Kurara ari amajwi menshi ni iki? Ibimenyetso, Intandaro, n’Uko bivurwa

Kurara ari amajwi menshi ni iki?

Kurara ari amajwi menshi ni ijwi riremereye, nk’iry’ikintu kirimo guhinda, ribaho iyo umwuka udashobora kunyura neza mu mazuru yawe no mu muhogo igihe uryamye. Bibaho iyo imikaya yoroheje iri mu myanya y’ubuhumekero isohotse ikaganza igihe uhumeka.

Haba hafi buri wese arara ari amajwi menshi rimwe na rimwe, kandi akenshi nta kibazo biba biteye. Ariko, kurara ari amajwi menshi cyane buri gihe bishobora kubangamira ibitotsi byawe, bikabangamira n’ibitotsi by’uwo muryamana. Gusobanukirwa icyateye kurara kwawe ari amajwi menshi bishobora kugufasha kubona uburyo bwiza bwo kuryama utari amajwi menshi.

Ibimenyetso byo kurara ari amajwi menshi ni ibihe?

Ikimenyetso cyigaragara cyane ni ijwi ubwayo, ariko kurara ari amajwi menshi kenshi biherekejwe n’ibindi bimenyetso ushobora kutahita uhuza. Ibi bimenyetso bishobora kugira ingaruka ku buzima bwawe bw’ibitotsi n’uko wumva mu gihe cy’umunsi.

Ibimenyetso bisanzwe birimo:

• Amajwi yo guhumeka ari menshi igihe uryamye
• Ibitotsi bidahagije cyangwa ukangukira kenshi
• Kubabara umutwe mu gitondo
• Kumva umunwa wumye cyangwa kubabara mu muhogo igihe uvuye kuryama
• Kunaniro cyangwa gusinzira cyane mu gihe cy’umunsi
• Kubura ubushobozi bwo gutekereza neza mu gihe cy’umunsi
• Kwiheba cyangwa guhinduka kw’imitekerereze

Bamwe bagira n’ibimenyetso bikomeye bishobora kugaragaza kurwara ibitotsi bidahumeka neza. Ibi birimo guhumeka bikomeye cyangwa guhumeka nk’aho urimo gukama, kubona ko uhagaritse guhumeka, no gusinzira cyane mu gihe cy’umunsi nubwo ubaye wararyamye ijoro ryose.

Ubwoko bwa kurara ari amajwi menshi ni ubuhe?

Kurara ari amajwi menshi bishobora gukategorizwa hashingiwe aho inzitizi iba mu myanya y’ubuhumekero. Gusobanukirwa ubwoko bwabyo bishobora gufasha kumenya uburyo bwiza bwo kuvura hakurikijwe uko uhagaze.

Ubwoko nyamukuru burimo:

Kurara ari amajwi menshi biterwa n’amazuru

Ibi bibaho iyo inzira z’amazuru zawe zifunze cyangwa zigabanutse. Ushobora kubona ubu bwoko cyane mu gihe cy’indwara z’ibyorezo cyangwa igihe ufite ibicurane. Akenshi ijwi ryaryo riba rike kandi nk’iry’ikintu kirimo guhinda kurusha ibindi bwoko.

Kurara ari amajwi menshi biterwa n’akanwa

Ibi bibaho iyo uryamye ufite akanwa gafunguye n’ururimi rwagaruye inyuma. Akenshi bitera amajwi menshi yo kurara ari menshi. Abantu bahumeka binyuze mu kanwa ijoro ryose bakunze kugira ubu bwoko.

Kurara ari amajwi menshi biterwa n’umunwa

Iki ni cyo kenshi kandi akenshi kiba ari cyo gifite amajwi menshi. Bibaho iyo imikaya yoroheje iri inyuma y’umunwa isohotse cyane. Umuhogo n’ururimi biganza ku buryo butera ijwi ryo kurara ari menshi.

Kurara ari amajwi menshi biterwa n’ururimi

Ibi bibaho iyo ururimi rwawe rworoshye rugasubira inyuma mu muhogo. Biba kenshi iyo uryamye uri ku mugongo, kandi rimwe na rimwe bishobora kugaragaza kurwara ibitotsi bidahumeka neza, cyane cyane iyo biherekejwe no guhagarika guhumeka.

