 15-20
• Koga mu mazi ashyushye kugira ngo ugabanye ububabare mu kibuno
• Irinde caffeine, inzoga, n’ibiryo birimo ibinyomoro bishobora kubabaza umwijima wawe
• Urinjira kenshi, nubwo bibi
• Kambara imyenda idafunze, yoroshye
• Gerageza imiti igabanya ububabare nka ibuprofen
• Tegereza umutobe w’inzabibu utaryoheye, nubwo ibimenyetso bitari byinshi

Irinde koga mu mazi ashyushye, imiti yo kumesa igitsina, na douches mu gihe uri gukira, kuko ibyo bishobora kongera kubabaza umwijima wawe usanzwe ubabaye. Abantu benshi babona impinduka zikomeye mu masaha 24-48 uhereye igihe batangiye kuvurwa.

Uko wakwitegura kujya kwa muganga

Kwitoza kujya kwa muganga bifasha muganga wawe kubona indwara neza no gutangira ubuvuzi bukwiye vuba. Gutegura gato bishobora gutuma uruzinduko rwawe rukora neza kandi bikwemerera kubona ubuvuzi ukeneye.

Mbere y’uruzinduko rwawe, andika ibimenyetso byawe byose, harimo igihe byatangiye n’uko bikomeye. Bandika ibintu byose bibyiza cyangwa bibyiza, nko kunywa amazi cyangwa kwinjira.

Zana amakuru kuri urwo ruzinduko:

• Urutonde rwuzuye rw’imiti yawe ya buri munsi n’ibindi
• Amateka y’ubwandu bw’inzira z’inkari n’ubuvuzi
• Imibonano mpuzabitsina iheruka cyangwa impinduka mu bakunzi
• Ibicuruzwa byose bishya byo kwita ku mubiri watangiye gukoresha
• Ibibazo ku kwirinda niba ufite ubwandu busubira
• Amakuru y’ukwezi kwawe kwa buri kwezi niba uri umugore

Ntukinjira nibura isaha imwe mbere y’uruzinduko rwawe niba bishoboka, kuko ushobora kuba ukeneye gutanga urugero rw’inkari. Niba ufite ububabare bukomeye, hamagara mbere kugira ngo urebe niba ushobora gutanga urugero vuba uhageze.

Tegereza kuzana urutonde rw’ibibazo ku bijyanye n’uburyo bwo kuvura, uburyo bwo kwirinda, n’igihe ukwiye gushaka ubuvuzi bw’inyongera.

Icyemezo nyamukuru ku cyititsi

Icyititsi ni indwara isanzwe, ivurwa, igera kuri miliyoni z’abantu buri mwaka. Nubwo ibimenyetso bishobora kuba bibi kandi bikagutera impungenge, ubuvuzi bwa vuba hamwe na antibiotique busanzwe bukira icyititsi giterwa n’ibyorezo mu minsi mike.

Ikintu cy’ingenzi cyo kwibuka ni uko ubuvuzi bwa vuba buzabuza ingaruka kandi bugatuma wumva umeze neza vuba. Ntuzuze kuvugana n’abaganga bawe niba ufite ububabare bwaka umuriro mu gihe uri kwinjira hamwe no gukenera kujya kwinjira kenshi.

Uburyo bwo kwirinda nko kunywa amazi ahagije, kugira isuku nziza, no kwinjira nyuma yo gukora imibonano mpuzabitsina bishobora kugabanya cyane ibyago byo kurwara icyititsi. Niba ufite ubwandu busubira, korana n’umuganga wawe kugira ngo umenye impamvu kandi utegure gahunda yo kwirinda.

Hamwe no kuvurwa neza n’uburyo bwo kwirinda, abantu benshi barwaye icyititsi bashobora kwitega gukira neza kandi bashobora gufata ingamba zo kwirinda ibindi bibazo.

Ibibazo bikunze kubaho ku cyititsi

Icyititsi gishobora gukira cyonyine nta antibiotique?

Nubwo icyititsi gito rimwe na rimwe gikira nta buvuzi, ntibyagombye gutegereza no kureba. Icyititsi giterwa n’ibyorezo kitavuwe gishobora kuba kibi kandi kigera ku mpyiko, bigatera ibibazo bikomeye. Antibiotique ikora cyane kandi isanzwe ituma wumva umeze neza mu minsi 1-3, bituma kuvurwa ari cyo cyiza.

Icyititsi kiramara igihe kingana iki kivuwe?

Abantu benshi babona impinduka zikomeye mu masaha 24-48 uhereye igihe batangiye kuvurwa antibiotique ku cyititsi giterwa n’ibyorezo. Gukira burundu bisanzwe bibaho mu minsi 3-7, bitewe n’uburemere bw’ubwandu n’antibiotique ikoreshwa. Niba ibimenyetso bikomeza kurenza igihe, vugana n’abaganga bawe kugira ngo bakusuzume.

Icyititsi cyandura cyangwa gikwirakwira binyuze mu mibonano mpuzabitsina?

Icyititsi ubwayo ntikwandura kandi ntigifatwa nk’indwara ikwirakwira binyuze mu mibonano mpuzabitsina. Ariko kandi, imibonano mpuzabitsina ishobora kongera ibyago byo kurwara icyititsi binyuze mu gutuma ibyorezo binjira mu nzira y’inkari. Ibyorezo biterwa icyititsi bisanzwe bituruka mu mara yawe aho kuturuka ku muntu ukundana nawe.

Abagabo bashobora kurwara icyititsi?

Yego, abagabo bashobora kurwara icyititsi, nubwo bitabaho kenshi nk’abagore. Iyo icyititsi kiba mu bagabo, akenshi biba bifitanye isano n’ibibazo by’umwijima, amabuye y’impyiko, cyangwa izindi ndwara z’inzira z’inkari. Abagabo bafite ibimenyetso by’icyititsi bagomba kujya kwa muganga kugira ngo basuzumwe, kuko impamvu ishingiyeho ishobora kuba isaba ubuvuzi bwihariye.

Kuki nkomeza kurwara icyititsi kenshi?

Icyititsi gisubira gishobora guterwa n’ibintu byinshi birimo kudakoresha umwijima neza, impinduka z’imisemburo, imiti imwe yo kuboneza urubyaro, cyangwa ibibazo by’ubuzima nka diyabete. Bamwe mu bantu bafite ibintu by’imiterere yabo bibatera ubwandu. Muganga wawe ashobora kugufasha kumenya impamvu kandi akagutegurira gahunda yo kwirinda ikubereye.