Umurire w’ibiryo (Rumination Syndrome): Ibimenyetso, Intandaro, n’Ubuvuzi

Umurire w’ibiryo ni indwara idakunze kugaragara mu gifu aho ibiryo bimaze gukonjeshwa bigaruka mu kanwa bitavuye mu kubyara cyangwa mu kwiheba. Bitandukanye no kuruka, ibi bibaho kenshi kandi bisanzwe mu minota 30 nyuma yo kurya, kandi ibiryo bikunze kongera gusheshwa bigasubizwa mu gifu.

Iyi ndwara igaragara ku bana n’abakuze, nubwo igaragara cyane mu bana bato n’abantu bafite ubumuga bwo mu mutwe. Inkuru nziza ni uko umurire w’ibiryo uvurwa, kandi abantu benshi bashobora guhangana n’ibimenyetso byawo neza hakoreshejwe uburyo bukwiye.

Ni ibihe bimenyetso by’umurire w’ibiryo?

Ikimenyetso nyamukuru ni ukugaruka kenshi kw’ibiryo nyuma yo kurya, ariko ibi bigaragara bitandukanye no kuruka bisanzwe. Ushobora kubona ko ibiryo bigaruka mu kanwa byoroshye kandi bitagira umuzimizi, utabona imbaraga zikomeye zibaho mu gihe cyo kuruka.

Dore ibimenyetso by’ingenzi ushobora kugira:

• Ibiryo bigaruka mu kanwa mu minota 10-30 nyuma yo kurya
• Gusubira gusheshwa no gusubiza mu gifu ibiryo byagarutse
• Uburyohe bwa aside cyangwa ubushari mu kanwa
• Impumuro mbi mu kanwa idakira nubwo wasukuje
• Kubabara mu gifu cyangwa kudakorera neza mbere y’uko ibiryo bigaruka
• Gutakaza ibiro kubera kwirinda kurya cyangwa kubura intungamubiri
• Ibibazo by’amenyo kubera aside y’igifu

Mu bana bato, ushobora kubona kandi bakora imikino yo gusheshwa igihe nta biryo biriho, cyangwa bashyira umutwe n’ijosi mu buryo butasanzwe. Bamwe bavuga ko bumva bishimye nyuma y’uko ibiryo bigarutse, bitandukanye n’ikibazo cyo kuruka.

Ni iki gituma haba umurire w’ibiryo?

Umurire w’ibiryo ubaho iyo umusuli uri hagati y’igifu n’umuyoboro w’ibiryo utakora neza, ariko intandaro nyayo ntiyahora isobanuka. Mu bihe byinshi, bigaragara ko ari imyitwarire yigishijwe itera ubwenge.

Ibintu byinshi bishobora gutera iyi ndwara:

• Umuvuduko, imihangayiko, cyangwa ibibazo by’amarangamutima
• Guhindura imirire cyangwa igihe cyo kurya
• Indwara y’igifu (GERD) itera iyo myitwarire
• Ibibazo by’igifu cyangwa iby’igogorwa byabayeho mbere
• Mu bana bato, kubura uburyohe cyangwa kwitabwaho mu gihe cyo konsa
• Imiti imwe n’imwe igira ingaruka ku igogorwa

Mu bihe bitoroshye, umurire w’ibiryo ushobora kuba nyuma y’indwara y’igifu cyangwa kubagwa. Rimwe na rimwe utangira mu bihe by’umuvuduko mwinshi cyangwa impinduka zikomeye mu buzima. Ikintu gikomeye cyo gusobanukirwa ni uko atari ikintu ukora witonze, kandi atari ikimenyetso cy’indwara yo kurya.

Ni ryari ukwiye kujya kwa muganga kubera umurire w’ibiryo?

Ukwiye kujya kwa muganga niba ubona ibiryo bigaruka kenshi nyuma yo kurya, cyane cyane niba bibaho inshuro nyinshi mu cyumweru. Ubuvuzi bwa vuba bushobora gukumira ingaruka mbi kandi bugufasha kumva wishimye vuba.

