Kumva Kubira mu Birenge: Impamvu, Ibimenyetso n'Uburyo bwo Kubigenzura

Ni ikihe kintu cyitwa kumva ibirenge bishyushye?

Kumva ibirenge bishyushye, ku bantu bamwe bishobora kugaragara mu buryo bworoheje, ariko ku bandi bikaba byagaragara cyane kandi bikababaza. Ibi bikunze kurangwa no kongera ubushyuhe no kubabara ku gice cy'ibirenge, ariko rimwe na rimwe bishobora no gukwira ku gice cy'inkokora n'amaguru. Kubabara no gushya bishobora gukomeza igihe kirekire cyangwa bikagenda bigabanuka cyangwa bikazimira. Byongeye, muri ibi bice hashobora no kugaragara kumva nk'utuntu twiruka cyangwa kubura ubushobozi bwo kumva.

Ni ikihe kintu cyitwa Sendorome yo Kumva Ibirenge Bishyushye?

Mu buvuzi, "Grierson-Gopalan sendorome" niyo izina rizwiho kumva ibirenge bishyushye, cyane cyane ku gice cy'ibirenge, ariko rimwe na rimwe bikagera no ku nkokora n'amaguru. Iyi sendorome irangwa n'ubushyuhe bwinshi butera kubabara ku birenge, rimwe na rimwe hakiyongeraho kubura ubushobozi bwo kumva no kumva nk'utuntu twiruka. Ubukana bw'ibi bimenyetso buratandukana bitewe n'umuntu, ariko mu gihe kinini biba byiyongera nijoro kandi bikagira ingaruka mbi ku ireme ry'ibikorwa byo gusinzira.

Kumva uburibwe bukabije ku birenge iyo bikozweho byitwa "hiperestezi" kandi ni kimwe mu bimenyetso bikunze kugaragara muri sendorome yo kumva ibirenge bishyushye. Hasi aha, hari urutonde rw'ibimenyetso bikunze kugaragara muri iyi sendorome:

• Kumva ubushyuhe cyangwa gushya byiyongera cyane cyane nijoro

• Kubura ubushobozi bwo kumva no kumva nk'utuntu twiruka ku birenge cyangwa amaguru

• Kubabara gukabije, gukomeretsa cyangwa kumva nkaho urimo guterwa icyuma

• Kumva uburemere cyangwa ububabare bworoheje ku birenge

• Kutukura ku ruhu no kongera ubushyuhe

• Kumva uburibwe bukabije iyo bikozweho

Ubukana n'igihe bimara biratandukana cyane bitewe n'umuntu. Umuntu umwe ashobora kumva ubushyuhe bworoheje kandi buhoraho, undi akumva ububabare bukomeye ariko buza igihe gito.

Ni iki gitera kumva ibirenge bishyushye?

Impamvu nyamukuru itera kumva ibirenge bishyushye ni "nöropati", ari byo kwangirika kw'imitsi. Ibi bikunze kugaragara cyane ku barwayi ba diyabete bamaze igihe kirekire cyangwa abatagira igenzura ry'isukari mu maraso. Kwagirika kw'imitsi bituma ubwonko bwoherezwa ubutumwa bw'ububabare butari bwo nubwo nta gikomere cyabayeho; ibi bituma umuntu yumva nk'utuntu twiruka, kubura ubushobozi bwo kumva no kumva ibirenge bishyushye.

Uretse ibi, hari n'izindi mpamvu zishobora gutera kumva ibirenge bishyushye:

• Indwara y'uburwayi bw'impyiko bw'igihe kirekire

• Ibibazo by'ubumenyi bw'amarangamutima bitewe no kwangirika kw'imitsi mito yo ku ruhu (nöropati y'imitsi mito)

• Kubura intungamubiri za B12, folate cyangwa B6

• Kunywa inzoga nyinshi

• Kugira umusemburo wa tiroyide uri hasi (hipotiroidizime)

• Indwara zandura nka Lyme

• Indwara z'udusimba nka "sporu ayağı"

• HIV/SIDA

• Kubika poroteyine idasanzwe mu mitsi (amiloid polinöropati)

• Gukoresha imiti ya kemoterapi

• Kugira B6 nyinshi mu mubiri

• Ingaruka mbi z'imiti imwe n'imwe

• Eritromelaliji iterwa no kwaguka kw'imitsi y'intoki n'ibirenge

• Kwiyanduza n'imyanda ikomeye nka kurushe, merikure, arseniki

• Gufatwa kw'imitsi (vaskulite)

• Gusubiza nabi kw'ubudahangarwa ku turemangingo tumwe (sarkoidoze)

• Indwara z'imitsi nko Guillain-Barre sendorome na polinöropati idakira ifite ibimenyetso by'uburwayi bw'ubwonko (CIDP)

Ku bantu bamwe, impamvu itera kumva ibirenge bishyushye ntishobora kumenyekana neza n'ubwo habayeho ibizamini byinshi.

