Impamvu y’inzitizi mu mara: Ibimenyetso, Intandaro, n’Ubuvuzi

Impamvu y’inzitizi mu mara ibaho iyo hari ikintu kibangamiye imyanya y’amara, bikabuza ibiryo, amazi, n’ubwogero kunyuramo uko bikwiye. Tekereza nk’aho ari impanuka mu mikorere y’igogorwa ry’ibiryo – byose birahagarara kandi ntibishobora kugenda aho bikwiye kujya.

Iyi ndwara ishobora kuba mu mara mato cyangwa mu mara manini (koloni). Nubwo byumvikana bibi, abaganga bafite uburyo bwiza bwo kuvura no gupima impamvu y’inzitizi mu mara. Ikintu nyamukuru ni ukumenya ibimenyetso hakiri kare no gushaka ubufasha bw’abaganga vuba.

Ni ibihe bimenyetso by’inzitizi mu mara?

Ikimenyetso cya mbere gikunze kugaragara ni ububabare bukomeye mu nda buza bukajya, bukaza bukajya. Ushobora kandi kubona inda yawe ikomeye kandi ikubabaza iyo uyikoreyeho.

Dore ibimenyetso by’ingenzi ukwiye kwitondera, uhereye ku bikunze kugaragara:

• Ububabare mu nda buza bukajya, bukagenda bwiyongera uko igihe gihita
• Kumenyekera no kubyimbagira mu nda
• Isesemi no kuruka
• Kudashaka kujya mu bwiherero cyangwa guhekenya
• Kudashaka kurya
• Kumva amajwi akomeye ava mu gifu

Mu bihe bikomeye, ushobora kugira umuriro, umutima ukubita cyane, cyangwa gukama. Bamwe bagira n’ibiruka bifite impumuro mbi, cyane cyane iyo inzitizi imaze igihe.

Ibimenyetso bishobora kuza vuba cyangwa buhoro buhoro, bitewe n’uburemere bw’inzitizi. Inzitizi zitazima zishobora gutera ibimenyetso bito byaza bikagenda, mu gihe inzitizi zikomeye ziterwa n’ububabare bukomeye buhoraho.

Ni iyihe mityo y’inzitizi mu mara?

Abaganga basobanura inzitizi mu mara hakurikijwe aho ziba n’icyo ziterwa na cyo. Gusobanukirwa iyi mityo bifasha gusobanura impamvu ibimenyetso n’ubuvuzi bishobora gutandukana.

Ahantu habiri nyamukuru ni inzitizi mu mara mato n’inzitizi mu mara manini. Inzitizi mu mara mato ni zo zikunze kugaragara kandi ziterwa n’ibimenyetso bikomeye nko kuruka kenshi. Inzitizi mu mara manini zikunze kuza buhoro buhoro kandi ziterwa n’ubwiherero buke no kumenyekera.

Inzitizi zishobora kuba ari iz’imiterere cyangwa iz’imikorere. Inzitizi z’imiterere zibaho iyo hari ikintu kibangamiye umura, nka tishu z’ibyatsi cyangwa ibinini. Inzitizi z’imikorere zibaho iyo imitsi y’amara ihagaritse gukora neza, nubwo nta kibangamiye umura.

Ni iki giterwa n’inzitizi mu mara?

Ibintu byinshi bishobora gutera inzitizi mu mara. Intandaro ikunze kugaragara mu bakuru ni tishu z’ibyatsi zikura nyuma y’ubuganga mu nda.

Reka turebe intandaro nyamukuru, duhereye ku zikunze kugaragara:

• Adhesions (tissue z’ibyatsi) zikomoka ku buvuzi bwakozwe mu nda
• Hernia ifata igice cy’umura
• Uburwayi bwa kanseri, haba ubwa kanseri n’ubutare
• Indwara y’amara itera kubyimbagira cyane
• Amara yiyunguruye (volvulus)
• Impatwe ikomeye ifite umwanda uhagaze

Intandaro zidakunze kugaragara harimo amabuye y’umwijima abangamiye umura, ibintu byinjijwe mu kanwa, cyangwa imiti imwe ihagarika imikorere y’amara. Mu bana, indwara yitwa intussusception ishobora kubaho iyo igice kimwe cy’umura kinjira mu kindi gice.

