Ibyimba mu kibuno: Ibimenyetso, Intandaro, n'Ubuvuzi

Ibyimba mu kibuno ni imiyoboro y'amaraso yabarebye kandi ikaba iri mu kibuno no hafi yacyo, bishobora gutera ububabare, gucika intege no kuva amaraso. Utekereza nk'imijyana y'amaraso, ariko mu gice cy'umubiri gifite akamaro cyane.

Hafi kimwe cya kabiri cy'abantu bakuru bazagira ibyimba mu kibuno mbere y'imyaka 50, bigatuma biba kimwe mu bibazo by'ubuhumekero bya kenshi abantu bahura na byo. Inkuru nziza ni uko ibyimba mu kibuno bidafite akaga gakomeye kandi bikunda kumera neza hakoreshejwe ubuvuzi bworoheje bw'i mu rugo.

Ibyimba mu kibuno ni iki?

Ibyimba mu kibuno ni imiyoboro y'amaraso yagutse kandi yabarebye itera mu kibuno hasi no hafi y'inyuma. Buri wese afite iyo miyoboro y'amaraso, ariko biba ikibazo iyo yagutse kandi igahindagurika bitewe n'umuvuduko.

Ushobora gutekereza ku byimba mu kibuno nk'ibice by'umubiri byuzuyemo imiyoboro y'amaraso ifasha kugenzura imiterere y'umubiri. Iyo ibyo bice byabarebye bitewe n'umuvuduko mwinshi, bihinduka icyo dusanzwe tuzi nka ibyimba mu kibuno cyangwa amasaka.

Iki kibazo kigira ingaruka kuri miliyoni z'abantu ku isi kandi kigenda kiba kenshi uko tugenda dukera. Nubwo bidafurahaza, ibyimba mu kibuno ntabwo biba bibi kandi bishobora kuvurwa neza hakoreshejwe ubuvuzi bukwiye.

Ni izihe mpande z'ibyimba mu kibuno?

Hariho ubwoko bubiri nyamukuru bw'ibyimba mu kibuno, bwahawe izina hashingiwe aho bituruka. Ibyimba byo imbere bituruka mu kibuno, mu gihe ibyimba byo hanze bituruka munsi y'uruhu rwo hafi y'inyuma.

Ibyimba byo imbere ntabwo bikunda kubabaza kuko ako gace kagira imiyoboro micye y'ububabare. Ushobora kutamenya ko ubifite keretse iyo bivuye amaraso cyangwa bigaruka (bigwa hasi binyuze mu nyuma). Ibi bipimwa kuva kuri 1 kugeza kuri 4 hashingiwe ku rugero byavuye.

Ibyimba byo hanze bituruka munsi y'uruhu rwo hafi y'inyuma aho hari imiyoboro myinshi y'ububabare. Ibi bikunda kubabaza cyane kandi bishobora gutera ububabare bukomeye, cyane cyane iyo wicaye cyangwa mu gihe cyo kujya mu bwiherero.

Rimwe na rimwe, amaraso ashobora gukomera mu kibuno cyo hanze, bigatuma abaganga bita kuri thrombosed hemorrhoid. Ibi bigaragara nk'igice gikomeye, kibabaza kandi bikunda gutera ububabare bukomeye mu minsi mike ya mbere.

Ni ibihe bimenyetso by'ibyimba mu kibuno?

Ibimenyetso uhura na byo biterwa n'uko ufite ibyimba byo imbere cyangwa ibyo hanze. Abantu benshi babona kuva amaraso nk'ikimenyetso cyabo cya mbere, bishobora gutera ubwoba ariko ntabwo biba bibi.

Dore ibimenyetso bya kenshi ushobora guhura na byo:

• Amaraso atukura cyane kuri pasi cyangwa mu musarani nyuma yo kujya mu bwiherero
• Ububabare cyangwa gucika intege, cyane cyane mu gihe cyo kujya mu bwiherero cyangwa iyo wicaye
• Gukorora cyangwa gucika intege hafi y'inyuma
• Kubyimbagira cyangwa ibice by'umubiri byuzuyemo hafi y'inyuma
• Kumva ko utarangije kwisha
• Imyanda y'imyanda nyuma yo kujya mu bwiherero

Ibyimba byo imbere bishobora gutera kuva amaraso bidateye ububabare, mu gihe ibyo hanze bikunda gutera ububabare n'ububabare bukabije. Niba ikibuno cyavuye, ushobora kumva igice cyoroshye, gitose kandi gifite ibara ritukura kurusha ibindi bice.