Shaka ubufasha bwa muganga ako kanya niba ufite:

• Gutakaza ibiro cyane cyangwa kugorana kubigumana
• Kuma cyangwa ibimenyetso nk’izunguzungu n’umunwa wumye
• Gusakaza amenyo cyangwa ibibazo by’amenyo bikomeye
• Kubabara mu kifuba cyangwa kugorana kwishima
• Amaraso mu biryo bigaruka
• Ibimenyetso bibangamira akazi, ishuri, cyangwa imibanire

Ntugatege amatwi niba wirinde imibanire kubera ibimenyetso byawe. Muganga wawe ashobora kugufasha gutandukanya umurire w’ibiryo n’izindi ndwara kandi akatwereka inzira yo kumva wishimye.

Ni ibihe bintu bishobora gutera umurire w’ibiryo?

Ibintu bimwe na bimwe bishobora gutuma ufite amahirwe menshi yo kugira umurire w’ibiryo, nubwo ufite ibyo bintu ntibisobanura ko uzagira iyo ndwara. Kubyumva bishobora kugufasha wowe na muganga wawe kumenya intandaro vuba.

Ibintu bisanzwe bishobora gutera iyi ndwara birimo:

• Imyaka (igaragara cyane mu buto bwa mbere)
• Ubumuga bwo mu mutwe cyangwa ubusembwa bwo mu mutwe
• Amateka y’imihangayiko, kwiheba, cyangwa izindi ndwara zo mu mutwe
• Ibibazo by’igogorwa byabayeho mbere nka GERD cyangwa gastroparesis
• Umuvuduko mwinshi cyangwa ibyabayeho vuba bihangayikishije
• Indwara zo kurya cyangwa imyitwarire idasanzwe yo kurya

Mu bihe bitoroshye, indwara zimwe na zimwe zo mu bwonko cyangwa imvune zo mu bwonko zishobora kongera ibyago. Amateka y’umuryango asa n’atakinisha uruhare runini, bisobanura ko iyi ndwara isanzwe idakomoka ku miryango. Abantu benshi bagira umurire w’ibiryo nta kimwe muri ibyo bintu bafite, bityo bishobora kuba ku muntu uwo ari we wese.

Ni izihe ngaruka zishoboka z’umurire w’ibiryo?

Nubwo umurire w’ibiryo ubwawo atari ikintu kibangamira, kuwutinda kuvurwa bishobora gutera ibibazo byinshi by’ubuzima mu gihe kirekire. Inkuru nziza ni uko ingaruka nyinshi zishobora gukumirwa cyangwa gukira hakoreshejwe ubuvuzi bukwiye.

Dore ingaruka nyamukuru ukwiye kumenya:

• Imvura mbi kubera kubura intungamubiri igihe ibiryo bigaruka
• Kuma, cyane cyane niba wirinde amazi
• Gusakaza amenyo n’indwara z’umunwa kubera aside y’igifu
• Kubabara mu muhogo n’ibyangiritse bishoboka mu muyoboro w’ibiryo
• Kwikurura mu mibanire kubera isoni z’ibimenyetso
• Kugira ibibazo by’amashanyarazi mu mubiri bishobora kugira ingaruka ku mutima

Mu bihe bitoroshye, umurire ukomeye ushobora gutera pneumonia niba ibice by’ibiryo binjira mu bihaha. Bamwe bagira impumuro mbi mu kanwa cyangwa ibibazo by’umunwa mu gihe kirekire. Ingaruka zo mu mutwe zishobora kuba zikomeye, zigatuma umuntu ahangayika kurya mu ruhame cyangwa kwiheba kubera ibimenyetso bikomeza.

Umurire w’ibiryo upimwa ute?

Gupima umurire w’ibiryo bitangira muganga wawe yumvise ibimenyetso byawe n’amateka yawe y’ubuzima. Nta kizami kimwe cyo gupima iyi ndwara, bityo muganga wawe azakenera kubanza gukumira izindi ndwara z’igogorwa.

Muganga wawe azakubaza igihe ibimenyetso byatangiye, icyabiteye, n’uburyo bigira ingaruka ku buzima bwawe bwa buri munsi. Azashaka kumenya niba ibiryo bigarutse bifite uburyohe bwa aside cyangwa bitakonjeshejwe, niba ubisubiza gusheshwa ukabisubiza mu gifu.

