Ese ni Peritonite? Ibimenyetso, Impamvu, n'Ubuvuzi

Peritonite ni indwara ikomeye iterwa n’ubwandu cyangwa kubyimba kwa peritoneum, umusemburo muto ukingira inkuta z’inda yawe kandi ugakikiza imyanya myinshi y’inda. Tekereza kuri peritoneum nk’urwego ruringaniye rukingira imyanya yawe kandi rukayifasha kugenda neza.

Iyi ndwara isaba ubuvuzi bw’ihutirwa kuko ishobora kwihuta ikaba ikomeye cyane idakuweho. Inkuru nziza ni uko iyo imenyekanye hakiri kare kandi ivuwe neza, abantu benshi barakira peritonite burundu.

Ni ibihe bimenyetso bya peritonite?

Ikimenyetso cy’ingenzi cya peritonite ni ububabare bukomeye mu nda bukaza iyo umuntu yimutse cyangwa akoreweho. Ushobora kubona ko no gukoraho gake mu nda bigutera ububabare bukomeye, kandi ushobora kwifuza guhora utuje.

Reka turebe ibimenyetso byose ushobora kugira, tuzirikana ko atari buri wese uzagira ibi bimenyetso byose:

• Ububabare bukomeye mu nda bukaza iyo umuntu yimutse
• Kubabara cyangwa kumva ubushyuhe mu nda iyo ukoreweho
• Kubyimbagira cyangwa kubyimba mu nda
• Gukama no guhinda umuriro
• Kugira iseseme no kuruka
• Kubura ubushake bwo kurya
• Kuzanika cyangwa guhumeka
• Kugira ikibazo cyo guhekenya
• Kugira umunaniro n’intege nke
• Gutera kw’umutima kwihuta
• Guhumeka nabi

Mu bindi bihe, ushobora kugira ibimenyetso bidafite akamaro nk’ubushyuhe, inyota nyinshi, cyangwa kunywa amazi make. Ibi bimenyetso bikunze kugaragaza ko ubwandu bugera ku zindi ngingo z’umubiri kandi bukenera ubuvuzi bw’ihutirwa.

Ni izihe ubwoko bwa peritonite?

Hariho ubwoko bubiri nyamukuru bwa peritonite, kandi gusobanukirwa itandukaniro bishobora kugufasha gusobanukirwa neza ibiri kuba mu mubiri wawe. Buri bwoko bufite impamvu zitandukanye n’uburyo bwo kuvura.

Peritonite y’ibanze iterwa n’ubwandu buva mu maraso cyangwa mu mikaya. Ubu bwoko si bwinshi kandi busanzwe buribwa n’abantu bafite ibibazo by’ubuzima nk’indwara z’umwijima, ibibazo by’impyiko, cyangwa umubiri udakomeye.

Peritonite y’uburyo bwa kabiri ni yo yiganje kandi iba iyo udukoko twinjira muri peritoneum binyuze mu mwobo cyangwa mu gucika mu myanya y’igogora. Ibi bishobora kuba biterwa no gucika kw’appendice, igisebe cyacitse, cyangwa imvune mu nda. Ubu bwoko busanzwe bukomeye kuko bugira udukoko twinshi kandi twanduye.

Ni iki giterwa na peritonite?

Peritonite iterwa n’udukoko, imiti, cyangwa izindi mikorobe zigera mu gice cya peritoneum. Impamvu nyamukuru ni ugucika cyangwa gucika mu myanya y’igogora bituma ibintu biri mu myanya y’igogora bijya mu nda.

Dore impamvu nyinshi ukwiye kumenya:

• Gucika kw’appendice (appendicite)
• Igisebe cyacitse mu gifu
• Gucika kw’amara, akenshi biterwa na diverticulite
• Pancreatite (kubyimba kwa pancreas)
• Imvune mu nda iterwa n’impanuka cyangwa kubagwa
• Gucika kw’umwijima
• Kubabara kw’amara gutera gucika
• Indwara y’uburwayi mu bagore

Gake, peritonite ishobora guterwa n’ubuvuzi nk’ubuvuzi bwa peritonite, aho umuyoboro ukoreshwa mu gusukura amaraso. Rimwe na rimwe, udukoko dushobora kugenda mu muyoboro kandi guteza ubwandu. Mu bihe bidafite akamaro, iyi ndwara ishobora guterwa na tuberculose cyangwa zimwe mu ndwara z’umubiri.