Bamwe mu bantu bumva nk'uko bakeneye kujya mu bwiherero, ndetse na nyuma yo kujyayo. Ibi bibaho kuko ibyimba byabarebye bishobora gutuma umubiri wawe wumva ko hakiri imyanda ikwiye kuva.

Ni iki gitera ibyimba mu kibuno?

Ibyimba mu kibuno bitera iyo imiyoboro y'amaraso yo mu kibuno cyanyu yabarebye bitewe n'umuvuduko mwinshi. Uwo muvuduko ushobora kwiyongera biturutse ku bikorwa bya buri munsi n'ibibazo by'ubuzima.

Intandaro za kenshi zirimo:

• Gukoresha imbaraga mu gihe cyo kujya mu bwiherero, cyane cyane iyo ufite impatwe
• Kwica ku musarani igihe kirekire
• Impatwe cyangwa guhitwa igihe kirekire
• Gutwita no kubyara bitewe n'umuvuduko mwinshi mu nda
• Gutwara ibiremereye cyangwa ibindi bikorwa byongera umuvuduko mu nda
• Kwica igihe kirekire, cyane cyane ku biti bikomeye
• Urukundo, rwongera umuvuduko ku miyoboro y'amaraso yo mu kibuno

Imyaka na yo igira uruhare kuko imyanya y'umubiri ihagarara imiyoboro y'amaraso yo mu kibuno cyanyu ishobora kugenda isaza uko imyaka igenda yicuma. Ibi bituma ibyimba mu kibuno biba byinshi uko ukura.

Nyamara, bamwe mu bantu basa n'abafite ibyago byinshi byo kugira ibyimba mu kibuno bitewe n'imiterere y'umubiri. Niba ababyeyi bawe bagize ibyimba mu kibuno, ushobora kuba ufite ibyago byinshi byo kubigira nawe.

Ni ryari ukwiye kubona muganga kubera ibyimba mu kibuno?

Ukwiye kubona umuganga niba ubona amaraso ava mu kibuno, nubwo utekereza ko ari ibyimba mu kibuno. Nubwo ibyimba mu kibuno ari cyo kintu cya kenshi gitera kuva amaraso mu kibuno, ibindi bibazo bishobora gutera ibimenyetso nk'ibyo.

Tegura gahunda yo kubona muganga niba ufite ububabare buhoraho budakira hakoreshejwe ubuvuzi bw'i mu rugo nyuma y'icyumweru. Ububabare bukabije, cyane cyane niba butunguranye, bishobora kugaragaza ikibuno cya thrombosed gikenera ubuvuzi.

Shaka ubuvuzi bw'ihutirwa niba ufite amaraso menshi, ibimenyetso by'indwara nk'umuriro, cyangwa niba wumva ucika intege cyangwa ugira iseseme hamwe no kuva amaraso mu kibuno. Ibi bimenyetso bishobora kugaragaza ikibazo gikomeye gikenera ubuvuzi bwihuse.

Ni byiza kandi kubona muganga niba ari ubwa mbere uhura n'ibi bimenyetso. Bashobora kwemeza ibyo urufite no gukuraho ibindi bibazo bishobora gutera ububabare nk'ubwo.

Ni ibihe bintu byongera ibyago byo kugira ibyimba mu kibuno?

Ibintu byinshi bishobora kongera ibyago byo kugira ibyimba mu kibuno. Gusobanukirwa ibyo bintu byongera ibyago bishobora kugufasha gufata ingamba zo kubikumira cyangwa kuvura neza ibyo umaze kugira.

Ibintu byongera ibyago byinshi birimo:

• Imyaka irenga 50, kuko imyanya y'umubiri igenda isaza uko imyaka igenda yicuma
• Gutwita, cyane cyane mu gihembwe cya gatatu
• Impatwe cyangwa gukoresha imbaraga mu gihe cyo kujya mu bwiherero
• Kwica igihe kirekire, cyane cyane ku musarani
• Kuba uremeretse cyangwa ufite umubyibuho ukabije
• Kugira amateka y'ibyimba mu kibuno mu muryango
• Gutwara ibiremereye buri gihe
• Kugira guhitwa igihe kirekire

Gutwita bikwiye kuvugaho cyane kuko umwana ukura ashyira umuvuduko ku miyoboro y'amaraso yo mu kibuno. Impinduka z'imisemburo mu gihe cyo gutwita zishobora kandi gutuma imiyoboro y'amaraso iba ifite ibyago byinshi byo kubyimbagira.