Rimwe na rimwe, ibintu byinshi bifatanije bigatera inzitizi. Urugero, umuntu wavuye mu buvuzi ashobora kugira adhesions zibangamira indwara itera kubyimbagira mu mara.

Ni ryari ukwiye kujya kwa muganga kubera inzitizi mu mara?

Ukwiye gushaka ubufasha bw’abaganga vuba niba ufite ububabare bukomeye mu nda hamwe no kuruka no kudashaka kujya mu bwiherero cyangwa guhekenya. Ibi bimenyetso bifatanije bigaragaza inzitizi ishoboka.

Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo. Inzitizi mu mara zishobora kuba zikomeye vuba, kandi kuvurwa hakiri kare bigatanga umusaruro mwiza. Hamagara muganga wawe cyangwa ujye mu bitaro byihuse niba ufite ibimenyetso byavuzwe haruguru.

Ukwiye kandi gushaka ubufasha bw’abaganga vuba niba ufite ibimenyetso bito bikomeza amasaha menshi, cyane cyane niba ufite amateka y’ubuganga mu nda, hernia, cyangwa indwara y’amara. Izera icyo umubiri wawe ukubwira – ubizi neza.

Ni ibihe bintu byongera ibyago by’inzitizi mu mara?

Ibintu bimwe na bimwe bikongera ibyago byo kugira inzitizi mu mara. Kugira amateka y’ubuganga mu nda ni ikintu gikomeye cyongera ibyago kuko kenshi biterwa no gukura kw’ibyatsi.

Dore ibintu by’ingenzi byongera ibyago ukwiye kumenya:

• Ubuvuzi bwakozwe mu nda cyangwa mu myanya y’imyororokere
• Amateka ya hernia
• Indwara y’amara (Crohn’s disease cyangwa ulcerative colitis)
• Amateka yo kwivuza mu nda cyangwa mu myanya y’imyororokere
• Kanseri zimwe na zimwe, cyane cyane izibasira igogorwa ry’ibiryo
• Impatwe ya karande

Imyaka ishobora kugira uruhare, nubwo inzitizi zishobora kubaho igihe icyo ari cyo cyose cy’ubuzima. Abakuze bashobora kuba bafite ibyago byinshi kubera uburwayi bamaze igihe bafite n’ubuvuzi bamaze gukorerwa.

Kugira ibintu byongera ibyago ntibisobanura ko uzagira inzitizi. Abantu benshi bafite ibi bintu ntibagira ibibazo. Ariko, kumenya ibyago byawe bishobora kugufasha kumenya ibimenyetso hakiri kare niba byabaye.

Ni iyihe ngaruka zishoboka z’inzitizi mu mara?

Niba bitavuwe, inzitizi mu mara zishobora gutera ingaruka zikomeye. Umutima wabaye inzitizi ushobora kwangirika kubera umuvuduko mwinshi n’ubushobozi buke bw’amaraso.

Gusobanukirwa izi ngaruka zishoboka bifasha gusobanura impamvu kuvurwa hakiri kare ari ingenzi:

• Gukama no kutagira umunyu uhagije mu mubiri kubera kuruka
• Kwangirizwa kw’inkuta y’amara
• Dukuri mu nda
• Urupfu rw’igice cy’amara kubera amaraso make
• Pneumonia iterwa no kuruka

Mu bihe bitoroshye, inzitizi ikomeye ishobora gutera amara gucika, ibintu byayo bikajya mu nda. Ibi biterwa n’indwara ikomeye yitwa peritonitis isaba ubuvuzi bw’ubuganga bw’amarangamutima.