Icyateye kurara ari amajwi menshi ni iki?

Kurara ari amajwi menshi bibaho iyo hari ikintu kibangamiye umwuka kunyura neza mu mazuru yawe no mu muhogo. Igihe uryamye, imikaya iri muri iyo myanya isohora, rimwe na rimwe isohora ku buryo ikinga inzira y’ubuhumekero.

Ibintu byinshi bishobora gutera iyi nzitizi:

Ibintu by’umubiri

• Umuhogo ukomeye cyangwa muto ugabanya inzira y’ubuhumekero
• Amatonsille cyangwa adenoids ari manini
• Umuhogo muremure (umukaya uhanganye inyuma y’umunwa)
• Umuhogo utayoboye neza
• Ibibyimba mu mazuru cyangwa guhinda kenshi

Ibintu by’imibereho

• Kuba uremye, bishobora kongera imikaya iruhande y’ijosi
• Kunywesha inzoga, cyane cyane mbere yo kuryama
• Kunywa itabi, bituma haba uburibwe no kubika amazi
• Imiti imwe n’imwe isohora imikaya y’umunwa
• Uburyo bwo kuryama, cyane cyane kuryama ku mugongo

Ibintu by’igihe gito

• Ibicurane cyangwa indwara z’ibyorezo bituma amazuru afunga
• Impinduka ziterwa n’inda
• Kunaniro gakabije

Rimwe na rimwe, indwara zidakunze kugaragara nko kugira ururimi runini (macroglossia) cyangwa ibibazo by’umunwa bishobora gutera kurara ari amajwi menshi. Muganga wawe ashobora kugufasha kumenya niba hari ibyo bintu bikukurikiranye.

Ni ryari ukwiye kujya kwa muganga kubera kurara ari amajwi menshi?

Nubwo kurara ari amajwi menshi rimwe na rimwe ari ibisanzwe, hari ibimenyetso bigaragaza ko ukwiye kuvugana n’umuganga. Ni ngombwa cyane gushaka ubufasha niba kurara kwawe ari amajwi menshi bigira ingaruka ku buzima bwawe bwa buri munsi cyangwa ku buzima bwawe bw’ibitotsi.

Ukwiye kujya kwa muganga niba ufite:

• Kurara ari amajwi menshi cyane bihangayikisha abandi
• Guhumeka bikomeye cyangwa guhumeka nk’aho urimo gukama igihe uryamye
• Kubona ko uhagaritse guhumeka igihe uryamye
• Gusinzira cyane mu gihe cy’umunsi nubwo ubaye wararyamye ijoro ryose
• Kubabara umutwe mu gitondo cyangwa kumva umunwa wumye buri gihe
• Umuvuduko w’amaraso uri hejuru bigoye kugenzura
• Kubabara mu gituza nijoro

Ntugategereze niba uwo muryamana abona ko uhagaritse guhumeka igihe uryamye. Ibi bishobora kugaragaza kurwara ibitotsi bidahumeka neza, indwara ikomeye isaba ubuvuzi. Kuvurwa hakiri kare bishobora gukumira ingaruka mbi no kunoza ubuzima bwawe cyane.

Ibyago byo kurara ari amajwi menshi ni ibihe?

Hari ibintu bimwe na bimwe bikugira ibyago byo kurara ari amajwi menshi buri gihe. Gusobanukirwa ibyo byago bishobora kugufasha kumenya impamvu ushobora kuba urara ari amajwi menshi n’icyo ushobora guhindura.

Ibyago bisanzwe birimo:

• Kuba umugabo (abagabo bafite ibyago bibiri byo kurara ari amajwi menshi)
• Kuba ufite imyaka irenga 40, kuko imikaya y’umunwa irohamye uko imyaka igenda yiyongera
• Kuba uremye, cyane cyane iruhande y’ijosi
• Kugira amateka yo mu muryango yo kurara ari amajwi menshi cyangwa kurwara ibitotsi bidahumeka neza
• Inzira z’ubuhumekero zigabanutse kubera imvange
• Guhinda kenshi mu mazuru
• Kunywesha inzoga buri gihe
• Kunywa itabi cyangwa guhumeka umwotsi w’itabi

Bamwe bagira ibyago byinshi kubera indwara nka hypothyroidism, acromegaly, cyangwa imvange imwe n’imwe. Ariko, ibyo ntabwo ari byo bituma bibaho kenshi. Nubwo ufite ibyago byinshi, hari uburyo bwiza bwo kuvura bushobora kugufasha kuryama utari amajwi menshi.

