Created at:1/13/2025
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Kwimura impyiko n'umwijima hamwe no guhindura ururenda rw'igifu (BPD-DS) ni uburyo bwo kubaga bugamije kugabanya ibiro bukoresha uburyo bubiri bukomeye kugira ngo bugufashe gutakaza ibiro. Ubu buryo bugabanya ingano y'igifu cyawe kandi bugahindura uburyo umubiri wawe wakira intungamubiri ziva mu biryo.
Tekereza kuri BPD-DS nk'igisubizo kigizwe n'ibice bibiri. Umuganga wawe abaga agace gato k'igifu, kugira ngo wumve uhaze vuba. Hanyuma bakimura amara yawe kugira ngo bagabanye umubare w'ingufu n'intungamubiri umubiri wawe ushobora kwakira. Ubu buryo bubiri butuma BPD-DS iba ubwoko bumwe bwo kubaga bukora cyane mu kugabanya ibiro buboneka, nubwo busaba kwiyemeza ubuzima bwose kwita ku mirire.
BPD-DS ni uburyo bugoye bwo kubaga bugabanya ibiro buhindura burundu ingano y'igifu cyawe n'imikorere y'igogora. Muri ubu buryo, umuganga wawe abaga akuraho hafi 80% by'igifu cyawe, agakora agace kameze nk'umuyoboro gafata ibiryo bike cyane.
Igice cya kabiri kirimo kwimura amara mato yawe. Umuganga wawe abaga agabanya ururenda rw'igifu (igice cya mbere cy'amara mato yawe) akaruha ku gice cyo hasi cy'amara mato yawe. Ibi bikora inzira ebyiri zitandukanye - imwe y'ibiryo n'indi y'umushongi ugogora uva mu mwijima wawe n'urwagashya.
Izi nzira ntizihurira kugeza ku ntera ya santimetero 100 za nyuma z'amara mato yawe. Ibi bivuze ko umubiri wawe ufite umwanya muto cyane wo kwakira ingufu, ibinure, n'intungamubiri zimwe na zimwe ziva mu biryo urya. Ibyo bitanga ni ukugabanya ibiro cyane, ariko bisaba kandi gukurikiranira hafi uko uhagaze mu bijyanye n'imirire ubuzima bwawe bwose.
BPD-DS isanzwe iteganywa ku bantu bafite umubyibuho ukabije bananiwe kugabanya ibiro binyuze mu mirire, imyitozo ngororamubiri, n'ubundi buryo. Umuganga wawe ashobora gutanga ubu buryo bwo kubaga niba BMI yawe ari 40 cyangwa hejuru, cyangwa niba ari 35 cyangwa hejuru hamwe n'ibibazo bikomeye by'ubuzima bifitanye isano n'umubyibuho ukabije.
Ubu buryo bufasha cyane abantu bafite diyabete yo mu bwoko bwa 2, kuko bushobora kunoza cyane imicungire y’isukari mu maraso. Abenshi mu barwayi babona diyabete yabo itera imbere cyangwa se igakira burundu nyuma yo kubagwa. BPD-DS nanone ivura neza umuvuduko ukabije w’amaraso, guhagarara guhumeka mu gihe usinziriye, n’ibindi bibazo bifitanye isano n’umubyibuho ukabije.
Ariko kandi, BPD-DS si yo mahitamo ya mbere kuri buri wese. Itsinda ry’abaganga bawe rizasuzuma neza niba ukwiriye gukorerwa ubu buryo hashingiwe ku buzima bwawe muri rusange, ubushobozi bwo kwiyemeza guhindura imirire yawe ubuzima bwawe bwose, n’ubushake bwo gufata ibinini by’inyongera buri munsi. Ubu buryo busaba kwitabwaho cyane kurusha ubundi buryo bwo kubaga bugabanya ibiro.
BPD-DS ikunze gukorwa hakoreshejwe uburyo bwo kubaga hifashishijwe ibikoresho bito (laparoscopic), nubwo hari ubwo bisaba kubaga bisanzwe. Ubu buryo busanzwe bumara amasaha 3 kugeza kuri 4 kandi bukorerwa mu bitaro ukoresheje imiti itera ibitotsi kugira ngo usinzire neza.