Abantu bakora imirimo imwe na imwe bafite ibyago byinshi. Niba akazi kawe gasaba kwica igihe kirekire cyangwa gutwara ibiremereye, ushobora kuba ufite ibyago byinshi byo kugira ibyimba mu kibuno uko imyaka igenda yicuma.

Ni ibihe bibazo bishobora guterwa n'ibyimba mu kibuno?

Ibyinshi mu byimba mu kibuno ntibitera ibibazo bikomeye, ariko hariho bimwe mu bihe bishobora kuvuka bikenera ubuvuzi. Ibyo bibazo ntabwo biba byinshi ariko birakwiye kubimenya.

Ibibazo bishobora kuvuka birimo:

• Uburwayi bw'amaraso bitewe no kuva amaraso igihe kirekire, nubwo ari bike
• Ibyimba mu kibuno byafunzwe iyo imiyoboro y'amaraso ihagaze
• Amaraso akomera mu byimba byo hanze (thrombosis)
• Indwara, cyane cyane niba ako gace kagize ikibazo
• Ibyimba byo imbere byavuye bidakira

Ibyimba mu kibuno byafunzwe bibaho iyo imiyoboro y'amaraso y'ikibuno cyo imbere ihagaze, bigatera ububabare bukomeye. Ibi ni ubutabazi bw'ubuvuzi bukenera ubuvuzi bwihuse.

Ibyimba byo hanze bya thrombosed bishobora kubabaza cyane ariko bikunda gukira byonyine mu minsi mike cyangwa mu byumweru. Ariko kandi, muganga ashobora rimwe na rimwe gufasha mu gukuraho amaraso akomye.

Uburyo bwo gukumira ibyimba mu kibuno?

Uburyo bwiza bwo gukumira ibyimba mu kibuno ni ugutuma imyanda yawe iba yumu yumye kandi ukirinda gukoresha imbaraga mu gihe cyo kujya mu bwiherero. Impinduka zoroheje mu mibereho zishobora kugira uruhare rukomeye mu gukumira ibyimba mu kibuno cyangwa kubirinda kuba bibi.

Dore ingamba zikomeye zo gukumira:

• Kurya ibiryo byinshi bifite amafibe menshi nka imbuto, imboga, n'ibinyampeke byuzuye
• Kunwa amazi ahagije umunsi wose
• Gukora imyitozo ngororamubiri buri gihe kugira ngo uteze imbere ubuzima bwiza bw'igogorwa
• Ntuzatinze kujya mu bwiherero iyo wumva ukeneye kujyayo
• Kwirinda gukoresha imbaraga cyangwa gufata umwuka mu gihe cyo kujya mu bwiherero
• Ntumamare igihe kinini ku musarani
• Kugira ibiro byiza

Yongera amagiramu 20-30 ya fibre mu mirire yawe buhoro buhoro bishobora gufasha gukora imyanda yumu yumye kandi kuyikorohereza kuva. Tangira buhoro buhoro ukongeramo fibre kugira ngo wirinde imyuka mibi n'ububabare mu nda.

Gukora imyitozo ngororamubiri buri gihe bifasha guteza imbere imikorere y'igogorwa kandi bishobora kugabanya igihe imyanda imamara mu mara yawe. Ndetse no kugenda iminota 20 buri munsi bishobora kugira uruhare mu buzima bwiza bw'igogorwa.

Uburyo bwo kuvura ibyimba mu kibuno?

Umuvuzi wawe ashobora kuvura ibyimba mu kibuno hakoreshejwe isuzuma ry'umubiri n'ibiganiro ku bimenyetso byawe. Uburyo ni bworoheje kandi bufasha gukuraho ibindi bibazo bishobora gutera ibimenyetso nk'ibyo.

Mu gihe cy'isura yawe, umuganga azakubaza ibibazo ku bimenyetso byawe, imikorere y'igogorwa, n'amateka yawe y'ubuzima. Azashaka kumenya ibibazo by'ububabare, kuva amaraso, cyangwa impinduka mu mibereho yawe yo mu bwiherero.

Isuzuma ry'umubiri risanzwe ririmo isuzuma ry'ibimenyetso byo hanze n'isuzuma ry'igice cy'inyuma. Muganga azashyira urutoki rwambaye utwenda, rwose mu kibuno cyawe kugira ngo yumve ibibazo.

Niba bibaye ngombwa, umuganga wawe ashobora gukoresha anoscope, imiyoboro mito y'iplastike imwemerera kubona imbere mu kibuno. Iki gikorwa gisanzwe kihuta kandi kitatera ububabare buke.

