Eseme ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Eseme ni iki?

Eseme ni kubyimbagira bibaho iyo amazi menshi afunze mu mubiri wawe. Utekerezeho nk'umubiri wawe ufite amazi arenze urugero mu bice nk'amaguru, ibirenge, ibiganza, cyangwa mu maso.

Ubu bwimbagira buva ku mitsi mito y'amaraso isohora amazi mu mubiri wihuta kurusha uko umubiri wawe ushobora kuyakuraho. Nubwo eseme ishobora kugaragara nabi, akenshi ni uburyo umubiri wawe ugaragaza ububabare, indwara, cyangwa ibibazo by'ubuzima.

Ibihe byinshi by'eseme biba by'igihe gito kandi birashobora kuvurwa. Ariko kandi, kubyimbagira kudasiba birashobora rimwe na rimwe kugaragaza ko umutima wawe, impyiko, cyangwa indi miryango y'umubiri ikeneye ubuvuzi.

Ni ibihe bimenyetso by'eseme?

Ikimenyetso cy'ingenzi cya eseme ni kubyimbagira bigaragara mu bice byangiritse. Ushobora kubona inkweto zawe zikomeye, impeta zigoye gukurwa, cyangwa kubyimbagira mu maso igihe wibutse.

Dore ibimenyetso by'ingenzi ugomba kwitondera:

• Kubyimbagira mu birenge, mu maguru, mu biganza, cyangwa mu maso
• Uruhu rugaragara rureretse, rwirabura, cyangwa rumeze nk'urukomeye
• Agatobo kaguma aho ukoresheje igitutu (bitwa pitting edema)
• Imyenda cyangwa imyambaro imera nk'ikomeye kurusha ubusanzwe
• Kudafata neza mu bice nk'amaguru cyangwa ibiganza
• Kwiyongera k'uburemere buturuka ku kubika amazi

Rimwe na rimwe ushobora kumva uruhu rushyuha cyangwa rugaragara rwahindutse ibara. Ibi bimenyetso bifasha muganga wawe gusobanukirwa ubwoko bwa eseme ufite n'icyo gishobora kuba gikubera.

Ni ibihe bwoko bya eseme?

Eseme ihabwa ubwoko hashingiwe aho iba mu mubiri wawe n'icyo iyiteye. Gusobanukirwa ubwoko butandukanye bufasha gusobanura impamvu kubyimbagira bibaho kandi bigira uruhare mu gufata ibyemezo byo kuvura.

Ubwoko nyamukuru burimo:

• Eseme y'amaguru n'amaboko: Kubyimbagira mu maboko, mu maguru, mu biganza, cyangwa mu birenge
• Eseme y'ibihaha: Amazi menshi mu bihaha (bisaba ubuvuzi bw'ihutirwa)
• Eseme y'ubwonko: Kubyimbagira mu bwonko (ibyabaye iby'ubuhutirwa)
• Eseme ya macular: Amazi menshi mu mboni y'ijisho
• Eseme y'ibirenge: Kubyimbagira mu birenge no mu maguru
• Eseme y'amasura: Kubyimbagira hafi y'amaso, mu masura, cyangwa mu maso yose

Eseme y'amaguru n'amaboko ni yo bwoko busanzwe. Akenshi igira ingaruka ku mpande zombi z'umubiri kimwe, nubwo rimwe na rimwe ishobora kugaragara cyane ku ruhande rumwe kurusha urundi.

Eseme iterwa n'iki?

Eseme iterwa no kudahuza kw'amazi mu mubiri. Ibi bishobora kuba bitewe n'impamvu nyinshi, kuva ku ngeso mbi kugeza ku ndwara zikomeye.

Impamvu zisanzwe zirimo:

• Kwica cyangwa guhagarara igihe kirekire: Umuvuka urashyira amazi hasi mu mubiri wawe
• Kurya umunyu mwinshi: Umubiri wawe ugomba amazi menshi kugira ngo wongere umunyu
• Gutwita: Impinduka z'imisemburo n'amaraso menshi biterwa no kubyimbagira
• Imiti: Imiti y'umuvuduko w'amaraso, imiti igabanya ububabare, n'imiti imwe y'indwara ya diyabete
• Imvune: Gukomeretsa, gutwika, cyangwa indwara ziterwa no kubyimbagira
• Ikirere gishyushye: Ubushyuhe butuma imitsi y'amaraso igura, bituma amazi menshi asohoka

Indwara zikomeye zishobora kandi gutera eseme. Kugira ikibazo cy'umutima bituma umutima wawe udashobora gutuma amaraso agenda neza, bituma amazi aguma mu mubiri.