Umuganga wawe abanza guca udutsemba duto twinshi ku nda yawe, buri kamwe gafite uburebure bwa santimetero imwe n’igice. Bashyiramo camera nto cyane n’ibikoresho byabugenewe byo kubaga muri utwo dutsemba. Intambwe ya mbere irimo gukuraho hafi 80% by’igifu cyawe ku ruhande runini, bagasiga agafu kameze nk’umuneke gashobora gukwirwamo ibiryo bingana na onsi 4.
Hakurikiraho guhindura inzira y’amara, ari na yo gice kigoye cyane cyo kubaga. Umuganga wawe atandukanya neza ururenda rwegereye igifu cyawe maze agahuza impera yo hasi n’igice cy’amara mato hafi ya santimetero 250 uvuye ku mara manini yawe. Igice cyo hejuru cy’ururenda gisigara gifatanye n’umwijima wawe na pancreas, bigakora inzira itandukanye y’amatembabuzi afasha igogora.
Hanyuma, umuganga wawe abaga akora ihuza hagati y'inzira zombi hafi ya santimetero 100 mbere y'igifu kinini cyawe. Iyi nzira ngufi isanzwe niho ibiryo bivangwa n'umushongi ngogora, bigatuma intungamubiri zimwe zinjira mu mubiri. Umuganga abaga ahita afunga aho yaciye akoresheje kole yabugenewe cyangwa udushumi duto.
Kugitegura kubagwa BPD-DS bitangira ibyumweru byinshi mbere y'itariki yo kubagwa. Itsinda ry'abaganga bawe rizakuyobora mu nzira yo gusuzuma byimbitse kugira ngo barebe niba witeguye iki gikorwa gikomeye.
Ushobora gukenera gukurikiza indyo yihariye mbere yo kubagwa mu gihe cy'ibyumweru 1-2 mbere yo kubagwa. Ibi bikunze gukubiyemo kurya ibiryo birimo poroteyine nyinshi, ibinyabiziga bike, no kwirinda ibiryo n'ibinyobwa birimo isukari nyinshi. Abantu bamwe bagomba gutakaza ibiro byinshi mbere yo kubagwa kugira ngo bagabanye ibyago byo kubagwa no kugabanya umwijima, bigatuma igikorwa kiba cyiza.
Ukwitegura kwawe kandi kuzakubiyemo guhagarika imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso, nko kugabanya amaraso, aspirine, n'imiti imwe n'imwe irwanya ububare. Umuganga wawe azatanga urutonde rwuzuye rw'imiti yo kwirinda kandi ashobora gutanga ubundi buryo niba bikenewe. Ukeneye kandi guhagarika itabi burundu, kuko kunywa itabi byongera cyane ibyago byo kugira ibibazo kandi bikagabanya gukira.
Mu ijoro ryabanje kubagwa, ugomba kwiyiriza ubusa rwose - ntugire icyo urya cyangwa unywa nyuma ya saa sita z'ijoro. Teganya ko hari umuntu ukujyana no kugukura ku bitaro, kuko utazashobora gutwara imodoka mu minsi myinshi nyuma yo kubagwa. Menya neza ko urugo rwawe rufite ibiryo n'inyongera intungamubiri umuhanga mu by'imirire yawe agutegeka nyuma yo kubagwa.
Intsinzi nyuma ya BPD-DS ipimwa mu buryo bwinshi, kandi ibisubizo byawe bizagaragara mu mezi n'imyaka aho kuba ibyumweru. Gutakaza ibiro ni byo bikunze kugaragara cyane, aho abantu benshi batakaza 70-80% by'ibiro byabo birenze mu myaka ibiri ya mbere nyuma yo kubagwa.
Itsinda ry’abaganga bawe rizagenzura iterambere ryawe binyuze mu bipimo by’amaraso bihoraho bigenzura uko uhagaze mu bijyanye n’imirire. Ibyo bipimo bigenzura urugero rw’intungamubiri, imyunyu ngugu na poroteyine kugira ngo umubiri wawe ubone ibyo ukeneye nubwo utabasha kwinjiza intungamubiri nyinshi. Ibyo bipimo bikunze gukorwa harimo icy’intungamubiri ya B12, icy’ubutare, kalisiyumu, intungamubiri ya D, n’urugero rwa poroteyine.
Uzanabona kandi ko ibibazo by’ubuzima bifitanye isano n’umubyibuho ukabije bigenda byorohera vuba. Abantu benshi barabona ko isukari yo mu maraso igenda neza mu minsi mike cyangwa ibyumweru nyuma yo kubagwa. Umuvuduko ukabije w’amaraso, guhagarara guhumeka mu gihe usinziriye, n’ububabare bw’imitsi bikunze koroha cyane uko ugenda utakariza ibiro. Umuganga wawe azagenzura izo mpinduka binyuze mu gusuzuma bihoraho kandi ashobora guhindura imiti nk’uko bikenewe.