Inkuru nziza ni uko, ubufasha bw’abaganga buhagaze neza, abantu benshi barakira neza batagize izi ngaruka. Ubuvuzi bugezweho ni bwiza cyane mu gukemura inzitizi mu buryo bwiza.

Ubuvuzi bw’inzitizi mu mara

Ubuvuzi biterwa n’uburemere n’intandaro y’inzitizi. Inzitizi nyinshi zitazima zishobora kuvurwa hatakozwe ubuvuzi, mu gihe inzitizi zikomeye zisaba ubuvuzi bw’ubuganga bw’amarangamutima.

Kubera inzitizi zitazima, muganga wawe ashobora kugutegeka kuruhuka, bisobanura kwirinda ibiryo n’ibinyobwa. Uzabona amazi n’ibiryo binyuze mu mitsi mu gihe amara yawe agira amahirwe yo gukira. Umuyoboro wa nasogastric ushobora gushyirwa mu mazuru kugira ngo ukureho gaze n’amazi y’umurengera mu gifu.

Inzitizi zikomeye zisaba ubuvuzi bw’ubuganga bw’amarangamutima kugira ngo ukureho inzitizi. Uburyo bw’ubuvuzi bwihariye biterwa n’icyo kibazo giterwa na cyo. Abaganga bashobora gukuraho tishu z’ibyatsi, gukosora hernia, cyangwa gukuraho ibice byangiritse by’amara.

Gufasha mu kubabara ni igice cy’ingenzi cy’ubuvuzi. Ikipe yawe y’abaganga izakora kugira ngo ugire amahoro mu gihe ikemura ikibazo nyamukuru. Bazakukurikirana kandi hafi kugira ngo barebe niba hari ingaruka.

Uko wakwitwara mu rugo

Inzitizi mu mara isaba ubuvuzi bw’abaganga kandi ntishobora kuvurwa mu rugo. Niba ukekako ufite inzitizi, ukwiye gushaka ubufasha bw’abaganga vuba aho kugerageza imiti yo mu rugo.

Ariko, iyo uvuye mu bitaro, muganga wawe ashobora kuguha amabwiriza yihariye yo gukira. Ibi bikunze kuba harimo gusubira ku biribwa bisanzwe buhoro buhoro, uhereye ku binini byoroshye, ukagenda ugenda uko umubiri wawe ubishobora.

Nyuma yo kuvurwa, ushobora gufasha kwirinda inzitizi mu gihe kizaza uba ufite amazi ahagije, urya indyo yuzuye ifite ibinyamisogwe bihagije, kandi ukora imyitozo ngororamubiri nk’uko muganga wawe abitegetse. Niba ufite uburwayi buhoraho bukongera ibyago byawe, korana n’ikipe yawe y’ubuvuzi kugira ngo ubigenzure neza.

Uko wakwitegura kujya kwa muganga

Niba ufite ibimenyetso bishobora kugaragaza inzitizi mu mara, tegura gutanga amakuru arambuye ku gihe ibimenyetso byatangiye n’uko byagiye bigenda. Andika neza ibyo wari ufite n’igihe byabaye.

Zana urutonde rw’imiti yose ukoresha, harimo imiti yo mu maduka n’ibindi. Tegura kandi amakuru yerekeye amateka yawe y’ubuvuzi, cyane cyane ubuvuzi bwakozwe mu nda, hernia, cyangwa ibibazo by’igogorwa ry’ibiryo.

Tegura kuzana umuntu wo mu muryango wawe cyangwa inshuti izagufasha kwibuka amakuru no kugufasha. Ibihe by’amarangamutima bishobora kuba bibi, kandi kugira umuntu uri kumwe nawe bishobora kuguhumuriza no kugufasha.

