Ese ni iki kirwara cya Diyarariya y’abagenzi? Ibimenyetso, Intandaro, & Uko kivurwa

Diyarariya y’abagenzi ni ugufata umunaniro, ububabare bw’inda, n’amazi menshi mu gihe uri mu rugendo mu bice bifite udukoko, virusi, cyangwa imikura itandukanye n’iy’umubiri wawe. Ni indwara ikunze kwibasira abagenzi, igera kuri 40% by’abantu basura ahantu hamwe na hamwe.

Tekereza ko ari nk’aho uburyo bwawe bw’igogorwa buhura n’abaturanyi bashya bato batabona, umubiri wawe wamenyereye udukoko tw’aho utuye, utungurwa n’imikura itazwi ishobora guhungabanya uko umubiri ukora. Nubwo bidashimishije kandi bikaba bitagoranye, ubusanzwe iyi ndwara iba yoroheje kandi ikagenda yonyine mu minsi mike.

Ese ni ibihe bimenyetso bya diyarariya y’abagenzi?

Ikimenyetso nyamukuru ni ugufata umunaniro incuro eshatu cyangwa zirenze mu masaha 24 uri mu rugendo cyangwa nyuma gato ugarutse mu rugo. Abantu benshi batangira kubona ibimenyetso mu cyumweru cya mbere cy’urugendo rwabo, akenshi mu minsi mike ya mbere.

Uretse gufata umunaniro kenshi, ushobora kugira ibindi bimenyetso bitari byiza bishobora gutuma urugendo rwawe rutameze neza:

• Ububabare bw’inda n’ububabare buza buhoro buhoro
• Isesemi ishobora gutuma wumva nabi, cyane cyane igihe uri hafi y’ibiribwa
• Kubyimbagira no guhumeka bishobora gutuma inda yawe yumva yuzuye
• Guhora ukeneye kujya mu bwiherero, rimwe na rimwe nta kimenyetso
• Ubushyuhe buke, busanzwe buri munsi ya 102°F (38.9°C)
• Uburwayi rusange no kumva utameze neza
• Kubura ubushake bwo kurya, ndetse n’ibiribwa ukunda

Mu mubare muto, ushobora kubona umusemburo mu munaniro wawe, ushobora kugaragara nk’umusemburo usobanutse cyangwa uwera. Ibi bibaho iyo uruhu rw’amara rwawe ruhindutse rugatanga umusemburo mwinshi ukingira.

Ibisymptom byinshi ni byoroheje cyangwa byoroheje kandi ntibisaba ubutabazi bwihuse. Ariko rero, hari ibimenyetso byo kwirinda bikeneye ubutabazi bwa muganga ako kanya, tuzabiganiraho mu gice cyo "igihe cyo kujya kwa muganga".

Ubwoko bw'impiswi y'abagenzi ni bwoki?

Impiswi y'abagenzi muri rusange irarangwa n'uburemere bw'ibimenyetso ufite n'icyo biba biterwa. Gusobanukirwa ibyo bitandukanye bishobora kugufasha kumenya icyo witeze kandi igihe cyo gusaba ubufasha.

Impiswi yoroheje y'abagenzi irimo kugira amanywa ariko urashobora gukomeza ibikorwa byawe bya buri munsi. Ushobora kugira amanywa 1-3 adasanzwe ku munsi hamwe n'ububabare buke mu nda. Ubu bwoko bushira vuba kandi ntibugira ingaruka ku migambi yawe y'ingendo.

Impiswi y'abagenzi yo hagati bivuze ko ibimenyetso byawe bibangamira cyane kandi bigabanya bimwe mu bikorwa byawe. Uzasanga ufite amanywa 4-5 adasanzwe ku munsi, hamwe n'ububabare mu nda, isereri, cyangwa umuriro muke. Urashobora gukomeza gukora, ariko ushobora kwifuza kuba hafi y'ibyumba by'amazi.

Impiswi ikomeye y'abagenzi iratakaza cyane ibikorwa byawe bya buri munsi kandi ishobora kukubera imbogamizi mu cyumba cyawe. Ibi birimo amanywa 6 cyangwa arenga y'amazi ku munsi, akenshi aherekejwe n'umuriro, ububabare bukomeye mu nda, kuruka, cyangwa ibimenyetso byo gukama. Ubu bwoko busaba kuvurwa cyane kandi rimwe na rimwe ubutabazi bwa muganga.