Kugira ngo ugere ku ntsinzi irambye biterwa n’uburyo wiyemeje guhindura imibereho bisabwa nyuma ya BPD-DS. Ibyo bikubiyemo kurya ibyokurya bike kandi bikungahaye kuri poroteyine, gufata ibinini by’inyongera buri munsi, no kwitabira gahunda zo gukurikiranwa bihoraho. Abantu bakurikiza ayo mabwiriza bakunze kugumana ibiro byabo no kugira ubuzima bwiza mu gihe cy’imyaka myinshi.
Kwita ku mirire yawe nyuma ya BPD-DS bisaba kwiyemeza ubuzima bwawe bwose no kwita ku byo urya n’ibyo wiyongerera. Uburyo bwawe bushya bw’igogora ntibubasha kwinjiza intungamubiri nyinshi, bityo uzakenera kwita kuri buri kantu kose urya no gufata za vitamini n’imyunyu ngugu buri munsi.
Imirire yawe izagenda ihinduka mu byiciro bitandukanye mu mezi ya mbere nyuma yo kubagwa. Mu ntangiriro, uzanywa amazi meza gusa, hanyuma buhoro buhoro ujye urya ibintu byatondaguwe, ibintu byoroshye, hanyuma amaherezo ujye urya ibintu bisanzwe. Uko guterana guterana bikunze gufata ibyumweru 8-12 kandi bigafasha igifu cyawe gukira neza.
Umaze kugera ku cyiciro cyo kurya ibintu bisanzwe, uzibanda ahanini ku kurya ibyokurya bikungahaye kuri poroteyine mbere na mbere muri buri funguro. Gerageza kurya garama 80-100 za poroteyine buri munsi ukomora ku bintu nk’inyama zitagira ibinure byinshi, amafi, amagi, n’ibikomoka ku mata. Kubera ko igifu cyawe ari gito cyane, uzajya urya ibyokurya bike 6-8 mu gihe cy’umunsi aho kurya ibyokurya binini bitatu.
Inyongera za buri munsi ni ngombwa cyane nyuma ya BPD-DS. Uburyo bwawe busanzwe buzashobora gukubiyemo za multivitamines zikomeye, calcium hamwe na vitamine D, icyuma, vitamine B12, na za vitamines zishonga mu binure (A, D, E, K). Itsinda ryawe ry’ubuzima rizahindura izi nyongera hashingiwe ku bisubizo by’ibizamini byawe by’amaraso kugira ngo birinde ubukene bwazo.
BPD-DS itanga bimwe mu bisubizo bikomeye kandi birambye byo gutakaza ibiro kurusha ubundi buryo ubwo ari bwo bwose bwo kubaga abarwayi babyibushye. Abarwayi benshi batakaza 70-80% by'ibiro byabo birenze kandi bakabigumana igihe kirekire iyo bakurikije impinduka z'imibereho iteganyijwe.
Ubu buryo bugira ingaruka cyane mu gukemura diyabete yo mu bwoko bwa 2, hamwe n’ubushakashatsi bwerekana ko impuzandengo yo gukira ari 90% cyangwa hejuru. Abarwayi benshi bashobora kugabanya cyangwa bagahagarika burundu imiti yabo ya diyabete mu mezi make nyuma yo kubagwa. Iri terambere rya diyabete rikunda kubaho mbere yo gutakaza ibiro bikabije, bikerekana ko ubu buryo buhindura uburyo umubiri wawe utunganya isukari.
Bitandukanye n’ubundi buryo bwo kubaga bugabanya ibiro, BPD-DS igufasha kurya ibiryo bingana n’ibisanzwe umaze gukira. Nubwo ugomba kurya ibintu bike ugereranije na mbere yo kubagwa, ntuzumva ubangamiwe nk’uko byagenda ku buryo bugabanya gusa. Ibi bishobora gutuma indyo yoroha gukurikira igihe kirekire.
Ubu buryo kandi buvura neza izindi ndwara zifitanye isano no kubyibuha. Umuvuduko ukabije w'amaraso, guhagarara guhumeka mu gihe usinziriye, cholesterol nyinshi, n'ububabare bw'ingingo bikunze kwiyongera cyane cyangwa bigakira burundu. Abarwayi benshi basanga bafite imbaraga nyinshi, kugenda neza, n'ubuzima bwiza nyuma yo gutakaza ibiro.