Ingaruka zishoboka zo kurara ari amajwi menshi ni izihe?

Kurara ari amajwi menshi buri gihe bishobora gutera ibindi birenze kubangamira ibitotsi. Nubwo kurara ari amajwi menshi gusa ari nta kibazo, kurara ari amajwi menshi cyane buri gihe rimwe na rimwe bishobora kugaragaza ibibazo byihishe bishobora kugira ingaruka ku buzima bwawe uko imyaka igenda yiyongera.

Ingaruka zishoboka zirimo:

Ingaruka zijyanye n’ibitotsi

• Ibitotsi bidahagije bituma unaniro mu gihe cy’umunsi
• Kurwara ibitotsi bidahumeka neza, aho guhumeka bihagarara kandi bigasubira
• Ukangukira kenshi mu ijoro
• Kubangamira ibitotsi by’uwo muryamana no kubangamira umubano

Ingaruka zijyanye n’ubuzima

• Umuvuduko w’amaraso uri hejuru uterwa no kugabanuka k’umwuka
• Ibibazo by’umutima (arrhythmias)
• Ibyago byiyongereye byo kugira umwijima
• Iterambere rya diyabete yo mu bwoko bwa 2 cyangwa kuyirwanya
• Kwiheba no guhangayika biterwa no kubura ibitotsi igihe kirekire
• Igabanuka ry’ubudahangarwa bw’umubiri

Mu bihe bitoroshye, kurwara ibitotsi bidahumeka neza bitavuwe bishobora gutera ingaruka zikomeye nko kunanirwa kw’umutima cyangwa urupfu rutunguranye rw’umutima. Ariko, hakoreshejwe isuzuma n’ubuvuzi bikwiye, ibyo byago bishobora kugabanuka cyane. Abantu benshi bavura kurara kwabo ari amajwi menshi babona impinduka mu bitotsi byabo no mu buzima bwabo muri rusange.

Kurara ari amajwi menshi bishobora gukumirwa gute?

Ibyinshi mu bijyanye no kurara ari amajwi menshi bishobora kugabanuka cyangwa bikumirwa hakoreshejwe impinduka mu mibereho. Ikintu nyamukuru ni uguhangana n’ibintu bituma inzira z’ubuhumekero zifunga cyangwa zigabanuka igihe uryamye.

Uburyo bwo gukumira bufatika burimo:

Guhindura uburyo bwo kuryama

• Ryama ku ruhande aho kuryama ku mugongo
• Shyira umutwe hejuru kuri santimetero 10-15 ukoresheje ibyuya byinshi
• Koresha ibyuya by’umubiri kugira ngo ukomeze kuryama ku ruhande

Guhindura imibereho

• Kugabanya ibiro niba uremye
• Gukora imyitozo ngororamubiri buri gihe kugira ngo ukomeze imikaya
• Kwirinda inzoga n’imiti ituma usinzira mbere yo kuryama
• Kunywa amazi ahagije umunsi wose
• Kugira gahunda nziza yo kuryama

Kwita ku mazuru

• Koresha amazi ya saline yo mu mazuru kugira ngo ugabanye guhinda
• Gerageza imipira yo mu mazuru kugira ngo ufungure inzira z’ubuhumekero
• Vura indwara z’ibyorezo ukoresheje imiti ikwiye
• Koresha umwuka w’ubushyuhe kugira ngo ukumire guhinda

Nubwo ibi bintu bishobora gufasha abantu benshi, hari impamvu zimwe na zimwe zo kurara ari amajwi menshi zisaba ubuvuzi. Niba guhindura imibereho bitazamura kurara kwawe ari amajwi menshi nyuma y’ibyumweru bike, birakwiye kuvugana n’umuganga wawe ku bindi bintu.

Kurara ari amajwi menshi bipimwa bite?

