Diarrhea

Intestinalito nto n'amara ni ibice by'umuyoboro w'igogorwa, utunganya ibyo urya. Amara atora intungamubiri mu biribwa. Icyo amara atamenyekanye gikomeza mu muyoboro w'igogorwa maze kigasohoka mu mubiri nk'umuse.

Impiswi — guhita unyara umuse useseka, w'amazi kandi ushobora kuba mwinshi — ni ikibazo gisanzwe. Rimwe na rimwe, ni yo yonyine ibimenyetso by'uburwayi. Ibindi bihe, ishobora guherekezwa n'ibindi bimenyetso, nko kubabara umutwe, kuruka, kubabara mu nda cyangwa kugabanuka k'uburemere.

Ibihe byiza, impiswi ishira vuba, idakemanga iminsi mike. Ariko iyo impiswi imaze iminsi irenga mike, akenshi iba ikimenyetso cy'ikindi kibazo — nko ku ruhande rw'imiti, guhindura indyo, indwara y'amara ikanganye (IBS), cyangwa indwara ikomeye, harimo ubwandu buhoraho, indwara ya celiac cyangwa indwara y'amara y'umuriro (IBD).

Ibimenyetso bifitanye isano n'uburakari bw'amazi, bita isesemi, bishobora kuba birimo: Kubabara mu nda cyangwa kuribwa. Kwishima. Kubeera. Kuruka. Umuhango. Amaraso mu ntege. Umusambi mu ntege. Gushaka cyane kujya mu bwiherero. Niba uri umuntu mukuru, reba muganga wawe niba: Isesemi yawe idakira cyangwa ihagarara nyuma y'iminsi ibiri. Ukama. Ufite ububabare bukabije mu nda cyangwa mu kibuno. Ufite amara y'amaraso cyangwa y'umukara. Ufite umuriro urenze dogere 101 za Fahrenheit (dogere 38 za Celsius). Mu bana, cyane cyane abana bato, isesemi ishobora gutera ubukama vuba. Hamagara muganga wawe niba isesemi y'umwana wawe idakira mu masaha 24 cyangwa niba umwana wawe: Akamwa. Afite umuriro urenze dogere 101 za Fahrenheit (dogere 38 za Celsius). Afite amara y'amaraso cyangwa y'umukara.

Niba uri umuntu mukuru, jya kwa muganga niba:

• Impiswi yawe idakira cyangwa ntigashira nyuma y'iminsi ibiri.
• Ubaye inkangu.
• Ufite ububabare bukabije mu nda cyangwa mu muyoboro w'inyuma.
• Ufite umusemburo w'amaraso cyangwa umukara.
• Ufite umuriro urenze dogere 101 Fahrenheit (dogere 38 Celsius). Mu bana, cyane cyane abana bato, impiswi ishobora gutera inkangu vuba. Hamagara muganga wawe niba impiswi y'umwana wawe idakira mu masaha 24 cyangwa niba umwana wawe:
• Abaye inkangu.
• Afite umuriro urenze dogere 101 Fahrenheit (dogere 38 Celsius).
• Afite umusemburo w'amaraso cyangwa umukara.

Indwara n'ibibazo byinshi bishobora gutera impiswi, birimo:

• Virusi. Virusi zishobora gutera impiswi harimo virusi ya Norwalk, izwi kandi nka norovirus, adenovirusi ya enteric, astrovirus, cytomegalovirus na virusi zitera hepatite. Rotavirus ni intandaro isanzwe y'impiswi ikaza imbere mu bana. Virusi itera indwara ya coronavirus 2019 (COVID-19) na yo yagaragaye ko ifitanye isano n'ibimenyetso by'igogorwa, birimo kuryaryata, kuruka n'impiswi.
• Udukoko n'udusimba. Kwihererana udukoko, nka Escherichia coli, cyangwa udusimba binyuze mu biribwa cyangwa amazi byanduye bishobora gutera impiswi. Mu gihe ugiye mu bihugu bikiri mu nzira y'amajyambere, impiswi iterwa n'udukoko cyangwa udusimba ikunze kwitwa impiswi y'abagenzi. Clostridioides difficile, izwi kandi nka C. diff, ni ubundi dukoko dutera impiswi, kandi ishobora kubaho nyuma yo gukoresha imiti igabanya ubukana cyangwa mu gihe uri mu bitaro.
• Imiti. Imiti myinshi, nka antibiyotike, ishobora gutera impiswi. Antibiyotike zikuraho ubwandu binyuze mu kwica udukoko dutera indwara, ariko kandi zica udukoko twiza dufasha umubiri. Ibi bihungabanya umubare usanzwe w'udukoko mu mara, bigatera impiswi cyangwa ubwandu nka C. diff. Izindi miti itera impiswi ni imiti irwanya kanseri n'imiti igabanya aside mu gifu irimo magnésium.
• Kudakorwa neza kwa lactose. Lactose ni isukari ishobora kuboneka mu mata no mu bindi biribwa byakozwe amata. Abantu bagira ikibazo cyo gusya lactose bakunze kugira impiswi nyuma yo kurya ibiryo byakozwe amata. Kudakorwa neza kwa lactose bishobora kwiyongera uko umuntu akura kuko urwego rw'enzyme ifasha gusya lactose rugabanuka uko umuntu akura.
• Fructose. Fructose ni isukari ishobora kuboneka mu mbuto no muri ubuki. Rimwe na rimwe yongererwa nk'uburyohe mu bindi binyobwa. Fructose ishobora gutera impiswi mu bantu bagira ikibazo cyo kuyisya.
• Ibinyobwa byongererwamo uburyohe. Sorbitol, erythritol na mannitol — isukari idashobora gusya ikoreshwa nk'uburyohe mu matsinda n'ibindi bicuruzwa bidakomeye — bishobora gutera impiswi mu bantu bamwe bafite ubuzima bwiza.
• Kubagwa. Kubagwa igice cy'amara cyangwa umwijima rimwe na rimwe bishobora gutera impiswi.
• Izindi ndwara z'igogorwa. Impiswi ihoraho ifite izindi ntandaro nyinshi, nka IBS, indwara ya Crohn, ulcerative colitis, indwara ya celiac, microscopic colitis na small intestinal bacterial overgrowth (SIBO).

Bimwe mu bintu bisanzwe byongera ibyago by'uburwayi bw'amavunja birimo: Kuhura na virusi, udukoko cyangwa ibyorezo. Iki nicyo kintu gikomeye cyongera ibyago byo kurwara amavunja mu buryo butunguranye. Ibyo kurya. Ibiribwa bimwe na bimwe cyangwa ibinyobwa, birimo kawa, icyayi, ibinyampeke, cyangwa ibiryo birimo ibinyobwa by'imiti bishobora guteza amavunja mu bantu bamwe. Imiti. Imiti imwe nka antibiyotike, imiti y'amavunja, imiti irimo magnésium, imiti yo kuvura ihungabana, imiti igabanya ububabare (NSAIDs), imiti yo kuvura kanseri (chimiothérapie) n'imiti yo kuvura indwara ziterwa n'ubudahangarwa bw'umubiri (immunothérapie), ishobora guteza amavunja.

Impiswi ishobora gutera kukama, bishobora kuba bibyishe mu gihe bitavuwe. Kukama by'umwihariko biba bibi cyane ku bana, ku bakuze n'abafite ubudahangarwa bw'umubiri buke.

Niba ufite ibimenyetso byo gukama gukomeye, shaka ubufasha bw'abaganga.

Ibi birimo:

• Kuyoba cyane.
• Akanwa cyangwa uruhu rwumye.
• Kunyara buke cyangwa kutakunyara.
• Kugira intege nke, guhinda umutwe cyangwa gucika intege.
• Kwumva unaniwe.
• Inkari z'ijisho ryijimye.

Ibi birimo:

• Kudapfuka imyenda y'uruhinja mu masaha atatu cyangwa arenga.
• Akanwa n'ururimi rwumye.
• Urufuriro rurenze dogere 102 Fahrenheit (dogere 39 Celsius).
• Kurira nta misusiri.
• Uburwayi, kudakora cyangwa kurakara.
• Isura y'inda, amaso cyangwa amasura y'abantu bafite ubusembwa.

Komesha ikwirakwira ry'imishwaro yanduza, ukaraba intoki. Kugira ngo ube warahagije intoki:

• Kora kenshi. Karaba intoki mbere na nyuma yo gutegura ibiryo. Kandi karaba intoki nyuma yo gufata inyama zitatemwe, nyuma yo kujya mu bwiherero, nyuma yo guhindura diape, nyuma yo kukohoka, gukorora cyangwa kunanura izuru.
• Koza amaboko yawe n'isabune mu gihe cy'amasegonda nibura 20. Nyuma yo gushyira isabune ku ntoki zawe, zikorane mu gihe cy'amasegonda nibura 20. Ibi birakwiye kungana n'igihe cyo kuririmba indirimbo ya "Happy Birthday" inshuro ebyiri.
• Koresha umuti wo gukaraba intoki igihe udashobora kuzikaraba. Koresha umuti wo gukaraba intoki ukora ku manywa igihe udashobora kugera ku kibanza cyo gukaraba. Shyira umuti wo gukaraba intoki nkuko wakoresha amavuta yo kwisiga, ube witegereje ko ukingira imbere n'inyuma y'amaboko yombi. Koresha umuti ufite nibura 60% ya alukoro. Ushobora gufasha kurinda umwana wawe icyorezo cya rotavirus, cyateza impiswi nyinshi mu bana, hakoreshejwe imwe mu nkingo ebyiri zemewe. Baza muganga w'uruhinja rwawe kubijyanye no gukingiza umwana wawe. Impiswi ikunda kwibasira abantu bajya mu bihugu bifite isuku nke n'ibiribwa byanduye. Kugira ngo ugabanye ibyago byawe:
• Witondere ibyo urya. Funga ibiryo bishyushye, bitezwe neza. Ntukirye imbuto n'imboga bitatetse keretse uramutse ubashije kubikuramo uruhu ubwawe. Ntukirye inyama zitatemwe cyangwa amata atatetse neza.
• Witondere ibyo unywa. Nywa amazi afunze, soda, ibinyobwa bisembuye cyangwa divayi biva mu gikombe cyabyo. Ntunywe amazi ava mu muyoboro cyangwa ukoreshe ubukonje. Koresha amazi afunze ndetse no mu gihe woza amenyo. Komereza akanwa kawe mu gihe uri mu rwambariro. Ibinyobwa bikorwa n'amazi abisi, nka kawa na ti, birashoboka ko ari byiza. Ibuka ko inzoga na kafe bishobora kongera impiswi no kurushaho guhombya amazi.
• Baza itsinda ryawe ry'ubuvuzi ku bijyanye n'antibiyotike. Niba uri mu rugendo rwerekeza mu gihugu kiri mu nzira y'amajyambere igihe kirekire, baza umwe mu itsinda ryawe ry'ubuvuzi kubijyanye no kubona antibiyotike mbere yo kugenda, cyane cyane niba ufite ubudahangarwa bw'umubiri buke.
• Suzuma ibyitonderwa by'ingendo. Ikigo gishinzwe kurwanya indwara n'ubuzima bw'abantu gifite urubuga rwa interineti rw'abagenzi aho ibyitonderwa ku ndwara bitangazwa ku bihugu bitandukanye. Niba uri gutegura urugendo hanze y'Amerika, reba ayo maburira n'amabwiriza yo kugabanya ibyago byawe. Witondere ibyo unywa. Nywa amazi afunze, soda, ibinyobwa bisembuye cyangwa divayi biva mu gikombe cyabyo. Ntunywe amazi ava mu muyoboro cyangwa ukoreshe ubukonje. Koresha amazi afunze ndetse no mu gihe woza amenyo. Komereza akanwa kawe mu gihe uri mu rwambariro. Ibinyobwa bikorwa n'amazi abisi, nka kawa na ti, birashoboka ko ari byiza. Ibuka ko inzoga na kafe bishobora kongera impiswi no kurushaho guhombya amazi.

Umuhanga wawe mu by'ubuzima akeneye kubaza amateka yawe y'uburwayi, asuzume imiti unywa kandi akore isuzuma ngaruka mubiri. Umuhanga wawe mu buzima ashobora gutegeka ibizamini kugira ngo amenye icyateye impiswi yawe. Ibizamini bishoboka birimo:

• Ibizamini by'amaraso. Igipimo cy'amaraso, gupima ibyo umubiri ukeneye kandi gusuzuma imikorere y'impyiko bishobora gufasha kugaragaza uko impiswi yawe ari mbi.
• Isuzuma ry'amatagatifu. Ushobora gukora isuzuma ry'amatagatifu kugira ngo urebe niba hari udukoko cyangwa ubundi bugimbi butera impiswi yawe.
• Isuzuma ry'umwuka wa hydrogene. Ubwo bwoko bw'isuzuma bushobora gufasha kumenya niba ufite ikibazo cyo kudahumura lactose. Nyuma yo kunywa ikinyobwa kirimo lactose nyinshi, umwuka wawe upimwa hydrogene buri kanya. Guhumeka hydrogene nyinshi bigaragaza ko udacukura kandi udakoresha lactose neza.
• Sigmoidoscopy cyangwa colonoscopy. Ukoresheje umuyoboro muto, ufite umucyo winjizwa mu kibuno, umuhanga mu by'ubuzima ashobora kubona imbere y'amara. Icyo gikorwa gifite kandi igikoresho giha umuganga ubushobozi bwo gufata igice gito cy'umubiri, cyitwa biopsy, kuva mu mara. Sigmoidoscopy igaragaza igice cyo hasi cy'amara, naho colonoscopy iha umuganga ubushobozi bwo kubona amara yose.
• Upper endoscopy. Umuhanga mu by'ubuzima akoresha umuyoboro muremure, muto ufite kamera ku mpera kugira ngo asuzume umura n'igice cyo hejuru cy'amara mato. Bashobora gukuramo igice cy'umubiri kugira ngo kigenzurwe muri laboratwari.

