Ese ni Diverticulite? Ibimenyetso, Impamvu, n'Ubuvuzi

Diverticulite ibaho iyo utwo tubuto duto two mu ruhu rw’amara akabura umwanya ukaba ari ukubyimbagira cyangwa kwandura. Utubuto, twitwa diverticula, ni twinshi uko tugenda dukera, ariko ntabwo bisanzwe bitera ibibazo kugeza igihe byakubise.

Tekereza kuri byo nk’utubuto duto twa ballon bishobora kuvuka ku rukuta rw’amara yawe uko igihe gihita. Iyo ibiryo cyangwa udukoko twanduza bifunze muri utwo tubuto, bishobora kubyimbagira kandi bikababza, bigatuma haba diverticulite.

Ni ibihe bimenyetso bya diverticulite?

Ikimenyetso cy’ingenzi ni ububabare butunguranye kandi bukomeye mu gice cyo hasi cy’inda ibumoso kidashira. Ubu bubabare busanzwe bumvikana nk’ububabare bukabije cyangwa ubwo kubyimbagira, kandi bushobora kwiyongera iyo ugiye cyangwa ukasekera.

Ushobora kandi kugira ibindi bimenyetso byinshi bigaragaza ububabare mu maraso yawe:

• Umuriro n’igisimba uko umubiri wawe urwanya ubwandu
• Isesemi no kuruka bituma kurya bigorana
• Guhinduka kw’imyanya y’ibihaye nk’impungenge cyangwa impiswi
• Kubyimbagira n’umuyaga byumvikana kurusha ibindi bisanzwe
• Kubabara iyo ukoze ku gice cyo hasi cy’inda
• Kubura ubushake bwo kurya, ndetse n’ibyo usanzwe ukunda

Mu bihe bidasanzwe, bamwe mu bantu bagira ibindi bimenyetso bikomeye. Ibyo birimo ububabare bukabije bw’inda bukwirakwira mu nda yawe yose, kuruka kudasiba bituma udashobora kubika amazi, cyangwa ibimenyetso by’ubwandu bukabije nk’umuriro mwinshi n’umutima ukubita cyane.

Guhuza ibyo bimenyetso, cyane cyane ububabare buzwi bw’uruhande rw’ibumoso hamwe n’umuriro, bikunda gufasha abaganga kumenya diverticulite vuba.

Ni iki gatera diverticulite?

Diverticulite iterwa n’udukoko cyangwa ibiryo bifunze muri utwo tubuto duto two ku rukuta rw’amara yawe. Iyo bifunze, ibyo bintu bishobora gutera uburibwe n’ubwandu, nk’uko igiti cyakubise cyakubura mu ntoki.

Ibintu byinshi bishobora kongera amahirwe y’ibi bibaho:

• Kurya ibiryo bike byuzuyemo amafibe bituma umwanda ukomeye kandi bigorana kuwukuraho
• Kubura imyitozo ngororamubiri bituma igogorwa ry’ibiryo rigenda buhoro
• Imiti imwe nka steroide cyangwa imiti igabanya ububabare igira ingaruka ku buzima bw’amara
• Itabi, rigabanya amaraso ajya mu nzira y’igogorwa ry’ibiryo
• Umuntu ukaba afite umubyibuho ukabije ushyira igitutu gikabije ku mara

Imyaka ikina uruhare runini. Uko tugenda dukera, uruhu rw’amara yacu rushobora gusaga, bituma byoroshye ko utwo tubuto duto two mu mara tubaho kandi tugatera ibibazo.

Mu bihe bidasanzwe, ibintu by’umurage bishobora gutuma bamwe mu bantu bagira ibyago byo kurwara indwara ya diverticulaire, nubwo atari ikintu ushobora kumenya cyangwa kubikumira rwose.

Ni ubuhe bwoko bwa diverticulite?

Abaganga basanzwe bagabanya diverticulite mu bwoko bubiri: ubusanzwe n’ubukomeye, bitewe n’uburemere bw’ububabare.

Diverticulite isanzwe bivuze ko ubwandu buguma mu ruhu rw’amara ntabwo bukwiriye.