Ibibazo by'umwijima, amaraso afunze, n'izindi ndwara zishobora kuba impamvu. Muganga wawe azashaka kureba izi mpamvu niba kubyimbagira kwawe bidashira cyangwa bikomeza gukura.

Ni ryari ukwiye kujya kwa muganga kubera eseme?

Ukwiye kuvugana na muganga wawe niba kubyimbagira kudashira mu minsi mike cyangwa niba bigira ingaruka ku mirimo yawe ya buri munsi. Nubwo eseme nto isanzwe ikira yonyine, kubyimbagira kudasiba bikwiye gusuzuma kwa muganga.

Shaka ubuvuzi bw'ihutirwa niba ufite:

• Kubyimbagira gitunguranye kandi bikomeye mu maso, mu minwa, cyangwa mu rurimi
• Gukomeretsa guhumeka cyangwa kubabara mu gituza hamwe no kubyimbagira
• Kubyimbagira mu kaguru kamwe gusa, cyane cyane niba hari ububabare cyangwa ubushyuhe
• Kwiyongera k'uburemere bwihuse (kurenza ibiro 2-3 mu munsi umwe)
• Kubyimbagira kudashira iyo uhagaze ikibazo
• Uruhu rugaragara rutukura, rushyuha, cyangwa rufite ibikomere

Ibi bimenyetso bishobora kugaragaza indwara zikomeye nka amaraso afunze, ibibazo by'umutima, cyangwa allergie zikomeye. Kubona ubuvuzi bw'ihutirwa bifasha kwirinda ingaruka mbi no kuvura ibibazo by'ubuzima.

Ni ibihe bintu byongera ibyago byo kurwara eseme?

Hari ibintu bimwe na bimwe bikongera ibyago byo kurwara eseme mu buzima bwawe. Gusobanukirwa ibyo bintu bifasha kumenya igihe kubyimbagira bishobora kubaho no gufata ingamba zo kubikumira.

Ibyago byawe byiyongera niba ufite:

• Ibibazo by'umutima: Kugira ikibazo cy'umutima, ibibazo by'imitsi y'umutima, cyangwa gutera kw'umutima kudakozwe neza
• Ibibazo by'impyiko: Kugabanuka ubushobozi bwo gukuraho amazi n'ibisasira mu maraso
• Ibibazo by'umwijima: Bigira ingaruka ku gukora proteine zikenewe kugira ngo amazi agume mu mitsi y'amaraso
• Kudakora neza kw'imitsi y'amaraso: Imitsi y'amaguru idakora neza ituma amaraso atagera ku mutima
• Indwara ya diyabete: Ishobora kwangiza imitsi y'amaraso no kugira ingaruka ku mikorere y'impyiko
• Ibibazo bya thyroid: Gukora cyane kwa thyroid no gukora gake byombi bishobora gutera kubika amazi

Imyaka ikinjira uruhare, kuko abantu bakuze bakunze kugira imitsi y'amaraso idakomeye kandi bashobora gufata imiti itera kubyimbagira. Gutwita byiyongera ibyago bitewe n'impinduka z'imisemburo n'umwana ukura agashyira igitutu ku mitsi y'amaraso.

Kugira amateka y'umuryango w'indwara z'umutima cyangwa impyiko, kuba ufite umubyibuho ukabije, no kudakora imyitozo ngororamubiri bishobora gutera eseme.

Ni izihe ngaruka zishoboka za eseme?

Nubwo eseme ubwayo isanzwe idatera akaga, kuyireka idavuwe bishobora gutera ingaruka nyinshi zigira ingaruka ku mibereho yawe n'ubuzima bwawe. Iyo amazi ahamaze igihe kinini mu mubiri, niho biba byinshi.

