Umuganga utuye yemeza ko yahamagaye mu rugendo rw’akazi mu Rwanda
Urugendo rwa GI Rising rwajyanye umuturage w’ubuvuzi bw’imbere mu kigo Dr. Udit Asija, iburyo iburyo, yerekeza mu bitaro by’akarere ka Munini mu Rwanda, aho yakoranye, uhereye ibumoso, Peter Rentzepis, umunyeshuri w’ubuvuzi mu ishuri ry’ubuvuzi rya kaminuza ya Harvard; Osman Ali, Gastroenterology na Mugenzi wa Endoskopi Yisumbuye mu Kigo cy’ubuvuzi cya kaminuza ya Maryland; Emmanuel Nkusi, ushinzwe amavuriro anesthetiste ukomoka mu Rwanda; na Dr. Erik C. Von Rosenvinge, gastroenterologue akaba n'umuganga w'abarimu mu kigo cy’ubuvuzi cya kaminuza ya Maryland.
Azakomeza umwuga muri hepatologiya nyuma yo kurangiza gutura kwa Internal Medicine
Hagati y’amafoto yerekana imisozi itoshye y’u Rwanda na videwo za zebra zambuka imbere y’imodoka ya safari kuri kamera ya Udit Asija ni ibintu byegeranye cyane byafatiwe mu ngingo z’imbere z’abatazi.
Amafoto na videwo biva mubyo Dr. Asija yise urugendo rugena umwuga mu gihugu cya Afrika yuburasirazuba mu rwego rwubutumwa bwisi GI Rising. Umuryango utegamiye kuri Leta utegamiye kuri Leta zunze ubumwe za Amerika washinzwe mu 2020 ufite intego yo guteza imbere inyigisho za gastroenterology na hepatology no kwita ku Rwanda binyuze mu buryo burambye.
Umuturage w’ubuvuzi bw’imbere, uzarangiza muri Kamena 2024, arateganya gukurikirana impamyabumenyi muri endo-hepatology, umurima ugaragara ukoresha ultrasound yo kwisuzumisha no kuvura indwara zifasha abahanga mu bumenyi bwa gastroenterologue gusuzuma no gucunga indwara z’umwijima. Ubunararibonye bwe mu Rwanda bwashimangiye iyo ntego, kandi asanzwe atekereza uburyo bwo gutaha umwaka utaha hamwe n'umugore we, Dr. Anjalika Gupta n'umuhungu wabo w'imyaka 1, Aarush Asija.
Dr. Asija agira ati: "Numvaga ari muzima, nkora uyu murimo wa GI." “Ntabwo numvaga ari akazi. Nzi ko uyu ari umuhamagaro wanjye. ”
'Ushaka kumenya byinshi'
Yakuriye i Dehli, mu Buhinde, Dr. Asija yari azi neza ubucuruzi bw'umuryango: ibice by'imodoka. Kwiga gusana imodoka zacitse byamuteye gushishikazwa no gutunganya umubiri wumuntu. Yibanze kuri gastroenterology na hepatology yatejwe imbere nubunararibonye nabantu babiri bapfuye bazize indwara yumwijima: sekuru, wapfuye azize cirrhose itari inzoga yumwijima igihe Dr. Asija yari akiri umwana, na mubyara we wanduye indwara yumwijima agapfa. nubwo yakiriye transplant.
Agira ati: “Ntabwo bigeze bamenya icyateye sogokuru kurwara umwijima.” “Nashakaga kumenya byinshi kuri byo.”
Dr. Udit Asija, ibumoso, yifotoje hamwe na Marianne Kuin, umufasha w’abaforomo wemewe na endoskopi waturutse mu Buholandi, hagati, na Emmanuel Nkusi, ushinzwe amavuriro anesthetiste ukomoka mu Rwanda, hanze y’ibitaro byigisha kaminuza bya Butare.
Abinyujije ku baganga yakoranye na kaminuza ya Maryland, yahuye na Dr. Steve Bensen, umuhanga mu bumenyi bwa gastroenterologue akaba n'umwarimu mu ishuri ry’ubuvuzi rya Dartmouth rya Geisel uyobora GI Rising. Amaze kumenya byinshi ku butumwa budaharanira inyungu buri mwaka mu byumweru bibiri by’ubuvuzi mu Rwanda, yiyandikishije muri iyo gahunda, afata ibyumweru bibiri by'ikiruhuko, kandi yishyura inzira ye kuko atari muri gahunda y’amasomo ifitanye isano na GI Rising.