BPD-DS ni uburyo bwo kubaga bugoye bufite ibyago byo kubagwa ako kanya n'ibibazo bya kure ugomba gusobanukirwa mbere yo gufata umwanzuro. Nubwo ibibazo bikomeye bidakunze kubaho, ubukana bw'ubu buryo busobanura ko ibyago biri hejuru kurusha uburyo bwo kubaga bworoshye bugabanya ibiro.
Ingaruka zihita z’ubuvuzi zirimo kuva amaraso, kwandura, n’ibibazo by’ububabare bishobora kubaho mu kubagwa gukomeye. By’umwihariko kuri BPD-DS, hariho ibyago byo guturika aho umuganga abaga akora isano nshya mu ngingo ngogozi. Uku guturika gushobora gukomera kandi bikaba bisaba kubagwa byongeye kugira ngo bikosorwe.
Ingaruka z’igihe kirekire ahanini zifitanye isano n’impinduka zikomeye mu buryo umubiri wawe wakira intungamubiri. Dore ibibazo bikuru ukwiye kumenya:
Izi ngaruka ahanini zirashobora kwirindwa binyuze mu mirire myiza, ibinini, no gukurikiranwa n’abaganga buri gihe. Ariko, bisaba kwitwararika ubuzima bwawe ubuzima bwawe bwose no kubyiyemeza.
BPD-DS isanzwe iteganyirizwa abantu bafite umubyibuho ukabije bujuje ibisabwa byihariye by’ubuvuzi kandi bakagaragaza ubushake bwo guhindura imibereho yabo burundu. BMI yawe ikwiye kuba 40 cyangwa irenga, cyangwa 35 cyangwa irenga ufite ibibazo bikomeye by’ubuzima bifitanye isano n’umubyibuho ukabije nka diyabete cyangwa umuvuduko ukabije w’amaraso.
Abantu bemererwa kubagwa ni abantu baba baragerageje uburyo bwo kunanuka butagira ingaruka zirambye. Ukwiye kuba ufite ubuzima buzira umuze ku buryo wakwemererwa kubagwa gukomeye kandi ukaba witeguye mu mutwe guhindura imibereho yawe cyane nyuma yo kubagwa. Ibi bikubiyemo kuba witeguye gufata ibinini buri munsi, kujya mu nama zo gukurikiranwa buri gihe, no guhindura burundu imirire yawe.
Itsinda ry'abaganga bawe rizanareba imyaka yawe, aho abaganga benshi bakunda abantu bari hagati y'imyaka 18 na 65. Ariko kandi, imyaka yonyine ntibyakubuza kubagwa niba ubuzima bwawe bumeze neza. Ugomba kugaragaza ko usobanukiwe ingaruka n'ibyiza byo kubagwa kandi ufite ibyiringiro bifatika ku bizava mu kubagwa.
Hari ibintu bimwe na bimwe bishobora gutuma udakwiriye kubagwa BPD-DS. Ibyo birimo gukoresha ibiyobyabwenge, indwara zo mu mutwe zitavuwe, indwara zimwe na zimwe zituma kubagwa biteje akaga cyane, cyangwa kunanirwa kwiyemeza gukurikiranwa nyuma yo kubagwa nk'uko bisabwa. Umuganga wawe azasuzuma neza uko ubuzima bwawe buhagaze.
Gukira nyuma yo kubagwa BPD-DS bisanzwe bisaba kumarayo iminsi 2-4 mu bitaro, nubwo abantu bamwe bashobora gukenera igihe kirekire niba habayeho ibibazo. Mu gihe uri mu bitaro, itsinda ry'abaganga bawe rizagenzura uko ubabara, bagufashe gutangira kugenda, no gutangira kuguha ibinyobwa bisukuye.
Ibyumweru bike bya mbere uri mu rugo byibanda ku gukira no kumenyera imikorere mishya y'igogora ryawe. Uzakurikiza gahunda ihamye yo kunywa ibintu by'amazi gusa mbere na mbere, hanyuma buhoro buhoro ujye ku biryo byoroshye mu gihe cy'ibyumweru 6-8. Ubusanzwe ububabare burashobora gucungwa n'imiti wandikiwe, kandi abantu benshi bashobora gusubira mu bikorwa byoroheje mu gihe cy'icyumweru.