Ni ryari ukwiye kujya kwa muganga kubera peritonite?

Ukwiye gushaka ubuvuzi bw’ihutirwa ako kanya niba ufite ububabare bukomeye mu nda hamwe n’umuriro, cyane cyane niba ububabare bukaza iyo wimutse cyangwa umuntu agakoraho mu nda yawe. Peritonite ni ubusembwa bukomeye bushobora kuba bibi mu masaha make.

Hamagara 911 cyangwa ujye kwa muganga ako kanya niba ufite ububabare bukomeye mu nda hamwe n’ibimenyetso by’uburwayi: umuriro mwinshi, gutera kw’umutima kwihuta, guhumeka nabi, kuruka bidashira, cyangwa ibimenyetso byo gutakaza ubwenge nk’ubushyuhe n’ubushitsi.

Ntutegereze kureba niba ibimenyetso bizagenda ubwabyo. Nubwo utazi neza, bihora byiza ko muganga akugenzura ububabare bukomeye mu nda vuba. Ubuvuzi bwa hakiri kare bushobora gukumira ibibazo bikomeye kandi bukurokora.

Ni ibihe bintu byongera ibyago byo kurwara peritonite?

Zimwe mu ndwara n’imimerere y’ubuzima ishobora kongera amahirwe yo kurwara peritonite. Gusobanukirwa ibi bintu bishobora kugufasha kuba maso ku bimenyetso bishoboka no gufata ingamba zo kwirinda igihe bishoboka.

Ibi bintu bikurikira bishobora kukugira mu kaga:

• Ubuvuzi bwa peritonite kubera ibibazo by’impyiko
• Amateka yo kubagwa mu nda
• Indwara y’umwijima ifite amazi menshi (ascites)
• Uburwayi budakomeye buterwa n’indwara cyangwa imiti
• Indwara y’amara nk’indwara ya Crohn
• Ibisigara by’igifu, cyane cyane bidavuwe
• Diverticulite cyangwa diverticular disease
• Ibihe byabanje bya peritonite
• Ubuvuzi bumwe na bumwe bukorerwa mu nda

Kugira kimwe cyangwa ibindi bintu byongera ibyago ntibisobanura ko uzahita urwara peritonite. Abantu benshi bafite izi ndwara ntibagira iki kibazo. Ariko, kumenya ibyago byawe bishobora kugufasha kumenya ibimenyetso hakiri kare no gushaka ubuvuzi bwihuse.

Ni ibihe bibazo bishoboka bya peritonite?

Utabonye ubuvuzi bwihuse, peritonite ishobora gutera ibibazo bikomeye bishobora kugera ku mubiri wawe wose. Ubwandu bushobora gukwirakwira mu nda yawe kandi bugatuma imyanya yawe itangira gukora nabi.

Dore ibibazo bishoboka abaganga bakora cyane kugira ngo babikumire:

• Sepsis (ubwandu bukwirakwira mu maraso)
• Gutakaza amaraso (igitutu cy’amaraso gito cyane)
• Imikorere mibi y’impyiko, cyane cyane ibibazo by’impyiko n’umwijima
• Kubyimba (ibice byuzuye amazi yanduye)
• Kubabara kw’amara biterwa n’udusemburo
• Guhumeka nabi biterwa no kubyimba
• Ibibazo byo gukora amaraso

Inkuru nziza ni uko iyo imenyekanye hakiri kare kandi ivuwe neza, ibibazo byinshi bishobora gukumirwa. Niyo mpamvu gushaka ubuvuzi bw’ihutirwa kubera ububabare bukomeye mu nda ari ingenzi cyane ku buzima bwawe rusange no gukira.