Hari kandi impiswi y'abagenzi ihoraho, imara iminsi irenga 14. Nubwo bidafite akamaro, ubu bwoko bushobora kugaragaza ubwandu bw'udusimba cyangwa izindi ndwara zihishe zisaba kuvurwa byihariye na muganga.

Icyateye impiswi y'abagenzi?

Impiswi y'abagenzi ibaho iyo unyoye ibiryo cyangwa amazi byanduye na bagiteri, virusi, cyangwa udusimba umubiri wawe utari uzi. Ubusanzwe bwawe bwa microbe, buhuye neza n'ibidukikije byawe byo murugo, butungurwa n'udusimba tudasanzwe dushobora kubangamira igogora risanzwe.

Intandukwa zikunze gutera iyi ndwara ni udukoko twangiza, dutera hafi 80-85% by’ibyorezo byose. Dore intandukwa nyamukuru z’udukoko twangiza ushobora guhura na zo:

• Escherichia coli itera udukoko (ETEC), itera iyi ndwara cyane ku isi hose
• Ubwoko bwa Campylobacter, busanzwe mu bihugu byinshi bikiri mu nzira y’amajyambere
• Salmonella, ikunze kuboneka mu bicuruzwa by’inkoko, amagi cyangwa amata byanduye
• Shigella, ikwirakwira binyuze mu mazi yanduye cyangwa isuku nke
• Ubwoko bwa Vibrio, cyane cyane mu turere two ku nyanja dufite amafi

Virusi zigira uruhare mu bipimo hafi 10-15% kandi zikunze gutera ibimenyetso bidakomeye. Norovirus ni yo virusi ikunze gutera iyi ndwara, cyane cyane ku bwato bw’ubukerarugendo cyangwa mu mahoteli yuzuye. Rotavirus na yo ishobora gutera impiswi y’abagenzi, nubwo ikunze kugaragara mu bana.

Udukoko duto twangiza tugira uruhare mu bipimo hafi 5-10% ariko akenshi bitera ibimenyetso bikomeye. Giardia lamblia ni yo ntandukwa ikunze gutera iyi ndwara, ikurikiwe na Cryptosporidium na Entamoeba histolytica. Ibi binyabuzima bito byangiza bishobora kubaho mu mazi nubwo yavuwe na chlorine.

Mu mimerere imwe n’imwe, impiswi y’abagenzi iterwa no kwandura. Impinduka mu mirire, gahunda yo kurya, umunaniro wo gukora ingendo, impinduka z’uburebure, cyangwa ibinyobwa by’uburyohe bishobora guhungabanya uburyo bwawe bw’igogorwa. Umubiri wawe ushobora gukenera igihe kugira ngo wiyomere ibiryo bishya n’ibidukikije bishya.

Ni ryari ukwiye kujya kwa muganga kubera impiswi y’abagenzi?

Urugero rwinshi rw’impinduka z’umubiri ziterwa n’ingendo zirangira zikira zitewe n’ubundi buryo mu minsi 3-5 nta kwitabwaho kwa muganga. Ariko kandi, ibimenyetso bimwe na bimwe bigaragaza ko ukwiye gushaka ubufasha bwa muganga vuba, haba mu gace utuyemo cyangwa uhamagara umuganga wawe.

Ukwiye kujya kwa muganga ako kanya niba ufite ibimenyetso byo kuburira:

• Umuhango mwinshi urenze 102°F (38.9°C) cyangwa umuriro ufite imbeho
• Amaraso mu nte, ashobora kugaragara atukura cyangwa ari umukara kandi ameze nk’ibitonyanga
• Ibimenyetso bikomeye byo gucika intege nk’uguhinda umutwe igihe uhagaze, akanwa kari kumeze, cyangwa kunyara gake
• Kuruka kudasiba bikubuza kunywa amazi
• Kubabara mu nda bikomeye bitandukanye n’ububabare busanzwe bwo mu nda
• Ibimenyetso byo gucika intege bikomeye nko gucika intege, gutera kw’umutima cyane, cyangwa kugwa
• Ibimenyetso birushaho kuba bibi aho kugenda bigenda bigenda neza nyuma y’iminsi 2-3

Ugomba kandi gushaka ubufasha bw’abaganga niba impiswi yawe ikomeza iminsi irenga 5-7, nubwo ibimenyetso ari bike. Impiswi idasiba ishobora kugaragaza ubwandu bw’udukoko dukeneye imiti yihariye kugira ngo ikire neza.