Mu bimwe mu bihe, cyane cyane niba ufite imyaka irenga 50 cyangwa ufite ibimenyetso bibangamira, umuganga wawe ashobora kugusaba gukora colonoscopy kugira ngo asuzume ibyo urimo byose kandi akureho ibindi bibazo.

Ni iki kivura ibyimba mu kibuno?

Ibyinshi mu byimba mu kibuno bisubiza neza ubuvuzi bworoheje ushobora gutangira i mu rugo. Intego ni uguca ibimenyetso no gukumira ibyimba mu kibuno kuba bibi.

Ubuvuzi bwa mbere burimo:

• Kongera amafibe kugira ngo imyanda iba yumu yumye
• Gukoresha amazi ashyushye mu gihe cy'iminota 10-15 inshuro nyinshi buri munsi
• Gukoresha amavuta cyangwa imiti yo mu kibuno yo mu maduka
• Gufata imiti igabanya ububabare nka acetaminophen cyangwa ibuprofen
• Gushyiraho ibintu bikonjesha kugira ngo ugabanye kubyimbagira
• Kugumisha igice cy'inyuma cyiza kandi cyumye

Niba ubuvuzi bworoheje budafashije nyuma y'icyumweru kimwe cyangwa bibiri, umuganga wawe ashobora kugusaba gukoresha uburyo buke bwo kuvura. Ibi birimo rubber band ligation, aho umugozi muto uca umuvuduko w'amaraso ku kibuno.

Ibindi bikorwa byo mu biro birimo sclerotherapy (gushyiramo umuti kugira ngo ugabanye ikibuno) cyangwa infrared coagulation (gukoresha ubushyuhe kugira ngo ucike imyanya y'ikibuno). Ibi bikorwa bisanzwe bikorwa mu biro by'umuganga bidatera ububabare buke.

Kubaga ntabwo bikenerwa, ariko bishobora kugusabwa kubera ibyimba mu kibuno binini, bibabaza bidakira hakoreshejwe ibindi bivura. Uburyo bwa none bwo kubaga bwatumye ibyo bikorwa biba byoroshye kurusha mbere.

Uburyo bwo kuvura ibyimba mu kibuno i mu rugo?

Ubuvuzi bw'i mu rugo bushobora kuvura ibimenyetso byinshi by'ibyimba mu kibuno no kwihutisha gukira. Ikintu nyamukuru ni uguca umuvuduko ku gice cyangiritse no kugumisha cyiza.

Amazi ashyushye ni kimwe mu bintu byiza byo kuvura i mu rugo. Zuza umubati w'amazi ashyushye hanyuma wicaremo iminota 10-15, cyane cyane nyuma yo kujya mu bwiherero. Ibi bifasha kugabanya kubyimbagira no gutera ihumure.

Gugumisha igice cy'inyuma cyiza hakoreshejwe ibintu bidafite impumuro, nta nzoga cyangwa gukaraba buhoro buhoro amazi ashyushye nyuma yo kujya mu bwiherero buri gihe. Kumanura ako gace hakoreshejwe igitambaro cyoroshye aho gukura.

Shyiraho ibintu bikonjesha byapfunyitse mu gitambaro gito iminota 10-15 kugira ngo ugabanye kubyimbagira no kubabara. Kurikira ibyo ukoresheje ibintu bishyushye kugira ngo uteze imbere amaraso n'ubuzima.

Kwambara imyenda yoroshye, idafunze kandi y'ipamba kandi wirinda kwica ku biti bikomeye igihe kirekire. Koresha igitambaro gifite ishusho y'umunyu niba ukeneye kwica igihe kirekire.

Uko wakwitegura gusura muganga?

Kwitegura gusura muganga bishobora kugufasha kubona byinshi mu ruzinduko rwawe kandi bikaba byizewe ko muganga afite amakuru yose akenewe kugufasha. Andika ibimenyetso byawe n'ibibazo byawe mbere.

Komeza ukureho igihe ibimenyetso byawe byatangiye, icyo kibikora neza cyangwa kibibabaza, n'ubuvuzi umaze kugerageza. Bandika kenshi uba ufite amaraso, ububabare, cyangwa ibindi bimenyetso.

Kora urutonde rw'imiti yose, ibintu byongera imbaraga, n'ibicuruzwa byo mu maduka ukoresha. Imiti imwe ishobora kugira ingaruka ku kuva amaraso cyangwa gukira, bityo ayo makuru akaba akomeye.

Andika ibibazo ushaka kubaza, nko kumenya uburyo bwo kuvura, igihe gukira bishobora gufata, n'ibimenyetso byo kwirinda.

