Ignace DUKUZIMANA Wigeze wihutira kunywa ikinini utanyweyeho n’igitonyanga cy’amazi? Si wowe wenyine. Bisa n’ibidateye ikibazo, ndetse rimwe na rimwe biroroshye. Ariko, nk’uko abaganga n’inzobere mu buvuzi babivuga, kunywa ibinini nta mazi ni igikorwa kibi rimwe na rimwe gishobora guteza ibibazo bitunguranye, bimwe birimo ububabare bukabije cyangwa ibyago bikomeye. Reka dusobanure ibibaho iyo unyweye ibinini udasomeje amazi, impamvu ari bibi, n’ibyo abaganga bagiraho inama.
Ni iki kibaho iyo unyweye ikinini udasomeje amazi? Kunywa ikinini nta n’igitonyanga cy’amazi bishobora gutuma ikinini gifatirana mu mwanya w’amagufa (œsophage) ari wo muyoboro uhuza umunwa n’igifu. Iyo nta kintu na kimwe cyo kunywa gihari ngo gitume kimanuka, ikinini gishobora kumara igihe kinini aho kitari kigomba kuba. Iyo byagenze gutyo, utangira kumva ugize ububabare ndetse ushobora kwangirika mu muyoboro w’amagufa.
Impamvu ari ikibazo: Ibyago byo kunywa ikinini udafite amazi: Dore impamvu nyinshi zituma abaganga batemera ko umuntu anywa ikinini atanyoye amazi:
- Gukomeretsa amagufa: Hari imiti imwe n’imwe nka doxycycline (antibiotique) na bisphosphonates (yifashishwa mu kuvura imitsi) ishobora guteza ubushye bukomeye iyo ifatiranye mu muyoboro w’amagufa. Ibi bishobora gutera:
- Kubabuka kw’iyo nzira (œsophagitis)
- Ibyanya bisandaye bitera amaraso
- Ibisebe bituma no kumira bigorana
- Kutinjira neza mu mubiri: Ibinini bikozwe mu buryo butuma bisaba amazi kugira ngo bimanuke neza. Iyo nta mazi biherekejwe, bishobora:
- Kumanuka biguru ntege
- Kudafatwa neza n’umubiri
- Kudatanga umusaruro witezwe
Ibi birakomeye cyane ku miti ya extended-release, ikeneye gukwirakwira buhoro buhoro kugira ngo ikore neza kandi itagira icyo yangiza.
- Ibyago byo guhera mu mihogo: Kunywa ibinini nta mazi byongera ibyago byo KUNIGA cyane cyane ku binini binini cyangwa bifite imiterere idasanzwe. Ibi biba cyane ku:
- Bana
- Abakuze cyane
- Abantu bafite ibibazo byo kumira (dysphagie)
- Kwangirika mu ijosi n’uburibwe: N’ubwo ikinini cyagera aho kigomba kugera, gishobora kugutera kubabara mu muhogo, kubabara mu gatuza, cyangwa guhinda umuriro no kwitsamura cyane. Ni igikorwa gito gishobora kukuzanira ibibazo by’igihe kirekire.
Icyo inzobere zibivugaho: Abaganga n’abaforomo bose bahuriza ku nama imwe: burigihe unywe ikinini unywesheje igikombe cyuzuye amazi, keretse muganga cyangwa farumasiye akubwiye ko utayakeneye.
🩺 Dr. Lisa Ganjhu, umuganga w’indwara z’igifu muri NYU Langone Health, yagize ati “Imiti ifatiriye mu muyoboro ishobora kuhatwika cyane nk’uko aside yo mu gifu ibikora, ariko bikaba bibi kurushaho. Amazi akora nka buferi, agatuma umuti ugera vuba mu gifu.”
💊 Ikigo cya Leta y’Amerika gishinzwe imiti n’ibiribwa (FDA) nacyo kigira inama yo kunywa amazi angana n’icupa ryuzuye igihe cyose ufata ibinini, cyane cyane mbere yo kuryama, kuko ubushobozi bwo kumira buba bwagabanyutse.
Imyitwarire myiza: Uko wanywa ibinini mu buryo butekanye: Dore ibyo ugomba gukora kugira ngo urinde umuyoboro wawe, igifu cyawe, n’imikorere y’umuti:
✅ Burigihe unyweshe ibinini amazi. Igikombe cyuzuye (ni nka 240 ml) ni cyo cyiza.
✅ Wicare neza igihe unywa umuti, kandi wirinde kuryama ako kanya nyuma yo kuwunywa.
✅ Umire vuba — ntukemere ko umuti utinda mu kanwa cyangwa mu muhogo.
✅ Soma neza amabwiriza cyangwa ubaze farumasiye niba uwo muti ufite amabwiriza yihariye (hari iyifatwa n’ibiryo, indi igomba gufatwa nta na kimwe umuntu yariye).
✅ Koresha ibikoresho bifasha kumira ibinini (nk’icupa ridasanzwe cyangwa gel) niba bigukomerera.
Kunywa ibinini nta mazi bishobora kugaragara nk’igisubizo cyoroshye, ariko ni ikintu gishobora gutuma ugera ku bibazo bitandukanye — kuva ku biribwa byoroheje kugera ku ngorane zikomeye. Si ikibazo cy’uko wumva unezerewe gusa; ni ikibazo cy’umutekano no gukora kwawe neza ku miti uko bikwiye. N’ubwo wajya wihutira kunywa ikinini, ntuzibagirwe amazi. Umubiri wawe — cyane cyane umuyoboro wawe w’amagufa — uzabigushimira.
Src:🩺 Dr. Lisa Ganjhu, a gastroenterologist at NYU Langone Health na 💊 The U.S. Food and Drug Administration (FDA)
DUKUZIMANA Ignace / IMIRASIRE TV