Niba uri mu gace kitaruhuka kandi udashobora kubona ubufasha bw’abaganga vuba, ni byiza gushaka ubufasha vuba aho gutegereza. Abagenzi benshi basanga ari byiza gushaka ibigo nderabuzima aho bagiye mbere y’uko babikeneye.

Ntugatinye gushaka ubufasha niba ufite ibibazo by’ubuzima nk’indwara ya diyabete, indwara y’umutima, cyangwa ubudahangarwa bw’umubiri butameze neza. Ibi bibazo bishobora gutuma ingaruka z’impuswi y’abagenzi zirushaho kuba nyinshi kandi zikomeye.

Ni ibihe bintu byongera ibyago by’impuswi y’abagenzi?

Ibyago byo kurwara impiswi y’abagenzi biterwa n’ibintu byinshi, aho ugiye ni cyo gikomeye. Hari ahantu hari impiswi y’abagenzi nyinshi kurusha ahandi kubera itandukaniro mu isuku, gutunganya amazi, n’uburyo bwo gutegura ibiryo.

Ahantu hari ibyago byinshi harimo ibice byinshi bya Amerika y’Amajyepfo, Afurika, Uburasirazuba bwo hagati, na Aziya. Muri iyi turere, abagenzi bagera kuri 40-60% bashobora kurwara impiswi. Ahantu hari ibyago bike harimo Uburayi bw’Iburasirazuba, Afurika y’Epfo, na bimwe mu birwa bya Karayibe, aho abagenzi bagera kuri 10-20% barwara.

Imyaka yawe n’ubuzima bwawe muri rusange bigira uruhare ku kaga ufite. Abantu bakuze bafite imyaka iri hagati ya 20 na 29 nibo bagira ibyago byinshi byo kurwara impiswi y’abagenzi, bishobora kuba biterwa n’uko bashobora kurya ibiryo byo mu muhanda, gukodesha amacumbi adahenze, cyangwa gufata ibyago ku biribwa n’amazi. Abana n’abakuze bafite ibyago byinshi byo kugira ingaruka mbi nibaramuka barwaye.

Indwara zimwe na zimwe zishobora kongera uko uhangayitse:

• Diabete, ishobora kugira ingaruka ku bushobozi bw’umubiri wawe bwo kurwanya indwara
• Indwara z’umwijima nk’indwara ya Crohn cyangwa colitis ulcerative
• Indwara z’ubwirinzi bw’umubiri cyangwa imiti igabanya ubudahangarwa bw’umubiri
• Igisubizo cy’inda cyakozwe mbere gishobora kuba cyarahinduye uruvange rw’igogorwa ryawe
• Uruzingo ruke rw’amavuta mu gifu, akenshi bituruka ku miti igabanya aside

Uburyo bwawe bwo kugenda n’imyitwarire yawe bigira ingaruka zikomeye ku kaga ufite. Kuba muri za hoteli zigezweho zikurikiza amabwiriza y’ubuziranenge bw’ibiryo bigira ibyago bike cyane kurusha kugenda n’amaguru no kurya ibiryo byo mu muhanda. Abagenzi bakunda impanuka, abakorerabushake n’abagenzi b’ubucuruzi bararya mu maresitora yo mu duce batuyemo bafite ibyago byinshi byo kwandura ibiryo n’amazi byanduye.

Igihe cy’umwaka ugenderaho gishobora kandi kuba ikibazo. Igihe cy’imvura mu bihugu byinshi byo mu turere dukoramo ikirere gishyushye byongera ibyago byo kwandura, mu gihe ikirere gishyushye gishobora gutuma bagiteri bikura vuba mu biribwa bidafite uburyo bubikwamo neza.

Ni iki gishobora kuba ingaruka mbi z’impwisi y’abagenzi?

Nubwo impiswi y’abagenzi igaragara cyane idasiga ibibazo birambye, ingaruka mbi zishobora kubaho, cyane cyane niba iyi ndwara ikomeye cyangwa utayivura neza. Gusobanukirwa ibyo bibazo bishobora kugufasha kumenya igihe ugomba gushaka ubufasha bw’abaganga no gufata ingamba zo kwirinda ibibazo.