Mu 1994, itsembabwoko ryamaraso, ubugome mu Rwanda ryahitanye abantu barenga miliyoni mu byumweru 12. Benshi mu bapfuye bari abaganga, abaforomo, n'abandi bashinzwe ubuzima. Igihombo cyabo cyangije gahunda y’ubuzima mu gihugu.
Amakuru aturuka muri GI Rising avuga ko indwara z'umwijima na kanseri ya Esophageal, igifu, na kanseri y'umwijima biri mu bihugu 25 bya mbere bitera impfu mu Rwanda, ariko muri iki gihugu hakaba hari umuhanga mu bumenyi bwa gastroenterologue gusa ndetse n'abantu batageze ku icumi bimenyereza umwuga bafite uburambe ku bijyanye na gastroenterologiya ndetse na endoskopi. .
Dr. Asija agira ati: "Ubuvuzi bw'ibanze, ubuvuzi bwo kwirinda ntabwo ari bwiza." Ati: “Benshi mu Rwanda ni abahinzi, kandi bafite ububabare bw'umugongo kubera kunama, kandi basabwa gufata imiti igabanya ubukana.”
Muganga Asija asobanura ko gufata imiti myinshi itari iy'ububabare cyangwa kuyifata kenshi bishobora gutera ibisebe byo mu gifu, iyo bitavuwe, bishobora gutera kanseri. Yongeyeho ko kugira ngo ibintu birusheho kuba bibi, mu bwoko bwa helicobacter pylori, nyirabayazana w'indwara y'ibisebe byo mu bwoko bwa peptike, ikomeje kwiyongera mu Rwanda.
Mu mpera z'Ukwakira 2023, Dr. Asija n'abandi 111 baturutse hirya no hino ku isi bageze i Kigali, umurwa mukuru w'u Rwanda, kugira ngo batangire imirimo yabo. Yinjiye mu itsinda ry’abandi bakozi batanu bashinzwe ubuzima maze asura amavuriro n’ibitaro bine, atanga ubuhanga bwe mu rugendo rwa serivisi.
'Iminsi iremereye'
Urugendo rwatangijwe nicyumweru cya didactique yo kwigisha abakozi bashinzwe ubuzima mu Rwanda ndetse nabitabiriye ingendo. Muri icyo cyumweru, Dr. Asija yatanze ibiganiro bibiri - kimwe kijyanye n'indwara y'umwijima iterwa n'inzoga ikindi kijyanye na hepatite iterwa n'inzoga - ku bantu bagera ku 1.000.
Icyumweru cya kabiri, amakipe akora ku mavuriro no mu bitaro byo mu Rwanda, avura abarwayi. Dr. Asija yavuze ko icyagaragaye ari uruzinduko rwe mu bitaro bya Munini, ku birometero 113 uvuye i Kigali. Bagezeyo, yibuka gutekereza ko ikigo gisa neza. Hanyuma binjira imbere.
Agira ati: “Ni inyubako irimo ubusa. “Nta bikoresho bafite. Cari igikonoshwa gusa. ”
Itsinda ryateranije ibikoresho byabo byihariye bya endoskopi, bategura ibitanda byibitaro, bashyira ibikoresho byabo bya sterisile, bahita babona akazi. I Munini, itsinda ryabonye kandi ryikuramo abantu bagera kuri 60 kumunsi. Hamwe na hamwe, abakorerabushake ba GI Rising bakoresheje abarwayi 1100 mu minsi irindwi. Dr. Asija avuga ko inyinshi muri ubwo buryo zakozwe nta gutuza, nk'uko bidasanzwe muri Amerika
Ati: "Igikorwa cyanjye cya mbere kwari ukubona ibyangombwa murwego urwo ari rwo rwose bateganyaga gukora. Nafashe amateka ndayereka umuganga mukuru witabye. Narebye igipimo nashushanyije ibyagaragaye. Nahise mvugana n'umurwayi ku byagaragajwe n'intambwe ikurikiraho, ibikurikiranwa byose byari bikenewe ”, Dr. Asija. Ati: "Akazi kanjye kari nkumuganga wubuvuzi bwimbere, nicyo imyitozo yanjye yabaye, ahanini. Barangije banyigisha nabandi bamwe uko bapima. Ndangije, nakoze bike mbigenzura. ”
Dr. Udit Asija yiga kugera ku bitaro by'akarere ka Munini mu Rwanda. Dr. Asija yavuze ko itsinda rye ryabonye abantu bagera kuri 60 buri munsi mu rugendo rwe.