Gupima kurara ari amajwi menshi bisanzwe bitangira muganga akubaza ibyerekeye uburyo bwawe bwo kuryama n’ibimenyetso. Azashaka gusobanukirwa ukuntu kenshi urara ari amajwi menshi, ukuntu ari menshi, niba bigira ingaruka ku buzima bwawe bwa buri munsi.

Muganga wawe ashobora:

• Kureba amateka yawe y’ubuzima n’imiti ukoresha ubu
• Kusuzuma amazuru yawe, akanwa, umunwa, n’ijosi
• Kureba umuvuduko w’amaraso yawe n’ibiro
• Kubabaza uwo muryamana ibyerekeye uburyo bwawe bwo guhumeka

Niba muganga wawe akekako ufite ibitotsi bidahumeka neza cyangwa izindi ndwara zikomeye, ashobora kugusaba ibizamini byongeyeho. Icyo bapima ibitotsi (polysomnography) gishobora gukurikirana uburyo bwawe bwo guhumeka, ibikorwa by’ubwonko, n’umwuka wa ogisijeni ijoro ryose. Ibi bishobora gukorwa mu kigo cyita ku bitotsi cyangwa rimwe na rimwe mu rugo hakoreshejwe ibikoresho byoroheje.

Mu bihe bimwe na bimwe, muganga wawe ashobora kukwerekeza ku muganga wita ku matwi, amazuru n’umunwa kugira ngo akore isuzuma ryimbitse. Bashobora kumenya ibibazo by’imiterere bishobora gutera kurara kwawe ari amajwi menshi bakagutegurira uburyo bwiza bwo kuvura.

Uburyo bwo kuvura kurara ari amajwi menshi ni ubuhe?

Uburyo bwo kuvura kurara ari amajwi menshi biterwa n’icyo kibitera. Muganga wawe azakorana nawe kugira ngo abone uburyo bwiza, akenshi atangira ku buryo buoroshye.

Uburyo bwo kuvura burimo:

Uburyo bwo kuvura buoroshye

• Continuous positive airway pressure (CPAP) ku barwara ibitotsi bidahumeka neza
• Ibikoresho byo mu kanwa bisubiza umunwa cyangwa ururimi
• Imiti igabanya guhinda mu mazuru cyangwa imiti y’indwara z’ibyorezo
• Gahunda zo kugabanya ibiro iyo bikenewe

Ibisabwa by’abaganga

• Uvulopalatopharyngoplasty (UPPP) yo gukuraho imikaya y’umunwa irenze
• Laser-assisted uvulopalatoplasty (LAUP) kugira ngo igabanye imikaya
• Radiofrequency ablation kugira ngo igabanye imikaya y’umunwa
• Kubaga amazuru kugira ngo hakorwe impinduka ku miterere
• Ibikoresho byo gukomeza umunwa

Ku barwaye cyane, hari uburyo bukomeye bwo kubaga bushobora kugenzurwa, nko gusubiza umunwa cyangwa kugabanya ururimi. Ariko, ibyo bikunze gukoreshwa iyo ubundi buryo butabashije kugira icyo buhindura. Muganga wawe azagufasha gupima inyungu n’ibyago bya buri buryo hakurikijwe uko uhagaze.

Uko wakwitwara murugo igihe urara ari amajwi menshi

Hari uburyo bwo kuvura murugo n’impinduka mu mibereho bishobora kugabanya kurara kwawe ari amajwi menshi. Ibyo bintu bikora neza ku kurara ari amajwi menshi gake cyangwa byoroheje, kandi akenshi bishobora kunoza cyane iyo bikoreshejwe buri gihe.