Kuzimangana ni ikibazo gikunze kugaragara kandi gishobora kuba kibi cyane. Iyo utakaza amazi menshi bitewe n’uburukuru n’iseseme, umubiri wawe ushobora gucika intege vuba ukabura amazi n’imyunyu ngugu y’ingenzi yitwa électrolytes. Kuzimangana gake bishobora gutera umunaniro n’ububabare bw’umutwe, mu gihe kuzimangana gukabije bishobora gutera iseseme, gucika intege, gutera umutima, ndetse n’ibibazo by’impyiko.

Bamwe mu bantu barwara ibibazo bikurikira indwara bishobora kumara ibyumweru cyangwa amezi nyuma y’aho indwara yabanje ikize:

• Indwara y’umwijima iterwa n’indwara (IBS), itera ibibazo byo mu gifu bikomeza igihe kirekire
• Kudakorwa neza kwa lactose iterwa n’ubwangirike bw’amara biterwa n’indwara
• Uburwayi bwa arthrite, ububabare bw’ingingo n’ubwuhaguruki bubasira amavi, ibirenge, cyangwa izindi ngingo
• Guillain-Barré syndrome, indwara y’imitsi idasanzwe ishobora gutera intege n’ubupfapfa

Mu bihe bitoroshye, zimwe mu ndwara ziterwa na bagiteri zishobora gukwirakwira hirya no hino mu mubiri. Salmonella ishobora kwinjira mu maraso ikateza bacteremia, mu gihe zimwe mu bwoko bwa E. coli zishobora gutera hemolytic uremic syndrome, indwara ikomeye itera ibibazo by’impyiko no gukama amaraso.

Uburukuru buhoraho bumare ibyumweru birenga bibiri bishobora kugaragaza indwara ziterwa n’udusimba nka giardia cyangwa cryptosporidium. Ibi bishobora kuba bigoye gukuraho kandi bishobora gusaba imiti iboneye igamije kurwanya udusimba aho kugamije kurwanya bagiteri.

Inkuru nziza ni uko ibibazo bikomeye bidahagaragara, cyane cyane iyo uhorana amazi kandi ugashaka ubufasha ukeneye. Abantu benshi barakira mu gihe cy’icyumweru batagize ibibazo birambye.

Uburukuru bw’abagenzi bushobora gukumirwa gute?

Ushobora kugabanya cyane ibyago by’uburukuru bw’abagenzi witonze ku byo urya no kunywa. Ihame nyamukuru ni ukwirinda icyaricyo cyose gishobora kwanduza bagiteri, virusi, cyangwa udusimba.

Ubuziranenge bw’amazi ni ingenzi cyane kuko amazi yanduye ari isoko ikomeye y’indwara. Koresha amazi avuye mu macupa afunze neza, uyanywe, uyakoreshe mu kubana amenyo no guhanagura akanwa. Niba amazi avuye mu macupa adahari, fira amazi yo mu rubuga iminota nibura umwe cyangwa ukoreshe imiti isukura amazi cyangwa ibyuma bisukura amazi bigenewe gukuraho mikorobe.

Witondere uburyo bwa za ayisi, kuko akenshi akorwa mu mazi yo mu rubuga. Irinde kandi ibinyobwa birimo ayisi keretse wizeye aho amazi aturuka. Ibinyobwa bishyushye nka kawa na tii, muri rusange birakwiye kuko ubushyuhe buhambaye bwiciramo mikorobe nyinshi.

Ibyo kurya bigira uruhare runini mu kurengera ubuzima bwawe. Dore amabwiriza amwe ashobora kugufasha kuba mu mutekano:

• Hitamo ibiryo bishyushye kandi bibira, kuko ubushyuhe bwiciramo mikorobe nyinshi zangiza
• Frya muri resitora zifite abakiriya benshi, aho ibiryo bishobora kuba bishya
• Irinde inyama, amafi, n’ibinyamaswa byo mu mazi bitatezwe cyangwa bitatezwe neza
• Irinde imboga n’imbuto zitatemwe
• Witondere ibikomoka ku mata, cyane cyane mu bice badafite uburyo buhamye bwo kubika ibintu mu buryo bukonje
• Irinde ibiryo bicuruzwa mu muhanda keretse nibitezwe imbere yawe

Isuku y’intoki ni ingenzi mu kwirinda indwara. Koga intoki kenshi ushyizeho isabune n’amazi meza, cyane cyane mbere yo kurya nyuma yo kujya mu bwiherero. Iyo udafite isabune n’amazi, koresha isabune y’intoki irimo alukoro nibura 60%.