Ni iki gituma kumva ibirenge bishyushye byiyongera nijoro?

Kumva ibirenge bishyushye bishobora kwiyongera cyane cyane nijoro. Nyuma y'umunaniro w'umunsi cyangwa impamvu zoroshye nko kwandura ku ruhu, umuntu ashobora kumva ubushyuhe bw'igihe gito, ariko ikibazo gikomeza kugaruka no gukomera gishobora kuba ikimenyetso cy'uko imitsi yangiritse. Kumva ibirenge bishyushye nijoro bizwiho kugira ingaruka mbi ku gusinzira no ku ireme ry'ibikorwa byo gusinzira. Dore zimwe mu ngamba zoroshye zishobora gufasha kugabanya iki kibazo:

• Kubika ikirenge mu mazi ashyushye ariko atari menshi iminota 10-15

• Kuruhura amaguru no kuyazamura

• Gukoresha imiti igabanya ububabare cyangwa amavuta byemejwe na muganga

• Kugira masaji yoroheje

Gushakisha Impamvu itera Kumva Ibirenge Bishyushye

Kumenya impamvu nyamukuru itera kumva ibirenge bishyushye ni ingenzi kugira ngo ubone ubuvuzi bukwiye. Ariko, si buri gihe bishoboka gupima neza ubushyuhe cyangwa ububabare umuntu yumva. Dore uburyo bukoreshwa mu gusuzuma:

Amateka y'ubuzima n'isuzuma ry'umubiri: Muganga wawe azakusanya amakuru arambuye ku buzima bwawe, imiti ukoresha n'ibimenyetso ufite. Azanasuzuma aho bibabaza, arebe uko imitsi ikora, ibimenyetso by'uburwayi cyangwa impinduka ku ruhu.

Ibizamini by'imikaya n'imitsi: Elektromiyografi (EMG) ipima uko imikaya ikora amashanyarazi kandi ifasha kumenya ibibazo by'imikaya cyangwa imitsi. Ikizamini cyo kureba uko imitsi itwara ubutumwa nacyo gipima ubushobozi bw'imitsi runaka.

Ibizamini byo mu laboratwari: Ibizamini by'amaraso bipima urwego rw'isukari, intungamubiri, imikorere y'impyiko na tiroyide. Mu gihe bikenewe, hashobora no gukorwa isuzuma ry'inkari cyangwa amazi yo mu muyoboro w'umugongo.

Gufata igice cy'imitsi: Rimwe na rimwe, iyo gusuzuma bigoye, hashobora gufatwa agace gato k'imitsi kugira ngo hasuzumwe hakoreshejwe mikorosikopi.

Uburyo bwo Gukurikira no Kuvura Kumva Ibirenge Bishyushye

Mu kuvura kumva ibirenge bishyushye, intego ni ukumenya impamvu nyamukuru no gukora gahunda ijyanye nayo. Urugero, ku muntu ufite diyabete ifite nöropati, igenzura ry'isukari n'irinda kwangirika kw'imitsi ni ingenzi, naho ku bafite ikibazo giterwa na mikorobe, hakoreshwa amavuta arwanya mikorobe.

Mu gihe impamvu nyamukuru itaboneka cyangwa idashobora kuvurwa, hakoreshwa uburyo bugamije kongera ireme ry'ubuzima no kugabanya ibimenyetso. Dore zimwe mu nama n'uburyo bwo kuvura:

• Kuzuza intungamubiri zabonetse ko zibura (by'umwihariko B12, B6, folate) hakurikijwe inama za muganga

• Kwirinda kunywa inzoga nyinshi

• Mu bibazo by'impyiko, gukoresha uburyo bwa diyalisisi igihe bikenewe

• Gutera umusemburo wa tiroyide igihe bibaye ngombwa

• Ku barwayi ba diyabete, gukoresha imirire, imiti cyangwa insuline igabanya isukari

• Koresha imiti igabanya ububabare cyangwa amavuta yo ku ruhu igihe bikenewe

Sendorome yo kumva ibirenge bishyushye si indwara itera ibyago byo gupfa ako kanya; ariko mu gihe kirekire ishobora kugira ingaruka mbi ku buzima bwa buri munsi no ku gusinzira. Gukora isuzuma n'ubuvuzi bwihariye ku muntu, gukurikiza inama za muganga no kugenzura kenshi bitanga ibisubizo byiza.

Ibibazo Bikunze Kubazwa

1. Ni iki gitera kumva ubushyuhe ku gice cy'ibirenge?

Kumva ubushyuhe ku birenge, akenshi biterwa no kwangirika kw'imitsi (nöropati), kubura intungamubiri, diyabete, cyangwa kunywa inzoga. Byongeye, kwandura na mikorobe, zimwe mu ndwara z'imikorere y'umubiri cyangwa rimwe na rimwe ingaruka mbi z'imiti nabyo biri mu mpamvu.