Ntutigize ipfunwe kuvugana ku bimenyetso byawe. Wibuke ko ibyimba mu kibuno ari byinshi cyane, kandi umuganga wawe ashobora kuba amaze kuvura abarwayi benshi bafite ibibazo nk'ibyo.

Ni iki gikomeye cyo kuzirikana ku byimba mu kibuno?

Ibyimba mu kibuno ni ikibazo gisanzwe, kivurwa gifata hafi kimwe cya kabiri cy'abantu bakuru. Nubwo bidafurahaza kandi rimwe na rimwe bikababaza, ntabwo biba bibi kandi bikunda gusubiza neza ubuvuzi bworoheje.

Ikintu gikomeye cyo kuzirikana ni uko ubuvuzi bwihuse n'impinduka mu mibereho bishobora gukumira ibyimba mu kibuno kuba bibi. Abantu benshi babona ihumure rikomeye hakoreshejwe ubuvuzi bw'i mu rugo n'ubuvuzi bwo mu maduka.

Nturetse ipfunwe kukubuza gushaka ubufasha niba ubukeneye. Abaganga bamenyereye kuvura ibyimba mu kibuno kandi bashobora gutanga ibisubizo byiza kugira ngo wumve neza.

Ukoresheje ubuvuzi bukwiye n'ingamba zo gukumira, ushobora kuvura ibyimba mu kibuno neza kandi ugabanya ibyago byo kugira ibindi bibazo. Shyira imbaraga mu kugumisha imikorere myiza y'igogorwa n'imibereho myiza kugira ngo ugire umusaruro mwiza mu gihe kirekire.

Ibibazo byakenshi bibazwa ku byimba mu kibuno

Ese ibyimba mu kibuno bishobora gukira byonyine?

Yego, ibyinshi mu byimba mu kibuno bikira byonyine, cyane cyane niba ari bike kandi ukaba ukoresha uburyo bwo kuvura intandaro nk'ipatwe cyangwa gukoresha imbaraga. Ibyimba bike mu kibuno bikunda kugabanuka mu minsi mike cyangwa mu byumweru hakoreshejwe ubuvuzi bw'i mu rugo. Ariko kandi, ibyimba binini cyangwa biba igihe kirekire bishobora kuba bikenera ubuvuzi kugira ngo bikire neza.

Ese ibyimba mu kibuno byandura?

Oya, ibyimba mu kibuno ntibyandura. Biterwa n'umuvuduko mwinshi ku miyoboro y'amaraso yo mu kibuno cyawe, atari udukoko cyangwa virusi zishobora gukwirakwira mu bantu. Ntushobora kwandura ibyimba mu kibuno uva ku wundi cyangwa kubyoherereza abandi binyuze mu kubakorana.

Ese nshobora gukora imyitozo ngororamubiri mfite ibyimba mu kibuno?

Gukora imyitozo ngororamubiri yoroheje cyangwa yo hagati ni byiza ku byimba mu kibuno kuko biteza imbere ubuzima bwiza bw'igogorwa kandi bigabanya impatwe. Kugenda, koga, no gukora imyitozo yoroheje ni amahitamo meza. Ariko kandi, wirinda gutwara ibiremereye cyangwa gukora imyitozo ikomeye ishobora kongera umuvuduko mu nda kugeza igihe ibimenyetso byawe bikize.

Ese ibyimba mu kibuno bisanzwe byamamara igihe kingana iki?

Igihe kiba kinyuranye bitewe n'uburemere n'ubwoko bw'ikibuno. Ibyimba bike mu kibuno bishobora gukira mu minsi mike hakoreshejwe ubuvuzi bw'i mu rugo, mu gihe ibibazo bikomeye bishobora gufata ibyumweru byinshi. Ibyimba byo hanze bya thrombosed bikunda gutera ububabare bukomeye iminsi 2-3, hanyuma bigakira buhoro buhoro mu cyumweru 1-2.

Ni ibihe biryo nakwirinda niba mfite ibyimba mu kibuno?

Kwirinda ibiryo bishobora kuba bibi ku mpatwe cyangwa bikaba bibi ku gikorwa cy'igogorwa, nka ibiryo byakozwe, amata menshi, ibiryo byo mu nda, n'inzoga. Ahubwo, shyira imbaraga mu biryo byinshi bifite amafibe, amazi ahagije, n'ibiryo byoroshye, byoroshye kugogora. Buri muntu ni umuntu, bityo witondere uko umubiri wawe usubiza ibiryo bitandukanye.