Bamwe mu bagenda bagiye mu mahanga batekereza gufata imiti igikumira indwara, ariko ubu buryo bufite ibyiza n’ibibi. Imiti ishobora kugabanya ibyago ariko ishobora kandi guteza ingaruka mbi no gutuma imiti igira imiti ikomeye. Suzuma iki kibazo n’abaganga bawe niba ugiye mu gace gafite ibyago byinshi cyangwa ufite ibibazo by’ubuzima bishobora gutera ingaruka zikomeye.

Uburwayi bw’umuntu ugiye mu mahanga buramenyekana gute?

Isesemi ry’abagenzi risanzwe rimenyekana hagendewe ku bimenyetso byawe n’amateka y’ingendo zawe aho gukora ibizamini byinshi. Niba ufite umunaniro, amazi menshi mu byo ukorora mu gihe uri mu rugendo cyangwa mu minsi mike ugarutse mu rugo, kandi wagiye mu gace isesemi ry’abagenzi rikunze kugaragara, ubuvuzi busanzwe burasobanutse.

Umuganga wawe azakubaza ibibazo ku bimenyetso byawe, harimo umubare w’iminaniro ufite, niba ufite umuriro cyangwa amaraso mu byo ukorora, n’uburyo indwara ikubangamiye mu bikorwa byawe bya buri munsi. Azifuza kandi kumenya aho wagiye, ibyo waronnye n’ibyo waranywe, n’igihe ibibimenyetso byawe byatangiye.

Mu turere twinshi tworoheje kugeza ku mpande zoroheje, nta bizamini bikenewe kuko iyi ndwara isanzwe ikira yonyine mu minsi mike. Ibizamini bihinduka bikenewe niba ufite ibimenyetso bikomeye, amaraso mu byo ukorora, umuriro mwinshi, cyangwa ibimenyetso bikomeza igihe kirenga icyumweru.

Iyo ibizamini bikenewe, muganga wawe ashobora kugutegurira:

• Isuzuma ry’ibyo ukorora kugira ngo hamenyekane ubwoko bw’ibyorezo, virusi, cyangwa udukoko
• Umurima w’ibyo ukorora kugira ngo hakurweho kandi hamenyekane impamvu ziterwa na bagiteri
• Isuzuma ry’udukoko, cyane cyane niba ibimenyetso bikomeza igihe kirenga ibyumweru bibiri
• Ibizamini by’amaraso niba hari ibimenyetso byo gucika amazi cyangwa indwara y’umubiri wose

Ibizamini byihuse byo kuvura birahari kandi bishobora kumenya impamvu zisanzwe nka norovirus cyangwa bagiteri zimwe na zimwe mu masaha aho kuba iminsi. Ibi bizamini bishobora gufasha cyane niba ukeneye kuvurwa cyangwa niba uri mu gace ubudahangarwa bw’antibiyotike ari ikibazo.

Kumbuka ko nubwo hakozwe ibizamini, impamvu nyamukuru ntiyahora imenyekana. Imibare myinshi ikemuka mbere y’uko ibisubizo by’ibizamini biboneka, kandi ubuvuzi busanzwe buhingamiye ku gucunga ibimenyetso no gukumira ingaruka aho kugerageza guhangana n’ubwoko bw’imikoro.

Ni iki kivura isesemi ry’abagenzi?

Kuvura impiswi y’abagenzi byibanda ku guhangana n’ibimenyetso, gukumira kukama, no kugufasha kumva neza mu gihe umubiri wawe urwanya ubwandu. Ibi bibaho akenshi biba byoroheje kandi bikira ukwabyo mu minsi 3-5 hakoreshejwe ubufasha.

Kuguma wisukura ni ingenzi cyane mu kuvura. Utakara amazi menshi n’umunyu binyuze mu guhitwa, bityo kubisubiza ni ingenzi. Ibiyobora amazi binywa (ORS) ni byiza kuko bifite umunyu n’isukari bikenewe kugira ngo umubiri wawe ubashe kunywa amazi neza.