Peritonite imenyanwa ite?

Muganga azatangira akubaza ibibazo ku bimenyetso byawe n’amateka yawe y’ubuzima, hanyuma akakora isuzuma ry’inda yawe. Azakoraho gake mu bice bitandukanye kugira ngo arebe niba hari ububabare, kubyimba, n’ibimenyetso by’ubwandu.

Ibizamini bitandukanye bishobora gufasha kwemeza indwara no kumenya impamvu yayo. Muganga ashobora kugusaba gupima amaraso kugira ngo arebe ibimenyetso by’ubwandu n’ububyimba, nk’umubare munini w’uturemangingo tw’amaraso yera. Ibi bipimo bifasha kandi kureba uko imyanya yawe ikora.

Isuzuma ry’amashusho nk’ibipimo bya CT cyangwa X-rays bishobora kugaragaza amazi mu nda, imyanya yangiritse, cyangwa isoko y’ubwandu. Mu bihe bimwe na bimwe, muganga ashobora gukenera gufata igice cy’amazi mu nda yawe akoresheje umwobo muto kugira ngo amenye udukoko dutera ubwandu.

Ni iki kivura peritonite?

Kuvura peritonite bisaba kuba mu bitaro kandi bikubiyemo imiti yo kurwanya ubwandu, hamwe no kwitaho kugira ngo umubiri wawe ukire. Abantu benshi bakenera imiti yo kurwanya ubwandu mu buryo bwa intraveneu mu minsi myinshi kugira ngo imiti igerere ubwandu neza.

Niba hari isoko y’ubwandu, nko gucika kw’appendice cyangwa amara, ukeneye kubagwa kugira ngo bakosore ikibazo kandi basukure ibintu byanduye biri mu nda yawe. Uburyo bwo kubaga biterwa n’impamvu y’ubwandu n’uburyo ubwandu bwakwirakwiriye.

Itsinda ryawe ry’abaganga rizakwitaho, ibyo bishobora kuba kuguha amazi mu buryo bwa intraveneu kugira ngo wirinde kukama, imiti igabanya ububabare kugira ngo wumve neza, no kuvura umwuka niba ugira ikibazo cyo guhumeka. Bamwe mu bantu bakenera imiyoboro yo gukuraho amazi yanduye mu nda.

Uko wakwitwara iwawe nyuma yo gukira peritonite

Iyo uvuye mu bitaro, gukurikiza amabwiriza ya muganga ni ingenzi cyane kugira ngo ukire neza. Ushobora gukenera gukomeza gufata imiti yo kurwanya ubwandu mu kanwa mu minsi cyangwa ibyumweru byinshi, nubwo wumva umeze neza.

Ikiruhuko ni ingenzi mu gihe cyo gukira. Tangira ibikorwa byoroheje kandi wiyongereze uko imbaraga zawe zigaruka. Irinde imirimo ikomeye cyangwa imyitozo ikomeye kugeza igihe muganga aguhaye uruhushya, bisanzwe bimamara ibyumweru byinshi.

Witondere indyo yawe mu gihe cyo gukira. Tangira ibiryo byoroshye, byoroshye kugogora kandi wiyongereze uko umubiri wawe ugogora ukura.

Uko wakwitegura kujya kwa muganga

Niba ufite ibimenyetso bishobora kugaragaza peritonite, ntutegereze gahunda yo kujya kwa muganga. Jya kwa muganga cyangwa hamagara ubuvuzi bw’ihutirwa, kuko iyi ndwara isaba ubuvuzi bw’ihutirwa.

Kubindi bisabwa mu gihe cyo gukira, tegura urutonde rw’imiti yose ufata, harimo imiti yo kurwanya ubwandu n’imiti igabanya ububabare. Andika ibimenyetso byose ugifite, nubwo bigaragara bito, kuko bishobora gufasha muganga wawe gusuzuma uko ukura.

