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Guhumbya mu ntoki ni ukumva urujijo cyangwa kumva nk'aho hari 'inzara n'inshinge' aho intoki zawe zumva zitagira ubushishozi ku gukora, ubushyuhe, cyangwa igitutu. Bimeze nk'igihe ukuboko kwawe 'gusinzira' nyuma yo kuryama kuri ko nabi, usibye ko bishobora kubaho kubera impamvu nyinshi zitandukanye kandi bikamara igihe gitandukanye.
Uku kumva kubaho iyo hari ikintu gihungabanya ibimenyetso bisanzwe by'imitsi hagati y'intoki zawe n'ubwonko bwawe. Nubwo bishobora gutera ubwoba, cyane cyane iyo bibaye mu buryo butunguranye, ibibazo byinshi byo guhumbya mu ntoki bifite impamvu zishobora gucungwa neza kandi zikitabira neza ubuvuzi.
Guhumbya mu ntoki bitera ibimenyetso byihariye abantu benshi basobanura nk'ukumva batandukanye n'intoki zabo. Ushobora kubona ko intoki zawe 'zasinziriye,' zirimo urujijo, cyangwa nk'aho ziziritse mu ngofero zitagaragara zica ubushishozi bwawe bwo gukora.
Kumva bishobora guhera ku rujijo ruto kugera ku gutakaza rwose kumva. Abantu bamwe barabibona nk'ubushye cyangwa urujijo, mu gihe abandi babisobanura nk'ukumva intoki zabo zabyimbye nubwo zisa neza.
Ushobora kubona ko bigoye kumva imiterere, ubushyuhe, cyangwa ndetse n'ububabare mu duce twibasiwe. Imirimo yoroshye nko gukora agashumi ku ishati, gufata ibintu bito, cyangwa kwandika bishobora kugorana kuko intoki zawe zitanga ibitekerezo bisanzwe ubwonko bwawe butegereje.
Guhumbya birashobora kugira ingaruka ku ntoki zawe gusa, ukuboko kwawe kose, cyangwa intoki zihariye bitewe n'imitsi yagizweho ingaruka. Bishobora kuza no kujya umunsi wose cyangwa bikamara amasaha cyangwa iminsi.
Guhumbya mu ntoki bibaho iyo imitsi itwara ibyiyumvo kuva mu ntoki zawe ijya mu bwonko bwawe ikandamizwa, yangirika, cyangwa irakara. Tekereza kuri iyi mitsi nk'insinga z'amashanyarazi - iyo hari ikintu kibakandagira cyangwa bagahinduka, ibimenyetso ntibigenda neza.
Ibi nibyo bintu bisanzwe bituma amaboko yawe yumva atameze neza, dutangiriye ku bibazo dusanga kenshi:
Impamvu zitakunze kubaho ariko zikaba zikomeye zirimo indwara ya arthritis, indwara ziterwa n'umubiri ubwawo, n'imiti imwe n'imwe. Nubwo ibi bibaho gake, birakwiye kubitekerezaho niba impamvu zisanzwe zitagaragara ko zikwiriye ibibazo byawe.
Kutagira ubushobozi mu maboko bishobora kugaragaza ibibazo bitandukanye, kuva ku bibazo by'igihe gito kugeza ku bibazo by'ubuzima bihoraho bisaba gukurikiranwa. Uburyo n'igihe ubwo butabazi bugaragarira akenshi bitanga ibimenyetso by'ingenzi byerekana icyo kibitera.
Muri rusange, kutagira ubushobozi mu maboko bigaragaza imitsi ikomeretse cyangwa irakaye ahantu hose kuva mu mugongo kugeza ku ntoki zawe. Indwara ya carpal tunnel iza ku isonga muri uru rutonde, cyane cyane niba ubona ko kutagira ubushobozi birushaho nijoro cyangwa bikagira ingaruka ku gikumwe cyawe, urutoki rwa mbere, n'urwa hagati cyane.