Urashobora kubona amapaketi ya ORS mu maduka y’imiti ku isi hose, cyangwa ushobora gukora uburyo bworoshye uvanga ikiyiko kimwe cy’umunyu na ibiyiko bibiri by’isukari muri litiro imwe y’amazi meza. Ibinyobwa by’abakinnyi ba siporo bishobora gukora mu gihe cy’akaga, nubwo bidahwitse nka ORS nziza.

Guhindura imirire bishobora kugabanya ibimenyetso kandi bikagutera amahoro:

• Tangira ibiryo biryoshye, byoroshye gukemura nk’umuceri, inkeri, umugati, cyangwa ibisuguti
• Kwirinda ibinyampeke by’amata by’igihe gito, kuko ubwandu bushobora gutera kudakemura lactose by’igihe gito
• Kureka ibiryo bifite amavuta menshi, ibirungo, cyangwa ifiberi nyinshi bishobora kubabaza urwungano rw’igogora rwawe
• Kurya ibiryo bike, bikunze kuruta ibinini
• Komeza kurya niba ushobora kwihanganira ibiryo, kuko imirire ifasha gukira

Imiti igurwa mu maduka idafite ibyangombwa ishobora kugabanya ibimenyetso mu bihe byinshi. Loperamide (Imodium) ishobora kugabanya kenshi kwicara ku musarani kandi ikaba ikwiye ku mpiswi y’abagenzi yoroheje cyangwa yo hagati. Ariko, uyirinde niba ufite umuriro cyangwa amaraso mu ntege, kuko ishobora gufunga bagiteri mbi mu mubiri wawe.

Bismuth subsalicylate (Pepto-Bismol) ishobora gufasha mu kuribwa mu nda, guhindagurika kw’igifu, no guhitwa gato. Ishobora kandi kugira ingaruka zimwe na zimwe zo kurwanya bagiteri, nubwo atari yo ntambwe yayo nyamukuru.

Antibiyotike zimwe na zimwe zikunze kwandikwa ku ndwara zikomeye cyangwa ziremereye, cyane cyane ufite umuriro, amaraso mu ntege, cyangwa ibimenyetso bikomeye bigutera imbogamizi mu ngendo zawe. Antibiyotike zisanzwe zikubiyemo azithromycin, ciprofloxacin, cyangwa rifaximin, bitewe n’aho ugiye n’uburyo ubwandu buhangana n’imiti aho uri.

Uko wakwitaho iwanyu mugihe ufite impiswi y’abagenzi?

Kwita ku ndwara y’impwisi y’abagenzi iwanyu cyangwa aho uba bisaba kwiruhutsa, kunywa amazi ahagije, no kwita ku bimenyetso byawe. Intego ni ugufasha umubiri wawe gukira neza uhorana amahoro kandi ukirinda ingaruka.

Fata amazi nk’ikintu cya mbere. Nywa amazi meza buri kanya, ugerageze kunywa make make aho kunywa menshi icyarimwe bishobora gutera isereri. Ibintu byiza ni amazi asanzwe, amasupu meza, icyayi cy’ibimera, n’amazi meza. Irinde inzoga, kafeyin, n’ibinyobwa birimo isukari, bishobora kugukaza ikibazo cyo kubura amazi.

Kwipumurira ni ingenzi kugira ngo ukire, ntukirengagize kwiruhutsa. Umubiri wawe urakora cyane ngo urwanye ubwandu, kandi kwihatira cyane bishobora gutuma ibimenyetso bikomeza igihe kirekire. Egereza aho ukorera ubwiherero kandi utekereze ku guhindura gahunda y’ingendo zawe kugira ngo ubone umwanya wo gukira.

Kwita ku bimenyetso byawe ni ingenzi kugira ngo umenye niba uri gukira cyangwa ukeneye ubufasha bw’abaganga. Jya ukurikira umubare w’intege zishaje ufite buri munsi, ubushyuhe bw’umubiri wawe, n’uko wumva muri rusange. Abantu benshi batangira kumererwa neza mu masaha 48-72.

Dore bimwe mu bintu byakorwa mu rugo bishobora kugufasha kumva uhorana amahoro:

• Koresha igipfukisho cyuzuye ubushyuhe cyangwa igitambaro gishyushye ku nda yawe kugira ngo ugabanye ububabare bw’inda.
• Koga amazi ashyushye kugira ngo ufashwe kwiruhutsa imikaya y’inda kandi ugabanye ibibazo.
• Kora massage yoroheje ku nda hakoreshejwe imiterere y’umunyururu.
• Zamura amaguru yawe igihe uri kuruhuka kugira ngo ugabanye ikibazo cy’uburwayi bw’umutwe buterwa no kubura amazi.
• Komeza inyandiko y’ibimenyetso kugira ngo ukureho aho ugeze kandi umenye impinduka zihangayikishije.