Rimwe na rimwe, impiswi nyinshi zitunguranye zirangira zikize ziri bwite mu gihe cy’iminsi ibiri, nta kwivuza. Niba umaze kugerageza guhindura imibereho yawe n’ubuvuzi bw’iwabo ku ndwara y’impiswi ariko bikanga, umuganga wawe ashobora kugutegurira imiti cyangwa ubundi buryo bwo kuvura. Imiti igwanya udukoko cyangwa imiti igwanya udukoko dufite imiti, imiti igwanya udukoko cyangwa imiti igwanya udukoko ishobora kugufasha kuvura impiswi iterwa na bagiteri zimwe na zimwe cyangwa udukoko. Akenshi, bagiteri zitera impiswi ntizisaba kuvurwa ku bantu benshi. Niba virusi ari yo itera impiswi yawe, imiti igwanya udukoko ntizigufasha. Uburyo bwo kuvura bwo gusubiza amazi Umuganga wawe ashobora kugira ngo usubize amazi n’umunyu wabuze iyo ufite impiswi. Ku bantu bakuru benshi, bisobanura kunywa amazi afite electrolytes, umutobe cyangwa umusupu. Niba kunywa ibinyobwa bigutera ikibazo mu gifu cyangwa kuko byatera kuruka, umuganga wawe ashobora kuguha amazi ya IV. Amazi ni uburyo bwiza bwo gusubiza amazi, ariko ntabwo arimo umunyu na electrolytes - intungamubiri nka sodium na potasiyumu - umubiri wawe ukeneye kugira ngo ukore. Urashobora gufasha kugumisha urwego rwawe rwa electrolytes ukoresheje kunywa umutobe w’imbuto kugira potasiyumu cyangwa kurya amasupu kugira sodium. Ariko imiti imwe y’imbuto, nka apple juice, ishobora gutera impiswi kurushaho. Ku bana, baza muganga wawe kubijyanye no gukoresha igisubizo cyo kuvura mu kanwa, nka Pedialyte, kugira ngo wirinde kukama cyangwa gusubiza amazi yabuze. Guhindura imiti urimo gufata Niba umuganga wawe asanze antibiotique ari yo yateye impiswi yawe, ushobora guhabwa umwanya muto cyangwa imiti itandukanye. Kuvura ibibazo by’imbere Niba impiswi yawe iterwa n’uburwayi bukomeye, nka indwara y’umwijima, umuganga wawe azagerageza kugenzura iyo ndwara. Ushobora koherezwa ku muguzi, nka gastroenterologue, ushobora kugufasha gutegura gahunda yo kuvura. Saba gahunda Hari ikibazo gifitwe na amakuru yagaragajwe hepfo kandi usubiremo ifishi. Kuva muri Mayo Clinic kugeza kuri inbox yawe Kwiyandikisha ubuntu no kuguma uzi ibyavuye mu bushakashatsi, inama z’ubuzima, ingingo z’ubuzima, n’ubuhanga mu gucunga ubuzima. Kanda hano kugira ngo ubone ibaruwa y’icyitegererezo. Imeri Imeri 1 Icyaha Agasanduku k’imeli gasabwa Icyaha Kora aderesi y’imeli ikwiye Menya byinshi ku ikoreshwa ry’amakuru rya Mayo Clinic. Kugira ngo tugutange amakuru akwiye kandi afatika, no kumva amakuru afatika, dushobora guhuza amakuru yawe y’imeli n’amakuru y’imikorere yawe ya website hamwe n’andi makuru dufite kuri wowe. Niba uri umurwayi wa Mayo Clinic, ibi bishobora kuba birimo amakuru y’ubuzima abarindwe. Niba duhuza aya makuru n’amakuru yawe y’ubuzima abarindwe, tuzabyita byose amakuru y’ubuzima abarindwe kandi tuzakoresha cyangwa tugaha ayo makuru nk’uko byagenwe mu itangazo ryacu ry’imyitwarire y’ibanga. Ushobora guhagarika ibaruwa z’imeli igihe icyo ari cyo cyose ukande kuri link yo guhagarika ibaruwa muri email. Kwiyandikisha! Murakoze kuba mwiyandikishije! Vuba uzatangira kwakira amakuru mashya y’ubuzima ya Mayo Clinic wasabye muri inbox yawe. Mbabarira ikintu cyaragiye nabi mu kwiyandikisha ryawe Nyamuneka, gerageza ukongera mu minota mike Ongera