Ibizami bisanzwe bishobora kuba:

• Kureba imbere mu gifu no mu muyoboro w’ibiryo
• Gupima igogorwa ry’ibiryo hakoreshejwe X-ray
• Gupima uburyo igifu rikosora ibiryo
• Gupima aside mu muyoboro w’ibiryo
• Ibizami by’amaraso kugira ngo harebwe niba hari intungamubiri ibura

Mu bihe bimwe na bimwe, muganga wawe ashobora gukoresha uburyo bwo gupima bwihariye bwitwa high-resolution manometry kugira ngo apime umuvuduko mu muyoboro w’ibiryo. Ibi bipimwa bisanzwe bikorwa hashingiwe ku bimenyetso byawe no gukumira izindi ndwara aho kubona ikintu runaka mu bipimo.

Ubuvuzi bw’umurire w’ibiryo ni buhe?

Ubuvuzi bw’umurire w’ibiryo bugamije guhagarika umuco wo kugarura ibiryo no guhangana n’intandaro zose. Uburyo buhinduka bitewe n’imyaka yawe n’icyo gishobora gutera ibimenyetso byawe.

Uburyo nyamukuru bw’ubuvuzi burimo:

• Ubuvuzi bw’imitekerereze kugira ngo umenye uburyo bushya bwo kurya no guhumeka
• Imikino yo guhumeka neza mu gihe cyo kurya no nyuma yaho
• Imiti igabanya aside y’igifu cyangwa iteza imbere igogorwa
• Guhindura imirire nko kurya ibiryo bike, ariko bikunze kubaho
• Guhangana n’umuvuduko no kwiruhutsa
• Kuvura indwara ziriho nka imihangayiko cyangwa GERD

Ubuvuzi bw’imitekerereze akenshi ni bwo buvuzi bukoreshwa cyane, cyane cyane uburyo bwitwa habit reversal. Ibi bigufasha kumenya icyifuzo cyo kurya no kubisimbuza imyitwarire idahuje nko guhumeka neza. Abantu benshi babona iterambere mu byumweru bike ku mezi make yo gukora neza.

Uburyo bwo guhangana n’umurire w’ibiryo mu rugo?

Hari ibintu byinshi ushobora gukora mu rugo kugira ngo ufashe guhangana n’ibimenyetso byawe no gushyigikira ubuvuzi bwawe. Ibyo bintu bikora neza iyo bifatanije n’ubuvuzi bwa muganga.

Dore uburyo bwiza bwo guhangana n’ibyo mu rugo:

• Kora imikino yo guhumeka neza iminota 20 nyuma ya buri ifunguro
• Kurya ibiryo bike kenshi mu munsi
• Kwirinda kuryama byibuze amasaha 2 nyuma yo kurya
• Kwandika ibiryo byawe kugira ngo umenye ibiryo cyangwa ibintu biterwa
• Guhora witeguye kandi ukora ibikorwa nyuma yo kurya
• Guhangana n’umuvuduko hakoreshejwe gutekereza, yoga, cyangwa ubundi buryo bwo kwiruhutsa

Kurema ahantu heza ho kurya bishobora kandi gufasha. Gerageza kurya ibiryo utabangamiwe na TV cyangwa telefoni, kandi ufate umwanya wo gusheshwa ibiryo byawe neza. Bamwe basanga kunywa amazi make mu gihe cyo kurya bifasha, abandi bakora neza birinda amazi mu gihe cyo kurya.

Wategura gute uruzinduko rwawe kwa muganga?

Gutegura uruzinduko rwawe bizafasha muganga wawe gusobanukirwa ibimenyetso byawe neza no gutegura gahunda y’ubuvuzi ikwiye. Gufata umwanya wo gutegura ibitekerezo byawe mbere bishobora gutuma uruzinduko rugaragara neza.