Niba bishoboka, irinda kurya cyangwa kunywa mbere y’iperereza ryawe, kuko ushobora gukenera ibizamini by’amashusho cyangwa ubuvuzi. Ariko, niba ukama cyane cyangwa hashize amasaha menshi kuva wariye, bivuge ku ikipe yawe y’ubuvuzi.

Icyo ukwiye kumenya cyane ku bijyanye n’inzitizi mu mara

Inzitizi mu mara ni indwara ikomeye isaba ubufasha bw’abaganga vuba, ariko uko kuvurwa neza, abantu benshi barakira neza. Ikintu nyamukuru ni ukumenya ibimenyetso hakiri kare no gushaka ubufasha vuba.

Wibuke ko ububabare bukomeye mu nda buherekejwe no kuruka no kudashaka kujya mu bwiherero cyangwa guhekenya bigomba gutuma ugana kwa muganga vuba. Ntugerageze gutegereza cyangwa kwivuza wenyine – ibi bimenyetso bisaba ko ugenzurwa n’umuganga.

Niba ufite ibintu byongera ibyago nko kuvurwa mu nda cyangwa indwara y’amara, menya ibimenyetso bishoboka kandi ube ufite itumanaho ryiza n’ikipe yawe y’ubuvuzi. Kwitabwaho n’abaganga buhoraho bishobora gufasha kumenya no gukemura ibibazo mbere y’uko biba bikomeye.

Ibibazo bikunze kubaho ku bijyanye n’inzitizi mu mara

Inzitizi mu mara ishobora gukira yonyine?

Inzitizi zitazima rimwe na rimwe zikira zivuwe hatakozwe ubuvuzi, nko kuruhuka no guhabwa amazi binyuze mu mitsi. Ariko, inzitizi zikomeye zisaba ubuvuzi bw’ubuganga bw’amarangamutima kandi ntizikira zonyine. Nubwo inzitizi zitazima zikenera kwitabwaho n’abaganga kuko zishobora kuba zikomeye vuba.

Igihe kingana iki gikeneye kugira ngo umuntu akire nyuma yo kuvurwa?

Igihe cyo gukira gitandukanye bitewe n’intandaro n’uburyo bwo kuvura. Niba wavuwe hatakozwe ubuvuzi, ushobora kumva umeze neza mu minsi mike. Nyuma yo kuvurwa, gukira bikunze gufata ibyumweru 1-2, nubwo bishobora kumara igihe kirekire niba hari ingaruka zabaye. Muganga wawe azakubwira ibyo witezeho bitewe n’uko uhagaze.

Nzakenera guhindura imirire yanjye burundu nyuma y’inzitizi mu mara?

Abantu benshi bashobora gusubira ku mirire yabo isanzwe nyuma yo gukira. Ariko, muganga wawe ashobora kugutegeka guhindura imirire, cyane cyane niba ibiryo bimwe byagize uruhare mu nzitizi yawe. Niba ufite uburwayi buhoraho nka Crohn’s disease, ushobora gukenera guhora ugenzura imirire yawe.

Inzitizi mu mara ishobora kongera kubaho?

Gusubira kw’indwara bishoboka, cyane cyane niba ufite ibintu byongera ibyago nka adhesions zikomoka ku buvuzi cyangwa uburwayi buhoraho. Ariko, abantu benshi ntibagira indi nzitizi. Gukurikiza amabwiriza ya muganga wawe ku mirire, imyitozo ngororamubiri, no gucunga uburwayi buhoraho bishobora kugabanya ibyago byawe.

Inzitizi mu mara isa n’impatwe?

Oya, ibi ni ibibazo bitandukanye. Impatwe ni ugukoma mu nda ariko ntibibuza amara gukora neza. Inzitizi mu mara ni indwara ikomeye aho umura uba ubangamiwe cyangwa ubuze gukora neza, bikabuza ibiryo, amazi, n’ubwogero kunyuramo uko bikwiye. Ariko, impatwe ikomeye rimwe na rimwe ishobora gutera cyangwa gusa n’inzitizi.