Ese ni iki? Ibimenyetso, Impamvu, n’Uko Bavura Intussusception

Intussusception ibaho iyo igice kimwe cy’amara cyinjira mu kindi gice, nk’ikirahure cyinjira mu kindi. Ibi bituma habaho ikibazo cyo gufunga, bigatuma ibiryo n’ibinyobwa bitagenda neza mu mara.

Nubwo iki kibazo cyumvikana nk’ikidasanzwe, gusobanukirwa icyo kibazo bishobora kugufasha kumenya ibimenyetso no kubona ubufasha vuba. Abenshi barayirwara mu buto, nubwo n’abakuze bashobora kuyirwara bitewe n’impamvu zitandukanye.

Ese ni iki Intussusception?

Intussusception ibaho iyo igice kimwe cy’amara cyinjira mu kindi gice gikurikiyeho. Utekereza nk’uko ushyira igice kimwe cy’isogisi mu kindi gice – amara yinjira mu kindi.

Iki gice cyinjira mu kindi gituma habaho ikibazo gikomeye mu mara. Ibiryo, ibinyobwa, n’ibindi bintu byose byinjira mu mara ntibishobora kunyura neza mu gice gifunze. Igice cy’amara cyinjira mu kindi kigabanywa, ibyo bikaba bishobora guhagarika amaraso niba bitavuwe vuba.

Iki kibazo cyibasira cyane igice aho amara mato ahura n’amara maremare. Ariko, bishobora kuba aho ariho hose mu mara, bitewe n’icyo kibitera.

Ni ibihe bimenyetso bya Intussusception?

Ibimenyetso bishobora gutandukana bitewe n’imyaka yawe, ariko kubabara mu nda bikomeye ni bimenyetso bya mbere kandi by’ingenzi. Mu bana bato, ububabare bukunze kuza mu buryo budasanzwe, bikaba byatuma bararira cyane hanyuma bagahita bagaragara neza hagati y’ibihe by’ububabare.

Dore ibimenyetso by’ingenzi ukwiye kwitondera:

• Kubabara mu nda gitunguranye kandi bikomeye, bikagenda bigaruka
• Kuruka, cyane cyane niba ari ibara ry’icyatsi cyangwa umuhondo
• Amaraso mu ntege, ashobora kumera nk’amajyambere atukura
• Igice cy’amara gifite ishusho y’isasegisase ushobora kumva mu nda
• Amaguru azamutse yerekeza ku gituza mu gihe cy’ububabare
• Guhora arira cyane mu bana bato
• Uburwayi cyangwa gusinzira bidasanzwe
• Kwanka kurya cyangwa kunywa

Mu bantu bakuru, ibimenyetso bishobora kuza buhoro buhoro kandi bishobora kuba harimo kubabara mu nda buhoraho, isereri, no guhinduka mu mirire.

Ni iki gitera Intussusception?

Impamvu zitera Intussusception zitandukanye cyane mu bana no mu bantu bakuru. Mu bana bato bari munsi y’imyaka 2, nta mpamvu isobanutse – bibaho gusa nk’igice cy’iterambere risanzwe.

Impamvu zisanzwe mu bana zirimo:

• Indwara z’ibyorezo zituma amara yibyimba
• Umutobe w’amara urimo uburibwe
• Imikorere isanzwe y’amara itagenda neza
• Indwara iherutse kubaho igira ingaruka ku buryo bw’igogorwa

Mu bantu bakuru, Intussusception ihora ifite impamvu ishingiyeho – ikintu gikurura igice kimwe cy’amara mu kindi. Izo mpamvu zirimo:

• Umutobe w’amara (ibice bito by’ibyimba)
• Uburibwe, haba ubwa kanseri n’ubutari ubwa kanseri
• Umutobe w’ibikomere uterwa n’ubuganga bwakozwe
• Indwara z’amara
• Meckel’s diverticulum (igice gito cy’amara)

Rimwe na rimwe imiti, cyane cyane iyagira ingaruka ku mikorere y’amara, ishobora gutera Intussusception mu bantu bafite ibyago.

Ni ryari ukwiye kujya kwa muganga kubera Intussusception?

Ukwiye gushaka ubufasha bwa muganga vuba niba wowe cyangwa umwana wawe agaragaza ibimenyetso bya Intussusception. Iki kibazo ni ikibazo cyihutirwa gisaba kuvurwa vuba kugira ngo hirindwe ingaruka zikomeye.