Tegura ibikoresho mbere yuko ubiba ukeneye. Paka umunyu wo kuvura imvura, imiti isanzwe nka loperamide, ipimashyushyu, n’isabune yo gukaraba intoki. Kugira ibi bikoresho biri hafi bishobora gutuma ugira amahoro kandi ukagenda ukira.

Ntuzuyaze guhindura gahunda zawe zo gukora urugendo niba bibaye ngombwa. Ni byiza kuruhuka no gukira neza kuruta gukomeza kandi ukaba watuma ibimenyetso bikomeza cyangwa ukagira ibibazo.

Wategura gute uruzinduko kwa muganga?

Niba ukeneye kubona muganga kubera impiswi y’abagenzi, haba mu rugendo cyangwa umaze gutaha, kwitegura bishobora kugufasha guhabwa ubufasha bukwiye. Kwitegura neza kandi bituma umuganga wawe afata ibyemezo byiza ku bipimo no ku kuvura.

Komeza inyandiko icukumbuye y’ibimenyetso byawe, harimo igihe byatangiye, umubare w’amatungo y’umwijima wari ufite buri munsi, nibindi bimenyetso bifitanye isano nka firi, isesemi, cyangwa ububabare bw’inda. Andika niba wabonye amaraso cyangwa umusemburo mu matungo yawe, kuko ayo makuru akomeye mu gupima no mu gufata ibyemezo byo kuvura.

Andika amateka yawe y’ingendo neza. Muganga wawe azashaka kumenya aho wagiye, igihe wari umaze, ubwoko bw’aho wari uba, nibyo waronkeye n’ibyo waranywe. Jya ugaragaza neza ibyago byose, nka ibiryo byo mu muhanda, amazi yo mu muyoboro, cyangwa koga mu biyaga cyangwa mu migezi.

Zana urutonde rw’imiti yose umaze kugerageza, harimo n’imiti igurishwa mu maduka nta kwa muganga, kandi bandika niba yagufashije cyangwa yaguteye ingaruka mbi. Nanone andika imiti yose ufashe ubu yatanzwe na muganga, kuko imiti imwe ishobora guhangana n’ubuvuzi bw’uburwayi bw’umwijima bw’abagenzi.

Tegura ibibazo ushaka kubabaza umuganga wawe:

• Mbikeneye gupimwa kugira ngo bamenye icyateye iyi ndwara?
• Ngafasha imiti igabanya ubukana bw’indwara, kandi niba ari byo, ni iyihe ikwiranye n’umubiri wanjye?
• Ngahe igihe niteze ko ibimenyetso bizamara?
• Ni ibihe bimenyetso by’umubabaro bigomba gutuma nshaka ubuvuzi bw’ihutirwa?
• Ni ryari bizaba byiza gusubira mu mirimo yanjye isanzwe no kurya nk’uko bisanzwe?
• Ngafasha gupimwa nyuma y’igihe?

Niba uri kubonana na muganga mu gihe uri mu rugendo, shakisha mbere y’igihe ibigo by’ubuvuzi byizewe. Amahoteli menshi ashobora kugutangaza abaganga bavuga icyongereza, kandi ibigo by’ubwishingizi bw’ingendo bikunze kugira umurongo w’ubufasha bwa saa 24 kugira ngo bifashe kubona ubuvuzi bukwiye.

Tegura icyitegererezo cy’umwanda niba muganga yawe yarabisabye, ukurikiza amabwiriza ye yihariye yo gukusanya no kubika. Ibi bishobora gufasha kwihutisha igikorwa cyo gupima no guha ubuvuzi bukwiye.

Ni iki gikuru wakuramo ku burwayi bw’umwijima bw’abagenzi?

Uburwayi bw’umwijima bw’abagenzi ni uburwayi busanzwe cyane ariko busanzwe bukavurwa, bukorera abagenzi benshi buri mwaka. Nubwo budashimishije kandi budakwiye, ingaruka nyinshi ni ntoya, zikira zinyuze mu minsi mike, kandi ntiziteza ibibazo by’ubuzima biramba.