Uburyo bwo kuvura murugo bufatika burimo:

Uburyo bwo kugabanya amajwi menshi ako kanya

• Ryama ufite umutwe uri hejuru ukoresheje ibyuya
• Koresha imipira yo mu mazuru cyangwa ibikoresho byo mu mazuru
• Gerageza imyitozo y’umunwa n’ururimi kugira ngo ukomeze imikaya
• Kugira gahunda nziza yo kuryama

Impinduka mu mibereho igihe kirekire

• Gukuraho ibiro buhoro buhoro niba uremye
• Gukora imyitozo ngororamubiri buri gihe kugira ngo ukomeze imikaya
• Kwirinda inzoga n’imiti ituma usinzira mbere yo kuryama
• Kunywa amazi ahagije umunsi wose
• Kuvura indwara z’ibyorezo cyangwa ibibazo by’amazuru

Bamwe bagira amahirwe yo gukoresha ibikoresho byo kurwanya kurara ari amajwi menshi nka bibaba byo mu kanwa cyangwa ibikoresho byo ku ijosi, nubwo ibyavuye bitandukanye. Amavuta y’ibimera nka peppermint cyangwa eucalyptus ashobora gufasha guhinda mu mazuru, ariko ntabwo ari uburyo bwemewe bwo kuvura. Ibuka ko uburyo bwo kuvura murugo bukora neza nk’igice cy’uburyo burambuye aho kuba igisubizo cyonyine.

Uko wakwitegura igihe ugiye kwa muganga

Kwitunganya mbere yo kujya kwa muganga bishobora gufasha muganga wawe gusobanukirwa kurara kwawe ari amajwi menshi no gutegura uburyo bwiza bwo kuvura. Amakuru menshi ushobora gutanga, ni ko kuvurwa kwawe bizaba byibanze.

Mbere yo kujya kwa muganga:

• Andika ibitotsi byawe mu byumweru 1-2 ugaragaza uburyo bwo kurara ari amajwi menshi
• Andika imiti n’ibindi bikoresho byose ukoresha
• Andika ibibazo ku buryo bwo kuvura
• Babaza uwo muryamana ibyerekeye uburyo bwawe bwo guhumeka
• Zana amakuru yerekeye uburyo bwo kuvura wari waramaze kugerageza

Mu gihe uri kwa muganga, vugisha ukuri ukuntu kurara ari amajwi menshi bigira ingaruka ku buzima bwawe bwa buri munsi. Vuga ibindi bimenyetso nko kunaniro mu gihe cy’umunsi, kubabara umutwe mu gitondo, cyangwa ibibazo mu mibanire biterwa no kurara ari amajwi menshi. Ntukagire ipfunwe ryo kuvuga ibyo bintu, kuko bifasha muganga wawe gusobanukirwa uburemere bw’ibibazo byawe.

Muganga wawe ashobora kukubaza ibyerekeye amateka yawe yo mu muryango yo kurara ari amajwi menshi cyangwa kurwara ibitotsi bidahumeka neza, rero gerageza gukusanya ayo makuru mbere niba bishoboka. Iyi myiteguro ifasha guhamya ko uhabwa isuzuma ryimbitse n’ibyifuzo byo kuvura.

Icyo ukwiye kumenya cyane ku bijyanye no kurara ari amajwi menshi

Kurara ari amajwi menshi ni ikintu gisanzwe kandi kenshi gishobora kuvurwa hakoreshejwe uburyo bukwiye. Nubwo kurara ari amajwi menshi rimwe na rimwe ari nta kibazo, kurara ari amajwi menshi cyane buri gihe ntibikwiye kwirengagizwa, cyane cyane niba bigira ingaruka ku buzima bwawe bw’ibitotsi cyangwa ku buzima bwawe bwa buri munsi.

Ikintu cy’ingenzi cyo kwibuka ni uko hari uburyo bwiza bwo kuvura buri bwoko bwose bwa kurara ari amajwi menshi. Uko igisubizo cyawe cyaba kiri mu guhindura imibereho, ibikoresho by’abaganga, cyangwa ubuvuzi bw’inzobere, ntugomba kwemera ibitotsi bibi nk’ibidashobora kwirindwa.

Tangira ukoresheje intambwe zoroheje nko kuryama ku ruhande, kugira ibiro bikwiye, no kwirinda inzoga mbere yo kuryama. Niba ibyo bitagufashije mu byumweru bike, ntutinye kuvugana n’umuganga wawe. Bashobora kugufasha kumenya icyateye kurara kwawe ari amajwi menshi bakakwereka uburyo bwiza bwo kuvura.