Iyo ububabare bufashe intoki zombi cyangwa buje n'ibindi bimenyetso, bishobora kwerekana indwara zifata umubiri wose. Diyabete ishobora gutera indwara y'imitsi y'amaboko n'amaguru, aho isukari nyinshi mu maraso yangiza buhoro buhoro imitsi yo mu mubiri wawe, akenshi bitangirira mu ntoki no mu birenge.
Ibibazo byo mu mugongo wo mu ijosi, nk'utubumbe twavunitse cyangwa kubyimba mu ijosi, bishobora gutera ububabare buva mu kuboko bujya mu ntoki. Ibi akenshi biza hamwe n'ububabare mu ijosi cyangwa gukakara, kandi ububabare bushobora kwiyongera iyo umutwe uri mu mwanya runaka.
Mu buryo butajegajega, ububabare mu ntoki bushobora kuba ikimenyetso cya mbere cy'indwara ziterwa n'umubiri w'umuntu, nk'indwara ya multiple sclerosis cyangwa rheumatoid arthritis. Kubura vitamine B12, indwara zifata imisemburo ya thyroïde, n'imiti imwe n'imwe bishobora gutera ububabare buhoraho mu ntoki zawe.
Mu bihe bidasanzwe, ububabare mu ntoki bushobora kwerekana indwara zikomeye nk'umutsi w'ubwonko, cyane cyane niba bije mu buryo butunguranye hamwe n'intege nke, urujijo, cyangwa kugorana kuvuga. Ibibazo by'umutima na byo rimwe na rimwe bishobora gutera ububabare, cyane cyane niba bijyana n'ububabare mu gituza cyangwa guhumeka bigoranye.
Yego, ibibazo byinshi by'ububabare mu ntoki birashira bwonyine, cyane cyane iyo biterwa n'ibintu by'igihe gito nk'uko gusinzira uri mu mwanya utari mwiza cyangwa kwicara mu buryo butari bwiza. Ubu bwoko bw'ububabare akenshi burushaho gukira mu minota mike kugeza ku masaha iyo uhinduye umwanya wawe kandi ugasubiza amaraso mu buryo busanzwe.
Ibibazo byoroheje bifitanye isano n'ibikorwa bisubiramo akenshi birakira iyo uruhutse kandi ukirinda igikorwa gitera ubwo bubabare mu minsi mike. Imitsi yawe ikeneye igihe cyo koroherwa n'uburakari, nk'uko umutsi ukeneye kuruhuka nyuma yo gukoreshwa cyane.
Ariko, ububabare bumara iminsi irenga mike cyangwa bukomeza kugaruka akenshi ntibuzashira hatavuzwe icyateye. Indwara nka carpal tunnel syndrome cyangwa kwangirika kw'imitsi bifitanye isano na diyabete akenshi bisaba kuvurwa kugira ngo birinde kwiyongera.
Ikintu cy'ingenzi ni ukwitondera uko ibintu bikurikirana. Niba ububabare bwawe buza rimwe na rimwe kandi bufitanye isano n'ibikorwa cyangwa imyanya runaka, birashoboka cyane ko buzagenda neza n'impinduka zoroheje. Ariko ububabare buhoraho cyangwa bukomeza gukomera bukwiye kwitabwaho na muganga kugira ngo birinde ingaruka zishobora kuvuka.
Uburyo bwinshi bwo mu rugo bworoshye bushobora gufasha koroshya ububabare bwo mu ntoki, cyane cyane iyo bufitanye isano no kwishyira mu mwanya runaka, guhagarika imitsi yoroheje, cyangwa ibibazo by'igihe gito byo gutembera kw'amaraso. Ubu buryo bukora neza ku bubabare bworoshye, buza rimwe na rimwe aho kuba ibimenyetso bihoraho.
Tangira no guhindura imyanya yoroheje no kwimuka gahoro kugira ngo wongere imikorere isanzwe y'imitsi n'imitsi itwara amaraso:
Izi ntambwe zoroheje akenshi zitanga ubufasha mu minota 15-30 ku bubabare bufitanye isano n'imyanya. Ku bimenyetso bikomeza kugaruka, kugira imyifatire myiza no gufata akaruhuko ko kwimuka buri gihe umunsi wose bishobora kwirinda ibibazo bizaza.