Ibyinshi mu bihe bigira ubu bwoko busanzwe, aho ibimenyetso bibabaza ariko bigacukirwa neza hakoreshejwe ubuvuzi bukwiye. Ushobora kugira ububabare n’umuriro, ariko ubwandu bugakira neza hakoreshejwe imiti igabanya ubukana n’impinduka mu mirire.

Diverticulite ikomeye isobanura ibibazo bikomeye nk’ibisebe, inzitizi, cyangwa gucika mu ruhu rw’amara. Ubwo bwoko busaba ubuvuzi bukomeye kandi rimwe na rimwe kubagwa kugira ngo hirindwe ingaruka zikomeye zishobora kwica.

Hari kandi itandukaniro hagati ya diverticulite ikabije n’iya buri gihe. Ibyago bikabije bivaho bitunguranye kandi bikomeye, mu gihe ibyo bya buri gihe bigira ibimenyetso bidakomeye bikomeza igihe kinini.

Ni ryari ukwiye kubona muganga kubera diverticulite?

Ugomba kuvugana na muganga wawe ako kanya niba ufite ububabare bw’inda buhoraho bumaze amasaha menshi, cyane cyane niba buherekejwe n’umuriro. Ibyo bimenyetso byombi bifatanije bikunda kugaragaza ko hari ikintu gikenewe kuvurwa.

Ntugatege amatwi niba ufite ibimenyetso bikomeye bishobora kugaragaza ingaruka zikomeye:

• Ububabare bukabije bw’inda buhora buzamuka
• Umuriro mwinshi urenze 101°F (38.3°C) hamwe n’igisimba
• Kurukagasanzwe kudakunda guhagarara
• Ibimenyetso byo kubura amazi mu mubiri nk’kugira umutwe cyangwa inkari z’umukara
• Amaraso mu ntege cyangwa kuva amaraso mu kibuno
• Kudashaka guhita cyangwa kugira umwanda

Niba ufite amateka ya diverticulite, ushobora kumenya ibimenyetso bisanzwe. Nubwo bimeze bityo, buri cyago kigomba gusuzuma umukozi w’ubuzima kugira ngo habeho ubuvuzi bukwiye.

Ibintu byihutirwa ni bike ariko bikomeye. Hamagara 911 niba ufite ububabare bukabije bw’inda hamwe n’ibimenyetso byo gutakaza ubwenge nk’umutima ukubita cyane, gucika intekerezo, cyangwa kugwa.

Ni ibihe bintu byongera ibyago bya diverticulite?

Imyaka ni yo ntandaro ikomeye y’ibyago, aho ibyinshi mu bihe bibaho mu bantu barengeje imyaka 50. Uko amara yawe akura, uruhu rwayo rushobora kugenda rusaga kandi rugatera utwo tubuto duto two mu mara.

Uburyo bwawe bw’ubuzima bugira uruhare runini mu kumenya urwego rw’ibyago byawe:

• Ibiryo bike byuzuyemo amafibe, cyane cyane imbuto n’imboga
• Ubuzima butameze neza butagira imyitozo ngororamubiri
• Itabi, rigira ingaruka ku maraso ajya mu nzira y’igogorwa ry’ibiryo
• Kunywisha inzoga nyinshi bishobora kubabaza amara
• Kuba ufite umubyibuho ukabije, cyane cyane mu gice cy’inda

Imiti imwe ishobora kongera ibyago byawe. Gukoresha buri gihe steroide, imiti igabanya ububabare, cyangwa imiti igabanya ububabare idafite steroide bishobora kugira ingaruka ku buzima bw’amara yawe igihe kinini.

Bamwe mu bantu bafite ibintu by’umurage bibatuma bagira ibyago byinshi, nubwo ari bike. Niba abagize umuryango wawe hafi bafite indwara ya diverticulaire, ushobora kugira ibyago bike byinshi.

Icy’ingenzi, umunaniro n’ibiryo bimwe na bimwe byigeze gufatwa nk’ibitera diverticulite, ariko ubushakashatsi bwerekana ko ibyo bisobanuro bitari bikomeye nk’uko byari byitezwe.

Ni izihe ngaruka zishoboka za diverticulite?

Abantu benshi barwaye diverticulite barakira neza hakoreshejwe ubuvuzi bukwiye, ariko rimwe na rimwe ingaruka zishobora kuvuka. Ibyo bibaho iyo ubwandu bukwiriye aho bwatangiye cyangwa bukateza ibibazo mu mara yawe.