2. Kumva ibirenge bishyushye bishobora kugenda ubwabyo?

Bitewe n'impamvu, bishobora kuba by'igihe gito; ariko niba biterwa no kwangirika kw'imitsi cyangwa indwara y'umubiri, bishobora kudakira. Ku bimenyetso bikomeye kandi bimara igihe kirekire, ni ngombwa kugana muganga.

3. Ni ibiki umuntu yakora mu rugo mu gihe yumva ibirenge bishyushye?

Ku bibazo byoroheje, kuruhura ibirenge, kwirinda ubushyuhe bwinshi, kubigira byumutse, kubibika mu mazi afite ubushyuhe buringaniye no guhitamo inkweto ziboneye birafasha. Niba ibimenyetso bikomeye, ntugomba kwivura utabanje kugisha inama muganga.

4. Ni iki gituma kumva ibirenge bishyushye byiyongera nijoro?

Kuba imitsi iba ifite ubushobozi bwo kumva cyane nijoro, impinduka mu mikorere y'amaraso no kuba umuntu aba atari kwita ku bindi, bituma ubushyuhe bwiyongera nijoro.

5. Kumva ibirenge bishyushye ni ikimenyetso cy'izihe ndwara?

Nöropati ya diyabete, kubura intungamubiri, ibibazo bya tiroyide, indwara y'impyiko, kwandura na mikorobe, zimwe mu ndwara z'imitsi n'iz'ubudahangarwa bishobora gutera kumva ibirenge bishyushye.

6. Ni ryari nakwiriye kugana muganga?

Niba kumva ibirenge bishyushye biherekejwe n'ububabare bukabije, kubura imbaraga, kubura ubushobozi bwo kumva bidakira, kugorwa cyane no kugenda, ibimenyetso byihuta, ibikomere cyangwa ibimenyetso by'uburwayi ku ruhu, hakenewe isuzuma ryihuse ry'ubuvuzi.

7. Ni ibihe bizamini bikorwa mu gihe umuntu yumva ibirenge bishyushye?

Nyuma yo gufata amateka y'ubuzima, muganga ashobora gutanga ibizamini by'amaraso, ibizamini by'imikorere y'imitsi n'imikaya, ndetse no gusuzuma uruhu cyangwa gufata igice cy'imitsi igihe bikenewe.

8. Gufata intungamubiri byafasha umuntu wumva ibirenge bishyushye?

Ni ku barwayi babonetseho kubura intungamubiri, kandi hakurikijwe inama za muganga, gufata intungamubiri mu rugero bikwiye birafasha.

9. Ese kwishya mu birenge bishobora guteza ibyangiritse bihoraho?

Niba ikibazo kiri inyuma, nko kuba indwara ya diyabete igeze kure igira ingaruka ku mitsi, kitamenyekanye hakiri kare kandi ntigikurikiranwe, hashobora kubaho kwangirika kudakira ku mitsi.

10. Ese kwishya mu birenge bishobora kugaragara ku bana?

Nubwo bibaho gake, bimwe mu bibazo by’imikorere y’umubiri cyangwa imitsi bishobora gutera kwishya mu birenge ku bana. Muri icyo gihe, bisaba ko muganga w’abana abisuzuma.

11. Ese kwishya kugaragara mu kirenge cyose cyangwa mu bice bimwe na bimwe gusa?

Hashobora kubaho kwishya mu gice cyose cy’ikirenge, cyangwa bikagera no ku kuguru no ku kagombambari. Aho ibimenyetso biboneka n’uko byakwirakwiriye bishobora gutanga icyerekezo ku mpamvu yabyo.

12. Ni izihe ndwara zindi zishobora gutera amarangamutima asa n’aya?

Amaboko n’ibice byo hasi by’amaguru, ndetse no mu maboko mu bihe bimwe, hashobora kugaragara kwishya cyangwa kumva urusimbuka. Ibi bimenyetso bishobora kugaragaza ikibazo cy’imitsi cyakwirakwiye mu mubiri cyangwa indwara rusange y’umubiri.

Inkomoko

• Ishami ry’Umuryango w’Abibumbye ryita ku Buzima (WHO): Indwara z’Imitsi: Imbogamizi mu Buzima Rusange

• Ihuriro ry’Abanyamerika bita ku Bafite Diyabete (ADA): Itegeko ku Kwita ku Kwishya k’Umiti ku Bafite Diyabete

• Ihuriro ry’Abaganga b’Imitsi muri Amerika (AAN): Amabwiriza ku Kwishya k’Imitsi mito n’Ububabare bw’Imitsi

• Ikigo cy’Igihugu gishinzwe Indwara z’Imitsi n’Ubwonko (NINDS): Amakuru ku Kwishya k’Imitsi yo ku mpande

• Kliniki ya Mayo: Kwishya mu Birenge (Isuzuma rya Muganga, 2023)