Zana urutonde rw’ibibazo ku gukira kwawe, igihe ushobora gusubira mu mirimo yawe isanzwe, n’ibimenyetso byo kwitondera. Kugira umuntu wo mu muryango cyangwa inshuti bakugendana bishobora kugufasha, cyane cyane niba ugifite intege nke cyangwa ugira ikibazo cyo gutekereza.

Icyo ukwiye kumenya kuri peritonite

Peritonite ni ubusembwa bukomeye busaba ubuvuzi bw’ihutirwa, ariko iyo ubuvuzi buhawe hakiri kare, abantu benshi barakira neza. Ikintu cy’ingenzi cyo kwibuka ni uko ububabare bukomeye mu nda, cyane cyane iyo bujyanye n’umuriro, bitagomba kwirengagizwa.

Kumenya hakiri kare no kuvura ni byo birinda ibibazo. Niba ufite ibyago nk’ubuvuzi bwa peritonite cyangwa indwara z’amara, kuba maso ku bimenyetso bishoboka no guhora uganira n’abaganga bawe ni ingenzi.

Gira icyizere icyo umubiri wawe ukubwira ku bubabare bukomeye mu nda. Bihore byiza gushaka ubuvuzi kandi ukamenya ko atari ikintu gikomeye kuruta gutinda kuvurwa indwara ishobora kuba ikomeye nk’iya peritonite.

Ibibazo byakunda kubazwa kuri peritonite

Peritonite ishobora gukumirwa?

Nubwo atari ibyo byose bishobora gukumirwa, ushobora kugabanya ibyago byawe uvuza indwara nk’ibisebe n’indwara z’amara hakiri kare. Niba uri mu buvuzi bwa peritonite, gukurikiza amabwiriza y’isuku mu gukoresha umuyoboro wawe bigabanya cyane ibyago by’ubwandu. Gushaka ubuvuzi bwihuse kubera ububabare mu nda n’ibibazo by’igogora bishobora kandi gufasha gukumira ibibazo bituma haba peritonite.

Gukira peritonite bimamara igihe kingana iki?

Igihe cyo gukira gitandukanye bitewe n’uburemere bw’ubwandu n’impamvu yabwo, ariko abantu benshi bamara iminsi 5-10 mu bitaro. Gukira burundu iwawe bisanzwe bimamara ibyumweru 4-6, nubwo bamwe bashobora gukenera igihe kirekire niba babagwe cyangwa bagize ibibazo. Muganga azakurikirana uko ukura kandi akubwire igihe ari cyo cyiza cyo gusubira mu mirimo yawe isanzwe.

Peritonite yandura?

Oya, peritonite ubwayo ntiyandura kandi ntishobora gukwirakwira mu bantu binyuze mu mibanire isanzwe. Ubwandu buva mu dukoko dusanzwe tuba mu myanya y’igogora dujya mu nda. Ariko, niba witaye ku muntu ufite peritonite, isuku isanzwe nk’ukoza intoki ni ingenzi, cyane cyane mu kuvura ibikomere.

Peritonite ishobora gusubira nyuma yo kuvurwa?

Nubwo gusubira kw’indwara bishoboka, cyane cyane mu bantu bafite ibyago nk’ubuvuzi bwa peritonite cyangwa indwara z’umubiri zidakira, si byo bisanzwe iyo impamvu y’ubwandu ivuwe neza. Gukurikiza amabwiriza ya muganga yo gucunga ibibazo by’ubuzima n’imiti yo kurwanya ubwandu bifasha gukumira gusubira kw’indwara.

Ni ibihe biryo nakwirinda mu gihe cyo gukira peritonite?

Mu gihe cyo gukira hakiri kare, irinda ibiryo bigoye kugogora, birimo ibinyobwa byinshi, cyangwa bifite amavuta menshi, kuko bishobora kubabaza umubiri wawe ugogora. Irinde inzoga, kafeyin, n’ibiryo bituma umubiri uhekenya nk’ibishyimbo n’ibinyobwa bifite gaze. Fata ibiryo byoroshye kugogora nk’umuceri, umugati, inanas, n’isupu y’amazi kugeza igihe muganga akubwiye ko ushobora gusubira ku biribwa byawe bisanzwe.