Ingaruka zisanzwe zirimo:

• Ibishebe, aribyo ibice by’umwanda bikorwa hafi y’aho ubwandu buri
• Inzitizi mu mara iyo kubyimbagira bikabuza umwanda guhita
• Fistula, uburyo budasanzwe buhuza amara n’izindi nzego
• Peritonite, ubwandu bukabije bukwiriye ku ruhu rw’inda

Ingaruka zikomeye ariko zidasanzwe zishobora kwica. Ibyo birimo gucika, aho uruhu rw’amara rugira umwobo, cyangwa kuva amaraso cyane bisaba ubutabazi bw’abaganga ako kanya.

Abantu bagira ibyago byinshi bya diverticulite bafite ibyago byinshi byo kugira ingaruka. Niyo mpamvu abaganga bakunda kugira inama yo gukumira nyuma y’icyago cyawe cya mbere.

Inkuru nziza ni uko hakoreshejwe ubuvuzi bwihuse, ingaruka nyinshi zishobora gucukibwa neza, kandi abantu benshi bakomeza kubaho ubuzima busanzwe kandi bwiza.

Diverticulite ishobora kwirindwa gute?

Ushobora kugabanya cyane ibyago bya diverticulite ukora impinduka zoroheje mu buzima bwawe. Intambwe y’ingenzi ni ukurya ibiryo byuzuyemo amafibe bituma igogorwa ry’ibiryo rigenda neza.

Fata umwanya wo gushyira ibyo biryo byuzuyemo amafibe mu mafunguro yawe ya buri munsi:

• Ibinyamisogwe byuzuyemo amafibe nk’umuceri w’ibara, quinoa, na oatmeal
• Imbuto zishaje zifite uruhu, nka pomme na poire
• Imboga, cyane cyane ibyatsi by’ibara kibisi n’ibinyamizoga
• Ibinyamisogwe nk’ibishyimbo, lentilles, na pois chiches
• Ibinyamisogwe n’imbuto mu rugero rutari rwinshi

Immyitozo ngororamubiri ya buri gihe ifasha kugumisha ubuzima bw’igogorwa ry’ibiryo kandi igabanya igitutu mu mara yawe. Ndetse no kugenda iminota 30 buri munsi bishobora kugira akamaro gakomeye.

Kuguma ufite amazi ahagije mu mubiri bituma amafibe akora akazi kayo neza. Gerageza kunywa amazi agera kuri 8 buri munsi, menshi niba wiyongereye amafibe.

Niba unywa itabi, guhagarika bizongera amaraso ajya mu nzira y’igogorwa ry’ibiryo kandi bigabanye ububabare mu mubiri wawe wose. Muganga wawe ashobora kugufasha kubona gahunda ikwiye yo guhagarika kunywa itabi.

Diverticulite imenyekanwa gute?

Muganga wawe azatangira akubaza ibimenyetso byawe kandi akakora isuzuma ry’inda yawe kugira ngo arebe niba hari ububabare cyangwa kubyimbagira. Iryo suzuma rimwe na rimwe ritanga ibimenyetso by’ingenzi ku byabaye imbere.

Ibisuzumwa by’amaraso bifasha kwemeza niba ufite ubwandu kandi bigaragaza uko umubiri wawe ubisubiza. Kugira utubuto tw’amaraso tw’umweru twinshi bisanzwe bigaragaza ko ubudahangarwa bwawe burwanya ubwandu.

CT scan y’inda yawe niyo isuzuma ry’amashusho rifite akamaro kurusha ibindi kuri diverticulite. Icyo gishusho cy’ibanze kigaragariza muganga wawe aho ububabare buri niba hari ingaruka zivutse.

Rimwe na rimwe muganga wawe ashobora gusaba ibindi bisuzumwa bitewe n’imimerere yawe. Ibyo bishobora kuba harimo ultrasound cyangwa X-rays zihariye kugira ngo habeho ishusho isobanutse y’ibyabaye.

Mu bihe bidasanzwe aho ibyavuye bitasobanutse, muganga wawe ashobora kugira inama ya colonoscopy, ariko ibi bikorwa nyuma y’aho ubwandu bukabije bumaze gukira kugira ngo hirindwe kongera ububabare.