Wibuke ko kuvura mu rugo bikora neza ku bubabare bworoshye, bw'igihe gito. Niba ibimenyetso byawe bikomeza, bikiyongera, cyangwa bikabangamira ibikorwa bya buri munsi, ni igihe cyo gushaka ubufasha bw'ubuvuzi bw'umwuga.
Ubuvuzi bw'uburwayi bwo gucika intege kw'intoki buterwa n'icyateye ikibazo, ariko abaganga bafite uburyo bwinshi bufasha kugarura imyumvire isanzwe no kwirinda ingaruka. Intego ni ukurwanya icyateye ikibazo aho guhisha gusa ibimenyetso.
Ku bibazo byo guhagarika imitsi nk'indwara ya carpal tunnel, muganga wawe ashobora gutangira n'ubuvuzi busanzwe. Ibi bikubiyemo gukoresha ibikoresho byo ku kuboko byambarwa nijoro, imiti irwanya ububyimbirizi, cyangwa inshinge za corticosteroid kugirango zigabanye ububyimbirizi buzunguruka imitsi yahagaze.
Iyo ubuvuzi busanzwe butagize icyo butanga, imikorere mito ya kiganga irashobora koroshya umuvuduko ku mitsi yahagaze. Urugero, kubaga carpal tunnel, ni uburyo busanzwe bukorerwa abarwayi bava mu bitaro bushobora gutanga imbaraga zirambye ku bantu benshi.
Ku bibazo by'uburwayi bwose butera gucika intege, ubuvuzi bwibanda ku gucunga indwara yateye ikibazo. Gucunga diyabete binyuze mu kugenzura isukari mu maraso, ibiyobyabwenge bya vitamine B12 kubera kubura, cyangwa gusimbuza imisemburo ya thyroïde byose bishobora gufasha kunoza imikorere y'imitsi uko igihe kigenda.
Ubuvuzi bwo gukora imyitozo ngororamubiri bifite uruhare runini muri gahunda nyinshi z'ubuvuzi. Abavura bashobora kukwigisha imyitozo yo kunoza imikorere y'imitsi, gukomeza imitsi ishyigikira, no guhindura ibikorwa bishobora gutuma ugira ibimenyetso.
Mu bihe bimwe na bimwe, abaganga bashobora kwandika imiti yihariye yo kurwanya ububabare bw'imitsi, nka gabapentine cyangwa pregabaline. Izi zishobora gufasha kugabanya ibyiyumvo bitari byiza mugihe imitsi yawe ikira cyangwa ikimenyereza ku bibazo bikomeje.
Ukwiriye kubona umuganga niba gucika intege kw'intoki zawe bikomeza mu minsi mike, bikagaruka kenshi, cyangwa bikabangamira ibikorwa byawe bya buri munsi. Isuzuma rya mbere rya muganga rishobora kwirinda ibibazo bito guhinduka ingaruka zikomeye.
Shaka ubufasha bwa muganga ako kanya niba ufite ibi bimenyetso bikomeye hamwe no gucika intege kw'intoki:
Ibi bimenyetso bishobora kwerekana ibibazo bikomeye bisaba ubuvuzi bwihutirwa. Ntukigere niba urimo guhura n'ibimenyetso byinshi bibangamiye icyarimwe.
Gera ubuvuzi bwihutirwa niba ububabare bwo mu ntoki buje n'ububabare mu gituza, kugorana guhumeka, urujijo, intege nke zidakunze ku ruhande rumwe rw'umubiri wawe, cyangwa kugorana kuvuga. Ibi bishobora kuba ibimenyetso byo gufatwa n'umutima cyangwa umutsi wo mu bwonko.
Ibintu byinshi bishobora kongera amahirwe yawe yo guhura n'ububabare mu ntoki, bimwe muri byo bikaba biri mu maboko yawe n'ibindi bifitanye isano n'imiterere yawe cyangwa amateka yawe y'ubuvuzi. Kumva ibi bintu bigira uruhare bishobora kugufasha gufata ingamba zo kwirinda aho bishoboka.