Ingaruka zishoboka zirimo:

• Ibibazo by'uruhu: Uruhu rureretse rurakunda gukomeretsa, ibikomere, n'indwara
• Kudakora neza: Ibiganza byabyimbagira birakomera kandi bibabaza
• Ibibazo by'amaraso: Amaraso atagera neza ashobora kugabanya gukira kw'ibikomere
• Ibyago byo kwandura: Kubyimbagira bitera udukoko
• Ibikomere: Kubyimbagira igihe kirekire bishobora gutera impinduka mu mubiri
• Amaraso afunze: Amaraso adagenda neza mu bice byabyimbagira yongera ibyago by'amaraso afunze

Mu bihe bikomeye, eseme idavuwe ishobora gutera ibikomere cyangwa ibikomere bidakira vuba. Izi ngaruka zikunze kugaragara iyo impamvu nyamukuru ya eseme idakemuwe.

Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa hakoreshejwe ubuvuzi bukwiye n'uburyo bwo kwita ku buzima. Gukorana n'itsinda ryawe ry'abaganga bigufasha kwirinda izi ngaruka mbi mugihe ufasha impamvu nyamukuru y'ubwimbagira bwawe.

Eseme ishobora kwirindwa gute?

Urashobora gufata intambwe nyinshi zo kugabanya ibyago byo kurwara eseme cyangwa kuyikumira kugira ngo ikomeze kuba mbi. Uburyo bwinshi bwo kwirinda bugamije gushyigikira uburyo umubiri wawe ukoresha amazi n'amaraso.

Uburyo bwo kwirinda burimo:

• Kora imyitozo ngororamubiri: Genda buri saha niba wicaye cyangwa uhagaze igihe kirekire
• Shyira amaguru hejuru: Ayamaguru hejuru y'umutima igihe ucuruye
• Kwambara inkweto zikomeye: Ibi bifasha gushyira amazi hafi y'umutima
• Kugabanya umunyu: Gerageza kugira munsi ya 2,300mg ya sodium ku munsi
• Kunywa amazi ahagije: Kunywa amazi ahagije bituma impyiko zawe zikora neza
• Kora imyitozo ngororamubiri: Imikino ngororamubiri iratera amaraso agenda neza no gukuraho amazi

Kuvura indwara ziriho bigira uruhare mu kwirinda. Gufata imiti nk'uko byategetswe, kugenzura umuvuduko w'amaraso, no kugira diyabete ikorwa neza byose bifasha kwirinda eseme.

Niba utwite, kuryama ku ruhande no kwirinda imyenda ikomeye ku ibiganza n'ibirenge bishobora kugabanya kubyimbagira. Mu gihe cy'ubushyuhe, kuguma ahantu hakonjeshejwe no kwirinda izuba igihe kirekire bigabanya kubika amazi bitewe n'ubushyuhe.

Eseme imenyekanwa gute?

Muganga wawe azatangira asuzume ibice byabyimbagira kandi akubaze ibibazo byawe, amateka yawe y'ubuzima, n'imiti ukoresha. Azakanda ku ruhu rwo kubyimbagira kugira ngo arebe niba hari agatobo kandi arebe uko kubyimbagira bigenda iyo uhagaze.

Isuzuma ry'umubiri rifasha kumenya ubwoko n'uburemere bwa eseme yawe. Muganga wawe azumva umutima wawe n'ibihaha, azarebe umuvuduko w'amaraso, kandi arebe ibindi bimenyetso bishobora kugaragaza impamvu.

Ibizamini by'inyongera bishobora kuba:

• Ibizamini by'amaraso: Kumenya uko impyiko zikora, proteine z'umwijima, n'ibipimo bya proteine
• Ibizamini by'inkari: Kumenya proteine cyangwa ibindi bimenyetso by'ibibazo by'impyiko
• X-ray y'ibituza: Igaragaza niba amazi ari mu bihaha
• Echocardiogram: Ikoresha amajwi yo gusuzuma uko umutima ukora
• Ultrasound: Igenzura amaraso afunze cyangwa ibibazo by'imitsi mu bice byangiritse
• CT cyangwa MRI scans: Itanga amashusho arambuye niba ibindi bizamini bitavugira

Ibi bizamini bifasha kumenya niba eseme yawe iterwa n'umutima, impyiko, umwijima, cyangwa ibibazo by'imitsi y'amaraso. Ibyavuye mu bizamini bigira uruhare mu gutegura uburyo bwo kuvura no gukurikirana uko ugendera.

Ni iki kivura eseme?