Ni ubuhe buvuzi bwa diverticulite?

Ubuvuzi bwa diverticulite biterwa n’uburemere bw’ibimenyetso byawe niba hari ingaruka zivutse. Ibyinshi mu bihe bishobora gucukibwa neza hakoreshejwe imiti igabanya ubukana n’impinduka mu mirire.

Kuri diverticulite isanzwe, muganga wawe ashobora kwandika:

• Imiti igabanya ubukana yo kurwanya ubwandu, isanzwe ifatwa iminsi 7-10
• Imiti igabanya ububabare ifasha gucunga ububabare
• Ibiryo by’amazi by’igihe gito kugira ngo amara yawe agire umwanya wo gukira
• Ikiruhuko no kwirinda ibikorwa bikomeye kugeza igihe ibimenyetso bigabanutse

Niba ikibazo cyawe gikomeye, ushobora gukenera kuba mu bitaro kugira ngo ubone imiti igabanya ubukana yo mu mitsi n’ubukurikirane bukomeye. Ibyo bihamya ko ubwandu budakwirakwira kandi bituma abaganga bareba ingaruka.

Kubagwa biba ngombwa mu bihe bidasanzwe aho ingaruka zivutse cyangwa niba ufite ibyago bikomeye byinshi. Uburyo bwa none bwo kubaga busanzwe bukoreshwa buke kandi bugira ingaruka nziza.

Abantu benshi batangira kumva barushijeho kumera neza mu minsi mike uhereye igihe batangiye ubuvuzi, nubwo gukira burundu bitwara ibyumweru bike. Muganga wawe azakuyobora mu gusubira mu bikorwa bisanzwe n’ibiryo.

Uko wakwitwara mu rugo igihe ufite diverticulite

Mu gihe ufite diverticulite, igogorwa ry’ibiryo rikenera umwanya wo gutuza no gukira. Tangira ufate ibiryo by’amazi meza mu munsi umwe cyangwa ibiri, harimo amazi, amasupu meza, n’icyayi cy’ibimera.

Uko ibimenyetso byawe bigenda bigabanuka, ushobora kongera ibiryo bike byuzuyemo amafibe mu mirire yawe:

• Umuceri w’umweru, pasta, n’umugati w’ibara
• Imboga zitetse zitagira uruhu cyangwa imbuto
• Ibiryo byuzuyemo amaprotéine nk’inkoko, amafi, n’amagi
• Ibiryo by’amata niba bidakubabaza mu gifu

Ubushyuhe bushobora guhumuriza ububabare bw’inda. Gerageza gushyira igitambaro cy’ubushyuhe ku gice cyo hasi cyangwa koga mu mazi ashyushye kugira ngo ufashe imikaya yoroshye.

Komeza ufate amazi ahagije mu mubiri unywa amazi igihe cyose cy’umunsi, nubwo udafite ubushake bwo kurya cyane. Kubura amazi mu mubiri bishobora kongera ibimenyetso byawe no kugabanya ubuvuzi.

Ruhukira bihagije kandi wirinda imirimo ikomeye cyangwa imyitozo ngororamubiri kugeza igihe muganga wawe aguhaye uruhushya. Umubiri wawe ukeneye imbaraga zo kurwanya ubwandu no kwiyubaka.

Fata imiti yawe uko yagenewe, nubwo utangiye kumva umeze neza mbere yo kurangiza imiti yose.

Uko wakwitegura gusuzuma kwa muganga

Mbere yo gusura muganga wawe, andika ibimenyetso byawe byose n’igihe byatangiye. Shyiramo amakuru arambuye ku bwoko bw’ububabare ufite n’ibyabuza cyangwa bikongera.

Zana urutonde rwuzuye rw’imiti yose ufashe ubu, harimo imiti yo mu maduka n’ibindi. Imiti imwe ishobora kugira ingaruka ku igogorwa ry’ibiryo cyangwa guhuza n’ubuvuzi.

Tegura kuvugana ku myitwarire yawe yo kurya vuba aha n’impinduka mu myanya y’ibihaye. Ibyo bimenyetso bifasha muganga wawe kumva icyaba cyarateye ibimenyetso byawe.