Ikintu cy’ingenzi cyane ushobora gukora ni ukwita ku gukumira binyuze mu guhitamo neza ibyo kurya n’amazi. Ingamba zoroshye nko kunywa amazi afunze, kurya ibiryo bishyushye, bitetse vuba, no kugira isuku myiza y’intoki bishobora kugabanya cyane ibyago byo kurwara mu gihe uri mu rugendo.

Niba ugize ibimenyetso, ibuka ko kuba ufite amazi ahagije mu mubiri ari cyo kintu cya mbere ukwiye kwitaho. Umuti w’ibanze kuri iyi ndwara ni kuruhuka, kunywa amazi menshi, no kwitabwaho neza. Ntukareke ubwoba bw’igifu kibabaza abagenzi kukubuza kwiga isi, ahubwo jya ugenda ufite ubumenyi n’ibikoresho bikenewe.

Menya igihe ukwiye gushaka ubufasha bw’abaganga, cyane cyane niba ufite umuriro, amaraso mu ntege, ibimenyetso by’ibura ry’amazi mu mubiri, cyangwa ibimenyetso bitakira nyuma y’iminsi mike. Hamwe no gutegura neza no kwitaho, ushobora kugabanya ingaruka z’igifu kibabaza abagenzi ku rugendo rwawe kandi ugaruke kwishimira urugendo rwawe vuba bishoboka.

Ibibazo bikunze kubaho ku gifu kibabaza abagenzi

Igifu kibabaza abagenzi gishobora kumara igihe kingana iki?

Umuti w’ibanze kuri iyi ndwara ni kuruhuka, kunywa amazi menshi, no kwitabwaho neza. Abantu bagera kuri 90% barakira mu gihe cy’icyumweru kimwe. Niba ibimenyetso bikomeje kurenza iminsi 7-10, ugomba kubona umuganga kuko bishobora kugaragaza ko ufite uburwayi buterwa n’udusimba cyangwa ikindi kibazo gisaba ubundi buryo bwo kuvura.

Nshobora gufata Imodium ku gifu kibabaza abagenzi?

Imodium (loperamide) ni umuti ukunda gukoreshwa ku gifu kibabaza abagenzi, kandi ushobora kugabanya ubwiyongere bw’intege. Ariko, wirinda kuyifata niba ufite umuriro urenze 39°C cyangwa amaraso mu ntege, kuko kugabanya umuvuduko w’intege bishobora gufata bagiteri mbi mu mubiri wawe bikaba byakomeza ubwandu.

Byaba byiza kurya yaourt mfite igifu kibabaza abagenzi?

Nibyiza kwirinda ibinyampeke by’amata, harimo na yaourt, mu gihe ufite igifu kibabaza abagenzi. Ubwandu bushobora kwangiza by’agateganyo uruhu rw’amara yawe, bigatuma bigorana gukemura lactose (isukari y’amata). Ibi bishobora kongera guhitwa no kubabara mu nda. Tegereza kugeza ibimenyetso byawe bikize mbere yo kongera kurya ibinyampeke by’amata.

Ndagomba gufata antibiyotike ku gifu kibabaza abagenzi?

Ubusanzwe, imiti igwanya udukoko ntabwo ikenewe mu gihe cy’igicurane cyoroheje cy’abagenzi, kuko akenshi gikira ubwacyo. Ariko kandi, muganga wawe ashobora kwandika imiti igwanya udukoko niba ufite ibimenyetso bikaze cyangwa bikomeye, umuriro, amaraso mu ntege, cyangwa niba igicurane gikubuza gahunda zawe z’ingendo. Guhitamo biterwa n’ibimenyetso byawe n’aho ugiye.

Mbese, nshobora kwandura igicurane cy’abagenzi incuro nyinshi mu rugendo rumwe?

Yego, ushobora kwandura igicurane cy’abagenzi incuro nyinshi, ndetse no mu rugendo rumwe. Kugira ikibazo kimwe ntibikurinda izindi bakteri, virusi, cyangwa udukoko ushobora guhura na zo. Buri kintu cyanduye cyangwa amazi yanduye bigira ibyago byabyo, bityo rero ni ingenzi gukomeza kwitwararika mu bijyanye n’ibiribwa n’amazi mu rugendo rwawe rwose.