Imyaka ni kimwe mu bintu bigira uruhare rukomeye, kuko imitsi yacu n'ibiyikikije bihinduka uko igihe kigenda. Abantu barengeje imyaka 50 bafite amahirwe menshi yo guhura n'ibibazo nka carpal tunnel syndrome, arthritis, n'ibibazo by'imitsi bifitanye isano na diyabete.
Umwuga wawe n'ibikorwa byawe bya buri munsi bigira uruhare runini mu rwego rwawe rw'ibibazo. Imirimo cyangwa ibikorwa byawe bya buri munsi bikubiyemo imirimo yo mu ntoki isubiramo, ibikoresho binyeganyeza, cyangwa gufata ibintu igihe kirekire bishyira igitutu cyinshi ku mitsi yo mu ntoki zawe n'ibitugu.
Dore ibintu by'ingenzi bigira uruhare bishobora kongera amahirwe yawe yo guhura n'ububabare mu ntoki:
Nubwo udashobora guhindura ibintu nk'imyaka cyangwa imiterere ya genetike, urashobora guhindura ibyago byinshi bifitanye isano n'imibereho. Gufata akaruhuko kenshi ku bikorwa bisubiramo, kugira imyitwarire myiza, no gucunga indwara zidakira nka diyabete bishobora kugabanya cyane ibyago byawe.
Gucika intege mu ntoki bitavuwe bishobora gutera ingaruka nyinshi zigira ingaruka ku buzima bwawe bwa buri munsi no ku mikorere y'intoki muri rusange. Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa hamwe no gusuzuma neza no kuvura.
Ingaruka zisanzwe ni ugutakaza buhoro buhoro imikorere y'intoki n'ubuhanga. Iyo udashobora kumva intoki zawe neza, birashoboka cyane ko uzareka ibintu, ugahura n'ingorane mu mirimo myiza, cyangwa ukwibeshya ukikomeretsa utabizi.
Ukwangirika kw'imitsi burundu ni ikibazo gikomeye niba indwara ziri inyuma zitavuwe igihe kirekire. Imitsi yakandagiwe irashobora kwangirika itagaruka, bigatuma gucika intege, intege nke, cyangwa kuribwa bidahinduka nubwo uvurwa.
Dore ingaruka nyamukuru zishobora guterwa no gucika intege mu ntoki:
Ibi bibazo bikura buhoro buhoro, niyo mpamvu gufata ingamba hakiri kare ari ngombwa cyane. Abantu benshi bashobora kwirinda ibibazo bikomeye binyuze mu gushaka ubuvuzi igihe ibimenyetso bitangiye kugaragara no gukurikiza inama z'abaganga babo.
Mu bihe bidasanzwe, ibibazo bikomeye bishobora gusaba ubuvuzi bukomeye, harimo kubagwa cyangwa kuvugurura ubuzima igihe kirekire. Iyi ni indi mpamvu yo gukemura ubuzima bwo mu ntoki vuba na bwangu buri gihe ni uburyo bwiza.
Ubuzima bwo mu ntoki rimwe na rimwe bushobora kwitiranywa n'izindi ndwara zitera ibyiyumvo bisa, niyo mpamvu kubona icyemezo gikwiye ari ngombwa. Ibimenyetso akenshi birahurirana, ariko gusobanukirwa itandukaniro birashobora kugufasha na muganga wawe kumenya icyateye.
Kutagira amaraso ahagije ni cyane cyane indwara isanzwe yitiranywa n'ubuzima bujyanye n'imitsi. Byombi birashobora gutuma intoki zawe zikunda kumva "zisinziriye" cyangwa zifite ububabare, ariko ibibazo by'amaraso mubisanzwe bikosoka vuba iyo wimuka kandi bishobora guherekezwa n'imihindagurikire y'amabara y'uruhu rwawe.
Urubabare rwa Arutiritisi rushobora kandi kumva rusa n'ubuzima, cyane cyane mu ntangiriro. Ariko, arutiritisi mubisanzwe itera urubabare rugaragara rw'ingingo no gukakara, mugihe ubuzima buturutse ku bibazo by'imitsi akenshi buza hamwe n'ububabare buke bw'ingingo.