Andika ibibazo byose ushaka kubaza, nko kumenya igihe gukira bisanzwe bitwara cyangwa impinduka mu mirire ukwiye gukora. Kubyandika bizatuma utabyibagirwa mu gihe cy’isura.

Niba bishoboka, zana umuntu wo mu muryango cyangwa inshuti ishobora kugufasha kwibuka amabwiriza y’abaganga, cyane cyane niba ufite ububabare bukomeye cyangwa udakunda kumva.

Icy’ingenzi kuri diverticulite

Diverticulite ni indwara ishobora kuvurwa neza kandi ikirwa neza hakoreshejwe ubuvuzi bukwiye iyo imenyekanye hakiri kare. Icy’ingenzi ni ukumenya ibimenyetso no gushaka ubuvuzi vuba aho kugerageza kwihanganira mu rugo.

Hifashishijwe imiti igabanya ubukana n’impinduka mu mirire, abantu benshi barakira neza mu byumweru bike. Ibyo bibaho bikunda kuba impungenge zo gufata imyifatire myiza mu buzima ishobora kwirinda ibindi byago.

Kwiringira koko ni yo ngamba yawe nziza ugana imbere. Kurya ibiryo byuzuyemo amafibe, imyitozo ngororamubiri ya buri gihe, no kuguma ufite amazi ahagije mu mubiri bishobora kugabanya cyane ibyago byo kongera kurwara diverticulite.

Wibuke ko kugira icyago kimwe ntibivuze ko uzagira ibibazo byinshi. Abantu benshi ntibongera kurwara diverticulite nyuma yo gukora impinduka zoroheje mu buzima bwabo no gukurikiza amabwiriza y’abaganga babo.

Ibibazo byakunda kubazwa kuri diverticulite

Nshobora kurya imbuto n’imbuto niba mfite diverticulite?

Yego, ushobora kurya imbuto n’imbuto. Icyizere cy’igihe kirekire cy’uko ibyo biryo biterwa na diverticulite cyaranyomozwe n’ubushakashatsi. Mu by’ukuri, imbuto n’imbuto ni isoko nziza y’amafibe ashobora gufasha kwirinda ibindi byago. Shyiramo buhoro buhoro niba utari usanzwe ubyirya.

Bitwara igihe kingana iki gukira diverticulite?

Abantu benshi batangira kumva barushijeho kumera neza mu minsi 2-3 uhereye igihe batangiye ubuvuzi, ariko gukira burundu bitwara ibyumweru 2-6. Ubushobozi bwawe n’ubushake bwo kurya bigomba gusubira mu buryo mu cyumweru kimwe cyangwa bibiri. Kurikiza amabwiriza y’abaganga bawe ku bijyanye no gusubira mu bikorwa bisanzwe n’ibiryo.

Nzakenera kubagwa kubera diverticulite?

Kubagwa bikenewe gusa mu bihe bidasanzwe, cyane cyane iyo ingaruka zivutse cyangwa niba ufite ibyago bikomeye byinshi. Abantu bagera kuri 90% barwaye diverticulite barakira neza hakoreshejwe imiti igabanya ubukana n’impinduka mu mirire. Muganga wawe azagutegeka kubagwa gusa niba ari ngombwa cyane ku buzima bwawe.

Ese umunaniro uterwa na diverticulite?

Umunaniro ntabwo uterwa na diverticulite, ariko ushobora kugira ingaruka ku igogorwa ry’ibiryo kandi ukaba ushobora kongera ibimenyetso. Guhagarara umunaniro hakoreshejwe uburyo bwo kuruhuka, imyitozo ngororamubiri ya buri gihe, no kuryama bihagije bituma ubuzima bw’igogorwa ry’ibiryo bugenda neza kandi bishobora gufasha kwirinda ibyago.

Ese diverticulite ni kimwe na diverticulose?

Oya, ntabwo ari kimwe. Diverticulose bivuze ko ufite utubuto duto two mu ruhu rw’amara, ariko ntabwo byimbagira cyangwa byanduye. Abantu benshi barwaye diverticulose ntibagira ibimenyetso. Diverticulite ibaho iyo utwo tubuto tubyimbagira cyangwa tukanduye, bigatera ububabare n’ibindi bimenyetso bikenera ubuvuzi.