Hamagara 911 cyangwa ujye ku bitaro vuba niba ubona kubabara mu nda bikomeye bigaruka, cyane cyane iyo bihuriye no kuruka cyangwa amaraso mu ntege. Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo.

Mu bana bato, banza kwitondera guhora bararira cyane, bakazamura amaguru yerekeza ku gituza, hanyuma bagahita bagaragara neza. Iyo mibanire, hamwe no kuruka cyangwa guhinduka mu mirire, ikeneye isuzuma rya muganga vuba.

Ndetse niba utari wizeye neza, bihora byiza ko muganga akugenzura ibimenyetso bitera impungenge. Kuvurwa hakiri kare bigira ingaruka nziza kandi bishobora gukumira ko hakenerwa ubundi buryo bugoye.

Ni ibihe bintu byongera ibyago bya Intussusception?

Ibintu byinshi bishobora kongera ibyago byo kurwara Intussusception. Imyaka ni yo ngingo y’ingenzi y’ibyago, aho abenshi barwara iyo ndwara bafite hagati y’amezi 6 n’imyaka 2.

Ibyago mu bana birimo:

• Imyaka iri hagati y’amezi 6 n’imyaka 2
• Kuba umuhungu (abahungu barwara kenshi kurusha abakobwa)
• Indwara y’ibyorezo iherutse kubaho cyangwa ikibazo cy’inda
• Kuba wararwaye Intussusception mbere
• Indwara zimwe na zimwe z’umuzuko zibasira amara

Ibyago mu bantu bakuru bitandukanye kandi birimo:

• Kugira umutobe w’amara cyangwa uburibwe
• Ubuganga bwakozwe mu nda bwakorewe ibikomere
• Indwara z’amara nk’indwara ya Crohn
• Guta imiti imwe na imwe igira ingaruka ku mikorere y’amara
• Kugira ibibazo by’imiterere y’amara

Kugira ibyo byago ntibisobanura ko uzahita urwara Intussusception, ariko kubimenya bishobora kugufasha kumenya ibimenyetso vuba niba bibaye.

Ni izihe ngaruka zishoboka za Intussusception?

Utabonye ubuvuzi vuba, Intussusception ishobora gutera ingaruka zikomeye zishobora guhungabanya ubuzima bwawe n’ubuzima bwawe. Ikibazo gikomeye ni uko igice cy’amara cyinjira mu kindi gishobora kubura amaraso, bigatuma umubiri upfa.

Dore ingaruka zikomeye zishobora kubaho:

• Urupfu rw’igice cy’amara kubera kubura amaraso
• Gucika kw’amara (umwobo ku rukuta rw’amara)
• Kuma kwamazi bikabije kubera kuruka no kudashaka kurya
• Dukuri mu nda
• Gutakaza amaraso bikabije n’uburozi
• Sepsis (indwara ikomeye y’umubiri)

Izo ngaruka zikunze kubaho mu masaha 24 kugeza kuri 72 niba Intussusception idakozweho. Niyo mpamvu kubona ubuvuzi vuba ari ingenzi – kuvurwa hakiri kare bishobora gukumira ibyo bibazo byose bikomeye.

Mu bihe bidasanzwe, na nyuma yo kuvurwa neza, bamwe bashobora kugira ibibazo byo kugogora ibiryo cyangwa bagira ibikomere (umutobe w’ibikomere) bishobora gutera ibibazo by’amara mu gihe kizaza.

Intussusception imenyekanwa gute?

Abaganga batangira bakora isuzuma rya mbere n’amateka y’ubuzima kugira ngo basobanukirwe ibimenyetso byawe. Bazakora isuzuma mu nda kugira ngo barebe igice cy’amara gifite ishusho y’isasegisase kandi bumve imikorere idasanzwe y’amara.

Isuzuma risanzwe rikoreshwa ni ultrasound y’inda. Iki kizamini cyo kubona amashusho kidakomeretsa gishobora kwerekana amara yinjiye mu kindi kandi kigahamya icyo kibazo mu bihe byinshi, cyane cyane mu bana.

Ibindi bizamini muganga ashobora gukoresha birimo:

• CT scan kugira ngo abone amashusho arambuye y’amara
• X-rays kugira ngo arebe ibimenyetso byo gufunga
• Barium cyangwa air enema, bishobora rimwe na rimwe kuvura icyo kibazo mu gihe cyo kugipima
• Ibizamini by’amaraso kugira ngo barebe indwara cyangwa gukama kwamazi

Mu bihe bimwe na bimwe, isuzuma ry’ubundi ubwaryo rishobora gukemura ikibazo. Air enema cyangwa barium enema bituma habaho igitutu gishobora gusubiza amara yinjiye mu kindi mu mwanya wayo, cyane cyane mu bana.