Gukira byuzuye bifata amezi menshi, aho abantu benshi bashobora gusubira mu bikorwa bisanzwe nyuma y'ibyumweru 6-8. Uzajya uba ufite gahunda yo gukurikiranwa kugira ngo barebe uko uri gukira, bahindure imirire yawe, kandi bagenzure uko uhagaze mu bijyanye n'imirire myiza bakoresheje ibizamini by'amaraso. Izo gahunda ni ingenzi cyane kugira ngo bamenye ibibazo byose hakiri kare.
Kumenyera ibintu mu buryo bw'amarangamutima bishobora kuba ingenzi nk'uko gukira umubiri ari ingenzi. Abantu benshi bahura n'impinduka zihuse mu buryo babanye n'ibiryo no mu isura y'umubiri wabo. Amatsinda yo gufashanya, ubujyanama, no gukomeza guhuza n'itsinda ry'abaganga bawe bishobora kugufasha guhangana n'izo mpinduka neza.
Ubusanzwe BPD-DS itera kugabanyuka gukabije kw'ibiro kurusha ubundi buryo bwose bwo kubaga bugamije kugabanya ibiro, aho abenshi mu barwayi bagabanya 70-80% by'ibiro birenze mu myaka ibiri ya mbere. Urugero, niba uremereye ibiro 100 birenze, ushobora kwitega gutakaza ibiro 70-80.
Kugabanya ibiro bibaho byihuse mu mwaka wa mbere, aho abenshi mu barwayi bagabanya 60-70% by'ibiro byabo birenze muri iki gihe. Igipimo cyo kugabanya ibiro kiragabanuka ariko kigakomeza, aho kugabanya ibiro byinshi bikunze kugerwaho mu mezi 18-24 nyuma yo kubagwa.
Ibyo uzageraho ku giti cyawe bizaterwa n'ibintu byinshi, harimo ibiro watangiriyeho, imyaka yawe, urwego rw'imikorere yawe, n'uburyo ukurikiza inama z'imirire n'imibereho. Abarwayi bakurikiza intego zabo za poroteyine, bagafata ibyongera intungamubiri, kandi bagakora imyitozo ngororamubiri bakunze kugabanya ibiro byinshi kandi bakabibungabunga neza.
Kubungabunga ibiro mu gihe kirekire ni byiza cyane kuri BPD-DS ugereranyije n'ubundi buryo bwo kubaga bugamije kugabanya ibiro. Ubushakashatsi bwerekana ko abenshi mu barwayi babungabunga 60-70% by'ibiro byabo birenze ndetse n'imyaka 10 nyuma yo kubagwa, bibaye ngombwa ko bakomeza gukurikiza inama z'itsinda ryabo ry'ubuzima.
Kwitabwaho buri gihe ni ngombwa nyuma ya BPD-DS, kandi ntugomba na rimwe gusiba gahunda zateguwe nubwo wumva umeze neza. Itsinda ryawe ry'ubuzima rikunze gushaka kukubona nyuma y'ibyumweru 2, ibyumweru 6, amezi 3, amezi 6, hanyuma buri mwaka ubuzima bwawe bwose.
Ariko, ugomba guhita uganira na muganga wawe niba uhuye n'ibimenyetso bimwe na bimwe by'umuburo. Kubabara gukabije mu nda, kuruka gukomeza, kutabasha kunywa amazi, cyangwa ibimenyetso byo gucika intege bisaba kwitabwaho byihutirwa. Ibi bishobora kwerekana ibibazo bikomeye nko kuziba amara cyangwa guturika.
Ugomba kandi kwihutira kwivuza mu gihe ubonye ibimenyetso by’uko ufite ikibazo cy’imirire mibi, kabone niyo byaba bisa nk’aho bidakabije. Ibyo bishobora kuba umunaniro udasanzwe, gupfuka umusatsi, guhinduka k’umureba, kubura ibimenyetso cyangwa kugira ibinya mu biganza cyangwa ibirenge, cyangwa kugorwa no kwibanda ku kintu. Kwivuza hakiri kare bishobora gutuma ibyo bibazo bitaba bikomeye.
Ntugatinye kuvugana n’itsinda ry’abaganga bakwitaho niba uhanganye n’imihindagurikire y’imirire cyangwa ufite ibibazo byo mu mutwe byo kumenyera imibereho yawe mishya. Bashobora gutanga ubufasha, kohereza abajyanama, cyangwa guhindura gahunda y’ubuvuzi bwawe kugira ngo bagufashe kugera ku ntego zawe.