Izindi ndwara nyinshi zirashobora kwigana ububabare bwo mu ntoki kandi bigatuma umuntu avurwa nabi:
Itandukaniro rikomeye akenshi riri mu gihe, ibitera, n'ibimenyetso bijyana nabyo. Ububabare nyabwo bujyana n'imitsi bukunda kuramba kandi bugakurikiza uburyo bwihariye bushingiye ku mitsi yagizweho ingaruka.
Ibi nibyo bituma isuzuma ry'ubuvuzi ryimbitse rifite agaciro iyo ufite ububabare burambye mu ntoki. Muganga wawe ashobora gukora ibizamini byihariye kugirango atandukanye izi mpamvu zitandukanye kandi yemeze ko ubona ubuvuzi bukwiye.
Ububabare bwo mu ntoki rimwe na rimwe nijoro ni ibisanzwe kandi akenshi bibaho iyo uryamye mu mwanya ukanda imitsi cyangwa ugabanya amaraso mu ntoki zawe. Ibi akenshi bikemuka vuba umaze guhindura umwanya wawe kandi ugakora mu ntoki zawe.
Ariko, ububabare bwo nijoro bukabije, cyane cyane niba bukangura buri gihe, bushobora kwerekana indwara ya carpal tunnel cyangwa indi ndwara ikeneye ubuvuzi. Umitsi yo hagati mu kaboko kawe irashobora gukandamizwa byoroshye iyo imitsi yawe yunamye mugihe uryamye.
Yego, umunabi n'umujinya bishobora gutera ububabare mu ntoki, nubwo akenshi biba by'agateganyo kandi bifitanye isano n'imihindagurikire yo guhumeka cyangwa imitsi y'umubiri. Iyo ufite umunabi, ushobora guhumeka vuba cyangwa ugashyira umuvuduko mu bitugu n'ijosi, ibyo bishobora kugira ingaruka ku mikorere y'imitsi.
Ububabare buterwa n'umunabi akenshi buza n'ibindi bimenyetso nk'umutima utera vuba, ibyuya, cyangwa kumva ko uhumeka nabi. Akenshi biragenda neza iyo uruhutse kandi ugasubira mu buryo busanzwe bwo guhumeka.
Oya, ibibazo byinshi by'ububabare mu ntoki bishobora kuvurwa hatabayeho kubagwa. Ubuvuzi busanzwe nk'ugushyiraho ibikoresho, kuvura imitsi, imiti, no guhindura imibereho akenshi bigira akamaro, cyane cyane iyo bitangiye hakiri kare.
Kubagwa akenshi bikoreshwa mu bibazo bikomeye bititabira ubundi buvuzi cyangwa iyo hariho ibyago byo kwangiza imitsi burundu. Muganga wawe azagerageza uburyo butavuna mbere na mbere.
Yego, kubura vitamine zimwe na zimwe bishobora gutera ububabare mu ntoki, kubura vitamine B12 ikaba ari yo itera ibibazo cyane. B12 ni ingenzi kugira ngo imitsi ikore neza, kandi kubura vitamine bishobora gutera ububabare no kuribwa mu ntoki no mu birenge.
Izindi vitamine nka B6, folate, na vitamine D nazo zishobora kugira ingaruka ku buzima bw'imitsi iyo zibaye nkeya. Isuzuma ry'amaraso ryoroshye rishobora kureba urwego rwa vitamine yawe, kandi imiti yongerera imbaraga akenshi ishobora gukemura ububabare niba ari yo itera ikibazo.
Igihe ububabare mu ntoki bumara biterwa n'icyateye ikibazo. Ububabare buterwa n'uko umuntu yicaye akenshi buvaho mu minota cyangwa amasaha, mu gihe ububabare buterwa n'indwara nka carpal tunnel syndrome bushobora kumara igihe kugeza igihe ikibazo kivuriwe neza.
Impamvu z'agateganyo nk'uko gusinzira uri mu mwanya utari mwiza zikemuka vuba, ariko indwara zidakira zishobora gutera ububabare burambye busaba ubuvuzi. Kuvurwa hakiri kare muri rusange bitanga umusaruro mwiza n'igihe gito cyo gukira.