Uko Intussusception ivurwa

Uburyo bwo kuvura biterwa n’ibintu byinshi birimo imyaka yawe, igihe umaze ufite ibimenyetso, niba hari ingaruka zikomeye zibayeho. Intego ni ukubanza amara yinjiye mu kindi no gusubiza imikorere isanzwe vuba bishoboka.

Ku bana, abaganga bakunze kugerageza uburyo budakoresha ubuganga mbere. Air enema cyangwa barium enema ikoresha igitutu gito kugira ngo isubize amara yinjiye mu kindi mu mwanya wayo. Ibi bikora neza mu kigero cya 80% cy’abana iyo bikozwe mu masaha 24 ya mbere.

Ubuganga bushobora kuba ngombwa iyo:

• Uburyo budakoresha ubuganga budakora
• Ibimenyetso byamaze kubaho igihe kirenga amasaha 24
• Hari ibimenyetso byo kwangirika kw’amara
• Umuntu ni mukuru (ubuganga ni bwo bwa mbere bukoreshwa)
• Ingaruka nk’umwobo w’amara zibayeho

Mu gihe cy’ubuganga, umuganga asubiza amara mu mwanya wayo. Niba hari igice cy’amara cyapfuye, icyo gice gishobora gukurwaho hanyuma ibindi bice byiza bikaba byahujwe.

Nyuma yo kuvurwa, abantu benshi barakira neza nta ngaruka z’igihe kirekire. Igihe cyo kurwarira mu bitaro giterwa n’uburyo bwo kuvura bukoreshwa.

Uko wakwitwara mu gihe cyo gukira

Kwita ku gukira byibanda ku gusubiza amara mu mikorere isanzwe no gukumira ingaruka. Muganga azakugira inama yihariye ishingiye ku buryo bwo kuvura wabonye.

Mu minsi mike ya mbere nyuma yo kuvurwa, uzatangira kunywa amazi meza hanyuma ugende utangira kurya ibiryo bisanzwe uko amara atangira gukora neza.

Intambwe z’ingenzi zo kwita ku buzima mu rugo zirimo:

• Kugendera ku mabwiriza ya muganga ku bijyanye no kurya
• Kwitondera ibimenyetso byo kugaruka kw’ibimenyetso
• Guta imiti yatanzwe nk’uko byategetswe
• Kugumisha ibikomere by’ubuganga byiza kandi byumye niba wabazwe
• Kunywa amazi ahagije
• Kuryama bihagije kugira ngo umubiri ukire

Hamagara muganga wawe vuba niba ubona kubabara mu nda bigaruka, kuruka, umuriro, cyangwa ikindi kimenyetso cyerekana ko Intussusception yagarutse. Abantu benshi bumva bameze neza mu cyumweru kimwe cyangwa bibiri.

Uko wakwitegura kujya kwa muganga

Niba ukekako ufite Intussusception, ibi bikunze kuba ikibazo cyihutirwa gisaba ubufasha bwa muganga vuba aho kuba gahunda y’ibitaro. Ariko, kwitegura bishobora gufasha abakozi b’ubuvuzi gutanga ubufasha bwiza vuba.

Andika cyangwa wibuke amakuru y’ingenzi ku bimenyetso, harimo igihe byatangiye, uko bikomeye, n’icyo bibafasha cyangwa icyabibabaza. Banza kwitondera indwara iherutse kubaho, imiti, cyangwa guhinduka mu mirire.

Zana amakuru y’ingenzi:

• Urutonde rw’imiti ukoresha n’ingano
• Amateka y’ubuzima, cyane cyane ubuganga bwakozwe mu nda
• Amakuru y’ubwisungane n’irangamuntu
• Amakuru y’aho uba
• Amakuru y’igihe ibimenyetso byatangiye n’uburyo byagenda

Niba ibi bibaye ku mwana wawe, gerageza kuguma utuje kandi umuhumurize. Zana ibintu bimuhumuriza nka gakondo cyangwa igitambaro niba bishoboka. Kugira undi muntu mukuru uri kumwe nawe bishobora kugufasha no gufasha kuvugana n’abakozi b’ubuvuzi.