Ubuvuzi bwa eseme bugamije kugabanya kubyimbagira mugihe ufasha icyo kibitera. Uburyo bwo kuvura biterwa niba eseme yawe ari nto kandi y'igihe gito cyangwa ijyanye n'ikibazo gikomeye.

Muganga wawe ashobora kugutegeka:

• Diuretics (imiti y'amazi): Ifasha impyiko zawe gukuraho amazi menshi binyuze mu nkari
• Ubuvuzi bwo gukanda: Inkweto cyangwa ibintu bikanda kugira ngo bigabanye kubyimbagira
• Guhagarara: Guhagarara ibice byabyimbagira hejuru y'umutima inshuro nyinshi ku munsi
• Impinduka mu mirire: Kugabanya umunyu no kurya ibiryo bikungahaye kuri potasiyumu
• Kuvura indwara ziriho: Kuvura ibibazo by'umutima, impyiko, cyangwa ibindi bibazo
• Guhindura imiti: Guhindura imiti ishobora gutera kubika amazi

Kubera lymphedema (kubyimbagira biterwa n'ibibazo by'imitsi y'amaraso), uburyo bwihariye bwo gukanda n'imyenda ikomeye bitanga ubuvuzi bukomeye. Ubuvuzi bw'umubiri bushobora kandi gufasha kunoza amaraso agenda neza no kugabanya kubyimbagira.

Uburyo bwawe bwo kuvura buzaba buhuye n'ibyo ukeneye. Bamwe bakeneye impinduka mu mibereho gusa, abandi bakeneye imiti cyangwa uburyo bukomeye bwo kuvura eseme.

Uburyo bwo kuvura eseme murugo?

Hari uburyo bwinshi bwo kuvura eseme murugo bushobora kugabanya eseme nto no gushyigikira ubuvuzi bwawe. Ibi bintu byo kwita ku buzima bikora neza iyo byahujwe n'ubuvuzi bw'abaganga, cyane cyane kubyimbagira bidashira.

Uburyo bwo kuvura murugo burimo:

• Shyira ibice byabyimbagira hejuru: Shyira amaguru cyangwa amaboko ku masahani hejuru y'umutima iminota 15-20 inshuro nyinshi ku munsi
• Genda buhoro: No kugenda buhoro bifasha gushyira amazi hafi y'umutima
• Kora imyitozo y'amaguru: Koresha amaguru kugira ngo ukomeze imitsi y'amaguru
• Shyiraho ibintu bikonjesha: Koresha iminota 15-20 kugira ngo ugabanye kubyimbagira n'ububabare
• Kwambara imyenda idakomeye: Kwambara imyenda idakomeye ku ibiganza, ibirenge, cyangwa umubyibuho
• Kuryama n'amaguru ahagaze: Shyira isahani munsi y'amaguru igihe uryamye

Witondere umunyu urya ukurikije ibyanditse ku biryo kandi utegure ibiryo bishya aho kurya ibiryo byatunganyirijwe. Kunywa amazi menshi bishobora kugaragara nk'ibidasanzwe, ariko kuguma unywa amazi bifasha umubiri wawe kugumana amazi ahagije.

Gukanda buhoro bishobora kandi gufasha gukuraho amazi mu bice byabyimbagira. Koresha intoki buhoro, ujye hejuru werekeza ku mutima, ariko wirinde gukanda niba ufite amaraso afunze cyangwa indwara z'uruhu.

Wategura gute uruzinduko kwa muganga?

Gutegura uruzinduko kwa muganga bifasha muganga wawe gusobanukirwa neza ibibazo byawe no gutegura uburyo bwiza bwo kuvura. Gutegura gato bishobora gutuma uruzinduko rwawe rurangira neza kandi rugatanga amakuru.

Mbere y'uruzinduko rwawe:

• Kumenya ibibazo byawe: Kumenya igihe kubyimbagira bibaho, icyo kibitera cyangwa icyo kibikiza
• Kwandika imiti yose: Kuvuga imiti y'abaganga, imiti yo mu maduka, n'ibindi
• Kwandika amateka yawe y'ubuzima: Ibibazo by'umutima, impyiko, cyangwa umwijima
• Pima kubyimbagira: Koresha tapu kugira ngo upime ikibazo
• Fata amafoto: Kugaragaza uko kubyimbagira bigaragara mu bihe bitandukanye by'umunsi
• Andika ibibazo: Tegura urutonde kugira ngo wibuke ibibazo byawe

Zana umuntu wo mu muryango cyangwa inshuti niba ushaka ubufasha mu gihe cy'uruzinduko. Bashobora kugufasha kwibuka amakuru y'ingenzi no kubaza ibibazo utabona.