Ibuka ko kuvura kurara ari amajwi menshi kenshi bituma bitotsi byawe bitagenda neza, ahubwo binatuma ubuzima bwawe muri rusange n’imibanire yawe bigenda neza. Gukora intambwe zo kuryama utari amajwi menshi ni ishoramari mu mibereho yawe rizana inyungu mu mbaraga, mu mitekerereze, no mu buzima bwiza.

Ibibazo byakenshi bibazwa ku bijyanye no kurara ari amajwi menshi

Q1: Ese kurara ari amajwi menshi buri gihe ni ikimenyetso cyo kurwara ibitotsi bidahumeka neza?

Oya, kurara ari amajwi menshi ntibihora bigaragaza kurwara ibitotsi bidahumeka neza. Abantu benshi barara ari amajwi menshi batarwara iyo ndwara. Ariko, kurara ari amajwi menshi cyane guhujwe no guhumeka bikomeye, guhumeka nk’aho urimo gukama, cyangwa kubona ko uhagaritse guhumeka igihe uryamye bishobora kuba ibimenyetso byo kurwara ibitotsi bidahumeka neza. Niba uhangayitse, birakwiye kuvugana n’umuganga wawe uzagufasha kumenya niba ukeneye isuzuma ryimbitse.

Q2: Ese abana barara ari amajwi menshi, kandi ni ryari nkwiye guhangayika?

Yego, abana barara ari amajwi menshi, nubwo bitaba kenshi nk’uko bibaho ku bakuru. Kurara ari amajwi menshi gake bisanzwe ari ibisanzwe, cyane cyane mu gihe cy’ibicurane. Ariko, kurara ari amajwi menshi cyane buri gihe, guhumeka binyuze mu kanwa igihe uryamye, cyangwa impinduka mu myitwarire nko kubura ubushobozi bwo gutekereza neza bishobora kugaragaza ko amatonsille cyangwa adenoids ari manini. Suzuma umuganga w’abana niba umwana wawe arara ari amajwi menshi buri gihe cyangwa agaragaza ibimenyetso byo kubura ibitotsi.

Q3: Ese ibikoresho byo kurwanya kurara ari amajwi menshi bikora koko?

Ibikoresho bimwe na bimwe byo kurwanya kurara ari amajwi menshi bishobora gukora, ariko ibyavuye bitandukanye bitewe n’icyo kibitera. Imipira yo mu mazuru n’ibikoresho byo mu mazuru bikora neza ku kurara ari amajwi menshi biterwa n’amazuru, mu gihe ibikoresho byo mu kanwa bishobora gufasha kurara ari amajwi menshi biterwa n’ururimi cyangwa umunwa. Ariko, ibyo bikoresho ntibikora kuri buri wese, kandi ibibazo bikomeye byo kurara ari amajwi menshi bisaba isuzuma n’ubuvuzi by’inzobere.

Q4: Ese kugabanya ibiro bizahora bihagarika kurara kwanjye ari amajwi menshi?

Kugabanya ibiro bishobora kugabanya cyane kurara ari amajwi menshi kuri benshi, cyane cyane abaremye. Imikaya irenze iruhande y’ijosi ishobora kugabanya inzira z’ubuhumekero, bityo kugabanya ibiro kenshi bifasha. Ariko, abantu bafite ibiro bike barara ari amajwi menshi kubera ibindi bintu nko gutera kw’inzira z’ubuhumekero cyangwa guhinda mu mazuru. Kugabanya ibiro ni byiza ariko bishobora kutahagarika burundu kurara ari amajwi menshi mu bihe byose.

Q5: Ese ni ibisanzwe ko kurara ari amajwi menshi bigenda bikomeza uko imyaka igenda yiyongera?

Yego, kurara ari amajwi menshi kenshi byiyongera uko imyaka igenda yiyongera kuko imikaya y’umunwa irohamye kandi isohora igihe uryamye. Imikaya iri mu myanya y’ubuhumekero nanone irohamye uko imyaka igenda yiyongera. Nubwo ibyo ari ibintu bisanzwe uko imyaka igenda yiyongera, ntibisobanura ko ugomba kwemera kurara ari amajwi menshi bikubangamira. Hari uburyo bwinshi bwo kuvura bukomeza gukora uko imyaka igenda yiyongera, rero vugana n’umuganga wawe ku buryo bushobora gukora kuri wowe.