Icyo ukwiye kumenya cyane kuri Intussusception

Intussusception ni ikibazo gikomeye ariko kivurwa aho igice kimwe cy’amara cyinjira mu kindi, bigatuma habaho ikibazo cyo gufunga. Kumenya no kuvura vuba ni ingenzi kugira ngo habeho ingaruka nziza no gukumira ingaruka zikomeye.

Ikintu cy’ingenzi cyo kwibuka ni uko kubabara mu nda bikomeye bigaruka, cyane cyane iyo bihuriye no kuruka cyangwa amaraso mu ntege, bikeneye ubufasha bwa muganga vuba. Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo – kuvurwa hakiri kare ni byiza kandi nta ngaruka zikomeye.

Nubwo Intussusception yumvikana nk’ikibazo gikomeye, abantu benshi bavuwe vuba barakira neza nta ngaruka z’igihe kirekire. Ikintu cy’ingenzi ni ukumenya ibimenyetso no kubona ubufasha bwa muganga vuba.

Gira icyizere cy’ibyo wumva. Niba hari ikintu kibabaza mu nda, bihora byiza gushaka ubufasha bwa muganga aho gutegereza.

Ibibazo byakunda kubazwa kuri Intussusception

Ese Intussusception ishobora kubaho inshuro zirenze imwe?

Yego, Intussusception ishobora kugaruka, nubwo atari ibintu bisanzwe. Hagati ya 5-10% by’abantu barwaye Intussusception bashobora kuyirwara ukundi, akenshi mu mezi make ya mbere nyuma y’ubundi buryo. Ibi bishobora kubaho cyane niba hari ikibazo cyateye ubwo buryo bwa mbere. Niba warwaye Intussusception mbere, ni ingenzi kumenya ibimenyetso no gushaka ubufasha bwa muganga vuba niba bigarutse.

Ese Intussusception ibabaza abana batabasha kubivuga?

Yego, Intussusception itera ububabare bukomeye mu bana, kandi bazabigaragaza mu myitwarire yabo. Banza kwitondera guhora bararira cyane, bakazamura amaguru yerekeza ku gituza, hanyuma bagahita bagaragara neza. Umuntu ashobora kwanka kurya, kuruka, cyangwa kugaragara nabi iyo umukora ku nda. Iyo myitwarire ni uburyo umwana agaragaza ko hari ikibazo gikomeye.

Intussusception ikwiye kuvurwa mu gihe kingana gute?

Intussusception ikwiye kuvurwa vuba bishoboka, byiza mu masaha 24 ibimenyetso bitangiye. Uko kuvurwa gutangira vuba, ni ko uburyo budakoresha ubuganga bushobora gukora kandi ni ko ibyago by’ingaruka zikomeye bigabanuka. Nyuma y’amasaha 24-48, ibyago byo kwangirika kw’amara byiyongera cyane, kandi ubuganga buhinduka ingenzi. Niyo mpamvu bifatwa nk’ikibazo cyihutirwa.

Ese Intussusception ishobora gukumirwa?

Mu bihe byinshi, cyane cyane mu bana bato, Intussusception ntishobora gukumirwa kuko nta mpamvu isobanutse. Ariko, ushobora kugabanya ibyago bimwe na bimwe ukoresheje ubuvuzi busanzwe, kuvura ibibazo biriho nk’indwara z’amara, no gushaka ubuvuzi vuba kubera ibimenyetso bikomeye by’inda. Mu bantu bakuru, gucunga ibibazo bishobora gutera Intussusception, nko mutobe w’amara cyangwa uburibwe, bishobora kugabanya ibyago.

Ni uwuhe ubutandukanye hagati ya Intussusception n’ibindi bintu biterwa no kubabara mu nda?

Intussusception itera ububabare bukomeye bugaruka, akenshi bihuriye no kuruka ndetse rimwe na rimwe amaraso mu ntege. Ibihe by’ububabare bikunze kuba bikomeye kandi bishobora gutuma umwana ararira cyane, hanyuma agahita agaruka. Ibindi bintu biterwa no kubabara mu nda, nk’indwara y’igogorwa cyangwa appendicitis, bikunze kugira imikorere itandukanye – indwara y’igogorwa ikunze kuba ifite imishitsi kandi ikunze kubaho, mu gihe appendicitis itera ububabare buhoraho buhora buzamuka kandi ikunze gutangira hafi y’inda mbere yo kujya ku ruhande rw’iburyo.