BPD-DS ifatwa nk’uburyo buhoraho kandi ntibyoroshye kuyisubiramo nk’ubundi buryo bwo kubaga bugabanya ibiro. Ubwo buryo bukoreshwa hakurwaho igice kinini cy’inda yawe, kidashobora gusubizwaho. Nubwo bishoboka mu buryo bwa tekiniki gusubiramo igice cyo kuyobora amara, ibyo byasaba ubundi buryo bukomeye bwo kubaga bufite ingaruka zikomeye.
Kuba BPD-DS ihoraho ni imwe mu mpamvu ituma itsinda ry’abaganga bakwitaho risuzuma neza niba witeguye gukoresha ubwo buryo. Barashaka kumenya neza ko usobanukiwe n’inshingano zihoraho zisabwa kandi ko witeguye impinduka zihoraho ku buryo bwawe bw’igogora.
Yego, ushobora kugira gutwita kuzima nyuma ya BPD-DS, ariko bisaba gutegura no gukurikiranwa neza. Abaganga benshi barasaba gutegereza byibuze amezi 18-24 nyuma yo kubagwa mbere yo kugerageza gusama, kugira ngo ibiro byawe bituze kandi umubiri wawe umenyere impinduka.
Mu gihe utwite, uzakenera kwitabwaho byihariye kugira ngo wowe n’umwana wawe mube mugaburirwa neza. Itsinda ry’abaganga bakwitaho rizagenzura byimbitse urugero rw’amavitamini n’imyunyu ngugu yawe kandi rishobora guhindura ibyongera mirire yawe. Abagore benshi bagira gutwita kwiza nyuma ya BPD-DS, nubwo uzakenera gusuzumwa kenshi kuruta abagore batigeze babagwa.
Kubagwa kwa BPD-DS bisanzwe bitwara amasaha 3-4 kugira ngo birangire, bikaba ari kimwe mu bibazo birebire byo kugabanya ibiro. Igihe nyacyo giterwa n'imiterere y'umubiri wawe, ingorane zose zishobora kuvuka mu gihe cyo kubagwa, n'ubunararibonye bw'umuganga wawe muri ubu buryo.
Ubusanzwe ubwo bubagwa bukorwa hakoreshejwe uburyo bwa laparoscopie hakoreshejwe ibikomere bito, bifasha kugabanya igihe cyo gukira nubwo uburyo bugoye. Rimwe na rimwe, umuganga wawe ashobora gukenera guhindura ububagwa busanzwe niba ahuye n'ingorane atari yiteze, bishobora kongera igihe cyo kubagwa.
Nyuma ya BPD-DS, uzakenera kwirinda ibiryo birimo isukari nyinshi n'ibinure, kuko bishobora gutera indwara ya dumping syndrome - indwara itera isesemi, kuribwa, no guhitwa. Ibiryo nk'amaswiti, amakuki, ice cream, n'ibiryo bikaranze ubusanzwe ntibyemewe cyangwa bikwiye kuribwa ku rugero ruto cyane.
Uzakenera kandi kwitonda ku biryo birimo fibres nyinshi nk'imboga mbisi n'inyama zikomeye zishobora kugorana kugogora n'igifu cyawe gito. Umuganga wawe w'indyo azatanga urutonde rwuzuye rw'ibiryo byo kwirinda kandi agufashe gutegura amafunguro aguha intungamubiri ukeneye wirinda ibimenyetso bibabaza.
Igiciro cya BPD-DS gitandukanye cyane bitewe n'aho uherereye, ibitaro, umuganga, n'ubwishingizi bwawe. Igiciro cyose ubusanzwe kiri hagati ya $20,000 na $35,000, harimo amafaranga y'umuganga, amafaranga y'ibitaro, n'amafaranga yo gutera ikinya.
Gahunda nyinshi z'ubwishingizi zitanga ubwishingizi ku kubagwa kwa bariatrique, harimo na BPD-DS, niba wujuje ibyangombwa byabo by'ubuvuzi. Ariko, ubwishingizi buratandukanye cyane, kandi ushobora gukenera kurangiza ibisabwa byihariye nk'amasomo yo kugenzura ibiro cyangwa isuzuma rya psychologiya. Reba isosiyete yawe y'ubwishingizi hakiri kare muri ubu buryo kugira ngo umenye ubwishingizi bwawe n'amafaranga uzishyura.