Tegura kuvugana ku mirimo yawe ya buri munsi, imirire, n'uko kubyimbagira bigira ingaruka ku buzima bwawe. Aya makuru afasha muganga wawe gusobanukirwa neza ikibazo no kugutegurira uburyo bwiza bwo kuvura.

Icyo ukwiye kumenya kuri eseme

Eseme ni indwara isanzwe isanzwe ikira neza hakoreshejwe ubuvuzi bukwiye n'uburyo bwo kwita ku buzima. Nubwo kubyimbagira bishobora kuba bibi kandi bikatera impungenge, ibyinshi biba bishobora kuvurwa neza.

Ikintu cy'ingenzi cyo kwibuka ni uko kubyimbagira kudasiba cyangwa bikomeye bikwiye kuvurwa. Kuvurwa hakiri kare bishobora kwirinda ingaruka mbi no kuvura ibibazo by'ubuzima bishobora gutera eseme.

Gukorana na muganga wawe, gukurikiza amabwiriza yo kuvura, no guhindura imibereho bishobora kugufasha kuvura eseme. Abantu benshi babona ubuvuzi bukomeye hakoreshejwe ubuvuzi n'uburyo bworoshye bwo kwita ku buzima.

Ntuzuyaze kuvugana na muganga wawe niba ufite impungenge z'ubwimbagira. Ufite ubuvuzi bukwiye, ushobora kugabanya ingaruka za eseme ku buzima bwawe bwa buri munsi n'ubuzima bwawe muri rusange.

Ibibazo byakunze kubaho kuri eseme

Q1: Ese kunywa amazi menshi bishobora kugabanya eseme?

Yego, kuguma unywa amazi ahagije bishobora kugabanya eseme mu bihe byinshi. Iyo ubuzima bwawe butameze neza, umubiri wawe ugomba amazi menshi, ibyo bishobora kongera kubyimbagira. Kunywa amazi ahagije bituma impyiko zawe zikora neza kandi zigumana amazi ahagije mu mubiri wawe.

Q2: Ese eseme ni ibisanzwe mu gihe cyo gutwita?

Kubyimbagira gato mu birenge, mu maguru, no mu biganza ni ibisanzwe mu gihe cyo gutwita, cyane cyane mu mezi atatu ya kabiri n'aya gatatu. Ariko kandi, kubyimbagira gitunguranye cyangwa bikomeye, cyane cyane mu maso cyangwa mu biganza, bishobora kugaragaza indwara ikomeye yitwa preeclampsia kandi bisaba ubuvuzi bw'ihutirwa.

Q3: Eseme imara igihe kingana iki kugira ngo ikire?

Igihe kitwara gitandukanye bitewe n'impamvu n'uburemere bwa eseme. Kubyimbagira gato biterwa no kwicara igihe kirekire bishobora gukira mu masaha make iyo uhagaze kandi ukora imyitozo ngororamubiri. Ariko kandi, eseme ijyanye n'indwara ishobora kumara iminsi cyangwa ibyumweru kugira ngo ikire hakoreshejwe ubuvuzi bukwiye.

Q4: Ese ibiryo bimwe na bimwe bishobora kongera eseme?

Yego, ibiryo bikungahaye kuri sodium bishobora kongera eseme bituma umubiri wawe ugomba amazi menshi. Ibiryo byatunganyirijwe, ibiryo byo muri resitora, n'isupu zibitswe akenshi ziba zifite umunyu uhishe. Fata ibiryo bishya kandi ukoreshe ibimera n'ibirungo aho gukoresha umunyu.

Q5: Ese nkwiye guhangayika niba eseme igira ingaruka ku kaguru kamwe gusa?

Kubyimbagira ku kaguru kamwe gusa bishobora kuba bibi kurusha kubyimbagira ku maguru yombi, kuko bishobora kugaragaza amaraso afunze, indwara, cyangwa imvune. Ukwiye kuvugana na muganga wawe vuba niba ufite kubyimbagira ku ruhande rumwe, cyane cyane niba bifatanije n'ububabare, ubushyuhe, cyangwa uburyo butukura mu gice cyangiritse.