Mbere y’uruzinduko rwawe, kora ibi bikurikira:

• Igihe ibimenyetso byawe byatangiye n’uburyo bikunze kubaho
• Ibiryo cyangwa ibintu bisa n’ibiterwa
• Urutonde rw’imiti yose n’ibindi byongera imbaraga ukoresha
• Ibibazo by’igogorwa byabayeho mbere cyangwa ubuvuzi wagerageje
• Uburyo ibimenyetso bigira ingaruka ku buzima bwawe bwa buri munsi n’imibanire
• Ibibazo ku bijyanye n’ubuvuzi n’icyo witeze

Tegereza kwandika ibimenyetso byawe mu cyumweru kimwe cyangwa bibiri mbere y’uruzinduko rwawe. Andika ibyo urya, igihe ibimenyetso bibaho, n’icyo kigufasha cyangwa kikibyiza. Ibyo bishobora gutanga amakuru y’ingenzi ku byabiteye n’imikorere yabyo.

Ni iki gikomeye cyo kumenya ku murire w’ibiryo?

Umurire w’ibiryo ni indwara ivurwa igira ingaruka ku mikorere y’igogorwa ryawe, itera ibiryo kugaruka nyuma yo kurya. Nubwo bishobora gutera isoni no guhangayika, abantu benshi bashobora guhangana n’ibimenyetso byabo neza hakoreshejwe ubuvuzi bukwiye.

Ikintu gikomeye cyo kwibuka ni uko atari amakosa yawe, kandi ntugomba kubana n’ibyo bimenyetso. Ubuvuzi bwa vuba busanzwe butera ibyiza, kandi abantu benshi babona iterambere rikomeye mu mezi make nyuma yo gutangira ubuvuzi.

Gukorana n’abaganga basobanukiwe iyi ndwara ni ingenzi kugira ngo ubone ubufasha ukeneye. Hamwe n’ubuvuzi bukwiye, abantu benshi bashobora gusubira mu mirire isanzwe n’imibanire idafite ibimenyetso bikomeza.

Ibibazo byakunda kubazwa ku murire w’ibiryo

Umurire w’ibiryo umeze nk’uburiganya cyangwa indwara yo kurya?

Oya, umurire w’ibiryo utandukanye n’indwara zo kurya nka bulimia. Mu murire w’ibiryo, ibiryo bigaruka mu kanwa bidakomoka mu kubyara, kandi bikunze kongera gusheshwa bigasubizwa mu gifu. Bulimia igaragara mu kuruka witonze nyuma yo kurya ibiryo byinshi. Ariko kandi, ubu buryo bwombi bushobora kuba hamwe mu bihe bimwe na bimwe.

Umurire w’ibiryo ushobora gukira wenyine?

Nubwo umurire w’ibiryo rimwe na rimwe ushobora gukira utavuwe, cyane cyane mu bana bato, akenshi ukeneye ubuvuzi mu bana bakuze n’abakuze. Imikorere yigishijwe itera umurire akenshi ikeneye uburyo bwihariye bwo kuvura kugira ngo ihagarikwe neza.

Ubuvuzi bw’umurire w’ibiryo bumamaramo igihe kingana iki?

Abantu benshi batangira kubona iterambere mu byumweru 2-4 nyuma yo gutangira ubuvuzi, aho iterambere rikomeye risanzwe riba mu mezi 2-3. Ariko kandi, bamwe bashobora kuba bakeneye igihe kirekire cyo kuvurwa, cyane cyane niba bafite imihangayiko cyangwa ibindi bintu byongera ibyago bikeneye kuvurwa.

Nshobora kurya nk’ibisanzwe mfite umurire w’ibiryo?

Yego, hamwe n’ubuvuzi bukwiye, abantu benshi bashobora gusubira mu mirire isanzwe. Mu gihe cyo kuvurwa, ushobora kuba ukeneye guhindura ibintu by’agateganyo nko kurya ibiryo bike cyangwa kwirinda ibiryo bimwe na bimwe, ariko intego ni ukugarura imirire isanzwe utabangamiwe.

Umurire w’ibiryo ugaragara cyane mu matsinda y’imyaka runaka?

Umurire w’ibiryo ugaragara cyane mu bana bato bari hagati y’amezi 3-12, ariko ushobora kubaho mu myaka yose. Mu myaka ya vuba, ugaragara cyane mu bangavu n’abakuze, bishoboka ko kumenya iyi ndwara byazamutse mu baganga.