Yongeyeho ko kuba mu cyumba nk'uko abandi batanga serivisi bakoze endoskopi byari bishimishije. Yahuye n'indwara zidasanzwe cyane, zirimo syndrome yubururu ya rubber blv nevus syndrome, ivuka ryimitsi itavuka aho imitsi idahwitse, cyangwa ibibyimba, bigaragara kuruhu no hejuru yingingo zimbere. Yabaye kandi mu isuzuma ry’amavuriro ku gusuzuma kanseri yo mu gifu mu Rwanda. Yanditse amwe muri endoskopi - ayo yafashaga hamwe nabandi yarebaga - kuri terefone ye agamije kwiga no kwereka abandi uko urugendo rwari rumeze.
“Iyi yari iminsi iremereye. Twabyuka saa kumi n'imwe za mugitondo, tugahagarara saa kumi n'ebyiri, tugatangira kubona abarwayi saa moya. Ntabwo twabikora kugeza saa cyenda z'ijoro ". “Ariko yari paradizo mu buryo bw'uko nakoraga ibyo nahoraga nifuza gukora.”
Muganga Asija nawe yashoboye kwikinisha ahantu nyaburanga. Yifatanije n’abandi benshi bitabiriye safari muri Parike y’igihugu ya Akagera, ubuhungiro bwa nyuma busigaye bw’ibinyabuzima byahujwe na savannah mu Rwanda.
Agira ati: “Inzovu, giraffi, imvubu, imparage, kandi byari byukuri iruhande rwawe.”
Yagiye kandi mu rugendo rudasanzwe rwo kureba ingagi zo mu misozi, ubwoko bwangirika butuye mu Rwanda n'ahandi henshi muri Afurika. Kubabona, itsinda ryakoze urugendo rw'amasaha atandatu ahantu ingagi zigera kuri 40 ziteranira. Umwe mu bari bagize iryo tsinda yazimiye hafi y’umubyeyi n’umwana maze akubitwa ingagi ya silverback. Muganga Asija afite videwo yo guhura kuri terefone ye igendanwa ifata ifarashi nini, ikura ifeza ndetse n’umuntu wigometse, wakomeretse byoroheje.
'Intambara itoroshye'
Dr. Asija yagarutse muri Scranton mu Gushyingo 2023, yuzuye inkuru zerekeye u Rwanda na GI Rising.
Asanzwe atekereza uburyo bwo kwitabira urundi rugendo rwa GI Rising mu gihugu cya Afrika yuburasirazuba.
Hagati aho, yibanze ku mushinga udasanzwe ayoboye mu kigo cya Wright Centre for Graduate Medical Education kandi arimo arashakisha uburyo ashobora kuba umuyobozi w’umwaka wa kane utuye kugira ngo akomeze uwo murimo.
Dr. Asija agira ati: "Muri rusange tugamije kurandura burundu indwara ya Hepatite C, byibuze muri Centre ya Wright, niba atari umujyi wa Scranton, mu 2025". Ati: "Hariho umubare munini w'abantu banduye Hepatite C mu gace tutazi kuko abantu batazipimisha."
Umushinga wibanze ku kongera gusuzuma abarwayi. Muganga Asija avuga ko Ivuriro ryanduye ryanduye ryitwa Wright Centre rimaze gukora akazi gashimishije ko gupima abakiriya indwara yibasira umwijima. Byongeye kandi, Dr. Asija na bagenzi be barimo gukora uko bashoboye kugira ngo bakurikirane uko bigenda nyuma y’umurwayi yipimishije indwara ya Hepatite C - harimo n’uko abakozi bakurikirana abarwayi bipimisha neza, niba abarwayi barangije kwivuza, n’ibindi.
Agira ati: "Ni intambara itoroshye, ariko ndatekereza ko turi gutera intambwe nini."
Mugihe yari mu Rwanda, Dr. Udit Asija yazengurutse pariki y'igihugu ya Akagera, igishanga kinini muri Afurika yo hagati. Yafashe iyi foto ya zebra zirisha hamwe nimodoka yo gutembera inyuma.
